Do you have any relatives or friends who might consider donating a kidney to you? If so, you and they can be evaluated and depending on how you’re feeling (not just your eGFR number), you might be able to get a transplant before you ever have to start dialysis. The tool Dori recommended is a good one to review the options for dialysis and see which would fit best with your lifestyle.
Many people like PD and is a good first treatment for kidney failure. You an learn how to do it quickly so if you’re working, you don’t have to miss much work. Most people do PD using a machine overnight so their day is pretty free. To get enough dialysis with PD, some people have to do a midday manual PD exchange. From what they’ve dole me, those who do PD successfully feel pretty much the same all the time, whereas those who do in-center HD often feel “washed out” after dialysis and it can take hours to recover.
People who do home HD (which is a great option if PD doesn’t work or stops working) overnight or who do shorter but more frequent treatments 4-6 times a week also don’t have the “washed out” feeling that in-center patients have. Learning to do HD takes somewhat longer than learning to do PD, but once you’re learned how to take care of yourself on PD, it might give you a head start on learning HD.
What can really help is talking with patients who are doing dialysis. Dori suggested the Home Dialysis Central Facebook group. Your doctor may have patients who are willing to meet with you or talk with you on the phone too. Ask to visit the dialysis clinic and talk with the home training nurse. When I was a social worker in dialysis, I loved talking with patients before they started dialysis. It gave me a chance to meet and learn about them and gave them a chance to meet me so I could explain things I could do to help them. As Dori said, you’re doing the right thing by learning all you can about kidney disease and treatment options. Congratulations on becoming informed so you can make the best choices for you.