Mr. K is a railroad conductor and currently works on a route between two major cities. The route requires him to be on the train for about six hours one way. He then has 24 hours off before repeating the route home, where he generally has the next two days off before repeating the sequence again. He has end-stage renal disease. Although he had been on peritoneal dialysis, he has recently switched to hemodialysis. He continues to have sufficient energy and feel well enough to work. In discussing the impact the change to hemodialysis will have on his current job situation, you would attempt to help Mr. K:

Question

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The best choice is to identify a dialysis center in both cities on either end of the train route which he could use. This would allow Mr. K to continue his current job and still receive necessary hemodialysis treatment. Skipping dialysis is not a safe option and going immediately on medical disability may not be necessary if accommodations can be made for his treatment. A desk job may not be feasible or desirable for Mr. K.

Mr K Is a Railroad Conductor and Currently Works on a Route