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Author Topic: Short Daily Hemo  (Read 4553 times)
Rain
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« on: November 07, 2011, 05:01:09 AM »

My dialysis center is offering Short Daily Hemo.   You go 5-6 days a week for 2 - 2.5 hours at a time.  The only catch you have to needle yourself.

Question:  Does anyone do short daily hemo in center and work full time?  I'm just worried I"m going to have no life.

And
2.  How do you get over the fear of needling yourself?  I couldn't even give myself epo pre dialysis. 

I just want to start feeling better and get my urea levels more even.
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1988  Diagnosed with reflux and kidney damage
2006-  Diagnosed with Renal Failure and start dialysis in centre with catheter
2007- Fistula created and in centre hemo with fistula
2012- Fistula clotted and central line inserted
May 2014- Received Kidney from deceased donor
boswife
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us and fam easter 2013

« Reply #1 on: November 07, 2011, 08:19:57 AM »

Wow!!! thats wonderful!!!  I mean just to offer it is great!!  We do home hemo but originally, i was hoping to keep him incenter with me needling him (im needle phobic pretty extreem... i do his needles now, but still cant watch him do his insulun/epo etc. )  I was so scarred but also so determaned, or stubborn.  I was really afraid to come home with machine and all, but it has worked great.  The benifit of 'incenter' would be that you could  go in, hook yourself up, have them there to set up and take down which would save a lot of time...  The only thing i see is,,,,,,,,,,,,,,,, we "thought" that when we came home we would be 2 to 2 1/2 hours as well, but we go 3 1/2 to 4 just to slow it down.  I would love to hear more about it though as it could surly solve the having a 'partner' requirement to bring it home.  We're all set now and comfortable at home, but i surly would have loved that option..
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im a california wife and cargiver to my hubby
He started dialysis April 09
We thank God for every day we are blessed to have together.
november 2010, patiently (ha!) waiting our turn for NxStage training
January 14,2011 home with NxStage
mcclane
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« Reply #2 on: November 07, 2011, 08:44:41 AM »

I do home hemo, and the idea is 6-8 hours every night.

however, sleeping with the damn machine is nearly impossible.  So what I usually do is m-thurs i do the overnight run, but when it comes to the weekend, i shorten my runs greatly to 2-3 hours.  I find if you do short runs, it won't clear out the fluids that well, but it will clear  out the potassium/phosphorous ok.

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monrein
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« Reply #3 on: November 07, 2011, 09:35:19 AM »

I did that at the Sheppard self care centre in Toronto.  You were not required to needle yourself but I chose to.  Needling yourself is mostly a mental thing but once you manage to do it you gain a huge sense of control over the whole process of D.  I've done home hemo in the past and the more time you can manage to get on the machine the better in terms of keeping healthy and feeling better.  I live near the self care centre and I liked not having all the stuff in my house.
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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
Rain
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« Reply #4 on: November 07, 2011, 09:47:05 AM »

I think I"m going to ask if I could start learning how to needle on the 3 times a week hemo.  Until I Get use to needling then maybe try the short daily to see it how it works.
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1988  Diagnosed with reflux and kidney damage
2006-  Diagnosed with Renal Failure and start dialysis in centre with catheter
2007- Fistula created and in centre hemo with fistula
2012- Fistula clotted and central line inserted
May 2014- Received Kidney from deceased donor
mcclane
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« Reply #5 on: November 07, 2011, 10:30:04 AM »

you asked about working full time and then doing the 2-2.5 hour dialysis 5-6 times a week.

I do mine at home, but I find it exhausting.  From the setup of the machine, to the stirp down, then gathering the supplies for the next run, for me it is pure exhaustion.  I am tired both mentally and physically (ironic as my bloodwork is pretty decent).  My travel time is walking from the living to the bedroom to do my dialysis.  Depending on how far your centre is, you have to factor in the travel time too.  However, you'll save oodles of times from not having to setup/clean the machine though.

However, because you're looking at 5-6 times a week, it will start becoming a drag, even if the dialysis time is short.
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