I Hate Dialysis Message Board

Dialysis Discussion => Dialysis: General Discussion => Topic started by: Bajanne on January 03, 2006, 02:43:43 PM

Title: Haemodialysis Sessions
Post by: Bajanne on January 03, 2006, 02:43:43 PM
As I explained in another poll, I am on for 4 hours.  They say this can be shortened if I have good 'clearance'.  I am just wondering how long you guys are on per session.
Title: Re: Haemodialysis Sessions
Post by: LifeOnHold on January 03, 2006, 06:13:44 PM
Almost everyone in my center is on either 3 1/2 or 4-hour treatments.  I can't see how that could be right-- if everyone is so 'different' in how much dialysis they need, shouldn't some people be on 3 hours and 18 minutes, and some be on 4 hours and 3 minutes?  Why do they think the human body functions on the hour and the half hour???
Title: Re: Haemodialysis Sessions
Post by: O in on January 03, 2006, 08:33:31 PM
Almost everyone in my center is on either 3 1/2 or 4-hour treatments. I can't see how that could be right-- if everyone is so 'different' in how much dialysis they need, shouldn't some people be on 3 hours and 18 minutes, and some be on 4 hours and 3 minutes? Why do they think the human body functions on the hour and the half hour???

hi dear lifeonhold
if you check the time control on you dialysis machine you will see that there are times when treatment is shut down to enable the machine to do a function check and this will be noted on the clock screen when your session is completed as "diff time" in minutes
it is usual for a four hour session to have a diff time of 9 minutes so you not being held to those half hour breakes because you are only gettin treatment for four hours LESS 9 minutes

my five hour session has a diff time of 11 minutes so i am not really getting five hours of treatment at all only four hours fourtynine minutes but the session run time is five hours
Title: Re: Haemodialysis Sessions
Post by: babi68 on January 03, 2006, 09:12:21 PM
Hi all,
     I also do five hours. I use a HDF machine. Not sure what you guys call it. It has two pumps. There are only a few of us who do five hours, most do 4. I hate it as we turn up at the same time and get on, and then I sit back and watch everyone leave.  It is better for you the longer you go. Liz ;)
Title: Re: Haemodialysis Sessions
Post by: Epoman on January 03, 2006, 11:22:56 PM
3 hours for me but if I let them I would be on 4 hours. I tell them they can bite me when they try to get me to run longer.
Title: Re: Haemodialysis Sessions
Post by: susie q on January 04, 2006, 10:53:29 AM
My sessions are 4 hours.... The last half hour is a killer...
I want to just do 3.5 but I know it is better to do 4..
I am too chicken to ask the dr..  he has most patients do
4.5 or even 5 and I do Not want that... :o :-\
Title: Re: Haemodialysis Sessions
Post by: Bajanne on January 04, 2006, 04:52:52 PM
Well my nephrologist said that my 'clearance' has improved.  He said that good 'clearance' is from 65%, and mine is now 69%.  Woohoo!  He also said that if my 'clearance' reaches 75%, then my time would be shortened.
I am going to my next question and hope someone can explain succintly exactly what 'clearance' is.
Title: Re: Haemodialysis Sessions
Post by: O in on January 04, 2006, 07:02:26 PM
Well my nephrologist said that my 'clearance' has improved. He said that good 'clearance' is from 65%, and mine is now 69%. Woohoo! He also said that if my 'clearance' reaches 75%, then my time would be shortened.
I am going to my next question and hope someone can explain succintly exactly what 'clearance' is.


well i guess to each his/her own but sayng 65% clearance is good wouldnt pass in nz
but then the dialysis service here dosent have to push 3 hour session paitents out the door to make enormous profits
me i will stick to my five hours i know that i feel a hell of alot better than i do on a four session not only during the session but for the rest of the day - a marked differance to the crappy feeling a lot of you seem to be saying you experience

on the matter of thirst - i tried ice didnt like it! - tried freezing orange juice but ittasted awfull so what i do now is severly restrict fluid drinking and put manderin segments or grapes in the fridge and use the as the main fluid intake - dont leave the in the fridge more than 36 hours because they loose their taste.
Title: Re: Haemodialysis Sessions
Post by: Epoman on January 04, 2006, 08:12:55 PM
Well my nephrologist said that my 'clearance' has improved. He said that good 'clearance' is from 65%, and mine is now 69%. Woohoo! He also said that if my 'clearance' reaches 75%, then my time would be shortened.
I am going to my next question and hope someone can explain succintly exactly what 'clearance' is.


