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Archive for February, 2008

Dialysis Day 79

February 29, 2008 Leave a comment

Still with low BP at dialysis, but I’m not symptomatic near as much. I ran 90s/50s during the treatment, but ended at 110/70.

I spoke with my primary nurse about learning to self-cannulate (learning to insert my own dialysis needles into my arm). The advantages: I know where they go each time, and can avoid having them go into the same spot, and if needed, I can possibly draw my own blood in the future if the veins in my other arm don’t last. Ironically, I only had her assigned to me once since August, even though she’s my primary nurse (she manages my care plan and adjusts my med dosages). She noticed that my fistula has changed; I have several “pseudo-aneurysms” that have become bigger, and apparently need revision. The Nephrology Fellow put a referral in to the Interventional Radiologist. If he’s unable to do anything, I’ll have to see the Vascular Surgeon. Just one more surgery to add to the list….

Beginning wt: 92.3 kg. End wt: 90 kg.

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Dialysis Day 78

February 27, 2008 Leave a comment

My BP was still low when the Nephrology Fellow stopped by (98/50’s), so he bumped up my dry weight again to 91 kg. Although not today, I didhave some episodes of lightheadedness Sunday and Monday. Feeling better today, although I’m concerned about my weight gain (not worried; I just have to bemore careful, now that I feel better overall and my appetite is better).

Beginning wt: 94.3kg. End wt: 90.9 kg.

I installed Linux on my PC. I like the look of the desktop/icons. And I like the fact that it’s more secure than Windoze, but the internet is slower with it. I’m not sure why; maybe it’s something that I have to tweak. But I’ll continue to use it, and maybe it will grow on me….

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Lower and Lower

February 25, 2008 Leave a comment

Despite stopping my Cardizem on Friday, my BP is still low, and I’m still symptomatic (lightheadedness), although I’m not as washed out. Today, my BP is 104/48.

I’m not worried so much as I amamazed, that after 18 years of taking BP meds, I don’t need them now.

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Dialysis Day 77

February 24, 2008 Leave a comment

I started out again with a low BP; 110/52. Dr. H (my Neprologist) was in doing rounds, and brought up the low BPs. He upped my dry weight again (to 90.5 kg) and stopped my Cardizem. This is the first time in about 18 years that I won’t be taking a BP med! I’m not sure that it will last, but I’ll try it. The lightheadedness is starting to get old, so hopefully, that will stop. Also, I’ve been washed out lately; maybe it’sthe BP, maybe it’s something else….

I had to end dialysis early yesterday by about 20 minutes. My venous pressure started to skyrocket, so they cut my rate from 410 down to 200, and then my dialyzer clotted. This happened before, but it’s been a few weeks. Maybe I need more heparin?

It was chaotic on the unit yesterday. There were 8 extra patients who needed dialysis, because they didn’t make it in on Friday. I assume it’s because of the snow. I drove to and from work on Friday, and had no problem. The roads were snow covered, but I’ve driven in much worse. I guess my way of thinking is different; I need dialysis, so I’ll do whatever I can to get there (I have a 30 minute drive to dialysis, so it’s not like I live close by).

Beginning wt: 92.8. End wt: 90.7 kg.

I put a new hard drive in my computer last week, and when I formatted it, I put in 4 partitions (it’s a 200 gb drive). I just have to figure out how to install a boot manager, and then I’ll install Linux on one of the partitions. I’ve been wanting to try it out for a while, and I think I’m ready to take the plunge, especially since I’m not so crazy about Vista, which I’ll be stuck with when I get another computer.

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Dialysis Day 76

February 22, 2008 Leave a comment

I started dialysis late yesterday. The social worker snagged me on my way in, and asked if I would sit in on a patient advocacy meeting. The meeting involved myself, 2 other patients, the Nephrologist, nurse manager, and the clinic manager. I basically just sat and listened, as I wasn’t prepared for it (she just asked me on the spot). Hard to believe, but Geisinger has been doing dialysis since the year I was born! They are having a 45th anniversary celebration in April, which was part of the meeting. They also spoke of some patient issues as well (nurses taking too many attempts at “sticks” before asking someone else to try, getting a new ultrasound that they use to assess the fistulas and grafts, etc). It was interesting, and next time, I’ll probably be able to participate more (you know me; if there’s something not right, I won’t hesitate to bring it up).

My BP continues to be low. I started out at 103/52, and when the Nephrology Fellow came over, it was 92/50. So, my dry weight got bumped up again to 90 kg, although I think that maybe my BP med (Cardizem CD) might need adjustment.

Beginning wt: 92.7 kg. End wt: 89.7 kg.

Blizzard conditions here in Northeast PA. Not really, but if you listen to Channel 16, you would think this is a major snowstorm (4-7 inches forecast, depending on who you listen to). They started out their morning broadcast with “now our top story, live team coverage of the winter storm”, and then some idiot reporter telling us there’s a whole 2 inches of snow on the ground (idiot might be a bit harsh, since he’s only doing his job, but please, it’s only 2 inches!). Jackie and I were in Wal Mart last night, and with all of the people there, you would think the world was coming to an end.

I uninstalled Norton Internet Security Suite on Jackie’s laptop, and installed Avast Anti Virus. It picked up a Trojan Horse that Norton didn’t pick up. And Norton is supposed to be so good?

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Love, blind loyalty, or just plain stupid?

February 20, 2008 Leave a comment

“But he loves me.”

“I don’t think so.”

“How can you say that?”

“Well, he did shoot you in the vagina….”

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She’ll Do Anything For A Vote

February 20, 2008 Leave a comment
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