I Hate Dialysis Message Board
Dialysis Discussion => Dialysis: General Discussion => Topic started by: Lindia on September 01, 2011, 12:36:46 PM
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The DaVita clinic is still having trouble establishing my husband buttonholes. On the Home Dialysis Central forum, under Stuart Motts section - these are mentioned. I've searched this forum, and found several older posts, but nothing current. Are these available in the US ? ? ? Anyone have experience with them ?
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Do you have a link that can describe this a little more? This is my first time hearing of such.
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Do you have a link that can describe this a little more? This is my first time hearing of such.
I'll try a link - I've never done one:
http://bigdandme.wordpress.com/2010/11/
Did that work ? You can also goggle it. The link is to a fella in Australia.
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I wanted to buy them but was advised NOT to use them as there can be greater risk of infection. The literature from Nipro cautions about showering with the plugs, using waterproof bandaids or other plastic covering. Let us know if you find more info. I searched "biohole plug and infection" and found one interesting looking link to a medical article but I don't subscribe so couldn't access it.
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Never heard of such an animal! If it is another artificial access, then Im not interested in it for my husband, sorry folks!
lmunch
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Never heard of such an animal! If it is another artificial access, then Im not interested in it for my husband, sorry folks!
lmunch
From what I can tell - its a little plastic peg they use for about 6 treatments to help the buttonhole channel form sooner, and you don't have the same tech, going in at the same angle, which has been problematic for us. But, they probably don't have it in the US yet -- its in Japan, Europe and Australia as far as I can tell.
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I searched "biohole plug and infection" and found one interesting looking link to a medical article but I don't subscribe so couldn't access it.
Can you link me to the article please? Or at least tell me the title and author(s)? I might be able to get it.
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http://www.ncbi.nlm.nih.gov/pubmed/19909412
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I found the article, and put it up on MegaUpload:
http://www.megaupload.com/?d=V94KQPYX
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So, does that mean we can access it?
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Yeah, anyone can download from MegaUpload. I changed the link just now. Use the link I just posted.
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Thanks - I downloaded it, this particular article doesn't mention they experienced infection problems, just discusses how to prevent infection.
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Sounds like they'd be a good idea if there's more than one person cannulating the buttonholes.
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Im not familiar with buttonholes, and I do ladder technique. That has served us well. I do agree with Monrien, as long as there is one individual doing the cannulating! I still have a problem with the "plastic" and possible infections. It is still a foreign object that is inserted into the body, (Im guessing here, cause I did not download and read) which means the risk for infections is better!
But I suppose, if it helps some alot, than why not try it? My hubby has lost enough due to infections in his body, he doesnt need to chance it again!
He is HIGH risk for anything and everything.
I would be curious for others on here as to how it works? If it is approved here, would like to know of canidates for this procedure or possibly who has it?
lmunchkin :kickstart;
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i'll take 2. I'm currently in the process of developing a buttonhole, and it has to be the most frustrating thing I've ever done in my whole life (nurse is helping teaching how to self needle). Worst part is, in less than 24 hours time, i get to do it all over again.
I feel like a pin cushion and the cenobite pinhead from hellraiser at the same time.
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I really understand the frustration. After several weeks, my hubby's may finally be getting established. He was finally able to stick himself Tuesday - (sorta). I'm still wondering if these are available in the US. So far, no one has answered in the affirmitive.
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I really understand the frustration. After several weeks, my hubby's may finally be getting established. He was finally able to stick himself Tuesday - (sorta). I'm still wondering if these are available in the US. So far, no one has answered in the affirmitive.
i know it takes a while. Started buttonhole creation at the end of july, and it is now september and still at it.
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:bump;
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This is interesting because they are going to start "buttonholing" me.
BTW - I loved that Big D and Me blog. I even bookmarked it so I could find it again!
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When I looked into using them here in Canada I was told I'd have to buy them myself which I would have done but I was advised to avoid them and just establish buttonholes the regular way. Worked fine.
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When I looked into using them here in Canada I was told I'd have to buy them myself which I would have done but I was advised to avoid them and just establish buttonholes the regular way. Worked fine.
my clinic never said anything about those items. they made me jab myself with needles. But am happy to say the button hole is developing, i'm having somewhat less frustration shoving the needles in.
