Dr. Nuran Burcu Arkali leads the nephrology team with 6 specialized dialysis facts. A single hemodialysis session may cost around $350, covering the procedure and same-day care at this JCI-accredited hospital. The clinic offers immediate appointments and interpreter services in 5 languages. Dr. Arkali works with an experienced nephrology team following international standards.
Hisar Hospital Intercontinental is a JCI-accredited multi-specialty hospital in Istanbul. It treats 250,000 patients each year. Its core specialties are oncology, hematology, cardiovascular surgery, orthopedics, and bariatric surgery.
Memorial Atasehir Hospital provides dialysis in a JCI-accredited facility with comprehensive arrival tests for about $320. Prof. Gokhan Temiz heads the nephrology department, bringing specialized expertise to each case. The clinic offers free airport transfers, hotel booking assistance, and interpreter services. Part of Memorial Healthcare Group, the hospital serves international patients from 92 countries with personalized treatment plans based on diagnostic results.
","text_type":"mt_wow_description","best_texts":{"techniques":"Hemodialysis","good_fit_for":"Patients requiring ongoing dialysis","why_its_ranked":"JCI-accredited facility with specialized nephrology team. Offers comprehensive pre-dialysis testing and personalized treatment plans. Provides free interpreter and transfer services for international patients."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":450,"price_to":500,"currency":"USD","id":49973},"diagnostic":{"id":84,"name":"Extended analysis of blood","alias":"extended-analysis-of-blood"}},{"prices":{"price_from":280,"price_to":280,"currency":"USD","id":52333},"diagnostic":{"id":457,"name":"Consultation with creation of treatment plan ","alias":"consultation-with-creation-of-treatment-plan"}}],"reviews":[],"clinic":{"id":432,"alias":"memorial-atasehir-hospital","name":"Memorial Ataşehir Hospital","short_description":"Memorial Ataşehir Hospital is a JCI-accredited transplant center with a 99.5% liver transplant success rate. It specializes in organ transplant, IVF, oncology, and neurosurgery. The hospital is part of the Memorial Healthcare Group, serving patients from 92 countries.
Hemodialysis sessions at Valued Med Hub Hospitals cost around $300 – typically covering the dialysis, nephrologist consultation, and basic blood tests. The outpatient procedure requires no hospital stay and maintains a 4.9/5 patient satisfaction rating with 100% recommendation rate. Multilingual interpreter support assists international patients at this Istanbul clinic, a member of the Turkish Medical Association.
","text_type":"mt_wow_description","best_texts":{"techniques":"Hemodialysis, consultation with a nephrologist","good_fit_for":"Patients requiring regular dialysis sessions","why_its_ranked":"Offers dialysis at a competitive price of $300 per session. Clinic has a 4.9 rating based on 20 patient reviews, with 100% recommendation rate. Requires pre-treatment blood tests for safety."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":150,"price_to":350,"currency":"USD","id":59404},"diagnostic":{"id":420,"name":" Basic check-up","alias":"basic-check-up"}},{"prices":{"price_from":450,"price_to":450,"currency":"USD","id":44180},"diagnostic":{"id":370,"name":"MRI of the abdominal cavity","alias":"mri-of-the-abdominal-cavity"}}],"reviews":[],"clinic":{"id":3418,"alias":"vm-hospitals","name":"Valued Med Hub Hospitals ","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/3418-6ac3a29ed6eeb.png","short_description":"Valued Med Hub Hospitals is a private multi-specialty center in Istanbul. It has 100 doctors across 20 departments. The clinic treats adults and children in neurosurgery, oncology, ophthalmology, and transplantology and holds an International Health Tourism Authorization Certificate from the Turkish government.
IRCCS San Raffaele Hospital in Milan offers dialysis sessions for around $630, typically including the procedure and diagnostics. As one of Europe's largest research hospitals and part of the Gruppo San Donato network, it maintains ISO accreditation and a 4.5/5 patient rating. The facility performs over 52,000 medical procedures annually and pioneered the world's first stem cell therapy for ADA-SCID.
