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Author Topic: Buttonholes  (Read 2728 times)
pklipe57
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« on: August 26, 2009, 12:21:48 PM »

Monday was the first day for the tech to use blunts.  It went in real easy.  If it starts out this way are the chances that they will be good buttonholes.  The person across from me is in a lot of pain everytime and I was told his buttonholes aren't very good but I don't know how long he has been using his buttonholes.

Any more advice about buttonholes?

Thanks. 

 
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monrein
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« Reply #1 on: August 26, 2009, 12:32:00 PM »

The same person ought to do them every time so the angle is exactly the same.  Yourself perhaps? Blunts going in easily now bodes well for the future.
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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
Inara
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« Reply #2 on: August 26, 2009, 12:39:20 PM »

I'm so glad it's going well so far!

Prepare yourself for this, though....the "newest thing" is to create a second set of buttonholes (just in case the first two fail for some reason or if the nurse/tech can't cannulate the originals).  But this is probably months away since yours are so new.  And maybe they don't even do that yet where you are.  I hope I'm not offending or scaring anyone in anyway...(I'm a dialysis nurse/caregiver and this has been implemented for over a month now...just trying to give a "heads up") 

Best of luck to you and keep us updated!!!!
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*Primary Caregiver of Leslie, my best friend.  She's been on dialysis for 9 years.
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pklipe57
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« Reply #3 on: August 26, 2009, 12:42:43 PM »

The same person has stuck me everytime so far.  I knew that was part of the trick.  Once they get established will other people be able to stick me successfully?

The clinic I go to is a non-profit hospital unit and we have had the same techs everyday.  If we were
M-W-F  then our techs were MWF as well as the RNs.  Now - they say we are overstaffed so everyone is having to take scheduled days off.  I haven't been without my tech yet, but I know it is coming.  It was easier before when I had my backup catheter but it's out now. 

I am planning my first trip in November and will do dialysis in another city.  Will the buttonholes be really established by then?

Thanks

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monrein
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« Reply #4 on: August 26, 2009, 12:48:34 PM »

They should be nice by then pklipe.  I would encourage you to try them yourself if you can get your head around it.  Buttonholes hurt less than sharps although even those hurt less when you self-stick.   The buttonholes sometimes have a nerve right where they are but if not it's like wiggling into a pierced ear hole and the pushing into the vein.  If you can get comfortable with self sticking (and if they allow it) you'll remove a big piece of D related stress. 

I never had to use a sharp once my buttonholes were established which took about a month. 
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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
pklipe57
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« Reply #5 on: August 26, 2009, 02:14:22 PM »

Thanks for the help and encouragement.  I haven't wrapped my head around the self-stick, but I am working on it. 

Gotta run - off to dialysis.

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cookie2008
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« Reply #6 on: August 26, 2009, 02:45:12 PM »

We are trying to establish my buttonholes, having a hard time, we are going in the same angle, no problem with the sharps but the blunts go in one day then the next day it wont work, and the blunt doesnt hurt it just burns when they go in.
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silverhead
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« Reply #7 on: August 26, 2009, 04:01:51 PM »

We have been using Buttonholes for over 2 years, are still using Sharps, blunts just do not work for her, she seems to heal to well between sessions, Go figure.......
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monrein
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« Reply #8 on: August 26, 2009, 05:11:31 PM »

I was doing 5 days a week so that made a difference I'm sure.
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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
joannalee74
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« Reply #9 on: August 26, 2009, 06:14:34 PM »

We get patients in the hospital sometimes with button holes. We have the dull needles there and normally don't have any trouble sticking them. If I were a dialysis patient, I would prefer button holes. Good luck!!  ;D
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Joanna
Acute Dialysis Tech.
5 years hemodialysis experience
Employed with Fresenius
=)
del
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del and willowtreewren meet

« Reply #10 on: August 26, 2009, 06:54:59 PM »

My husband has been using buttonholes for the past 3 years.  For him they are pain free.  Would be good if you could do the needles yourself. 
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Nobbzee
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« Reply #11 on: September 10, 2009, 01:22:12 AM »

Hi. New guy here.

My nurse actually told me about buttonholes and the benefits of it now that they finally removed my catheter. It seems better for you in the long run and for fistula. However, there is a slightly higher possibility of getting an infection. Make sure whoever does the poking clean the area well first.
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twirl
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« Reply #12 on: September 10, 2009, 04:28:32 AM »

I need to start wearing my contacts when on IHD
I thought this said buttholes
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YLGuy
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« Reply #13 on: September 10, 2009, 10:31:25 AM »

I need to start wearing my contacts when on IHD
I thought this said buttholes
So I am curious Twirl...which IHD members did you think this thread was about?  :rofl;
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Stoday
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« Reply #14 on: September 11, 2009, 08:46:43 PM »

I need to start wearing my contacts when on IHD
I thought this said buttholes

You crack me up Twirl.  :rofl; You've changed this into a porno topic.

I've just re-read the whole thread substituting "buttholes" for "buttonholes". I particularly like the husband who's been using buttholes for the last three years.

 :rofl;  :rofl;
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Diagnosed stage 3 CKD May 2003
AV fistula placed June 2009
Started hemo July 2010
Heart Attacks June 2005; October 2010; July 2011
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