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Dialysis: F.A.Q. (Frequently Asked Questions)
After fistual op?
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Topic: After fistual op? (Read 3872 times)
Des
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After fistual op?
«
on:
February 08, 2010, 03:32:56 AM »
I have had my fistual op. (as you all know) but now what? The doc said that it will take 6 to 8 weeks to mature?
What has to happen?
Does it hurt when it happens?
What if nothing happens?
What can I do to make it happen? I have been sqeezing a ball..... what is that suppose to do?
How big does a fistula have to be sufficient?
I have seen one and it just looks like a big fat vein under the skin. I thought it will look that way when I wake up after the operation?
Any info would be great..
Thanks IHD.
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Please note: I am no expert. Advise given is not medical advise but from my own experience or research. Or just a feeling...
South Africa
PKD
Jan 2010 Nephrectomy (left kidney)
Jan 2010 Fistula
Started April 2010 Hemo Dialysis(hate every second of it)
Nov 2012 Placed on disalibity (loving it)
monrein
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Might as well smile
Re: After fistual op?
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Reply #1 on:
February 08, 2010, 04:29:55 AM »
The vein has been turned into an artery by the operation and now with arterial blood rushing through it that vein will get larger and tougher and will be able to accommodate the needles. It won't happen instantly but over time, it won't hurt (unless it clots off or something goes wrong) and you should squeeze the ball several times a day to help it toughen up and get larger. They don't all look the same so don't worry about what others have looked like. Main point to remember is that when they start needling it, DONT let them go in the same couple of spots all the time.
Glad to see you back posting Des. Been thinking about you since your first surgery.
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Pyelonephritis (began at 8 mos old)
Home haemo 1980-1985 (self-cannulated with 15 gauge sharps)
Cadaveric transplant 1985
New upper-arm fistula April 2008
Uldall-Cook catheter inserted May 2008
Haemo-dialysis, self care unit June 2008
(2 1/2 hours X 5 weekly)
Self-cannulated, 15 gauge blunts, buttonholes.
Living donor transplant (sister-in law Kathy) Feb. 2009
First failed kidney transplant removed Apr. 2009
Second trx doing great so far...all lab values in normal ranges
willowtreewren
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My two beautifull granddaughters
Re: After fistual op?
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Reply #2 on:
February 08, 2010, 07:54:37 AM »
And Des, even after it matures from using your squeezy ball, it will still be very "soft" when they stick you at first. Until it toughens up from use it will be easy to infiltrate. Watch them like a hawk and let them know! You'll feel it if they infiltrate.
Aleta
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Wife to Carl, who has PKD.
Mother to Meagan, who has PKD.
Partner for NxStage HD August 2008 - February 2011.
Carl transplanted with cadaveric kidney, February 3, 2011.
tyefly
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This will be me...... Next spring.... I earned it.
Re: After fistual op?
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Reply #3 on:
February 08, 2010, 08:09:57 AM »
Des good to have you on again...... fistula..... nothing really happens but just some healing and waiting.... Your fistula will not get toughen up untill they start using it and start poking it......Are you going to self cannulate.....
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IgA Nephropathy April 2009
CKD May 2009
AV Fistula June 2009
In-Center Dialysis Sept 2009
Nxstage Feb 2010
Extended Nxstage March 2011
Transplant Sept 2, 2011
Hello from the Oregon Coast.....
I am learning to live close to the lives of my friends without ever seeing them. No miles of any measurement can separate your soul from mine.
- John Muir
The clearest way into the Universe is through a forest wilderness.
- John Muir
kellyt
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Re: After fistual op?
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Reply #4 on:
February 08, 2010, 09:34:58 AM »
I experienced no pain, but you do have to take precautions to keep it safe. Even now that my fistula is "dead", I constantly have to be carefull with that arm. I had a nasty fall back in early Feb 2009 and I came dangerously close, like within an inch) to ripping the fistula open and that would have been all she wrote. I would have bled out right there in my garage. Fortunately, all I did was add an additional ugly scar to that arm.
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1993 diagnosed with glomerulonephritis.
Oct 41, 2007 - Got fistula placed.
Feb 13, 2008 - Activated on "the list".
Nov 5, 2008 - Received living donor transplant from my sister-in-law, Etta.
Nov 5, 2011 - THREE YEARS POST TRANSPLANT!
sullidog
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Re: After fistual op?
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Reply #5 on:
February 08, 2010, 04:32:00 PM »
Also don't forget to check it every day for the thrill/bruit, you can feel the thrill by touching it, and the bruit once your not in as much pain you can hold your arm up to your ear like I do and you should hear a woosh woosh sound.
Troy
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May 13, 2009, went to urgent care with shortness of breath
May 19, 2009, went to doctor for severe nausea
May 20, 2009, admited to hospital for kidney failure
May 20, 2009, started dialysis with a groin cath
May 25, 2009, permacath was placed
august 24, 2009, was suppose to have access placement but instead was admited to hospital for low potassium
august 25, 2009, access placement
January 16, 2010 thrombectomy was done on access
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