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Author Topic: Do you stick your own needles?  (Read 26418 times)
BigSky
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« Reply #75 on: February 09, 2007, 07:44:31 AM »

No I do not  know what you mean as it seems you have said two different things.   First it say the blunts slide in then you say they do not.
I have never said they slide in as they never have. Not like butter anyway. I said they go in the skin no problem in the 2 holes but then when it comes to the actual fistula the blunts push the fistula around under my skin.

But if I get a nurse who actually listens to me it does go in .. at least it went in easier last time. So now I have some hope. As soon as it does go in like butter and anyone can cannulate me including myself (a noob) then I will stick myself ;)

If the blunts slides into the skin down to the vein, the buttonhole tunnel is established. 
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angieskidney
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« Reply #76 on: February 09, 2007, 07:47:02 AM »

No I do not  know what you mean as it seems you have said two different things.   First it say the blunts slide in then you say they do not.
I have never said they slide in as they never have. Not like butter anyway. I said they go in the skin no problem in the 2 holes but then when it comes to the actual fistula the blunts push the fistula around under my skin.

But if I get a nurse who actually listens to me it does go in .. at least it went in easier last time. So now I have some hope. As soon as it does go in like butter and anyone can cannulate me including myself (a noob) then I will stick myself ;)

If the blunts slides into the skin down to the vein, the buttonhole tunnel is established. 
Yes but what if it does NOT go into the vein? Just pushes it all over so badly that the nurses call to each other for help? Then what would you call that?
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BigSky
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« Reply #77 on: February 09, 2007, 07:57:07 AM »

No I do not  know what you mean as it seems you have said two different things.   First it say the blunts slide in then you say they do not.
I have never said they slide in as they never have. Not like butter anyway. I said they go in the skin no problem in the 2 holes but then when it comes to the actual fistula the blunts push the fistula around under my skin.

But if I get a nurse who actually listens to me it does go in .. at least it went in easier last time. So now I have some hope. As soon as it does go in like butter and anyone can cannulate me including myself (a noob) then I will stick myself ;)

If the blunts slides into the skin down to the vein, the buttonhole tunnel is established. 
Yes but what if it does NOT go into the vein? Just pushes it all over so badly that the nurses call to each other for help? Then what would you call that?

A buttonhole is merely being cannulated in the exact spot at the same angle.  We all know what the benefit of that is I am assuming.

Buttonholes were first established using sharps.  However we do know the possible drawbacks from using sharps on buttonholes as sharps can cut tissue and therefor go off the established buttonhole track.

For one to to use blunts, a buttonhole tunnel must be formed through the skin and tissue, commonly called a buttonhole.  The tunnel is formed with sharps cutting the same path through the tissue forming a scar tunnel down to the vein.  One that scar tunnel is formed the buttonhole is formed and ready for use of blunts. 

You still have to puncture the vein each time no matter what needle is used.   Sharps create more scar tissue on veins than blunts do.  The more scar tissue on the vein the harder it will be for a blunt to pass through it.

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angieskidney
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« Reply #78 on: February 09, 2007, 08:01:39 AM »

You still have to puncture the vein each time no matter what needle is used.   Sharps create more scar tissue on veins than blunts do.  The more scar tissue on the vein the harder it will be for a blunt to pass through it.


Ah so that is what I am wondering! Are my buttonholes established but I just have a lot of scar tissue from the 2 months they were using sharps on my buttonholes? Or what? But if that is the case then why do they have to FISH AROUND for the holes on my actual fistula? It seems that the buttonhole tunnels are not quite right. I don't know how to explain it. Maybe I should draw a picture lol  :-[

Thanks for Clarifying by the way. This is what I have been wondering all along!  :thx;
« Last Edit: February 09, 2007, 08:07:49 AM by angieskidney » Logged

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« Reply #79 on: February 12, 2007, 03:52:22 AM »

I often have trouble with the blunts hitting the wall of the vein and not going in. Its just a matter of keeping at it, pulling in and out until you get the right spot. Sometimes it takes a bit of force.
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tamara
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« Reply #80 on: February 12, 2007, 03:59:01 AM »

I use sharps, but it scares me how much force even i have to use to push y venous in, alot of scar tissue around that area.
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angieskidney
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« Reply #81 on: February 12, 2007, 09:45:21 AM »

I often have trouble with the blunts hitting the wall of the vein and not going in. Its just a matter of keeping at it, pulling in and out until you get the right spot. Sometimes it takes a bit of force.
I fine they don't want to pull it out a little to try again
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« Reply #82 on: February 12, 2007, 07:22:55 PM »

What happens is that the buttomhole is established but your vein might "wiggle"...then it moves when you are canulating. That is why I use the tourniquet.
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angieskidney
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« Reply #83 on: February 12, 2007, 07:28:07 PM »

What happens is that the buttomhole is established but your vein might "wiggle"...then it moves when you are canulating. That is why I use the tourniquet.
I use one now and today was the 4th perfect blunts in buttonholes ;)
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« Reply #84 on: February 18, 2007, 04:00:43 AM »

I often have trouble with the blunts hitting the wall of the vein and not going in. Its just a matter of keeping at it, pulling in and out until you get the right spot. Sometimes it takes a bit of force.
I fine they don't want to pull it out a little to try again

Well then they must of got their training from a weetbix packet!! In order to find the spot in the vein you sometimes have to pull it out a little, obviously there wont be any blood as you arent in the vein yet. It happens to me whether Im using a torniquet or not. Its either do that or not get it in.
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angieskidney
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« Reply #85 on: February 18, 2007, 07:35:14 AM »

I often have trouble with the blunts hitting the wall of the vein and not going in. Its just a matter of keeping at it, pulling in and out until you get the right spot. Sometimes it takes a bit of force.
I fine they don't want to pull it out a little to try again

Well then they must of got their training from a weetbix packet!! In order to find the spot in the vein you sometimes have to pull it out a little, obviously there wont be any blood as you arent in the vein yet. It happens to me whether Im using a torniquet or not. Its either do that or not get it in.
Ya I had a different nurse on Firday but she did a great job! She did as you said they should! She knew there wouldn't be blood and pulled it back out and tried again! She actually got it cannulated better and faster than any nurse so far before her!  :clap;
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« Reply #86 on: September 29, 2007, 11:50:27 PM »

Not sure if this has been posted before - good video by Bill Peckham self-cannulating http://video.google.com/videoplay?docid=153372659747625126
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« Reply #87 on: September 30, 2007, 12:18:22 PM »

Just watched the video. It was very interesting. Again, thanks Karol for posting this link.
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« Reply #88 on: September 30, 2007, 06:41:35 PM »

I have been sticking myself for over eight years and started doing buttonholes about six months ago. I would be afraid if I had to let someone else stick me.
I found the attached on the web, either here or at HomeDialysisCentral I believe.
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