MCV/Q, Medical College of Virginia Quarterly

MCV/Q, Medical College of Virginia Quarterly

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MCV/Q, Medical College of Virginia Quarterly





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The purpose of this paper is to acquaint physicians who are not nephrologists with the experience of one of their colleagues in the operation of a hemodialysis service as a part-time endeavor. My intention is not to present detailed or advanced scientific data on dialysis techniques or on the care of chronic renal failure but to discuss how and under what circumstances the urologist, internist, or general physician might significantly augment the present treatment care system for end-stage chronic renal disease. I will attempt to describe a mode and philosophy of operation applicable to the community hospital and private practice setting which is derived from our experience in providing care for acute and chronic renal failure in a city of 50,000 with a service area of 300,000 people located more than one hour from the nearest large medical center. Our unit started with one machine and one patient five years ago and now has seven dialyzers serving an average case load of 13 patients.


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