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Author Topic: Stent Removal  (Read 20480 times)
Meinuk
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« on: December 04, 2008, 05:34:52 PM »

Today is day 33 post transplant for me, and I had my stent removed.  I decided to write about stents and describe my experience of removal.  (not a big deal - If you are reading about this because the idea of a stent bothers you - let me tell you it really is a quick, straightforward procedure.)

A stent is placed during renal transplant to maintain integrety of the ureter http://en.wikipedia.org/wiki/Ureter, bladder and urethra, there are some discussions, and a few studies about not using stents in patients who do not have bladder/ureter issues, but as my urologist said, transplant programs live and die by their outcomes, and no one wants to lose a graft due to stenosis of the ureter.

Keep in mind that I am writing about my experience (female) those of you with external plumbing (those men in the audience) well, needless to say, your experience will differ.

Below is a picture of a double pigtail ureteral stent (what I had partially coiled in my bladder and then reaching down into my urethra) it is a few inches long, and made of a soft, flexible silicone.

My Tx Clinic Nephrologist made the referral on week 3 (normally scheduled between weeks 4 and 6) for me to have my stent out.  The clinic made my appointment for me.

Today

I got to the Urologists office at 3:40 for a 4pm appointment, filled out my forms, handed the receptionist the letter stating that this is part of the transplant process and Medicare would be paying for it (supplied by my Transplant clinic).

The Doctor came out, called my name, shook my hand and led me back to a procedure room.  He explained that Thursday was his nurses day off, and he would be prepping me.  I was told to use the bathroom and empty my bladder, then undress from the waist down,  (socks on! it is cold) and hop up on the table.

He then swabbed the pertinent areas with betadine and then applied a lidocain gel to my urethra.  I then had to lay there and wait for the gel to work.  (about 10 mins)

The doctor then came back into the room, inserted a small camera which is hoooked up to saline for flushing purposes  in to my urethra (no pain, some wetness, a little pushing sensation), he then visualized the stent and removed it. (all in all 2 mins from insertion to removal)

He showed me the stent, then was required to send it off to pathology for testing (a needless medical test, as I had no symptoms of urinary tract infection a waste of money IMHO)

I was advised to take another bactrim tonight, and that there may be some blood in my urine tonight, and some irritation and urge for frequent urination from the removal, if it persists, call him.  (it is now 4 1/2 hours later - no problems)

We then chatted, I got dressed, walked out, said good bye, and went to meet my friend Kerry at a Mexican restaurant down the street for an early dinner.
« Last Edit: December 04, 2008, 06:01:37 PM by Meinuk » Logged

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52 with PKD
deceased donor transplant 11/2/08
nxstage 10/07 - 11/08;  30LS/S; 20LT/W/R  @450
temp. permcath:  inserted 5/07 - removed 7/19/07
in-center hemo:  m/w/f 1/12/07
list: 6/05
a/v fistula: 5/05
NxStage training diary post (10/07):  http://ihatedialysis.com/forum/index.php?topic=5229.0
Newspaper article: Me dialyzing alone:  http://ihatedialysis.com/forum/index.php?topic=7332.0
Transplant post 11/08):  http://ihatedialysis.com/forum/index.php?topic=10893.msg187492#msg187492
Fistula removal post (7/10): http://ihatedialysis.com/forum/index.php?topic=18735.msg324217#msg324217
Post Transplant Skin Cancer (2/14): http://ihatedialysis.com/forum/index.php?topic=30659.msg476547#msg476547

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Chris
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« Reply #1 on: December 04, 2008, 05:48:19 PM »

Yes, way different for men in my experience.

Glad my doc didn't chat while I had my pants down :urcrazy;, to odd for me.

Have to agree, those doctor offices are too cold and no way am I taking everything off so I can freeze.

