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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Therapy For Kidney Failure

A very unfortunate event occurred in my life, my Wife was hospitalized in a very critical condition. Based on the medical tests, the doctors confirmed that both her kidneys have failed due to severe renal failure. She is now dependent on dialysis (currently thrice a week) as a temporary solution, the costs for which comes to approx. Rs.8,000 a week including medication of hemoglobin injection

my query was if the no of dialysis increase then chance of tranplant will not work



                                                                 
Tue, 22 Aug 2017
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Nephrologist,  's  Response
As the time on dialysis increases your wife have more probability of exposure to infections and diaysis itself sensitises an individual . Moreover long duration on dialysis poses cardiac risk with recurrent hypotensive episodes during dialysis.

So it is best to go for renal transplant at the earliest for best results if u r going to have live related transplant.

If you are on waiting list of cadaver transplantation programme the time of transplantation is not in your hands so special precautions should be taken...

1. Avoid blood transfusions. .if needed EMERGENTLY go for leucodepleted packed cell transfusions

2. Maintain good nutritional status and Hb with monthly monitoring

3.Dont gain more than 2kgs in between dialysis..this can be done by restricted water in take i.e

4.Have regular cardiac checkups..
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Suggest Therapy For Kidney Failure

As the time on dialysis increases your wife have more probability of exposure to infections and diaysis itself sensitises an individual . Moreover long duration on dialysis poses cardiac risk with recurrent hypotensive episodes during dialysis. So it is best to go for renal transplant at the earliest for best results if u r going to have live related transplant. If you are on waiting list of cadaver transplantation programme the time of transplantation is not in your hands so special precautions should be taken... 1. Avoid blood transfusions. .if needed EMERGENTLY go for leucodepleted packed cell transfusions 2. Maintain good nutritional status and Hb with monthly monitoring 3.Dont gain more than 2kgs in between dialysis..this can be done by restricted water in take i.e 4.Have regular cardiac checkups..