Abstract
REPEATED HEMODIALYSIS in patients with chronic uremia is being undertaken on an experimental basis at several medical centers. In addition to prolonging the patients' lives, these procedures are providing a better understanding of chronic renal disease. The case reported here is of interest for these reasons: (1) Dialysis was performed when uremic symptoms became pronounced, not on a fixed schedule to maintain BUN at normal levels. (2) The Kolff twin coil kidney, a high flow apparatus now available in many hospitals, was used, rather than one of the slow flow machines more commonly used for dialysis of chronic uremia at some research centers. Report of a Case A 43-year-old nurse in terminal uremia due to chronic glomerulonephritis survived 8 months with the aid of 14 dialyses. A permanent indwelling teflon shunt, which had to be replaced after 20 weeks, was used to provide access to an artery and vein.
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