Dialysis Services

Dialysis is a treatment that removes waste, extra salt, and extra fluid from your blood when your kidneys can no longer do that job on their own. At Kidney Institute of the Desert, we have provided both hemodialysis and peritoneal dialysis to desert families since 1987. Our nurses, dietitians, social workers, and nephrologists work as one team, and our own physicians serve as the medical directors inside each clinic.

Dialysis Basics

Hearing that you need dialysis is a lot to take in. Most people leave that appointment with more questions than answers. This page walks through what dialysis does, how each type works, and what your care looks like once you are with us, so you can walk into your first visit knowing what to expect.

Why It’s Needed

Healthy kidneys filter your blood around the clock. They pull out waste, balance the minerals your body needs, control your blood pressure, and get rid of fluid you do not need. When kidney function drops far enough, that waste and fluid start to build up. You may feel tired, swollen, short of breath, or sick to your stomach.

Dialysis takes over much of that filtering work. It keeps your body in balance, helps hold your blood pressure at a safer level, and keeps minerals like potassium and phosphorus from climbing too high. Your nephrologist will look at your lab results, your symptoms, and how you are feeling day to day before recommending that you start.

Making dialysis feel comfortable and stress-free is one of our main goals. Treatment becomes part of your week, not the thing your whole week revolves around.

How Dialysis Works

There are two types of dialysis, and both are available through the Kidney Institute.

Hemodialysis uses a machine to filter your blood. Blood travels out of your body through soft tubing, passes through a filter called a dialyzer that works like an artificial kidney, and returns to you cleaned. Most people receive hemodialysis at one of our clinics.

Peritoneal dialysis uses the lining of your own abdomen, called the peritoneum, as the filter. A soft plastic tube called a catheter is placed in your abdomen. A clean fluid flows in, pulls waste and extra fluid out of the blood vessels in that lining, and then drains out. Most people do peritoneal dialysis at home.

Neither one is automatically better. The right choice depends on your health, your schedule, your comfort level, and what kind of support you have at home.

The Benefits of Dialysis

Dialysis eases the symptoms that come with kidney failure, including fatigue, weakness, swelling, and nausea. Its most important benefit is that it does the filtering work your body still needs done, which is what allows people to keep living full lives after kidney failure.

That is why this work matters so much to us. Your physicians and nurses build a complete care plan around you, and then adjust it as your needs change.

Hemodialysis: Filtering by Machine

Why It’s Needed

Hemodialysis is the right fit for many people, especially those who would rather have trained professionals handle treatment and who like having a set schedule to plan around.

Starting treatment is an emotional adjustment, and you will not go through it alone. Something our patients tell us often: the waiting room helps. You get to know the nurses and technicians who care for you every week, and you meet other kidney warriors who understand exactly what this is like. That community is a real part of the treatment.

How Hemodialysis Works

Hemodialysis is usually done at a dialysis center like one of our four valley clinics. Treatments are scheduled three times a week, and each session lasts three to four hours.

Before you start, you will need dialysis access, which is the spot where blood leaves and returns to your body. This is usually a fistula or graft in your arm, created during a short procedure and given time to heal beforehand. Your kidney doctor will explain which option suits you and when to have it placed.

During treatment, you sit in a reclining chair. You can read, nap, watch something, or talk with the staff and the people around you. Your nurses check your blood pressure and how you are feeling throughout the session.

If you are heading out of town, our team can help you arrange treatment at your destination so your schedule stays intact.

The Benefits of Hemodialysis

Many people prefer coming to a center. Trained hemodialysis nurses and nephrologists handle the treatment, so there is nothing for you to manage at home and no supplies to store.

There is also a rhythm to it that people come to appreciate. Three sessions a week means four days without treatment. You have staff watching over you closely during every visit, and a familiar group of faces each time you come in.

Peritoneal Dialysis: Filtering Through Your Abdomen

Why It’s Needed

Peritoneal dialysis is the most common form of home dialysis. It suits people who want more control over their own schedule and who feel comfortable being hands-on with their care.

The adjustment can feel daunting at first. That is normal, and it is exactly what our training is for. We teach you step by step, at your pace, and our team stays reachable once you are doing exchanges on your own.

How Peritoneal Dialysis Works

There are two types.

Continuous ambulatory peritoneal dialysis (CAPD) is done about four times a day in short exchanges of roughly 30 minutes each. You do them by hand, and they can be done almost anywhere clean and private, including at work.

Automated peritoneal dialysis (APD) uses a small machine called a cycler that runs the exchanges overnight while you sleep, which leaves your days open.

Both need a catheter placed in your abdomen first, along with training on keeping the site clean to lower your risk of infection. When you meet with a kidney doctor at the Kidney Institute, we will talk through your daily routine and decide together which method fits your life.

