Guest guest Posted December 7, 2004 Report Share Posted December 7, 2004 Got it! NOW I completely understand. Thanks for the clarification. I did not make the connection between flow rates and home hemo vs standard hemo. Any news on your home hemo yet? I don't know how long it takes to come out and inspect your apartment. I hope they approve it before the winter hits really hard. In a message dated 12/7/2004 6:00:23 AM Pacific Standard Time, pgl-groups@... writes: > A catheter is never desirable for long term dialysis, because they can't > handle a high enough flow compared to a fistula or gortex graft in order to > provide good dialysis when doing the standard 3-4 hours 3 time a week. For > home nocturnal hemodialysis or daily short hemodialysis, it might be Ok, > because you don't need as high a flow for that. It's still not desireable > for the long term though. > Pierre Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 7, 2004 Report Share Posted December 7, 2004 A catheter is never desirable for long term dialysis, because they can't handle a high enough flow compared to a fistula or gortex graft in order to provide good dialysis when doing the standard 3-4 hours 3 time a week. For home nocturnal hemodialysis or daily short hemodialysis, it might be Ok, because you don't need as high a flow for that. It's still not desireable for the long term though. Pierre Re: Chest Catheter~ > > That makes sense Marcia. > > Thanks for sharing your experience with us. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 7, 2004 Report Share Posted December 7, 2004 Hi . I only see the doctor in charge of the home hemo program on the 15th. I have to be accepted into the program as a suitable candidate before they come out to the apartment. I don't really know what their criteria might be besides just the ability to pass the training. But whatever happens, it would still take a while. It's my understanding that the program can currently train only one patient at a time (it's 6 to 8 weeks full-time), and I know there's one person scheduled for January. You have to be really patient in this game : ) How this program came about is very interesting. They had a trial program in Toronto first, which proved very successful (Toronto is in the same province as Ottawa is. Toronto is the provincial capital, and Ottawa is the national capital. There is great rivalry between Ottawa and Toronto, and it extends to other things besides the rivalry between the NHL hockey Toronto Maple Leafs and Ottawa Senators). Apparently, the doctor I'm to see went out on a limb to start a small nocturnal home hemo program in Ottawa a couple of years ago without official government funding for it (roughly the same time I started dialysis). It was done with funds that weren't earmarked for it specifically, hoping to demonstrate the great advantages of this form of dialysis, as well as showing that it would be cost advantageous for the system, to the point that it wouldn't look good to stop it. Now, it's a going concern, though still relatively a small program. At the time I started dialysis, getting into it wasn't even really an option (there was a long waiting list), but over the subsequent couple of years, it became more available without too many of us already on hemodialysis knowing about it, and so now there isn't so much of a waiting list for it. Pierre Re: Chest Catheter~ > > Got it! NOW I completely understand. Thanks for the clarification. I did > not make the connection between flow rates and home hemo vs standard hemo. > > Any news on your home hemo yet? I don't know how long it takes to come out > and inspect your apartment. > > I hope they approve it before the winter hits really hard. > > > > In a message dated 12/7/2004 6:00:23 AM Pacific Standard Time, > pgl-groups@... writes: > > > A catheter is never desirable for long term dialysis, because they can't > > handle a high enough flow compared to a fistula or gortex graft in order to > > provide good dialysis when doing the standard 3-4 hours 3 time a week. For > > home nocturnal hemodialysis or daily short hemodialysis, it might be Ok, > > because you don't need as high a flow for that. It's still not desireable > > for the long term though. > > Pierre > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 7, 2004 Report Share Posted December 7, 2004 Hi Pierre, That is interesting how it came about. You have to let us know what you find out on the 15th, and I put it on my prayer calendar too. In a message dated 12/7/2004 7:34:56 AM Pacific Standard Time, pgl-groups@... writes: > > Hi . I only see the doctor in charge of the home hemo program on the > 15th. I have to be accepted into the program as a suitable candidate before > they come out to the apartment. I don't really know what their criteria > might be besides just the ability to pass the training. But whatever > happens, it would still take a while. It's my understanding that the program > can currently train only one patient at a time (it's 6 to 8 weeks > full-time), and I know there's one person scheduled for January. You have to > be really patient in this game : ) > Quote Link to comment Share on other sites More sharing options...
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