Yep, at the hospital I hallucinated for about ten days.
I believe the conversion of Canadian/Australian/UK creatine values to US lab values is a factor of 88. In your case, Cordelia, 2400/88 = 27.2. Holy cow! That is far and away the highest creatinine blood value I have ever heard of and am very happy you survived that.
When I was on D, a guy in our unit was at 1500 being maintained by D......The thing is with all these numbers if you can't (I think anyway) take anu lab numbe like the eGFR, creat or whatever and say "this is the point" - one person @ Cr 1000 (11.3) may be doing fine, while someone else at say 800 (9.05) might be suffering from bad symptoms like nausea, vomiting etc and need to go on D.I am a firm believer in assessing the entire situation and not just take a number as a trigger event.Recent studies (one which I was part of) have shown that starting D "later" (as in < 10 GFR for example) shows no real adverse trends as opposed to starting earlier. My take on this is that (obviously ) it supports m long held notion that it's not about the number, but how the patient feels overall.Don't get me wrong I am not saying if you get to GFR of 5 and the patient says they are just a bit tired to ignore it and not do anything, but more for some common sense to apply rather than a rigid "line in the sand" at which D should or shouldn't start.Just my two cents.
Cordelia, I would definitely refer to the far more knowledgeable people like RichardMel and Popplicious as to when this number indicates a start for dialysis. Translating the Canadian value of 600 to 6.18 sounds about right as that translates to an eGFR of about 10 depending on a number of factors. An eGFR of about 15 is generally the higher part of the window to consider dialysis - again, all depending on how you are feeling along with other possible symptoms and second order affects. An eGFR of about 15 translates to a creatinine of about 300 (3.4) for a female.