If you aren't up to doing home hemo, consider asking your doc to have you trained on self canulation, that way, you won't have to deal with being stuck by techs who don't know your arm as well as you do. It also opens up the option of buttonholes. Some docs swear by them; others swear about them. Most interesting, fistulafirst.org recommends buttonholes when on the last viable access to preserve it's life. I told my doc I want my first access treated with the level of care he would give it if it were my last, and he recommended buttonholes. Working quite well so far - self canulate at home, or at a clinic while traveling.
Hi simon dog the button hole is the best so they say , dosent help when you have a shit load of false tracks and hitting the ceiling in pain loads of times before they use a sharp needle and get them in one go.
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