Dear Doctor: She's had 2 kidney transplants and now has ovarian cancer — her dialysis options are running out

A 44-year-old patient faces severe health challenges after two failed kidney transplants and a diagnosis of ovarian cancer. These complications have significantly limited her dialysis options. While peritoneal dialysis is being considered as a potential path toward regaining independence, extensive surgical scarring from a previous hysterectomy and other procedures may obstruct this treatment. The family is now seeking medical guidance to determine if there are viable ways for the patient to recover her quality of life.