Prakash More (59) from Wadala is becoming a role model for those who cannot afford the cost of dialysis treatment. For 14 years he has been doing his own dialysis at home without any medico’s help.
He has been suffering kidney failure for 20 years. Both his kidneys stopped to work and Mr More failed to maintain his kidney functions. He then chose to Continuous Ambulatory Peritoneal Dialysis (CAPD).
According to the doctors at the civic-run KEM Hospital, this type of dialysis gives a hope for the patients who are suffering from the kidney disorder and financially weak. When it was asked that if an individual is permitted to do dialysis on his or her own, Dr Nivruti Hase, the head of the department of nephrology at the civic run KEM Hospital said, “Yes, it is a completely safe procedure, but one needs to be extra cautious since he or she can contract an infection, as a tube has to be inserted inside one’s abdominal cavity.”
Dr Hase said they trained Mr More as he preferred to do it by himself. “It completely depends on the patient’s choice as to what type of dialysis he wishes to do.”
Mr More asserted the procedure is difficult and it lasts up to 15-20 minutes and it has to be carried out thrice in 24 hours. “I have to create an environment akin to an operation theatre. I clean the table more than six times each day and maintain sterilisation for the procedure. I had put the tube filled with the solution inside my belly, and the solution remains there for eight hours, after which the waste fluid is removed through the same tube and collected in a bag, which has to be disposed of.”
Types of dialysis
Haemodialysis: In this type, blood is pumped out of patient’s body to an artificial kidney machine and returned to the patient’s body by tubes that connect the patient to the machine.
CAPD dialysis: In this process, the inside lining of the patient’s own belly acts as a natural filter which is used to remove wastes, chemicals and extra fluid from the body. During the process, a liquid called dialysate is put into the patient’s abdomen via a catheter (thin tube). The dialysate pulls chemicals, wastes and extra fluid from the blood through the peritoneum.
Dr Hase said that both the dialysis methods are effective but the methods can be cost-effective. Mr More set an example for the kidney patients, he said.