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Posts Tagged ‘dialysis’

Flashback

May 19, 2008 Leave a comment

Along the lines of excellent doctors who care about their patients, here is an entry from after my very first dialysis treatment (which was on a Saturday):

My nephrologist, Dr. H., called the dialysis unit to ask how I was doing, and to let me know he was thinking about me-what a guy!

I was also talking to the nurse from the Nephrology clinic today, and she said that Dr. H felt bad about having to start me on dialysis with how good I still look; it’s a much easier decision when the patient is symptomatic. It’s just that my labs got so much worse, that he couldn’t let it go any longer.  I’m just looking at it as being a temporary situation, until a kidney comes along.

For those who weren’t following my blog back then, I had an episode of extreme flank pain, which was most likely a ruptured cyst, followed by a presumed infection of a kidney cyst (they are very difficult to diagnose; my urine culture was negative, but I had a high fever and chills). My creatinine was around 7.7 and  BUN ~90 prior to this, and they went up to ~12 and 118, hence the dialysis.

Dialysis Day 106

May 3, 2008 2 comments

I’m on dialysis now, waiting to talk to the surgeon. They are now retrieving the kidney, and I assume will bring it back to Geisinger via LifeFlight (helicopter).

I’m BELOW my “dry weight” by a half kilo due to not eating much.  One of the dialysis nurses said that IV dye can cause diarrhea; maybe that’s what happened.

Jackie is more nervous than me; I’m pretty calm…

No heparin today due to surgery; instead, I get boluses of saline every half hour so that the machine doesn’t clot off.  I’ll post again when I know more.

Beginning wt: 93.0 kg

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Dialysis Day 105

May 2, 2008 Leave a comment

I don’t think the vomiting the other night was from meds; I have a stomach virus which just happened to occur at the time of my fistulaplasty. I’d much rather have a cold than this, but sometimes, you just have no choice…

They took my suture out prior to when I stuck the needles in, and since I had the infiltrate on Tuesday, I put both needles in the bottom end of the fistula. I only gained 0.9 kg between treatments, since I’m hardly eating, and only sipping fluids.

I asked the Nephrologist about the stents and what would happen were I to develop Steal Syndrome. He told me that they would then be able to surgically revise my fistula.  I don’t want to take a chance of one of the aneurysms rupturing, so I’ll go ahead with the plan; I think that’s the best way to go.

Beginning wt: 94.4 kg. End wt: 92.8 kg.

Last night I was run down, and in be by 8:30, but I think a lot of that has to do with the virus. I ate a bowl of soup for dinner, and today I only had an orange,  but don’t really feel much like eating.

At work, we have a lot of patients calling in for notes from their doctor to either get out of work, get out of school (more so for the parents so that they don’t get fined for illegal absences), etc. Some are legit, others are chronic.  Dr. White Coat has a humorous story of a guy who was looking to get out of work because he can’t sleep at night. I like Dr. W-C’s style….

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Dialysis Day 103

April 27, 2008 Leave a comment

Quiet day at dialysis. I didn’t have much trouble sticking the needles, and there were very few alarms during the 4 hours.  I spent most of the time surfing the internet and playing a game called Huntsville (very addicting).

One of the patients in my area is only there on Saturdays, and she loves to complain. She’s in her 70’s to 80’s, and although quiet most of the “shift”, towards the end, she complains about how much time there is until the end. There’s other things I would rather do with my 4 hours on a Saturday afternoon, but if I don’t do dialysis, I’ll be popping up daisies, so I don’t complain and don’t let it bother me. Dialysis is better than the alternative….

Beginning wt: 96.5 kg. End wt: 93.1 kg.

I found this cartoon about gas prices:

 

Gas Prices

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Dialysis Day 101

April 22, 2008 Leave a comment

Smooth treatment today. I didn’t have a huge weight gain, and my pressure was good (124/68 to start, 100/60 at the end).

I did have some blood spurting from both insertion sites, but I think that was due to me being too tentative with inserting the needles.

No transplant calls in the past 2 weeks. I’ve decided that I won’t get excited until the transplant is inside of me. In other words, I’ll believe it when I see it.

Beginning wt: 96.5 kg. End wt: 92.9 kg.

I did have labs today prior to dialysis. So far, they aren’t available online, but will be later tonight or tomorrow.

One of the biggest issues with being on dialysis is nutrition. Since I am limited as to what I can eat, I must choose carefully. The first priority is protein. So, I started eating protein bars. They do have increased phosphorous, but are very nutritious otherwise, so I just be sure to take a phosphorous binder when I eat one. At this point, I eat 1 bar daily. the South Beach Diet bars are high in protein (19 g), but have no taste. I prefer ZonePerfect. My favorite is the Chocolate Almond Raisin. Runner up is the Fudge Graham. I didn’t care for the Iced Cinnamon; those are the only 3 flavors I’ve tried. I got 2 dozen bars for under $19 at Sam’s Club, which is an excellent price.

Of course, the other advantage to maintaining protein levels is for healing after surgery. I did check with my Nutritionist, and she agrees that it’s OK for me to be eating these.

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