Plan longterm RRT early, keep calm and carry on.
PLAN early for RRT.
May be after 5, 10, 20 years (or never) kidney stops functioning needing you to get RRT for survival. You can make plan early for renal replacement therapy (RRT) which could be haemodialysis, peritoneal dialysis and kidney transplant. The following will help you to get assistance:
⚒ Get your ACP (advance care plan) ready. Approach MSW (medical social service).
⚒ Decide for future dialysis/transplant when Creatinine worsens to 400 umol/L (4.6 mg/dL) as per your Kidney doctors advice. Talk to RC (renal coordinator).
⚒ Get AVF (AV fistula) done for haemodialysis. Visit VS (vascular surgeon).
⚒ Or get TK catheter when Cr further worsens to 600 umol/L (7 mg/dl) for peritoneal dialysis.
⚒ Or get a donor for transplant this time. Visit TC (transplant coordinator).
⚒ Do not lag behind.
Be smart and be vigilant
Be brave and be confident