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Author Topic: It didnt work :(  (Read 2725 times)
frankswife
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« on: September 04, 2012, 11:15:36 AM »
Frank was supposed to have had his first dialysis session today. It didn't work. They were unable to get the second needle to work because the vein kept cannulating (?) I hope I'm saying that right. The vein collapsed I guess. So now Frank's neph wants the veins to rest a week before they try again. Apparently Frank was supposed to have been squeezing a ball this whole time to build up the vein and no one ever told us that. I really feel that fistula isnt ready. It's only a little over 4 months old. Thoughts?
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"If we all abandon our posts, who then will stand?" St. Augustine
Rerun
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« Reply #1 on: September 04, 2012, 11:23:20 AM »
Canulating is the act of inserting the needles.  Infiltrate is when the needle goes through the vein.  Clotting is when you feel no buzz or thrill it is just clotted and usually has to be decloted at the surgery center.

Yes you are to squeeze a soft ball to mature the fistula.  It has been mentioned on this site lots of times.... but hey, you can't read it all.........

Hope next week turns out good.
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PatDowns
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Celebrating 60th B'Day. 12/26/15
« Reply #2 on: September 04, 2012, 12:09:07 PM »
Quote from: frankswife on September 04, 2012, 11:15:36 AM
Frank was supposed to have had his first dialysis session today. It didn't work. They were unable to get the second needle to work because the vein kept cannulating (?) I hope I'm saying that right. The vein collapsed I guess. So now Frank's neph wants the veins to rest a week before they try again. Apparently Frank was supposed to have been squeezing a ball this whole time to build up the vein and no one ever told us that. I really feel that fistula isnt ready. It's only a little over 4 months old. Thoughts?

Exercising a fistula is paramount in helping it to mature and become strong.  Here are a few good links on fistula care and approved exercises.

http://www.esrdnet15.org/QI/exerfist.pdf

http://www.fistulafirst.org/LinkClick.aspx?fileticket=puiGBUWIl0o%3D&tabid=98

http://www.royalfree.nhs.uk/pip_admin/docs/AVF_care_1089.pdf

http://www.ucdmc.ucdavis.edu/cne/documents/health_education/patient_education_handouts/avfist.pdf
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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
MightyMike
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« Reply #3 on: September 15, 2012, 05:50:04 PM »
The doctor once told me that depending on how good your veins are and age also depends on how fast your fistula will mature.  Mine was good in 1 1/2 months but the doctor said it could take some people like 8 months before there's would be ready.  They told me to use a stress ball but didn't give me one so I wound up using a tennis ball.
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"The greatest pleasure in life is doing what people say you cannot do."
   -Walter Bagehot
==========================
December 2003 diagnosed with IgA Nephropathy 80% Function.
October 2004 started In-Center Hemo Dialysis Perma-Cath 5% Function.
September 2005 Living Related Donor (Mother) Transplant.
March 2009 Diagnosed CKD and IgA Nephropathy.
August 2009 Upper Left Arm Fistula.
November 2009 started In-Center Hemo Dialysis.
December 2010 started Home Hemo Dialysis.
January 2012 went back to In-Center Hemo Dialysis.
Big E
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« Reply #4 on: September 15, 2012, 07:12:10 PM »
Frankswife, don't be discouraged--it's common for a fistula not to work right at first. That's what happened to me, and I ended up with a permacath for the first two months. Squeezing a ball really does help develop the access.
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PKD diagnosed June 1996
Started in-center hemodialysis May 2010
Sue
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« Reply #5 on: September 15, 2012, 11:49:40 PM »
I had my fistula op in April, I've been doing all the right things re: exercise, but now I have to go in and have a 'balloon' procedure because of a stenosis. Luckily I am pre-D so hopefully they'll get it sorted before I need to use it!!
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Life is not measured by the number of breaths we take, but by the moments that take our breath away.
Cordelia
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« Reply #6 on: September 16, 2012, 05:09:12 AM »
It can take up to a whole year for a fistula to mature.
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Diagnosed with Polycystic Kidney Disease at age 19.
Renal Failure at age 38 (2010) came about 2 hrs close to dying. Central line put in an emergency.
Began dialysis on Aug 15, 2010.
Creatine @ time of dialysis: 27. I almost died.
History of High Blood Pressure
I have Neuropathy and Plantar Fasciitis in My Feet
AV Fistula created in Nov. 2011, still buzzing well!
Transplanted in April, 2013. My husband and I participated in the Living Donor paired exchange program. I nicknamed my kidney "April"
Married 18 yrs,  Mom to 3 kids to twin daughters (One that has PKD)  and a high-functioning Autistic son
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