What is Home Dialysis? A Beginner’s Guide

What is Home Dialysis? A Beginner’s Guide

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For people living with kidney disease, dialysis can be a life-saving treatment. But did you know that dialysis doesn’t always have to take place in a clinic? More and more patients are choosing home dialysis—a safe, effective alternative that offers greater flexibility and independence. If you’re new to the idea of home dialysis, this guide will help you understand the basics, the different types available, and the benefits it can offer.

Understanding Home Dialysis

Dialysis is a process that removes waste, toxins and excess fluids from the blood when your kidneys are no longer able to do so on their own. There are two main types of dialysis—hemodialysis and peritoneal dialysis—and both can be done at home with the right training and support.

Types of Home Dialysis

1. Home Hemodialysis (HHD). In home hemodialysis, a machine filters your blood much like an in-center dialysis machine would. You and a care partner are trained to use the equipment safely at home. Treatments can be done on a schedule that fits your lifestyle—whether that’s during the day, in the evening, or even overnight while you sleep.

Home hemodialysis can be done more frequently than in-center dialysis, which may help you feel more energetic while also having fewer side effects and better health outcomes in general.

2. Peritoneal Dialysis (PD). Peritoneal dialysis uses the lining of your abdomen (called the peritoneum) and a special cleansing fluid to remove waste from your blood. This type of dialysis doesn’t always require a machine. There are two types of peritoneal dialysis:

  • Continuous Ambulatory Peritoneal Dialysis (CAPD): Done manually several times a day.
  • Automated Peritoneal Dialysis (APD): Uses a machine to perform exchanges overnight while you sleep.

Benefits of Home Dialysis

Home dialysis offers several important advantages compared to in-center treatments:

  • Greater flexibility: Set your own schedule and dialyze at times that work best for you.
  • Comfort and privacy: Receive treatment in your own home, in a familiar and comfortable environment.
  • Improved health outcomes: More frequent or longer dialysis sessions may lead to better blood pressure control, fewer dietary restrictions and improved energy levels.
  • More independence: Many patients feel more in control of their health and daily lives.
  • Fewer trips to the clinic: Save time and transportation costs by reducing or eliminating the need to travel to a dialysis center several times a week.

Is Home Dialysis Right for You?

Home dialysis isn’t for everyone but for many, it offers a path to greater freedom and improved quality of life. If you’re interested, talk to your kidney care team at Puget Sound Kidney Centers. We offer home dialysis training and ongoing support to help patients and their families feel confident and safe managing dialysis at home.

Your health. Your life. Your choice. Let us help you explore the right option for you.

Want to learn more?
Speak with your care team to find out if home dialysis could be a good fit for your lifestyle.

5 Myths About Kidney Disease—Busted!

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Kidney disease affects millions of people across the U.S.—and yet, many misconceptions still persist. These myths can prevent people from understanding their risks, getting diagnosed early or seeking treatment when it matters most. At Puget Sound Kidney Centers, we believe knowledge is power. Let’s set the record straight and bust some of the most common myths about kidney disease.

Myth #1. Only older people get kidney disease.
While age can be a risk factor, kidney disease can affect people of all ages. In fact, diabetes and high blood pressure—the two leading causes of kidney disease—are increasingly common in younger adults. Even children can develop certain types of kidney disease, especially if there’s a family history or underlying condition. The bottom line: no matter your age, it’s important to know your risk factors.

Myth #2. You’ll feel symptoms right away if your kidneys are in trouble.
Kidney disease is often called a “silent disease” because symptoms may not appear until the kidneys are already severely damaged. Many people don’t realize they have kidney disease until it’s advanced. This is why routine lab tests that check kidney function—especially if you have diabetes, high blood pressure or a family history of the disease—are so important. Early detection can slow or even prevent disease progression.

Myth #3. If you had kidney disease, you’d stop urinating.
Many people associate kidney failure with the complete loss of urine output but that’s not always the case. You can still urinate even if your kidneys are not working well. In fact, the volume of urine doesn’t always reflect how well the kidneys are functioning. That’s why lab tests like estimated glomerular filtration rate (eGFR) and urine albumin are more reliable indicators of kidney health.

