Starting Home Hemodialysis: Ease Your Needle Fears

Doing dialysis on your own terms can be liberating, but often comes with a little unease at first. If the thought of using needles yourself for home dialysis treatments makes you nervous, you are definitely not alone. But with proper instruction, practice, and coping strategies, inserting needles can become just another part of your routine.

Work with Your Care Technician

An experienced dialysis professional will train you on how to use all of your home dialysis equipment properly, including needles. This individual will teach you tips and tricks to be gentle with the needle and how to get an effective stick on the first try to minimize or eliminate pain. Your care technician can also help you with strategies to reduce your needle anxiety and connect you to local and online communities where other patients are sharing their best practices for reducing their fear of needles.

Distract Yourself

It may take some time to find what best calms your fears, but try playing your favorite music in the background, putting on a TV show you enjoy, or repeating a calming mantra while working with the needle. Remind yourself that starting dialysis only takes a few minutes, and after that you have the whole day ahead of you.

Have a Reward

When you’ve finished your home dialysis treatment and are done with needles for the day, indulge in a small snack you enjoy or do a fun, relaxing activity. Having something to look forward to after your home treatments can help ease your anxiety during dialysis.

Be Patient

When you’re just starting home dialysis, there’s a lot of new technology and processes to manage, and getting a comfortable routine down takes time. Try to be patient with yourself as you learn what practices are most relaxing for you during treatment.

Our care team at Cincinnati Home Dialysis is here to guide you through home dialysis and all the comes with it. Contact us anytime at info@cincinnatihomedialysis.com.


Dr. Tindni Featured in Cincinnati Magazine’s 2018 Top Doctors List

Cincinnati Home Dialysis nephrologist Dr. Arshdeep Tindni has once again been named one of the top doctors in the tristate by Cincinnati Magazine.

This coveted designation is earned by gaining at least seven votes from other licensed Cincinnati-area physicians, who nominate the winners by determining what medical professional they would refer to a friend or family member or go to for their own healthcare needs. The 2018 Top Doctors in Cincinnati list honors 768 physicians.

To learn more about Dr. Tindni, visit our care team page.


Home Dialysis Care Partners: Your Role and Wellbeing

Kidney disease is life-changing for your loved one ­– and you. It’s completely normal to feel overwhelmed by the idea of becoming a home dialysis care partner. This is a big commitment, and one that should not be taken on without awareness of the responsibilities.

You probably have a lot of questions about the role of a care partner. What’s the “right” way to provide care? How will I balance my loved one’s wellbeing with my own? What if I can’t manage the stress? It’s important to give yourself the time to learn and find these answers as you go. To get you started, here are a few key things you should know about being a home dialysis care partner and taking care of yourself.

What does a home dialysis care partner do?

Your responsibilities as a care partner will depend on your loved one’s specific health needs, but typical responsibilities include:

  • Setting up the home dialysis station, including equipment setup and maintenance of a comfortable dialysis-friendly area.
  • Ensuring home dialysis treatments go smoothly by being present and assisting during the treatments. You and your loved one must communicate to determine who is most comfortable doing each step.
  • Being an active participant in their health care. Your level of influence and involvement should be discussed between you and your loved one, and may include transporting them to appointments, keeping track of their medications, taking notes during doctor visits, and being involved in their health care decisions.
  • Making sure their basic needs are met. You may do your loved one’s grocery shopping, prepare their meals, clean their home, or arrange support for these tasks.
  • Providing emotional support and love.

Stress management solutions for care partners

 Your role as a care partner is important, but you cannot forget to care for yourself, too. You’re probably thinking that’s easier said than done, but there are many things you can do to find balance.

  • Set aside time each day to do the things you enjoy.
  • Communicate! Having an open dialogue with your loved one allows you to address uncomfortable situations, stresses, and needs.
  • Maintain your active and healthy lifestyle. Make sure you’re getting an adequate amount of sleep, eating healthy, and exercising regularly.
  • Consider training a second care partner. A second care partner can help share responsibilities, give you breaks when you need them, and provide emotional support.
  • Build a support network of individuals you feel comfortable talking to when you feel overwhelmed.

Don’t forget: you’re doing the best you can

It can be easy to get caught up in the daily responsibilities and stresses, but it’s important to remember you’re not in this alone. Mistakes will happen. Stress will happen. But your home dialysis training will give you the confidence to know what to do when problems arise. Your support network will keep you grounded and make sure you’re taking care of yourself, too.

Remember, it’s okay to be scared the first few days or weeks of home treatment. This is new for both you and your loved one. You certainly don’t have to be a home dialysis pro on the first day – allow yourself the time to learn the process. Our team at Cincinnati Home Dialysis is here for you every step of the way and always available when you have questions.



