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Sunday, June 22, 2014

Peritoneal Dialysis Frequently Asked Questions Part 5

This is Peritoneal Dialysis Frequently Asked Questions Part 5
Click here for Part 1
Click here for Part 2
Click here for Part 3
Click here for Part 4

15. Can I remain sexually active once I begin dialysis?
Yes. You are encouraged to maintain a normal lifestyle. Some patients may experience a decrease in sexual drive. If this becomes a problem for you, talk to your doctor. Decrease sexual drive on dialysis is multifactorial. If you are feeling sad or depressed, please make sure to talk to your doctor. Some peritoneal dialysis patients find it difficult to accept a permanent PD catheter. They worry that the catheter may affect their sexual activity and their relationship with their partner. Peritoneal dialysis nurses can help with tips on how to disguise the PD catheter.National Kidney Foundation has a very good and detailed page on sex and dialysis which you can access by clicking here.

16. Should I cancel my current Insurance?
This is a good question. Most of the patients when they start dialysis have many questions about the insurance and their coverage. Each insurance is different and have different requirement. The social worker will do everything for you. Do not worry about insurance too much. The social worker will be in touch with your insurance and try to arrange everything for you. Do not cancel any insurance policy without discussing your options with your social worker. Being on dialysis will qualify you for medicare. Discuss your options with your dialysis center social worker.

17. How will I get the supplies I need for peritoneal dialysis?
Supplies will be delivered to your home on a regular basis. A nurse will order your first shipment. A customer service representative will call you to set up future deliveries. Make sure to keep the information for you supplier so you can easily reach them. If you ever had any difficulties, call your peritoneal dialysis team. They will help you to get your peritoneal dialysis supplies. Make sure to not wait until the last day to order the new supplies. Also, if you are planning to travel, make sure to talk to your peritoneal dialysis team and supplier in advance so they can arrange the dianeal fluid to be sent to your destination. To access you Baxter account Click Here. If you need to contact Baxter Click Here. This is a video of peritoneal dialysis delivery if you would like to watch. Video

18. How often will I need peritoneal dialysis? 
Peritoneal dialysis is done every night. At night time, you or your loved one will connect you to the peritoneal dialysis machine and in the morning, you will get disconnected and can go to work. One of the benefit of the peritoneal dialysis is that because you do dialysis on daily basis, your fluid balance is well controlled and as such your blood pressure will be better controlled. Another benefit of peritoneal dialysis is that it gives the patients much autonomy and ability to continue life and have active life style. Your doctor will determine your exact peritoneal dialysis “prescription.” You can always talk to your doctor about your daily activities and see if he/she can change the prescription to be suitable to your lifestyle. If you are going to travel, make sure to arrange for the peritoneal dialysate (fluid for PD) to be delivered there in advance. You peritoneal dialysis team can help you with that. In addition, if you are going to miss a peritoneal dialysis session, make sure to contact you dialysis team and update them.

This is Peritoneal Dialysis Frequently Asked Questions Part 5
Click here for Part 1
Click here for Part 2
Click here for Part 3
Click here for Part 4



Ardavan Mashhadian D.O.
Nephrologist
1127 Wilshire Blvd Suite 510
Los Angeles CA 90017
(213) 537-0328