Myth #4. Only people with unhealthy lifestyles get kidney disease.
While lifestyle choices like diet and exercise play a role, kidney disease can also result from genetic conditions, autoimmune diseases (like lupus), infections and certain medications. Even people who live healthy lifestyles can be at risk, especially if there’s a family history or other existing medical conditions. Living a healthy lifestyle can help reduce your risk but it’s not a guarantee.

Myth #5. There’s nothing you can do once you have kidney disease.
This is one of the most harmful myths out there. While kidney disease is a serious condition, early diagnosis and proper management can make a big difference. With the right care—including lifestyle changes, medication and regular monitoring—you can slow the progression of kidney disease and protect your kidney function, which can help delay the need for dialysis or transplant. When chronic kidney disease progresses to Stage 5, dialysis or a kidney transplant can support your health and help you continue living a full, active life.

The bottom line is, don’t let myths keep you from protecting your health. Kidney disease can affect anyone, at any age, and symptoms often don’t show until the disease is quite progressed. At Puget Sound Kidney Centers, we’re here to support you with the education, resources, and care you need. If you have risk factors, talk to your healthcare provider about getting tested. Early detection saves kidneys—and lives.

7 Kidney-Friendly Summer Recipes

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Summer’s warm weather and abundance of fresh produce make it a wonderful time to explore flavorful, kidney‑friendly meals. Whether you’re preparing snacks, salads, mains, or sides, these recipes deliver on taste while being mindful of sodium, potassium and fluid balance. You’ll enjoy bright, seasonal ingredients and easy prep—ideal for meals enjoyed under the sun, at home or on the go.

1. Fruit Salad with Mint and Lime.

fruit salad with mint and lime
This refreshing fruit salad is a perfect way to cool down and stay hydrated during the summer. Fresh berries, grapes and melon are tossed with a splash of lime juice and fresh mint for a burst of flavor without added sugar or sodium. It’s a naturally sweet treat that fits into a kidney-friendly diet.

2. Chicken ’n’ Grape Salad Sandwich.


A delightful twist on classic chicken salad, this version includes juicy grapes for sweetness and crunch. Served in a whole‑grain wrap or on light bread, it’s a great grab‑and‑go meal that balances protein and hydration-friendly fruit.

3. Thai Shrimp Kebabs.

Thai shrimp kebabs
Flavorful and grill‑ready, these shrimp kebabs are seasoned with Thai‑inspired spices for a satisfying, protein-packed main. They’re quick to cook and pair beautifully with a side of fresh Asian-style slaw.

4. Asian Slaw.


A crisp, colorful medley of cabbage, carrots and a tangy dressing—this slaw makes for a fresh, kidney‑friendly side dish. It complements grilled proteins perfectly without relying on heavy sauces or sodium.

5. Santa Fe Black Bean Relish.


Packed with protein and fiber, this black bean relish combines beans, corn, bell peppers, and a light dressing. It’s a bold, colorful side that works well with grilled meats or on its own as a dip or salad topper.

6. Macaroni Tuna Salad.


This kidney-friendly version of a picnic classic uses low-sodium ingredients and a tangy dressing to deliver flavor without the excess salt. It’s creamy, comforting and a perfect addition to any summer spread.

7. Cucumber Lemon Water.


A clean, crisp infusion of cucumber and mint—zero sodium, zero potassium and all refreshing hydration. Great for keeping cool on warm days.

Eating well on a kidney‑friendly diet doesn’t mean missing out on summer’s delights. These seven recipes prove that you can have color, taste and nutritional balance—whether hosting a barbecue, planning a picnic or simply seeking a healthy meal. Try a recipe (or two!) this week and add some sunshine to your plate.

What are your favorite summer recipes? Will you be giving any of the above a try? Let us know on Instagram, Facebook and Twitter!

Note: Be sure to consult your dietitian or healthcare provider for guidance on portion sizes and ingredient choices that fit your individual kidney dietary needs.

