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To the Editor:—
I have read with interest the article by Kretchmar and associates concerning dialysis in patients in chronic renal failure (JAMA185:1030 [June 29] 1963). The authors have prolonged the life of a patient in chronic renal failure and have returned her to a relatively happy and useful state for a number of months. They have done more for their patient than physicians who merely say that nothing can be done, and they should be commended for the fact that they have tried. However, had the dialyses been performed according to a fixed schedule twice weekly, so that the urea nitrogen, sodium, and water could have been controlled and gradually maintained at a lower level, it is very likely that this patient would still be alive. Complications such as convulsions during a dialysis are practically never seen with the use of the twin-coil kidney if it is
Kolff WJ. Repeated Dialysis in Chronic Renal Failure. JAMA. 1963;185(4):327. doi:10.1001/jama.1963.03060040111040