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Author Topic: Will be Starting D Friday at 5  (Read 8632 times)
KarenInWA
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« on: April 20, 2011, 09:44:12 PM »

Hello,

Well, my time has come.  My gfr is now at 6, and I will be starting D via my new temporary neck access this Friday.  My fistula was placed late Monday night, so it needs time to mature.  Strangely enough, I do not have any uremic symptoms, except for fatigue.  I am going into this with as positive of a mind as I can muster, because I refuse to let this get me down.  I have learned, through the amazing people on this site, the importance of being one's own advocate, and I'm not afraid to do that! My plan is to do in-center until I find out what is going on with my friend who got tested to be my donor.  If she is able to be my donor, or able to donate on my behalf through a paired exchange, then I will stay in-center until transplant time.  If she is not able to donate, I will look into doing Nxstage. 

Any advice on how to make that fistula mature quicker will be graciously accepted!

KarenInWA
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1996 - Diagnosed with Proteinuria
2000 - Started seeing nephrologist on regular basis
Mar 2010 - Started Aranesp shots - well into CKD4
Dec 1, 2010 - Transplant Eval Appt - Listed on Feb 10, 2012
Apr 18, 2011 - Had fistula placed at GFR 8
April 20, 2011 - Had chest cath placed, GFR 6
April 22, 2011 - Started in-center HD. Continued to work FT and still went out and did things: live theater, concerts, spend time with friends, dine out, etc
May 2011 - My Wonderful Donor offered to get tested!
Oct 2011  - My Wonderful Donor was approved for surgery!
November 23, 2011 - Live-Donor Transplant (Lynette the Kidney gets a new home!)
April 3, 2012 - Routine Post-Tx Biopsy (creatinine went up just a little, from 1.4 to 1.7)
April 7, 2012 - ER admit to hospital, emergency surgery to remove large hematoma caused by biopsy
April 8, 2012 - In hospital dialysis with 2 units of blood
Now: On the mend, getting better! New Goal: No more in-patient hospital stays! More travel and life adventures!
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« Reply #1 on: April 20, 2011, 09:51:27 PM »

Ask a staffer like a nurse, or social worker for something such as a soft ball. THere is a little hand held ball, its a little hard to describe via the internet, well you can use it to exercise your hand, which in turn exercies your fistula and helps it to get bigger in size. The thing they give people here, is something they can squeeze.

Lisa
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Riki
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« Reply #2 on: April 20, 2011, 10:19:37 PM »

a stress ball will work.  The nurses actually gave me one that's shaped like a kidney.. I think I have a picture of it on facebook, Karen.. I'll find it and tag you..

The more you exercise the arm and get the blood flowing through the vessels, the easier it will be to find them, and get the needles in
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galvo
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« Reply #3 on: April 20, 2011, 10:32:07 PM »

Best wishes. I discovered that the reality was nowhere as bad as the anticipation.
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Galvo
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« Reply #4 on: April 20, 2011, 10:40:34 PM »

Squeeze, squeeze, squeeze.  Use those soft stress balls.  I did it at least 1000 a day at different intervals. Good luck on Friday and of course keep us posted on your possible donor.
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Ang
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« Reply #5 on: April 20, 2011, 10:46:18 PM »

as those above had said a squeezy ball works,but they will usually wait the standard 4-6 weeks
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« Reply #6 on: April 21, 2011, 06:36:20 AM »

Blokey didn't have a squeezy-stress ball, but he does do a lot of driving and that seemed to do the trick!  Hope it all goes well for you on Friday.
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« Reply #7 on: April 21, 2011, 04:17:31 PM »

 No suggestions, just wanted to wish you the best of luck.   :grouphug; :grouphug;
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« Reply #8 on: April 21, 2011, 04:43:38 PM »

Good luck, Karen. I'm hoping that all goes smoothly and you find that you have more energy and actually start feeling better.

Don't let them take off too much and make you crash.  :Kit n Stik;

If you start feeling light-headed or sick, TELL THEM and make them back off on the fluid removal.

Will be thinking of you.

