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Author Topic: First trip with the Cycler  (Read 4249 times)
mark m
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« on: June 06, 2008, 11:35:39 AM »

I am taking my first trip with the Nxstage Cycler. I am flying to Arkansas for four days and having the supplies delivered. Does anyone have any tips for me? I used to fly with my PD cycler and never had any problems. I am a bit nervous and am just hoping that I remember everything.

Thanks,

-Mark.

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monrein
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Might as well smile

« Reply #1 on: June 06, 2008, 04:14:17 PM »

 :thumbup; All the best.  Sounds very exciting to me and I'm sure it'll go well.
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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
Uldall-Cook catheter inserted May 2008
Haemo-dialysis, self care unit June 2008
(2 1/2 hours X 5 weekly)
Self-cannulated, 15 gauge blunts, buttonholes.
Living donor transplant (sister-in law Kathy) Feb. 2009
First failed kidney transplant removed Apr.  2009
Second trx doing great so far...all lab values in normal ranges
Roadrunner
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« Reply #2 on: June 07, 2008, 05:46:59 PM »

Mark,
This is a list I compiled from various sources.  Hope it helps you.  We haven't taken a trip yet but are hoping to take one soon. 

Enjoy your trip.

  • cycler and electrical cord from cycler to wall
  • warmer unit and cord from warmer to cycler
  • an extension cord that has multiple outlets
  • pole for dialysate bags
  • iv pole (we never use it)
  • saline bags
  • cartridges
  • dialysate bags
  • warmer bags (have the  connectors on them)
  • drain lines
  • tape
  • 2 x2 gauze
  • alcohol swabs
  • gloves
  • tweezers
  • tourniquet
  • clamps if you use them
  • 10cc syringes
  • flow charts (record sheets)
  • blue underpads
  • needles blunt & sharp (in case)
  • antibacterial soap (in plastic bag in case of leak)
  • paper towels
  • epo
  • garbage bags
  • Disinfection wipes
  • blood pressure cuff
  • thermometer
  • scale
  • sharps container
  • 1cc syringes (for insulin)
  • good light source (I use a book light)
  • manuals
  • Phone numbers of, your center's 24hr support number, NxStage, doctors etc.
  • bring a flashlight
  • a small ziplock bag of supplies in case you have a power failure or need to get off the machine quickly.
  • Your system settings.... if your cycler dies and they send one to you the next day.. you need to change your system settings before you use the new cycler.  tech support can help you change the settings but each center has different settings
    We don’t use these but you might
    [li]Heparin[/li]
    [li]Lidacaine or betadine[/li]
    [li]Band-Aids[/li]

    [/list]
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    mark m
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    « Reply #3 on: June 07, 2008, 07:19:49 PM »

    Thank you so much for the list! This is exactly what I needed.   :bow;

    I would have probably forgotten to bring my scale. I am hoping that I remember everything, Nxstage actually delivers my bags, and that the airline is cool.

    This is why I have chose to go with home dialysis.

    Thanks again!  :2thumbsup;
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    Roadrunner
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    « Reply #4 on: June 08, 2008, 04:50:47 PM »

     :oops;
    I forgot to add the needles for heparin
    Roadrunner
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    Bill Peckham
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    « Reply #5 on: June 09, 2008, 03:33:49 PM »

    Great list Roadrunner I would add packing tape to pack up the boxes - keep this in carry on in case you have to open boxes at airport; and a screw driver for attaching the kidney holder and Saline pole (if you use one).

    For flying you should print out Dori Schatell's article "Leaving on a Jet Plane" http://www.homedialysis.org/files/pdf/resources/tom/200606.pdf (PDF LINK) The article has a quote from a Department of Transportation spokesman (on first page right column) that seems to carry a lot of weight with ticket counter agents.

    When flying remember that there is a firm 100 pound weight limit. This means that you should not put anything in the case with the cycler - no cord, no stay dry pack - because it is suppose to weigh 99 pounds. In fact if the airport scale is off and it says you are over 100 pounds remember that you can remove the "jewel box" on the back of the machine. Also plan on the TSA (Transportation Security Administration) opening the cycler's travel container for this reason I put a 3x5 card taped to the front bar that says "This is not a handle" and tape on top that points to the two carrying handles that says "These are handles".

    Most people I know that fly with the cycler are prepared to tip sky caps and such as needed - bring a bunch of one dollar bills.
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    http://www.billpeckham.com  "Dialysis from the sharp end of the needle" tracking  industry news and trends - in advocacy, reimbursement, politics and the provision of dialysis
    Incenter Hemodialysis: 1990 - 2001
    Home Hemodialysis: 2001 - Present
    NxStage System One Cycler 2007 - Present
            * 4 to 6 days a week 30 Liters (using PureFlow) @ ~250 Qb ~ 8 hour per treatment FF~28
    twirl
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    « Reply #6 on: June 09, 2008, 03:52:04 PM »

    you will do fine
    and I wish I was more like you
    would be to afraid to do what you are doing
    good for you
    live your life to it's best
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    mark m
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    « Reply #7 on: June 09, 2008, 08:54:11 PM »

