By Bill Peckham
I'm dialyzing for the second time on my trip through the Grand Canyon, this was the most challenging treatment. The video starts with the question what did you think about today's treatment?
In the middle, I'm talking about not wanting to leave my name in the canyon, or on the river, because we came to the realization that the only time you get something named for you is if it kills you ... thankfully there isn't a NxStage rapids or the Peckham cliffs.
In the end I'm thinking about how rafting white water is analogous to dialyzing. For most people dialysis isn't a float trip. Most people using dialysis see more than their share of rapids, and just like rafting to get through dialysis rapids you need your own momentum. You shouldn't just stick out your arm and turn your head, any more than you should sit on your paddle and float. You have to engage. In both instances you have to identify challenges, to avoid them or when that isn't an option you need to go right at them with your own momentum. You need to be going faster than the river, that's how you keep the control that is available.