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Well , since we are in the same place, we will just walk together through

this phase we both find ourselves in.

It is great that you live so close to both the hospital and the dialysis

center. At least you have convenience.

I live 30 minutes away from my Neph and have to go on three freeways to get

there.

But how blessed we are to live in a time where such good care is available

aren't we?

\

In a message dated 8/12/2004 10:08:02 PM Pacific Daylight Time,

royal1@... writes:

> Like you, , I will probably be seeing the renal care clinic

> team soon. Maybe in a couple of months, depending on lab values. I

> have one more info day--on transpants--on the 25th and then a neph

> appt on the 26th. (I am fortunate to live just a 6 min drive from

> the hospital and a 10 min walk to the nearest dialysis satellite

> center).

>

> Thanks, everyone, for your input and support.

>

>

>

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Thanks, Derrick for your reply and the info on dialysis finder

websites. It seems to be reasonably easy to travel within Australia

if you plan ahead well enough. It would be hard to get to the US,

though, given the cost involved for hemo treatments there. That's

the only drawback I have with home hemo, but it is significant one.

It seems that they create a fistula even if you are doing PD here.

Is that common practice elsewhere?

I went yesterday to the second part of the Dialysis info sessions

and it was helpful. We heard from the social worker, psychiatrist,

transplant nurse, Occupational therapist, and a few others. The

focus was on coping with change.

Liek you, , I will probably be seeing the renal care clinic

team soon. Maybe in a couple of months, depending on lab values. I

have one more info day--on transpants--on the 25th and then a neph

appt on the 26th. (I am fortunate to live just a 6 min drive from

the hospital and a 10 min walk to the nearest dialysis satellite

center).

Thanks, everyone, for your input and support.

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,

I think they prepare a fistula as a fall back. It is a good safe

guard to have it up on running should you need it. The earlier that

is prepared and working the better. It does take about 6 months to

mature.

Re. travelling to USA, it may depend on what type of medical cover

you have. I got quite a surprise when I saw how much it costs my

medical fund to keep me alive each year, that is on top of the

Medicare funding. It is an expensive business which ever country you

are in, USA may be more expensive I have no experience of that.

Derrick

Sydney Australia

> Thanks, Derrick for your reply and the info on dialysis finder

> websites. It seems to be reasonably easy to travel within

Australia

> if you plan ahead well enough. It would be hard to get to the US,

> though, given the cost involved for hemo treatments there. That's

> the only drawback I have with home hemo, but it is significant one.

>

> It seems that they create a fistula even if you are doing PD here.

> Is that common practice elsewhere?

>

> I went yesterday to the second part of the Dialysis info sessions

> and it was helpful. We heard from the social worker, psychiatrist,

> transplant nurse, Occupational therapist, and a few others. The

> focus was on coping with change.

>

> Liek you, , I will probably be seeing the renal care clinic

> team soon. Maybe in a couple of months, depending on lab values. I

> have one more info day--on transpants--on the 25th and then a neph

> appt on the 26th. (I am fortunate to live just a 6 min drive from

> the hospital and a 10 min walk to the nearest dialysis satellite

> center).

>

> Thanks, everyone, for your input and support.

>

>

>

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If you want my opinion...

If you live somewhere where they will prepare both a fistula AND a PD

access, it's not a bad idea at all. PD is great when it works, and when you

don't have infections, but hemo HAS to work. Many people on PD end up on

hemo eventually, hemo being the last line of defense when PD isn't adequate

for some reason (and there are some). I've said it before, and I'll say it

again... It's much better to start hemodialyis with a working,

well-developed fistula rather than having a catheter in your neck or chest.

Pierre

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