Hi and thanks for this query. I a sorry about what your aunt is going through. Dialysis clearly helps in cases of kidney failure. I suspect the doctors think she has many other morbidities that dialysis may not really make any meaningful difference in her prognosis. They may be thinking that there is almost no extra benefit getting her on this procedure. I can only suggest why such a decision might have been made. I think you should consider talking with her doctor to get specific answers to this question in order to better understand the reasons. Beside, how old is she? I wish this really helps and provide some guidance to you. Wish your aunt all the best. Dr. Ditah