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Doctor insights on: Prisma Dialysis

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Is their any bacteria that is known to indirectly cause ulceration in skin healing? what other option are their beside Prisma , Xerform for skin ulcer

Is their any bacteria that is known to indirectly cause ulceration in skin healing? what other option are their beside Prisma , Xerform for skin ulcer

Yes: Several organisms cause or contribute to skin ulceration. Pyoderma gangrenosum is one. There are multiple therapies in wound care for difficult chronic ulcers. Okay to ask for referral to wound care center. Take friend with you to appointment. Be Well. ...Read more

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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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HI!I HAVE DIABETES. AND HAVE A WOUND ON MY LEFT LEG .FOR A YEAR NOW I'VE WAS IN THE HOSPITAL JUST BEFORE XMAS. AND NOW THE WOUND KEEPS GETTING A SLIME ON IT . THE NURSE AND DOCTOR HAVE PUT MEDA HONEY ON IT NOW .BUT THEY HAVE USED TENDER WETS -PRISMA -SIL

HI!I HAVE DIABETES. AND HAVE A WOUND ON MY LEFT LEG .FOR A YEAR NOW I'VE WAS IN THE HOSPITAL JUST BEFORE XMAS. AND NOW THE WOUND KEEPS GETTING A SLIME ON IT . THE NURSE AND DOCTOR HAVE PUT MEDA HONEY ON IT NOW .BUT THEY HAVE USED TENDER WETS -PRISMA -SIL

I : I agree wholeheartedly with dr. Christensen's answer, and would like to add my own thoughts. It's been my experience too many doctors, of all specialties, get hung up on treatment of leg and foot ulcers instead of focusing attention on the cause. An ulcer is a symptom, not a disease. The key to the successful closure of an ulcer is to address the underlying cause. For instance: chronic venous insufficiency from varicose veins can cause an ulceration on the inner lower 1/3 of the leg. Since the underlying cause is blood stagnation, the blood needs help fighting gravity, so compression dressings are the most helpful. Diabetic foot ulcers over pressure points are the result of pressure and a lack of sensation. Thus, the treatment must address pressure above all. Chronic high blood pressure can produce leg ulcers on the outside of the lower legs. It doesn't matter what sort of goo is applied to these ulcers. To close them, the hypertension must be adequately addressed. Ulcers that arise from ischemia (lack of blood circulation) will only close if the poor circulation is addressed. In short, if the underlying cause of the ulcer is properly addressed, you could put mayonnaise on it and it will close. Likewise, if the underlying cause of an ulcer is not addressed, all the topical dressings, honey, antibiotics or the latest "miracle" dressing won't make a difference. So my unsolicited $0.02 here is to find someone who will take the time and effort to make a diagnosis as to why you've ulcerated. That is the key to closing this thing. ...Read more

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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.

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.

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). ...Read more

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How is dialysis performed?

Dialysis: Dialysis can be done through the blood (hemodialysis) or through the abdomen (peritoneal dialysis). Hemodialysis involves passing the blood across and filter to purify it / remove toxins and remove water. Peritoneal dialysis takes advantage of the membrane within the abdomen to act as a filter. In either case toxins are removed from the blood stream. ...Read more

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How many forms of dialysis are there?

2 peritoneal & hemo: The 2 types of dialysis are hemodialysis and peritoneal. Both are effective but have pros and cons. Hemodialysis is generally done at a dialysis center three times a week and requires "access" into the blood stream, a fistula is preferred. Peritoneal dialysis is done at home through a catheter (tube) inserted into the abdominal cavity. You should discuss with your nephrologist what is best for you. ...Read more

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My creati ine is 480 do I need dialysis?

My creati ine is 480 do I need dialysis?

Not clear: I'm not sure on the units in your value or if there is a decimal missing. A creatinine of 4.80 mg/dl is abnormal and requires investigation. A creatinine of 480 micromol/l is also elevated and requires evaluation. ...Read more

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What is fatty deposit in dialysis tubing?

Not sure: Couild you be more explicit , i never heard about that akthough i take care of dialysis patients. ...Read more

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When is it necessary to commence dialysis?

Dialysis: A patient is started on dialysis when their doctor decides that their metabolic disturbances caused bytheir renal failure can no longer be managed with medications alone. The length of time from the onset of chronic renal failure to dialysis varies from one patient to another and has to be individualized by your doctor with your concurrence. ...Read more

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Where is the perma cath placed for dialysis?

Where is the perma cath placed  for dialysis?

The neck: The permacath is placed in the internal jugular vein on either the right or left side of the neck. It is generally considered a temporary dialysis access, with an arteriovenous fistula being the favored dialysis access. It is recommended that people not shower with a permcath because it increases the infection risk. ...Read more

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What creatnine level are you placed on dialysis?

It's all relative.: A rising creatinine is a sign that your kidneys are failing. Dialysis is a type of kidney replacement therapy which needs to be started when you and your doctor decide that the time is right. This may be due to your just feeling lousy or due to specific medical threats to your health--high potassium, heart failure, etc. Once your creatinine is over 2, you need to see a nephrologist. ...Read more