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Author Topic: buttonhole Question  (Read 2454 times)
tyefly
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« on: October 21, 2009, 09:07:29 AM »

     I have a question on making new buttonholes......  I am currently using a 17 ga sharp.....   and they want to go to 16 ga now......    use those for a while and then go to the 15..... no problem......
but I want to start buttonholes  in the future.....  or whenever I can.......   Do you guys start with the 17 ga  to develop the buttonhole  and then move up to the 16 and then the 15......   or    do you just start making the buttonhole from the 15 ga....... what do you guys think is best......

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IgA Nephropathy   April 2009
CKD    May 2009
AV Fistula  June 2009
In-Center Dialysis   Sept 2009
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Extended Nxstage March 2011

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silverhead
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« Reply #1 on: October 21, 2009, 09:14:34 AM »

I think it's best to wait until you are on the 15's, it gives more time for the Fistula to mature and "toughen" up......
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Wallyz
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« Reply #2 on: October 21, 2009, 09:23:53 AM »

You want to start the button holes with the same size you will be using regularly, that is, the 15 ga.
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monrein
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« Reply #3 on: October 21, 2009, 09:46:16 AM »

I agree that you ought to move up to the larger gauge sharps, and once you've done the 15's for a bit then switch to buttonholes.
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Pyelonephritis (began at 8 mos old)
Home haemo 1980-1985 (self-cannulated with 15 gauge sharps)
Cadaveric transplant 1985
New upper-arm fistula April 2008
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(2 1/2 hours X 5 weekly)
Self-cannulated, 15 gauge blunts, buttonholes.
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cookie2008
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« Reply #4 on: October 21, 2009, 10:48:58 AM »

I have new buttonholes and we are using 15 gauge blunts.
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pklipe57
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« Reply #5 on: October 21, 2009, 11:31:03 AM »

I started with 15 sharps and used them for about three weeks.  Then moved to 15 blunts.  I am having no problem with my buttonholes.

Good luck.

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hurlock1
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« Reply #6 on: October 21, 2009, 03:12:18 PM »

I've been on dialysis for 2 years. I started my buttonholes about 6 mo. ago. They're using 14 gauge blunts on me. Every day they go in the same place. I have a little more freedom of movement in my arm that the needles are in.. It's a good thing.
jmz
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hurlock1
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« Reply #7 on: October 21, 2009, 03:23:23 PM »

I'm sorry, I didn't read the whole question. They were using 14 gauge sharps before we started the buttonholes. Going in a different place everyday was causing callouses and it was freaking me out. I use Emla-cream. mostly to keep from jumping when they put the needles in. 14 gauge needles seem to be as big around as a cocktail straw. I don't look when the are sticking me. Before I got started with the buttonholes, I was using, like I said 14 gauge needles. We went to button holes. At the time they only had 15 gauge blunts. They didn't even know that they had 14 gauge blunts. They went back to 14 gauge sharps because I'm a big fella and I needed the bigger exchange. I complained to the right people (everybody) and they eventually found a place to get the 15 gauge blunts. It sounds like you've been on dialysis for a relatively short time. It all comes with time and development.
jmz
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hurlock1
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« Reply #8 on: October 21, 2009, 03:25:43 PM »

I'm sorry, I didn't read the whole question. They were using 14 gauge sharps before we started the buttonholes. Going in a different place everyday was causing callouses and it was freaking me out. I use Emla-cream. mostly to keep from jumping when they put the needles in. 14 gauge needles seem to be as big around as a cocktail straw. I don't look when the are sticking me. Before I got started with the buttonholes, I was using, like I said 14 gauge needles. We went to button holes. At the time they only had 15 gauge blunts. They didn't even know that they had 14 gauge blunts. They went back to 14 gauge sharps because I'm a big fella and I needed the bigger exchange. I complained to the right people (everybody) and they eventually found a place to get the 15 gauge blunts. It sounds like you've been on dialysis for a relatively short time. It all comes with time and development.
jmz
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14 gauge blunts, sorry!
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