My wife has been on HD for over two years. She began dialysis on an emergency basis in the hospital and soon thereafter had severe calciphylaxis to the extent that her survival was very much in doubt. She had other complications - including heart issues resulting in angiograms and insertion of stents, metatarsal amputations, diabetes, etc. She was in hospital/acute care hospital/skilled nursing facilities for 14 months.
She has now been home for a little over a year and is confined to a wheelchair. HD at the dialysis center three times per week.
At this point she very much wants to switch from HD to home PD. Some of the staff at the dialysis center don’t see any problem with this but the nephrologists are telling us that PD is out of the question because of her history of calciphylaxis.
Thoughts? Should we pursue PD of make the best of the current situation?