Joe's death has hit me pretty hard too. I know I have serious chronic diseases and I feel like crap all the time, but I've always thought of myself as young and just going through a rough patch. Joe suffered from the same diseases I have and was younger than I am. Did he know his time was coming or did he, like me, sort of live in denial about how serious this can be?
I hope you're feeling better Johnr.
tweety, heart damage is one of the most common complications. It's because of the fluid retention. If your gains between sessions are too high, the extra fluid on your system enlarges your heart. It stretches out and then "deflates" when the fluid is pulled off during dialysis. High potassium levels are also a serious problem - an imbalance of potassium can cause your heart to stop. There's a long term risk of bone damage as well. This is related to the phosphorous levels. High phos, combined with high levels of parathyroid hormone, will leech the calcium out of your bones, causing osteoporosis. There are other things as well, but those are sort of the "big 3" that the docs worry about most. They can be controlled, mostly through diet and fluid restrictions, but it's not easy. If you can get a handle on your labs and keep down the fluid gains, then it's possible to live a very, very long time on dialysis.