 I am Dr. Vishwanath, consultant aphrologist and HOD aphrology. I am working at Manipal Hospital, Bangalore. As the kidney disease progresses from stage one to the later stages, if it continues to be person, then beyond stage four we have to manage them with medications, manage them with a diet which is very specific for kidney so that we can prevent further progression like reduced salt intake, reduced fluid intake if they have a lot of edema, lot of breathing problems, if you have any heart problems get it treated. So unless we do all these things, we cannot manage them. As they go on to progress to very late stages, unfortunately we cannot manage with medications, we have to consider doing either dialysis or transplant. Dialysis could be life saving in any emergency situation when somebody has severe kidney disease. Dialysis is the only thing which saves them from having major catastrophe in the family.