A Legacy of Generosity: Linda Suby and Her Nephew Tim

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For many years, Linda Suby has been a steadfast supporter of Puget Sound
Kidney Centers (PSKC), inspired by her deep personal connection to kidney
disease through her nephew, Tim. Tim was a PSKC patient until he received
a life-saving kidney transplant 21 years ago. Recently, he celebrated a joyous
milestone—becoming a first-time grandfather. Throughout his journey, Linda
has been by his side, offering unwavering support and encouragement.
Tim was deeply appreciative of the care and attention he received at PSKC.
He especially enjoyed attending the patient picnics, where he and his family
connected with the PSKC community. It was at one of these picnics that
Linda first learned about PSKC, witnessing firsthand the compassionate
care and strong sense of support the organization provides to patients
and their families. This experience left a lasting impact, inspiring Linda to
become a dedicated advocate and donor.

Linda’s generosity has already made a profound difference at PSKC. She
was instrumental in funding a much-needed generator at our Mountlake
Terrace dialysis center. As a nonprofit committed to high-quality, low-cost
care, PSKC has long recognized the importance of uninterrupted dialysis
treatments. Thanks to Linda’s leadership and philanthropy, patients will
continue to receive life-sustaining dialysis, even during power outages and
emergencies.

Building on this incredible impact, Linda recently made an even greater
commitment to PSKC. With a generous pledge of $100,000 for the
generator at Smokey Point and an additional $100,000 per year for the
next three years, she is helping fund the final four emergency generators
needed to ensure all PSKC centers can provide uninterrupted care during
power outages. Her extraordinary generosity will safeguard life-sustaining
treatment for countless patients, reducing health risks and preventing
unnecessary hospitalizations.

Beyond the generators, Linda’s philanthropy has touched many aspects
of PSKC, from funding educational programs to providing heated chairs
for patients. Her generosity is a testament to the power of giving and the
profound impact one person can have on an entire community.
Linda’s story is one of resilience, generosity, and a desire to create
lasting change. On behalf of everyone at PSKC, we extend our deepest
gratitude for her unwavering support. Thank you, Linda, for ensuring that
patients today and in the future receive the care they need—no matter the
circumstances.

Why Your Kidneys Matter: Understanding Their Vital Role in Your Health

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March is National Kidney Month, a time to remind ourselves just how important our kidneys are, and what simple lifestyle changes we can make to ensure they function for a long time.

What kidneys do

Your kidneys play a crucial role in keeping your body healthy. Their key functions include:

  • Filtering waste and toxins
  • Balancing electrolytes
  • Regulating pH levels
  • Controlling blood pressure
  • Producing red blood cells
  • Supporting bone health

Since your kidneys are essential to many vital processes, it’s important to keep them in good condition.

How kidneys work

One-fifth of the blood your heart pumps goes to the kidneys, where it is then filtered and processed. Excess water, salt, minerals, and waste are sent to the bladder as urine, while clean blood is returned to circulation. In just five minutes, your kidneys filter all of your blood—meaning they complete this process 288 times in a single day!

Your kidneys work hard to keep you healthy, so it’s essential to keep them in the best shape possible. Whether you have kidney disease, suspect you might be at risk, or feel perfectly well, taking care of these vital organs ensures they can continue doing their job effectively.

How to keep your kidneys healthy

1. Limit your salt intake. High-sodium foods can put extra strain on your kidneys. Aim for less than 2,000 milligrams of sodium per day. Be mindful that restaurant and pre-packaged meals are often loaded with salt—one restaurant meal alone can meet your daily limit. Cooking at home with fresh ingredients is a great way to keep your salt intake in check.

2. Avoid high-protein diets. Too much protein can overwork your kidneys. A good guideline is to keep portions to about the size of a deck of cards per meal. Moderation is key to maintaining kidney health.

3. Choose heart-healthy foods. Heart disease can lead to kidney disease, and vice versa, so it’s important to keep your heart healthy. Opt for foods low in saturated fat and cholesterol, such as fish, lean meats, egg substitutes, and healthier spreads instead of butter or margarine.

4. Quit smoking. Smoking significantly increases the risk of kidney disease and heart problems. If you need help quitting, talk to your doctor about strategies and resources to support you.

5. Stay active. Regular exercise boosts your mood, helps manage weight, and keeps blood pressure in check. The more you move, the better you’ll feel!

6. Get regular kidney checkups. Kidney disease often develops silently, with no noticeable symptoms until advanced stages. Routine checkups can detect issues early, helping to prevent further kidney damage.

