My Wife Has ERSD, And Is On Dialysis, She Is

My wife has ERSD, and is on dialysis, she is having overlapping symptoms between CKD Low blood pressure, anemia issues. As well as reaction to dialysis. Along with MDD issues. question it takes 20 days to for her to see her primary care DR. Traditionally she stops taking meds and health issues goes down hill and we go back to ER before seeing primary care Dr. How can this cycle be stoped