Dialysis Treatment in Burlingame, Daly City, and San Mateo County | Dr. Leena Joshi, MD
Last reviewed by Dr. Leena Joshi, MD on June 2026
Dialysis is a medical treatment that filters waste products and excess fluid from the blood when the kidneys can no longer perform this function adequately. Dr. Leena Joshi provides comprehensive dialysis care in Burlingame, Daly City, and San Mateo County, helping patients understand dialysis options and select the treatment approach that best fits their lifestyle, medical needs, and personal preferences. Dr. Joshi guides patients through in-center hemodialysis, home hemodialysis, and peritoneal dialysis options.
What is dialysis?
Dialysis is a life-sustaining treatment that does the work healthy kidneys normally do. When kidneys fail or lose most of their function, they cannot remove waste, salt, and extra water from the body. Dialysis performs this filtering process artificially. There are two main types of dialysis. Hemodialysis uses a machine to filter blood outside the body. Peritoneal dialysis uses the lining of the abdomen to filter blood inside the body. Both types can be effective, but they work differently and fit different lifestyles. Some patients may do dialysis at a medical center, while others can perform treatments at home. The choice depends on medical condition, lifestyle, and personal preference. Dr. Joshi helps patients in Burlingame, Daly City, and San Mateo County explore all available dialysis options to find the right fit.
Signs and symptoms
- Severe fatigue and weakness that interferes with daily activities
- Swelling in the legs, ankles, feet, or face due to fluid retention
- Shortness of breath from fluid buildup in the lungs
- Nausea, vomiting, and loss of appetite
- Confusion or difficulty concentrating
- Persistent itching throughout the body
- Changes in urination patterns or decreased urine output
How Dr. Joshi manages dialysis
Dr. Joshi takes a personalized approach to dialysis care, recognizing that each patient has unique medical needs and lifestyle considerations. During the initial consultation, Dr. Joshi performs a comprehensive evaluation of kidney function and overall health status. Dr. Joshi then discusses the various dialysis options available in Burlingame, Daly City, and San Mateo County, including in-center hemodialysis, home hemodialysis, and peritoneal dialysis. For in-center hemodialysis, patients typically visit a dialysis center three times per week for treatments lasting three to four hours. Home hemodialysis may offer more flexibility with more frequent, shorter sessions. Peritoneal dialysis can be performed at home daily, often overnight while sleeping. Dr. Joshi explains the benefits and considerations of each option, helping patients understand how different dialysis modalities may fit their work schedules, family responsibilities, and personal preferences. Dr. Joshi coordinates with dialysis centers, provides ongoing monitoring, and adjusts treatment plans as needed to optimize outcomes and quality of life.
When to see a nephrologist for dialysis
- Your primary care doctor has told you that your kidney function is declining significantly
- You have been diagnosed with stage 4 or stage 5 chronic kidney disease
- You are experiencing symptoms of kidney failure such as severe swelling or confusion
- You want to learn about dialysis options before treatment becomes urgent
- You are currently on dialysis and want a second opinion or different treatment approach
- You are interested in home dialysis or peritoneal dialysis options
Frequently asked questions
What are the main dialysis options available in San Mateo County?
The main dialysis options include in-center hemodialysis at a dialysis facility, home hemodialysis performed at your residence, and peritoneal dialysis done at home. Dr. Joshi can help you evaluate which option may work best for your medical condition and lifestyle.
How long does each dialysis treatment take?
In-center hemodialysis typically takes three to four hours per session, three times weekly. Home hemodialysis schedules vary but may involve shorter, more frequent sessions. Peritoneal dialysis exchanges usually take 30 to 40 minutes and are done multiple times daily or overnight with a machine.
Can I travel while on dialysis?
Yes, many dialysis patients can travel with proper planning. In-center patients can arrange guest dialysis at facilities in other locations. Home dialysis and peritoneal dialysis may offer more travel flexibility since equipment can often be shipped to your destination. Dr. Joshi can provide guidance for travel planning.
Is home dialysis safe?
Home dialysis can be safe and effective when patients receive proper training and follow protocols carefully. Dr. Joshi provides thorough education and ongoing support for patients choosing home hemodialysis or peritoneal dialysis. Your physician will determine if you are a suitable candidate for home treatment.
How do I choose between hemodialysis and peritoneal dialysis?
The choice depends on your medical condition, lifestyle, manual dexterity, home environment, and personal preferences. Dr. Joshi discusses the advantages and considerations of each option during consultation, helping you make an informed decision that aligns with your individual circumstances and goals.
Will I need dialysis for the rest of my life?
Many patients remain on dialysis long-term, though some may be candidates for kidney transplantation. Dr. Joshi can discuss whether transplant evaluation may be appropriate and coordinate care accordingly. Some patients with acute kidney injury may recover kidney function and discontinue dialysis.
Dr. Leena Joshi, MD, offers expert dialysis care at two convenient locations: 1750 El Camino Real, Suite 301, Burlingame, CA and 1800 Sullivan Avenue, Suite 507, Daly City, CA. To discuss dialysis options and receive personalized nephrology care, call (650) 355-5551 to schedule a consultation.
This page is for general education and is not a substitute for medical advice. Always consult your physician about your specific situation.
Medically reviewed by Leena Joshi, MD.