4 Treatment Options for Kidney Failure

Treatment Options for Kidney Failure include Kidney Transplant, Peritoneal Dialysis (Tummy Dialysis), Hemodialysis (Machine Dialysis), and Conservative Management

Kidney Transplant (Renal Transplantation)

Human kidney inside portable fridge for donor organs for transplant.
To get a kidney transplant, one must first become listed for a transplant. The longer one is on the transplant list, the more likely one is to receive a transplant. The eGFR represents the kidney function. When the eGFR is less than 20 we refer to transplant centers to help patients get on the transplant list. The referral process begins from the dialysis unit in case someone starts dialysis. The more centers someone lists at, the more likely one is to get a transplant. We refer to all transplant centers.

Good Transplant Centers

Transplant Centers with Relatively Low Transplantation Percentages

Home Therapies

Peritoneal Dialysis (Tummy Dialysis)

Peritoneal dialysis vector illustration. Labeled method to exchange fluids.Exit site for peritoneal dialysis catheter
In peritoneal dialysis, we use the body's natural cavity for dialysis. Because of this, we call it tummy dialysis.

We place clear fluid in the belly cavity for about 2 hours. During this time, toxins diffuse into the clear fluid. After we drain the fluid, we remove the toxins from the body. The clear fluid is now straw-colored when drained from all the impurities. It looks like urine. We call the filling and draining of the fluid an exchange.

The more kidney function left, the fewer the exchanges needed to keep the body clean. The less kidney function left, the more exchanges needed to clean the body.

Patients do peritoneal dialysis treatment from the comfort of their homes. To be safe, we train our patients for about 2 – 3 weeks. We get a care partner to help patients with treatments when necessary.

When it comes to peritoneal dialysis, you are in the best care with The Kidney Experts. We have the largest percentage of patients on peritoneal dialysis in the region. We have the lowest peritoneal dialysis loss rate. We specialize in peritoneal dialysis.

Home Hemodialysis (HHD, Machine Dialysis at home)

NxStage System One is a simple, flexible and portable system providing the growing number of people with end-stage renal disease better options for hemodialysis treatments.Hemodialysis for kidney failure. Man get a kidney disease
We call hemodialysis (HD) as machine dialysis.

We place dialysis access in the patient's body for blood to leave the body for cleaning. The blood then goes to a filter on a machine where the cleaning occurs. This cleaned blood is then returned to the body through the same access.

The access is usually placed by a surgeon, interventional radiologist, or interventional nephrologist. The access sometimes is a catheter in an emergency. If we have prepared for dialysis in advance, a surgeon creates dialysis access. She or he may put in something called a fistula or graft. A fistula is when the surgeon creates dialysis access using the blood vessels in the body. A graft is when the surgeon creates a dialysis access by implanting synthetic tubing in the body.

A fistula is better than a graft for getting good dialysis. Sometimes there are not any good blood vessels to make a fistula, and we make a graft. When a graft is not possible, then we use a catheter. Catheters are also used when there is no planning for starting dialysis.

A surgeon creates a fistula or graft. This takes about 6 weeks to mature. In less ideal situations, we place a catheter for immediate use.

Home hemodialysis (HHD) means doing hemodialysis at home. Doing home hemodialysis means getting to dialyze more often. They often dialyze 4 of 5 days a week and sometimes even daily. Because of more frequent dialysis, patients feel better. This is because they can have more gentle treatments at home.

Home hemodialysis has a lot of complexity involved. It takes 5 – 6 weeks of training, and a care partner is almost always involved.

In-Center Hemodialysis (ICHD)

Male patients receiving renal dialysis in a dialysis unitHemodialysis for kidney failure. Man get a kidney disease
We call it in-center hemodialysis (ICHD) when doing hemodialysis at a dialysis unit.

Patients will dialyze 3 days a week. They will be on a Monday/Wednesday/Friday (MWF) or a Tuesday/Thursday/Saturday (TTS) schedule. Some patients can dialyze less often, including twice or even once a week, but this is rare.

This is a good modality for patients who cannot take care of themselves or live in a nursing home. A downside is that the patient will have to arrange his or her life around their dialysis schedule. The treatment times are on a fixed schedule though we can plan for changes. We can schedule extra treatments when needed.

The dialysis unit can arrange patient transportation to and from the dialysis unit.

Conservative Management and Hospice

Senior woman spending quality time with her daughter thanks to home hospice palliative care
Some patients may choose the option of conservative management. This allows them to focus on improved quality of life. Sometimes this approach is better than extending life with aggressive measures. Dialysis can be an aggressive measure. Sometimes, dialysis can reduce the quality of life available.

This true in some elderly when starting hemodialysis (machine dialysis). Peritoneal dialysis (tummy dialysis) is a lot more gentle. Peritoneal dialysis is a good modality when there is a good support team at home. This team is usually a close family member leaving with the patient. They can help the patient complete treatments. This may be consistent with a good quality of life compared to hemodialysis.

