Doctor insights on:
Failing kidneys...: Having failing kidneys - most commonly from diabetes and/or high blood pressure - is the admission 'requirement' for most dialysis patients. But remember that dialysis can give you only a fraction of normal kidney function! transplant, especially a living donor transplant from a relative, will likely give you the best chance to return to as normal a life as would be possible. Lindagromkomd.Com. ...Read moreSee 1 more doctor answer
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
Chronic illness: Any chronic illness can have an impact on male fertility. One must consider the cause of the kidney failure, what medications or treatment the person has taken and is currently on, and how well they are responding to the treatment (intraperitoneal or hemodialysis). The better controlled the illness the less impact on fertility. ...Read more
Can be years: There are about 90, 000 americans waiting for a kidney transplant and about 10, 000 deceased donor kidneys available each year. Therefore, kidneys are offered based on formulas that primarily consider length of time waiting, tissue type and ABO blood type, sensitization, distance from center, and < age 18. ...Read moreSee 1 more doctor answer
Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?
Depends...: It depends on the severity of the copd. If the patient is on COPD medications and has relatively mild symptoms and/or is well-controlled, then dialysis can be given. It will likely need to be hemodialysis as a pulmonary patient is not likely to tolerate peritoneal dialysis. For an individual case, a kidney specialist will determine if the patient will tolerate dialysis treatment. ...Read moreSee 1 more doctor answer
To peritoneal or not: Hemodialysis cleans your blood directly meaning, your blood is taken from you, ran thru a filteration system, then returned to you. On the other hand, peritoneal does it indirectly. The blood vessels in your abdomen are exposed to a very concentrated solution. By osmosis, the concentrated solution will leech out the excess fluids you normally pee out if your kidneys were working well. As the ...Read moreSee 1 more doctor answer
Male, 75 waiting for stent to begin dialysis -has 20% heart function (chf?) what are odds of CHF improving w/dialysis & intro of heart meds?
Odds are not good: 75 year olds with severe CHF usually do not do well on in center dialysis as large amounts of fluid removal every dialysis shift is difficult in setting of low BP caused by heart failure. Peritoneal dialysis or home hemodialysis where patients do daily dialysis at home and nocturnal hemodialysis where patients have a prolonged dialysis treatment for 8 hours would be a better option. ...Read more
Why would nephrologist recommend catheter dialysis to my 90 yr old grandmother? Demented, barely ambulatory and 16% function.
Catheter dialysis: I assume you are referring to peritoneal dialysis, using a catheter in her abdomen. This decision brings the family to a discussion of life goals. Extending her life with dialysis may not be the consensus decision. Hemodialysis is harsh for everyone, especially so for the frail elderly and was never intended for frail elderly. Peritoneal dialysis is gentle. At 16% function, she does not require D. ...Read moreSee 2 more doctor answers
Take Clomid (clomiphene) befor1year.test result-Prolacting18.99ng/ml,TSH3.24ulU/ml,T41.30ng/dl & husband sperm test normal(6yers try4baby)IUI or IVF suit for me?
6y no baby: I would say after 6y of trying that you should have IVF. IUI can be tried, but less likely to work. You state you have been pregnant before, but if you can't sustain pregnancy pregnancy due to uterine factors, then your only option may be surrogate. See a fertility specialist regarding all these possibilities. ...Read more
40yrs.Old, pcos, 1st IVF cycle w/genetic testing. Four day 5 embryos - all chromosomally abnormal. Worth another try? 39 eggs were retrieved, 19 fert.
Talk to the prenatal: Genetic counselor at the fertility clinic. Age-related odds are greater than 50% that each of your embryos has aneuploidy, an abnormal number of chromosomes, many of which either won't implant or wion't be carried to term. Age-related risk of having a child with autistic spectrum disorder is also high. Discuss options with your tac doctor to make an informed decision. It's a personal choice. ...Read more
Yes: Yes, as good as gonadotropin therapy usually. ...Read more
Can patient with fsgs and aiha undergo kidney transplant ? Whether the patient should go for live donor or cadaver transplant ? What r success rate?