7. Manage your blood sugar if you have diabetes. Diabetes is the leading cause of kidney failure, and can also lead to heart disease, blood vessel damage, limb loss and blindness. Keeping your blood sugar in check protects not just your kidneys but your overall health.

8. Limit over-the-counter anti-inflammatories. If you have chronic kidney disease, avoid medications like ibuprofen, Advil and Motrin, as they can further harm kidney function. Even if you don’t have kidney disease, use these medications only as needed and consult your doctor if you take them regularly.

9. Monitor and control your blood pressure. Keeping your blood pressure in a healthy range is one of the most effective ways to protect your kidneys. Work with your doctor to manage it properly.

10. Join a supportive community. Whether you’re managing kidney disease, making lifestyle changes, or seeking encouragement, connecting with others can be a powerful motivator. A supportive community helps you stay informed, inspired and in control of your health. Surround yourself with people who prioritize wellness, and you’ll feel more motivated to do the same.

Your kidneys play a crucial role in keeping your body healthy, yet they’re often overlooked until problems arise. Following the guidelines above will not only help protect your kidney function, but help you feel better too. Prioritizing kidney health isn’t just about preventing disease; it’s about ensuring your overall well-being. Take care of your kidneys, and they’ll take care of you!

Preparing for Dialysis: Seven Key Steps

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Beginning dialysis may seem overwhelming, but learning about your treatment options and preparing in advance can give you a greater sense of control. Here are seven essential steps to help you get ready and feel more confident about managing life with dialysis.

1. Find a kidney specialist. If you don’t already have one, find a nephrologist—a doctor specializing in kidney care. Your nephrologist will guide you through your treatment options and work with other members of your care team to oversee your care.

2. Explore treatment options. Dialysis comes in different forms, including home dialysis and in-center dialysis. Learn about the pros and cons of each, then discuss with your doctor to determine which type of dialysis is right for you.

3. Meet your care team. Your nephrologist isn’t the only specialist who is there to support you through dialysis–there’s an entire team of people here for you, including nurses, dialysis technicians, dietitians, social workers, and more. Learn more about your care team and see how each will help you live your very best life with kidney disease.

4. Educate yourself about kidney health. Knowledge is power! The more we understand, the less fear we feel. Make use of the resources available at your kidney center, including classes on kidney health, treatment options, and the kidney diet. Staying informed will help you feel more confident and in control of your treatment.

5. Plan your dialysis schedule. Dialysis takes time, but it doesn’t have to take over your day. Work with your dialysis team to create a schedule that allows you to continue working, staying active, and enjoying your hobbies.

6. Find your community. Don’t think you need to go at this alone! With over half a million people on dialysis in the U.S. alone, there’s a vast community out there with valuable insights on treatment and kidney disease. Explore blogs, join online forums, or ask your center about local support groups. Connecting with others—whether online or in person—can make your transition to dialysis much easier.

7. Advocate for yourself. You know yourself and your body best. If something isn’t working for you, speak up. Talk to your nephrologist or care team about adjustments to your treatment plan that could help you feel better.

Remember, you aren’t alone on this journey! By planning ahead, collaborating with your care team, and connecting with others who share your experience, you can ease the transition to dialysis and continue living a fulfilling life.

Our Favorite Activities To Do While on Dialysis

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For most people on dialysis at a clinic, treatment time is four to five hours—which can seem long and daunting. It’s natural to feel bored, tired, antsy, and irritable during dialysis. One of the best ways to combat these negative feelings is to make a plan before each treatment on how to use your time. Yes, you are in that chair for a long time. But there are plenty of activities you can do to keep yourself entertained, to feel productive, and to walk away after each treatment feeling like you used that time in the best way.

Here are some of our favorite ways to pass the time during dialysis.

Relax and Unwind

  1. Watch TV or movies: Bring a tablet, laptop or your smartphone to watch an episode of your favorite show, or a movie or documentary.
  2. Listen to music or podcasts: Use headphones to listen to music, podcasts or audiobooks.
  3. Read: Bring books, magazines or a newspaper.
  4. Play games: Use a smartphone, tablet or portable gaming device to play games. Or, go old-fashioned and bring a book of sudoku or crossword puzzles to keep your mind alert.
  5. Practice meditation or mindfulness: Practice relaxation techniques, deep breathing, or mindfulness exercises, or close your eyes and try to catch up on sleep. All of these activities can help pass the time and improve mental health.

