Living with dialysis

The background behind MAVTG's dialysis travel service: how dialysis and chronic kidney disease work, what treatment really takes from you, Michael's own story, what to know about supplements, and where to find help.

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Understanding Dialysis and Chronic Kidney Disease

What it is, how it works, and what no one tells you until you're already in the chair.

What It Is
Your Kidneys, Replaced by a Machine

Hemodialysis filters your blood through a machine when your kidneys can no longer do it — removing waste, excess fluid, and toxins that would otherwise accumulate to fatal levels. At Stage 5 CKD, it is not optional. It is the difference between life and death.

The Schedule
Three Times a Week, Every Week

Most in-center hemodialysis patients treat Monday/Wednesday/Friday or Tuesday/Thursday/Saturday — three to four hours per session. That schedule does not pause for holidays, travel, or inconvenience. Everything else in your life bends around it.

Access
Fistula, Graft, or Catheter

Your vascular access is your lifeline. A fistula (surgically connected artery and vein) is the gold standard — lower infection risk, longer lifespan. A graft uses synthetic tubing. A catheter is inserted directly into a large vein — more portable but higher infection risk. Access type affects what you wear, how you move, and how you travel.

Labs
Numbers That Tell Your Story

Kt/V measures dialysis adequacy — goal is 1.4 or above. Phosphorus, potassium, hemoglobin, and albumin are reviewed monthly. These numbers are not abstractions. They tell you whether dialysis is working, whether your diet is killing you slowly, and whether your body is fighting or surrendering. Ask your team to explain every single one.

Transplant
The Goal Behind the Chair

Dialysis is life-sustaining — not a cure. A kidney transplant is the only path off dialysis. Waitlists vary dramatically by state and blood type. I chose Florida over California specifically for a shorter average wait. Stay compliant, stay listed, and keep living fully while you wait. The call can come any time.

The Signs I Missed

For years my body was signaling. I ignored every one. Stage 5 CKD is what happens when you wait too long.

Extreme Fatigue

Tiredness that rest never fixes — your kidneys aren't filtering waste and your body runs on fumes.

Swollen Legs & Ankles

Fluid buildup because damaged kidneys can no longer regulate fluid balance.

Foamy Urine

Protein leaking into urine — a direct kidney distress signal called proteinuria.

Nighttime Urination

Waking multiple times overnight — an early sign that kidney function is changing.

High Blood Pressure

Kidneys regulate blood pressure — damage shows up as stubborn hypertension.

Deep Back Pain

Not muscle pain — a dull ache near the kidneys, below the ribs on either side.

Metallic Taste

Waste accumulating in the blood affects how food and water taste. Most people blame stress.

Brain Fog

Difficulty concentrating — toxins your kidneys should clear are circulating in your bloodstream instead.

If you recognize three or more of these — talk to your doctor today. I recognized all eight and told myself it was just stress. I was wrong.

The Road That Led Here

Every milestone is real. This is not a brand story — it is a medical record dressed in racing stripes.

Age 44
Full Speed Ahead

Racing 8-second quarter miles. Featured in Drag Racer Magazine. Running an IT security career and a performance shop simultaneously — and ignoring every warning my body was sending.

The ICU
Everything Changed

Stage 5. "I woke up and everything had changed." No more racing. A new reality — three chairs a week, every week, for the rest of my life.

The Decision
California vs. Florida

California: a 10–12 year transplant wait. Florida: 5–6 years. I sold everything I owned, down to a few keepsakes, and moved south. Gave up the life I built to buy time for the life I wanted.

The Chair
Where MAVTG Was Born

Three days a week. Every week. Blood type B+, on the TGH waitlist since August 2025. I built MAVTG in that chair. Wrote the book in that chair. Still in that chair — still waiting for the call.

The Mission
Purpose from Pain

MAVTG exists so dialysis patients don't have to stop living. Travel. Move. Explore. The logistics are real — and we handle every one of them so you don't have to.

What dialysis really takes from you.

Let me tell you what most people never see.

