Table 5 Excerpt 4 A well-managed chain of question^answer and information^acknowledgment exchanges

283.

CKD-P7:

But so you can’t do a transplant after you’ve started dialysis, is it?

Patient (Pt) asks question (q) 1

284.

Doc2:

No, I’ve not been clear. So you can do it after you’ve started dialysis. What I had meant to get across is that you cannot have a transplant before dialysis unless somebody has come along to give you a kidney.

Doctor (D) answers q1 but then gives further clarifying information

285.

CKD-P7:

Oh, okay, okay.

Pt acknowledges information

286.

Doc2:

So if no one in your family and friends is giving you a kidney, then we have to start you on dialysis.

D gives further clarifying information to q1

287.

CKD-P7:

And then wait?

Pt asks q2

288.

Doc2:

And then activate you on the transplant waiting list.

D answers q2

289.

CKD-P7:

Yep, okay.

Pt confirms understanding

290.

Doc2:

And then you might, if you’re really lucky, get a kidney the next day.

D gives further clarifying information to q2

291.

CKD-P7:

Yeah.

Pt acknowledges information

292.

Doc2:

But more likely, you’ll wait, you know, three years.

D gives further clarifying information to q2

293.

CKD-P7:

Yep, and continue with dialysis until then?

Pt asks q3

294.

Doc2:

Yep.

D answers q3

295.

CKD-P7:

Yeah. Okay, all clear […].

Pt confirms understanding