Peritoneal Dialysis in the Year 2010: We Should Begin to Think in Terms of the Last May, we celebrated the thirteenth anniver- KTN of the Spiritual Parts of Technology sary of our CAPD program. It is a unique experience. At the beginning, our focus w on as Editar: the darkness of the peritoneal cavity and its I enjoy your editorials and am frequently tremendous potential for dialysis. Thirteen years tempted later, our focus is on the light and shadows of the to comment on your ideas. For instance, spiritual odyssey of our patients, their families, "Peritoneal Dialysis Year 2010" (1) is extremely and those who take care of them. interesting, and I have thought a lot about the Thank you, Dr. Oreopoulos, for your problem of defining "quality oflife" and of stimulating editorial. concurrent rehabilitation. Life without dialysis is J. Grunberg a tough challenge, and we are managing patients with many basic problems under conditions of extreme difficulty. How can we talk about quality General Secretary Latin American Society of Downloaded from www.pdiconnect.com by on April 10, 2009 of life in such patients? Pediatricians like me have additional problems Pediatric Nephrology that arise from the quality oflife of the young Montevideo, Uruguay parents of our patients. Some of them are still REFERENCES learning to cope themselves. After having analyzed your paper I have concluded that peritoneal dialysis in the year 2010 1. Oreopoulos DG. Peritoneal dialysis-year would be set in a very different world, one with 2010. Perit more iniquities between rich and poor, with a Dial Int 1996; 16:109-12. dramatic decline in solidarity, an increase in unemployment, and with more efficie nt corporations and industries-but a world in which ordinary people have less opportunity to participate in the benefits of this efficiency. Regarding your reference to the Internet, I believe we have quicker and cheaper ways of communicating, that is, through our souls. However, it will take time and care to build this basic means of communication between human beings. I believe that we should begin to think in terms of the KTN of the spiritual parts of technology and the lives of sick and healthy people. Finally, I was intrigued by the futility of some of our contemporary approaches to the treatment of these patients. In developing countries we have an additional problem: many practitioners add "orna mental" prescriptions that embellish the individual mana gement but do not benefit the patient in any way. The pharmaceutical industry plays an important role in such misinformation.
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