By Bill Peckham
Dr. John Agar (friend of DSEN) has a blog like post up on his Home Dialysis Central forum. If Agar's incoming email is anything like mine he must get a wide variety of correspondence due to his online participation. Emails from people, or the loved ones of people, who are having trouble treating their CKD with dialysis are all too common. I know it can be frustrating to hear the range of care being provided in the US, so I appreciate Agar's willingness to make himself available.
The question Agar answers comes from someone reporting that they dialyze incenter three times a week for just 150 minutes. Granted, it is an anonymous email that does not provide many details but I see no reason to doubt her situation. I've visited units where the average run length is 180 minutes, with many people dialyzing less. Reading CKD discussion boards and listservs it is clear that there are many people in the US who could have written the email Agar answers.
Anyone wondering if 3 hours (or two and a half hours!) of dialysis three times a week is enough dialysis should carefully read Agar's complete answer. But no, it isn't enough dialysis.