Conversation: The conversation between human and AI assistant.
[|Human|] Dear sir, i am from bangladesh.my aunt is suffering from CKD. her creatinine level is 13mg/ml. and the ultrasonography report says Bilateral renal parenchymal disease. what is the best treatment? kidney transplant? Have any good hospital in kolkata,India? what will be the cost?
[|AI|]  The best treatment available is renal transplantation. Living donor renal transplant is superior to cadaver transplant action. If no living donor are available u have to enroll in cadaver program waiting list. Untill then she has to be dialed. The first step you have to take is to have an AV FISTULA access created for her for maintenance hemodialysis. It matures in 6 weeks. Then u can think about renal transplantation because u cannot predict when she may become breathless and unstable. Better to start her on hemodialysis before she is breathless.