How would you approach a patient with ESKD on HD who denies a history of abdominal hernias but lifts heavy objects daily as part of work requirements and is desiring to transition to PD?  

As a general rule, I instruct patients to lift no more than 15 pounds while they have fluid in the abdomen. Therefore, this patient would need to remain dry during work hours. The ability of a patient such as this to successfully perform PD will depend on his/her muscle mass and residual kidney func...