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We are delighted to announce that we now offer Home Dialysis with Dialysis care Home, in Wisconsin located in our Milwaukee, Kenosha, Racine area using Tablo® Hemodialysis System, to equip our team and patients with the latest innovation. Tablo is a cutting-edge dialysis technology that improves the way dialysis care is delivered to our patients.

It is easy to learn and simple to use, nurses can train on Tablo in a few hours and patients can train to go home with Tablo in as little as two weeks.
By giving patients, the ability to set their schedule and fit treatments around the activities they enjoy, Tablo helps restore independence and provide flexibility to take control of their treatments.

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Your Comprehensive Resource for Kidney Health

Welcome to Nephrology Hub, your go-to destination for everything related to kidney health and nephrology.

Whether you're a healthcare professional, a patient, or simply interested in learning more about kidney diseases and conditions, you've come to the right place. Our website offers a wealth of information, resources, and support to help you navigate the complexities of nephrology with confidence.

There are several issues to consider when deciding on a type of dialysis, including where to receive treatment.

This is an important consideration that should be made between you, your family and your healthcare team. You can do hemodialysis at a dialysis center where a nurse, technician, or other member of the healthcare team performs the tasks required during treatment. In-center hemodialysis is usually done three times a week for about three to four hours or longer each session. In-center treatments are done at a pre-scheduled time. Some centers allow in-center self-dialysis – you dialyze at the center, but you're able to do many or all the procedures yourself.
You can also do hemodialysis at home where you are the one doing your treatment. People who do home hemodialysis have more flexibility about how often it can be done. If done daily, treatment time would be 1½ to 2 hours. If you and your clinician decide this is a good choice, you and a dialysis care partner will be trained in how to do hemodialysis at home. Your dialysis care partner can be a family member or friend but may also be someone you hire to assist you.
Home hemodialysis can have some advantages over in-center dialysis. It allows you to schedule your treatments to fit your routine. You can have more independence and control of your own treatments. You can also have the comfort and privacy of being in your own home during treatment. However, home hemodialysis might not be a good fit for everyone. You need to be willing to be responsible for your own treatment. If you and/or your care partner pass the training and learn to place your needles, you should be able to do home hemodialysis.

Treatment Options

As a first step toward diagnosis, your doctor discusses your personal history with you. Your nephrologist might ask questions about whether you've been diagnosed with high blood pressure, if you've taken a medication that might affect kidney function, if you've noticed changes in your urinary habits and whether you have family members who have kidney disease.

For kidney disease diagnosis, you might also need certain tests (blood, urine and imaging ) and possibly procedures to determine how severe your kidney disease is.

Some types of kidney disease can be treated, chronic kidney disease has no cure. Treatment usually consists of measures to help control symptoms, reduce complications, and slow progression of the disease. If your kidneys become severely damaged, you might need treatment for end-stage kidney disease.

Treating Complications

Blood pressure medications. People with kidney disease can have worsening high blood pressure. Your doctor might recommend medications to lower your blood pressure.
Medications to relieve swelling. People with chronic kidney disease often retain fluids. This can lead to swelling in the legs as well as high blood pressure.
Medications to treat anemia. Sometimes with added iron, it can help produce more red blood cells. This might relieve fatigue and weakness associated with anemia.
Medications to lower cholesterol levels. Your doctor might recommend medications to lower your cholesterol.
Medications to protect your bones. Calcium and vitamin D supplements can help prevent weak bones and lower your risk of fracture. You might also take a phosphate binder to lower the amount of phosphate in your blood and protect your blood vessels from damage by calcium deposits.
A lower protein diet to minimize waste products in your blood. Protein from food creates waste products that your kidneys must filter from your blood. To reduce the amount of work your kidneys must do, your doctor might recommend eating less protein.

Treatment for Kidney Failure

When you have kidney failure, your kidneys have stopped working well enough for you to live without treatment. There is no cure for kidney failure, but with treatment many people with kidney failure are able to keep doing activities they want or need to do.

Talk to your provider about which treatment is best for you.

Dialysis

Dialysis is a treatment that uses a machine to clean your blood. There are in-center dialysis locations and at home options that we discuss below.

• Home Hemodialysis (Machine Dialysis at Home)

At Holistic Healing Group, we will place dialysis access in the body for blood to leave the body for cleaning. This treatment is used to filter wastes and water from your blood. This cleaned blood is then returned to the body through the same access.

If we have prepared for dialysis in advance, a surgeon creates dialysis access. They may put in something called a fistula or graft. A fistula is when the surgeon creates dialysis access using the blood vessels in the body. A graft is when the surgeon creates a dialysis access by implanting synthetic tubing in the body. These options take about six weeks to mature. The access sometimes is a catheter in an emergency.

Home hemodialysis means doing hemodialysis at home. Doing home hemodialysis means getting to dialyze more often. Patients often dialyze four to five days a week and sometimes even daily. Because of more frequent dialysis, patients feel better. This mode of treatment requires several weeks of training.

• Peritoneal Dialysis

Peritoneal dialysis, or PD, is a way to remove waste products from your blood when your kidneys can no longer do the job adequately. The treatment uses the inner lining of your belly (peritoneum) as a filter.

A sterile fluid flows through a tube into part of your abdomen and filters waste from your blood. While you go about your day, the fluid will collect wastes and water. Later, the fluid with filtered waste is removed from your abdomen and discarded. Unlike hemodialysis in a center, you can give yourself peritoneal dialysis treatments at home, at work or while traveling.

If you are a candidate for PD home dialysis, you’ll have a special catheter put in with an outpatient procedure. NANI Vascular has a team in place that can help you with this procedure. Then, you will go to two weeks of training with an experienced PD nurse to learn all you need to know to do PD at home. Once you are done with training, you will only go to the clinic about once each month for a blood test and to meet with your care team, which will include your physician, nurse, nutritionist and social worker.

KIDNEY TRANPLANT & CONSERVATIVE MANAGEMENT

Kidney transplant

A kidney transplant is a surgery to give you a healthy kidney from a donor. Transplanted kidneys can come from deceased or living donors. The healthy kidney can do the job that your kidneys did when they were healthy. A kidney transplant is not a cure, but a treatment for kidney failure. You will need to take medicines and take special care of your transplanted kidney for the rest of your life to keep your body from rejecting the new organ.

Conservative Management

For some who choose not to have dialysis or a kidney transplant, a third option is to treat your kidney failure with conservative measures. Conservative measures likely will include symptom management, advance care planning and care to keep you comfortable. This allows them to focus on improved quality of life.

Schedule a consultation with Us

Schedule online, call (262) 731- 0088, or fill out the form to schedule a consultation with our specialist. We're open Mon-Fri 8am-6pm CST.

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Your Comprehensive Resource for Kidney Health

There are several issues to consider when deciding on a type of dialysis, including where to receive treatment.