Learn Something New

  1. Educate yourself: Take online courses or watch educational videos on platforms like YouTube, Udemy or Coursera.
  2. Learn a language: Use apps like Duolingo or Rosetta Stone to try a language you’ve always wanted to learn.
  3. Goal plan: Use a notebook or app to set personal goals or make plans for the future. You could even meal plan, using some of our kidney-friendly recipes!

Connect With Others

  1. Call or video chat: Catch up with friends or family.
  2. Write letters or emails: Everyone loves mail! Connect with friends and family by penning a thoughtful letter or email.

Get Creative

  1. Draw or sketch: Bring a sketchpad and pencils and get creative!
  2. Journal or write: Keep a diary, write stories or work on personal writing projects.
  3. Crafting: Small, portable crafts like knitting or crocheting is a great way to pass the time.

Be Productive

  1. Work remotely: If your job allows it, bring your laptop or tablet to catch-up on emails or other tasks.
  2. Organize finances: Manage your budget—not necessarily the most fun task for a lot of us but one that will help you stay organized and on track, financially-speaking.

Try Simple Exercises

  1. Hand exercises: Simple hand or finger exercises can improve circulation and reduce stiffness.
  2. Stretching (with approval): Perform subtle movements to stretch your legs or arms without disturbing the equipment.

Other Tips for Successful Dialysis Sessions

  • Comfort: Bring a blanket, pillow or other items to stay warm and comfortable during each treatment.
  • Hydration and snacks: Ask your Puget Sound Kidney Centers care team about eating or drinking during dialysis.
  • Pre-approval: Your care team is always there and ready to answer any questions you may have, as well as making sure you are comfortable throughout your treatment. Check in with the team if you need anything at all.

What activities do you like to do during dialysis? Will you be trying any of these? Regardless of which activities you choose, you’ll likely get more out of each session and feel better about the time spent if you make a plan on how to use it. Get planning and let us know how it goes on Instagram, Facebook and Twitter!

 

2024 Gift of Life Dinner & Auction Raises More Than $260,000

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On September 14, 2024, over 210 guests gathered at Tulalip Resort Casino for the Gift of Life Dinner & Auction, raising an incredible $260,000 to support kidney health! We are so grateful for everyone who came together on this very special night in support of our patients and people at risk of kidney disease in our community.

Hosted by the Puget Sound Kidney Centers Foundation and the Kidney Auxiliary of Puget Sound, proceeds will enhance care for our patients, helping us provide:

  • Patient bags and blankets for new patients
  • Nutritional supplements for balanced diets
  • Kidney health education to raise awareness and help prevent kidney disease
  • Patient comfort and emergent needs
  • Equipment and furnishings to create an optimal care environment in our clinics

A special thanks to Linda Suby for her lead and matching donation to our Power for Patients campaign, helping us raise more than $50,000 for emergency generators for our clinics. Having a generator at each of our clinics will help ensure they can operate during storms and power outages, allowing our patients to get the vital dialysis treatments they need.

Thank you again to our incredible staff, volunteers, and donors—your generosity made this unforgettable night possible! Keep scrolling to see photos from this remarkable event.

Our Favorite Ways to Stay Active in Winter

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As the weather cools and the days grow shorter, staying active can become more challenging. Running on slippery, icy and dark roads may not be the safest option. However, maintaining your fitness during the winter is essential for both your physical and mental well-being. With a bit of creativity, you can still achieve the recommended 30 minutes of daily exercise, even during the colder months. Read on for some of our favorite ways to stay fit this winter season.

1. Yoga.

Yoga is a great way to build strength and flexibility, and it can be tailored for every skill level. Whether you’re a beginner or a seasoned pro, when the weather makes it difficult to get outdoors, try yoga. If your mobility is limited, chair yoga is a fantastic adaptation that can suit many abilities. Look for online classes or check a book out from the library to learn the basics. Invest in a yoga mat and blocks, and build your routine slowly to avoid injury.

