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﴿ فَاسْأَلُوا أَهْلَ الذِّكْرِ إِن كُنتُمْ لَا تَعْلَمُونَ ﴾

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A man performs kidney dialysis before Maghrib, which lasts 4 hours, and he prays Maghrib and 'Isha' on his bed while the dialysis is ongoing!

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Question:
He says: Honorable Shaykh, may Allah grant you success. A man undergoes kidney dialysis in the hospital. It has been eight months, and the dialysis starts before the Maghrib prayer and lasts four hours. For the past eight months, he has been combining the Maghrib and 'Isha' prayers, praying on his bed, with his hands connected to the blood lines that take blood out of and put it back into his body. His question is: Is his prayer during this period valid or invalid? Sometimes the bed faces the qiblah, and sometimes it does not. What should he do if his prayer is invalid?

Answer:
The common people are afflicted in that they do not ask; they just pray without inquiring about this. It is not permissible for him to pray while he is in the state of dialysis because he does not have wudu'. Something enters his body and comes out, so he does not have wudu' in this state. He does not have to pray immediately; he should intend to delay the prayer and combine it as a delayed combination.
If the dialysis starts before the time of the Zuhr prayer, for example, he should intend to delay the prayer. Then, when the dialysis ends, even if it is at the very end of the second time, meaning even before the sun sets, he prays Zuhr and 'Asr as a delayed combination. And if the dialysis starts before Maghrib, he intends to delay Maghrib and combines it with 'Isha', even if it is before the dawn breaks.
He should not pray during the dialysis; this is not permissible because he is not in a state of ritual purity, and he is not facing the qiblah either, so he delays the prayer. However, if it is the opposite, and the time of the first prayer enters before the dialysis starts, meaning the time of the first prayer enters before the dialysis, then he combines them as an advanced combination, bringing the second prayer forward with the first, and combines them as an advanced combination before the dialysis starts.
Source قناة «العلامة الدكتور صالح الفوزان»، [385 -2802] رجل يقوم بغسل الكلى قبل المغرب ويستمر 4 ساعات ويصلي المغرب والعشاء على سريره حال الغسيل! — youtube.com

The Arabic text is a machine transcription of the audio recording.

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