Aleta
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« Reply #9 on: April 21, 2011, 05:50:18 PM »

 :grouphug;  I hope all goes well.  On the positive side, you are going into this well informed.  I will be thinking of you tomorrow evening.
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« Reply #10 on: April 21, 2011, 06:02:17 PM »

Good luck sweetie. Keep us updated on how you do Friday.
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Remember your present situation is not your final destination.

Take it one day, one hour, one minute, one second at a time.

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« Reply #11 on: April 21, 2011, 07:49:12 PM »

DON'T let them use your fistula until it is well developed - at least 4 -6 weeks!!  Stress balls work well.  Hubby wore out 2!!
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« Reply #12 on: April 21, 2011, 08:39:30 PM »

I hope your experince with D is a positive well and goes as well as possible. Will be thinking positive thoughts tomorrow and through the weekend for you. 
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« Reply #13 on: April 21, 2011, 10:04:06 PM »

dumb question, but have you felt or listened to your fistula yet?  It should have a nice buzz going on by now

Let us know how things go on Friday
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« Reply #14 on: April 21, 2011, 10:45:31 PM »

usually the dialysis center will have something for you to use to exercise you fistula, my center waited for the ok from my surgeon as to when they could use my fistula. 

For your first dialysis treatment just try to relax it seems really scary but its not, watch tv, sleep, read.  And the most important ask alot of questions it will help you understand your treatments better.

 :grouphug; :grouphug;
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« Reply #15 on: April 22, 2011, 01:47:33 AM »

Karen, I can send a soft squeeze ball, egg, penguine, foot, brain, but not my squeeze kidney from NKF if you like ASAP. The egg is the smallest, but it's golden (in color that is :rofl; )
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Diabetes -  age 7

Neuropathy in legs age 10

Eye impairments and blindness in one eye began in 95, major one during visit to the Indy 500 race of that year
   -glaucoma and surgery for that
     -cataract surgery twice on same eye (2000 - 2002). another one growing in good eye
     - vitrectomy in good eye post tx November 2003, totally blind for 4 months due to complications with meds and infection

Diagnosed with ESRD June 29, 1999
1st Dialysis - July 4, 1999
Last Dialysis - December 2, 2000

Kidney and Pancreas Transplant - December 3, 2000

Cataract Surgery on good eye - June 24, 2009
Knee Surgery 2010
2011/2012 in process of getting a guide dog
Guide Dog Training begins July 2, 2012 in NY
Guide Dog by end of July 2012
Next eye surgery late 2012 or 2013 if I feel like it
Home with Guide dog - July 27, 2012
Knee Surgery #2 - Oct 15, 2012
Eye Surgery - Nov 2012
Lifes Adventures -  Priceless

No two day's are the same, are they?
kamar55
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« Reply #16 on: April 22, 2011, 04:34:01 AM »

dumb question, but have you felt or listened to your fistula yet?  It should have a nice buzz going on by now

/quote]

Not a dumb question at all....always make sure your fistula has a nice "thrill" buzz to it
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KarenInWA
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« Reply #17 on: April 22, 2011, 05:13:59 AM »

Hi Everyone,

Thank you all for your responses!  I do have a kidney stress ball that I found, it's from NW Kidney Centers.  I will use that (wanted to wait a few days first, but I think it's time to start building that thing up.).  I only took my pain meds for one day, Tuesday (Tylenol w/codeine).  The temp access site doesn't hurt, but feels weird. 

I felt my "buzz" for the first time the very next day when sitting at the dr's office.  I had my elbow on the wooden chair arm and I felt it.  The fistula is at my mid arm, so I feel the buzz anytime I put pressure on my elbow.  I don't feel it when I put my fingers on the bandage though.  That should be okay, right?  My neph felt it through the sleeve of my sweatshirt on Tuesday, but then again, he knows what to look for. 

My sister has offered to take me in for my first D treatment, which I am thankful for.  I will let you all know how it goes.

Thank you again. your support is priceless!