well i guess to each his/her own but sayng 65% clearance is good wouldnt pass in nz
but then the dialysis service here dosent have to push 3 hour session paitents out the door to make enormous profits
me i will stick to my five hours i know that i feel a hell of alot better than i do on a four session not only during the session but for the rest of the day - a marked differance to the crappy feeling a lot of you seem to be saying you experience

on the matter of thirst - i tried ice didnt like it! - tried freezing orange juice but ittasted awfull so what i do now is severly restrict fluid drinking and put manderin segments or grapes in the fridge and use the as the main fluid intake - dont leave the in the fridge more than 36 hours because they loose their taste.

"O in" do you have any kidney function left? I was just curious because if you have some kidney function left that would help in you feeling better than others. But anyway here are some numbers for you.

A Normal kidney equals 168 hours of continuous blood cleansing in a 7 day week. If a person is on the machine for 3 hours 3 times a week then that person will have an equivalent of 5% of healthy kidneys if the same person increases his/her time to 5 hours 3 times a week he or she is getting just 9% of healthy kidney function. Bottom line is anyway you look at it we are doomed. The urea floating around in our bodies is causing way more damage that will cause other complications. Not to mention the excess calcium and phosphorus floating around clogging arteries, or the excess fluids enlarging our heart.

I say if you feel well with 3 hours as do I (I have zero kidney function) then that's all I need. But and extra hour on dialysis per treatment won't make a difference in the long run. If it makes you feel better to stay longer so be it however I hope you do not do it (stay 5 hours) thinking it will prolong you life. Because at the end of the day you or I won't die because of Kidney failure or dialysis we will die from complications of kidney failure.
Title: Re: Haemodialysis Sessions
Post by: O in on January 05, 2006, 02:57:55 PM
Well my nephrologist said that my 'clearance' has improved. He said that good 'clearance' is from 65%, and mine is now 69%. Woohoo! He also said that if my 'clearance' reaches 75%, then my time would be shortened.
I am going to my next question and hope someone can explain succintly exactly what 'clearance' is.


well i guess to each his/her own but sayng 65% clearance is good wouldnt pass in nz
but then the dialysis service here dosent have to push 3 hour session paitents out the door to make enormous profits
me i will stick to my five hours i know that i feel a hell of alot better than i do on a four session not only during the session but for the rest of the day - a marked differance to the crappy feeling a lot of you seem to be saying you experience

on the matter of thirst - i tried ice didnt like it! - tried freezing orange juice but ittasted awfull so what i do now is severly restrict fluid drinking and put manderin segments or grapes in the fridge and use the as the main fluid intake - dont leave the in the fridge more than 36 hours because they loose their taste.

"O in" do you have any kidney function left? I was just curious because if you have some kidney function left that would help in you feeling better than others. But anyway here are some numbers for you.

A Normal kidney equals 168 hours of continuous blood cleansing in a 7 day week. If a person is on the machine for 3 hours 3 times a week then that person will have an equivalent of 5% of healthy kidneys if the same person increases his/her time to 5 hours 3 times a week he or she is getting just 9% of healthy kidney function. Bottom line is anyway you look at it we are doomed. The urea floating around in our bodies is causing way more damage that will cause other complications. Not to mention the excess calcium and phosphorus floating around clogging arteries, or the excess fluids enlarging our heart.

I say if you feel well with 3 hours as do I (I have zero kidney function) then that's all I need. But and extra hour on dialysis per treatment won't make a difference in the long run. If it makes you feel better to stay longer so be it however I hope you do not do it (stay 5 hours) thinking it will prolong you life. Because at the end of the day you or I won't die because of Kidney failure or dialysis we will die from complications of kidney failure.


NO

do you think i am stupid or somthing i dont need a lecture from you about toxin clerance and session times and besides after three interventions i know im going to die of heart failure long b4 failed kinney complitations kick in
Title: Re: Haemodialysis Sessions
Post by: Epoman on January 05, 2006, 08:42:51 PM
Well my nephrologist said that my 'clearance' has improved. He said that good 'clearance' is from 65%, and mine is now 69%. Woohoo! He also said that if my 'clearance' reaches 75%, then my time would be shortened.
I am going to my next question and hope someone can explain succintly exactly what 'clearance' is.


well i guess to each his/her own but sayng 65% clearance is good wouldnt pass in nz
but then the dialysis service here dosent have to push 3 hour session paitents out the door to make enormous profits
me i will stick to my five hours i know that i feel a hell of alot better than i do on a four session not only during the session but for the rest of the day - a marked differance to the crappy feeling a lot of you seem to be saying you experience

on the matter of thirst - i tried ice didnt like it! - tried freezing orange juice but ittasted awfull so what i do now is severly restrict fluid drinking and put manderin segments or grapes in the fridge and use the as the main fluid intake - dont leave the in the fridge more than 36 hours because they loose their taste.

