Know someone about to start dialysis? I am sitting in a conference hall and have just heard a fascinating talk by Prof Chris MacIntyre about the danger to other organs for those undertaking dialysis. The stress dialysis puts on the vasculature is the culprit. Myocardial stunning can occur in nearly 2 out of 3 paients each dialysis session . The effect in creases many fold with every extra litre of fluid removed. The death rates are much higher amongst those who exhibit the stunning than those who don’t.
It is not all bad news. Cold dialysis and more frequent dialysis seem to help. Randomised Control Trials are underway to test these interventions. A portable continuous $100 Dialysis machine may not just be cheaper, but may have less side effects!
In the meantime, support from friends and family are all the more important in those few months.