Joe's neph said PD won't be good for him.

[Sara]

He said it won't be good since he's a "big guy" and that he would have to be on the overnight machine for 11 hours.  Advice?

[carson]

Well, I'm on the cycler for 9 hours overnight. There is an option to take yourself off the cycler for a bit between 2 exchanges.
If he's a "big guy" maybe he should lose a little before hand. I can't imagine being heavy  makes it any easier on the body.
I dunno. I'd still think about it.

[rimbo74]

Don't know how big a "Big Guy" actually is.  I'm 6'1" 230.  I'm on PD overnight for 8 hrs.  With the patient line and drain line, you have a ways to roam around, you are not actually stuck in bed and like it was stated above, during dwell times you can disconnect from the machine.

I think its better to do it over night then have to A) carry around fluid during the day B) To me it beats Hemo b/c you are not restricted to a diet.

[Chicken Little]

My PD nurse told me that patients with a BMI over 35 shouldn't do PD.   Besides not getting adequate dialysis, the fat accumulations in the peritoneal sac prevent the catheter from draining adequately.  Apparently, the issues an obese patient has are similar to the catheter placement problems I've had.   I've had 3 surgeries this year to reposition my catheter because it keeps getting stuck on tissue within the sac.  It's stuck again, but I can drain laying on my side.   

Sara - Did the doctor say how much Joe would have to lose before considering it?

[goofynina]

Sara,  what did i tell you?? aye yi yi muchacha,  girrrrl, do you realize how BIG i am? let's just say BIG and leave it at that dammit lol,  you need to talk to the surgeon, my neph said it wouldnt work for me but my surgeon said no problem, and it hasnt been, i am on the machine 11 hours but,  i am at home,  it's not so hard on my body, i have the freedom to walk around...  You need to see the surgeon,  i am telling you girl, if it works for me, it will work for him, he at least deserves to try it!!!  Damn that neph.  can you give me his name and number i have a thing or two to tell him *rolls up sleeves* and it aint gonna be nice dammit     

[Sara]

LOL, I'm tempted to give it to you Susie.     I agree with you that at least you are home, and you don't have to get stuck with needles every time!  What do you tend to do during that 11 hours?  I thought this could be workable because overnight we could just shut the bedroom door and keep the pets out, but if he'll be walking around during the day hooked up, I'm worried the cats might mess with the tubing.  Are you able to do a shorter overnight if you do an exchange during the day?

[MyssAnne]

I totally agree with Nina. That is a bunch of b.s. That's the neph talking....talk to the surgeon and see what HE has
to say. This is your (and Joe's) life. Not the neph's!!!! Jerk.  The neph, not you!!!!

[Hephs-little-lady]

Hephs renal dietician say's people who are overweight do better on PD than those who are under weight or at their premium weight!

[Sara]

Hephs renal dietician say's people who are overweight do better on PD than those who are under weight or at their premium weight!

Really?  Did he say why?

[Meinuk]

Damn that neph.  can you give me his name and number i have a thing or two to tell him *rolls up sleeves* and it aint gonna be nice dammit

Susie,

This is why we love you!  I know that I don't post often, but I read obsessively.  Your spirit is part of what makes IHD so special! 

[goofynina]

Damn that neph.  can you give me his name and number i have a thing or two to tell him *rolls up sleeves* and it aint gonna be nice dammit

Susie,

This is why we love you!  I know that I don't post often, but I read obsessively.  Your spirit is part of what makes IHD so special! 

*blushes* awww shucks  ,, thank you so much   but, it is people like you that post posts  like this that give me the spirit that i have and for that, i wanna thank you   

[Meinuk]

Damn that neph.  can you give me his name and number i have a thing or two to tell him *rolls up sleeves* and it aint gonna be nice dammit

Susie,

This is why we love you!  I know that I don't post often, but I read obsessively.  Your spirit is part of what makes IHD so special! 

*blushes* awww shucks  ,, thank you so much   but, it is people like you that post posts  like this that give me the spirit that i have and for that, i wanna thank you   

 

[Hephs-little-lady]

Hephs renal dietician say's people who are overweight do better on PD than those who are under weight or at their premium weight!

Really?  Did he say why?

Unfortunately she didn't, but she's obesessed with trying to get Heph over weight and say's it would be better and PD would work better! I'd ask her, but we won't be seeing her again until september!

You and Joe need to do what you think is best for you guys though and all you can do is give things a try!

Hope you find the answers you are looking for and the people to help you get where you want to be.