Maria Karalis, RD, CSR, LD takes us to eat in the fast food world. Putting aside the salad bar there isn't much good to be said about the options at the main burger chains - get a plain burger at McDonald's? I understand that Maria is trying to find some middle ground and to be realistic because clearly a lot of people eat at these places - including a lot of people on dialysis - but this is not renal healthy food.
It is hard to see how fast food can go with conventional dialysis. Daily nocturnal dialysis makes the phosphorus and potassium less of an issue but the fat and salt is still a problem. The goal should always be to dialyze more and to take more time to eat. Just slow down. You can eat better and enjoy the food more.