I Hate Dialysis Message Board

Dialysis Discussion => Dialysis: General Discussion => Topic started by: cassandra on February 23, 2012, 02:01:08 PM

Title: nxstage users in north-west enland
Post by: cassandra on February 23, 2012, 02:01:08 PM
Hi, I heard from Kimal that there are a few nxstage users in the Merseyside-area, and just want to know how they went about that, and where they trained, and how you experienced the whole experience. Thanks already Cas








Edited-MOVED: To general discussion area- kitkatz,Moderator
Title: Re: nxstage users in north-west enland
Post by: cassandra on February 24, 2012, 05:14:31 AM
OOO maybe I can use this thread as my diary. Today I spoke to the HH nurse in Aintree who told me they have one (1) person on Nxstage. He might call me back next week about Nxstage. I am truly excited
Title: Re: nxstage users in north-west enland
Post by: willowtreewren on February 24, 2012, 03:02:43 PM
I hope you hear from him!  :2thumbsup;
Title: Re: nxstage users in north-west enland
Post by: lmunchkin on February 24, 2012, 03:23:31 PM
It would be great if all country's offered all different modalities.  I hope you hear from him soon Cass!  It is a really good modality, but just knowing it is there for all would be even better.
Best of luck and hope you hear soon!  Its something to be excited about.

God Bless,
lmunchkin
 :kickstart;
Title: Re: nxstage users in north-west enland
Post by: cassandra on February 25, 2012, 07:37:21 AM
thank you all, I'll keep you informed.

love you all so much, its seriously weird

Cas
Title: Re: nxstage users in north-west enland
Post by: cassandra on February 29, 2012, 08:10:06 AM
Oh yes, today I rang the HH-nurse who informed me that the Nxstage-machines are not going to be 'rolled out' in the North West, only in 'special cases'. So I informed him that I am a special case so try again please, so he will talk to ....... But he will get the 'buttonhole' nurse to come, and see me to assess if I can have those in my very matured fistula, so that it will be easier to stick the needles in with my 'wrong' hand in my right arm. It might take a year or so to get on Nxstage, but if I keep on top of this (ringing the hospital etc) I will get it. I am pretty positive.

love Cas
Title: Re: nxstage users in north-west enland
Post by: big777bill on February 29, 2012, 08:35:34 AM
 :flower; Wishing you the best of luck in your quest to get on NxStage   :waving;
Title: Re: nxstage users in north-west enland
Post by: cassandra on February 29, 2012, 08:44:40 AM
thank you Bill
Title: Re: nxstage users in north-west enland
Post by: big777bill on February 29, 2012, 11:09:15 AM
My wife and I are on the same path as you. :cuddle; I can't wait to get started with the training. It's too bad they don't have this more readily available in the UK. You know thousands of people would be interested in getting started on it.
Title: Re: nxstage users in north-west enland
Post by: cassandra on March 01, 2012, 11:45:30 AM
I thought that too, but when I came very enthousiastically into the clinic, telling all fellow patients about this amazing machine I didn't get a single possitive reaction. Weird
Title: Re: nxstage users in north-west enland
Post by: lmunchkin on March 01, 2012, 11:58:09 AM
Hey Cas, turn them on to this site!  If they don't get enthusiastic about it after this, then they will never be excited about anything.  Really, turn them on to this site!

lmunchkin
Title: Re: nxstage users in north-west enland
Post by: cassandra on March 01, 2012, 01:46:53 PM
I have tried that too, with no avail, but than of course I didn't tell you that I live in a pretty conservative (in all ways) area. But I won't give up, I'll try again.
Title: Re: nxstage users in north-west enland
Post by: cassandra on March 21, 2012, 03:28:41 PM
Oh wow, today I went to the vasc.nurse who informed me about button-hole etc. With hubby, but he could not give me anymore info than I already knew. But I decided to at least start trying to stick my own needles in. And it worked!!! What o doodle. So now I am wondering if it is actually necessary to start button-holing anyway. Is it really that much easier, and or better for my fistula?

