Permcath(or Permacath): Placement, Cost, Complications

permcath inserted through the chest into jugular vein

“What is the use of permcath, doctor?” While working with patients starting on dialysis, this is a question I often encounter. Permcath is used as a medium to gain access to blood vessels (vascular access) for dialysis over a long time period, generally over months . This access is obtained through a major blood vessel …

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Can dialysis be temporary?

Short term dialysis vs long term dialysis

“Doctor,Can dialysis be temporary?” When patients first start dialysis, this is a common question they ask me. Dialysis can be temporary or permanent depending upon cause and circumstance of the patient. Since causes of dialysis can be different, the duration also varies. Some of the factors on which the duration of dialysis depends on are: …

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Peritoneal Dialysis vs Hemodialysis: Differences in cost, infections, side-effects, life expectancy

peritoneal dialysis vs hemodialysis steps

“Doctor, please tell me about peritoneal dialysis vs hemodialysis. Which one is better for me?”, is a question that patients about to start dialysis at our dialysis center often ask me.   There are two major types of dialysis: hemodialysis and peritoneal dialysis. Knowing the differences between hemodialysis and peritoneal dialysis can come in handy in …

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Is dialysis painful? — a comprehensive answer

“Is dialysis painful, doctor?” — this is the one question that most patients and their families are apprehensive about before initiating on dialysis. The usual assumption is that dialysis is a very painful procedure. In this post, I will try to answer this question of pain and dialysis as comprehensively as possible. But before that …

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When to worry about creatinine levels — a simple answer

“Doctor when should I worry about creatinine levels?” – seeing patients in our dialysis center in Bangalore makes it one of the commonest questions that I am asked. Like to most questions in life the most correct answer is “it depends.” But since that answer is unlikely to be of much help in real life …

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Bilateral renal parenchymal disease reported on ultrasound scan. What next?

bilateral-renal-parenchymal-disease-ultrasound-picture

This is a common situation that I as a nephrologist face. An apparently healthy person who recently underwent an “executive” health check-up and was found to have “bilateral renal parenchymal disease- grade1” on the ultrasound scan. Everything else is perfectly normal. The only problem is that the “apparently” healthy person is now extremely anxious with …

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Nephrology vs Urology : What is the difference between them?

nephrologist-urologist

Urology and Nephrology both deal with the study of the urinary tract and its diseases. So when you are told to have a “kidney problem”, you may become confused about which specialist to consult. At Dharma Kidney Care, where we provide nephrology services in Bangalore, we routinely get a lot of inquiries from patients who actually need to see a urologist.  This article aims to answer a very simple question you may have in such a situation….

State Of The Art Kidney Failure treatment From Dharma Kidney Care

Kidneys are the human organs on either side of the spine, below the ribs. Chronic kidney failure prevents them from performing most of its important functions such as filtering the waste from the blood and expelling it through urine, keeping the electrolytes at normal range, modulating the blood pressure, contributing strength to the bones and …

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Vaccination in adults : Protect yourself from severe infections

Vaccination in adults is almost always neglected in India. This needs to change Vaccination is the administration of antigenic material (a vaccine) to stimulate an individual’s immune system to develop immunity to a disease causing germ. While the importance of vaccination in children is well understood, vaccination in adults is almost always neglected. This results …

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