I Hate Dialysis Message Board
Welcome, Guest. Please login or register.
November 24, 2024, 03:15:02 AM

Login with username, password and session length
Search:     Advanced search
532606 Posts in 33561 Topics by 12678 Members
Latest Member: astrobridge
* Home Help Search Login Register
+  I Hate Dialysis Message Board
|-+  Dialysis Discussion
| |-+  Dialysis: General Discussion
| | |-+  fistula no longer communicating?		 0 Members and 1 Guest are viewing this topic. « previous next »
Pages: [1] Go Down Print
Author Topic: fistula no longer communicating?  (Read 2302 times)
sullidog
Elite Member
*****
Offline Offline

Gender: Male
Posts: 1432
« on: May 24, 2011, 07:36:07 PM »
There's a patient at my center who is dialyzing through a catheter now but he lost his fistula for a weird reason. It still has a thrill and everything, but he was told that the fistula is no longer communicating do to the number of fistula grams he's had done, anyone ever heard of this? I've never seen that as a reason why a fistula was dead, I thought it was just clotting off and no thrill as fistula issues, I thought if you had a good thrill the fistula was working? Am I missing something?
Troy
Logged
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
Bruno
Full Member
***
Offline Offline

Gender: Male
Posts: 377


TOFF (typical old Fart)
« Reply #1 on: May 25, 2011, 02:05:21 AM »
Stenosis?
Logged
willowtreewren
Member for Life
******
Offline Offline

Gender: Female
Posts: 6928


My two beautifull granddaughters

WWW
« Reply #2 on: May 25, 2011, 10:00:01 AM »
There are things that can go wrong with a fistula, but this does sound a bit strange. One would think that if the blood were flowing (giving the thrill) and the volume is high enough, dialysis should work.

It may be possible, though, that the walls of the fistula have gotten too weak from the number of fistulagrams and the doctors are leery of having it blow.

Perhaps the patient misunderstood what the doctors said. You know...dialysis brain.  :rofl;

Aleta
Logged
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. :)
sullidog
Elite Member
*****
Offline Offline

Gender: Male
Posts: 1432
« Reply #3 on: May 25, 2011, 05:43:04 PM »
Yeah sounded weird to me, he's had it for 13 years. He says there's good flow it just that the fistula will no longer communicate with the machine. Weird and makes me wonder if he misunderstood something.
Logged
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
Zach
Elite Member
*****
Offline Offline

Gender: Male
Posts: 4820


"Still crazy after all these years."
« Reply #4 on: May 25, 2011, 05:46:36 PM »
Quote from: sullidog on May 25, 2011, 05:43:04 PM
Yeah sounded weird to me, he's had it for 13 years. He says there's good flow it just that the fistula will no longer communicate with the machine. Weird and makes me wonder if he misunderstood something.

Hello ... Hello ... Hello?
 :waving;
Logged
Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
Fresenius Optiflux-180 filter--without reuse
Fresenius 2008T dialysis machine
My KDOQI Nutrition (+/ -):  2,450 Calories, 84 grams Protein/day.

"Living a life, not an apology."
huldafolk
Newbie
*
Offline Offline

Gender: Male
Posts: 40
« Reply #5 on: May 26, 2011, 08:47:08 AM »
Sounds like he didn't understand what was being said to him.  How does a fistula possibly communicate with a dialysis machine??? Morse code???
Logged
1980 diagnosed with ADPKD
2003 EMERG. Bi-lateral nephrectomies IVC STENT
2003-now 3x/week 4hours each hemo at clinic
2003-2004 multiple complications /ileostomy
2004 reversal of ileostomy
2010 colostomy
2003 to now ,on transplant list(on and off due to complications)
8 years on list> said to be at top of list for transplant.
2010 RCA Heart STENT
2011 Restent RCA with Drug Eluting (70% closed in 3 months)
LAD stent with drug eluting (66mm long stent)
On transplant list again!!2011/3
PatDowns
Full Member
***
Offline Offline

Gender: Male
Posts: 232


Celebrating 60th B'Day. 12/26/15
« Reply #6 on: May 26, 2011, 11:03:44 AM »
MD probably said blood recirculation problem due to blockage.
Logged
Frank Moiger aka (previously) NoahVale and now PatDowns, the name originally chosen by a good dialysis mate who died in 12/2013.  I started in center hemodialysis as a 22 y.o. in 1978.  Cadaver transplant in 1990 and then back to in center hemodialysis in 2004 (nocturnal shift since 2011) after losing my transplant.  Former Associate  Director/Communications Director of the NKF of Georgia, President of the Atlanta Area AAKP Chapter, and consumer representative to ESRD Network 6.  Self-employed since 1993.

Dialysis prescription:
Sun-Tue-Thur - 6 hours per treatment
Dialysate flow (Qd) - 600 
Blood pump speed(Qb) - 315
Fresenius Optiflux200 NR filter - NO REUSE
Fresenius 2008 K2 dialysis machine
Pages: [1] Go Up Print 
« previous next »
 
Powered by MySQL Powered by PHP SMF 2.0.17 | SMF © 2019, Simple Machines | Terms and Policies Valid XHTML 1.0! Valid CSS!