Peritoneal Dialysis at Home

Peritoneal dialysis (PD) is dialysis you can do at home, on a schedule that belongs to you. At Sundance Home Dialysis in Hurst, PD is one of the two home therapies we train and support. The other is home hemodialysis. We are an independent, home-only program, not a national chain. Our job is to help kidney disease treatment fit around work, family, and the rest of your life.

If you have been told you need dialysis, or you are already going to a clinic three days a week, a free education session is the easiest way to see whether PD could work for you. Call 817-840-5191. There is no pressure to decide on the spot.

How PD works (in plain language)

Your abdomen has a lining called the peritoneum. In PD, that lining acts as a filter.

A surgeon places a soft tube (a PD catheter) in your abdomen. After it heals, you fill your abdomen with sterile dialysis fluid through that tube. The fluid sits there for a period of time (a "dwell"). Waste and extra water move from your blood into the fluid. Then you drain the used fluid and fill again. That fill-dwell-drain cycle is an "exchange."

You are not sitting in a clinic chair for hours while a machine filters your blood through needles in your arm. The filter is already inside you. Treatments happen at home. Supplies are delivered to your house.

Sundance helps coordinate catheter placement with your preferred surgeon if you do not already have access. That is a common starting point, not a reason to wait.

APD and CAPD: two ways to do PD

PD is the therapy. APD and CAPD are two schedules for doing it. Many people can use either. Your nurse and nephrologist help you choose.

APD (automated peritoneal dialysis) A cycler machine runs exchanges while you sleep. You hook up at bedtime and disconnect in the morning. Days are usually free of exchanges, which is why a lot of working people prefer APD. You still need a clean space, a place to store supplies, and a routine you can stick to.

CAPD (continuous ambulatory peritoneal dialysis) You do exchanges by hand during the day, typically a few times, without a cycler at night. Each exchange takes a stretch of time, but you are not tied to a clinic. Some people like the simplicity of CAPD. Some use it when overnight cycling is not a good fit.

Neither option is "the advanced one." They are different rhythms. We teach both.

Who PD may fit

PD can be a good path if you:

Want dialysis at home instead of three weekly trips to an in-center clinic
Need a schedule that can bend around a job, school, caregiving, or travel
Prefer a therapy that does not use needles in your arm for every treatment
Have space at home for supply boxes and a clean setup area
Are willing to learn a routine and call us when something looks off

PD is not automatic for every person with kidney disease. Prior abdominal surgery, some hernias, housing, vision, dexterity, and support at home all matter. So does what you want. We will not push you toward PD just because it is what we offer. Sundance also trains home hemodialysis. A free education session is how we sort this out with you, not with a quiz on a website.

If another program told you that you "can't do home," still call. Eligibility is individual. The honest answer comes from a nurse conversation and your nephrologist, not from a hallway comment.

Training, in Hurst, until you are ready

Training happens at our clinic:

Sundance Home Dialysis LLC
1809 Precinct Line Road
Hurst, TX 76054
Monday to Friday, 8:00 a.m. to 4:30 p.m.

You work with home-dialysis nurses, a renal dietitian, and a social worker. Family is welcome in training. Come alone if that is what you have. Bring people if that helps you learn.

We go step by step: how to connect and disconnect, how to keep the catheter site clean, what a normal drain looks like, when to call. A home visit is part of getting you set up to treat at home.

There is no prize for rushing. You start treating at home when you and the team are comfortable, not on a calendar someone in another city picked.

After training, you are not on your own. You still have a clinic team. You still have visits. Supplies are arranged for you. If home therapy ever stops being the right fit, going back to in-center care is an option. We would rather you succeed at home. We will not pretend every day is easy.

You keep your nephrologist

If a kidney doctor already takes care of you, that does not have to change.

Sundance coordinates with your referring nephrologist. You can continue under that doctor while you dialyze with us. We are the home-dialysis program. We are not trying to take over your whole medical life.

We also support patients who are pursuing transplant and coordinate with programs already named on our refer page: Baylor Scott & White All Saints, Medical City Fort Worth, Texas Health Harris Methodist, and UT Southwestern.

Providers: send a referral by fax at 817-840-5192, call 817-840-5191, or use sundancedialysis.com/refer.

Frequently asked questions

What is peritoneal dialysis, in one sentence?

PD uses the lining of your abdomen as a filter, with fluid you fill and drain through a soft catheter, so dialysis can happen at home instead of in a clinic chair.

What is the difference between APD and CAPD?

APD uses a cycler, usually overnight. CAPD is manual exchanges during the day. Same therapy, different schedule. We teach both and help you pick what fits your life.

Do I have to leave my kidney doctor?

No. Keep your referring nephrologist. We work with that office so everyone stays aligned.

How long is training?

Until you are comfortable. We do not publish a one-size number because people learn at different speeds, and some have a partner learning beside them. Ask us what a typical stretch looks like for someone in your situation.

Can I work or travel if I am on PD?

That is a big reason people look at PD. APD in particular is built around sleeping hours, which can leave the workday open. Travel takes planning (supplies, a clean setup, extra fluid). It is not a spontaneous backpack trip on day one, but many people on PD do travel after they have a stable routine. Bring travel up in the education session so we can be specific.

What if I am nervous to do this at home?

That is normal. Training exists because this is new, not because you are supposed to already know it. You practice in the clinic. You ask the same question twice. You call when you get home and something looks different. Feeling unsure on day one is not a reason to stay in a chair three days a week if home is otherwise a good fit.

Who is Sundance, and where do I go?

Sundance Home Dialysis is an independent, ACHC-accredited, home-only program founded in 2021 by Dr. Jalandhara. We are in Hurst, on Precinct Line Road, and we work with people across Fort Worth, the Mid-Cities, Keller, Alliance, Burleson, Cleburne, and nearby Texas communities. We are not a national chain. Clinic hours are Monday to Friday, 8:00 a.m. to 4:30 p.m.

Talk with us

Call 817-840-5191 to schedule a free education session, or ask your nephrologist to refer you at sundancedialysis.com/refer.

Sundance Home Dialysis LLC
1809 Precinct Line Road, Hurst, TX 76054
Phone: 817-840-5191
Fax: 817-840-5192
https://www.sundancedialysis.com