Hard to believe it has been a month, time has flew by fast.
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Diabetes -  age 7

Neuropathy in legs age 10

Eye impairments and blindness in one eye began in 95, major one during visit to the Indy 500 race of that year
   -glaucoma and surgery for that
     -cataract surgery twice on same eye (2000 - 2002). another one growing in good eye
     - vitrectomy in good eye post tx November 2003, totally blind for 4 months due to complications with meds and infection

Diagnosed with ESRD June 29, 1999
1st Dialysis - July 4, 1999
Last Dialysis - December 2, 2000

Kidney and Pancreas Transplant - December 3, 2000

Cataract Surgery on good eye - June 24, 2009
Knee Surgery 2010
2011/2012 in process of getting a guide dog
Guide Dog Training begins July 2, 2012 in NY
Guide Dog by end of July 2012
Next eye surgery late 2012 or 2013 if I feel like it
Home with Guide dog - July 27, 2012
Knee Surgery #2 - Oct 15, 2012
Eye Surgery - Nov 2012
Lifes Adventures -  Priceless

No two day's are the same, are they?
Meinuk
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« Reply #2 on: December 04, 2008, 05:55:34 PM »

Yeah, a month - time flies.  My wound is healed and I am ready to get out there.  (I feel like a racehorse stuck in a starting gate)

I had such a difficult time writing about the removal - just because I have a tendency to make everything dirty.  (It didn't help that the urologist is Dr. Weiner)  Yes, you got it, Dr. Weiner.  hee hee (I really am a 12 year old at heart)

Yeah, I should be more modest, but so many Drs, Nurses and Techs (ultrasound, CT and nuclear medicine) have seen me naked at this point in the transplant, what is another Dr added to the list.
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Research Dialysis Units:  http://projects.propublica.org/dialysis/

52 with PKD
deceased donor transplant 11/2/08
nxstage 10/07 - 11/08;  30LS/S; 20LT/W/R  @450
temp. permcath:  inserted 5/07 - removed 7/19/07
in-center hemo:  m/w/f 1/12/07
list: 6/05
a/v fistula: 5/05
NxStage training diary post (10/07):  http://ihatedialysis.com/forum/index.php?topic=5229.0
Newspaper article: Me dialyzing alone:  http://ihatedialysis.com/forum/index.php?topic=7332.0
Transplant post 11/08):  http://ihatedialysis.com/forum/index.php?topic=10893.msg187492#msg187492
Fistula removal post (7/10): http://ihatedialysis.com/forum/index.php?topic=18735.msg324217#msg324217
Post Transplant Skin Cancer (2/14): http://ihatedialysis.com/forum/index.php?topic=30659.msg476547#msg476547

“To doubt everything or to believe everything are two equally convenient solutions; both dispense with the necessity of thought.” - Henri Poincare
charee
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« Reply #3 on: December 04, 2008, 05:58:49 PM »

Thanks for that I get mine out on 18th December i will let you know how i go.
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Home Hemo  18 months
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from my beautiful sister
Royal Prince Alfred Sydney Australia

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paris
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« Reply #4 on: December 04, 2008, 06:25:38 PM »

You have written such excellent reports.  It really helps to know step by step what to expect.  What a year you have had!   I am so glad the transplant is doing so well.  Vegas next year, right??   :cuddle;
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kellyt
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« Reply #5 on: December 04, 2008, 07:00:27 PM »

Thank you!  I'm scheduled to have my stent removed on Dec. 22nd and I was nervous not knowing WTH they were going to do!  I have already been given my antibiotics.  I take the first one 1 hr before going in and the 2nd 24-hrs after the removal.  That's all I know.