KarenInWA
Logged

1996 - Diagnosed with Proteinuria
2000 - Started seeing nephrologist on regular basis
Mar 2010 - Started Aranesp shots - well into CKD4
Dec 1, 2010 - Transplant Eval Appt - Listed on Feb 10, 2012
Apr 18, 2011 - Had fistula placed at GFR 8
April 20, 2011 - Had chest cath placed, GFR 6
April 22, 2011 - Started in-center HD. Continued to work FT and still went out and did things: live theater, concerts, spend time with friends, dine out, etc
May 2011 - My Wonderful Donor offered to get tested!
Oct 2011  - My Wonderful Donor was approved for surgery!
November 23, 2011 - Live-Donor Transplant (Lynette the Kidney gets a new home!)
April 3, 2012 - Routine Post-Tx Biopsy (creatinine went up just a little, from 1.4 to 1.7)
April 7, 2012 - ER admit to hospital, emergency surgery to remove large hematoma caused by biopsy
April 8, 2012 - In hospital dialysis with 2 units of blood
Now: On the mend, getting better! New Goal: No more in-patient hospital stays! More travel and life adventures!
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« Reply #18 on: April 22, 2011, 05:19:18 AM »

Thinking of you today.   :cuddle;
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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
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« Reply #19 on: April 22, 2011, 08:49:38 AM »

I am thinking of you as well.  :grouphug;
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« Reply #20 on: April 22, 2011, 08:52:50 AM »

me too   :2thumbsup;
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« Reply #21 on: April 22, 2011, 04:58:29 PM »

yep.. will be waiting to hear how things went..
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« Reply #22 on: April 22, 2011, 05:22:21 PM »

Hoping it went well today, or as we speak.
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Diabetes -  age 7

Neuropathy in legs age 10

Eye impairments and blindness in one eye began in 95, major one during visit to the Indy 500 race of that year
   -glaucoma and surgery for that
     -cataract surgery twice on same eye (2000 - 2002). another one growing in good eye
     - vitrectomy in good eye post tx November 2003, totally blind for 4 months due to complications with meds and infection

Diagnosed with ESRD June 29, 1999
1st Dialysis - July 4, 1999
Last Dialysis - December 2, 2000

Kidney and Pancreas Transplant - December 3, 2000

Cataract Surgery on good eye - June 24, 2009
Knee Surgery 2010
2011/2012 in process of getting a guide dog
Guide Dog Training begins July 2, 2012 in NY
Guide Dog by end of July 2012
Next eye surgery late 2012 or 2013 if I feel like it
Home with Guide dog - July 27, 2012
Knee Surgery #2 - Oct 15, 2012
Eye Surgery - Nov 2012
Lifes Adventures -  Priceless

No two day's are the same, are they?
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« Reply #23 on: April 22, 2011, 05:27:04 PM »

yeah, Chris.. I think you're right.. it's as we speak..
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« Reply #24 on: April 22, 2011, 06:05:28 PM »

I know what time she said she has her treatment scheaduled, butI forgot how the time zone difference is, so figured there was a 2 hour difference and she might be close to being done now in an hour.
Logged

Diabetes -  age 7

Neuropathy in legs age 10

Eye impairments and blindness in one eye began in 95, major one during visit to the Indy 500 race of that year
   -glaucoma and surgery for that
     -cataract surgery twice on same eye (2000 - 2002). another one growing in good eye
     - vitrectomy in good eye post tx November 2003, totally blind for 4 months due to complications with meds and infection

Diagnosed with ESRD June 29, 1999
1st Dialysis - July 4, 1999
Last Dialysis - December 2, 2000

Kidney and Pancreas Transplant - December 3, 2000

Cataract Surgery on good eye - June 24, 2009
Knee Surgery 2010
2011/2012 in process of getting a guide dog
Guide Dog Training begins July 2, 2012 in NY
Guide Dog by end of July 2012
Next eye surgery late 2012 or 2013 if I feel like it
Home with Guide dog - July 27, 2012
Knee Surgery #2 - Oct 15, 2012
Eye Surgery - Nov 2012
Lifes Adventures -  Priceless

No two day's are the same, are they?
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