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  • confused

    Does everyone have to get a fistula? Have read where some have more than one access site. why?

  • #2
    If you're going to do Peritoneal Dialysis then you wouldn't have to have a fistula. However, if you are going to do in-center hemo or home hemo then yes, you would mostly likely need to get a fistula or graft. Some people have a central line catheter, but that's not recommended for long term use as it has a higher risk for infection.

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    • #3
      I am in the process of making a choice for dialysis. I am so confused, but Peritoneal Dialysis is on the top of my list. I'd love to hear feedback on it from anyone that is on it. I've read that you feel better on this need to make a decision pretty soon.

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      • #4
        I have been on Peritoneal Dialysis since April. Previously I was on in-center hemo and was for about 3 1/2 years. I have been loving PD so far compared to in-center. With PD I have a lot more flexibility as far as having my days free. Yes, it sucks having to hook up to a machine every single night, but the freedom otherwise outweighs that negative. During the week I try to hook up by 10:00pm at the latest since I work all week. I am an 8 hr treatment run so usually am done around 6am or a little after. On weekends I hook up whenever I feel like it. I have found that I do feel better with PD more for the fact that I don't have the ups and downs like I did with in-center and I haven't had to deal with cramping or drops in my blood pressure. With in-center hemo you do it typically 3 days a week and are hooked up to a machine for however long your treatment time is. I would feel horrible most of the time after treatment and often times would find myself sick and throwing up or I would get cramping. Granted you have your whole day and night free for the days you don't have treatment, but for me with work, busy schedule and wanting to have more freedom in my life, PD was the way to go. I kick myself sometimes wondering why I waited so long to make this change.

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        • #5
          Originally posted by Kidneyfix View Post
          I am in the process of making a choice for dialysis. I am so confused, but Peritoneal Dialysis is on the top of my list. I'd love to hear feedback on it from anyone that is on it. I've read that you feel better on this need to make a decision pretty soon.

          Well, PD seems to work better for very busy people, especially those with erratic schedules, but there are drawbacks to PD:

          It is generally less effective
          If you have polycystic kidneys, you probably don't have adequate capacity in your peritoneum.
          You run a greater risk of infection
          You need to sleep all night with a hose connected, and a noisy machine running/beeping
          You must keep pets away while dialyzing
          After a certain amount of time, most people's peritoneum hardens, and PD is no longer effective.

          On the plus, it is gentler (albeit more time-consuming), and the machine is more portable.

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