"O in" do you have any kidney function left? I was just curious because if you have some kidney function left that would help in you feeling better than others. But anyway here are some numbers for you.

A Normal kidney equals 168 hours of continuous blood cleansing in a 7 day week. If a person is on the machine for 3 hours 3 times a week then that person will have an equivalent of 5% of healthy kidneys if the same person increases his/her time to 5 hours 3 times a week he or she is getting just 9% of healthy kidney function. Bottom line is anyway you look at it we are doomed. The urea floating around in our bodies is causing way more damage that will cause other complications. Not to mention the excess calcium and phosphorus floating around clogging arteries, or the excess fluids enlarging our heart.

I say if you feel well with 3 hours as do I (I have zero kidney function) then that's all I need. But and extra hour on dialysis per treatment won't make a difference in the long run. If it makes you feel better to stay longer so be it however I hope you do not do it (stay 5 hours) thinking it will prolong you life. Because at the end of the day you or I won't die because of Kidney failure or dialysis we will die from complications of kidney failure.


NO

do you think i am stupid or somthing i dont need a lecture from you about toxin clerance and session times and besides after three interventions i know im going to die of heart failure long b4 failed kinney complitations kick in

Whoa calm down I never insinuated that you were stupid and I was not lecturing you I was simply throwing out some numbers. My post was not just for your eyes it was also information for anyone that reads this post.

Out of curiosity what part of my post offended you?
Title: Re: Haemodialysis Sessions
Post by: Bear on February 21, 2006, 11:02:49 PM
Um...
   we all know WHY the standard of 3 x 4 or 3 x 5 hours per week
dx exists around the world, don't we????
  ...in case NOT ,it's because U.S. Congress ,after consulting with the
 'expert advisors' they had then, decreed that _that_ was enough to
'sustain life' and therefore all they'd pay for on Medicare, or whatever
...back in 1972.
  A quote from the Victorian Senior Neph., who pioneered nocturnal
dx in Oz, after a cost-effectiveness study on Renal Medicine, -
"There's nothing I can't get off you in 8 hours dialysis per night!"
-admittedly he was talking about 5 or 6 nights a week.
  The longer the dialysis, the more the clearance. SO Epoman gives
the equivalent %age versus 'real' kidney function, but then 'shoots
himself in the foot' by saying he'll do less as long as he feels better.
ER....where's the logic there???
  Plus the longer you're on the easier & less stressful the UF fluid loss.
  I know it's a pain-in-the-arse staying on long times. I've done 7 once,
when I totally failed to cannulate for a Sunday evening 4 hour sesh.,
so 'made up' for it on the Tues with 7. Like Mel, I hope to do 3 x 8,
plus maybe a short one still on Sun evenings when on nocturnal -
 no problem with boredom if you _can_get some sleep (!?) - but
even I have been guilty of cutting the odd session short(er) if things
arise, like appointments or social stuff.
  But I don't make a habit of it!
  O.K. boys...put those boxing gloves away!!  ;D ;D ;D
 
Title: Re: Haemodialysis Sessions
Post by: Epoman on February 21, 2006, 11:17:18 PM
Um...
   we all know WHY the standard of 3 x 4 or 3 x 5 hours per week
dx exists around the world, don't we????
  ...in case NOT ,it's because U.S. Congress ,after consulting with the
 'expert advisors' they had then, decreed that _that_ was enough to
'sustain life' and therefore all they'd pay for on Medicare, or whatever
...back in 1972.
  A quote from the Victorian Senior Neph., who pioneered nocturnal
dx in Oz, after a cost-effectiveness study on Renal Medicine, -
"There's nothing I can't get off you in 8 hours dialysis per night!"
-admittedly he was talking about 5 or 6 nights a week.
  The longer the dialysis, the more the clearance. SO Epoman gives
the equivalent %age versus 'real' kidney function, but then 'shoots
himself in the foot' by saying he'll do less as long as he feels better.
ER....where's the logic there???
  Plus the longer you're on the easier & less stressful the UF fluid loss.
  I know it's a pain-in-the-arse staying on long times. I've done 7 once,
when I totally failed to cannulate for a Sunday evening 4 hour sesh.,
so 'made up' for it on the Tues with 7. Like Mel, I hope to do 3 x 8,
plus maybe a short one still on Sun evenings when on nocturnal -
 no problem with boredom if you _can_get some sleep (!?) - but
even I have been guilty of cutting the odd session short(er) if things
arise, like appointments or social stuff.
  But I don't make a habit of it!
  O.K. boys...put those boxing gloves away!!  ;D ;D ;D
 


