NBC Report on Dialysis Reveals Continued Media and Nephrology Bias

[Bill Peckham]

Noahvale you've stated a couple times that someone with a graft can't do HHD. That is not the case - Dan (aka DialysisDan) has been self canulating his graft at home and on the road for several years (I saw him do it). Bob Lockridge has a majority of people using catheters in his HHD program. Access flavor isn't a barrier to HHD.

[MooseMom]

I'm not sure I see why "optimal dialysis" has to be synonymous to "home hemo".  The goal is to achieve "optimal dialysis" in a whole plethora of settings.

With the dialysis industry rolling in money, I have little sympathy for those who cite "staffing problems" as an obstacle to in-center nocturnal dialysis.

I don't think there is much disagreement amongst us that the thrice weekly inclinic modality is a "business model" and NOT a "well-being model".  This is the crux of the problem.

[Hemodoc]

I'm not sure I see why "optimal dialysis" has to be synonymous to "home hemo".  The goal is to achieve "optimal dialysis" in a whole plethora of settings.

With the dialysis industry rolling in money, I have little sympathy for those who cite "staffing problems" as an obstacle to in-center nocturnal dialysis.

I don't think there is much disagreement amongst us that the thrice weekly inclinic modality is a "business model" and NOT a "well-being model".  This is the crux of the problem.

Dear MooseMom and Rerun, I have taken a new look at my article in light of your impression and addes more explanation and clarity hopefully to the points I was trying to make.  Thank you for your comments, hopefully I have done a little better with my explanation of why I believe his article is quite biased and inaccurate.  Thank you once again for your inputs, no man is an island unto himself.

God bless,

Peter