When patients choose conservative care, we get palliative care services involved. This often includes hospice care. You can get hospice care for two 90-day benefit periods. Then there is an unlimited number of 60-day benefit periods.

Conservative care means there can be an improved quality of life in the right cases. There can even be an increase in survival compared to starting dialysis. At The Kidney Experts, we are happy to help you understand your treatment options.

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2021 Patient Successes This Year!




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Successfully Taken Off
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Questions about  Kidney Care

What is Chronic Kidney Disease (CKD)?

Chronic Kidney Disease (CKD) is a gradual loss of kidney function, which happens to everyone over time. It's a natural part of aging, but we do our best to slow down this process and prevent kidney failure. Sometimes we can even reverse disease!

What are Kidneys?

The kidneys are a vital part of the body's filtering system. This system cleans the blood and removes harmful waste. If the kidneys do not function, they cannot filter toxins. This can lead to a host of problems. A specialist called a Nephrologist works to delay chronic kidney disease. A Nephrologist works to prevent kidney failure.

What is a Nephrologist?

A nephrologist is a medical doctor specializing in the kidneys. They order blood tests, ultrasound, kidney biopsies, and other tests to rule out diseases and complications. They also prescribe medications and make referrals to other specialists.

What is Nephrology?

Nephrology is the practice of medicine that deals with the kidneys. The kidneys are responsible for filtering wastes from the blood and producing urine. Nephrology is concerned with the prevention, diagnosis, and treatment of kidney diseases. The focus is on diseases that cause kidney failure.

Kidney Care 2.0
What is the Difference?

personalized service

Personalized Service

We recognize that every patient is unique and that what works for one may not work for others. We take the time to get to know you and your needs. We will design a plan of care that is unique to your specific needs, rather than following a standard protocol.
Finding The Cause

Finding The Cause

Kidney disease is a very serious condition that can have a major impact on your health. To prevent further disease, it is important to focus on a healthy lifestyle. We will help you find a cause for your kidney disease and develop a plan to avoid further complications.
Latest Therapies

Latest Therapies

We want to be a part of your healing process. Our goal is to help those with kidney failure get the best possible care. This includes using the least amount of treatment to get the greatest benefit. We help patients begin home therapies. We also help them get transplants.
Expert Providers

Easy Communication

Kidney disease can be a frightening thing. We help you understand what it's like to live with kidney disease and how we can help you live the best possible life. We are here for you. Reach out to us in any way you need for your kidney care needs. We are available by phone, text, email, or MyChart.

Our Health Services

Kidney disease can be confusing. You are not alone. Because kidney disease is progressive, it can be hard to figure out what the future holds. It's important to stay informed and plan ahead. Our team of experts will walk with you every step of the lifelong journey through kidney disease. We are here for you. We will help you with information on how to know your numbers and monitor your health, an individualized care plan, convenient blood testing, and a variety of support programs.

We cover a wide range of care related to kidney disease, including, but not limited to the following


Dialysis Company Affiliations

DaVita Kidney Care
Dialysis Care Center
DaVita Kidney Care
DaVita Kidney Care
We see patients at 17 dialysis units!

Major Insurance Providers Accepted

Insurance seems complicated and confusing. We're here to help you understand your insurance.
Find out more about Insurance for your Kidney Care Needs.
Cigna Healthspring
Tennessee Medicare TN Health Insurance
Palmetto GBA - Railroad Medicare Tennessee TN
Aetna Health Insurance
Amerigroup Health Insurance
BlueCross BlueShield of Tennessee Health Insurance BCBS
Tennessee TennCare Health Insurance
Missouri Medicare MO Health Insurance
Palmetto GBA - Railroad Medicare Missouri MO
VA Community Care Network CCN - Community Care
WellCare Health Insurance
Cigna Health Insurance
Humana Health Insurance
Missouri MO HealthNet (Medicaid)
United  Healthcare
TRICARE Health Insurance

The Kidney Experts

We do everything possible to slow down the worsening function of your kidneys. Sometimes, we can improve kidney function! When function declines, we focus on kidney transplantation and home therapies. We see you at a dialysis unit for regular dialysis for those unable to complete therapies at home.

There is no need to visit us to answer your questions and get refills. We have staff available to answer your calls. We don't take care of you only while you are at our office. We are always ready to take care of you whenever you need us to

Meet your Kidney Specialists

We are here to help


1575 Parr Av,
Suite B
Dyersburg, TN 38024
215 Hawks Road, 
Suite 11,
Martin, TN 38237
1995 Highway 51 South,
Suite 208,
Covington, TN 38019
© Copyright 2018 - 2021 | The Kidney Experts, PLLC | All Rights Reserved | Email: info@thekidneyexperts.com
The Best Kidney Care Practice in Tennessee
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