I began dialysis in late August 2024. Originally, I was scheduled to have a peritoneal dialysis (PD) catheter placed in March, but a fall and subsequent subdural hematoma delayed that plan.

At the DaVita Dialysis Center, I receive hemodialysis (HD). This treatment removes toxins and excess fluid directly from my blood using a machine. HD is typically scheduled three times per week, about four hours per session. Healthy kidneys filter blood continuously, 24 hours a day, seven days a week. By contrast, HD compresses that clearance into just twelve hours per week. The rapid fluid removal can cause severe cramps, not the fleeting kind but excruciating, lasting ones. The schedule is also disruptive: three times a week, Cristina drives me to the center, waits at home, and then picks me up afterward.

Some patients skip treatments, but that is dangerous. Dialysis only works if it is consistent. Missing sessions significantly increases the risk of hospitalization and death. I have not missed a single treatment in sixteen months—not because of discipline alone, but because Cristina insists I never skip. Her vigilance has been life‑saving.

On December 13, 2025, I will transition to peritoneal dialysis. My doctors believe PD is safer and healthier for me. PD uses the lining of the abdomen (the peritoneum) as a natural filter, with dialysis fluid exchanges performed daily. Automated PD is often done overnight, for 8–10 hours while sleeping. This provides more continuous clearance—about seventy hours per week compared to twelve with HD. The gentler, daily rhythm reduces the risk of cramps and may restore energy. Just as important, it will allow us to reclaim our daily routine at home. Ten hours a day may sound daunting, but it is far preferable to the exhausting cycle of in‑center HD.

Since my subdural hematoma last February, I have been confined to a wheelchair. Recovery from such an injury is slow. My care team believes that with PD’s more continuous support, I may regain enough strength to walk again—perhaps with a rollator or cane. I miss the simple act of walking, something I see older people do with ease. I want to join them again.

Why I share this

• Hemodialysis is lifesaving, but harsh: Rapid fluid removal three times a week can cause cramps, fatigue, and disruption.
• Peritoneal dialysis offers continuity: Daily, gentler clearance may preserve energy and improve quality of life.
• Consistency is critical: Skipping treatments greatly increases risk. Support from loved ones can make the difference.
• Early planning matters: Delays in access placement (like my postponed PD catheter) can shape the entire trajectory of care.
• My kidneys failed after many decades of abuse. Specifically, drinking dark colored sodas and other drinks with dyes. Now I’m paying for that temporary “pleasure.” Learn to appreciate water, or even  coffee and tea.