The Benefits of Peritoneal Dialysis

Peritoneal dialysis often comes with fewer dietary restrictions than hemodialysis, and it filters more gently and steadily, which some people find easier on their body. Our dietitians will still help you build a kidney-friendly eating plan that fits the method you choose.

It also travels well. Supplies can ship directly to your home or to where you are staying, which matters a great deal to our seasonal patients.

People who choose peritoneal dialysis tend to be more involved in their own care, and we provide the training and ongoing support to make that work.

Comparing Your Two Options

Here is a side-by-side look at the two treatments. Your nephrologist will help you weigh these against your own health and routine.

HemodialysisPeritoneal Dialysis
WhereAt one of our clinicsAt home, work, or while traveling
How often3 times a weekDaily
How long3 to 4 hours per session30-minute exchanges, or overnight
Who performs itOur nurses and techniciansYou, after full training
Access neededFistula or graft in the armCatheter in the abdomen
Diet and fluidsTighter limits between sessionsOften fewer restrictions
Best suited toPeople who prefer a set schedule and hands-on staffPeople who want flexibility and control

Your choice is not permanent. Some people switch as their health or their circumstances change, and we will help you make that transition whenever it makes sense.

The Team Beside You

Dialysis is never just a machine and a chair. Your care comes from a group of people who know your name.

Your nephrologist oversees your treatment plan and adjusts it as your labs and symptoms change. Your dialysis nurses and technicians run your treatments, watch your numbers, and are usually the first to notice when something feels off. Your renal dietitian helps you manage potassium, phosphorus, sodium, and fluid without giving up food you enjoy. Your social worker helps with insurance questions, transportation, work and family concerns, and the emotional side of living with kidney failure.

Here is the difference that matters most: our nephrologists are the medical directors of our clinics, and they are physically in the building. We are independent and physician-owned, not part of a national chain, so the doctor responsible for the standard of care at your clinic is the same doctor you see in person. You can meet the team before your first visit.

Dialysis While You Travel

Needing dialysis does not mean you stop going places. Many of our patients spend part of the year in the desert, and part of it somewhere else, and plenty of others simply want to visit family or take a trip.

If you are visiting the Coachella Valley and need treatment while you are here, we welcome visiting patients at our clinics and can coordinate with your home center to keep your care consistent. If you are one of our patients heading out of town, we will help you find a center at your destination and send your records ahead. Home peritoneal dialysis makes travel easier still, since supplies can be delivered where you are staying.

Our travel resources for dialysis patients cover what to plan for and how far ahead to start.

Starting Care With Us

Getting started is more straightforward than most people expect.

  1. 1. Talk with a kidney doctor. Your primary care physician or another specialist can refer you, or you can reach out to us directly. We will review your kidney function and go over your options.

  2. 2. Choose your treatment and location. Together we will decide between hemodialysis and peritoneal dialysis, and pick the clinic that works best for you.

  3. 3. Complete your paperwork ahead of time. Our new patient forms can be filled out before your first appointment. That way we are ready to begin your care the moment you walk in, instead of starting with a clipboard.

  4. 4. Check your coverage. We accept more than 18 insurance plans, including Aetna, Blue Cross, Blue Shield, Cigna, Kaiser, IEHP Direct, Tricare, and Veterans coverage. If you are unsure about your plan, call us, and we will look into it with you.

Our Dialysis Clinics

We have four dialysis clinics across the valley, in Indio, Rancho Mirage, Coachella, and La Quinta, plus two nephrology offices for patients who are not on dialysis. Choose the one closest to home.

Kidney Institute of the Desert Indio
Dialysis

Kidney Institute of the Desert Indio

La Quinta Kidney Center
Dialysis

La Quinta Kidney Center

Kidney Institute at Eisenhower Medical Center
Dialysis

Kidney Institute at Eisenhower Medical Center

Coachella Kidney Institute
Dialysis

Coachella Kidney Institute

Common Questions About Dialysis

Get answers to the questions we get the most. You can also reach out to speak with someone on our team.

Meet Our Head Nurses

Yvonne Hamilton

La Quinta Kidney Center

Marilu Fuentes

Kidney Institute of the Desert Indio

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What Our Patients Say

The institute is very good in the care and attention they give. Blessings to the nurses and technicians.
Norma Valladares
New Patient Resources

New Patient Resources

Fill out our forms before your visit. That way, we’re ready to begin your care when you arrive.

Kidney-friendly blueberries recommended as a healthy fruit choice for renal diet and kidney nutrition plans

Nutrition

Our nutritionists can help you develop a kidney- friendly diet. Plans are tailored to each patient.

Travel

Travel

Home dialysis options have made it possible for patients to travel safely and continue treatment.

We’re Here for You.

Whether you are just starting dialysis or looking for a clinic closer to home, we would be glad to talk with you. Our goal is to build a real relationship with every patient and shape a treatment plan around your life. Let's get in touch today.