In-center self care is very attractive to me for a number of good reasons including well documented studies which show that In-center self care patients have fewer hospitalization events, fewer missed treatments, and lower mortality rates. But most importantly for me, I want to be engaged in my treatments. I found it difficult to get my DaVita center to allow me to be engaged in my own treatment. This bit of, “come in, sit down, and be quiet while we do what we think is best for you” did not fly with me.
I should note that I am not a typical dialysis patient. I have never missed a treatment, I control my fluids (over last 2 months I have not walked in with more than 1KG over my dry weight). I control my diet to a very high level so that my labs are always within the acceptable parameters. I do not take any medications nor do I take any binders. I have been on dialysis for 4 years and know how to string a machine.
Can someone in DaVita provide details on in-center self care and/or point me to a resource that can answer some simple questions?