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Author Topic: NxStage Home Nocturnal Northwest Kidney  (Read 6044 times)
swramsay
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My son, Scotland, is my heartbeat.

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« on: March 01, 2009, 03:27:03 PM »
I'm sure there are bits and pieces of answers to my question throughout this site. However, so that I am not confused...

How exactly does Northwest Kidney Center use the NxStage for nocturnal home hemo?

Is the only change/addition the purchase of a heparin pump? Does NW kidney pay for this or does the dialysis patient pay for the pump?

I am currently training with the NxStage Pureflow System One for short daily. When I am comfortable with the short daily, I plan on changing to nocturnal home. I have a feeling Davita may be willing to work with me on this and I want to educate them on what I would need for the NxStage in order to do nocturnal. I have also talked with NW Kidney and they will take me for nocturnal home if Davita won't.

Finally, how many here do nocturnal home on the NxStage? If there are existing threads on this that you can point me to, great.


thanks everyone,
Wendy R.
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JUST KEEP GOING.
March 2009: NxStage Pureflow Home Dialysis 5-6 x's week
Sept 2008: In center dialysis
Sept 2008: Left kidney removed (bladder cancer)
April 2006: Right kidney removed (bladder cancer). Chemo for lymph node mets.
April 2004: Bladder removed plus hysterectomy & neobladder made (bladder cancer)
Feb 1994: Original bladder cancer diagnosis & beginning of this journey

www.marykay.com/wramsay
Wallyz
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« Reply #1 on: March 01, 2009, 09:01:49 PM »
I do nocturnal on the nxstage.  PSKC paid for the pump.. Email bill peckham.
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Bill Peckham
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WWW
« Reply #2 on: March 02, 2009, 02:26:10 PM »
I do nocturnal through NKC. They'll supply you with everything e.g. chair, scale, BP cuff.

You use a different cartridge - 171 vs. 170 - and a heparin pump. NKC isn't using the pureflow, you'd be using boxes.
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http://www.billpeckham.com  "Dialysis from the sharp end of the needle" tracking  industry news and trends - in advocacy, reimbursement, politics and the provision of dialysis
Incenter Hemodialysis: 1990 - 2001
Home Hemodialysis: 2001 - Present
NxStage System One Cycler 2007 - Present
        * 4 to 6 days a week 30 Liters (using PureFlow) @ ~250 Qb ~ 8 hour per treatment FF~28
Zach
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"Still crazy after all these years."
« Reply #3 on: March 02, 2009, 02:38:45 PM »
Quote from: Bill Peckham on March 02, 2009, 02:26:10 PM

You use a different cartridge - 171 vs. 170 - and a heparin pump. NKC isn't using the pureflow, you'd be using boxes.


How many bags of dialysate do you use each night?

Quote from: swramsay on March 01, 2009, 03:27:03 PM

Finally, how many here do nocturnal home on the NxStage? If there are existing threads on this that you can point me to, great.


http://ihatedialysis.com/forum/index.php?topic=12092.msg217581#msg217581
 
8)
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Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
Fresenius Optiflux-180 filter--without reuse
Fresenius 2008T dialysis machine
My KDOQI Nutrition (+/ -):  2,450 Calories, 84 grams Protein/day.

"Living a life, not an apology."
Bill Peckham
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« Reply #4 on: March 02, 2009, 04:12:29 PM »
40L = 8 bags.
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http://www.billpeckham.com  "Dialysis from the sharp end of the needle" tracking  industry news and trends - in advocacy, reimbursement, politics and the provision of dialysis
Incenter Hemodialysis: 1990 - 2001
Home Hemodialysis: 2001 - Present
NxStage System One Cycler 2007 - Present
        * 4 to 6 days a week 30 Liters (using PureFlow) @ ~250 Qb ~ 8 hour per treatment FF~28
Zach
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"Still crazy after all these years."
« Reply #5 on: March 02, 2009, 04:29:34 PM »
Quote from: Bill Peckham on March 02, 2009, 04:12:29 PM
40L = 8 bags.

Why not use the pureflow?

8)
Logged
Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
Fresenius Optiflux-180 filter--without reuse
Fresenius 2008T dialysis machine
My KDOQI Nutrition (+/ -):  2,450 Calories, 84 grams Protein/day.

"Living a life, not an apology."
Bill Peckham
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Gender: Male
Posts: 3057


WWW
« Reply #6 on: March 02, 2009, 05:22:11 PM »
NKC has everyone on bags.
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http://www.billpeckham.com  "Dialysis from the sharp end of the needle" tracking  industry news and trends - in advocacy, reimbursement, politics and the provision of dialysis
Incenter Hemodialysis: 1990 - 2001
Home Hemodialysis: 2001 - Present
NxStage System One Cycler 2007 - Present
        * 4 to 6 days a week 30 Liters (using PureFlow) @ ~250 Qb ~ 8 hour per treatment FF~28
Zach
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"Still crazy after all these years."
« Reply #7 on: March 02, 2009, 05:37:08 PM »
Quote from: Bill Peckham on March 02, 2009, 05:22:11 PM
NKC has everyone on bags.

How many people from NKC are on nocturnal with NxStage?

8)
Logged
Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
Fresenius Optiflux-180 filter--without reuse
Fresenius 2008T dialysis machine
My KDOQI Nutrition (+/ -):  2,450 Calories, 84 grams Protein/day.

"Living a life, not an apology."
Wallyz
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« Reply #8 on: March 02, 2009, 08:17:25 PM »
50 odd-
Pureflow can be a PITA, but I like it better than hanging bags.
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Bill Peckham
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« Reply #9 on: March 02, 2009, 10:49:23 PM »
Quote from: Wallyz on March 02, 2009, 08:17:25 PM
50 odd-
Pureflow can be a PITA, but I like it better than hanging bags.

That would be the total number on NxStage. I'm not sure how many are doing extended - my guess would be about a dozen. NKC also has people using the B Braun for three treatments a week schedules and some of them may be dialyzing over night. BTW In total NKC has about 5% of it's hemodialysis census on home hemo.
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http://www.billpeckham.com  "Dialysis from the sharp end of the needle" tracking  industry news and trends - in advocacy, reimbursement, politics and the provision of dialysis
Incenter Hemodialysis: 1990 - 2001
Home Hemodialysis: 2001 - Present
NxStage System One Cycler 2007 - Present
        * 4 to 6 days a week 30 Liters (using PureFlow) @ ~250 Qb ~ 8 hour per treatment FF~28
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