Table 9 Excerpt 8. Urging a decision

14.

Doc1:

The, um - so what was the plan essentially, in terms of when the kidney function goes down, because last time she was quite resistant to any - anything…

15.

CKD-P18’s son:

Yeah, I mean, she’s still quite reluctant, but um, she has um, had a visit to the, um, nutrition, um, management, um, at the [local Community Health Centre].

16–25 omitted

26

CKD-P18’s son:

So she would like to see if, um, she could wait a little bit to see, you know, if any…

27.

Doc1:

See, I’m not saying you’re to start dialysis straight up.

28.

CKD-P18:

[Speaks Korean].

29.

CKD-P18’s son:

Aha.

30.

Doc1:

Okay, so what I’m saying is, when the kidney function reaches around eight or so…

31.

CKD-P18’s son:

Mm-hm.

32.

Doc1:

…we need to start dialysis, okay? So, she’s around 11, so it’s good to actually plan now, rather than in the last moment, scamper around, trying to find the mode of dialysis.

33.

CKD-P18’s son:

Mm-hm.

34.

Doc1:

Because, um, the ideal way to do it is to actually get an AV fistula now.

35–50 omitted

51.

Doc1:

Now, if this is not done…

52.

CKD-P18’s son:

Mm-hm.

53.

Doc1:

…um, then if she needs dialysis and say, the next time you come for whatever reason it’s nine or eight or below…

54.

CKD-P18’s son:

Mm-hm.

55.

Doc1:

…then we’ll have to like, put in a line in her neck for dialysis, which is not ideal.

56.

CKD-P18’s son:

All right.

57.

Doc1:

Which is not ideal, I mean, we can do it, because when you put the line in the neck, um, it’s obviously a foreign body there, it’s prone to infections and other things, er, and then I’ll have to refer her for the fistula, which we are looking at - you’re on - dialysing through line for about four or five months at least.

58.

CKD-P18’s son:

Mm-hm.

59.

Doc1:

So if you get - get the ball rolling now, then maybe, you know, somewhere in February or March she can get the - get the surgery for the…