I didn't shoot myself in the foot  ??? I said I only run 3 hours and that's what I prefer. I have run 4 hours and my labs were no better than when I ran 3 the difference though was that I felt really bad after 4 hours on the machine. So if the labs were no better (well except for a very little increase in kt/v) running 4 than 3 why would I do 4 if I felt like crap afterwards.
Title: Re: Haemodialysis Sessions
Post by: kevno on February 22, 2006, 02:28:52 PM
With my lab results I should be on for 5hours but the unit only allows you to do 4 hours.  My pump speeds are bad.  200 - 250 only. My urrs are 62% this month, the unit aims for 70%+

Kevno
Title: Re: Haemodialysis Sessions
Post by: Bear on February 23, 2006, 08:25:22 PM
I'm surprised your figures are no better on the longer dx sessions Epo', mate  :o
...and also that you feel crappier after the longer sessions.
   Surely the lower the UF rate the better you feel afterward. I know for me
there's a huge difference between taking off, say 400 an hour and 600 an hour!
    Different molecules come off at different rates too...I think it's the larger ones that
are later - but there'll be more experts on here who can verify that - so the shorter
the session the less chance  you are giving some things to get dialyzed out !?
    3 x 5/4/3.5 dialysis is purely a matter of $$$/unit time/wages and NOT based upon
the optimum health outcomes of the patient, let's be honest.
    Fortunately for me, I seem to be in the hands of a unit with a flipped ethos, in that
regard. But I suspect they're few & far between.....the reality for the in-hospital dx-ers
however, is still the old 3 x 5 here.
Title: Re: Haemodialysis Sessions
Post by: Epoman on February 23, 2006, 10:30:41 PM
I'm surprised your figures are no better on the longer dx sessions Epo', mate  :o
...and also that you feel crappier after the longer sessions.
   Surely the lower the UF rate the better you feel afterward. I know for me
there's a huge difference between taking off, say 400 an hour and 600 an hour!
    Different molecules come off at different rates too...I think it's the larger ones that
are later - but there'll be more experts on here who can verify that - so the shorter
the session the less chance  you are giving some things to get dialyzed out !?
    3 x 5/4/3.5 dialysis is purely a matter of $$$/unit time/wages and NOT based upon
the optimum health outcomes of the patient, let's be honest.
    Fortunately for me, I seem to be in the hands of a unit with a flipped ethos, in that
regard. But I suspect they're few & far between.....the reality for the in-hospital dx-ers
however, is still the old 3 x 5 here.

My Kt/V was just slightly higher for example instead of the usual 1.3 it was 1.4 and regardless of the rate of removal (I have a very high tolerance of fluid removal I can remove 8 pounds in 3 hours no problem) I still felt weaker and more tired. Remember the longer your on, the more "good" stuff that is removed as well.
Title: Re: Haemodialysis Sessions
Post by: Bear on February 26, 2006, 02:28:56 PM
"..the longer your on, the more "good" stuff that is removed as well."
- which is why some of the nocturnal patients end up requiring additives,
even phopshate!!
Title: Re: Haemodialysis Sessions
Post by: Epoman on February 26, 2006, 04:43:41 PM
"..the longer your on, the more "good" stuff that is removed as well."
- which is why some of the nocturnal patients end up requiring additives,
even phopshate!!

Yeap, Lucky them  >:( I would just get a bunch of Chocolate.  ;) to help get more phosphorus.
Title: Re: Haemodialysis Sessions
Post by: Tracy Lynn on May 03, 2006, 06:37:03 PM
Right now I'm on four days a week- three four hour sessions and one three hour session. I've only been doing it for two or three weeks. The first week was ok, but over the last week or so, I have just felt sicker after each treatment.