love Cas
Title: Re: nxstage users in north-west enland
Post by: cattlekid on March 21, 2012, 03:49:04 PM
I refused to go for fistula surgery until I was assured that I would be able to use buttonholes.  For me, buttonholes have allowed me to go home with NxStage, get rid of my catheter and still have an arm that looks halfway normal.  All I have is a small bump, some scars from my surgery and two small holes.   I saw people with ropes up and down their arms when I was in-center and flat-out refused to get a fistula.  I am relatively young and still somewhat vain about my appearance.   ;D

Oh wow, today I went to the vasc.nurse who informed me about button-hole etc. With hubby, but he could not give me anymore info than I already knew. But I decided to at least start trying to stick my own needles in. And it worked!!! What o doodle. So now I am wondering if it is actually necessary to start button-holing anyway. Is it really that much easier, and or better for my fistula?

love Cas
Title: Re: nxstage users in north-west enland
Post by: lmunchkin on March 21, 2012, 04:48:40 PM
Yea, my husband has the big rope, and we love it.  We do not however do button holes, but I use ladder method.  Don't plan on changing if it works best for me. So no, you don't have to go with button holes, but I think it works better for the one who is d'ing to do themselves that way! But it is not a mandatory thing for NxStage, or at least in my area!

God Bless,
lmunchkin
 :kickstart;
Title: Re: nxstage users in north-west enland
Post by: cassandra on March 23, 2012, 04:45:18 PM
just back from D, and needled myself again okay. I found some places now to stick which might be good for buttonhole. Yes I've got the rope already, but just 2 holes in that rope sound kinda cute too. I think I'm gonna try that. Thanks Imunchkin and Cattlekid for the input.
Title: Re: nxstage users in north-west enland
Post by: sandra3105 on March 26, 2012, 08:51:27 AM
hi i have dialysis in Manchester and the training unit is in the process of trialling new machines currently dialysise on Fresenius 4800 started training 1st week of jan ( spent 3 years on PD ) they new machines are by Baxter, i think braun was one, reading this site for the last couple of years i have heard NXstage - what type of machine is it ? i had not heard of one in Nwest but see that they merseyside have 1 patient. just heard that we have been accepted myself & daughter do not match but have a 3 x way swap in the process of being arranged for sometime in May, we have to have an interview this week with an independant assessor ( human tissue act ) and then all the tests in April to ensure the 3 couples are still fit and healthy. after nearly 3 months training on heamo i have it cracked and am using ladder technique with sharps  :stressed; dont like it have blown a couple of times, not clamped the arterial line coming off wow  :puke; but the thing that worries me is the post transplant medication - i had a patient opp. me a few weeks that took himself of the transplant list coz the medication nearly killed him - it failed - this does not make me have apositive spin on it and nurses reiterate it is just another form of dialysis not a cure ! very mixed up feeling  ???
Title: Re: nxstage users in north-west enland
Post by: cassandra on March 27, 2012, 04:25:11 AM
Hi Sandra, I can only say that 30 yrs ago, when I had my transplant the meds are heavy, give complications etc. But having a kidney that works is pretty amazing. The chance of the TX failing is a lot smaller, than it succeeding. Of course its not a cure, but you can give me that kind of D any time, any place, just bring it on.

love Cas
Title: Re: nxstage users in north-west enland
Post by: cassandra on June 03, 2012, 03:46:25 PM
OOOoooo yes, I found one Nxstage (prospective) user in L'pool. The centre is The Royal. So I'll start writing the nephrologists there now. Positively happy I am
Title: Re: nxstage users in north-west enland
Post by: cassandra on July 11, 2012, 05:40:46 AM
Today I spoke to the HHD nurse in the Royal, its Dominique whom I remember from when I used to D there 10 or so yrs ago. He told me that he would contact my hospital that they use Nxstage with success, and that Nxstage for me using extended would be a good option. I have my 'get Nxstage now' appointment in an hour with my consultant, and got my aims in writing prepared. (had to take a Diazepam to get my mental state a bit relaxed)
Thanx again for all the input.