I'm going to PM you, however.  I have a 2nd question...
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1993 diagnosed with glomerulonephritis.
Oct 41, 2007 - Got fistula placed.
Feb 13, 2008 - Activated on "the list".
Nov 5, 2008 - Received living donor transplant from my sister-in-law, Etta.
Nov 5, 2011 - THREE YEARS POST TRANSPLANT!  :D
pelagia
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« Reply #6 on: December 04, 2008, 07:27:54 PM »

I am always interested in this stent stuff.  Stephen's was removed before he left the hospital after his transplant - which was a week after it was put in.  But, I notice that others have had their stent in for much longer.  Seems like a big difference to me.
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As for me, I'll borrow this thought: "Having never experienced kidney disease, I had no idea how crucial kidney function is to the rest of the body." - KD
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« Reply #7 on: December 04, 2008, 08:02:09 PM »

After Marvin's transplant (got it in 2000, lost it in 2003), we both went back for a one-month check-up.  They put me in one exam room (donor), and Marvin in another.  After about 30 minutes, we finally got back together.  I told Marvin, "You're not going to believe what they did to me!  The doc said he had to get a 'pure' urine sample.  That means I couldn't put it into a cup; they had to go in the bladder and get it.  Yuck!  It was awful." 

To which, Marvin said, "That's nothing.  They removed my stent."

So I said, "Where did they cut you to get it out?"  And Marvin said, "They didn't cut me.  They went in through the only opening I have down there in the front and got it!"     


......... I had to let that piece of information sink in.  "You mean they went in through your......?" I asked.  "Yep," he said, "that's exactly where they went."

"Okay," I said.  "You win.  Yours was worse!"
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okarol
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« Reply #8 on: December 04, 2008, 08:46:13 PM »


I had such a difficult time writing about the removal - just because I have a tendency to make everything dirty.  (It didn't help that the urologist is Dr. Weiner)  Yes, you got it, Dr. Weiner.  hee hee (I really am a 12 year old at heart)



Tee heee heee I am 12 too. Weiner. No way. Heeheehee  :rofl;
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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 -
News video: http://www.youtube.com/watch?v=J-7KvgQDWpU
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« Reply #9 on: December 04, 2008, 08:49:41 PM »

My Aunt had at one time married a man with that last name. Just glad I wasn't one of her kids at the time  :rofl;
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Diabetes -  age 7

Neuropathy in legs age 10

Eye impairments and blindness in one eye began in 95, major one during visit to the Indy 500 race of that year
   -glaucoma and surgery for that
     -cataract surgery twice on same eye (2000 - 2002). another one growing in good eye
     - vitrectomy in good eye post tx November 2003, totally blind for 4 months due to complications with meds and infection

Diagnosed with ESRD June 29, 1999
1st Dialysis - July 4, 1999
Last Dialysis - December 2, 2000

Kidney and Pancreas Transplant - December 3, 2000

Cataract Surgery on good eye - June 24, 2009
Knee Surgery 2010
2011/2012 in process of getting a guide dog
Guide Dog Training begins July 2, 2012 in NY
Guide Dog by end of July 2012
Next eye surgery late 2012 or 2013 if I feel like it
Home with Guide dog - July 27, 2012
Knee Surgery #2 - Oct 15, 2012
Eye Surgery - Nov 2012
Lifes Adventures -  Priceless

No two day's are the same, are they?
monrein
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« Reply #10 on: December 05, 2008, 05:45:37 AM »

I never had a stent at all for my first transplant.  Wonder what will happen this time?  I'll ask before I go in.

Terrific account Anna. Thanks so much.
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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
RichardMEL
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« Reply #11 on: December 05, 2008, 06:04:14 AM »

I just want to say my legs have crossed protectively over my Dr Weiner in reading about this... this sort of thing has been a bit of a fear for me because I can't imagine how painful and gross that would be.... even if they were going to use a local or something.... ugh!! Still, I imagine in relation to the whole transplant process in the passing of time it would be quite minor, but omg I am NOT looking forward to that part of proceedings!!!!

