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| | |-+  Jinxed myself with the positive post - need buttonhole help!
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Author Topic: Jinxed myself with the positive post - need buttonhole help!  (Read 3313 times)
Angiepkd
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« on: April 06, 2013, 08:02:22 PM »

After my happy post about how great my home treatments were going, I couldn't get my venous blunt in tonight. It is usually a little more difficult than my arterial, but after 20 minutes and 2 blunts, I gave up and used a sharp.  I am now worried that I damaged my track. My nurse told me not to use a sharp in my button holes, but I didn't know what else to do. I searched some older posts and saw that some others have had this same issue.  I plan on trying the blunt again tomorrow. Anyone have advice or a success story so I can sleep better tonight lol? How often can I expect this to happen? Thanks again!  ???
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PKD diagnosis at 17
Cancer May 2011, surgery and no further treatment but placed on 2 year wait for transplant
October 2011 first fistula in left wrist
April 2012 second fistula in upper arm, disconnect of wrist
January 2013, stage 5 ESRD
March 2013 training with NxStage home hemo
April 2013 at home with NxStage
April 2013 fistula revision to reduce flow
May 2013 advised to have double nephrectomy, liver cyst ablation and hernia repair. Awaiting insurance approval to begin transplant testing. Surgery in June.
June 2013 bilateral nephrectomy.
August 2013 finishing testing for transplant, 4 potential donors being tissue typed.
January 2014 husband approved to donate kidney for me
March 4th 2014 received transplant from awesome hubby. Named the new bean FK (fat kidney) lol!  So far we are doing great!
boswife
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us and fam easter 2013

« Reply #1 on: April 06, 2013, 08:31:35 PM »

aww, no jinx!!  Just something that seems to happen in the beginning of all this.  Though im just the 'sticker' of my hubby, i will add that i too had to use a sharp 2x in the beginning months.  I know that lots of others have as well and though it's advised not to, If ya gotta ya gotta, AND,,, it's been two years now and we're still using those same two buttonholes so all is not lost  :flower;   Dont worry yourself tonight, i betcha anything, that all will go well tomorrow again... and  :pray; that it will too  :cuddle;
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im a california wife and cargiver to my hubby
He started dialysis April 09
We thank God for every day we are blessed to have together.
november 2010, patiently (ha!) waiting our turn for NxStage training
January 14,2011 home with NxStage
Bill Peckham
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« Reply #2 on: April 06, 2013, 08:31:55 PM »

My arterial went bad earlier this week and I used a sharp after trying for about as long as you; it happens for no apparent reason.

Not sure what your nurse thinks should happen - I used a sharp and then next run, and since, the arterial has behaved. I used the buttonhole method with sharp needles when I first did more frequent because Medisystems had not yet brought blunt needles to market. It's not ideal but I revert to sharps when needed.

If you need to use sharps try to be very deliberate in keeping the angles right and I always clean the site between needles - one concern is infection issues when the needle doesn't go right in.

Sleep well, there will be days like this but there will be more days when the needle slides right in.
« Last Edit: April 06, 2013, 08:33:24 PM by Bill Peckham » Logged

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
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amanda100wilson
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« Reply #3 on: April 07, 2013, 10:41:38 AM »

When my nurse established new buttonholes,  she went in with a sharp when I couldn't get the blunt in.  no problems after.  as long as you go in at the same angle as you would for your blunt needle so that you ate going down the track and not thrpugh it, I don't see why you should have problems as a result.
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ESRD 22 years
  -PD for 18 months
  -Transplant 10 years
  -PD for 8 years
  -NxStage since October 2011
Healthy people may look upon me as weak because of my illness, but my illness has given me strength that they can't begin to imagine.

Always look on the bright side of life...
lmunchkin
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« Reply #4 on: April 07, 2013, 12:43:14 PM »

We don't do buttonholes, but as stated above, sharps can be used, just go at the same angle!  As Bill indicated, there will be days like this. Won't be the first nor the last time either. Don't work yourself up over it.  Tomorrow is another day! I can guarantee you, the professionals have these problems too!

lmunchkin :kickstart;
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11/2004 Hubby diag. ESRD, Diabeties, Vascular Disease & High BP
12/2004 to 6/2009 Home PD
6/2009 Peritonitis , PD Cath removed
7/2009 Hemo Dialysis In-Center
2/2010 BKA rt leg & lt foot (all toes) amputated
6/2010 to present.  NxStage at home
Angiepkd
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« Reply #5 on: April 07, 2013, 01:59:06 PM »

Thank you all so much! Turns out you were right. Got the blunt in without any problems today.  Glad to know others have these issues sometimes, too.  My hubby was pretty upset with me for using a sharp in my button hole. I told him I had consulted the experts on IHD lol! He was not as convinced as I was  :rofl;
Logged

PKD diagnosis at 17
Cancer May 2011, surgery and no further treatment but placed on 2 year wait for transplant
October 2011 first fistula in left wrist
April 2012 second fistula in upper arm, disconnect of wrist
January 2013, stage 5 ESRD
March 2013 training with NxStage home hemo
April 2013 at home with NxStage
April 2013 fistula revision to reduce flow
May 2013 advised to have double nephrectomy, liver cyst ablation and hernia repair. Awaiting insurance approval to begin transplant testing. Surgery in June.
June 2013 bilateral nephrectomy.
August 2013 finishing testing for transplant, 4 potential donors being tissue typed.
January 2014 husband approved to donate kidney for me
March 4th 2014 received transplant from awesome hubby. Named the new bean FK (fat kidney) lol!  So far we are doing great!
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