There are many patients in India who get Home Hemodialysis. However, almost all of them get the conventional twice or thrice weekly sessions for four to five hours. They are doing Home Hemodialysis simply for the convenience of dialysing at home and because they can afford it.
Have you seen the Taj Mahal at Agra? Well, if you haven’t seen it in person, there’s a good chance that you’ve seen it in a picture at least. What if you went to Agra to see the Taj and when you went in, you saw only this?
You would be disappointed, right? No majestic domes, no ornate pillars at the four corners of the platform. Well, the smallish facade looks good. But nothing compared to what could have been, right?
Doing conventional twice or thrice weekly hemodialysis at home is good. You have the flexibility of doing dialysis at home. You don’t need to go to a centre. You can enjoy the comfort of home. However, the true beauty of Home Hemodialysis is realised only when you do more frequent dialysis or longer duration dialysis or even better, both.
That’s when you feel the equivalent of seeing the full Taj Mahal. Like this:
The beauty of Home Hemodialysis is the ability it offers you to get more frequent, longer duration dialysis. You are freed from practically all diet and fluid restrictions. Your blood pressures come back to normal. You don’t need any phosphate binders any more. You don’t even need expensive Erythropoietin injections because your anemia disappears. Your restless legs settle. Your cardiac function improves. You don’t feel washed out after a dialysis session.
It is sad that almost everyone in India who does home hemo does it for all the wrong reasons. they are losing out on so much.