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Author Topic: why am I always tired?  (Read 3524 times)
sullidog
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« on: August 13, 2012, 05:47:26 PM »
For the past few months I've been tired majority of the time. It causes me to sleep when I get home from work and then I can't sleep at night, it's so frustrating! My neph doesn't have any ideas so I stopped bringing it up to him. I have great labs and my bp is fine too.
I only get the maintenance dose of iron.
Here are this months labs.
phos 4.3
k 3.7
albuman 4.4
KT/V 1.4
hemoglobin 12.0
cal 9.0
PTH I forget but it's at a normal level.
Nothing in the labs indicate why I'm having this issue. I'm not even on epo do to my hemoglobin being above normal.
My bp runs 120's to 130's.
I'm clueless, any ideas?
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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
kitkatz
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« Reply #1 on: August 13, 2012, 05:58:11 PM »
The KT/V is low.  Need to bring it up to 1.5 or higher and you will probably feel better.
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KAF454
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« Reply #2 on: August 13, 2012, 06:12:18 PM »
I went through the same thing until they got my iron over 30 and I changed to twice weekly on epo. My doc said all of my labs were normal and there was no reason for me to be falling asleep at work (big help there). We're all different but I'll tell you my energy level got better when I got active again in my gym. A sleep study and new CPAP helps a lot too.
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Desert Dancer
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« Reply #3 on: August 14, 2012, 12:28:51 AM »
KT/V is the only thing that jumps out at me. My center's goal for kt/v is 2.0 though I don't know if that's a universal standard or specific to DaVita.
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« Reply #4 on: August 14, 2012, 04:55:44 AM »
My understanding is the Medicare standard is 2.0 for Hemo and 1.8 (I think) for Pd.

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noahvale
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« Reply #5 on: August 14, 2012, 06:56:35 AM »
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Grumpy-1
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« Reply #6 on: August 14, 2012, 07:41:02 AM »
another thought is B12 vitamins.  I was always tired too.  Then my wife was watching Dr Oz and he was talking about B12 and such.  So, we decided to try it and it made a big difference.  Grumpy
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deniferfer
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« Reply #7 on: August 14, 2012, 09:56:56 AM »
I was the same way and the dr order B12 shots for me and that really helps. The only thing I find is on the day I get it I'm a bit hyper and then it levels out until like now, I'm due for it again and feel a tired again. Then caffeine is my friend.  ;D
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sullidog
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« Reply #8 on: August 14, 2012, 04:50:55 PM »
so I'm asuming then b12 vitamins are renal friendly?
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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
Grumpy-1
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« Reply #9 on: August 16, 2012, 04:36:31 AM »
My nephs said it wouldn't hurt, but again, they didn't want to prescribe it.  So, I'm taking over the counter.  Grumpy
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Make me the person my dog thinks I am
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