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:bump;
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So far, everyone that I have asked at my clinic has never heard ofthem. I haven't had a chance to ask my neph yet.
:bump;
Please forgive me but what does this mean?
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Do you have a link that can describe this a little more? This is my first time hearing of such.
THis link explains the device - it is a small plastic thing that helps to establish buttonholes faster. http://bigdandme.wordpress.com/2010/11/
Did that work ? You can also goggle it. The link is to a fella in Australia.
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No one at my clinic had heard of this. My neph hadn't either but he wrote down the name and was going to look it up to see if it might work for me. Yes, I believe that he will, he follows through on his promises. I let you know what happens.
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No one at my clinic had heard of this. My neph hadn't either but he wrote down the name and was going to look it up to see if it might work for me. Yes, I believe that he will, he follows through on his promises. I let you know what happens.
CebuShan - thanks ! I will be very interested in hearing what happens. My hubbys neph is pretty much worthless on anything new, and I feel like our DaVita clinic is focused more on making money than actually really helping their clients. :embarassed:
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Hi All -- Well, I found out my answer to this question today. I attended the Heartland Kidney Network Meeting in Wichita Kansas. I was VERY glad to see that Stuart Mott was in attendance. My hubby and I talked to Stuart about self cannulation, and my hubby said that he learned more from Stuart in 5 minutes than he had learned from anyone else. I recognized Stuart's name from the Home Dialysis. org website - as their cannulation expert.
Sadly - the bio-hole device is not approved by the FDA for use in the United States. Stuart did mention that if your nephrologist referred you to a nephrologist in Canada, you could have access to this little device. If I lived in a state bordering Canada, I would so do it ! ! It was so nice to meet someone in person, that I had bumped into on the web. Stuart also told us that we should sign up for the next NxStage Cruise, and he is going -- I'm starting to get tempted. :clap; :2thumbsup;
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:bump;
And we are still having problems with his buttonholes - sigh --- we have been trying for more than a month to get them working. They didn't work today, and some tech we don't trust - swooped in and did a "wet stick" whatever that is. I'm thinking we will have to just try starting 2 new ones -- and only my hubby touch those - to many techs keep messing with the ones we've been trying to establish.
Can I just say it is very aggravating that the bio-hole device isn't available in the US !!!! :rant;
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We hope to go on the next NxStage cruise, but one never knows! Ive never been on a cruise ship! Be my luck, Ill get sea sick.
lmunch
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:bump;
And we are still having problems with his buttonholes - sigh --- we have been trying for more than a month to get them working. They didn't work today, and some tech we don't trust - swooped in and did a "wet stick" whatever that is. I'm thinking we will have to just try starting 2 new ones -- and only my hubby touch those - to many techs keep messing with the ones we've been trying to establish.
Can I just say it is very aggravating that the bio-hole device isn't available in the US !!!! :rant;
The biohole device is likely a good option for a dialysis unit with multiple cannulators trying to establish butttonholes on a patient who can't/won't cannulate themselves but I really think that the best thing in the long run (both in terms of patient sense of control and best outcome for a fistula) is for a single consistent person to do the sticking. I believe this to be true for the ladder technique with sharps, so that the same spots aren't overused leading to aneurysms, as well as for buttonholes so that the angle of the sick is consistent. The best person for the job is the patient unless of course there are issues of vision or cognitive capacity. Occasionally a sharp might have to be used but again consistency is key in terms of the angle of the stick and a single sticker is the best insurance here. My understanding is that the biohole device, in addition to the cost, can be problematic for infection risk as well as for developing a larger than necessary buttonhole. Buttonholes are also much more straightforward to use when one dialyzes more than 3 times a week.
Best of luck to your hubby in starting new buttonholes that he and ONLY he will stick. :cuddle;
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My buttonholes are slow getting established but so was my fistula. My clinic insists on having one person do the stick when establishing buttonholes. When the nurse that is doing mine was ill, they stuck me as far away from the buttonholes as possible. I really liked that they asked me where my buttonholes were (even though you can see & feel them) before sticking me.