Progression of Polycystic Kidney Disease: A Personal Experience
This autobiographical case study presents a unique self-imposed dietary and life-style regimen in autosomal dominant polycystic kidney disease, the most common hereditary disease in the United States. The enhanced quality of life and decreased dialysis treatment time described has not been scientifically studied, nor can it be recommended for routine care. However, it confirms the essential role of monitoring the adequacy of dialysis and maintaining optimal nutritional status as a means to attain such goals. The potential implications of this cost-effective treatment scenario and time-effective life-style are discussed from the viewpoint of a registered dietitian who is also a hemodialysis patient. The case study is followed by a commentary perspective from the attending nephrologist.