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Mesa, AZ
A 77-year-old male asked:

Is there anything i should be doing right now to assist me in preparation for dialysis when the time comes? (the do's and don't s ). thank you.

2 doctor answers2 doctors weighed in
Dr. Jack Rubin
Nephrology and Dialysis 48 years experience
Dialysis preparation: You should have a good idea of what type of dialysis you want, either hemodialysis (hd) or peritoneal dialysis (pd). Each has its advantages and disadvantages. Once you and your nephrologist have decided, have a av fistula created for hd or implant a peritoneal catheter for pd. The best thing you can do is to start dialysis without a central vein catheter. Speak to your nephrologist about this.
Dr. Andrew Doe
Interventional Radiology 20 years experience
Yes: If you have renal insufficiency ("pre-dialysis" kidney disease) you should consider getting a fistula placed. Since you have some klidney function you are a better surgical candidate, will heal better, and can get a native vein fistula (the best kind). Don't wait until you start dialysis because you may need a catheter (which is not good).

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Last updated May 1, 2021

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