My initial post in this forum focused on my current nephrologist only using in-center HD dialysis. I had been told by my former nephrologist that I was a perfect candidate for PD dialysis. Following much patient education while under his care as well as a lot of research on my part, I had settled upon PD dialysis as my treatment preference once I needed to begin dialysis.
I had to move to my current location this past summer. Thus I transferred to my current nephrologist last summer. In November I learned that my current nephrologist only prescribes in center HD dialysis for all his patients. And these treatment have to occur at a specific dialysis center that is only open three days a week. This would knock me out of work.
After hearing from so many of you, I followed your suggestions and began searching for another nephrologists; one who supports use of in home dialysis options including PD. I have found an entire practice of nephrologists who strongly support patient choice. A high percentage of their patients are on in home dialysis, either PD or HD. Nearly all the nephrologists in the practice are active in NKF. Several have been voted by other nephrologists throughout my city as the top nephrologist of the year and one has been selected by the nephrologists in my city as the top nephrologist of the decade from 2000-2010.
I've talked with the nurse at the dialysis center close to my house where I would be trained to administer PD dialysis to myself. I've also visited the dialysis center. And finally, I've verified with my insurance that both the nephrologists in this practice and the dialysis center are covered by my insurance. They are all covered🐶
So I've scheduled an initial consult appointment with one of the nephrologists in the practice for May 30, 2019. That is the date my next nephrologist appointment with the person I'm leaving was scheduled. I've had my records from my first nephrologist as well as the one I'm leaving sent to this new nephrologist in advance of the consult appointment.
So, barring a very bad consult appointment, I have found my new nephrologist. I'm truly thankful for your suggestions and support throughout this situation. I do have two other backup options for new nephrologists just in case this situation doesn't seem like a good fit. But I've got to say, this is the nephrologist practice that is by far the strongest of the three. So I am quite sure this is the solution🐶