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Author Topic: Are any Clinics in the US using BioHole device to start buttonholes ?  (Read 7716 times)
Lindia
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« on: September 01, 2011, 12:36:46 PM »

The DaVita clinic is still having trouble establishing my husband buttonholes.   On the Home Dialysis Central forum, under Stuart Motts section -  these are mentioned.   I've searched this forum, and found several older posts, but nothing current.     Are these available in the US ? ? ?         Anyone have experience with them ?
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YouDontKnowCecil
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« Reply #1 on: September 01, 2011, 12:41:08 PM »

Do you have a link that can describe this a little more? This is my first time hearing of such.
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1987 summer (age 9), Renal biopsy confirms kidney disease (Alport Syndrome).
2001 January (age 22), Arterio-venous fistula put in left forearm.
2002 March (age 23), Started in-center hemodialysis (12 years!).
2014 April (age 35), Now training for self home hemodialysis with NxStage.
Lindia
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« Reply #2 on: September 01, 2011, 12:44:43 PM »

Do you have a link that can describe this a little more? This is my first time hearing of such.

I'll try a link - I've never done one:

http://bigdandme.wordpress.com/2010/11/

Did that work ?     You can also goggle it.  The link is to a fella in Australia.
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monrein
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« Reply #3 on: September 01, 2011, 01:04:46 PM »

I wanted to buy them but was advised NOT to use them as there can be greater risk of infection.  The literature from Nipro cautions about showering with the plugs, using waterproof bandaids or other plastic covering.  Let us know if you find more info.  I searched "biohole plug and infection" and found one interesting looking link to a medical article but I don't subscribe so couldn't access it.
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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
lmunchkin
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« Reply #4 on: September 01, 2011, 07:13:08 PM »

Never heard of such an animal!  If it is another artificial access, then Im not interested in it for my husband, sorry folks!

lmunch
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11/2004 Hubby diag. ESRD, Diabeties, Vascular Disease & High BP
12/2004 to 6/2009 Home PD
6/2009 Peritonitis , PD Cath removed
7/2009 Hemo Dialysis In-Center
2/2010 BKA rt leg & lt foot (all toes) amputated
6/2010 to present.  NxStage at home
Lindia
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« Reply #5 on: September 01, 2011, 07:53:05 PM »

Never heard of such an animal!  If it is another artificial access, then Im not interested in it for my husband, sorry folks!

lmunch

From what I can tell -  its a little plastic peg they use for about 6 treatments to help the buttonhole channel form sooner,  and you don't have the same tech, going in at the same angle,  which has been problematic for us.   But, they probably don't have it in the US yet -- its in Japan, Europe and Australia as far as I can tell.
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YouDontKnowCecil
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« Reply #6 on: September 01, 2011, 09:18:35 PM »

I searched "biohole plug and infection" and found one interesting looking link to a medical article but I don't subscribe so couldn't access it.

Can you link me to the article please? Or at least tell me the title and author(s)? I might be able to get it.
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1987 summer (age 9), Renal biopsy confirms kidney disease (Alport Syndrome).
2001 January (age 22), Arterio-venous fistula put in left forearm.
2002 March (age 23), Started in-center hemodialysis (12 years!).
2014 April (age 35), Now training for self home hemodialysis with NxStage.
monrein
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« Reply #7 on: September 02, 2011, 04:06:29 AM »

http://www.ncbi.nlm.nih.gov/pubmed/19909412
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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
YouDontKnowCecil
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The more you know ...

« Reply #8 on: September 02, 2011, 09:51:10 AM »

I found the article, and put it up on MegaUpload:

http://www.megaupload.com/?d=V94KQPYX
« Last Edit: September 02, 2011, 10:02:02 AM by YouDontKnowCecil » Logged

1987 summer (age 9), Renal biopsy confirms kidney disease (Alport Syndrome).
2001 January (age 22), Arterio-venous fistula put in left forearm.
2002 March (age 23), Started in-center hemodialysis (12 years!).
2014 April (age 35), Now training for self home hemodialysis with NxStage.
monrein
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« Reply #9 on: September 02, 2011, 09:56:32 AM »

So, does that mean we can access it?
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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
YouDontKnowCecil
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The more you know ...

« Reply #10 on: September 02, 2011, 09:57:18 AM »

Yeah, anyone can download from MegaUpload. I changed the link just now. Use the link I just posted.
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1987 summer (age 9), Renal biopsy confirms kidney disease (Alport Syndrome).
2001 January (age 22), Arterio-venous fistula put in left forearm.
2002 March (age 23), Started in-center hemodialysis (12 years!).
2014 April (age 35), Now training for self home hemodialysis with NxStage.
Lindia
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« Reply #11 on: September 03, 2011, 05:28:01 AM »

Thanks -  I downloaded it,  this particular article doesn't mention they experienced infection problems, just discusses how to prevent infection.
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monrein
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« Reply #12 on: September 03, 2011, 06:00:12 AM »

Sounds like they'd be a good idea if there's more than one person cannulating the buttonholes. 
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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
lmunchkin
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"There Is No Place Like Home!"

