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You can use ear phones with the home/car kit. As for dialysis center, you might have a tough time if there isn't a window facing outside with a clear view. It needs a satellite signal. That being said, you CAN get this ... keep it at home and/or in car, and pay for the Internet add-on service (Like $4-5 a month on top of your normal subscription) and stream all the channels (and a lot more) on an iphone/roku/android, etc.
Sorry, there was a problem. Please try again later.You can use head phones if you buy an XM home kit and then plug the head phones into the home dock. I'm not sure how to respond to the second question as it all depends but if there is a window close by that you can run the antenna to, it may work.
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