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3/1993: Diagnosed with Kidney Failure (FSGS)
25/7/2006: Started hemo 3x/week 5 hour sessions :(
27/11/2010: Cadaveric kidney transplant from my wonderful donor!!! "Danny" currently settling in and working better every day!!! :)

BE POSITIVE * BE INFORMED * BE PROACTIVE * BE IN CONTROL * LIVE LIFE!
Zach
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« Reply #12 on: December 05, 2008, 07:41:11 AM »

I just want to say my legs have crossed protectively over my Dr Weiner in reading about this... this sort of thing has been a bit of a fear for me because I can't imagine how painful and gross that would be.... even if they were going to use a local or something.... ugh!! Still, I imagine in relation to the whole transplant process in the passing of time it would be quite minor, but omg I am NOT looking forward to that part of proceedings!!!!



Ouch!

8)
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Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
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chris73
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« Reply #13 on: December 05, 2008, 05:14:47 PM »

well it was like this when my stent was removed (which i was scared to death) i was sent to urology met a nurse and discussed what was gonna happen...went to procedure room ,got nakkie waist down got on cold table  and then proceded to clean me and put betadine on my privates, then brought over a syringe ( i went yikes) took off the needle and inserted the end in my penis and it was a type of numbing medicine  that numbed me a little bit waited a few min the put the camera in that was big around as a pencil about 2 feet long. it took about 2mins after the numbing had taking place. it wasnt a bad as i thought it would been..i dont want to have it done everyday...not a bad experience for myself..
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11/10/07 esrd
12/07/07 permcath placed
dialysis started 2 days later
transplant 4/15/08  from close friend and coworker  of 12 yrs. Thanks Jeff!!
kellyt
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« Reply #14 on: December 05, 2008, 06:37:16 PM »

<<<<faint>>>>>>
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1993 diagnosed with glomerulonephritis.
Oct 41, 2007 - Got fistula placed.
Feb 13, 2008 - Activated on "the list".
Nov 5, 2008 - Received living donor transplant from my sister-in-law, Etta.
Nov 5, 2011 - THREE YEARS POST TRANSPLANT!  :D
MIbarra
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« Reply #15 on: December 05, 2008, 07:21:37 PM »

Oh boy! You poor men!

It wasn't a bad experience for me except for my neph said to make sure they removed the stent after 4 weeks or so. Well, the urologist didn't seem to care because he kept cancelling my appointments. It took MUCH longer than 4 weeks and my neph said that is probably why I have recurring UTI's right now. So those of you with new transplants or are soon to have one, make SURE your urologist does not wait!
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Cadaver transplant April 29, 2007
Run8
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« Reply #16 on: December 05, 2008, 07:38:25 PM »

Hey chris73, the put the needle where????????   OMG, OMG, OMG..
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pelagia
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« Reply #17 on: December 05, 2008, 08:37:19 PM »

I just want to say my legs have crossed protectively over my Dr Weiner in reading about this... this sort of thing has been a bit of a fear for me because I can't imagine how painful and gross that would be.... even if they were going to use a local or something.... ugh!! Still, I imagine in relation to the whole transplant process in the passing of time it would be quite minor, but omg I am NOT looking forward to that part of proceedings!!!!



Ouch!

8)

They took Stephen's stent out while he was still in the hospital and I seem to remember that they took him back to one of the ORs.  He wasn't traumatized at all, so either he was knocked out or very numb and couldn't see what was happening.  He was much more traumatized by the serious shades of black and blue he had over his privates from the transplant surgery.  It's a blood flow thing apparently.
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As for me, I'll borrow this thought: "Having never experienced kidney disease, I had no idea how crucial kidney function is to the rest of the body." - KD
kellyt
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« Reply #18 on: December 06, 2008, 09:25:54 AM »

I'm scheduled to get mine out on the 22nd, but just yesterday I started getting the little "urges" to urinate and then when I go there is just a little.  I called and told them I might be getting a UTI, but she thinks it might just be a problem with the stent.  I'm supposed to call Monday if the "urges" continue.  I urinated a good amount in the evening and overnight with no pain or discomfort, so I don't think it's a UTI.  I'm hoping it's the stent so they will take it out early!
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1993 diagnosed with glomerulonephritis.
Oct 41, 2007 - Got fistula placed.
Feb 13, 2008 - Activated on "the list".
Nov 5, 2008 - Received living donor transplant from my sister-in-law, Etta.
Nov 5, 2011 - THREE YEARS POST TRANSPLANT!  :D
chris73
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« Reply #19 on: December 06, 2008, 10:37:14 AM »

