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NAVY VET OPTS FOR A FLEXIBLE DIALYSIS MACHINE FOR HOME

JULY 2023



SUMMARY

Along with a 240-pound weight loss, switching from NxStage to the Tablo dialysis
machine for home last year has made a big impact on Neil’s quality of life.



Neil and his wife of 35 years live in a rural suburb of St. Louis, MO. He
retired after a long career serving in the Navy and then as a federal police
officer. Three years ago, just as the pandemic hit, Neil weighed 440 pounds, his
kidneys failed and he was put on in-center dialysis. After discovering he had
options with his chronic kidney disease (CKD) treatment, he switched to home
hemodialysis.  

Having lost 240 pounds since starting dialysis and eliminating the need for
blood pressure and Type 2 diabetes medications, Neil has learned valuable
lessons about his choice of home dialysis machine. After using NxStage at home
for nearly two years, he switched to the Tablo® Hemodialysis System last year,
and has seen a huge impact on his quality of life.  


AN IN-CENTER START

Neil’s kidney disease journey began in 2013, when a severe case of benign
prostatic hyperplasia (also known as enlarged prostate) led to kidney damage,
progressing to kidney failure six years later. In 2019, a year prior to the
inevitable day when he would need to start dialysis, he had arteriovenous
fistula (AVF) surgery in his left arm. 

When seeing his nephrologist in June 2020, Neil found out that his lab numbers
were off the charts, and he needed to start dialysis right away. His overall
health wasn’t good, as he was carrying an enormous amount of water weight,
coming in at about 440 pounds. He had to face the reality of lifelong dialysis,
as he didn’t qualify for a kidney transplant due to his health issues.

“I came to the realization that I had a disease with no cure,” Neil says. “It
really opened my eyes, and I started learning as much as I could about kidney
disease and the different treatment options. I also asked a lot of questions,
which is something I strongly recommend to other new patients. Join groups on
Facebook, talk to other patients. I wish I would have done that sooner. I
thought I was mentally ready for dialysis because I did the fistula surgery, but
I definitely wasn’t. The first few times I went to the clinic I was scared to
death.”

--------------------------------------------------------------------------------


“I ALSO ASKED A LOT OF QUESTIONS, WHICH IS SOMETHING I STRONGLY RECOMMEND TO
OTHER NEW PATIENTS.”

Neil went to a dialysis clinic for his treatments three days a week, that was
about 10 miles from his home. He had considered peritoneal dialysis, but after
talking to patients using it, he decided that it would be too much for him. He’d
had both knees replaced, and is disabled with severe diabetic neuropathy from
Type 2 diabetes. He uses a mobility scooter to get around outside of his home,
and has handrails in his home and a stair lift to go into and out of the
basement.

Being that he began dialysis at the start of the COVID-19 pandemic, he really
didn’t want to be in a clinic environment with so many other patients. And,
after a couple of months, he was unsatisfied with the quality of care he was
getting. “It felt like an assembly line. Hurry up and get in here, so we can get
you out and turn your chair over to the next patient,” he says.

He switched to another clinic that was closer to his home that he liked much
better, including the staff and clinical director. He then heard that his
previous clinic was establishing a home hemodialysis training program. Neil
didn’t want to switch back to that clinic, but was intrigued with this concept
that he hadn’t heard about before: potentially managing his own dialysis at
home. It had only been six months since he started dialysis, but he told the
clinic staff he wanted to learn more and begin training to go home.

In December 2020, after six weeks of training on NxStage, Neil was using the
system at home. During his training he quickly learned how to cannulate himself
using the buttonhole technique.


A NEW DIALYSIS MACHINE FOR HOME

About a year later, in February 2022, his dialysis machine had mechanical issues
and he went 12 days without dialysis. He was also having trouble lifting the
heavy bags of dialysate required for his NxStage treatments because of his
mobility issues. He ended up in the hospital, and while receiving dialysis
there, a nurse commented that there was a new dialysis machine for home he
should check out, that makes its own dialysate on demand: Tablo.

Neil started researching Outset Medical and Tablo, and began working with his
nephrologist to convert over to the new system. Neil and his wife saw a Tablo
console for the first time when they went to a dialysis clinic to learn about
it, and a patient happened to be treating on a machine during their visit. 

