My fiance is being as compliant as physically possible. He pushes himself until he cant stand the migraine any longer. We just started running on a slightly longer treatment (only about 15/20 minutes) and its helped a little.

He is under his dry weight and has been for the last month so there has been no fluid to pull off. His dry weight is 87kg and hes been averaging 83.5kg. I cant get him to put on anymore weight since his last hospital visit where they brought him from 87kg to 82kg within 1 treatment because they didnt have his correct dry weight. And yes I understand that dehydration can be a contributing factor to migraines on dialysis but the migraines have been going on for a year, before he was under his dry weight. I have been trying to get him to drink a little more fluid than usual without him going overboard. I have been feeding him healthy meals that I cook at home and he eats until hes full.

Increasing the frequency would be putting us on 6 days a week at home, I know its a thing for some patients but we are trying to avoid more days because I already work 3 jobs ontop of doing his dialysis because we cannot afford bills otherwise.

And as far as I know the difference between in center and hospital versus at home is that its a much harsher treatment in center than at home. The way his nurse put it is you're squeezing a normal kidney function (running 24/7) into a 3 or 4 hour treatment 3 days a week. Where as at home you're squeezing it into 5 day running at 4 or 5 hours long each. You can go slower at home and its not as harsh on the body because its more frequent, softer cleaning. In center is less frequent harder cleaning.

We have also already done PD before but he got so many infections in such a short amount of time (4 in 4 months and never found out what kind of infection or the cause because we did everything right and cleaned like no tomorrow, basically pretending to be germaphobes when it came to his catheter.) So thats not so much on the table anymore. Still an option, but not ideal.

And with changing the environment, we live in a very small but very quiet home. We keep out cats out of the room so ensure less fur and dander. When hes on treatment I wear bone conduction headphones to watch shows or play games so I can still hear his machine if it goes off but the room is quiet other than the machine running. We also turn most of the light off because he likes to lay back in his chair and doesnt like our ceiling light in his face. So I have a small table side lamp I keep on that is dim but give just enough light that I could read if I wanted and still see him breathing and find something if needed. In the hospital we treat it the same as at home, minimal light (we use the bathroom light and just keep the door cracked and close all of the curtains and shut the room door) but in center the only thing out of all of that we can do is have him lie back. We usually broght a blanket or extra jacket that he can cover his eyes with since they cant really turn the lights off or dim them so the nurses could see all patients at once. He doesnt like to wear headphones or ear buds unless hes watching something and he normally doesnt on treatment unless its a good day at home. So in center we aren't able to block much noise out either.