","text_type":"mt_wow_description","best_texts":{"techniques":"Dialysis treatment","good_fit_for":"Patients needing dialysis sessions","why_its_ranked":"ISO-accredited hospital with a 4.5 rating from 30 reviews. Offers dialysis at €533.75 per session, confirmed availability through a specialized contact."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":180,"price_to":500,"currency":"USD","id":15203},"diagnostic":{"id":97,"name":"Scintigraphy","alias":"scintigraphy"}},{"prices":{"price_from":210,"price_to":210,"currency":"USD","id":46815},"diagnostic":{"id":48,"name":"Consultation with a urologist","alias":"urologist-consultation"}}],"reviews":[],"clinic":{"id":303,"alias":"ospedale-san-raffaele","name":"San Raffaele","short_description":"San Raffaele Hospital is a top European research center with Italy's IRCCS accreditation. It achieved the world's first stem cell therapy for severe combined immune deficiency. Its main specialties are oncology, neurosurgery, and cardiovascular surgery.
Dr. Ismael Avila Iniguez brings _doctor_2520_years_ of urological expertise with 3,000+ procedures performed, including dialysis sessions. A dialysis session may cost around $190 – covering the treatment without overnight stay. The clinic holds General Health Council accreditation and operates multiple Mexicali locations for flexible scheduling. Dr. Avila graduated with honors from Autonomous University of Guadalajara and served as Head Urologist of the State.
Hospital de la Familia is a boutique medical facility 200 yards from the US-Mexico border. It specializes in gastroenterology, cardiac surgery, and neurosurgery. The hospital is accredited by the General Health Council of Mexico.
Memorial Antalya Hospital offers dialysis sessions at its JCI-accredited MedStar unit, specializing in ICU-critical cases. A single session may cost around $250, typically including the procedure and nephrologist consultation. The digital dialysis unit prioritizes severe conditions, with PET-CT scans sometimes included. Dr. Mustafa Eren assesses patient suitability for treatment at this facility that maintains international safety standards.
","text_type":"mt_wow_description","best_texts":{"techniques":"Hemodialysis, peritoneal dialysis, CRRT","good_fit_for":"Severe or critical cases needing ICU dialysis","why_its_ranked":"Dialysis unit at MedStar Antalya branch is designed for ICU patients in severe or critical condition. JCI-accredited hospital with a dedicated nephrologist."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":450,"price_to":650,"currency":"USD","id":52215},"operation":{"id":848,"name":"Dialysis","alias":"dialysis"}},{"prices":{"price_from":400,"price_to":1200,"currency":"USD","id":47584},"diagnostic":{"id":420,"name":" Basic check-up","alias":"basic-check-up"}},{"prices":{"price_from":150,"price_to":150,"currency":"USD","id":17558},"diagnostic":{"id":48,"name":"Consultation with a urologist","alias":"urologist-consultation"}}],"reviews":[],"clinic":{"id":417,"alias":"memorial-antalya-hospital","name":"Memorial Antalya Hospital","short_description":"Memorial Antalya Hospital is a JCI-accredited private hospital. It was the first in Turkey licensed for liver and kidney transplants. The hospital treats 1.6 million patients annually across oncology, general surgery, and plastic surgery.
Dr. Mesut Pekmez brings _doctor_7941_years_ of transplant and nephrology experience, having performed 900+ procedures with a 5-star rating. Dialysis sessions at Lokman Hekim University Ankara Hospital typically cost around $470 per session, covering treatment, nephrologist consultation, and diagnostic tests. The ISO-accredited hospital offers complete packages including interpreter services and transfers, with 4.8/5 patient satisfaction. Dr. Pekmez personally reviews each treatment plan for individualized care.
Lokman Hekim University Ankara Hospital is a university hospital with 99.9% success rates in discectomy, brain tumor removal, and DBS. Its core specialties are neurosurgery, orthopedics, gastroenterology, and transplantology. It holds ISO certification and a government International Health Tourism Authorization.
Professor Dr Kamil Yalcin Polat leads the dialysis and kidney transplant evaluation programs at JCI-certified Memorial Ankara Hospital. The all-inclusive package may cost around $14,000, typically covering dialysis sessions, accommodation for patient and one relative, meals, VIP transfers, diagnosis, medications, and medical team fees. The hospital has a 4.8/5 patient rating and serves international patients with interpreter services.
