Dialysis: Is it the End of Life? Introduction: Dialysis is a way of removing toxic substances which accumulate in the body when one’s kidneys do not function. Dialysis also removes certain drugs and chemicals which are ingested accidentally. Dialysis can also help in removing excess water especially in the lungs (pulmonary edema). Dialysis is done for various indications like: • Kidney dysfunction • Drug overdose • Pulmonary edema
Myths associated with dialysis: Myth No.1: Dialysis when done once has to be done lifelong. This is not true. The term ‘kidney failure’ is commonly used and it is misleading. Not all kidney diseases are terminal. The body does not get “addicted” to dialysis once it requires. If kidneys recover its function then dialysis can be stopped. If dialysis is done for drug overdose, it’s only done once or twice. Even in patients with kidney disease, many a times, dialysis is done only for a short period. It’s important to understand this because nowadays there are many standalone dialysis units without a nephrologist and the treating team in charge of the unit may not be aware of minor nuances and clues which will indicate a treatable cause.