D-Day
After a fairly quiet weekend (mall shopping, brunch at Suede in Smith Street), today I went to the home dialysis centre in Parkville for my first 'briefing'. The demonstration was clear and accompanied by questions about my health and ability to cope with the peritoneal dialysis regime. I think I passed.
The whole procedure is fairly straightforward. Its major drawback is the time taken: about an hour per dialysis which must be done four times a day, on getting up, before going to bed and two other times, spread through the day. It is semi-portable, so you could take all that is necessary for a weekend away in the boot, but you'd have to allow time for the four dialyses.
It is possible after a month or two to be trained for the overnight dialysis (using a machine) but you still need to do one manual dialysis during the day. The major difficulty seems to be an awful lot of handwashing to keep everything sterile and avoid peritonitis (very nasty).
The major part of the training after insertion (surgical) of the necessary catheter is done at home, and the major disruption is finding somewhere in the house to store three months' worth of bags of fluid. I feel fairly confident about the support offered by the home dialysis unit, who were friendly and efficient. The thing which boggles me a bit is finding the time to do the four procedures each day.


