You are correct that you have very complicated health issues. I cannot recommend medical treatments without performing a complete history and physical examination. I do recommend that you continue follow up with your nephrologist and ask questions about your disease and treatment. There are several good dialysis education programs that you could attend for education about dialysis. I suggest that you ask your nephrologist about attending a pre-dialysis education program. You can also go to our web site and learn about chronic kidney disease (CKD) and dialysis. I suggest you visit our web site at: https://www.kidney.org/kidneydisease/
You may need to have your primary care physician (PCP) coordinate consults between your nephrologist and your cardiologist so as to get maximum information about your kidney disease and heart disease.