Dr. Gregory Braden interviews Gayle Gray, peritoneal dialysis patient for three years

Dr. Braden Gayle, I know you just received a kidney transplant and are doing great with it, but how long were you on peritoneal dialysis?

Gayle Gray I was on peritoneal dialysis for three years.

Dr. Braden Why did you choose peritoneal dialysis instead of in-center hemodialysis or home hemodialysis?

Gayle Gray I chose peritoneal dialysis because I didn’t want to have the ups and downs of both fluid and toxin removal, which I did not think would be good for my body since I have had type 1 diabetes for the last 35 years.

Dr. Braden Why did you choose continuous ambulatory peritoneal dialysis (CAPD) over CCPD (continuous cycling peritoneal dialysis)?

Gayle Gray I did not have enough room in my bedroom to store all the supplies and the machine for CCPD. In addition, I have to get up at night to go to the bathroom often and I did not want to have to use a bedside commode.

Dr. Braden What do you feel were the greatest benefits of performing home peritoneal dialysis?

Gayle Gray I enjoyed doing home peritoneal dialysis because I was playing an active role in my care. I have to watch my diabetes carefully, and although the sugar in the fluid caused me to use more insulin, with peritoneal dialysis I thought I was in charge of my health.

Dr. Braden Do you have any regrets about your decision to perform home peritoneal dialysis?

Gayle Gray As I look back on my three years of dialysis I really have no regrets. I know that I live in an old house and I live with my older parents and I even had at times to do the exchanges in the bathroom with the door closed so there was no air moving, but overall I am glad I did it. It would have been nice if my house was larger, but it just wasn’t. Also when I look at my body after peritoneal dialysis I did have some abdominal skin stretching and weakened abdominal muscles from the 2 liters of abdominal fluid with each exchange.

Notes

[1] Gregory Braden, MD, is fellowship director and chief of the nephrology division at Baystate Medical Center/Tufts University School of Medicine in Springfield, MA.


August 2012 (Vol. 4, Number 8)