jane
Joined: 29 May 2003
Posts: 3
Posted: Thu May 29, 2003 5:05 pm Post subject: GOLDEN OPPORTUNITY TO GET QUALITY DIALYSIS
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The opportunity I have been praying for is here! I will be able to transfer into a quality program anywhere in the U.S. of my choosing. If anyone knows of a quality unit that offers PROFESSIONALISM, CHOICE (i.e. all modalities), STRONG EDUCATION, and is CLEAN AND PROGRESSIVE, I would appreciate recomendations. I am especially interested in units that offer the B. Braun. I would like to be trained in home hemo and the buttonhole, but have a good unit to fall back on. Thanks in advance for any recomendations
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aprnjam
Joined: 28 Apr 2003
Posts: 85
Posted: Thu May 29, 2003 8:34 pm Post subject: Re: GOLDEN OPPORTUNITY TO GET QUALITY DIALYSIS
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FANTASTIC!!!!!!!! That is such a wonderful news for you!! I just wanted to congratulate you!!<
><
>Joyce
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ridgerunner
Joined: 11 Jan 2003
Posts: 101
Posted: Fri May 30, 2003 1:30 pm Post subject: good unit
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i think i go to one of the better units. it is hospital based in fact the hospital small but is rated among the top one hundred in the nation. it has home program. i am now doing noctornal. the doctors gives a prescription for each patient. no reuse excellent home support for equipment. they use baxter altin machine which i think is a good machine. if you are interested goive arelene your phone number and i will call you.
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Bill Peckham
Joined: 06 Jan 2003
Posts: 65
Posted: Sat May 31, 2003 6:07 am Post subject: NKC
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The Northwest Kidney Centers (
www.nwkidney.org) in Seattle uses B Braun Dialogs in some of their units. They are in the process of switching over from Cobe IIIs a job that will take a couple more years to finish. NKC has one of the largest home hemo dialysis programs in the country. Home hemo patients have three choices. They can choose from: A) Using the B Braun three times a week and getting a stipend ($40/treatment) for a helper B) Using the B Braun for more frequent short or over night treatments - no stipend or C) Using the Aksys PHD for frequent short treatments (my choice) no stipend. MediSystem's buttonhole needles are available and NKC?s Policy and Procedures manual states that patients should be encouraged to do their own sticks.<
><
>NKC is non-profit, serving about 1200 patients, with 12 units in King county (Seattle's county) so you could live downtown or in the mountains and you'd still be close to a unit. NKC enjoys good community support so they are unlikely to be sold out from under you. There is at least one patient on every Board and Committee so their governance has a patient focus.<
><
>The community support allows NKC to provide services above what reimbursement would allow. In addition to more frequent home dialysis they offer scholarships for patients to go back to school, patient education workshops, emergency grants and volunteers that provide unit support. Every station has Internet access and most units have a couple of laptops for patient?s use if you can?t
ing your own.<
><
>I?ve dialyzed through NKC for over 12 years. I volunteer on a number of their Committees and Boards and reckon I am one of their biggest fans. NKC has a visitor dialysis program so check them out for a week or two, you could probably try different units, each has a different feel, there is proably one that is right for you. And I think Seattle, home of the Mariners, is a great place to live.<
>
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My opinion
Joined: 22 Jan 2003
Posts: 6
Posted: Tue Jun 03, 2003 4:04 pm Post subject: Seattle
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Usually I will keep out of this, but in this case Bill is right. Many of our nurses have been trained in the NKC and it is patient first.<
>I may not be a patient, but have heard nothing but reviews from these clinics. From patients as well as staff. <
>I personally wish more units were patterned like this.It is where patients count.<
>Arlene
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Ron
Joined: 04 Mar 2003
Posts: 2
Posted: Wed Jun 04, 2003 5:19 am Post subject: Seattle unit
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How many units do they have altogether? Are all the units equally as good as far as having all the perks? Isn't the cost of living very high in that area? Are there any units removed from the high traffic of Seattle?
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Lin
Joined: 28 Oct 2002
Posts: 337
Posted: Wed Jun 04, 2003 6:15 am Post subject: Northeast kidney centers???
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Hey Bill, Do ya think there's any chance they want to expand to oh say, JERSEY! Lin.
