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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Creatinine 4.5. Dialysis Advised. Previous Dialysis Done Due To Acute Renal Failure. Advise?

Hi...My father underwent dialysis 6 yrs back due to Acute Renal Failure. After dialysis his Creatinin was fluctuating between 2.5 to 3.5. Last month his creatinin shooted upto 5.5 due to lack of diet control. After that he followed strict diet at got his creatinin down to 4.5 in 4 week. Now our regular doctor is insisting dialysis. what should w do?
Mon, 27 May 2013
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General & Family Physician 's  Response
Hi and sorry to hear about your dad's ill health and rising creatinin.

It has never been an easy decision accepting to get on dialysis for renal failure. Your fear, hesitation and worries are genuine.

The value is quite high. I believe the doctor is advising himto go in for the best treatment right now given all the information she/he has. However, she/he should also provide you with the way forward if you do not want dialysis right now. And don't forget, denying it is your right as a patient.

I think you need to meet with him/her and get the exact reasons why he thinks it should be the best option now and what the consequences of not doing so would be. Ask him ask many questions as possible like, does he think this is definitive or temporal, how much time is this going to last, etc

I hope you both arrive at a conclusion that will provide the best outcome and satisfaction concerning your dad's health.
extend my wishes of a speedy recovery to your dad.
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Creatinine 4.5. Dialysis Advised. Previous Dialysis Done Due To Acute Renal Failure. Advise?

Hi and sorry to hear about your dad s ill health and rising creatinin. It has never been an easy decision accepting to get on dialysis for renal failure. Your fear, hesitation and worries are genuine. The value is quite high. I believe the doctor is advising himto go in for the best treatment right now given all the information she/he has. However, she/he should also provide you with the way forward if you do not want dialysis right now. And don t forget, denying it is your right as a patient. I think you need to meet with him/her and get the exact reasons why he thinks it should be the best option now and what the consequences of not doing so would be. Ask him ask many questions as possible like, does he think this is definitive or temporal, how much time is this going to last, etc I hope you both arrive at a conclusion that will provide the best outcome and satisfaction concerning your dad s health. extend my wishes of a speedy recovery to your dad.