Welcome to the non-profit Medical Education Institute's Home Dialysis Central blogspot! This page is an umbrella under which Home Dialysis Central staff and guests can share their perspectives about home therapies and what we need to do to raise their profile and enable more people to use them. We'd like your comments as well! Bookmark our site and like us on Facebook! Help us tell the world about home dialysis.
We have a "lifestyle bible" for sale that can help you learn about dialysis options. Help, I Need Dialysis! We also have prepared some slideshows on how to have a good future with kidney disease.
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Compliance is a Dirty Word
A power differential can be a dangerous thing. And, requiring “compliance” in healthcare instantly creates such a power differential.
Published on 08/28/2014 by Dori Schatell, MS, Executive Director, Medical Education Institute
Tags: patient-centered care, patient engagement, care,
Will Starting Dialysis “Fix” Heart Dysfunction?
“…my eGFR is between 12 and 14%, but my nephrologist feels it is not accurate. I've read that Cystatin C is a better indicator of kidney function, especially in women. Is this so?"
Published on 08/21/2014 by Dr. John Agar
Tags: acute kidney failure, dialysis, chronic kidney disease,
"My Labs are Great! But…”
At least every week or two, a dialysis consumer on Facebook says, “my labs are great, but…” To me, it appears that what is going on is too great of a focus on the numbers—and not nearly enough on the individuals or the likely causes of their symptoms
Published on 08/14/2014 by Dori Schatell, MS, Executive Director, Medical Education Institute
Involuntary Discharge: What Happened to the Oath “First, Do No Harm”?
The ESRD Network Annual Report from 2011 (the most recent one) reported that IVD complaints had increased 25% in 2011 from 2010. It further reported that facilities had involuntarily discharged 442 patients that year, an increase of 13% from 2010.
Published on 08/06/2014 by Beth Witten, MSW, ACSW, LSCSW
Tags: involuntary discharge, care, patient rights,
How do I Communicate the Benefits of Home HD to my Patients? A View from New Zealand
Over half of all dialysis patients in the country are on home dialysis. In my hospital, this proportion is somewhat lower, at around 45%. I want to say outright that this is not achieved by rationing of dialysis to get a healthier patient pool.
Published on 07/31/2014 by Dr. Mark Marshall