Ladies and gentlemen, I have no idea about your financial decisions, but let a user with some world experience jump in with my analysis. I have non functioning kidneys and to stay alive I depend upon dialysis. My choices are, PD, stomach exchange, not available to me for medical reasons. HD in clinic, which I use, It has several drawbacks, but it keeps you alive and smiling. Has with it a diet that is best described as, "if it tastes good, spit it out". Fluid limitations one liter per day, measure your first cup of java in the AM. And then there is HD at home. The best choice of machinery is NxStage. To get an understanding of its desirability, get a copy of "Benefits of daily Dialysis" www.nxstage.com or 978.697.8243. Have no stock position on this or its competition.I am simply a patient and have a users position at heart. I am an advocate for dialysis patients and one of them my self.
Sorry - apparently I missed this post originally and just say it re-reading the thread to see if dow actually had any interesting points - on the short side.
As I have stated here many times I am not in the industry - or even know anyone on dialysis. NXTM as I've stated here has gotta be a life changer - in a good way. Imagine the possiblilites of nocturnal as well.
Please keep up updated on what relevant developments with NXTM and the rest of the industry that you happen to come across.
At this point I mostly just listen to the qtrly calls and call the company when I have a question.
I'd like to hear as much as possible from the folks that NXTM is actually effecting. Both positive and negative - and as timely as possible.
If you have the willingness - I know that atleast I would appreciate it. I appreciate what you have already posted.
I've been using the NxStage System 1 and Pureflow at home since December 2009. I first used it in the short daily modality and I am now using it for slow, extended, daily dialysis. I actually only treat 5 days a week. Previously I have done peritoneal dialysis, in-center hemodialysis, and had a kidney transplant.
I'm very happy with the NxStage system. It is the only home hemodialysis system that provides the patient with the flexibility to travel with their system and continue the frequent modality. Other home users (with Fresineus, for example) still generally only dialyze three days a week. They also must find a clinic and get scheduled if planning to travel. Those systems also require separate power, a separate water filtration system, and are more complex to set up, maintain, use, and clean.
The ONLY complaint I have about the NxStage system is that the dialysis machine, while portable, is too heavy for one person to carry. It is easy to set up, easy to use, and can be used anywhere there is normal electric power and a drain. For travel, the clinic prescribes and NxStage provides hanging bags of pre-mixed dialysis solution, so you don't even really have to have a source of water.
I have felt substantially better since I started the extended treatments. My lab values have improved, and the measured clearances are good. I'm fairly certain that I should be able to continue dialysis with NxStage indefinitely.