Treatment of the patient with uremia by hemodialysis has evolved from the use of a clumsy, complicated piece of apparatus requiring the constant supervision of a physician to a point where the patient may safely utilize the procedure himself unattended and in his home. Elsewhere in this issue (p 92) Rae and his associates describe their experience with a home-dialysis program based in a community hospital. Their experience is characteristic of the way this procedure can and should be accomplished.
The aim of chronic hemodialysis is to rehabilitate the patient. This being so, it follows that the procedure should be done on an ambulatory basis, associated as little as possible with the atmosphere of the acute hospital. This spares the patient the psychologic disadvantage of being treated in an area with severely ill patients, and it allows highly trained medical personnel to concentrate their efforts upon more acute problems. Furthermore,