There's been a lot of discussion on the Home Hemo Dialysis forums on Anna Bennett's situation and the issues surrounding dialyzing alone at home. I had written about it a few days back.
I have been following that thread with great interest and concern. It is not a simple decision to dialyze alone. Especially in India. All the people on the thread are talking about the US and Australia which have an entirely different medical system where clinics are responsible for a person's health. Many people are attached to clinics which have a monitoring system that is connected to the dialyzor's home and the entire treatment is being monitored continuously.
Even with these facilities, people are concerned about dialyzing alone.
Again, not all clinics have this facility. And yet, some of the clinics that don't, allow their patients to dialyze alone. The problem is there is not enough data (and there will not be for many more years) to conclusively prove one way or the other that dialyzing alone is safe or not.
Here in India I do not know how many people dialyze at home daily at night. I have a tech coming home and doing everything. That is very safe. But I was dependent on him. The number of hours I dialyzed depended on when he came. I did not like that dependency.
I am now able to start dialysis myslef without help from anyone. The independence is great. The tech does come still. But usually byt the time he comes, I have already started dialysis. I don't know how to get off dialysis at the end of the treatment though. But that is not a problem because I decide that and he is there till morning to help me get off.
But without any monitoring, I sometimes wonder what risks I am taking. I have started dialysis on a couple of occasions without anyone at home. I don't know how wise that was. Even if people are at home, they have absolutely no clue about what to do in an emergency.
Things in India are very different. In the US, I have been told, if there's an emergency, you can get professional help in minutes. In India, I realize that I might be dead and gone before anybody will even react.
The risks however with daily nocturnal dialysis are much less because the dialysis is slow and gentle. But it is not risk free.
I love the independence. I am worried about the risks. Catch 22?