Renal Replacement Therapy (RRT) / Dialysis

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Dialysis Education for East Texas Kidney Disease Patients

For patients with end-stage kidney disease, dialysis is not just a last resort. It is a lifeline. At East Texas Kidney Specialists (ETKS), we provide dialysis care across Longview, Gilmer, Marshall, Henderson, Kilgore, and Shreveport, with board-certified nephrologists who stay actively involved in your treatment, not just at the start but every step of the way.

A] Precision Diagnosis: Finding the Right Starting Point

Before starting dialysis therapy, we will ensure that our nephrologists have assessed you to ascertain ESKD and the best course of treatment for you. This can be achieved through measuring the levels of creatinine and eGFR in your blood, along with checking for proteinuria and kidney strain in your urine. We also conduct imaging studies of your kidneys to complete the evaluation. In case you are suffering from chronic kidney disease, we conduct regular laboratory tests to determine when you need to start dialysis at about 15% kidney functionality.

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B] Comprehensive Dialysis Treatment: From In-Center Care to Home Options

No two individuals experience kidney failure in the same manner, which is why we conduct a thorough analysis of your medical history, lifestyle, and home environment before suggesting any form of dialysis treatment.

1. Hemodialysis

Hemodialysis uses a machine to filter waste products and excess fluid from the blood. In-center hemodialysis is supervised by our clinical team across East Texas. For patients who qualify, home hemodialysis can be performed with a care partner on a schedule that works for you.

2. Peritoneal Dialysis

Peritoneal dialysis filters waste through the natural lining of the abdomen using a small cannula placed in the abdominal cavity. It is performed at home, offering patients greater independence and flexibility compared to in-centre haemodialysis.

C] What to Expect During Your Dialysis Treatment

Dialysis at ETKS is not a set-and-forget prescription. Our kidney doctors make regular unit visits, review monthly labs, and adjust your dialysis prescription, blood pressure medications, and anemia management as your condition evolves. We provide dietary counseling on protein intake and controlled sodium, potassium, and phosphorus levels, along with fluid management guidance between sessions. Our social workers and care coordinators are also available to support patients and families through every stage.

D] Why Choose East Texas Kidney Specialists?

At ETKS, an expert provider of kidney care in East Texas, nearly four decades of nephrology expertise back every care decision. Our board-certified nephrologists work with dietitians, patient care technicians, social workers, and nurses to provide comprehensive care under one roof. Our services include both in-center and home dialysis for all aspects of patient management, including laboratory tests every month, anemia, and bone mineral disorders. For more details, consider scheduling an appointment with us.

FAQs

Dialysis supplements kidney function but does not fully replace it. It manages waste and fluid effectively, but certain functions, such as hormone regulation, are not replicated.

Yes. Both home hemodialysis and peritoneal dialysis are available for appropriate patients. Your nephrologist will refer you to dialysis modality education so you and your family can decide together.

The time for most dialysis sessions will be from three to five hours, depending on the form of dialysis treatment that one needs and the individual’s medical conditions.

No. Some need dialysis only temporarily, while for others, dialysis will be an ongoing necessity. In cases of chronic kidney failure, our staff partners with local transplant centers if a kidney transplant proves to be a potential solution.