The Nephrology department at Medigram Hospital, Saharanpur is devoted to clinical care of patients with all types of kidney diseases and care of post kidney transplant patients; we provide care for acute kidney injury, all types of glomerulonephritis, chronic kidney diseases, end stage renal disease, and preparation for kidney transplantation. Medigram Hospital has good quality dialysis centre including both haemodialysis and peritoneal dialysis. Haemodialysis is done with excellent quality reverse osmosis (R. O.) water. Patients are trained for continuous ambulatory peritoneal dialysis (CAPD), so that they can do dialysis at home and can enjoy more comfortable life. Team of Doctors The department is staffed by nephrologist and a team of doctors providing round the clock cover, aced by a highly efficient intensive care unit, well equipped by dedicated dialysis technicians along with trained nursing staffs for monitoring and supportive care of patients. Our Vision Our aim is to provide world class health facility to our patients with a bonding between doctor and patient. Before starting the treatment, basic knowledge is provided to patients about the nature of disease, various treatment options available, possible outcomes, associated risk, adverse effects and cost of any invasive procedure. Patient’s safety and respect for patient’s decision are of utmost importance to us. Service and Treatment Kidney disease symptoms Take Home Message to the patients Unfortunately, most of the time kidney diseases are diagnosed late, because of ignorance of symptoms by the patients and delayed referral to nephrologist. Patients having diabetes, high blood pressure and recurrent urinary infections must consult a nephrologist at least once in every 6 months, because diabetes and high blood pressure both are silent killers for the kidney. Frequently asked questions (FAQ) 1. What is hemodialysis ? It is 3 to 4 hours therapy. Blood is taken out from the patient’s body for purification by machine(Dialyzer) and then purified blood is sent back to patient’s body. 2. Is the dialysis life long therapy in kidney failure ? It is not always life long. In acute renal failure, dialysis is done for few days or weeks and then it is stopped after recovery of kidney function. In chronic renal failure, hemodialysis is required twice a week life long. 3. What is fistula ? Arterio-venous fistula (A-V Fistula) is life line for maintenance hemodialysis patients. It is a vascular access which is utilized for maintenance hemodialysis. 4. How fistula is created? It is created by an operation in arm. After operation 4 to 6 weeks are required to mature the A-V fistula. Only mature A-V fistula can be utilized for hemodialysis purpose. 5. At what time A-V fistula should be created ? In chronic renal failure, once creatinine goes above 5 mg%, A-V fistula should be created certainly. 6. What is fistula care? B.P. measurement, blood sampling and needle pricking should not be done over the arm having A-V fistula. 7. What is intrajuglar catheter ? This is the catheter which is placed over neck of the patients and it is utilized for hemodialysis, till the A-V fistula is matured. 8. What is permacath ? Permacath is permanent vascular access which is placed over neck region and it can be utilized for hemodialysis purpose for a period of 6 months or longer. 9. What is CAPD? It is continuous ambulatory peritoneal dialysis. In CAPD, dialysis is done by the fluid and blood is purified inside the body of the patient. Fluid is filled inside abdomen cavity( peritoneal cavity) and after 4 hours, fluid is drained from abdomen cavity. 10. What are benefits of CAPD over Hemodialysis? Patient does CAPD at home. Residual kidney functions are better preserved for long time in CAPD. Patients feel more independence and better well being. Patients can be liberal in salt ,water,fluid and protein intake.