My husband's stroke deficits and energy levels dipped sharply over the summer. Despite (or because of?) my nagging, he refused to get himself checked out.
About 3 weeks ago, he became very ill, indeed. Ambulance ill. Nine-day hospital stay ill.
After much confusion about contradictory test results, one verdict came in: end-stage renal disease. Heart will also be looked at, later this month.
We're hip-deep in training for in-home peritoneal dialysis (PD) - the best dialysis mode for him. He's getting stronger, but deficits are still below his pre-hospital baseline.
At some point, he *may* be able to perform his own exchanges. Right now, however, he's simply not able to learn. Cognition may improve over time - but it also may not.
Hence, *I* will be performing dialysis exchanges for him, 4x a day, 7 days per week. There is no respite available for in-home PD - I only just learned that a couple of days ago. Still, in-home PD is what we would have chosen, anyway. Better outcomes, more flexibility and easier diet.