Tackling general medical complaints that are notunderthe realm of usual renal care in a dialysis unit can be a challenging process. Patients on dialysis are often burdened with multiple co-morbidities and require coordinated care from multiple medical specialties. Establishing the role of the dialysis physician and the dialysis nurse early on in the first encounter with a new patient can pave the path to good healthcare. Often the healthcare system concerned dictates how involved the nephrol-ogist is in the care of extra-renal ailments. It comes down to who funds healthcare services. The common assumption of a patient on long-term dialysis is that they could have all their medical problems which are not part of routine dialysis care addressed during their dialysis session by qualified healthcare professionals in an in-centre haemodialysis setting (Tong et al. 2013).
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