2. Strength training.

As we get older, strength training becomes even more crucial than cardio. Lifting light weights a few times a week offers numerous benefits, including increased muscle mass, improved bone density, better joint stability, and enhanced mental health. Start with light weights and gradually increase the load and variety of exercises. Be sure to target different muscle groups to keep your routine balanced and reduce the risk of injury. If you’re unsure how to begin, consider joining online classes or consulting your doctor for personalized exercise recommendations.

3. Indoor cycling.

Cycling is an excellent low-impact way to get your cardio workout. It’s easier on the knees than running and provides great benefits for your cardiovascular health. You don’t need an expensive indoor bike—any basic stationary bike will work. Set it up in front of the TV and pedal while enjoying your favorite shows, or catch up on reading while you ride. To engage different muscle groups, alternate between sitting and standing. Create your own routine or join online classes for added structure and motivation.

4. Winter walks.

Skip the icy roads and opt for a walk in the woods instead. A winter stroll, with the crunch of leaves underfoot, is a refreshing way to stay active while enjoying the crisp, fresh air. Swing your arms to stay warm, maintain a steady pace, and consider inviting a friend for some good conversation along the way. A half hour of brisk walking several times a week can go a long way towards keeping you fit and strong all winter long.

5. Zumba.

Dancing is fantastic for both your mental and physical health, making it an ideal way to stay active during the chilly winter months. Zumba, in particular, has gained global popularity for good reason—it’s fun, energizing, and a great cardiovascular workout. Not only does Zumba help boost your heart health and endurance but it also improves coordination, balance and flexibility. Plus, dancing releases endorphins, which can enhance your mood and reduce stress. Best of all, you don’t need to leave your house to enjoy it—there are countless online Zumba classes available, so you can break a sweat and have fun from the comfort of your own living room.

What are your favorite ways to workout during the winter? Will you be giving any of the above activities a try? Let us know on Instagram, Facebook and Twitter!

Our Top 7 Kidney-Friendly Fall Recipes

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We love this time of year — the feel of that crisp autumn breeze, the trees changing colors, and the sound of leaves crackling beneath our feet. As the days shorten and we spend more time indoors, it’s the perfect time to try some new recipes. Casseroles, cobblers and roasted root vegetable dishes are some of our favorites this time of year. We have a whole host of kidney-friendly recipes we’ve compiled on our website — here are just a few of our top recipes for you to try this fall.

1. Baked Apple Chips

A delicious hors d’oeuvre, these baked apple chips are full of fall flavors and very simple to make. A healthy alternative to chips and sure to keep guests satisfied until further courses are ready. See the full recipe here.

2. Creamy Leek Soup

creamy leek soupThis soup definitely delivers—creamy and rich, it’s packed with flavor and incredibly filling. Perfect as a starter or as a main dish, it’ll warm you up on a cold, fall evening. Get the full recipe here.

3. Roasted Cauliflower, Carrots & Onions

creamy leek soupRoasting is one of our favorite ways to cook vegetables, as it brings out both flavor and texture. It’s also easy—just chop the veggies, spread them on a baking tray, season with a salt-free seasoning blend, and roast. Delicious and kidney-friendly! Find the full recipe here.

4. Low-Sodium Sourdough Bread

Store-bought bread can have an incredibly high amount of sodium in it. Don’t be tempted to buy it when it’s so simple to make your own! Give this low-sodium sourdough bread a try instead.

5. Holiday Herb Stuffing

No, it’s not Thanksgiving yet, but it’s never to early to start planning! So many store-bought stuffings are packed with salt but there’s really no need. This recipe for herb stuffing uses other spices and herbs to add flavor, giving it a much rounder taste than many alternatives. A must try!

6. Ginger & Green Apple Slow-Cooked Pork

pork and applesThis sweet and savory pork is delicious on a cold fall evening. It can be made in the oven or slow cooker, and is a great source of protein and vegetables. Find the full recipe here.

7. Apple Cranberry Cobbler


Is there anything better than a cobbler in autumn? We think not! This cobbler celebrates some classic autumn fruits, a warm and cozy dessert for the whole family to enjoy. See the full recipe to see how to make this tasty treat.

 

What are your favorite fall recipes? Are you going to try any of ours? We’d love to hear from you on Instagram, Facebook and Twitter!

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