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Doctor insights on: Button Hole Dialysis Access

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Dr. Quresh Khairullah
507 doctors shared insights

Dialysis (Definition)

Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more


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Belly button hole is shrinking as I get fatter. How to clean it?

Belly button hole is shrinking as I get fatter. How to clean it?

Lose weight use Qtip: Obesity has become the #1 health problem in us. Is the major cause of type 2 diabetes, preventable heart & arterial disease & later in age need for hip and/or knee replacement. So please get on a program to reduce your caloric intake. You may feel great at the moment, but health problems will start insideously. Using a moist q-tip is perfectly safe to use in the belly button. ...Read more

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What does dialysis vascular access mean?

What does dialysis vascular access mean?

Access to blood: Hemodialysis needs access to blood to run high speed flow about 12-15 oz of blood per minute. This requires a larger line under the collar bone which is a temporary method or a surgery to connect the veins of arm with an artery which pours great flow of blood into the vein. The vein will get larger and can be stuck with a needle to make access to blood easy. A plastic tube may be used, a graft. ...Read more

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What are the negative effects of dialysis access surgery?

What are the negative effects of dialysis access surgery?

Dialysis Access: You may be preparing for kidney dialysis by getting a "fistula"- a surgically created connection between an artery and vein. You may be having a peritoneal access port placed in your abdomen. Or you may be having both! All surgeries carry risks of infection, bleeding, damage to tissue, and allergic reaction. But starting dialysis with a central IV line carries risks, too. We say, "Fistula first!" ...Read more

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What type of dialysis access procedure would be necessary for peritoneal dialysis?

What type of dialysis access procedure would be necessary for peritoneal dialysis?

PD cath: A peritoneal catheter is introduced in the lower abdomen to allow for introduction of fluids in and out. ...Read more

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What would causes a dialysis permacath access site to suddenly become sore and painful?

Permacath redness: Have your nephrologist (n) or dialysis nurse look at it. You may have a cellulitis in the permacath's (p) insertion site. You may need antibiotics to treat it. You should also ask your n to refer you to a vascular surgeon for an av fistula creation so you can be free of your p and have a much lower risk of such infections and feel better. ...Read more

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Why do physicians use metal needles to access dialysis fistula?

Why do physicians use metal needles to access dialysis fistula?

It is less traumatic: Usually specially-trained nurses or technicians access dialysis fistulas, not physicians. Metal needles are used to help penetrate the skin and the thickened wall of the vein accurately and with minimal trauma. Sometimes blunt needles are used (if a buttonholing technique is being employed). ...Read more

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Will dialysis affect my employment?

Possibly: If you are on hemodialysis, then you will have to be at an in center facility three times a week for 3 to 4 hours per session. This form of dilaysis makes it very difficult to maintain a full time job however if you choose to perform peritoneal or home hemodialysis, they you have a better shot of maintaining a full time position. ...Read more

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