Dialysis Best Quotes

There is a cyborg hierarchy. They like us best with bionic arms and legs. They like us Deaf with hearing aids, though they prefer cochlear implants. It would be an affront to ask the Hearing to learn sign language. Instead they wish for us to lose our language, abandon our culture, and consider ourselves cured. They like exoskeletons, which none of us use. They don’t count as cyborgs those of us who wear pacemakers or go to dialysis. Nor do they count those of us kept alive by machines, those of us made ambulatory by wheelchairs, those of us on biologics or antidepressants. They want us shiny and metallic and in their image.

some accuse hospice and palliative care clinicians of promoting a “culture of death” when we allow dying people to leave this life gently, without subjecting them to CPR or mechanical ventilation or dialysis or medical nutrition.

We get paid much more to keep someone on dialysis than to keep them off of it. If we don’t achieve dialysis metrics—like avoiding dialysis catheters or providing a certain dose of dialysis—known to best result in long-term benefits, we are financially penalized. But create a fistula in a little old lady that usually requires interventions to make it work and keep it working and make her stay on the dialysis machine as long as it takes for the numbers to look right, then essentially get a bonus. If we see an in-center hemodialysis patient four times in a month, we stand to make 50 percent more money than if we only saw her once. And the nephrologist really only has to see the patient once each month—if a physician assistant sees the patient the other times, we still get paid. We would have to document a comprehensive medical history and examination over the better part of an hour with a patient returning to clinic twice to see the same money—and good luck trying to justify why that was clinically necessary to do. The second, third, and fourth in-center hemodialysis patient visits can be more like drive-bys—a simple documentation that we (or the physician assistant) “saw” the patient, with no notation of time required. Private insurance companies and the Medicare ESRD program pay top dollar for dialysis care, not clinic visits. It’s profitable to build another dialysis center, but we haven’t figured out how to build comprehensive outpatient palliative care services.

She’d gone into kidney failure when I was in high school. Never got to the transplant list, though, because her best friend, Dorothy, stepped in and gave her one of hers. Mom was lucky. She never even had to do dialysis.

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If you’re reading this you’re already blessed, not that you’re receiving something special, it’s more that you have the existence of sight aiding you. Take a moment to be thankful for what you’ve received, and I’m not speaking in the materialistic vain, but rather for what we undervalue. Be grateful for your ability to take that first breath every morning, to place both feet on the ground and stand, be thankful… Be thankful for the people in your life right this very moment, and those that communicate with you via the internet. Be thankful for the time already spent on this planet, and for what’s to come. I’d like you to stop whatever it is you’re doing this very second, and take a moment for self reflection. That unexpected jolt of reality that life hit’s us with during a crisis or when accolades are given is powerful. None of that is happening right now, so this is the time to show gratitude, and share a moment with no one else but you. Just take a moment and be thankful. What am I most thankful for?... I’m most thankful for doing the best I can with what I’ve got, because I’m cradled in blessings.

The Dutch ruled over an empire stretching from the Caribbean to East Asia, founded the city of New York, discovered Australia, played the world’s best football and produced some of the finest art and architecture in Europe. Everywhere one goes in the world, one can always find Dutch people. A country half the size of Scotland, with a population of just seventeen million or so, claims to have invented the DVD, the dialysis machine, the tape recorder, the CD, the energy-saving lightbulb, the pendulum clock, the speed camera, golf, the microscope, the telescope and the doughnut.