PD - The nuts and bolts
So many people have been asking me about peritoneal dialysis lately, so I thought I would write up a quick explanation of the process. The first piece is the access point - or catheter. The catheter is connected to a tube that comes out of my abdomen about 2 inches to the left of my belly button. The exit site (where the tube leaves my body) has to be treated with extreme care to avoid peritonitis, an infection of the abdominal lining. I have a whole cart full of medical supplies that I use to keep that area clean. A large portion of my training is also devoted to cleanliness - proper handwashing and hygiene - to prevent infection. Even little things, like keeping the shower head cleaned of all mineral deposits and using disposable paper towels to dry your hands, are strategies to minimize the risk of infection. The catheter itself hangs freely, though I cover mine up with 4x4 sterile gauze pads and tape it to my abdomen so it doesn't get dirty or yanked. They make speci...