","text_type":"mt_wow_description","best_texts":{"techniques":"Hemodialysis, peritoneal dialysis, CRRT, hemodialysis access surgery","why_its_ranked":"Dialysis program includes simultaneous kidney transplant evaluation – coordinated care under academic nephrologists. JCI-accredited hospital with full-service support."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":200,"price_to":200,"currency":"USD","id":46796},"diagnostic":{"id":457,"name":"Consultation with creation of treatment plan ","alias":"consultation-with-creation-of-treatment-plan"}}],"reviews":[],"clinic":{"id":418,"alias":"memorial-ankara-hispital","name":"Memorial Ankara Hospital","short_description":"Memorial Ankara Hospital is a JCI-accredited private hospital and part of Turkey's largest private hospital network. It specializes in cardiology, cardiovascular surgery, medical oncology, and orthopedics.
Dr. Alberto Maranes Antonanzas has performed 1,100+ dialysis treatments over _doctor_8307_years_ as a recognized nephrology specialist. Hemodialysis sessions at Quirónsalud Marbella may cost around $410–450 per session, covering advanced techniques and continuous monitoring during treatment. The JCI-accredited hospital follows European standards with personalized care approaches. Dr. Maranes leads the nephrology program, coordinating continuity of care for international patients.
Quirónsalud Marbella is a JCI-accredited hospital in Spain's largest private hospital network. Its main specialties are plastic surgery and medical check-ups. Located on the Costa del Sol, it treats 30,000 patients each year.
Vienna General Hospital (AKH) operates a dedicated dialysis unit with advanced renal care technologies. Dialysis treatments typically cost between $800 and $1,100 per session. The hospital is part of Austria's largest medical university network, with 42 specialized departments and 10,000 staff members. Its nephrology program follows international treatment protocols and operates under JCI accreditation standards.
","text_type":"mt_wow_description","best_texts":{"techniques":"Hemodialysis, peritoneal dialysis","good_fit_for":"Comprehensive kidney care","why_its_ranked":"Operates a dedicated dialysis unit with advanced renal care technologies. Part of Austria's largest medical university network with 10,000 staff members. Follows international treatment protocols under JCI accreditation."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":216,"alias":"vienna-general-hospital-akh","name":"Vienna General Hospital (AKH)","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/216-6ac3a2d15f7e9.png","short_description":"Vienna General Hospital (Allgemeines Krankenhaus, AKH Wien) is a public university hospital in Vienna, Austria, and the teaching hospital of the Medical University of Vienna, with 29 university clinics. Founded by Emperor Joseph II in 1784 and rebuilt as a modern campus opened in 1994, it treats conditions from routine care to complex and rare cases referred from other hospitals, with particular strength in cancer medicine through the Comprehensive Cancer Center Vienna and in transplant medicine.
The hospital has 1,691 beds, 56 operating theatres and around 1,600 doctors who are also active researchers, and treats about 630,000 patients a year.
","images":[{"base_url":"clinic/5c87d2ec9ddf8","title":"Vienna General Hospital (AKH) main building exterior, modern medical facility in Austria"},{"base_url":"clinic/5b2bb249a1c91","title":"Vienna General Hospital (AKH) main building exterior in Vienna, Austria"},{"base_url":"clinic/5b2bb2483f71c","title":"Main lobby at Vienna General Hospital (AKH) with spacious modern interior"},{"base_url":"clinic/5b2bb0d7eae39","title":"Vienna General Hospital (AKH) main building exterior in Vienna, Austria"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Austria","id":29,"alias":"austria","iso_code":"AT"},"city":{"name":"Vienna","id":84,"alias":"vienna"},"address":"Währinger Gürtel 18-20, 1090 Wien, Austria"},"rating":{"rating":4.5,"google":3.2,"percent_of_satisfied_clients":94},"statistics":{"number_of_reviews":19,"doctors_number":1600,"year_foundation":1800},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"International Organization for Standardization","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/69a5910c22133.jpeg","name":"World's Best Hospitals 2026 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/69a5905f804ff.jpeg","name":"World's Best Hospitals 2025 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6841934325139.jpeg","name":"ISO 9001:2015 Quality management systems"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":60,"total_pages":6}},"promoSlots":[{"card":{"text":"Memorial Şişli Hospital reports a 90% success rate for living donor kidney transplants and offers robotic nephrectomy procedures. The JCI-accredited nephrology department combines transplantation expertise with minimally invasive techniques.