lots of love Cas
Title: Re: nxstage users in north-west enland
Post by: cassandra on July 12, 2012, 04:53:01 PM
Okay, appointment with Nephrologist went surprisingly well. After I started crying that I had to miss most of my dads funeral cause I couldn't have D in Holland, and that all that could have been so different if I would just have had a Nxstage machine, he actually rang the HomeD nurse to organise an appointment for me to be assessed for Nxstage. Sounds promising, I'll believe it, when I see it.
Title: Re: nxstage users in north-west enland
Post by: lmunchkin on July 12, 2012, 05:53:29 PM
Cass, you hang in there gal.  Fight for everything you want and don't give up till you get it!  I love that about you.

Have you been cannulating yourself still?  I wish my husband could do it.  He has tried, but he just cant see it. But since he is right handed and fistula is in the right arm, it really is awkward to do with your left hand.  Heck, I know I couldn't do it! I give him E for effort, he really does try to do things on his own.  He has been very instrumental in setting machine up and having things ready for when I get home.  All I have to do is snap-tap and get things ready to stick him.  Im very proud of him, cause he wants to help so bad.

lmunchkin :kickstart;
Title: Re: nxstage users in north-west enland
Post by: cassandra on July 14, 2012, 07:09:13 AM
Thanx Imunchkin, and I'm proud of the both of you. I do still needle myself, and I get higher on my fistula, and deeper than any tech has ever achieved. I have the righthanded, right armed fistula problem as well, and thank the Lord I have no problem seeing it. You sound like a lovely team.

lots of love Cas
Title: Re: nxstage users in north-west enland
Post by: cassandra on August 09, 2012, 02:29:13 PM
Yesterday I heard from the HHnurse that I am now Okay-ed for Nxstage, but I only if I do 6 days a week. So I will have to try, and create buttonholes. I've tried, and failed (okay I couldn't get the scab of, nobody in clinic to help me, so decided not to bother) But tomorrow I'll call the GP to arrange Emlea creme, cos it sounds like a good tip. And I'll ring the HHnurse for a date to start training.

   

          :bandance;
Title: Re: nxstage users in north-west enland
Post by: cassandra on September 15, 2012, 04:59:33 PM
Well, so far so good, I think I'm on my way to creating the buttonholes. I manage to use two holes for 5 sessions now. I still find the scabremoval thing a big pain in the but. I have my phone alarm 2 hours before I probably stick my needles in (still sharps), and 'soak' with saline as soon as I come in clinic (after spraying some lidocaine spray on too, as I'm still using sharps) Than pick with some blunt needle kind of thing, than scrub the sites with exfoliating wipes. Oh and disinfecting 2 x in between. Maybe next week I'll be able to use blunts.

5 more people in the clinic started with BH! And the manager informed me yesterday that she's ordering 20 mm needles, after I explained that its a bit of a stupid idea to expect me to use 25 mm's blunts after using 20 mm's sharps.

I'll get there, I'm sure
Title: Re: nxstage users in north-west enland
Post by: cassandra on September 20, 2012, 04:04:43 PM
Ooooo I have dates!
Maybe the 22' Oct or 5' Nov!! Thats actually this year  >:D 
Still no blunts arrived ofcourse
Title: Re: nxstage users in north-west enland
Post by: MightyMike on September 20, 2012, 04:56:30 PM
The blunt needles come with scab pickers in the package.  A suggestion too is to put some neosporin on the scab site on your off days it will make them easier to pick.  Good luck.
Title: Re: nxstage users in north-west enland
Post by: cassandra on September 21, 2012, 07:41:15 AM
Thanx Mightymike, I'll get that too. At the moment I use antibac elastoplast with silver in it. But I'll get neosporin too.

