For some patients with advanced chronic kidney disease (CKD) or end-stage kidney disease (ESKD), active medical management can offer better quality of life than dialysis or kidney transplantation without necessarily compromising life expectancy. Yet conversations on whether to forego or withdraw from other treatment options can be challenging for patients and clinicians. In this episode of Kidney Health Connections, Dr. Bobby Muthalaly, president of Kidney Care of Oklahoma, sheds light on this often-overshadowed topic to help other healthcare professionals better support their own patients through these complex and deeply personal care decisions.

Dr. Muthalaly shares how his practice assesses patient needs and initiates thoughtful, compassionate discussions about modality options that honor the patient’s preferences and circumstances. He emphasizes the importance of trust, early engagement with patients, and involving families in shared decision-making.

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