Hi, I've been working in at 24 chair Fresenius dialysis center for a couple of months now. One of the things that puzzles me is all of the stuff that we do that seems to have nothing to do with dialysis. I'm not sure why we do it. We are supposed to make most of if not all of their appointments with all of their doctors. They need their toenails cut, we call the podiatrist. I am supposed to dx their rashes? Oversee their constipation issues? What does this have to do with dialysis? Why doesn't it go through their family doctor? This is outpatient, not inpatient. Is this typical for outpatient dialysis? Just curious. Thanks.