Nephrology & Dialysis

Comprehensive kidney care includes nephrology consults, hemodialysis, peritoneal dialysis (CAPD/APD), access procedures, and kidney transplant pathways. India offers wide network availability, shorter waits, and transparent packages—MediHeal coordinates opinions, quotes, visas, travel, lodging, and follow-ups.

• CKD stage 4–5/ESRD needing dialysis or transplant evaluation.
• AKI requiring RRT; refractory electrolytes/HTN related to renal disease.
• Dialysis travelers arranging session blocks or considering PD.
• Transplant candidates with near-relative donor or deceased-donor listing.

• High-volume nephrology units, extensive dialysis networks, and experienced transplant teams at a fraction of Western pricing.
• Faster scheduling with English-speaking care teams and clear, itemized packages.
• International desks streamline second opinions, quotes, visas, airport transfers, lodging, and post-discharge tele-follow-ups.

• Center matching across dialysis networks and transplant programs based on medical fit, budget, and timeline.
• Transparent quotes for dialysis (session blocks, consumables, labs) and transplant (donor/recipient work-ups, OT/ICU, meds).
• End-to-end logistics: visas for patient/attendants, flights, transfers, nearby lodging, interpreters, and structured tele-reviews.

• Hemodialysis (HD)— Typically 3 sessions/week, 3–5 hours each; AV fistula/graft preferred access; routine labs, EPO/iron, and fluid/diet counseling.
• Peritoneal Dialysis (CAPD/APD)— Home-based therapy with manual exchanges or automated nocturnal cycles; training, supply logistics, and infection prevention are key.
• Access Procedures— AV fistula/graft creation, tunneled catheter insertion; ultrasound mapping and access salvage where needed.
• Kidney Transplant— Living (near-relative under THOTA) or deceased donor; ICU care, immunosuppression initiation, and long-term monitoring.
• Adjunctive Care— Renal biopsy, plasmapheresis, anemia and bone-mineral disorder management, vaccination planning.

1. Pre-arrival

   • Share recent labs (creatinine/eGFR, electrolytes), imaging/echo if available, medication list, dialysis prescription (if on HD/PD).
   • Receive a written plan: dialysis schedule or transplant evaluation steps, timelines, and itemized costs.

2. On Arrival

   • Finalize work-up: labs, virology, CXR/echo as indicated; access assessment (fistula/catheter).
   • Map dialysis slots (days/times) or donor/recipient evaluations and consents for transplant.

3. In-Hospital Care

   • Dialysis session blocks with nephrologist rounds; PD training and supply setup if applicable.
   • Transplant (if eligible): surgery, ICU/ward stay, immunosuppression initiation, and discharge education.

4. Follow-up & Continuity

   • Dialysis: monthly review, labs, EPO/iron titration, access surveillance.
   • Transplant: drug-level monitoring, infection/rejection surveillance, blood pressure/diabetes optimization, tele-follow-ups.

1. Dialysis (ongoing)

   HD continues 3x/week unless modality changes; PD after training allows home therapy with regular check-ins.

2. Transplant (uncomplicated)

   Typical discharge ~7–14 days; basic activities in ~4–6 weeks with close lab monitoring and clinic visits.

• Stabilizes symptoms, optimizes blood pressure/electrolytes, and improves quality of life; transplant can restore kidney function and freedom from dialysis.
• Coordinated international pathways reduce delays and clarify total costs with itemized inclusions.
• Access to experienced nephrology/transplant teams and broad dialysis networks across major Indian cities.

• Request itemized quotes for drugs (brands/doses), access creation, device use, ICU day caps, and contingency pricing for complications.

• Medical visas typically align with treatment duration; up to two attendants can obtain linked visas.
• Transplant pathways require legal/ethical approvals and donor documentation under THOTA/NOTTO; allow time for committee clearances and relationship verification for living donors.

• If possible, create/mature an AV fistula before travel; carry dialysis prescription and recent labs/imaging on USB/CD.
• For PD: plan training dates and confirm supply logistics; learn aseptic technique.
• For transplant: compile complete medical records; ensure donor eligibility documents and vaccination updates.

• Dialysis: nutrition and fluid counseling, anemia management, bone-mineral disorder care, access surveillance.
• Transplant: medication adherence, infection precautions, BP/diabetes control, gradual activity escalation with clinic follow-ups and tele-reviews.