EXHIBIT 23.4
 
                      CONSENT OF INDEPENDENT ACCOUNTANTS
 
  We consent to the incorporation by reference in the Registration Statements
on Form S-8 (No. 33-84610, No. 33-83018, No. 33-99862, No. 33-99864, No. 333-
1620, No. 333-34693, No. 333-34695 and No. 333-46887) of Total Renal Care
Holdings, Inc. of our report dated July 14, 1995, except for Note 9 as to
which the date is July 24, 1995, on our audit of the Wichita Dialysis Group as
of December 31, 1994 and for the year then ended, appearing in the Annual
Report on Form 10-K/A (Amendment No. 1) of Total Renal Care Holdings, Inc. for
the year ended December 31, 1997.
 
                                          /s/ Baird, Kurtz & Dobson
 
Baird, Kurtz & Dobson
Wichita, Kansas
May 15, 1998