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    1. About Kidney Disease
      1. OVERVIEW
      2. Understanding Chronic Kidney Disease
      3. Kidney Disease Stages
      4. What Is a Nephrologist?
      5. What to Expect with CKD
      6. Kidney Disease Management
      7. Understanding Acute Kidney Injury
      8. How Kidneys Work
      9. Take a FREE CLASS on Kidney Disease
    2. Treatments
      1. OVERVIEW
      2. Dialysis Basics
      3. Benefits of Home Dialysis
      4. Home Peritoneal Dialysis
      5. Home Hemodialysis
      6. Sign up to Talk to a Home Dialysis Expert
      7. In-Center Hemodialysis
      8. Transplant
      9. Insurance & Managing Costs
      10. Choosing Not to Treat
    3. Life On Dialysis
      1. OVERVIEW
      2. Your Emotional Health While on Dialysis
      3. Staying Engaged
      4. Staying Healthy
      5. Dialysis Travel Services and Information
      6. Tips for Loved Ones
      7. PatientHub
    4. Recipes & Nutrition
      1. OVERVIEW
      2. Recipes
      3. Managing Your Diet
      4. Fluid Management on Dialysis
      5. Dialysis Diet Planning
      6. Cookbooks
    5. Thrive Central
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      2. Dialysis
      3. Diet & Nutrition
      4. Stories
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      6. See All
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    Find a Dialysis Center

    Find a Dialysis Center

    Find a Dialysis Center
    Permission to detect location was denied Current location could not be determined
      Try a detailed search

      Need help? Call 1-888-373-1470

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      1. About Kidney Disease
        1. Understanding Chronic Kidney Disease
          1. Symptoms
          2. Risk Factors
          3. Causes
          4. Diagnosis and Testing
          5. GFR Calculator
        2. Kidney Disease Stages
          1. Stage 1
          2. Stage 2
          3. Stage 3
          4. Stage 4
          5. Stage 5
        3. What Is a Nephrologist?
        4. What to Expect with CKD
        5. Kidney Disease Management
          1. Kidney Diet Basics
          2. CKD Medications
          3. Your Kidney Care Team
          4. Diabetes
          5. High Blood Pressure
        6. Understanding Acute Kidney Injury
          1. Acute Kidney Injury Treatment and Recovery
        7. How Kidneys Work
        8. Take a FREE CLASS on Kidney Disease
      2. Treatments
        1. Dialysis Basics
          1. How Does a Hemodialysis Machine Work
          2. Starting Dialysis
          3. Types of Dialysis Access
          4. Your Care Plan
          5. Dialysis Medications
          6. Monitoring Your Lab Results
        2. Benefits of Home Dialysis
        3. Home Peritoneal Dialysis
          1. What to Expect
          2. Getting Prepared
          3. PD Access
          4. PD Training
          5. PD Monitoring
          6. Your Care Team
        4. Home Hemodialysis
          1. What to Expect
          2. Getting Prepared
          3. HD Training
          4. HD Monitoring
          5. Your Care Team
        5. Sign up to Talk to a Home Dialysis Expert
        6. In-Center Hemodialysis
          1. In-Center Treatment Options
          2. What to Expect
          3. Types of Vascular Access for Hemodialysis
          4. Your Care Team
          5. How to Choose a Center
        7. Transplant
          1. Finding a Kidney Donor
          2. Considering Kidney Donation
        8. Insurance & Managing Costs
          1. Understanding Medicare Coverage
          2. Understanding Medicare Advantage
          3. Understanding Employer Plans
        9. Choosing Not to Treat
      3. Life On Dialysis
        1. Your Emotional Health While on Dialysis
          1. Managing Your Emotions
          2. Talking About Dialysis
          3. Intimacy
          4. Body Image and Dialysis
          5. Building Your Dialysis Support Network
        2. Staying Engaged
          1. Tips for Working While on Dialysis
          2. In-Center Activities
          3. Hobbies
        3. Staying Healthy
          1. Managing Your Time on Dialysis
          2. Dialysis & Exercise
          3. Weight Management
          4. Avoiding Infection
          5. Managing Multiple Conditions
          6. Fighting the Flu
        4. Dialysis Travel Services and Information
        5. Tips for Loved Ones
          1. In-Center Hemodialysis
          2. At-Home Hemodialysis
          3. At-Home Peritoneal Dialysis
        6. PatientHub
      4. Recipes & Nutrition
        1. Recipes
        2. Managing Your Diet
          1. Eating Well on a CKD Diet
          2. Eating Well on a Dialysis Diet
          3. Salt and Kidney Disease
          4. Potassium and Kidney Disease
          5. Phosphorus and Kidney Disease
          6. Talking With Your Dietitian
        3. Fluid Management on Dialysis
        4. Dialysis Diet Planning
          1. Kidney-Friendly Shopping
          2. Eating Out
          3. Holiday Diet Tips
          4. A Chef’s Advice | Chef Aaron McCargo on Kidney Friendly Meals
        5. Cookbooks
      5. Thrive Central
        1. CKD
        2. Dialysis
        3. Diet & Nutrition
        4. Stories
        5. Wellness
        6. See All
      In-Center Hemodialysis
      In-Center Hemodialysis
      OVERVIEW In-Center Treatment Options What to Expect Types of Vascular Access for Hemodialysis Your Care Team How to Choose a Center
      1. Home
      2. Treatments
      3. In-Center Hemodialysis
      4. In-Center Treatment Options

      In-Center Treatment

      Share:
      Hemodialysis is the only type of dialysis offered in-center. However, you still have the choice of your treatment time—and many centers offer nocturnal (nighttime) treatments, too.

