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    I'm a 78 year old female living in Orcutt Ca. I'm in stage 4 and have been on dialysis since Feb 2018. 3 days per week for 3 hours each day. I enjoy reading everyone's stories on the forum. It helps!

  • #2
    Here are the final three stages of CKD:

    Stage 3 is characterized by moderate kidney damage with GFR between 30 and 60 ml/min/1.73 square meters. If the damage is halted at this stage, the patient will need to be monitored for possible complications such as cardiovascular disease; however, it’s unlikely that renal replacement therapy will be required.

    Stage 4 shows severe renal function reduction, GFR between 15 and 30 ml/min/1.73 square meters. Renal replacement therapy is likely to be necessary.

    In CKD stage 5, GFR drops below 15 ml/min/1.73 square meters and the kidneys are effectively nonfunctional. Renal replacement therapy is absolutely necessary; the patient will almost certainly die without it.

    As noted above, dialysis/renal replacement therapy becomes necessary in Stage 5 CKD. It is likely to become necessary when a patient reaches Stage 4.

    I did not commence HHD training and with it hemodialysis, until my GFR was 9, Stage 5. Even then, I had no physical symptoms of kidney failure, was producing adequate volumes of urine, and could very well have delayed the start of hemodialysis for up to 3 - 4 months.

    I had committed to begin HHD training some 3 months prior. I was far better off starting hemodialysis sooner than later when symptoms may have reached the point where dialysis was necessary and an HHD training position may not have been available.

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