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Author Topic: First successful cannulation  (Read 3273 times)
Adam_W
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Me with Baron von Fresenius

« on: June 22, 2007, 05:50:11 PM »

Today I had my most successful self-cannulation after three days of having some trouble. Before I got ready to stick, I used a marker to mark an X at the site of the stick, and a line along the graft in the direction that the needle was going so I would have a clear visual reference of exactly where I needed to place the needle and the exact angle and direction it needed to go. With that assistance, both needles went in smoothly and right where I wanted them. The EMLA works wonders as well. I could feel the needles going in, but there was absolutely no pain. Tomorrow I will do my first treatment at home using the graft. Also, does anyone else get really big, dark bruises around your fistula/graft after dialysis? Shortly after I pulled my needles, I noticed very dark bruises around my graft, and I noticed the same thing the last time I used it. They don't hurt, but they sure are ugly.

Adam
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-Diagnosed with ESRD (born with one kidney, hypertension killed it) Jan 21st, 2007
-Started dialysis four days later in hospital (Baxter 1550-I think, then Gambro Phoenix)
-Started in-centre dialysis Feb 6th 2007 (Fres. 2008H)
-Started home hemo June 5th 2007 (NxStage/Pureflow)
-PD catheter placed June 6th 2008 (Bye bye NxStage, at least for now)
-Started CAPD July 4th, 2008
-PD catheter removed Dec 2, 2008-PD just wouldn't work, so I'm back on NxStage
-Kidney function improved enough to go off dialysis, Feb. 2011!!!!!
-Back on dialysis (still NxStage) July 2011 :(
-In-centre self-care dialysis March 2012 (Fresenius 2008K)
-Not on transplant list yet.


"Don't live for dialysis, use dialysis to LIVE"
Amanda From OZ
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« Reply #1 on: June 22, 2007, 05:56:44 PM »

Well done Adam... i have been cannulating for 2 years and i still sometimes get a few problems.... it just depends what type of Day I'm having.

In regards to the really big, dark bruises around your fistula/graft after dialysis, i was told i was not holding off long enough or hard enough.... you need to make sure you press down exactly at the right time to stop blood leaking out into the tissue.

Amanda
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kitkatz
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« Reply #2 on: June 22, 2007, 08:00:44 PM »

Yes I have bruising regularly. Noone seems to worry about it unless your arm swells.
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Take it one day, one hour, one minute, one second at a time.

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charee
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« Reply #3 on: June 22, 2007, 08:02:42 PM »

well done adam i'm still trying :thumbup;
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Adam_W
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Me with Baron von Fresenius

« Reply #4 on: June 22, 2007, 08:05:22 PM »

Here's my poor arm after four treatments with the graft. I guess I've kissed having a normal looking arm goodbye.

Adam
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-Diagnosed with ESRD (born with one kidney, hypertension killed it) Jan 21st, 2007
-Started dialysis four days later in hospital (Baxter 1550-I think, then Gambro Phoenix)
-Started in-centre dialysis Feb 6th 2007 (Fres. 2008H)
-Started home hemo June 5th 2007 (NxStage/Pureflow)
-PD catheter placed June 6th 2008 (Bye bye NxStage, at least for now)
-Started CAPD July 4th, 2008
-PD catheter removed Dec 2, 2008-PD just wouldn't work, so I'm back on NxStage
-Kidney function improved enough to go off dialysis, Feb. 2011!!!!!
-Back on dialysis (still NxStage) July 2011 :(
-In-centre self-care dialysis March 2012 (Fresenius 2008K)
-Not on transplant list yet.


"Don't live for dialysis, use dialysis to LIVE"
jbeany
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« Reply #5 on: June 23, 2007, 02:21:46 PM »

Oh, I like the trick with drawing the graft on the arm.  I need to try that!

Congrats on doing it yourself!
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skyedogrocks
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Rob showing off his pot of gold!

« Reply #6 on: June 24, 2007, 09:03:32 AM »

Congrats Adam!  I think that has to be the hardest thing to do is self-cannulate.  Every now and then Rob has to work himself up to do it.  He is used to needles though, since he is a Type 1 diabetic.  But with the 15 needles, OMG they are huge.  I give everyone credit who does this!  I just can't do it for him though.  I am not comfortable and I know he definitely wouldn't be with me doing it either.

Who was doing your cannulation at home before this?

As far as the brusing.  We were told that happens when you infiltrate. 
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Wife to Rob who is currently doing Nx Stage Home Hemo Dialysis.

11/17/09 After 4 years on dialysis, Rob received a kidney from our George.  Kidney is working great!  YEAH!!!!
Adam_W
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Me with Baron von Fresenius

« Reply #7 on: June 24, 2007, 10:09:18 AM »

Before I started cannulating, I was still using the chest catheter. The only other person who has cannulated my graft has been my training nurse, and she just stuck it a couple times. Now that the graft seems to be working well, and I'm comfortable sticking it, I plan to set up an appointment to have my catheter removed. It will be so good to get rid of that thing.

Adam
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-Diagnosed with ESRD (born with one kidney, hypertension killed it) Jan 21st, 2007
-Started dialysis four days later in hospital (Baxter 1550-I think, then Gambro Phoenix)
-Started in-centre dialysis Feb 6th 2007 (Fres. 2008H)
-Started home hemo June 5th 2007 (NxStage/Pureflow)
-PD catheter placed June 6th 2008 (Bye bye NxStage, at least for now)
-Started CAPD July 4th, 2008
-PD catheter removed Dec 2, 2008-PD just wouldn't work, so I'm back on NxStage
-Kidney function improved enough to go off dialysis, Feb. 2011!!!!!
-Back on dialysis (still NxStage) July 2011 :(
-In-centre self-care dialysis March 2012 (Fresenius 2008K)
-Not on transplant list yet.


"Don't live for dialysis, use dialysis to LIVE"
tweetykiss
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« Reply #8 on: June 24, 2007, 10:23:00 AM »

Congratulations Adam.......I know I would be very nervous to do this to someone else as well as myself so you did well.......
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Husband started hemo dialysis on July 30, 2007
skyedogrocks
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Rob showing off his pot of gold!

« Reply #9 on: June 24, 2007, 07:45:08 PM »

If Rob could have done cartwheels, he would have, when he got his catheter removed for good.  He had a total of 5 in 6 months.  He kept getting infections, it was horrible.  The last infection landed him in the hospital.  It was due to the summer and he works outside.  Sweat and moisture don't mix for catheters.

I'm sure you can't wait to see that baby gone for good!   :yahoo;
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Wife to Rob who is currently doing Nx Stage Home Hemo Dialysis.

11/17/09 After 4 years on dialysis, Rob received a kidney from our George.  Kidney is working great!  YEAH!!!!
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