Home Dialysis Training

So we started home hemodialysis training.  I am hoping it is easier than in-clinic, because if it isn't I don't know what I am going to do.

The machine looks like what reminds me of a Commodore 64.  It seems really primitive to be filtering my blood.  I can't believe no one has made a newer model.  But I am happy that Home Hemo is an option.  They interviewed Matthew and I to see if we were candidates.  I am glad they did, because this process isn't for everyone.  We have to be trustworthy to manage my entire dialysis process on our own after only six weeks of training.  Most of these nurses have six months of training, and then they shadow someone for a couple of weeks before being on their own.

This is how the machine works:  We attach two tubes of saline to my port going into my artery.   My blood goes out through one tube and in through the other.  Then the blood gets pumped into the machine where it travels up into a long tube filled with long fibrous tubes.  Dialysate is flowing into the tube on the outside of the fibrous tubes.  As my blood travels through the little tubes, toxins and extra fluid flows out through the teeny holes.  It's kinda like a coffee filter.  Then my clean blood gets pumped back into my body though the venous tube.  I have to sit and do this for about three hours four times a week.  It really seems time consuming.

But I think this process is a whole lot easier than the in-clinic machines.  Those things suck the life out of you.  This one can be adjusted moment to moment, so I can be gentler with my treatments.  Or more aggressive if I want to be.

Our teacher, Susie is so nice.  She is patient and really knowledgeable.  I am relieved.  She doesn't terrify me like other nurses I have had.  I forgot what it is like to trust your caretakers, it's been so long. :)