Memorial Şişli Hospital in Istanbul is one of Turkey’s leading multidisciplinary medical centers, operating on a 53,000 m² area with 252 beds, 13 operating rooms, and advanced intensive care units. Opened in 2000, it became the first hospital in Turkey and the 21st worldwide to earn Joint Commission International (JCI) accreditation, confirming world-class standards.
\n\nThe hospital is recognized for its expertise in oncology, organ and bone marrow transplantation (90% organ transplant success rate), IVF, neurosurgery, bariatric surgery, robotic surgery, and genetics. Equipped with cutting-edge technology and specialized centers, Memorial Şişli attracts patients from 167 countries each year, combining top-level medical care with Istanbul’s unique cultural and travel opportunities.
\n","images":[{"base_url":"clinic/634ffae9b76cd","title":"Memorial Şişli Hospital modern clinic building in Istanbul, Turkey"},{"base_url":"clinic/5ba3aa9d874b8","title":"Patient room at Memorial Şişli Hospital, Istanbul with modern furnishings and TV"},{"base_url":"clinic/5ba3aa9ebbdf9","title":"Patient room and lounge area at Memorial Şişli Hospital, Istanbul"},{"base_url":"clinic/634ffa7dd8799","title":"Reception desk at Memorial Şişli Hospital with modern decor in Istanbul"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Kaptan Paşa Mah, Halit Ziya Türkkan Sok Famas Plaza No:19 D:C, 34385 Şişli/İstanbul, Turkey"},"rating":{"rating":4.6,"google":4.7,"percent_of_satisfied_clients":87},"statistics":{"number_of_reviews":437,"doctors_number":189,"year_foundation":2000},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"International Organization for Standardization","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}},{"card":{"text":"Liv Bona Dea Hospital Baku is JCI-accredited and offers kidney transplants, nephrectomies, and dialysis services in its Nephrology department.
Liv Bona Dea Hospital Baku is a JCI-accredited hospital with 100% compliance. It is part of the Turkish Liv Hospital brand. The hospital specializes in heart surgery, plastic surgery, transplantology, and medical check-ups.
Dr. Nuran Burcu Arkali is a neurologist at Hisar Hospital Intercontinental in Istanbul. She specializes in electrophysiology and neurodegenerative disorders. Dr. Arkali completed a master’s program in electrophysiology at Istanbul University. She helped establish the neurology clinic and intensive care unit at Diyarbakir Training Hospital.
Hisar Hospital Intercontinental is a JCI-accredited multi-specialty hospital in Istanbul. It treats 250,000 patients each year. Its core specialties are oncology, hematology, cardiovascular surgery, orthopedics, and bariatric surgery.
Specialist Dr. Nurana Güller earned her medical degree and completed nephrology training at the Cerrahpaşa (Çapa) Faculty of Medicine, Istanbul University, a major academic center in Türkiye. She trained in a high-volume tertiary referral center. She contributed to multidisciplinary care for acute and chronic kidney diseases.
\nHer practice focuses on early CKD detection. She aims to slow progression and prevent complications. She has extensive experience in AKI management. She provides stage-specific treatment and long-term follow-up for chronic kidney failure. Her interests include hypertension, diabetic nephropathy, glomerulonephritis, UTIs, proteinuria, kidney stones, cystic diseases, dialysis, and transplantation.
\nDr. Güller practices at İAÜ Medical Park. She follows evidence-based, ethical, and patient-safety principles.
","specialities":[{"id":"nph.001","name":"Nephrologist","illness_kind_id":24}],"statistics":{}},"clinic":{"id":426,"alias":"hisar-intercontinental-hospital","name":"Hisar Hospital Intercontinental","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/426-6abe204028557.png","short_description":"Hisar Hospital Intercontinental is a JCI-accredited multi-specialty hospital in Istanbul. It treats 250,000 patients each year. Its core specialties are oncology, hematology, cardiovascular surgery, orthopedics, and bariatric surgery.