8 Tips for Traveling on Dialysis

Map Location Direction Location Remote Relax Concept

Holidays are a great time to hit the road, visit friends and family, and get away for the long weekend. One of the best benefits of home dialysis treatment for many patients is the ability to travel. At Cincinnati Home Dialysis, we encourage you to live the life you want, but it’s important to plan accordingly and stay safe while you travel.

  1. Let your care team know in advance when and where you intend to travel. Your care team will be able to evaluate whether traveling is in the best interest of your health and can provide advice specific to your condition.
  2. Locate a dialysis center where you’ll be staying in the event of an emergency. Write down the name, address, and phone number of this center and keep this in an easily accessible place when you travel.
  3. Bring your medical info. If you do need to visit a dialysis center while traveling, they’ll likely need information about your dialysis access type, insurance, special needs or requirements, medical history and medications, any recent lab results, and contact information.
  4. Staying with family? Let them know your needs. Have them prepare a space for you to perform dialysis so your stay can go smoothly and comfortably.
  5. Pack enough supplies for your entire trip. And maybe even a little extra. It doesn’t hurt to have more than enough dialysis supplies on hand for your trip in case you end up staying longer than planned.
  6. Traveling by plane? Make arrangements ahead of time. When you book your flight, you can request dialysis-friendly meals and boarding priority to maximize comfort during your trip.
  7. Talk to your insurer about expenses. Some providers will actually cover a portion of your travel costs.
  8. Think ahead. Plan as many meals as you can in advance. Research the menus of restaurants you want to check out and pack or pick up dialysis-friendly snacks along the way.

Have questions about preparing for your trip? We’re here to help. Call us at 513-791-2137.



Summer Safety for Dialysis Patients

Pools are opening, the peonies are blooming, and sleeves are getting shorter – warm weather is on its way! Here at Cincinnati Home Dialysis, we love getting outside to enjoy the summer months.

April blog photo

But some days, those hot and humid afternoons when temperatures are stretching into the upper 90s can be a lot for anyone to handle. Dialysis patients are especially susceptible to the stresses of high temperatures and poor air quality. Staying hydrated is important, but drinking too many fluids can also be harmful. That’s why it is important for dialysis patients to be in the know about summer weather forecasts and how to stay safe during the warmer months.

Understand Heat Precautions and Warnings

In extreme heat conditions, your local meteorologist may issue one of three different warning types. An excessive heat watch indicates that conditions are right for an excessive heat event in your area. This generally means that temperatures will be dangerously above average for that time of year. An excessive heat warning typically means that temperatures over the course of at least 2 days will be over 105 degrees Fahrenheit. A heat advisory is the least severe type, but still warrants a warning as temperatures hover between 100-105 degrees Fahrenheit. Regularly tuning in to your local news or weather channel can help you stay in the know.

Quenching Your Thirst

Your dietitian and care team can inform you of how much fluid is safe for you to consume based on your lifestyle and medical needs. If you find you are extremely thirsty, there are several ways to feel refreshed without drinking more fluids.

  • Eat frozen berries or frozen cubes of fruit juice.
  • Suck on an ice cube.
  • Steer clear of salty and spicy foods to help prevent thirst.
  • Brush your teeth or eat a mint – both lessen the urge to drink.

If you really need to have water, take small sips instead of quickly drinking it all at once.

Staying cool while outdoors can also help prevent thirst. Bring a spray bottle with you when outdoors to cool your skin and wear a hat to avoid direct sun exposure.

Know the Signs

Being able to recognize when your body is overheating can be potentially life-saving. Heat cramps are an early warning sign of too much heat exposure. If you feel pain or cramping in your abdomen or leg muscles, relocate to a cool, air conditioned space as soon as possible.

If you begin to feel nauseous, dizzy, weak, or are sweaty heavily, you may be experiencing heat exhaustion and should seek a cool space immediately. Remove any tight clothing and use cool wet wash clothes to cool your skin. Turn on a fan if one is available. In case of emergency, always dial 911.

Our care team at Cincinnati Home Dialysis wants you to have a fun, enjoyable, and safe summer! If you have questions about what seasonal foods are okay to eat, how much fluids you can safely consume, or how to prepare for summer travel, do not hesitate to reach out to us at 513-791-2137 or email at info@cincinnatihomedialysis.com





Dr. Tindni Named to Cincinnati Top Doctors List

Our very own Dr. Arshdeep Tindni has been named one of the top nephrologists in Cincinnati. The annual Cincinnati Top Doctors List was published this month by Cincinnati Magazine.