Today I was at the unit for five hours instead of four, because my pressure kept dropping, and I couldn't leave until it stabilised.

The techs are really nice, and go out of their way to make things better for me (one bought me ginger ale from the machine today when I got nauseous :)), but by the time I got home, I was a wreck.

I've been a mess all day and I had to cancel appointments. I did the errands, but only because I had no groceries and no phone (phone broke on Tuesday).  :'(

I've been sick to my stomach all day, and dizzy off and on. I feel like ass. My clearance rates were not very good, which is why I had to do more, and there isn't room right now on the overnights.

I'm just tired of feeling sick all the time.
Title: Re: Haemodialysis Sessions
Post by: Hawkeye on May 05, 2006, 07:03:28 PM
My pump speeds are bad.  200 - 250 only.
Kevno


If you don't mind me asking, do you have a cath?  Any other type of access and even a newer cath should be able to handle much higher pump rates.  Unless it's uncomfortable for you to go higher I would talk to your doc about that.  A lot of the old school nurses and even some docs that have been around awhile still think that all caths have to be at lower speeds, and train new people in this same manner.  This is no longer true and hasn't been for quite some time.
Title: Re: Haemodialysis Sessions
Post by: kevno on May 06, 2006, 06:10:35 AM
Hawkeye,

I have these lines in since Oct 2003, Called Tescio Lines. Never had much over 250 pump speed, today pump speed 250. Pressure 220. It is just the way it is for me, even if I have one needle the pump speed. Still 250 with a high pressure going back through the cath. I now a lot of patients with these tescio lines and can get speeds of 350+. With good pressures.

The doctors know it is because my veins are damaged. I have everything done to try to make the flow better, an geograms to clean the lines out. No difference. This is my third set of tesico lines I have had in. All the same. Plus the fistula is as good as it is going to get. I had it done 1980. Lost most of it 2001. Only a 2inch stretch can be used. Also had Fistula grams done. To many needles in my arms. Plus the doctors can not touch my legs because of the vasc damage.

Kevno
Title: Re: Haemodialysis Sessions
Post by: Hawkeye on May 08, 2006, 06:36:54 AM
The doctors know it is because my veins are damaged. I have everything done to try to make the flow better, an geograms to clean the lines out. No difference. This is my third set of tesico lines I have had in. All the same. Plus the fistula is as good as it is going to get. I had it done 1980. Lost most of it 2001. Only a 2inch stretch can be used. Also had Fistula grams done. To many needles in my arms. Plus the doctors can not touch my legs because of the vasc damage.

Kevno


Sounds like you have tried it all and then some.  I can't offer any advice beyond what I left in my last post, and that doesn't do anything for your situation.
Title: Re: Haemodialysis Sessions
Post by: jasperkat on May 07, 2007, 09:49:50 AM
My husband just had his session increased by 15 minutes - to 3.5 hours as a result of my concern about his lack of appetite and fatigue.  I was just interested in how long you are in the clinic.  His labs aside from Albumin are good and that is 3.0.  His fatigue is worse on Monday before he goes to dialysis.  Thanks for your input!!




EDITED: Merged threads, same topic - Sluff/ Admin
Title: Re: Haemodialysis Sessions
Post by: jbeany on May 07, 2007, 10:00:25 AM
Everyone at my clinic starts at 4 hours.  They dropped my time by 12 minutes, so I'm now on 3 hours and 48 minutes.  The doc has suggested that my URR is good enough to drop some more time off, but I'd rather not.  It's working now, so why mess with it?
Title: Re: Haemodialysis Sessions
Post by: stauffenberg on May 07, 2007, 10:06:20 AM
Generally, in countries with socialized medicine, where there is no profit motive in treating dialysis patients, the treatment time for hemodialysis is at least four hours three times a week, since this considerably improves survival time for patients.  I eventually had a time of four and a half hours, but there were some patients doing five or even six hours per session.  Even with these longer times, however, the rapid aging and accelerated rate of physical decay were palpable.
Title: Re: Haemodialysis Sessions
Post by: Chicken Little on May 07, 2007, 12:49:24 PM
I'm 3 hours, 3 times a week.  I still pee though.
Title: Re: Haemodialysis Sessions
Post by: charee on May 07, 2007, 02:49:09 PM
I'm in my 4th week and are up to 5.5 hours 4 times aweek by the time i go home (i'm training for home hemo) i will  do 8 hours 4 times a week. Since i have started i have been able to stop caltrate and i only have a blood pressure meds every 2nd day and so far i am able to eat what i want.
Title: Re: Haemodialysis Sessions
Post by: susie q on May 07, 2007, 04:34:16 PM
Four.... lllooooooonnnngggg hours.   :(
Title: Re: Haemodialysis Sessions
Post by: Ang on May 07, 2007, 06:27:58 PM
3*4hours,seems  like  it  never  ends  somedays :banghead;
Title: Re: Haemodialysis Sessions
Post by: Adam_W on May 07, 2007, 07:33:43 PM
I have the "one size fits all" time of four hours, three times a week. When I start with NxStage, I will run 2 to 3 hours six days a week.