love Cas
Title: Re: nxstage users in north-west enland
Post by: cassandra on September 22, 2012, 02:23:16 PM
Tatataraaa ha, a little triumph to be celebrated. The right needles were delivered yesterday, just before my session.
Yes sometimes it works to be a pain in the but, and get very angry, and call the medical secretaries to ask what the name is of the Medical Director  :boxing;  So I used the blunts, one was a doodle, the top one not.
But Monday we'll try again. But really...... BH are an improvement so I'm just hoping to never get an infection.
That reminds me to find the pages about BH cleaning so I can show the staff, cos to me (after everything I've read, and seen on the net) is that they are asking for trouble.
Can't wait to get my Nxstage, and get out of there.
Title: Re: nxstage users in north-west enland
Post by: cassandra on October 06, 2012, 03:08:11 PM

Yes happy days are coming (touch wood  :bow;  ) Yesterday after taping my needles a shadow fell over me. It was the HH nurse who informed me I would start Nxstage training the 23'!!!  :bandance;   I had to sign a few papers to give consent for delivery materials etc, and med.info. He went to check the house situation (hubby was home) and that's okay apparently  :P   . Oh and they start me on 5 days for 3 hours, and may adjust later.
Ha, am I happy or what. No more techs I have to check on their gloves. No more machine checks. Time for a rum and coke

    :cheer:
Title: Re: nxstage users in north-west enland
Post by: cassandra on October 16, 2012, 09:00:53 AM
Well, the electric extra special thingy has been installed this morning (the eleccy man did take hubbies hammer, so he's not pleased about that, but its only a hammer), the plumber comes tomorrow.
More rum and coke.
Title: Re: nxstage users in north-west enland
Post by: cassandra on October 23, 2012, 01:30:23 PM
Tatatataaaa today was training in Aintree day 1. Cos I had my last day in centre yesterdayevening I only did 2 hrs 15 as hubby had to work, which was great cos I was getting kinda bored without my normal entertainment. But the machine looked 'interesting', the instructor was friendly. But 'they' expect us to know it all within 2 weeks for some reason, so I'll watch the instruction DVD straight away, cos 2 weeks driving to Liverpool every day is motivation enough to make sure, I actually do know it all by than. Lovely though, and before Christmas

     :cheer:
Title: Re: nxstage users in north-west enland
Post by: cassandra on October 25, 2012, 03:23:27 PM
Today, day 3 went pretty well. I remembered the first couple of steps, and I start seeing the overall view of the workings of the machine now. Hubby took samples blood, and only managed to forget the arterial clamp once. The staff are pretty nice. Forgetfull but nice. I think we will manage it by next week.
Title: Re: nxstage users in north-west enland
Post by: cassandra on November 01, 2012, 04:44:37 PM
So today I had day 8 of training, and I set up the machine: by myself, I connected myself, hooked up. Did have some alarms 50,51,52 and as they left me alone in the room I couldn't reach the instruction 'bible' thing, and the reaction of the ward nurses was: no I can't help you with that machine, so I asked them to find the instructor, so the

left me. So glad that, in theory  :bow;  , I don't have to be there for quite a bit.

Anyways, machine is set up. Boxes are a pain. Not too many, like with APD, but you have to keep the big boxes

in case the machine needs returning  :waiting;  .
Tomorrow day off. Saturday first day. OMG I'm tired
Title: Re: nxstage users in north-west enland
Post by: cassandra on November 03, 2012, 03:57:58 PM
Well session 1 went okay. Hubby more nervous than I was, but it's done, and I will have my day off tomorrow.
Title: Re: nxstage users in north-west enland
Post by: MaryJoe on November 07, 2012, 04:26:19 PM
 :clap;  Way to go cassandra!  Enjoy your day off!  Time for another rum and coke!   :cheer:
Title: Re: nxstage users in north-west enland
Post by: cassandra on November 08, 2012, 02:00:41 PM
Thanks Mary Joe, Everything seems to be under controle now. The HH nurse came round and apologised for leaving

hubby an me by ourselves from they one. misscommunication   :sir ken; 

No probs. Panic is a good teacher too, in those situation. Hubby less stressed now. I think I'll have an other coke and rum.