    Thanks for the tips and support.  :thumbup;
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    mark m
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    « Reply #8 on: June 18, 2008, 10:21:18 AM »

    Well I am packing everything up today and leaving tomorrow morning. I will keep you all posted. I am not sure how I am going to pack my pole? I should have kept the tube it came in... Good news is that my supplies arrived where I am staying.
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    okarol
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    « Reply #9 on: June 18, 2008, 01:40:00 PM »

     :thumbup; I hope you have fun in Arkansas!
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    Admin for IHateDialysis 2008 - 2014, retired.
    Jenna is our daughter, bad bladder damaged her kidneys.
    Was on in-center hemodialysis 2003-2007.
    7 yr transplant lost due to rejection.
    She did PD Sept. 2013 - July 2017
    Found a swap living donor using social media, friends, family.
    New kidney in a paired donation swap July 26, 2017.
    Her story ---> https://www.facebook.com/WantedKidneyDonor
    Please watch her video: http://youtu.be/D9ZuVJ_s80Y
    Living Donors Rock! http://www.livingdonorsonline.org -
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    paris
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    « Reply #10 on: June 18, 2008, 06:00:15 PM »

    Have a wonderful trip!  Thank goodness for Nxstage----freedom to travel.  Can't wait to hear all about you trip when you get home.
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    It's not what you gather, but what you scatter that tells what kind of life you have lived.
    skyedogrocks
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    Rob showing off his pot of gold!

    « Reply #11 on: July 02, 2008, 06:09:42 AM »

    For those that travel with it, what about when you are done with a run?  Are hotels ok with you throwing it out?  We want to go away for a few days this summer and travel with it.  I'm just wondering if they are ok with the garbage bags of used filters.
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    Wife to Rob who is currently doing Nx Stage Home Hemo Dialysis.

    11/17/09 After 4 years on dialysis, Rob received a kidney from our George.  Kidney is working great!  YEAH!!!!
    mark m
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    « Reply #12 on: July 07, 2008, 08:29:32 PM »

    OK... I survived my trip.

    It is not impossible. Best thing I did was to call the airline in advance and have them put a note in my itinerary. This saved me from having to pay any additional money at the gate. People at the gate have no idea of the law and do not back down. Once they saw the note they were cool.

    All my supplies were in my room when I got there. I was able to do three treatments wile there with no problems. The garbage was easy, I just double bagged it like I do at home and set it outside the door. I left a nice tip on the table when I left.

    I have attached a pic of my setup in the room. I would start my treatments around 4 in the morn. so I could be off by breakfast, my favorite meal... I slept through most of it. I will post more details as I think of them.

    The Ozarks are quite beautiful!


    -Mark.

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    alrightstill
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    BAH!

    « Reply #13 on: July 07, 2008, 08:49:14 PM »

    Hey mark! 

    Congrats on your first trip with the nxstage!

    I have a question - what did you use to put the machine on the plane?  I read on the nxstage site that the black "travel case" provided by the centers isn't suitable for planes.  This freaked my mom and I out last summer when we traveled to Cali - so instead we paid $230 to ship the machine ahead of time UPS... That was a bad idea that deserves a post of its own.. but anyway.  Just curious!  Thanks! :)
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    1992 @ age 12 i was suddenly diagnosed with ESRD. 
    1992 - 1995: Peritoneal Dialysis
    1995: Cadaver Transplant
    2001: Kidney rejects, back on PD
    2002: too much scar tissue prevents PD from succeeding, go on hemo via permacath,
             transplanted kidney is removed.
    Dec 2004 -- 2009t: on NXSTAGE (with the bags NOT pureflow) 6x a week via permacath
    Dec 2009: Transplant from a pal
    Oct 2016 - present:  Transplant fails, back on NxStage w/pureflow via femoral cath, patiently waiting for next kidney
    mark m
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    « Reply #14 on: July 07, 2008, 09:01:28 PM »

    Hey alright,

    I used the original shipping box. I bought a one of those suitcase wheelie things that collapse down. It worked great.  It is not 100 percent easy but it worked. They gave me a lot of attitude about it being an over sized box but I just kept repeating that it was a medical life supporting device.   

    The tricky part was the pole. I carried it on both ways sandwiched and taped between cardboard. It fit in the over head of the 737 but on the small plane they took it from me and put it in the cargo hold.

    It was an adventure. You have to have a can do attitude and I don't think that you can over plan. The details in this post are what saved me.


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    st789
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    « Reply #15 on: July 07, 2008, 09:11:26 PM »

    Enjoy and have a blast for those of us not on vacation yet.
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    monrein
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    Might as well smile

    « Reply #16 on: July 08, 2008, 02:41:02 PM »

    So glad all went well.   Sounds like you'd do it again and that's the ticket.   :beer1;
    Logged

    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
    Uldall-Cook catheter inserted May 2008
    Haemo-dialysis, self care unit June 2008
    (2 1/2 hours X 5 weekly)
    Self-cannulated, 15 gauge blunts, buttonholes.
    Living donor transplant (sister-in law Kathy) Feb. 2009
    First failed kidney transplant removed Apr.  2009
    Second trx doing great so far...all lab values in normal ranges
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