Adam
Title: Re: Haemodialysis Sessions
Post by: tamara on May 07, 2007, 07:37:25 PM
Every Second Night during my sleep for 8 hours.
Title: Re: Haemodialysis Sessions
Post by: babi68 on May 07, 2007, 10:47:21 PM
I do 5 hours Mon, Wed, Fri, but am starting night dialysis soon and will be the same as Tamara. Liz :beer1;
Title: Re: Haemodialysis Sessions
Post by: Amanda From OZ on May 08, 2007, 03:51:01 AM
I make sure i do 25 hours within the 7 days.... !! between 6 - 8 hours a session.
Title: Re: Haemodialysis Sessions
Post by: brenda on May 08, 2007, 09:10:47 PM
I run 3.5 hours 3 x a week. When I go on nocturnal, I will be running a min of 6 hours a night, 6 night's a week.
Title: Re: Haemodialysis Sessions
Post by: stauffenberg on May 11, 2007, 10:32:36 AM
Since normal, in-center hemodialysis of 4 hours, three times a week only replaces 10% of normal renal function, it is best to go for as much dialysis time as you can tolerate, since much of the rapid aging and physical deterioration of renal patients is a function of their not being as fully dialyzed as they would have been with two natural kidneys.
Title: Re: Haemodialysis Sessions
Post by: pierrat on May 13, 2007, 11:59:58 AM
I'm on for 3 1/2 hours, I'm scheduled to go 3 times a week but I usually call in one session a week so on average I only go twice a week. I still have some decent kidney function remaining. My stats, even with 3 1/2 twice a week have been perfect for the last 4 months since ive been doing it. Meaning all my lab results are within normal parameters. I don't know how long this will last but hope I can continue like this for some time to come.

Oh and I've been on hemo for about a year now, with a fistula access.
Title: Re: Haemodialysis Sessions
Post by: keefer51 on May 13, 2007, 06:14:30 PM
i am on for four hours three times a week. One time they put in The wrong time and i had to stay another hour. I didn't feel any different.
Title: Re: Haemodialysis Sessions
Post by: ILOVEFLUID on May 14, 2007, 04:56:03 AM
Before i started home hemo, I was on 4 sessions a week...3 of them were 4.5 hrs and one of them was 3 hrs.  Made for a hell of a lot of time at the hospital.
Title: Re: Haemodialysis Sessions
Post by: bolta72 on May 16, 2007, 05:49:31 AM
closing in on 1 year on hemo, 3 1/2 hrs 3 days a week, getting use to it I guess, some days are better than others.
Title: Re: Haemodialysis Sessions
Post by: mdorn on May 20, 2007, 06:21:31 PM
I've been doing 3x3.5hrs for almost 3 years now. My clinic doesn't use the URR mearsurement, only KT/V, which mine is around 1.50 (minimum they want is 1.4) my dry weight is 87kilos. The only people that run for 4 hrs or more are very overweight people. I think I would go crazy running 5+ hours every time!! Also, my clinic doesn't have nocturnal dialysis.

Marv
Title: Re: Haemodialysis Sessions
Post by: charee on May 20, 2007, 11:28:30 PM
. The only people that run for 4 hrs or more are very overweight people.
Marv

