What
are my Treatment Options?
When
your kidneys fail, you need treatment to replace the work of healthy
kidneys to survive. If you choose to receive treatment, your choices
are hemodialysis (PDF - 5 pgs), peritoneal
dialysis (PDF - 4 pgs), or a kidney
transplant (PDF - 4 pgs). Each of them
has advantages and disadvantages. You may also choose to forego
treatment. By learning about your choices, you can better decide
what's best for you. No matter which treatment you choose, you'll
need to make some changes in your life, including how you eat
and plan your activities. But with the help of your health care
team, family, and friends, you can lead a full, active life.
What
Does the term "Vascular Access" Mean?
If you are on hemodialysis a vascular access is
the site from which blood can be safely removed and returned to
your body. There are both temporary and permanent vascular accesses,
and different kinds are used in different situations. The American
Association of Kidney Patients (AAKP) has put together a brochure
called Understanding
Your Hemodialysis Options (PDF
- 16 pgs) which
describes accesses, how they are placed, and when they are used.
What
is the Best Type of Vascular Access?
An
arterial venous fistula (AV Fistula) is a type of vascular access
that involves a
direct connection between an artery and a vein. Medical evidence
has shown the AV Fistula to be the preferred access because they
have fewer infections and blood clots while lasting longer and
providing better blood flow than other accesses. The following
documents provide more info about AV Fistulas:
Ask
your doctor about an AV Fistula if you don't already have one.
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What
is Adequate Dialysis?
Dialysis
takes waste products out of the blood, and if you don't receive
adequate dialysis you may be jeopardizing your health. This brochure
will help you understand more about achieving and maintaining Adequate
Dialysis (pdf - 4 pgs).
How
Do I get on a List for a Kidney Transplant?
The first
thing you should do when considering a transplant is to talk to
your medical team. They can help determine if you are a good candidate,
and if so they will refer you to a transplant facility. The article
"Kidney
Transplantation: Am I ready" (pdf - 1
pg) (reprinted with permission from the National Kidney
Foundation) lists preparations you can make to facilitate the
transplant process.
The following transplant facilities are located in Network #17:
California Pacific Medical Center - 050047
PO Box 7999 – Transplant
San Francisco CA 94120
(415) 600-1000
(415) 600-1085 fax
Hawaii Medical Center – East - 120010
PO Box 30100
Transplant Institute
Honolulu HI 96817
(808) 547-6228
(808) 547-6750 fax
Lucille Packard Stanford Pediatric Transplant - 053305
770 Welch Road Suite H-2
Palo Alto CA 94304
(650) 498-5480
(650) 498-5557 fax
Stanford Adult Kidney Transplant Center
750 Welch Road #200
Palo Alto CA 94304
(650) 725-9891
(650) 723-3997 fax
Sutter Medical Center Transplant - 050108
5151 F Street
Sacramento CA 95819
(916) 733-8133
(916) 733-1967 fax
University of California Davis Medical Center Transplant 050599
2315 Stockton Blvd. Room 1018
Sacramento CA 95817
(916) 821-9912
(916) 456-2407 fax
University of California San Francisco Kidney Transplant Center 050454
350 Parnassus Avenue #805
San Francisco C 94143
(415) 353-1551
(415) 353-8708 fax
For
additional information about transplants and locating transplant
facilities we suggest the following websites:
American
Society of Transplantation (AST) - This site has educational
brochures available in both English and Spanish, as well as other
information regarding transplants.
OPTN: US Organ Procurement and Transplantation Network - (Operated
by UNOS--see below). OPTN maintains the nation's organ transplant
waiting list and recipient/donor organ characteristics. Provides
data to the government and public, as well as educational tools
regarding organ transplants and donors.
TransplantFinder - Provides address and driving directions for transplant facilities.
TransWeb - Has a ton of information on everything involving transplantation
and donation.
UNOS - United Network for Organ Sharing. Has transplant data as well
as educational info for both patients and professionals. The Organ
Center tracks and facilitates organ transplantation 24 hours a
day, and the UNOS website provides a running tally of the number
of waiting list candidates and transplants performed in the United
States at any given time.
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Are
There Special Dietary Guidelines I Should Follow?
Yes! If you
are on dialysis your diet is a very important part of your care.
The dietitian at your facility can work with you to come up with
an individualized plan; however, some general guidelines can be
found in the National Kidney Foundation's brochure, "Nutrition
and Hemodialysis" (pdf - 16 pgs).
What
is Albumin and Why is it Important?
Albumin is
a major protein found in the blood. Protein plays a big role in
fighting off infections and building or repairing muscle tissue.
Most people on dialysis should try for a goal of eating 8-10 ounces
of protein each day to keep albumin levels up. This protein guideline (pdf - 1 pg) may be downloaded and printed
so that it can be placed in a prominent spot (such as the refrigerator.)
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San Marin Dr. Bldg. A, Suite 300, Novato, CA 94945
Phone: 415-897-2400
Administration Fax: 415-897-2422
Data Fax: 415-897-2443
Toll-free for Patients: 1-800-232-3773
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