« Reply #13 on: September 04, 2011, 01:17:10 PM »

Im not familiar with buttonholes, and I do ladder technique.  That has served us well.  I do agree with Monrien, as long as there is one individual doing the cannulating!  I still have a problem with the "plastic" and possible infections.  It is still a foreign object that is inserted into the body, (Im guessing here, cause I did not download and read) which means the risk for infections is better! 

But I suppose, if it helps some alot, than why not try it?  My hubby has lost enough due to infections in his body, he doesnt need to chance it again!
He is HIGH risk for anything and everything.

I would be curious for others on here as to how it works?  If it is approved here, would like to know of canidates for this procedure or possibly who has it?

lmunchkin :kickstart;
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11/2004 Hubby diag. ESRD, Diabeties, Vascular Disease & High BP
12/2004 to 6/2009 Home PD
6/2009 Peritonitis , PD Cath removed
7/2009 Hemo Dialysis In-Center
2/2010 BKA rt leg & lt foot (all toes) amputated
6/2010 to present.  NxStage at home
mcclane
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« Reply #14 on: September 06, 2011, 01:53:09 PM »

i'll take 2.  I'm currently in the process of developing a buttonhole, and it has to be the most frustrating thing I've ever done in my whole life (nurse is helping teaching how to self needle).  Worst part is, in less than 24 hours time, i get to do it all over again. 

I feel like a pin cushion and the cenobite pinhead from hellraiser at the same time.
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Lindia
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« Reply #15 on: September 07, 2011, 04:18:19 AM »

I really understand the frustration.   After several weeks, my hubby's may finally be getting established.  He was finally able to stick himself Tuesday - (sorta).   I'm still wondering if these are available in the US.    So far, no one has answered in the affirmitive. 
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mcclane
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« Reply #16 on: September 07, 2011, 07:59:03 AM »

I really understand the frustration.   After several weeks, my hubby's may finally be getting established.  He was finally able to stick himself Tuesday - (sorta).   I'm still wondering if these are available in the US.    So far, no one has answered in the affirmitive.

i know it takes a while.  Started buttonhole creation at the end of july, and it is now september and still at it.
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Lindia
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« Reply #17 on: September 09, 2011, 04:51:21 AM »

 :bump;
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CebuShan
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« Reply #18 on: September 09, 2011, 11:15:02 AM »

This is interesting because they are going to start "buttonholing" me.
BTW - I loved that Big D and Me blog. I even bookmarked it so I could find it again!
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Think GOD doesn't have a sense of humor?
HE created marriage and children.
Think about it! LOL!
monrein
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« Reply #19 on: September 09, 2011, 01:07:21 PM »

When I looked into using them here in Canada I was told I'd have to buy them myself which I would have done but I was advised to avoid them and just establish buttonholes the regular way.  Worked fine.
Logged

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
mcclane
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Gender: Male
Posts: 696

« Reply #20 on: September 09, 2011, 02:15:34 PM »

When I looked into using them here in Canada I was told I'd have to buy them myself which I would have done but I was advised to avoid them and just establish buttonholes the regular way.  Worked fine.

my clinic never said anything about those items.  they made me jab myself with needles.  But am happy to say the button hole is developing, i'm having somewhat less frustration shoving the needles in.
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Lindia
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« Reply #21 on: September 19, 2011, 01:31:47 PM »

 :bump;
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CebuShan
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« Reply #22 on: September 19, 2011, 01:48:56 PM »

So far, everyone that I have asked at my clinic has never heard ofthem. I haven't had a chance to ask my neph yet.

:bump;

Please forgive me but what does this mean?
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Think GOD doesn't have a sense of humor?
HE created marriage and children.
Think about it! LOL!
Lindia
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« Reply #23 on: September 20, 2011, 06:12:20 AM »

Do you have a link that can describe this a little more? This is my first time hearing of such.

THis link explains the device - it is a small plastic thing that helps to establish buttonholes faster.   http://bigdandme.wordpress.com/2010/11/

Did that work ?     You can also goggle it.  The link is to a fella in Australia.
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CebuShan
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« Reply #24 on: September 21, 2011, 10:03:51 AM »

No one at my clinic had heard of this. My neph hadn't either but he wrote down the name and was going to look it up to see if it might work for me. Yes, I believe that he will, he follows through on his promises. I let you know what happens.
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Think GOD doesn't have a sense of humor?
HE created marriage and children.
Think about it! LOL!
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