At my centre I have been told even if someone is 70kg they still need at least 6 hours to clear ALL the toxins properly.
Title: Re: Haemodialysis Sessions
Post by: kianhu on May 21, 2007, 11:40:42 PM
A majority of our patients run 4 hours.  A few run more and a few run less. 
Title: Re: Haemodialysis Sessions
Post by: karsts on July 17, 2007, 12:47:52 AM
7 - 8 hours for me as I'm on noctural home hemo every other day.
Title: Re: Haemodialysis Sessions
Post by: RichardMEL on July 19, 2007, 06:49:54 AM
I run 5 hours and yeah it's a real pain when people come in AFTER me and waltz out before I'm done :( like there's one patient who does 3.5 hours and she complains it's so long!! HA!! I get the usual "it's better for you to do more and you should be glad you're healthy enough to cope with the longer session" - which I do understand but it doesn't help when I'm the last one there feeling very lonely!
Title: Re: Haemodialysis Sessions
Post by: kitkatz on July 19, 2007, 02:04:49 PM
I turn out the lights when I am in the center almost every time.  Wednesday I had a bleedy needle all treatment, and would't you know it.  The darn thing sprang up and bled just as i was up to go.  I was there until almost 8 last night. Late night for me.
Title: Re: Haemodialysis Sessions
Post by: Bajanne on July 27, 2007, 04:06:25 AM
It has been a bit strange recently (but good strange!).  I am going in with about 4 kg to take off.  Before when I took of that much, I had cramps, headache, low BP, everything.   Now, I do get low blood pressure - I even went down to  77/40 on Wednesday, but I have had no cramps, and I come off feeling good.   On Wednesday, I ran down the steps to the car!  Is my body getting accustomed to dialysis?
Title: Re: Haemodialysis Sessions
Post by: goofynina on July 27, 2007, 06:50:46 PM
It has been a bit strange recently (but good strange!).  I am going in with about 4 kg to take off.  Before when I took of that much, I had cramps, headache, low BP, everything.   Now, I do get low blood pressure - I even went down to  77/40 on Wednesday, but I have had no cramps, and I come off feeling good.   On Wednesday, I ran down the steps to the car!  Is my body getting accustomed to dialysis?

Hi Aurora :)   It sounds like perhaps you have lost some dry weight and they are actually able to remove the fluid with no problems, they can probably take off a little more (but i wouldnt try it unless your ready for the cramping and the crashing)  :P  But that is what i am thinking, and as far as being able to run down the steps, that is AWESOME, i cant even run to the damn toilet :P :P :P  Keep up the great work my friend  :cuddle;
Title: Re: Haemodialysis Sessions
Post by: Adam_W on July 27, 2007, 08:23:32 PM
When I was in-centre, I ran the "standerd" 4X3 (four hours/three days/weed). Now I usually run 2 to 2 1/2 hours (depending on how much fluid I need to take off) six days a week.

Adam
Title: Re: Haemodialysis Sessions
Post by: goofynina on July 28, 2007, 04:10:51 PM
When I was in-centre, I ran the "standerd" 4X3 (four hours/three days/weed). Now I usually run 2 to 2 1/2 hours (depending on how much fluid I need to take off) six days a week.

Adam

Adam, are your fluid restrictions the same with NxStage as it is on Hemo?  or do you feel like you can more fluids since you are dialyzing daily??  :popcorn;
Title: Re: Haemodialysis Sessions
Post by: Adam_W on July 28, 2007, 04:32:17 PM
I still have to go easy on the fluids, especially on my day off, but I don't have near the restrictions that I had before. Except for my day off, I can drink a fairly decent amount of fluids and still almost never have to take off more than a kilo.

Adam
Title: Re: Haemodialysis Sessions
Post by: babi68 on July 29, 2007, 04:51:58 AM
well things have changed for me now. I now do 8 hours at least every second day.The first week home on nocturnal I did 48 hours and I felt fantastic. Got a little excited with fluid and overloaded, so I needed to do it.  Settled down a bit now, so every second day is enough. Liz :ausflag;
Title: Re: Haemodialysis Sessions
Post by: pdpatty on August 07, 2007, 04:20:55 PM
3.5 hrs. mon,wed, fri.  Feeling great on this.
Some at center do 3 and a few do 4.
Title: Re: Haemodialysis Sessions
Post by: kitkatz on August 07, 2007, 04:25:44 PM
I have changed centers as of yesterday. I am now with an FMC center on Hospitlaity Lane in San Bernardino.  They do NOT have cable TV. WAAAH! Oh well they do have a DVD player for movies to be played.  I am sitting by a friend of mine int he center so I am not too lonely now.  I needed to see doctors who were Kaiser related and let them know what is going on mor eoften. At RAI I saw my nephrologist every 6 to 12 months. Not good enough in my book.
Title: Re: Haemodialysis Sessions
Post by: goofynina on August 07, 2007, 05:34:33 PM
I hope things keep going well for you at the new center Kit and you are able to see your neph a little more often than you were, that is just crazy, CRAZY I SAID  :urcrazy; :urcrazy;
Title: Re: Haemodialysis Sessions
Post by: tubes on August 07, 2007, 06:00:00 PM
When i first started hemo 2 yrs ago i was running 31/2 hours. Then i was dropped to 3 hr 15 min, now ive been at 3 hrs for about a yr...give or take a few months.  I kinda want to go back to my 31/2 hours, my blood pressure has been out of control for about 5 months now.  Just cant get it down.  I usually put on about 1.5 kilos between treatments and thats over the weekends too.

