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Posts Tagged ‘ppd’

Transplant Week 10

July 12, 2008 Leave a comment

Although I went back to work the week before last, this week was my first full 5 day week since before my transplant. Actually, it was my first full 5 day-in-a-row work week since last August. When I was on dialysis, I worked 8 hours on M-W-F, and 4 hours on T-Th (dialysis days). However, I still got in 40 hours, because I also worked 8 hours every Sunday at my weekend job.

Both last night and this morning, I was wiped out. I was in bed by 11 last night, and took a 2 hour nap early this afternoon, and I feel much better. I don’t think it’s indicating anything bad, as I don’t have a fever or any other potentially ominous symptom; I think it’s just that I’m adjusting to getting back into “the routine”.

I did get letters from one of the Transplant Surgeon’s exempting me from my PPD. That’s the test where they inject a tiny amount of “Purified Protein Derivative” under the skin. If you react, then you may have either latent or active Tuberculosis. In both my full time and weekend jobs, it’s required yearly, but since my immune system is suppressed, I wouldn’t react even if I did have TB. However, I had a chest x-ray in April and May, and there was signs of TB, so I’m not worried. I also got a letter releasing me to go back to work at my weekend job in August. He initially put on that I had a 10 lb lifting limit, which wouldn’t fly with the agency, but I spoke to the nurse, and they decided that at that point it would be 3 months since surgery, he lifted the restriction (3 months is the typical amount of time for that restriction). Even if I did have that, the only heavy lifting is when I transfer the patient from bed to chair, and I use a hydraulic Hoyer lift for that. When I turn him, there is another nurse, so technically, I would still not be lifting much.

My sister, who also has PKD and CMT, and has been on dialysis for over 2 years now, fell when getting out of bed the other day, and hit her head on the nightstand. She was worried, because of my having a subdural hematoma (mine was impressive; I only had a headache for a few days, and one instance of vomiting, but on MRI, it showed that my left ventricle was almost totally occluded and past midline, yet I was relatively asymptomatic). SDH has nothing directly to do with PKD; cerebral aneurysms are what is associated with PKD. However, kidney failure does cause the platelets to sometimes not work right, which, I theorized, may have led to my SDH. The only thing to do is to watch for symptoms. I doubt she’ll have problems, but time will tell.

Kelsea, our Springer Spaniel, is doing better. Her head is still cocked to the side (although not as much), but her balance is much better, and she’s eating and drinking well. 

My computer is 5 years old,  but it does everything I want it to, so I’m going to hold off on buying a new one. My in-laws got a really nice one; a HP with a 22 inch screen, and 3 gigs of memory; we’re probably getting Kevin a similar one for Christmas. But I have my RAM maxed at 2gb, which is fine for me. My hard drive sounds like it’s maybe trying to die, so I backed it up onto a removable drive, and I’ll be ordering a new drive this week. It’s getting harder to get drives that connect via EIDE, so my computer will soon be obsolete.

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Transplant Day 48, Labs

June 20, 2008 2 comments

I’m doing well this week. It’s killing me that it’s so nice outside, yet I can’t do any yard work (due to mold spores in the soil).  Yesterday, though, I did trim some branches from the tree in our front yard with Kevin’s help.

I got my labs back late yesterday, but I didn’t post until I heard back from the nurse today regarding my Prograf (FK-506) level.  My labs continue to be stable. My Prograf is up to 7.1 (from 5.1 last week; I increased my dose by 1 mg daily). I thought they wanted it up to 8-10, but they are OK with the 7.1. My creatinine is still down to 1.2 (awesome!), my glucose was low at 63, but I hadn’t eaten prior to my labs, and my calcium is up to 9 (I’m now taking Citrical). Speaking of which, my GI/Bariatric doc advises Calcium Citrate over Calcium Carbonate, as it’s more easily absorbed. WonderLabs has decent pricing on Calcium Citrate in various doses and combinations with other vitamins/minerals.

As for my blood count, it’s stable. My white count is still predictably low, my hemoglobin and hematocrit are the same. I’m amazed that with a hemoglobin of 9.5 that I’m not tired. That says a lot for how tired I was from the kidney failure.

When I messaged the nurse yesterday to get my labs, I also asked about my PPD. That’s a shot they do to screen for Tuberculosis. I get one yearly for both my full-time and weekend nursing jobs. The weekend employer is particularly adamant about having this done on time (and rightfully so). Anyway, I wanted to know if I could get a PPD, or if they could use the x-ray done after my IV line was placed in my neck prior to surgery.

The response from the nurse?  “I will check with the docs and get back to you. We do not have many patients as anal as you! ”   I’ll take that as a compliment!

I’ve had several interesting search engine queries that lead to my blog; looks like it’s soon time for another Searches That Pointed To My Blog  post.

For those that want to email me, here is my address (it’s a graphic rather than text so that I can avoid bots snagging my address):