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During that stay in the hospital, he also began dialysis, and doctors told him he would have to continue to dialyze for the rest of his life — or until he got a transplant.

The first couple of months were difficult, Moreira said, as he learned the manual technique, dialyzing four times a day.

“We went to junior high and high school together. She had lupus and she dialyzed for 28 years.”

Gedney said that is a regulation she strives to change, because studies have shown people who dialyze at home have less infection, less medication and the death rate is lower.

Some patients are so unstable when they arrive, they must be dialyzed in the intensive care unit or one of the shock trauma rooms.