At PA Dialysis Clinic of Reading and Reading Dialysis Center, we offer two treatment modalities: peritoneal dialysis (PD) and hemodialysis (HD). We also offer transplant referral services to local transplant centers. For most people, either form of dialysis is an option. Sometimes there are medical reasons why one therapy is better than another. It is also not unusual to start with one form of therapy and later decide to change to another type.
Peritoneal dialysis cleans your blood and removes extra fluid by using your body’s own peritoneal membrane as the filter. Before you can start on PD, you will have to undergo a minor surgery to place a small flexible catheter into your peritoneal cavity. PD solution is placed into the peritoneal cavity. The peritoneal membrane filters waste and fluid from your body into the solution. The solution is then drained from the peritoneal cavity and replaced with new solution. This process is called an exchange.
PDCR and RDC have two PD nurses who will train you to do your dialysis at home. The training process will be customized based on your individual needs and will continue until you are comfortable completing the process on your own at home. The typical training period will take a few days; however, it could take up to a week or more, if needed. Once you are trained, your PD supplies will be delivered to your home.
CAPD: Continuous Ambulatory Peritoneal Dialysis (CAPD) cleans your blood 24 hours per day. And as the name says, you are AMBULATORY, so you can move around even during dialysis exchanges. Most people do 4-5 exchanges per day. Each exchange takes around 30 minutes.
CCPD: Continuous Cycling Peritoneal Dialysis (CCPD) is done at night while you are sleeping. A PD cycler is used to cleanse your blood through your PD catheter. This option is best for people who want to be free from dialysis during the day.
Hemodialysis removes wastes and excess fluid from the body through a dialyzer (artificial kidney) using a hemodialysis machine. Hemodialysis treatments are scheduled three times per week for four (4) hours or longer, based on your needs. Before you can start on HD, an access to your blood must be surgically placed. Treatments are completed through this access, be it a fistula, graft, or temporary catheter.
With a fistula or a graft, two needles are inserted into your dialysis access. One needle removes the blood from your body, and the other needle returns the cleaned blood back to your body.
A temporary dialysis catheter may be used to clean your blood until a permanent access has been placed.
Your nephrologist will explain all of your options to you and help you to make the decision that is best for you both medically and personally. Feel free to contact our social workers for a tour, or to further discuss your treatment options.