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What does dialysis patient mean?

Over 75% of waiting patients are dialysis patients.

Advanced kidney disease (CKD), i.e. kidney failure, is treated with dialysis. These therapeutic procedures, so-called “Kidney replacement procedures” are now offered almost as synonyms all over the world.

There is almost not a single country in the world that does not offer this to its population.

The story begins very early with the invention. But it only achieved its breakthrough through the cost-effective production of the capillaries and cost reduction. Here is an overview of the history of dialysis in the USA.

With this therapy you can achieve a maximum of 30% effectiveness of the normal kidney performance of a healthy person: “Why? See your blood laboratory values ​​taken after dialysis…” -> Glomerular filtration rate (GfR) “…and compare it with reference values ​​of a healthy person.”

Of course, this therapy is far from replacing all the functions of the kidney, which is in action non-stop in the human body, considering: “Three times a week for a maximum of 5.5 hours, e.g. in Germany a patient is admitted to dialysis or the health insurance companies cover the costs for HD therapy.”

This therapy cannot completely replace the endocrine functions of a native kidney: due to a lack of non-stop regulation, accompanying diseases then arise over time. (Which in turn incurs additional costs for the health insurance companies.)

dialysepatient

There are around 100,000 patients across Germany, less than 7% are on the waiting list. Why?

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What does dialysis patient mean?

Over 75% of waiting patients are dialysis patients.

Advanced kidney disease (CKD), i.e. kidney failure, is treated with dialysis. These therapeutic procedures, so-called “Kidney replacement procedures” are now offered almost as synonyms all over the world.

dialysepatient

There are around 100,000 patients across Germany, less than 7% are on the waiting list. Why?

There is almost not a single country in the world that does not offer this to its population. The story begins very early with the invention. But it only achieved its breakthrough through the cost-effective production of the capillaries and cost reduction. Here is an overview of the history of dialysis in the USA.

With this therapy you achieve a maximum of 30% effectiveness of the normal kidney performance of a healthy person: “Why? See your blood laboratory values ​​taken after dialysis.” ->Glomerular filtration rate (GfR) “…and compare it with reference values ​​of a healthy person.”

Of course, this therapy is far from replacing all the functions of the kidney, which is in action non-stop in the human body, considering: “Three times a week for a maximum of 5.5 hours, e.g. in Germany a patient is admitted to dialysis or the health insurance companies cover the costs for HD therapy.”

This therapy cannot completely replace the endocrine functions of a native kidney: due to a lack of non-stop regulation, accompanying diseases arise over time (which in turn incurs additional costs for the health insurance companies.)

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Dialysis patient

Over 75% of waiting patients are dialysis patients.

Advanced kidney disease (CKD), i.e. kidney failure, is treated with dialysis. These therapeutic procedures, so-called „Nierenersatzverfahren“, werden heute überall auf der Welt fast gleichbedeutend angeboten.

dialysepatient

There are around 100,000 patients across Germany, less than 7% are on the waiting list. Why?

There is almost not a single country in the world that does not offer this to its population. The story begins very early with the invention. But it only achieved its breakthrough through the cost-effective production of the capillaries and cost reduction. Here is an overview of the history of dialysis in the USA.

With this therapy you achieve a maximum of 30% effectiveness of the normal kidney performance of a healthy person: “Why? See your blood laboratory values ​​taken after dialysis.” ->Glomerular filtration rate (GfR) “…and compare it with reference values ​​of a healthy person.”

Of course, this therapy is far from replacing all the functions of the kidney, which is in action non-stop in the human body, considering: “Three times a week for a maximum of 5.5 hours, e.g. in Germany a patient is admitted to dialysis or the health insurance companies cover the costs for HD therapy.”

This therapy cannot completely replace the endocrine functions of a native kidney: due to a lack of non-stop regulation, accompanying diseases arise over time (which in turn causes additional costs for the health insurance companies.)

Over time, this deficiency leads to immense poisoning of the patient. Consequently, one can safely call it a therapy that slowly accompanies death and at the same time makes the economy flourish.

Because the hemodialysis technology in so-called dialysis centers. which is carried out professionally by nursing staff, has not undergone great innovative development (but has been fully developed in terms of process optimization) since the beginnings of hemodialysis therapy in the 1970s, when it was offered to the masses in Germany, if you…

  1. Machine size (Image 1)
  2. Capillary technology (Image 2)
  3. Osmosis system: The fluid exchange system (osmosis system + dialysis fluid) is exactly the same as back then, except process-optimized.

…in comparison with other medical innovations in the industry and products, e.g. the pacemaker, implantable artificial heart and defibrillator. > implantable defibrillator.Why is there no innovation?

In comparison -innovation-, hemodialysis technology is at least half a century behind or at a standstill.

Dialysemaschine Größenvergleich
dialysatoren - Kapillare

(Image 2): The dialyzers have only been improved in their clearance ability, otherwise they have remained the same.

Dialysemaschine Größenvergleich

(Image 1): The size of the dialysis machines has remained unchanged for almost 50 years.

dialysatoren - Kapillare

(Image 2): The dialyzers have only been improved in their clearance ability, otherwise they have remained the same.