Dr. Izzet Yavuz is a faculty member at Dicle University. He specializes in pediatric dentistry and maxillofacial surgery. His work focuses on craniofacial malformations and cleft surgery. Dr. Yavuz also performs cosmetic facial procedures and head reconstruction at Lokman Hekim University Ankara Hospital.
Lokman Hekim University Ankara Hospital is a university hospital with 99.9% success rates in discectomy, brain tumor removal, and DBS. Its core specialties are neurosurgery, orthopedics, gastroenterology, and transplantology. It holds ISO certification and a government International Health Tourism Authorization.
Dr. Mesut Pekmez is a transplant surgeon at Lokman Hekim University Ankara Hospital. He specializes in kidney and liver transplants alongside complex gastrointestinal tract surgeries. Dr. Pekmez trained at Baskent University, a center known for pioneering transplantation in Turkey.
Lokman Hekim University Ankara Hospital is a university hospital with 99.9% success rates in discectomy, brain tumor removal, and DBS. Its core specialties are neurosurgery, orthopedics, gastroenterology, and transplantology. It holds ISO certification and a government International Health Tourism Authorization.
Dr. Mustafa Ozsoy is a transplant surgeon at Lokman Hekim University Ankara Hospital. He heads the Liver Transplantation Center at Ankara Yıldırım Beyazıt University. Dr. Ozsoy lead transplant units in both Turkey and Kyrgyzstan. He specializes in hepatobiliary surgery and complex organ transplantation.
Lokman Hekim University Ankara Hospital is a university hospital with 99.9% success rates in discectomy, brain tumor removal, and DBS. Its core specialties are neurosurgery, orthopedics, gastroenterology, and transplantology. It holds ISO certification and a government International Health Tourism Authorization.
Head of Nephrology at Quirónsalud Marbella – specializes in renal diseases linked to diabetes, including pioneering work with pancreatic islet transplants.
Dr. Alberto Maranes Antonanzas is a nephrologist at Quirónsalud Marbella in Spain. He was ranked among the best specialists in the country in 2023. Dr. Maranes Antonanzas has nearly 30 years of medical experience. He leads the Nephrology and Haemodialysis Unit at his clinic.
Quirónsalud Marbella is a JCI-accredited hospital in Spain's largest private hospital network. Its main specialties are plastic surgery and medical check-ups. Located on the Costa del Sol, it treats 30,000 patients each year.
Hemodialysis sessions are personalized by duration, ranging from 2 to over 4 hours. Dr. Farhad Shirinov, a nephrologist, provides care at the Liv Bona Dea Hospital Baku, part of the established Liv Hospital Group. The initial consultation and treatment start at approximately _offer_price_, requiring recent blood tests for assessment. The clinic's International Patients Services offers free airport transfers and language interpretation for a seamless experience.
","clinic_entity_text":"Liv Bona Dea Hospital Baku provides JCI-accredited dialysis services with flexible session durations. Hemodialysis may cost around $300–600 depending on treatment time, typically including the session, doctor consultation, airport transfers, and interpretation services. The hospital is part of the respected Liv Hospital Group with modern dialysis technology. Nephrologist Farhad Shirinov oversees treatments with transparent pricing and personalized care plans.
","package_price":600,"actual_price":600,"calculated_price":{"from":0,"to":0},"currency":{"code":"USD","symbol":"$","name":"Доллар","rate":1},"doctors":[{"id":5045,"name":"Farhad Shirinov","alias":"farhad-shirinov","photo":"doctor/6392bcdabce26","first_year_working":2003,"specialities":[{"id":"nph.001","name":"Nephrologist","illness_kind_id":24}],"statistics":{"review_count":0,"review_score":0}}],"clinic":{"id":3325,"alias":"liv-bona-dea-hospital-baku","name":"Liv Bona Dea Hospital Baku","short_description":"Liv Bona Dea Hospital Baku is a JCI-accredited hospital with 100% compliance. It is part of the Turkish Liv Hospital brand. The hospital specializes in heart surgery, plastic surgery, transplantology, and medical check-ups.
