Viability of home dialysis in developing country

[clausewitz2]

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So I do some work with a local refugee resettlement agency as a medical advisor and a situation came up recently that I thought this board might be able to help me out with. One of the case managers has family back in an unstable country in the global south who is in need of dialysis, but is having problems obtaining this consistently. The case manager wants to explore the feasibility of buying supplies for dialysis in the states to send back home and would love to talk to a nephrologist about the options that exist if any for doing dialysis for the patient at home. Are any of the nephrologists on this board willing to offer general advice?

Feel free to PM me direct if you prefer. I am trying to be vague about exactly which country in public postings but am happy to disclose more details if you are potentially open to speaking to the person in question. They recognize that no one is taking responsibility for his relative and is looking more to understand what can even be done and the universe of possibilities.

Thanks for any input y'all can offer.

 

[deleted1190329]

Are you asking about home hemodialysis or Peritoneal Dialysis?

Either case, there are patient related factors involved in the eligibility for treatment for both. I am not sure what kind of a physician you are, but the supplies for both are not cheap in the US or for that matter medical supplies are far from cheap in the US. It also involves training as well as constant follow up. The reason why you need follow up is, both may need trouble shooting at various times. People switch back and forth between in-center hemo and (peritoneal dialysis/Home hemo) based on necessity. You can't just hand them the supplies to manage themselves. I would suggest getting an opinion of a Nephrologist who can completely evaluate the patient's medical condition in the patient's vicinity and what supplies that are available in the area. It is not like buying a macbook from the US and handing it to the third world country relative to enjoy all the benefits of MacOS. Dialysis is not that simple. Its complicated, you will need local professional help.