Is there a way to avoid dialysis when your nephrologist orders you to have it?

Avoiding dialysis: When to start dialysis is sometimes an easy decision, and sometimes more difficult. If your nephrologist sees a need then there is a good chance there really is one, but there can be differences between nephrologists as to absolute need for dialysis in cases where the lab or clinical data are not clear cut. Tthere are many risks, benefits and alternatives to discuss, so a second opinion may help.

Probably not: If your nephrologist feels that your kidneys have deteriorated to the point where they cannot get rid of the metabolic poisons that your body produces, as well as the excess fluid that accumulates when the kidneys are not working adequately, then the only real choice is to submit to having dialysis. A good nephrologist will not advise starting dialysis unless you really need it to save your life.

Dialysis: Likely not. Avoiding or postponing dialysis allows toxic injuries to accumulate. A kidney transplant is an alternative.