What is the best dialysis possible (b) How is good dialysis assessed (c) Are there web links to help decide whats best (c) What you would do in my position?
3.5 x week (alternate day) and 5 hrs/treatment is about the best you can reasonably do on a daytime regime – but it is pretty restrictive and you are spending a lot of your waking time on dialysis. Nevertheless, the data is now overwhelming that more dialysis time and more dialysis frequency = better clinical outcomes. It is dangerous to start me on the topic of dialysis adequacy current methods (like Kt/V) make me see red but Dimitri Oreopoulos, a doyen of PD from Canada and the late Belding Scribner, the widely accepted and universally revered ‘Father of HD from Seattle recently wrote a beautiful little paper together in Dialysis and Transplantation about adequacy. Oh, and by the by, adequate is, by definition inadequate in my view only optimum is good enough! Scribner and Oreopoulos proposed that dialysis adequacy should be measured not by mathematics but simply by what they dubbed “the Haemodialysis Product (HDP). Their HPD was simply Time x Frequency2. It is an easy article to rea
Related Questions
- What is the best dialysis possible (b) How is good dialysis assessed (c) Are there web links to help decide whats best (c) What you would do in my position?
- How can an Ophthalmologist or Ocular Plastic Surgeon help the Ocularist give their patients the best prosthetic possible?
- How can the client help to get the best possible translation?
