GFR Question

[George Jung]

So I've been doing in-center Hemo for a little under a year now and in my testing to be listed (through conversation) it was suggested that I do a 24hr urine sample.  I inquired about the results to that sample today and it turns out that I am holding on to 10-15% function.  My question is what does this mean for me other than being able to eat a slice of tomato without feeling complete guilt?  Can I miss a Saturday treatment to enjoy a weekend away and not worry too much about it?  I am interested in your thoughts and opinions on this news.  Thanks.

[paris]

Interesting--I have been at 12-15% for a year now.  I know a couple of members do dialysis 2x a week.  What does your doctor say?  Keep asking questions1

[BobT1939]

This is a great question. Look forward to some informed answers./bobt

[paddbear0000]

Oh, I hope you can eat tomatoes again! They're sooo good! Good luck George! 

[Ken Shelmerdine]

So I've been doing in-center Hemo for a little under a year now and in my testing to be listed (through conversation) it was suggested that I do a 24hr urine sample.  I inquired about the results to that sample today and it turns out that I am holding on to 10-15% function.  My question is what does this mean for me other than being able to eat a slice of tomato without feeling complete guilt?  Can I miss a Saturday treatment to enjoy a weekend away and not worry too much about it?  I am interested in your thoughts and opinions on this news.  Thanks.

It depends on a number of things. Would missing a session leave you feeling unwell? How symptomatic are you? Is your heamoglobin low and how much fluid you are still able to pass?

[Joe Paul]

I would try doing what you want and see the outcome. When I first started dilaysis, I hardly watched my diet and had very good blood tests. My function at that time was also 10%

[Sluff]

One other thing to take into consideration if you are trying to get listed is skipping a treatment could be considered non-compliant. Make sure if you can get away with one less treatment it is in Doctors orders.

[stauffenberg]

As a rule of thumb, patients have to begin dialysis when their natural renal function falls to the 10 - 15% of normal range, so there is nothing about being in that range to distinguish you from other patients on dialysis.  With that range of intrinsic function, you need the standard renal replacement therapy of dialysis or transplant. Given that the fragility of the intricate vasculature of the kidney makes it the type of organ which spontaneously declines in function once it injured rather than being able to restore and heal itself as other parts of the body can, dialysis patients can find their intrinsic renal function gradually declining to zero during their time on dialysis.  It took me five years of dialysis finally to have no renal function, but before then my intrinsic function had remained fairly steady around 14%.