Hey Chris73, the put the needle where????????   OMG, OMG, OMG..
      LOL it was the syringe without the needle.... that hurt more than anything pushing  that medicine in the end of my penis....wasnt put in slow either was "slammed" in there
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11/10/07 esrd
12/07/07 permcath placed
dialysis started 2 days later
transplant 4/15/08  from close friend and coworker  of 12 yrs. Thanks Jeff!!
RichardMEL
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« Reply #20 on: December 06, 2008, 03:41:27 PM »

I am crossing my legs again!! Dr Weiner doesn't like the sound of this at all!!! LOL

Well, been through so much already... I will just ask them to up the happy drugs because I'm a big wimp.... fingers crossed!

(I know, I need the transplant first.... fingers crossed!)
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3/1993: Diagnosed with Kidney Failure (FSGS)
25/7/2006: Started hemo 3x/week 5 hour sessions :(
27/11/2010: Cadaveric kidney transplant from my wonderful donor!!! "Danny" currently settling in and working better every day!!! :)

BE POSITIVE * BE INFORMED * BE PROACTIVE * BE IN CONTROL * LIVE LIFE!
willieandwinnie
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« Reply #21 on: December 06, 2008, 03:51:29 PM »

Len was also taken to the OR to have his stent and center line removed. Gave him a little joy juice and he was good to go.  :rofl;
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RichardMEL
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« Reply #22 on: December 06, 2008, 04:02:28 PM »

Joy Juice! Joy Juice! Joy Juice!!!! I vote for that....

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3/1993: Diagnosed with Kidney Failure (FSGS)
25/7/2006: Started hemo 3x/week 5 hour sessions :(
27/11/2010: Cadaveric kidney transplant from my wonderful donor!!! "Danny" currently settling in and working better every day!!! :)

BE POSITIVE * BE INFORMED * BE PROACTIVE * BE IN CONTROL * LIVE LIFE!
kitkatz
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« Reply #23 on: December 06, 2008, 06:21:26 PM »

They always tell me they are going to drug me up for some procedure, then some doc makes a decision, no because you are a kidney patient we cannot give you anything. WTF?
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Ivanova: "Old Egyptian blessing: May God stand between you and harm in all the empty places you must walk." Babylon 5

Remember your present situation is not your final destination.

Take it one day, one hour, one minute, one second at a time.

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« Reply #24 on: December 06, 2008, 08:44:41 PM »

Tough call on which is worse, having a stent removed or having a catheter put in while in the ER, both without much meds. Lidocain lube did not do a thing for me.
Logged

Diabetes -  age 7

Neuropathy in legs age 10

Eye impairments and blindness in one eye began in 95, major one during visit to the Indy 500 race of that year
   -glaucoma and surgery for that
     -cataract surgery twice on same eye (2000 - 2002). another one growing in good eye
     - vitrectomy in good eye post tx November 2003, totally blind for 4 months due to complications with meds and infection

Diagnosed with ESRD June 29, 1999
1st Dialysis - July 4, 1999
Last Dialysis - December 2, 2000

Kidney and Pancreas Transplant - December 3, 2000

Cataract Surgery on good eye - June 24, 2009
Knee Surgery 2010
2011/2012 in process of getting a guide dog
Guide Dog Training begins July 2, 2012 in NY
Guide Dog by end of July 2012
Next eye surgery late 2012 or 2013 if I feel like it
Home with Guide dog - July 27, 2012
Knee Surgery #2 - Oct 15, 2012
Eye Surgery - Nov 2012
Lifes Adventures -  Priceless

No two day's are the same, are they?
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