Can I start dialysis here immediately?
Urgent cases are assessed on arrival through emergency. Call ahead so the unit and nephrologist are ready.
Can I transfer my ongoing dialysis to NHS?
Yes. Bring your recent dialysis chart, blood reports and access details, and we allocate a regular weekly slot.
Does every kidney failure patient need dialysis?
No. Many patients with chronic kidney disease are managed medically for years. The decision is based on function, symptoms and blood levels.
Is dialysis covered by insurance?
Our cashless and panel helpdesk works with major TPAs, public insurers and corporate schemes to process dialysis claims. Cashless verification is usually completed within two to four hours of your documents reaching the desk.
Which kinds of dialysis can you actually do here?
Three things, essentially. High-efficiency haemodialysis, available at any hour of the day or night. Dialysis delivered at the ICU bedside for patients who cannot be shifted. And the counselling side — renal transplant discussions, plus the long-term management planning that a kidney patient needs year after year.
I have CKD. How often do I need to be reviewed?
Somewhere between every 3 and every 6 months. Which end of that range you sit at depends on the stage your kidney function has reached — earlier stages stretch further apart, later ones come round faster. Three numbers drive the decision at each visit: blood urea, serum creatinine and eGFR.
I feel fine. Do I still need a kidney test?
If you have no diagnosed conditions, once a year will do. Its real value is the baseline — a single reading tells your doctor little, two readings a year apart tell them a direction. That becomes more worth doing once you pass 40, since kidney function tapers off with age regardless of health. The frequency doubles to every six months for anyone with diabetes, high blood pressure, heart disease, kidney disease in the family, a long history of painkillers, or urinary infections that keep coming back.
Which signs mean I should not wait for my next check-up?
Feet or face starting to puff up. Tiredness you cannot account for. A change in how much or how often you pass urine. Urine that stays foamy in the pan. A blood pressure reading that has crept up. Any one of those is reason enough to get tested now. Since the disease usually gives no warning at all, these few signals are worth taking seriously the first time they appear.
What are SLED and CRRT, and who needs them?
Both are intensive care treatments. Sustained Low-Efficiency Dialysis and Continuous Renal Replacement Therapy are what we reach for when a critically ill patient has acute kidney injury, or when the fluid and electrolyte balance has gone badly wrong. Ordinary dialysis pulls hard and fast; these do the same job slowly, which is the difference between a patient tolerating the session and not. Alongside them the department runs plasmapheresis (PLEX), hemoperfusion and CytoSorb where the case calls for it.
Do you offer peritoneal dialysis as well as haemodialysis?
Yes — peritoneal dialysis is listed among Dr. Sharma's areas of expertise, and CAPD catheterisation is routine work for the team. The same team also creates AVFs and places permcaths where the access needed is for haemodialysis instead.
My doctor has advised a renal biopsy. Why, and what happens?
The procedure itself is short: guided by ultrasound, a thin needle takes a small piece of kidney tissue, which then goes under a microscope. The reason for doing it is that some kidney conditions cannot be told apart any other way. Glomerulonephritis, nephrotic syndrome and a kidney that is failing without an obvious cause all get their precise diagnosis from that tissue — and the diagnosis is what determines which treatment you are put on.
Can I keep working and travelling on dialysis?
Plenty of our patients do all three — hold down a job, go away, keep up with family occasions. It comes down to planning the slots around the commitments you cannot move, which is a conversation to have with the unit rather than something to work out alone. The patients it goes best for are the ones who stick to the kidney-friendly diet, stay as active as their doctor allows, never skip a session, and come to the reviews in between.
Do you treat children with kidney problems?
Yes. The paediatric nephrology service takes patients from infancy through to the late teens. That includes kidneys that did not form normally, nephrotic syndrome, disorders of the urinary tract, and acute kidney injury in a child. Parents are kept inside the discussion throughout rather than briefed at the end of it.
What about a kidney transplant?
Counselling for renal transplant is part of our long-term kidney care. Dr. Sanjay Kumar Sharma's areas of expertise include kidney transplantation, both ABO-compatible and ABO-incompatible. Transplant surgery itself is handled by Dr. Satinder Pal Aggarwal, MS, MCh (Urology), urologist and kidney transplant surgeon at NHS.