Discontinuation of Hemodialysis After 8 Years in Favor of Toprak’s Kidney Care in a Patient with End-Stage Kidney Disease

25 April 2021: Articles

Unusual clinical course, Unusual setting of medical care

Omer Toprak ^A* , Emel A. Bozyel ^B , Burak Alp ^B , Ali Kirik ^A

DOI: 10.12659/AJCR.930857

Am J Case Rep 2021; 22:e930857

Table 2. Educational activities, lifestyle changes, and important nutritional habits of the patient.

	Start of HD	Start of kidney care	HD decreased to 2×/week	HD decreased to 1×/week	HD stopped	HD restarted	HD increased to 3×/week
Date (day/month/year)	8/7/06	9/10/12	15/5/13	10/6/13	9/7/14	18/5/15	18/3/19
HD schedule, weekly sessions/session duration, in hours	3/4	3/4	2/4	1/4	0/0	1/4	3/4
Patient/caregiver education seminar	−	+	+	+	+	+	+
Spiritual and motivational therapies	−	+	+	+	+	+	+
All visits by the same nephrologist	−	+	+	+	+	+	+
Obtaining approval for all drugs	−	+	+	+	+	+	+
Smoking or alcohol intake	+	−	−	−	−	−	−
Exercise, minutes/day	5	30	45	45	45	30	30
Sleeping, hours/day	6	7	8	8	8	8	8
Siesta, sunbathing, walking barefoot	−	+	+	+	+	+	+
Sweat therapy, 60 minutes/week	−	+	+	+	+	+	+
Protein intake, g/kg/day	NA	1.2	1	0.9	0.8	0.9	1.2
Calorie intake, kcal/kg/day	NA	35	35	30	30	30	35
Homemade yogurt, 35 g/day	+	+	+	+	+	+	+
Apple or jujube vinegar, 3 mL/day	−	+	+	+	+	+	+
Special white sauerkraut, 30 g/day	−	+	+	+	+	+	+
Kefir, 100 mL twice/week	−	+	+	+	+	+	+
Alkaline water, mL/day	750	1500	1500	1500	1500	1500	1000
Mineral water, fizzy drinks	+	−	−	−	−	−	−
High salt intake, >4 g/day	+	−	−	−	−	−	−
Processed, frozen, or canned meats	+	−	−	−	−	−	−
Zizyphus jujuba, 60 g/day	−	+	+	+	+	+	−
Unsalted pumpkin seeds, 10 g/day	−	+	+	+	+	+	+
Boiled and poured vegetables	−	+	+	+	+	+	+
White bakery products, raw greens	+	−	−	−	−	−	−
Unsalted, siyez bread, 56 g/day	−	+	+	+	+	+	+
Black seed oil, 2 g/every other day	−	+	+	+	+	+	−
^* 1 serving/day of any of the following: spinach, leek, zucchini, artichoke, broccoli, cabbage, celery, or okra. NA – not available.