How long on hemodialysis machine

[lmden]

I'm new to dialysis (only been on a week) im currently on 4 hours 3 days a week, does everybody have the same amount of time or does it vary depending on whats prescribed by your doctor?

Regards

[talker]

I'm new to dialysis (only been on a week) im currently on 4 hours 3 days a week, does everybody have the same amount of time or does it vary depending on whats prescribed by your doctor?

Regards

Welcome .
From casual and personal observation, the 4/3 setup seems the standard or the coming standard.
Have seen two and a half, three and three and a half, and the four hour sessions.
Yet have read that anything less than the four hour session , three times a week isn't doing a good dialysis job.
So appears the patient and the doctor set the frame for 'how much and how often'.

talker

[iolaire]

I believe/been told that the time is some factor of your weight in my US based center.  For example I'm right around 90 Kilos and go for 3.5 hours, other smaller people can start after me and finish before me.

[cassandra]

It also depends on your clearance, which also depends on your diet etc.

[Dman73]

Body mass is also a consideration. We have a person that weighs over 250  lbs and runs 5 hrs 3X/wk.

[Simon Dog]

It also depends on your clearance, which also depends on your diet etc.

It also depends on how big a filter your neph is willing to prescribe for you.  My doc tells me getting a 180 at Fresenius is no big deal (default is 160 in many clinics), but getting a200 or (yikes) a 250 requires approval from the P&T committee.

[talker]

]
It also depends on how big a filter your neph is willing to prescribe for you.  My doc tells me getting a 180 at Fresenius is no big deal (default is 160 in many clinics), but getting a200 or (yikes) a 250 requires approval from the P&T committee.

Body mass is also a consideration. We have a person that weighs over 250  lbs and runs 5 hrs 3X/wk.

It also depends on your clearance, which also depends on your diet etc.

I believe/been told that the time is some factor of your weight in my US based center.  For example I'm right around 90 Kilos and go for 3.5 hours, other smaller people can start after me and finish before me.

Thank you.
Still learning

talker

[Zach]

I'm new to dialysis (only been on a week) im currently on 4 hours 3 days a week, does everybody have the same amount of time or does it vary depending on whats prescribed by your doctor?

Regards

More dialysis is better, regardless of the size of the patient.
In Japan and parts of Europe, standard in-center hemodialysis treatment times range from 4 to 5 hours, three-times-a-week.
These countries have lower mortality rates than the U.S.

For those opting home hemodialysis, nocturnal 6 to 8 hours, 5 to 6 days-a-week is the gold standard for optimal treatment.

 

[Hemodoc]

I'm new to dialysis (only been on a week) im currently on 4 hours 3 days a week, does everybody have the same amount of time or does it vary depending on whats prescribed by your doctor?

Regards

More dialysis is better, regardless of the size of the patient.
In Japan and parts of Europe, standard in-center hemodialysis treatment times range from 4 to 5 hours, three-times-a-week.
These countries have lower mortality rates than the U.S.

For those opting home hemodialysis, nocturnal 6 to 8 hours, 5 to 6 days-a-week is the gold standard for optimal treatment.

 

Such a simple statement Zach that most US nephrologist's would argue against, wrongly I might add. BTW, I missed your note on your 32nd dialysisversery. Congratulations Zach, and I don't want a transplant either. I guess we are both crazy after all these years. 

[Rerun]

I do incenter hemodialysis so I go 3 nights a week for 8 hours.  I watch a movie or read and then conk out.  It goes fast.  THANK GOD.

           

[Hemodoc]

I do incenter hemodialysis so I go 3 nights a week for 8 hours.  I watch a movie or read and then conk out.  It goes fast.  THANK GOD.

           

That is 24 hours a week of dialysis. In-center nocturnal is a great option for some folks that don't want the bother of home dialysis.  Do the serve a full dinner and multiple courses and desert as well?

[Zach]

 BTW, I missed your note on your 32nd dialysisversery. Congratulations Zach, and I don't want a transplant either. I guess we are both crazy after all these years. 

Thanks Hemodoc!
Sometimes it's good to be crazy.

 

I do incenter hemodialysis so I go 3 nights a week for 8 hours.  I watch a movie or read and then conk out.  It goes fast.  THANK GOD.

           

You're my hero, Rerun!

 

[komomai]

Aloha I started hemodialysis here in Okinawa, Japan started at 4.5 hours 3X week.  I am trying to do home hemodialysis so I talked my Doctor into allowing me to come in for 3 hours at 6X week.  I explained this is the min. I would do at home so why can't I try it in center to see if I can tell the difference?  Well, I felt a lot better doing it 6 times a week had more energy made it to work more often, until I caught an infection on my tunnel catheter.  And yes, my Doctor agrees that the more dialysis time you do the better for you.  Unfortunately the Japanese National Health Insurance doesn't agree and sticks to the standard 3 times a week for all the Japanese patients.  I use a private US company that covers Foreign Services.

[iolaire]

I do incenter hemodialysis so I go 3 nights a week for 8 hours.  I watch a movie or read and then conk out.  It goes fast.  THANK GOD.

           

I'd be all over that if they offered it around me (and allowed me to keep my nephrologists).  The nocturnal center service they offer in the Davita's under my nephrologist group's oversight are something like 10 pm to 3 am - slightly longer than 3.5 hours but not a full nights worth.  I don't know who in their right mind would go to a nocturnal session that doesn't allow you to sleep a decent amount of time.  I understand you might want to spend the evening at home, but I would prefer to go directly to work when I get out.

[kit78]

The cleaner you eat and use the "Kidney Diet" app, the better you will feel.  The app is $1.99 be it iphone or android.  My doc told me about it.  It watches the levels nicely and the app is updated all the time.  Please get it to watch you levels.  I just got a transplant but am high risk, so I am still using the app.

[cdwbrooklyn]

The cleaner you eat and use the "Kidney Diet" app, the better you will feel.  The app is $1.99 be it iphone or android.  My doc told me about it.  It watches the levels nicely and the app is updated all the time.  Please get it to watch you levels.  I just got a transplant but am high risk, so I am still using the app.

Wow.  I'm going to look into that app. 

Thanks!!!!

[Simon Dog]

I'd be all over that if they offered it around me (and allowed me to keep my nephrologists).  The nocturnal center service they offer in the Davita's under my nephrologist group's oversight are something like 10 pm to 3 am - slightly longer than 3.5 hours but not a full nights worth.  I don't know who in their right mind would go to a nocturnal session that doesn't allow you to sleep a decent amount of time.  I understand you might want to spend the evening at home, but I would prefer to go directly to work when I get out.

The problem is that nocturnal in center is wedged into an existing treatment schedule, which typically has chair times starting at 6AM, so "nocturnal" start times of 8PM are not uncommon.   It never occurred to those in charge to start the regular shifts at 8 or 9AM so nocturnal could happen at night.   Add to that the fact that nocturnal often means sleeping in a dialysis chair, and the concept becomes a lot less appealing.

[dialysisuser82]

                     ---Your question: "How long on hemodialysis machine?"---

It depends on the Ekt/v, meaning how well toxin is removed.

At my center, the upper range for ekt/v is only 1.2. To me this is not good enough, ideally ekt/v should be in the range of 1.7-2.0 for longevity of life span.

As you progress in dialysis, the doctor will reduce your time.

Hope this help,