Our DCI Carlsbad clinic opened in February of 2002. It is a 22 station facility which provides in-center hemodialysis to patients in the Artesia, Carlsbad, and Loving areas of southeastern New Mexico. We also provide acute hemodialysis for patients admitted to Carlsbad Medical Center. We are proud to operate under DCI’s mission, “We are a non-profit service organization. The care of the patient is our reason for existence.”
Our dedicated and caring clinic staff have over 40 years experience caring for persons with kidney disease.
James Gibb, M.D.
In-center hemodialysis is performed at a dialysis facility. Hemodialysis treatments are scheduled three times a week. The length of the treatment is prescribed by a physician and generally lasts 4 hours. To start treatment, specially trained nurses and dialysis technicians insert two needles, connected to dialysis tubing, into a person’s access (usually in the arm) to circulate the blood out of the body, through the tubing, into the dialysis machine to remove the excess fluid and waste, and then back into the person’s body. Nurses and technicians are always there watching and monitoring the treatment.
Peritoneal dialysis, or PD, is a daily treatment. PD is a procedure that removes wastes, chemicals and extra fluid from your body. This type of dialysis uses the peritoneal membrane, the thin, natural lining of your abdomen, to filter your blood. The peritoneal membrane acts as the artificial kidney. Although it is there to protect your organs, it has many tiny holes, or pores, in it that can be used to filter waste products and other chemicals from your blood. To prepare for PD, a surgeon places a permanent tube called a catheter into the lower abdomen to carry solution in and out of the abdomen. The sugar in the solution, called dextrose, draws wastes, chemicals and extra fluid from your blood through the peritoneal membrane and into the dialysate solution that is in your abdomen. After several hours, the used solution is drained from your abdomen through the catheter and into an empty bag. Your abdomen is then refilled with fresh dialysate and the cycle is repeated. Each cycle of draining used dialysate and refilling with fresh dialysate is called an exchange. There are two common types of PD: Continuous Ambulatory Peritoneal Dialysis (CAPD) and Continuous Cycling Peritoneal Dialysis (CCPD).
Home hemodialysis is a growing treatment option in which you and a trained partner can perform your hemodialysis treatments in the comfort of your own home. Home hemodialysis requires that you and your partner (usually a family member or close friend) complete a training course. At first, you and your partner will learn how to do the treatments in the clinic while working with a dialysis nurse. The length of training will vary for each patient, partner and dialysis facility. Training sessions (where you will complete your actual dialysis treatment while training) usually last four to five hours a day, three to four days per week for three to eight weeks.