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Author Topic: 20 Tips for New Dialysis Patients  (Read 6003 times)
Meinuk
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« on: July 14, 2011, 10:24:08 AM »

I wish I had found this when I was starting dialysis.  I've starred my favorites. This was written 11 years ago by someone who had been on dialysis for 15 years. 

From Life Options.org  http://www.lifeoptions.org/stories/stories.php?story=l8



20 Tips for New Dialysis Patients

**It's not the end of the world. While you have to change your lifestyle, you can still enjoy life. **

If your job is physical, you probably felt weak long ago. You'll feel better now.

**If you do intellectual work, your brain is not dead yet—nor is mine, after 15 years on dialysis. **

Learn everything you can about how the kidney functions, your disease, and the dialysis machine.

**After a few weeks, learn what all the displays and warning lights on the machine are. **

Plan what you want to do to pass the time when you're on the machine. Have more than one option.

Buy your own thermometer instead of using the one in the dialysis unit.

Ask questions. What is your blood pressure? What are your lab values and what do they mean?

Learn the names of all of your medications—don't call them the Blue One or the like.

Check and confirm every medication that is given to you. Find out the purpose and the proper dose. Better safe than sorry!

Get used to the metric system. Most hospitals use kilograms for weight and Celsius (C) degrees for temperature. You'll feel better saying your weight is 90 kilograms instead of 200 lbs.

Have a good scale at home; I recommend digital. Maintain your weight as directed. You may be able to get away with drinking an extra cup of fluid once in a while, but if you're not careful, you'll be sorry.

Learn what foods are good or bad for you. You can eat almost anything in small quantities. At first, you may be afraid to eat many types of foods. After a while you'll find your own balance.

When you have some experience, use the results of the monthly blood test to experiment CAREFULLY with variations in your diet. Write down what you eat between your last dialysis treatment and the monthly blood test. Discuss the results with your doctor or dietitian. Keep a record of the results.

Get a cell phone. You'll feel less lonely, even if you don't use it.

**Be nice and understanding to the staff. Then they're more likely to treat you the same way. **

Consider other treatment options, including a transplant. Learn about the pros and cons before making a decision.

Keep an eye on everything. You can care for yourself better than any doctor or nurse. **

Never miss a treatment. This is your life—nothing in the world is more important.

** If you don't have other health problems, you may die of old age, so plan for a long life: go to school, get a job, volunteer, or get involved in some other productive activity. **

Permission received to post the following information:

Name: Gil
Cause of renal failure: Polycystic kidney disease
Time on dialysis: 15 years
Treatments used: In-center hemodialysis
Work/other activities: Computer programming, research & development
Date: October 1999

« Last Edit: July 14, 2011, 10:42:02 AM by Meinuk » Logged

Research Dialysis Units:  http://projects.propublica.org/dialysis/

52 with PKD
deceased donor transplant 11/2/08
nxstage 10/07 - 11/08;  30LS/S; 20LT/W/R  @450
temp. permcath:  inserted 5/07 - removed 7/19/07
in-center hemo:  m/w/f 1/12/07
list: 6/05
a/v fistula: 5/05
NxStage training diary post (10/07):  http://ihatedialysis.com/forum/index.php?topic=5229.0
Newspaper article: Me dialyzing alone:  http://ihatedialysis.com/forum/index.php?topic=7332.0
Transplant post 11/08):  http://ihatedialysis.com/forum/index.php?topic=10893.msg187492#msg187492
Fistula removal post (7/10): http://ihatedialysis.com/forum/index.php?topic=18735.msg324217#msg324217
Post Transplant Skin Cancer (2/14): http://ihatedialysis.com/forum/index.php?topic=30659.msg476547#msg476547

“To doubt everything or to believe everything are two equally convenient solutions; both dispense with the necessity of thought.” - Henri Poincare
lmunchkin
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"There Is No Place Like Home!"

« Reply #1 on: July 14, 2011, 10:40:19 AM »

Excellent Post, Meinuk!  I wish I had this win we started this process!  To anyone new to this disease, please read this!!!!!  It will help you immensly.  I was like all panicky and all when my husband was diagnosed, actually we were both in denial for the first 2 years! Had this list been available, I would have followed it to the tee!

Thanks Meinuk, this will help most people in this process! And it is easy to understand as well.

lmunchkin      :flower;    :cheer:
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11/2004 Hubby diag. ESRD, Diabeties, Vascular Disease & High BP
12/2004 to 6/2009 Home PD
6/2009 Peritonitis , PD Cath removed
7/2009 Hemo Dialysis In-Center
2/2010 BKA rt leg & lt foot (all toes) amputated
6/2010 to present.  NxStage at home
Dannyboy
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« Reply #2 on: July 14, 2011, 12:03:19 PM »

Thank you Meinuk.   I very much like the "tone" of those points.   As a newbie to all of this, I find myself going "up and down" to fully accept the reality of my CKD, it has been a challenge to keep positive.   Like many/most people  I don't like surprises, and feel most comfortable when I know what is down the road, so to speak.   

Scheduled for vein mapping next week, getting closer to D, I will keep these excellent points in mind.   

--Dan
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ESRD Summer 2011
Started using NxStage September, 2011
"Everything is funny as long as it is happening to Somebody Else"--Will Rogers

Alcoa and Reynolds are in a bidding war to buy my serum Aluminum.
Bill Peckham
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« Reply #3 on: July 14, 2011, 10:01:39 PM »

I think this was posted on the Dialysis_Support listserv but I can't find it if it was - great to see it resurrected!
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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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