To be honored as a top doctor in Cincinnati, each awardee must receive at least 6 votes from their peers. Over 5,000 physicians, both M.D.s and D.Os, were asked whom they would look to if they, a family member, or friend needed medical attention. 892 physicians in 50 specialties were represented in this year’s list.


Dr. Tindni is board certified in both nephrology and internal medicine and holds medical licenses in Ohio and Indiana. His research on chronic kidney disease, hypertension, ESRD, and preventative medicine has been published in leading medical journals. Most of all, he enjoys helping patients do dialysis on their own terms at Cincinnati Home Dialysis.

The Top Doctors List is well-regarded by Cincinnati residents as an authoritative source for finding and choosing new healthcare providers. Congratulations, Dr. Tindni, on this incredible accomplishment!

To learn more about Dr. Tindni, visit our care team page.


How Can I Safely Participate in Lent While on Dialysis?

CHD march blog photo_pixabay

With Easter approaching in just a few weeks, many in the Cincinnati area observe Lent or simply enjoy participating in local fish fry events. For dialysis patients, maintaining a kidney-friendly diet during this season can pose a challenge.

Every home dialysis patient’s dietary needs are different, so it’s important to consult with your dietitian and care team before making adjustments to your eating habits. Generally, dialysis patients are advised to avoid foods with sodium, including fried foods, which can cause fluid to build up in your body and raise your blood pressure.

But that doesn’t mean you cannot participate in meatless Fridays or even your local fish fry.

Sautéing and pan-frying are two good methods for cooking fish at home. Sautéing a piece of salmon, for example, only takes about 4 to 8 minutes depending on the thickness of the filet. Add herbs and low-sodium seasonings and you’ve got a quick, delicious Lenten meal. Pan-frying a fish filet requires more oil than sautéing. Again, replace salt with herbs and low-sodium flavorings. Thicker pieces of fish cook effectively with this method by browning one side at a time in the pan.

Consuming lots of fried foods is not healthy for anyone, but the occasional fried fish filet at an area fish fry can be a special treat. Some home dialysis patients can be a bit more flexible with their diets, but be sure to consult with your dietitian to define a safe amount of fried foods for your health condition. Dialysis patients who have heart disease or diabetes may have different diet constraints than those who do not.

For further questions, contact our team at 513-791-2137 or email info@cincinnatihomedialysis.com

Happy Easter!!!


Join Us for the National Kidney Walk 2017

The National Kidney Foundation’s Kidney Walk brings thousands of people together in cities across the country to celebrate life. Some of these walkers have kidney disease. Others walk to support a friend, loved one, or co-worker with the disease. But all share a determination to end kidney disease.

The Kidney Walk is intended to raise awareness of kidney disease and funds to support programs that are saving lives, helping families, and preventing the disease.


These National Kidney Foundation programs include free kidney health screenings, chronic kidney disease telephone support lines, and educational resources, among others.

As avid supporters for kidney health and our patients, our team at Cincinnati Home Dialysis invites you to join us for the Cincinnati Kidney Walk this spring. Walkers will meet at Fountain Square on May 21, 2017 for a non-competitive march around the city.

There is no cost to register for the event, but all participants are encouraged to fund-raise. Dollars raised at this event directly impact millions of Americans each year. Participants can use the Kidney Walk’s online tool for requesting donations, tracking fundraising efforts, and sending out thank you’s.


Ready to start fundraising? Join our team Cincinnati Home Dialysis on the Kidney Walk’s website. We hope to see you at Fountain Square this May!



Keeping Your Kidneys Happy and Healthy During the Holidays

Keeping Your Kidneys Happy and Healthy During the Holidays


A guide to identifying dialysis-approved foods and talking to family about your health needs

Turkeys, cranberries, apple pie, casseroles—there’s bound to be a diverse spread of dishes at your Thanksgiving table. But as a  peritoneal dialysis or home hemodialysis patient, how do you select food choices that keep your kidneys happy this holiday season?

In this guide, we explore the importance of sticking to your dialysis diet, successfully navigating the Thanksgiving table, traveling with dialysis, and helping family and friends help you so you can have a wonderful holiday.

Why is it Important to Watch What You Eat?

Monitoring the foods you eat is important for everyone, but particularly so for dialysis patients.  Sticking to your dialysis-friendly diet makes your treatment much more comfortable and effective, and can even mean the difference between life and death.

We know–it’s hard to hold back when you see the Thanksgiving spread. But with a little advanced preparation and dialysis diet education, you’ll have no trouble enjoying the holidays.


It’s important to watch your phosphorous levels, as phosphorus can make it difficult for dialysis treatments to filter the blood. Excess phosphorus can cause weak bones, heart problems, joint pain, and skin ulcers in dialysis patients.


