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Chronic kidney disease patients have more options for life-saving dialysis with the addition of nocturnal dialysis at several area centers.
For David Harris, who has been on dialysis for almost a dozen years, dialyzing at night has freed up his daytime hours and given him better quality of life.
"I've done four hours a day, three days a week, I've done peritoneal, I've had a transplant," he said. " I don't really care for a transplant any more because of all the pills you have to take and all. So I'd rather be doing this than anything else."
Harris is one of ten patients who report three evenings a week for nocturnal hemodialysis at the New Hope Clinic in Raleigh, which started offering the service in fall 2007. Armed with comforters and pillows - some even in pajamas - they settle in for a little TV, a good night's rest and the lifesaving treatment they need.
Sandra Cover, R.N., clinical manager of the Fresenius Medical Center of New Hope, says patients on the nocturnal shift tend to feel better than daytime patients. Treatments are longer and slower, which has been proven to be easier on patient's bodies, especially those with heart problems and high blood pressure, common among dialysis patients.
"During the daytime when we're trying to pull as much fluid as we can to cleanse as well as we can, sometimes that is harsh on the body," said Cover. "Our patients are going through symptoms of cramping and adverse effects that our nocturnal patients are just not experiencing."
In just three nights a week, Harris gets 24 hours of dialysis - about twice as much as most daytime dialysis patients get. His wife Betty says the difference in him is like night and day.
"At least by having this at night, the nocturnal dialysis, he's got the whole next day," she said. "It's just more of a life."
Fresenius operates numerous dialysis centers in the Triangle. Additional nocturnal programs are planned for facilities in Cary, Zebulon and Raleigh.
Click here to find a dialysis center near you.

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By Robber on 01/25 08:34 AM
Should parents go to jail for believing so devoutly in faith healing that they don't seek lifesaving medical treatment for their children? Leilani and Dale Neumann of Wausau, Wis., will soon find out. Their 11-year-old daughter died of diabetic complications after they relied on prayer rather than doctors to heal her. Now they face trial for reckless endangerment and a potential prison sentence of 25 years. They're the third couple slapped with criminal charges in the last year for failing to seek treatment for a child. In today's , Dirk Johnson reports: Swan lost her own son after failing to seek prompt medical attention. She says she waited, catastrophically, because she thought "once we went to the doctor, we'd be cut off from God." The Neumanns seem to have been under the same impression. Johnson reports that they're "followers of an online faith outreach group" (on the Web here) that includes, among other things, an essay preaching that "Jesus never sent anyone to a doctor or a hospital. Jesus offered healing by one means only! Healing was by faith." I don't know how the case will turn out. But the more important thing to communicate to parents is that this is bad religion. Science is a way of grappling with what we can know empirically. Religion is a way of grappling with what we can't.
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