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January 26, 2010


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Thad Dufelmeier

Hello Mr. Pekham

I hope you are well. I loved your poast about the Grand Canyon River trip.

My name is Thad, I am a Clinical Director of a small Healthcare staffing company specializing in placing RNs and PCTs on travel assignments and we are collaborating with a small/medium size dialysis provider.

I am preparing for a presentation on a training program to increase the number available nurses to home Hemo and PD patients in the Bay area of California and have some specific questions about revenue per patient.

I'm noticing some lack of activity on the site which I was disappointed by I must disclose.

I just wanted to touch base via a comment to the related article as I read was your preference in the contact section of the website.

All the Best,

Thaddeus Dufelmeier RN CCWP

Bill Peckham

Nice to see this post called out, even if it is to wonder why I don't still post to DSEN.

Time. Time is the short answer. For the last five or so years I have worked full time through the Carpenters Union making signs for tradeshows. The workload is unpredictable but in general I haven't had the energy or really the heart to keep up the blog or advocacy generally.

I was an advocate for 10 years, from 2000 to 2010. An advocate meaning engaged in trying to shape national policy in the provision of dialysis, I saw myself as working to improve how severe kidney disease is experienced. DSEN was a part of it but when I think about my engagement extending for that whole decade and while I can point to successes on the whole I think the experience of having severe kidney disease has gotten worse over time. That dealing with severe kidney disease is harder today that it was 10 years ago and ten years ago it was harder than ten years before that. That's what I am thinking about when I say I didn't have the heart to keep blogging, I didn't have the heart to continue to be an advocate. I didn't see progress in making the experience of ESRD better.

Watch this video https://www.youtube.com/watch?v=4tW86qDqiIM , it showcases the vision of what it meant to use dialysis in the late '70s we've retreated from this progressive vision.

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