The Long Island College Hospital Experience with the Decade or Longer Hemodialysis Patient

  • Morrell M. Avram


When hemodialysis was a new therapy for chronic uremia, survival of patients for a month was regarded as miraculous by clinicians accustomed to the inevitability of failure of all regimens. As the exciting exploratory decade of the 1960s passed, rational protocols to manage hyperphosphatemia, motor neuropathy, and fluid retention were devised to cope with these complications of what was later appreciated to be underdialysis. Once it was realized that patients might live for years with artificial kidneys providing partial substitution for missing native renal function, the question of “just how long can these patients live?” became important for medical planners, and mostly for patients and their families.


Rational Protocol Renal Osteodystrophy Motor Neuropathy Restrictive Lung Disease Elevated Alkaline Phosphatase 
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Copyright information

© Plenum Publishing Corporation 1982

Authors and Affiliations

  • Morrell M. Avram
    • 1
    • 2
  1. 1.The Avram Center for Kidney Diseases, Division of NephrologyThe Long Island College HospitalNew YorkUSA
  2. 2.Department of MedicineThe Long Island College Hospital, and Brooklyn Kidney Center and Nephrology Foundation of BrooklynNew YorkUSA

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