The Present Status and Perspectives of Hemodialysis
I accepted this invitation to speak to you only because I have so much admiration for the work of Dr. Chang. Figure 1 shows the City of Kampen in The Netherlands, which was about as large (23,000 inhabitants) when I worked there during the war as it was on the slide made from a gravure anno 1495. We did not go to the movies for 5 years during the German occupation, so we had nothing better to do than to make artificial kidneys. Here are some of these artificial kidneys (Figure 2), wooden drums, because other material could not be obtained. Later, after World War II one of these kidneys was sent to the Royal Victoria Hospital in Montreal so that les Canadiens and the Canadians would both be treated with hemodialysis. This rotating drum rotates slowly, and as a result, blood in the cellophane tubing which is wrapped around the drum tends to go down by gravity. As the drum turns, the blood will continuously go down and run through the 20 metres of cellophane tubing from one end of the drum to the other. The principle involved is that both the dialyzing fluid which is in the tank, and the blood in the cellophane tubing are continuously moving.
KeywordsRoyal Victoria Hospital Artificial Kidney Doomed City Home Dialysis Membranous Septum
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