We have this new girl now for the past 2 months.  She is only here for a yr, her hubby was transferred out to kansas for work from texas.  She is about 30 and is trying to get a transplant....which wont happen.  She calls in almost every monday and is always being taken off early.  I dont know what her deal is but she wont last long if she keeps this up.  Its sad seeing her do this.  But i guess back in texas she was doing home hemo and she is not use to in center hemo.  Still, its not an excuse, you need to do what you need to do.  So she dialyzes maybe 4  hours a week, maybe a little more depending if she comes in on monday.
Sad, very sad..........
Title: Re: Haemodialysis Sessions
Post by: okarol on August 07, 2007, 06:01:57 PM
When i first started hemo 2 yrs ago i was running 31/2 hours. Then i was dropped to 3 hr 15 min, now ive been at 3 hrs for about a yr...give or take a few months.  I kinda want to go back to my 31/2 hours, my blood pressure has been out of control for about 5 months now.  Just cant get it down.  I usually put on about 1.5 kilos between treatments and thats over the weekends too.

We have this new girl now for the past 2 months.  She is only here for a yr, her hubby was transferred out to kansas for work from texas.  She is about 30 and is trying to get a transplant....which wont happen.  She calls in almost every monday and is always being taken off early.  I dont know what her deal is but she wont last long if she keeps this up.  Its sad seeing her do this.  But i guess back in texas she was doing home hemo and she is not use to in center hemo.  Still, its not an excuse, you need to do what you need to do.  So she dialyzes maybe 4  hours a week, maybe a little more depending if she comes in on monday.
Sad, very sad..........

Robert, What BP meds are you on?
Title: Re: Haemodialysis Sessions
Post by: tubes on August 07, 2007, 06:06:19 PM
norvasc and atenalol (misspelled) Karol......
Title: Re: Haemodialysis Sessions
Post by: okarol on August 08, 2007, 04:43:43 PM
Jenna is also on Norvasc. They had considered changing her to the ace inhibitor Zestril, but so far the Norvasc seems to be good with the new kidney.
What has your doctor said about the BP levels being so high.

NORVASCŪ (amlodipine besylate) helps control high blood pressure for a full 24 hours. And it can be used to treat the chest pain of angina. NORVASC works to relax your blood vessels, allowing blood to flow more easily through them. The end result is lower blood pressure and less angina.

Atenolol is in a group of drugs called beta-blockers. Beta-blockers affect the heart and circulation (blood flow through arteries and veins).
Atenolol is used to treat angina (chest pain) and hypertension (high blood pressure). It is also used to treat or prevent heart attack.

Seems like a lot of meds?
Title: Re: Haemodialysis Sessions
Post by: tubes on August 08, 2007, 08:27:49 PM
Jenna is also on Norvasc. They had considered changing her to the ace inhibitor Zestril, but so far the Norvasc seems to be good with the new kidney.
What has your doctor said about the BP levels being so high.

NORVASCŪ (amlodipine besylate) helps control high blood pressure for a full 24 hours. And it can be used to treat the chest pain of angina. NORVASC works to relax your blood vessels, allowing blood to flow more easily through them. The end result is lower blood pressure and less angina.

Atenolol is in a group of drugs called beta-blockers. Beta-blockers affect the heart and circulation (blood flow through arteries and veins).
Atenolol is used to treat angina (chest pain) and hypertension (high blood pressure). It is also used to treat or prevent heart attack.

Seems like a lot of meds?


Sorry Karol, it wasnt atenolol. I havent been on that in a long time. The other is enalapril, or something like that.  Noone has ever said anything about it, even though I mention it all the damn time.  It seems any prob I mention goes in one ear and out the other.  My neph has never said any thing either.  So I dont know. 
Thanks for the info.

RobertO