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Bill Peckham
Joined: 06 Jan 2003
Posts: 65
Posted: Wed Jun 04, 2003 11:22 am Post subject: King County, WA home of the best team in baseball
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www.metrokc.gov/images/ab...ty1299.gif<
><
>Located on Puget Sound in Washington State, and covering more than 2,200 square miles, King County is nearly twice as large as the average county in the United States. With more than 1.7 million people, it also ranks as the 12th most populous county in the nation. If you look at the map of King County by following the link above, notice that the eastern third of the county is true mountain wilderness, the west third is where the population is centered growing less dense as you move east. The middle third is a real mix of urban and rural, home of Microsoft, it can be very expensive to live there but there are normal small towns too where the cost of living is does not require you to have a Microsoft job.<
><
>In addition to the twelve units all over King County, NKC does have a unit in Port Angeles Washington, which is on the Straight of Juan de Fuca, about a three hour journey from Seattle (it involves a ferry ride). This is the Olympic Peninsula, very scenic and very rural, a lumber and tourism economy. I?ve never dialyzed at the Port Angeles unit but I know that they have internet access at each station.<
><
>If you decided to choose home hemo dialysis you would train at the downtown Seattle unit for 3 to 8 weeks. One other thing to keep in mind is that NKC provides home hemo dialysis to patients all across the state (sorry Lin they stop at the border) so you could live on the ?dry side?, eastern Washington, if you were into rodeo. Of course if you chose to live in Yakima and do home dialysis your back up unit would not be NKC.<
>
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Marty
Joined: 28 Oct 2002
Posts: 160
Posted: Mon Jun 09, 2003 2:35 pm Post subject: Good Center
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I'd have to say the Rubin Centers in Saratoga Springs, Troy, and Clifton Park, NY would be a good place to connect also. They too have slow nocturnal and next week they are training their 1st patient on the Aksys for daily dialysis. They also have an in-center self-care program for interested patients. <
><
>
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Article on more dialysis
Joined: 10 Jun 2003
Posts: 1
Posted: Tue Jun 10, 2003 2:41 am Post subject: Interesting
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bstract<
><
><
> Download to reference manager<
><
> Kidney International<
> Volume 64 Issue 1 Page 305 - July 2003<
> <
> Change from three times a week on-line hemodiafiltration<
> to short daily on-line hemodiafiltration<
> Francisco Maduell, Victor Navarro, Eduardo Torregrosa, Asunci?n Rius, Fernando<
> Dicenta, Maria Carmen Cruz, and J. Antonio Ferrero<
> Change from three times a week on-line hemodiafiltration to short daily on-line<
> hemodiafiltration.<
><
> Background. Daily dialysis has shown excellent clinical results because a higher<
> frequency of dialysis is more physiologic. On-line hemodiafiltration (OL-HDF) is a<
> HDF technique that combines diffusion with high convection in which the dialysis<
> fluid itself is used as a reinfusion solution. The aim of this study was to<
> demonstrate the beneficial effect of the more effective dialysis schedule (daily<
> dialysis) with the dialysis modality that offers the highest uremic toxin removal<
> (on-line HDF).<
><
> Methods. Eight patients, six males and two females, on standard 4 to 5 hours<
> three times a week OL-HDF (S-OL-HDF) were switched to daily OL-HDF<
> (D-OL-HDF) 2 to 21/2 hours six times per week. Dialysis parameters were identical<
> during both periods and only frequency and dialysis time of each session were<
> changed. Tolerance, uremic toxin removal, urea kinetics, biochemical and anemia<
> profiles, blood pressure, and left ventricular hypertrophy were evaluated.<
><
> Results. D-OL-HDF was well accepted and tolerated. The disappearance of<
> postdialysis fatigue was rapidly reported by patients. Patients mantained the same<
> [time average concentration (TAC) and weekly single-pool Kt/V (spKt/V)] throughout<
> the study. However, equivalent renal urea clearance (EKR), standard Kt/V and<
> weekly urea reduction ratio (URR) were increased during D-OL-HDF. Weekly urea,<
> creatinine, osteocalcin, 2-microglobulin, myoglobin, and prolactin reduction ratios<
> were improved with D-OL-HDF. There was a significant decrease in predialysis<
> plasma levels of urea, creatinine, acid uric, 2-microglobulin and homocysteine<
> over 6 months. Phosphate binders were reduced and antihypertensive drugs were<
> stopped. A 30% regression of left ventricular mass was observed.<
><
> Conclusion. The change from S-OL-HDF to D-OL-HDF was well tolerated.<
> Disappearance of postdialysis fatigue, better dialysis adequacy, a higher removal<
> of middle and large molecules, a reduction of phosphate binders, improvement of<
> status nutritional, and an important reduction of cardiovascular risk factors were<
> observed.<
>
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For Anne
Joined: 22 Jun 2003
Posts: 2
Posted: Sun Jun 22, 2003 3:13 am Post subject: quality dialysis
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Anne,<
><
>I was thinking this might help in your search for quality dialysis. I was wondering if Lynchburg Virginia might also be added to the list?<
><
>plugger
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For Anne
Joined: 22 Jun 2003
Posts: 2
Posted: Sun Jun 22, 2003 3:16 am Post subject: Lynchburg website
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www.lynchburgnephrology.com/ 
