email article "I work with three different chains -- American Renal Associates, DaVita, and U.S. Renal Care -- and none of them had good water pressure to dialyze in their units," said Mahendra Agraharkar, MD, medical director at those clinics in suburbs around Houston. "It really taxed our healthcare system so much." After a week of outages in some areas, nearly all facilities are back to regular dialysis schedules. "Everything was business as usual as of this Monday," said Ramiro Saavedra, RD, LD, a dietitian at a DaVita facility in Houston. Dialysis units are still working through a lot of fluid overload and likely will be for months, noted Faith Story, LMSW, U.S. Renal's regional lead social worker for the Texas Gulf Coast and an ambassador for the American Kidney Fund (AKF).