“While a gentleman was having his dialysis, I was able to see Tablo in action,
and all the things it could do. I saw the touchscreen and the animations that
show step-by-step how to set up the machine, place the cartridge and fix any
alarms. Also, no more dialysate batching, and wireless connectivity to your care
team. Seeing what it could do in person had a big impact on me,” Neil says. He
and his wife as his care partner begin the brief training on Tablo soon after.

In August 2022, a Tablo console was delivered to Neil’s home. He treats four
days a week, about 3.5 hours each time, usually in the evenings after dinner.

“I can do treatments any time and work it around my schedule. It saves me a lot
of time because I’m not having to batch dialysate hours ahead of time. Whenever
I’ve had an issue with my machine, the Outset Medical team gets on it right
away.”

Neil says that in comparison to NxStage, the Tablo dialysis machine for home was
above and beyond a better experience for him. For one, NxStage supply storage
was a big issue in his home. “I was storing my hanging dialysate bags in our
living room, as we didn’t have any other space. It was a challenge. With Tablo
it’s so much better. My wife is happy as she has her living room back,” he says.


A BETTER LIFE AT HOME

Now, almost a year since he started on Tablo at home, he says he feels much
better. His weight is down to about 200 pounds, he’s able to get around easier
and no longer requires blood pressure or diabetes medication.

He also appreciates the convenience of being able to set up and start his
treatments on Tablo quickly. “From the time I walk in the door from running
errands until I’m doing treatment, set up is only about 20 minutes. It’s a piece
of cake. Although my previous dialysis machine for home helped me live, my life
on Tablo has been so much better than my first two years on home dialysis.”

--------------------------------------------------------------------------------


“ALTHOUGH MY PREVIOUS DIALYSIS MACHINE FOR HOME HELPED ME LIVE, MY LIFE ON TABLO
HAS BEEN SO MUCH BETTER THAN MY FIRST TWO YEARS ON HOME DIALYSIS.”

“It’s the little things that make Tablo such a better home system in my
experience, and I want other patients to know the difference,” he continues. “It
eases a lot of the pressure that’s on you. I don’t have to search for two clamps
to undo, and thankfully there are no heavy bags to hang. If you need to do a
manual blood return, it’s not a strain. You just use the hand crank, which makes
it so much easier. Instructions on the touchscreen walk you through every
step.”  

Neil says that it’s so important for chronic kidney disease patients to learn as
much as they can about their options so that they can make the choice that works
best for them and their lifestyle. “You’re in total control, and in my opinion
the more you know the better off you are.”

* Tablo Hemodialysis System Disclaimer:

Results may vary. Keep in mind that all treatment and outcome results are
specific to the individual patient. Please consult your physician for a complete
list of indications, warnings, precautions, adverse events, clinical results,
and other important medical information. It is important that you discuss the
potential risks, complications, and benefits of this product with your doctor
prior to receiving treatment, and that you rely on your physician’s judgment.
Only your doctor can determine if home dialysis is suitable for you, and if you
are a suitable candidate for treatment with the Tablo Hemodialysis System.

DOC 1891-V1 (V1.1)


Back To Top


TABLO COORDINATORS PROGRAM

This two-day comprehensive program, facilitated by Outset’s experienced dialysis
professionals, provides the experiential support needed to grow clinical
knowledge. Through a mix of educational modules and hands-on training,
participants gain confidence utilizing Tablo and mentoring other nurses. 

This course is open to any nurse, following completion of prerequisites like
Tablo basic system training and e-learning modules, as well as experience
performing treatments on Tablo.

Participants receive a certificate of completion, four contact hours and join a
cohort of hundreds of certified Tablo Coordinators across the country with whom
they can continue to share knowledge and best practices.


EMR CONNECT

Designed to streamline dialysis workflows from charting to billing, EMR Connect
brings data together so it can be managed more efficiently and reliably.

Through a secure and encrypted integration, Tablo sends 70+ treatment fields,
real-time updates and event-based alerts to the compatible EMR platform to
automatically chart the dialysis results of patients.

EMR Connect integrates with many EMR platforms, including Epic, Meditech, Gaia,
and more. Learn more about the benefits and technical capabilities (HL7v2 or
APIs) by contacting us.

