From: Pete on

"Larry Krzewinski" <Feerless_Freep(a)madmagazine.com> wrote in message
news:njc1b1tskvts90knjld6ieaigoi2hc5keq(a)4ax.com...

>
> Pete, by dialyzing six days per week you are able to eat more
> electrolytes than someone who only dialyses three times per week. In
> general, once a person starts on dialysis their kidneys become "lazy"
> due to not having to perform as needed.
>

Hi Larry.
I've only been on daily hemo for 3 and a half months. I was on regular
3/week in-centre hemo before that for 2-1/2 years. Daily hemo certainly make
life more bearable in terms of diet though, that's true.
Pierre


From: Larry Krzewinski on
On Wed, 15 Jun 2005 22:01:25 -0400, "Pete" <nospam(a)hotmail.com> wrote:

>> Pete, by dialyzing six days per week you are able to eat more
>> electrolytes than someone who only dialyses three times per week. In
>> general, once a person starts on dialysis their kidneys become "lazy"
>> due to not having to perform as needed.
>>
>
>Hi Larry.
>I've only been on daily hemo for 3 and a half months. I was on regular
>3/week in-centre hemo before that for 2-1/2 years. Daily hemo certainly make
>life more bearable in terms of diet though, that's true.
>Pierre

And fluid consumption, too, Pierre. You can drink a little more if
you're dialyzing six times a week. It is also much easier on your
heart. The more frequently you dialyze the closer it gets in
approximating what your kidneys would do naturally. How long do you
dialyze each day? I'm guessing at least three hours unless you're
doing nocturnal dialysis.

Larry
From: daniel.granot@gmail.com on
I know a couple of patients at my dialysis centre are dialysing for two
hours six times a week.

I'm considering doing the same.

One of the main "positive" effects is the lack of the "washed-out"
feeling post-dialysis.

Hence the rest of your day is potentially considerably more productive.

From: Pete on
I've been doing mine for the standard 2 hours 6 days per week since my
training (this is called "short daily hemo"). This equals 12 hours a week,
so the same total treatment time as dialysis for 4 hours 3 times per week.
The difference though is the benefits of greater frequency, since most of
what hemodialysis does (except fluid removal), happens during the first 2
hours of treatment anyway. I will be switching to daily nocturnal next week,
which is 6-8 hours 6 nights per week, running at reduced dialysate and blood
flows. Some people do 4 or 5 days, rather than 6, but this doesn't give you
the full benefit of daily dialysis.

It's a significant time commitment though - but it's almost like getting
15-20% more kidney function. I use a conventional dialysis machine,
identical to the ones in-centre. It takes at least an hour to setup (various
tests, priming, recirculation, etc.), and that's only after you get good at
it. Then there's the 2 hours on treatment, 30 minutes for taking off
(rinseback, remove needles and hold 10 minutes one at a time - you can't
hold both at the same time at home, since there's no way to remove both
needles and hold at the same time), another half hour or so to takedown and
cleanup and put the machine in its disinfection cycle. A 2 hour treatment
easily takes up 4 hours (and that's not counting the time managing supplies,
deliveries). But it's worth it. Nocturnal is better because it uses the
overnight hours while you mostly sleep anyway, plus, it literally throws all
diet restrictions and fluid limits out the window. They usually even have to
*add* phosphorus and potassium to you during dialysis.

The lack of post dialysis wash out is true. When I do my 2 hour treatment
during the day, I'm up and running right after, rather than having to sleep
for a few hours as I did before on regular in-centre hemo. In fact, despite
the big overall time commitment, I seem to gain a lot of actual useful time
because I sleep less.

Pierre

<daniel.granot(a)gmail.com> wrote in message
news:1118907087.951921.58620(a)g44g2000cwa.googlegroups.com...
>I know a couple of patients at my dialysis centre are dialysing for two
> hours six times a week.
>
> I'm considering doing the same.
>
> One of the main "positive" effects is the lack of the "washed-out"
> feeling post-dialysis.
>
> Hence the rest of your day is potentially considerably more productive.
>


From: Peter McLeod on
In article <idqqe.17718$mZ2.6849(a)fe07.lga>, nospam(a)nospam.com (Sheree &
Rick) wrote:

> My husband was just put at stage 4 and we will be seeing a dietian for
> a low
> protein/low sodium diet. I will share any that I might get. But would
> also
> like a cookbook too.

very different diet to when on dialysis, on dialysis you want high
protein, low potassium and low a few other things but I am getting a
bit rusty, 11 years since transplant, still going well

Pete Mc
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