Different Modes of Dialysis

Are you aware there are six different modes of dialysis?  Be an informed patient and look over your options. Discuss each with your doctors.  Make the best decision for you.

Hemodialysis definition: In hemodialysis, a dialysis machine and a special filter called an artificial kidney, or a dialyzer, are used to clean your blood.

There are three access types for hemodialysis: arteriovenous (AV) fistula, AV graft and central venous catheter. Discuss these choices with your doctors.

The Modes of Dialysis

hemodialysis in clinic-short runs- 3-4 hour runs three days a week

Extended time hemodialysis in clinic or home dialysis- 5 to 7 hours three days a week

Nocturnal dialysis- six to eight hour run, done at night- in clinic or at home.

Home hemodialysis- dialysis is done at home for shorter hours and more days

Peritoneal dialysis- done through a tube implanted in the abdominal, peritoneal area of the abdomen.

CAPD-is a ‘do it yourself’ option that does not require a machine. It involves a tube permanently inserted through the abdomen to allow a fluid called dialysate to be emptied and replaced every day. This is an at home treatment

CCPD-a machine automatically fills and drains the dialysis solution from the abdomen. A typical CCPD schedule involves three to five exchanges during the night while the person sleeps. During the day, the person using CCPD performs one exchange with a dwell time that lasts the entire day.  This is done at home.

Preparing to Stop Working or Retire on Dialysis

There are several things that need to be looked at if you are preparing to stop working or retire while on dialysis.

Find the social worker who is to work with through your medical insurance immediately.  Get them involved in some of these questions.

Look into keeping your job if you can after starting dialysis.  I had one doctor tell me I would not return to work, I fired him, and my next doctor said if you feel up to it, and gave me a back to work order. I was in the hospital November 2 and back to work January 3rd. I was a special education teacher for fifteen years while on dialysis.

Look into your retirement. Does work provide disability retirement for those younger than the retirement age?  Get the forms to fill out if so.  My retirement plan had a disability part that I was eligible to have.  Half my salary until 62 years of age.

If you are retirement age get the forms for retirement.  Be sure to check into benefits available to you after retirement.  I had full benefits from the school district for six years after I retired.

Does your company have disability insurance, and do you have it?   I signed up for it and held to the two years of not using it, then had full benefits from it. It paid the rest of my salary for two years, and then dropped me to a payment every month.

Medicare will pay dialysis bills after  most of the medical bills, you may have copays.

https://www.medicare.gov/people-like-me/esrd/getting-medicare-with-esrd.html

Apply for Medicaid.

https://www.medicaid.gov/

Apply for social security disability.

https://www.ssa.gov/disability/

Start a gofundme.com page for help with medical bills and expenses.

https://www.gofundme.com/medical-fundraising

Start the kidney transplant process with your nephrologist. You MUST request transplant information and to start the process with your doctor.  You are NOT automatically put on a transplant list just because you start dialysis.

https://www.kidney.org/atoz/content/kidney-transplant

Ask for copies of your medical records for the past year.  Most places can put them on CD rom or thumb drive for you now.

Keep copies of all forms you fill out.

Keep note son dates forms were mailed out.

Keep track of all correspondence from all agencies involved. Use file folders for direct correspondence and computer file folders for computer responses.

Keep a running journal of everything that happens with all agencies.  I used my computer to keep track of things.

A Widget Lesson Plan

I taught for many years.  This is one of my favorite lessons to do with almost any age.

Persuasive Writing

Widget project

Day 1

    Give students a paper bag filled with widget making materials.

They are to design a widget.  A widget can be anything they want it to be.  They can use whatever materials you have given to them.

Materials

Plates, cups, paperclips, glue, tape, yarn, string, hole punch, scissors, etc.

Glue, tape, stickers, puffballs….etc

Day 2

Have students fill out the widget questionnaire. Widget Questionnaire

Answer the following questions about your widget. Use complete sentences.

  1. What is the widget? It has to be something. Give it a name.
  2. What does the widget do?  It has to do something.
  3. What age groups will use the widget?  Which age group will have the most fun with the widget? Why?
  4. Who invented the widget?
  5. Why was this widget invented?
  6. List three things the widget can do.
  7. Why would someone buy the widget?
  8. What is the cost of this widget?

Day 3/4

   Students may need two days to answer the questions.

 Video tape several commercials off TV to show them what a commercial is.  Tape some radio commercials for them to listen to. Gather written advertisements for students to look at.

After they answer the questions, they begin to write a commercial for their widget.  They use their widget questions answers to write the commercial

Pictures ads can be drawn by younger students.

    Day 5

    Final drafts are to be written from the rough draft copy students have done. Be sure to assist in correcting rough drafts so final drafts are correct.