 


DISCOVER DIALYSIS

Discover Dialysis is an online program created by experienced dialysis
professionals, designed to establish clinical knowledge and practice needed to
run a successful dialysis program. Participants are assigned modules in Outset
University, accessible via TabloHub, which they have 60 days to complete. Upon
completion of the program, participants receive a certificate of completion and
17 contact hours.


VASCULAR ACCESS PROGRAM

The Vascular Access Program is designed to help establish staff experience in
cannulation and vascular access management to get dialysis services up and
running. 

Facilitated by experienced dialysis professionals, this day-and-a-half
comprehensive program provides the hands-on support needed to grow clinical
knowledge and practice. The program includes an online preparatory module, one
day of didactics and a half-day of hands-on training, where participants learn
how to cannulate using artificial arms. Participants receive a certificate of
completion and are awarded 10 contact hours.


DESTINATION HOME

Recent technological advancements, changes in reimbursement policies, and
increased clinical evidence suggest that hospitals and health systems can
enhance the value of their services by providing comprehensive care to dialysis
patients. This includes care in hospital settings, outpatient clinics and in
patients’ homes.

To assist organizations in capitalizing on this opportunity, a set of
customizable solutions called Destination Home has been developed. This offering
includes project management, accelerated accreditation, and tele-nephrology
support, all aimed at addressing common challenges and facilitating successful
implementation of outpatient services. If limited staff resources or lack of
experience with regulations, policies, or procedures are hindering your ability
to expand outpatient services, Destination Home can help.


BRIDGE PROGRAM

Designed for facilities that are transitioning from an outsourced dialysis
provider to owning their own dialysis service line, the Bridge Program fills
common staffing and expertise gaps while putting the new dialysis program on a
path to self-sufficiency. 

Outset dialysis nurses, all experts on Tablo, join your staff full-time for 4-13
weeks, providing support, supervising treatments, answering clinical questions
and helping with hands-on skills training. Different from a staffing agency,
this program provides a safety net during that critical early transition stage.


TABLO E-LEARNING

All Outset customers receive access to TabloHub, which includes the assignment
of e-learning training modules to support Tablo system training. With
assessments at the end of each module, Tablo e-learning modules are the perfect
accompaniment to a successful Tablo program – from pre-launch to implementation
to program expansion.


SERVICE & SUPPORT

Every customer has their own unique set of needs and capabilities, so Outset
offers differentiated service agreements that are designed to meet the needs of
each account. Through a combination of planned maintenance, on-site responsive
support, after-hours labor, phone support, software updates and online
resources, Outset’s experienced and highly trained field service engineers and
technical support team members help each customer get the most out of their
Tablo program. 

With Outset, customers get fast, reliable service coverage from a dense support
network across the U.S., as well as 24/7 phone support, logistics capable of
same-day and next-day parts delivery, and a U.S.-based technical support center
that can remotely identify and resolve issues and upgrade software over-the-air.



At Outset Medical, we seek to engage candidates in a transparent manner. We
know, however, that scammers may pose as potential employers seeking to fill a
position to obtain peoples’ personal information or to steal money. While we
cannot control the actions of these bad actors, we have provided the following
information about our hiring practices to help you determine whether you are
being contacted about a legitimate job opening at Outset Medical.

 1. With very few exceptions, we do not contact individuals for jobs that we do
    not have listed on our career website.
 2. We will never ask you to provide us with money to complete the application,
    interview or onboarding process.
 3. We do not send candidates money during the application, interview or
    onboarding process. The only exception is if you incur reimbursable expenses
    in connection with attending an on-site interview, such as airline tickets,
    parking expenses and similar expenses. Expenses are reimbursed after they
    are incurred.
 4. While we may communicate with candidates over emails or chat (such as
    recruiting platform messaging capabilities) for purposes of determining a
    candidate’s interest in applying to a certain position of scheduling
    interviews, we do not conduct our interviews via chat.
 5. We do not ask job candidates to send us their credit reports.
 6. We do not ask our candidates to provide us with account numbers, social
    security numbers and other similar information over email or messaging
    services. Where such information is needed, we provide our candidates with
    applications that have features that are designed to protect the
    confidentiality of their information.
 7. We do not ask our candidates to install any software as part of our
    interview process.

If you have been contacted by someone about a position at Outset and you would
like to confirm whether the outreach is legitimate, please contact us at
peopleops@outsetmedical.com.

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