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Author Topic: PD Training - how long?  (Read 1516 times)
IOnlyGet5
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« on: December 18, 2017, 10:26:45 AM »

I'm having an issue with finding out how long PD training will last...my access surgery was Nov 7. I need to board my dog & drive 100+ mi round trip so I need to know how many days to plan on doing training.

I fear my exit site is infected (pain, redness, pus)  but the unit nurse didn't think that would interfere with my training as long as im not lealing anymore...
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cassandra
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When all else fails run in circles, shout loudly

« Reply #1 on: December 18, 2017, 11:29:40 AM »

O IOG5 that's not nice to hear. Are you on antibiotics? It's too long ago for me to be able to give you a sensible answer about the length of training. I think it was a week. Just wanted to wish you luck and well.
Someone with a more up to date answer will chime in soon.


Love and luck, Cas
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I started out with nothing and I still have most of it left

1983 high proteinloss in urine, chemo, stroke,coma, dialysis
1984 double nephrectomy
1985 transplant from dad
1998 lost dads kidney, start PD
2003 peritineum burst, back to hemo
2012 start Nxstage home hemo
       still on waitinglist, still ok I think
kickingandscreaming
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« Reply #2 on: December 18, 2017, 11:35:12 AM »

It's been 2 years since the training and I don't quite remember.  I think it was 5 full days if I recall correctly, but your nurse and clinic should be able to tell you. 

I'm more concerned to hear about your exit site.  I, too, had an infection there in the early days.  That is, unfortunately, a good way to get peritonitis-- something you definitely don't want to get..  When I had it I was put on systemic antibiotics until it cleared.  You should be too.
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Diagnosed with Stage 2 ESRD 2009
Pneumonia 11/15
Began Hemo 11/15 @6%
Began PD 1/16 (manual)
Began PD (Cycler) 5/16
sahern
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Frozen in Alaska

« Reply #3 on: December 18, 2017, 02:09:23 PM »

My training lasted 3 1/2 days, I  live 350 miles away from the clinic and if the person picks it up quickly it can you do not have to do the whole time that training normally takes.  I was told to begin with that it could be a week to a week and a half but they try and get people that live along way from home trained sooner.  If anyone is wondering a bout the distance to the center I live in Alaska and that is the closest PD clinic to me.  There is a Hemo clinic in town but they do not have anything to do with PD.
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Charlie B53
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« Reply #4 on: December 18, 2017, 05:13:43 PM »


Average is right around 5 full days.

Some people learn so quickly that time may be shortened.

Pay attention.

If you have ANY questions, ASK.

This is critical as this is your life.  Infection prevention is MOST important.

Ask me how I know.
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IOnlyGet5
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« Reply #5 on: December 18, 2017, 09:33:38 PM »

I'm afraid to hear how you know but I have to ask...how do you know?
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Charlie B53
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« Reply #6 on: December 19, 2017, 06:47:00 AM »


3 1/2 years on PD I must have failed to exercise enough caution setting up my Cycler and 'touched' one of the open fittings while making connections.  The pain that I thought was simple drain pain never went away when I filled.  It just kept getting worse.  About 2 a.m. I figured it out, when I could barely breath.  Capped off, took a sample in my clear jar, Y'up, cloudy.  Son took me to the E.R.

Almost 3 months loading my bags with antibiotics.  Every time I finished the antibiotics the infection would return. Surgery to remove the tainted cath, put in a Hemo Cath.  That was a year ago.  Just started using my new fistula yesterday.  Hemo Cath will be removed soon.

Stay CAREFUL. Always!

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Kansas75
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« Reply #7 on: December 20, 2017, 12:33:04 PM »

I had my access surgery on November 14th and my first day of PD training was December 1st.  I am surprised why you haven't started yet.  What did they tell you before your surgery when you were supposed to start dialysis?

As far as the duration of training is concerned, I was initially told to plan on (8) 4h sessions, and I "graduated" in (6) due to previous PD exposure via my sister.  Training is very straight forward IMO, and the big thing to always remember is to stay on top of any suspected infection, be it peritonitis or exist site issues.  Sounds to me like you should definitely contact your Dr.  Also, exit site care was one of the topics being covered in training.  With you not having started your training, how do you maintain your exit site?

Best of luck and Happy Holidays!
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Simon Dog
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« Reply #8 on: December 20, 2017, 02:48:03 PM »

If you are on PD, it is worth having a set of antibiotics in your toolkit.     After calling your on call RN to get permission, you can save a cloudy bag to take to the ER, rinse with a couple bags, then fill up with a bag spiked with antibiotics so you will not be heading further downhill while you wait in the ER behind the various uninsured illegal immigrants stopping by for primary care.
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kickingandscreaming
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« Reply #9 on: December 20, 2017, 03:45:16 PM »

I'm also surprised that you don't mention having your catheter flushed while you wait to begin dialysis.  Your "team" seems to have forgotten you.  Time to make some noise.
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Diagnosed with Stage 2 ESRD 2009
Pneumonia 11/15
Began Hemo 11/15 @6%
Began PD 1/16 (manual)
Began PD (Cycler) 5/16
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