Over time, this deficiency leads to immense poisoning of the patient. Consequently, one can safely call it a therapy that slowly accompanies death and at the same time makes the economy flourish.

Because the hemodialysis technology in so-called dialysis centers. which is carried out professionally by nursing staff, has not undergone great innovative development (but has been fully developed in terms of process optimization) since the beginnings of hemodialysis therapy in the 1970s, when it was offered to the masses in Germany, if you…

  1. Machine size (Image 1)
  2. Capillary technology (Image 2)
  3. Osmosis system: The liquid exchange system (osmosis system) is exactly the same as back then, except process-optimized.

…in comparison with other medical innovations in the industry and products, e.g. the defibrillator. -> implantable defibrillator.

In comparison, Hemodialysis technology is at least half a century behind.

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Why, why is that?

Because here only a small number of DAX-listed companies (some for over 20 years in a row) dictate supply and demand, dominate the market, so to speak, and do not promote and develop innovation. The fact that it is highly economized is confirmed by countless professionals here: “The kidney patient: Between well-being and economization”

All the industries (the 12 largest dialysis therapy providers worldwide with sales of 110 billion dollars) that have formed around these therapeutic procedures are also dictated or managed by you. There is, so to speak, no competition when only three large HD dialysis machine manufacturers worldwide share the market among themselves. See these statistics or Google – search for Fresenius, Baxter and Braun in combination with dialysis. There are still manufacturers, but not to the same extent as the three.

So there is no need for innovation, or they can suppress it (buy it up and then let it disappear in their drawer) if there is news in research or innovations in this direction.

Of course, this industry is also so powerful because it represents a win-win situation for the economies of the respective countries because of the large number of people and materials in circulation.

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Why does this fact not bother anyone?

Es ist natürlich super dass dieses Therapieverfahren so weit optimiert ist, dass es fast überall auf der Welt angeboten wird, sodass es die Freiheit des Reisens sogar nicht einschränkt, von manch einem argumentiert wird.

Dem Dialysepatient sind in diesem Therapiezeitraum natürlich Restriktionen vorgeschrieben: Nahrungsmittel- und Trinkmengenrestriktionen (Bild 3 und Bild 4), was man einem gesunden Menschen absolut nicht empfehlen würde.

Diese findest du in Internet in Fülle und Hülle. (Viele dieser werden “stiftungsmäßig” (in hochglanzbroschüren angebotenen Informationen zB hier, hier oder hier ) von Drittanbietern/Selbst dieser Zubehörfirmen der obigen Dialyse-Therapieanbieter mit Werbeslogans wie “Nach Maß statt Masse” angeboten! (Win-Win und man kanns auch als “Sich selbst befriedigende Gutmenschen-Show” nennen!).

Es ist sogar soweit prozessoptimiert, dass es fast keine medizinische Fachkraft von Nöten ist, falls Patient herzkreislaufstabil und selbstbestimmmend aktiv ist: Es ist stationär Zuhause durchführbar, wenn die Möglichkeiten gegeben sind.

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Then what's the downside?

Since this therapy is also offered to older patients (over 80%) who do not have the opportunity to receive a kidney transplant, it does not have a high sentiment value in society.

Many people with kidney disease who are dependent on dialysis at a late age due to their secondary illnesses such as diabetes and high blood pressure are absolutely satisfied and grateful that this therapy even exists. Understandable.

This becomes particularly clear in the fact that in some social networks (Facebook with 1000-5000 subscribers) they actively glorify this process optimization and portray transplant medicine poorly, with arguments that scare people about the development of tumors through immunosuppression.

Some of these networks have people with fake accounts who do lobbying and mislead people.

The young patients suffer from this gratitude of the excessive passion for technology, some of whom have been stuck on this therapy for years (8-11 years waiting time on dialysis before a kidney transplant occurs).

Because of this gratitude, this topic has no sentimental value, and satisfaction with what the DAX companies are offering, and the unwillingness to increase the number of organ donations in health policy, also makes innovation or change in this area more difficult.

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Why is the other possible in Spain?

In Spain there is no “long-term dialysis” (8-11 years until kidney transplant). Average waiting time in Spain: 8-12 months. See data and facts. There are no accompanying diseases due to long-term dialysis to the extent that they are in Germany.

There, the earliest possible transplant brings a win-win situation. More is being done for people instead of for the economy, which is why the objection regulation in transplant medicine is practiced there.

Spain’s health policy in transplant medicine is a prime example of humanity!

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Is one ethical and the other not?

Suffering is a relative feeling. Politicians can feel this based on the statistics, which don’t exist, and justify it according to the populist basic rules and principles of their parties and only then do something about it or not.

But how do you justify three dead waiting patients every day in Germany based on the statement of freedom and the right to self-determination in causa contradiction regulations in transplant medicine, where there are none?

THE WARTEPATIENT

(Bild 3): Nahrungsmittelrestriktion an der Dialyse.

(Bild 4): Trinkmengenrestriktion an der Dialyse.