Potassium builds up in the blood between dialysis treatments. Avoiding potassium can prevent muscle weakness and even heart failure in dialysis patients.


Sodium causes the body to hold on to more fluids and raises your blood pressure. Consuming less sodium and drinking less fluid can help you feel more comfortable before and after dialysis.

Navigating the Thanksgiving Table

 Keeping your phosphorus, potassium, and sodium intake down is key! But that doesn’t mean you have to miss out on the good stuff. There are many substitutions that are both dialysis-friendly and flavorful.


Dialysis-friendly vegetables include:

  • Broccoli
  • Cauliflower
  • Celery
  • Garlic
  • Green and string beans
  • Lettuce
  • Onion
  • Peppers
  • Watercress
  • Zucchini
  • Yellow squash

However, you don’t want to add these vegetables to your plate:

  • Cooked asparagus
  • Winter squash
  • Tomatoes and tomato sauce
  • Potatoes
  • Beets
  • Cooked spinach
  • Parsnips
  • Rutabaga 


Consuming an adequate amount of protein is important for home hemodialysis patients. Consult with your dietitian about how much protein you should eat, but generally most patients need a minimum of 6 to 9 ounces every day. That Thanksgiving turkey is safe to eat so long as it is seasoned with herbs and low-sodium flavorings. Do be mindful of your gravy intake, as it still counts as a fluid!

Nuts, seeds, and dried beans on the other hand should be avoided, as they are high in phosphorus and potassium. 


Typically, it is advised to avoid dairy, which is high in phosphorus. Some low-phosphorus dairy products include:

  • Butter and tub margarine
  • Heavy cream
  • Ricotta, brie, and cream cheeses
  • Non-dairy whipped topping

However, some of these high-fat foods are not recommended for individuals with heart disease. Plan ahead by talking to your dietitian about your dairy intake before the holidays.


 There are no restrictions on your grain intake, including cereals and breads, for dialysis patients unless you’re watching your weight. Do avoid foods that say “whole grain” and “high fiber” because these have higher levels of phosphorus than other grains.


 Suitable Thanksgiving beverages include the following in moderation:

  • Apple cider
  • Cranberry juice cocktail
  • Grape juice
  • Lemonade
  • Ginger ale


 Be sure to discuss your dessert choices with your dietitian if you are diabetic. They may recommend high-calorie desserts like pies, cookies, sherbert, and cake.

What About Leftovers?

The Thanksgiving feast doesn’t have to end after Turkey Day! There are many dialysis-friendly ways to prepare delicious and healthy leftovers.

  • Turkey sandwiches
  • Turkey and vegetable stir fry
  • Homemade turkey pot pie
  • Turkey salad
  • Turkey and dumplings

Turkey Day Traveling with Dialysis

If you will be traveling over the holidays, be sure to notify your care team of your plans several weeks in advance. Traveling is often much easier for home hemodialysis patients, but it is still important to prepare.

Make sure that you have enough supplies and equipment for the length of your stay away from home. It may even be possible to arrange for your supplies to be transported before your trip. Don’t forget to talk to your hosts about setting up a clean, dialysis-friendly space to perform your treatments. Your care team can assist you in coordinating everything you’ll need for your trip.

In case of an emergency, it is important to know where the closest dialysis clinics are to your holiday stay. Carry all your medical information and the phone number for the clinic with you just in case.

Friends and Family of Dialysis Patients: How You Can Support Your Loved One  

During the holidays, as with any other time of the year, it is important for friends and family of hemodialysis patients to recognize that the stresses and complications associated with kidney failure can be extremely difficult, even if your loved one doesn’t show it. Many hemodialysis patients do not want to feel like a burden to their families, so they do not always speak up about their needs.

As a loved one of a hemodialysis patient, there are several proactive steps you can take to ensure that your friend or relative receiving dialysis gets the physical and emotional care they need this Thanksgiving.

If you are hosting Thanksgiving, be sure to talk to your loved one and even the care team about their dietary needs and restrictions while you’re planning the menu. Having a variety of dialysis-friendly food options can help prevent medical emergencies for the patient and make them feel included.

Reach out to the care team to learn more about what the spatial requirements are for your loved one to perform dialysis treatment in your home. Set aside a space for their treatment before guests arrive.

Talk to your loved one about how they’re doing. Sharing feelings and experiences in an open and honest way helps maintain the closeness and health of your relationship.

With a bit of careful planning and consideration, you can create a safe, healthy, and supportive environment for your loved one undergoing hemodialysis. For more information on managing peritoneal or home hemodialysis treatment during the holidays, contact us at www.cincinnatihomedialysis.com or call us at 513-791-2137.


Happy Holidays.

-Cincinnati Home Dialysis