New technique for PD catheter insertion

[MooseMom]

I know very little about PD, but I happened across this blog entry over on Renal Fellow Network and thought it might be of some interest to anyone thinking about PD.

http://renalfellow.blogspot.com/2012/08/bury-it.html

[Annig83]

How cool is this?!  I think that it's quite the innovation.  Success rate seems fairly similar to having a "normal" procedure being done.   

[Joe]

When I was getting ready to start dialysis, my Neph and vascular surgeon weren't sure when I would need to actually start. They were going to bury my cath until it was needed. Unfortunately, I degraded faster than we all were planning so wound up leaving it out. I started dialysis 3 weeks a later.

[Rain]

they do that at the hospitals here for years now.. If only i was able to do PD..

[kporter85db]

This is how my catheter was placed. My catheter was put in and left buried in March 2011, and externalized as an outpatient procedure under local anesthetic in the surgery center in July 2011. That same day I went right away to my dialysis clinic and started training/doing dialysis.

I just assumed this was the way they did all pd catheters.

It was really weird feeling the catheter under my skin for those few months.

[tito]

Of course, my "brilliant" hospital, Brigham and Women's in Boston, does not use this technique. I say brilliant sarcastically, as they miserably fail the day-to-day patient, and grab headlines only when they do something like a double hand transplant. I hate to tell you how many mistakes the hospital and their doctors have committed in my case over the years. Serious mistakes with my anticoaculation leading to catastrophic bleeding, mistakes with my phosphorous/PTH management, leading to calciphylaxsis, etc. I have transferred my accrued waiting time for a kidney to Fletcher-Allen Hospital in Burlington VT where the wait time is half that of Brigham's. I am told I am at the top of the list for my blood type. Didn't want Brigham to screw up the transplant. As it is I don't even know who my transplant coordinator or my surgeon is at Brigham, they have such a revolving door. TMD sindrome - Too Many Doctors.