      Choosing the best time for hemodialysis

      Because hemodialysis is a gradual process and can’t be rushed, it’s important to make time in your schedule for your dialysis treatment. 

      When you have hemodialysis at a center, you will typically need to commit to 3 appointments every week. But the good news is you can have your treatments during the day or at night while you sleep, whichever is most convenient for you. If you opt for nocturnal (nighttime) hemodialysis or your doctor recommends it, make sure to select a center that offers it. You may also wish to consider nocturnal hemodialysis in the comfort of your own home.

      Because it is critical to your long-term health to attend every treatment session, choosing a treatment schedule that works best for the way you live can help you keep your appointments and stay on your treatment plan. The return on your time investment? A fuller, more active and healthier life.

      Find a Fresenius Hemodialysis Center

      FIND A DIALYSIS CENTER NEAR YOU

      Use our Center Locator to find a convenient location or get directions.
      Find a center

      Daytime hemodialysis

      If you’re retired, have free time on most weekdays, work at night or like having your nights free, then going for your hemodialysis treatments during the day may be right for you.
      Weekly, 3 times a week. 3-5 hours during the day.

      FREEDOM TO SWITCH

      Even after you’ve started one kind of dialysis, you’re not locked into it. Many people will change from one kind of dialysis to another, depending on their lifestyle and health needs.

      Benefits

      • Treatments are performed by trained nurses and technicians, so you can sit back and relax. If performing self-care, you will perform the treatment, with supervision.
      • All your treatments, labs and checkups are done in one place. There’s no need to store dialysis equipment or supplies at home.
      • You can use your dialysis time to read, rest, work on your computer, watch TV, listen to music or do something else that you enjoy.
      • You may also enjoy chatting with others just like you—knowing you’re not alone on this journey can be a comforting thing.
      • You can free up your nights to pursue your hobbies or interests, enjoy social events or be with family and friends. 

      What you need to succeed

      • Fully commit to your treatment time: usually 3 times a week, 3 to 5 hours a day, plus travel time.
      • Stay for the full session. Stopping even 5 minutes early makes dialysis less effective and has a negative impact on your health.
      • You may feel very tired and unsteady on your feet during the first several months of treatment and you will need to arrange for someone to drive you to and from each treatment session. You may wish to ask a trusted family member or friend. Or you can speak with your social worker about low-cost or free resources for transportation. When you feel well enough, you may wish to drive yourself or take public or private transportation on your own.

      CHOOSE THE RIGHT DIALYSIS TREATMENT FOR YOU

      Whether you're preparing for dialysis or switching from one dialysis option to another, our Treatment Decision Guide can help you decide what treatment option is best for you.

      Download the guide

      Nocturnal (nighttime) hemodialysis

      Are you balancing work, school or family obligations during the day? If so, nocturnal hemodialysis may be ideal for you. It is also recommended if your doctor feels you may benefit from a longer treatment time to filter your blood.

      Healthy kidneys filter out waste continually. Nocturnal dialysis more closely resembles natural kidney function since it filters your blood over a longer period of time. Because of this, it may even offer added health benefits. And since you sleep during your treatment, nocturnal dialysis has the added benefit of blending more easily with your lifestyle.
      Weekly, 3 times a week. 8 hours (approximately) at night.

      Benefits

      • You can have more time during the day for things you may want to do.
      • You may have more energy and feel better overall. 
      • You may have a more normal diet and less fluid restrictions on treatment days.
      • You may need less medication to reduce blood pressure and phosphorus levels.
      • You can help protect your heart, bones, joints and nerves from long-term damage.
      • You can sleep safe and sound. Treatments are performed by trained nurses and technicians who monitor your dialysis throughout the night.
      • All your treatments, labs and checkups are done in one place. There’s no need to store dialysis equipment or supplies at home.

      What you need to succeed

      • Fully commit to your treatment time: usually 3 times a week, approximately 8 hours a night, plus travel time.
      • Stay for the full session. Stopping even 5 minutes early makes dialysis less effective and has a negative impact on your health.
      • You may feel very tired and unsteady on your feet during the first several months of treatment and you will need to arrange for someone to drive you to and from each treatment session. You may wish to ask a trusted family member or friend. Or you can speak with your social worker about low-cost or free resources for transportation. When you feel well enough, you may wish to drive yourself or take public or private transportation on your own.
      • At times, you may have difficulty sleeping during your treatment. Staying calm and reminding yourself that you are being treated in a safe, supervised environment can help you relax. It may also be helpful to listen to soothing music on headphones.
      • If in-center nocturnal hemodialysis is not available in your area, you may need to travel farther to another center or opt for daytime or at-home dialysis.
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      STARTING DIALYSIS? TAKE A FREE CLASS

      Learn how to feel your best and thrive on dialysis. Choose the class format that fits your life—educator-led or self-guided.
      Sign Up now
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