Let me give it to you straight. If she started dialysis today, on average, she would live 3-5 more years. The annual mortality rate for End Stage Renal Disease patients is 22%. That means that the average ESRD patient will live for just under 5 years on dialysis. Diabetes raises that mortality rate about 3% for a total of 25%. I'm not sure off the top of my head the numbers for CHF, but it is about another 5-10% increase in mortality rate, as the number one cause of death in ESRD patients is heart failure.
The way she will die is, since her kidneys cannot filter out the potassium she consumes fast enough, it will cause her heart to beat irregularly. If she has lost the ability to produce urine, her vascular system will become flooded with fluid and her heart won't be able to keep up with the increased volume. That increased volume will also collect in her lungs making it difficult to breath, depriving her heart and brain of oxygen. Her kidneys cannot filter out the urea her body produces, which will result in toxemia, rapidly damaging her heart, brain, and other vital organs. If she lives long enough, the phosphorus that her kidneys can't filter out, will absorb into her aorta, and causing it to calcify and harden, making it harder for the heart to supply itself with oxygen.
When you combine all these things there is little chance that your grandmother can survive very long (weeks at best) without dialysis. The sooner the decision is made, the less long-term damage will be done to her.
Dialysis is a life-changing choice - it can save her life, but in return it will be a life quite different from what she is used to. There will be dietary and fluid restrictions, more medications to take, dialysis every other day. Dialysis can save her life, but she needs to decide if this new life is worth it. I would recommend dialysis, but not to just TRY. If she's going to do it, do it all the way. Because the worst thing to happen is for her to only half commit to it, and then end up spending her last days miserable.
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