Dulcie emailed me recently with this home HD question:
I’ve been reading your blog for about six months now and it has been a great support. My husband’s kidney failed last year after eighteen years and he has started dialysis again. He’s in the process of training up for home hemo and I wondered if you had any advice as to how many times a week he should dialyse for when he starts at home? In centre he has been doing Monday, Wednesday, Friday 3.5 hrs each.
Hi Dulcie. I am a big believer in short, frequent dialysis: it minimises the toxin build-up and the shock to the body after each session. It also helps reduce the roller coaster ride of feeling well, then feeling weak and washed out, then feeling well, etc.
I dialyse 5 days @ 3 hrs per session. That routine suits me; I feel healthy and have the energy I need to work and relax through each day. However there are other alternatives available on home HD, including nocturnal dialysis. Some Home HD patients dialyse four nights a week for 7+ hrs per night (the dialysis pump is usually set much slower that daytime dialysis). Many people on nocturnal dialysis swear by it: better blood results, reduced meds and generally good health.
But for the best advice, we should put your question onto the blog. Many BigD readers have strong opinions about the best routine that are really worth hearing.
So let’s ask them.