This package offers a range of dialysis modalities – bicarbonate, HDF online, and AFB-K with biocompatible membranes – for tailored treatment at about _offer_price_. The fee includes a required consultation with a nephrologist before starting sessions. Dr. Maria Doria provides care at the San Donato Hospital, an IRCCS Scientific Institute for Research and Healthcare. This research-driven facility in Milan is recognized among World's Best Hospitals and schedules sessions on patient-requested dates.
","clinic_entity_text":"IRCCS-accredited Policlinico San Donato Hospital offers dialysis at around $610 per session, including the procedure, erythropoiesis support, and anticoagulation. The clinic is recognized among World's Best Hospitals and maintains a 4.8/5 patient rating. Dr. Maria Doria specializes in dialysis therapy and chronic kidney disease management, providing personalized treatment plans. Initial consultation costs $240 before starting sessions.
","package_price":576,"actual_price":576,"calculated_price":{"from":0,"to":0},"special_price":{"expires":"2032-06-04T22:13:20.000+00:00","price_usd":0},"currency":{"code":"USD","symbol":"$","name":"Доллар","rate":1},"doctors":[{"id":7645,"name":"Maria Doria","alias":"maria-doria","photo":"doctor/663b4d6ac9c27","first_year_working":2001,"short_description":"Dr. Maria Doria directs the Nephrology and Dialysis Unit at San Donato Hospital in Milan. She oversees a unit that performs approximately 11,000 dialysis treatments every year. Dr. Doria specialize in clinical nephrology with a focus on conservative and pre-dialysis therapies. She works at a facility ranked among the World's Best Hospitals by Newsweek.
San Donato Hospital is an IRCCS-accredited cardiology and cardiac surgery center. It performs over 9,400 heart and blood vessel operations each year – the most in Italy. Core specialties include cardiology, cardiac surgery, arrhythmology, and rehabilitation.
This therapy helps purify blood when kidneys can\"t, using a machine to remove toxins and manage water balance.
"}}},"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":3,"days_in_country":10,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":2332}},"responsibleDoctor":{"id":7253,"alias":"gokhan-temiz","name":"Gokhan Temiz","photo":"doctor/65cc977a0034c","advisory_text":"Prof. Dr. Gökhan Temiz is a nephrologist specializing in kidney transplantation, dialysis, and glomerular diseases. He has published more than 60 scientific articles and is a member of the European Renal Association (ERA-EDTA).","linkedin":"https://www.linkedin.com/in/gökhan-temiz-4b02a9153/","specialities":[{"id":"nph.001","name":"Nephrologist","illness_kind_id":24}]},"direction":{"id":24,"name":"Nephrology","alias":"nephrology"},"illness_kind":{"id":24,"name":{"en":"Nephrology"}},"parsed_details":{"procedure_type":"therapy","fields":{"anesthesia":["none"],"back_to_work_days":{"min":0,"max":1,"unit":"days","qualifier":"Established patients can do desk work on non-dialysis days or the day after. New patients may need longer."},"complication_rate_pct":{"min":20,"max":40,"unit":"percent","qualifier":"Any session-related complication, mainly intradialytic hypotension and cramps; serious events such as access infection or bleeding are under 5%."},"contraindications":["No feasible vascular access for hemodialysis","Severe hemodynamic instability","Uncontrolled active bleeding or heparin contraindication","Severe allergy to dialyzer components"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Typical maintenance in-center hemodialysis session; no overnight stay. Acute kidney injury in hospital is a different scenario."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":2,"unit":"weeks","qualifier":"Light activity is fine early. Strenuous sport needs clearance; access arm restricted after new fistula surgery."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Symptom relief starts in early sessions; stable dry weight, blood pressure and clearance take months. Not a cure."},"fly_home_after_days":{"min":14,"max":28,"unit":"days","qualifier":"After initial sessions and stable dry weight; next sessions booked near home."