I am on dialysis. Three times a week, I sit in a chair for hours while a machine does the work my kidneys can’t. I’m on the transplant list. I manage a family, a company, and a life from Tampa — in the hours between sessions. And I built MAVTG because I know exactly what happens to a person’s world when their body puts them on a schedule they never chose.

Dialysis doesn’t just tie you to a machine. It ties you to a place. A standard patient needs treatment every two to three days, at a specific center, with a specific team. Miss it, and you don’t just feel bad — you get dangerously ill. So the moment you start dialysis, an invisible fence goes up around your life. The wedding in another state. The grandchild’s birth across the country. The trip you always promised yourself. All of it quietly slips out of reach, because arranging treatment somewhere else feels impossible.

And here is what almost no one tells you: it doesn’t have to be impossible. Dialysis centers exist in nearly every city. Patients have the right to travel and be treated away from home. But the coordination — finding a chair at your destination, confirming your insurance, handling the flights and the transfers, managing the timing — is a maze most people give up on before they even start. Not because they don’t want to go. Because no one ever showed them the way.

I’ve sat in that chair and watched people around me shrink their own lives down to the size of a treatment schedule. Good people. People with family who love them and places they still dream of seeing. They stopped dreaming because the logistics beat them. That is the problem MAVTG and The Moore Foundation exist to solve — and it is a solvable problem. That’s the part that keeps me going between sessions.

"There's a difference between staying alive and living. Dialysis kept me alive. It shouldn't get to decide whether I live."
Michael Moore — Founder
"Six years in that chair taught me the treatment doesn't stop, but it doesn't have to shrink the rest of your life either."
Michael Moore — Founder, MAVTG

The Full Story Is in the Book

I Missed the Signs by Michael Moore — book cover

45,000 words. Every decision, every warning I ignored, every moment of clarity. I Missed the Signs is the book I wish I had before the diagnosis — written for anyone living in the shadow of kidney disease.

Natural Supplements & CKD

What patients are asking about, what the evidence says, and what you must discuss with your nephrologist before taking anything.

Medical disclaimer: This section is for educational purposes only. Dialysis patients have significantly altered kidney clearance. Many supplements that are safe for the general population can cause dangerous potassium, phosphorus, or fluid buildup in ESRD patients. Never add or remove any supplement without written clearance from your nephrologist and dialysis care team.

Omega-3 Fatty Acids
Generally Studied

Fish oil has been studied for kidney health and inflammation. Some research supports modest benefits for cardiovascular protection in CKD patients. Dosage matters — high doses can affect platelet function. Ask your team about blood-thinning interactions.

Always verify with your care team
Coenzyme Q10 (CoQ10)
Under Research

Dialysis patients often show low CoQ10 levels due to oxidative stress. Early research suggests potential benefit for energy and cardiovascular function. Generally considered lower-risk for ESRD patients, but evidence is not yet conclusive.

Discuss dosage with your nephrologist
Vitamin D3
Often Prescribed

CKD patients commonly have severe Vitamin D deficiency because damaged kidneys cannot activate it properly. Your center likely monitors your levels monthly. Many patients are prescribed active Vitamin D (calcitriol) directly. Do not supplement independently — your levels must be tracked.

Monitor levels monthly — do not self-supplement
Astragalus
Requires Caution

An herb studied in some Asian research contexts for kidney protection. Limited high-quality evidence in Western literature. Some formulations may affect immune function, which is a concern for transplant candidates. Avoid without explicit nephrologist clearance.

High caution — transplant candidates especially
Vitamin C
Strictly Limited

High-dose Vitamin C can cause oxalate accumulation in dialysis patients, which is dangerous. The kidneys normally clear oxalate — yours cannot. Low-dose supplementation (60–100mg/day) is sometimes used to compensate for dialysis-related losses, but only under supervision.

High doses are dangerous for ESRD patients
Herbal Teas & Tonics
Often Overlooked Risk

Many herbal teas — noni juice, star fruit, licorice root, herbal kidney "cleanses" — are actively toxic for dialysis patients. Noni juice and star fruit in particular can cause neurological toxicity in ESRD. Anything marketed as a "kidney cleanse" should be avoided entirely.

Kidney cleanses are dangerous — avoid entirely