Fsgs recurs but,: Fsgs is okay to transplant whether live donor or not! however, recurrence, is possible. Fsgs returns in about one third of the transplanted kidneys i.e. Every 3 persons with kidney failure due to fsgs who get transplant, one of them will see fsgs affecting his transplant. The disease may take years to appear however. So, possible recurrence is not a reason to not transplant persons with fsgs. ...Read more
Dialysis methods: Hemodialysis as the name suggests is directly cleansing the blood of waste, there are incenter ie going to a dialysis unit 3 times a week, and home hemodialysis ie doing it yourself at home peritoneal dialysis is home dialysis with a special fluid instilled nto the abdomen cavity which can also clean the blood through the lining of the cavity. ...Read moreSee 1 more doctor answer
Menorrhagia, Hysteroscopy, better cycles, recommended Hysterosalpingogarm before Clomid, (clomiphene) (TTC) Don't want radiation in my body.
If you were a 32 woman ttc. 3 miscarriages. >16fsh <.50 amh. What medical treatment would you seek?
IVF or Egg Donor: A rei specialist can assess your chances with ivf. The Clomid (clomiphene) challenge test day 10 fsh can help to decide whether or not ivf is a reasonable option, and a rei will also look at your ultrasound. If you're willing to do ivf and would use an egg donor if unsuccessful with own eggs that's a good option. If financially or emotionally you can only do one round of treatment i would consider donor egg. ...Read moreSee 1 more doctor answer
Wife ttc. Done HSG has dilated left tube. Hydrosalpinx. Need laparascopy prior to ivf. Need surgeon in south florida with cash discount. No insurance?
I agree: We are in north florida but work out of a surgery center in our office where we have control over costs and can offer very competitive cost structure for cash pay patients. www.jcrm.org. We would be happy to help. Our patients now come from all over the southeast and south florida for surgery so we are used to working with people from out of town. ...Read more
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 moreSee 1 more doctor answer
Kidney failure treat: Kidneys are vital to keep the body in a stable condition, removing waste products, keeping water and electrolytes within very narrow range required for normal function of all the organs. With kidney failure this can be done by dialysis either hemodialysis where blood is filtered through an external machine or using the lining od the abdomen (peritoneal membrane) as a filtering mechanism. ...Read moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
Clean blood: Dialysis removes waste products from the blood and extra fluids to replace the function of the kidneys and prolong life. Without it death is usually eminent in a few months more or less. The quality of life on dialysis is less than that with functioning kidneys due to substantial fatigue and other medical problems and medications. ...Read moreSee 2 more doctor answers
Less likely: Fertility is significantly decreased in patients on dialysis, but it is still possible to have children. If you become pregnant, however, your likelihood of a successful pregnancy are much lower. If it is not your intention to become pregnant, make sure that you are using some form of birth control. ...Read more
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 moreSee 1 more doctor answer
Depends: Dialysis is initiated in advanced stages of kidney disease when one develop symtoms due to toxins accumulating in blood or when excess fluid builds up causing shortness of breath or swelling of thebody. Kidney doc evaluates the symptoms of the patient and correlates with level of kidney function to decide initiation of dialysis ...Read moreSee 1 more doctor answer
Depends: If you are diagnosed with irreversible kidney disease, you need dialysis life long until you get kidney transplant.If your docs are expecting recovery of kidney function, you may need dialysis until your kidney recover sufficient function.Pls discuss with nephrologist ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Life on dialysis: It is not possible to give you an definite answer. Patients on dialysis live shorter than the age-matched controls not on dialysis. A dialysis patient's life span is dependent on the patient's age at the start of dialysis and the co-morbid conditions the patient has, such as diabetes. You should ask your nephrologist (n) for an answer to your question as the n knows you the best. Good luck. ...Read more
Depends on Kidney Fx: Your ability to survive without dialysis is dependent on how much function is left in your kidneys. Most people can survive with greater than 10% function and everyone will die within a few days with zero function. It's a crapshoot if you're between zero and 10% so it's best to make decisions with your nephrologist if you plan on making it to christmas! ...Read more
RRT options: There are five renal replacement therapy options i always discuss with patients who are about to start dialysis. 1. Blood dialysis a) in center (hd) b) home (hhd) 2. Peritoneal (ccpd or capd) (also done at home) 3. Renal transplantation 4. Comfort care. Not everyone decides to use this technology. ...Read moreSee 1 more doctor answer