},"follow_up_visits":[{"purpose":"assessment","requirement":"conditional","after":{"min":14,"max":42,"unit":"days","qualifier":"At home dialysis unit; early review of dry weight, blood pressure and prescription"}},{"purpose":"result_review","requirement":"conditional","after":{"min":28,"max":90,"unit":"days","qualifier":"At home dialysis unit, about monthly; blood tests and adequacy (Kt/V or URR)"}}],"indications":["End-stage kidney disease (kidney failure)","Severe acute kidney injury with hyperkalemia, acidosis or overload","Certain dialyzable poisonings or drug overdoses","Symptomatic uremia (e.g., pericarditis, encephalopathy, nausea) with advanced kidney failure","Refractory volume overload or uncontrolled hypertension due to kidney failure","Severe acidosis or electrolyte abnormalities unresponsive to medication"],"main_risks":["Low blood pressure during or after sessions","Muscle cramps, nausea, headache","Vascular access problems: infection, clotting, stenosis","Bleeding at needle sites","Fatigue and post-dialysis tiredness","Electrolyte or fluid imbalance","Cardiovascular events","Rare air embolism or allergic reaction to the dialyzer","Long-term: anemia, bone-mineral disorders, amyloidosis","Blood-borne infections, including bloodstream infection from a central venous catheter"],"pain":"Mild discomfort from needle insertion into the fistula or graft; the session itself is usually painless, though cramps may occur.","preparation":["Nephrology assessment and confirmation of the dialysis plan","Vascular access (fistula/graft) creation or dialysis catheter placement","Baseline blood tests and infection screening (hepatitis B/C, HIV)","Dietary and fluid guidance from a renal dietitian","Review of current medicines with the dialysis team","Weight and blood pressure check before each session","Shared choice of hemodialysis or peritoneal dialysis, with patient education","Dialysis prescription planning (dry weight, duration, dialysate, anticoagulation)"],"recovery_timeline":[{"phase":"During session (about 3-5 hours)","description":"Blood is circulated through a dialyzer to remove waste and excess fluid while vital signs are monitored.","restrictions":["Limited movement of the access arm"]},{"phase":"Immediately after session","description":"Needles are removed and pressure applied to stop bleeding; blood pressure and weight are checked. Fatigue is common.","restrictions":["No heavy lifting or access-arm pressure for hours","Avoid driving if dizzy"]},{"phase":"Between sessions","description":"Usual activities resume as energy allows, with fluid and diet restrictions and the next session usually 1-2 days later.","restrictions":["Follow fluid, potassium and phosphate guidance","Protect the access site"]},{"phase":"At any time","description":"Seek urgent care for access bleeding, fever, redness or pus, lost fistula thrill, chest pain, breathlessness or fainting. Never miss dialysis.","restrictions":[]}],"rehabilitation_days":{"min":0,"max":1,"unit":"days","qualifier":"Post-dialysis tiredness usually resolves within hours to the next day; daily activities resume between sessions."},"result_longevity":"Hemodialysis replaces kidney function only while treatment continues, typically three sessions weekly. It continues unless transplant, kidney recovery or a change in care goals occurs.","revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Vascular access needing intervention or replacement (stenosis, thrombosis) within first year; fistulas lower than grafts or catheters."},"scars":"Dialysis itself leaves no scar. Fistula or graft surgery leaves a small arm scar; tunneled catheters leave small neck or chest scars; needle marks may show over the fistula.","sessions_or_stages":{"sessions":{"min":12,"max":13,"unit":"visits","qualifier":"First four weeks at about 3 sessions per week."},"stages":[{"code":"initiation","label":"Initiation: first sessions, often shorter or gentler; provisional dry weight","after":{"min":0,"max":7,"unit":"days","qualifier":"From the first session"}},{"code":"stabilization","label":"Stabilization: adjust dry weight, session length, dialysate and therapies; first adequacy check","after":{"min":14,"max":84,"unit":"days","qualifier":"From the first session"}},{"code":"maintenance","label":"Ongoing maintenance: usually 3 sessions weekly of 3-5 hours, with regular monitoring","after":{"min":28,"max":90,"unit":"days","qualifier":"From the first session; no fixed end"}}],"qualifier":"Open-ended maintenance with no cure; session counts cover only the first 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