Post 2266: sleepy…

Some days I have to check for breathing there is so little activity in Kittylandia! Another clue: a kitty (Dougy) is facing a different direction from one photo to the next. You’re welcome! I’m glad I can share these Helpful Hints For Cat People™!

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We tried two needles at dialysis yesterday. We had been using one catheter and one needle or both catheters in this dialysis fistula trial period. It’s still too soon to go full blast (note hematoma under tape on my arm), but the next thing is applying adequate pressure to the needle wounds to avoid leakage under the bandages or worse. Not to worry! I know how to clean blood stains out of clothes!

 

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41 thoughts on “Post 2266: sleepy…

    • I’m doing well, Michel! I hope you are doing well, too. It does take a bit of adjustment when on dialysis, mainly working out times to do things like travel or other activities.l

    • My session yesterday went without incident, Michel. Sometimes the best plan is to use clamps instead of finger pressure. My new fistula is a bit off to one side where holding pressure with fingers is awkward. I'[ve only had it used a handful of times, so getting used to the new normal is still in progress. It is worrisome to have bleed outs! In this one instance, catheters are a better thing to have for dialysis, though they also are more tedious to deal with in most other instances.

  1. For the dialysis I have two needles in the arm as you know, Doug . And four hours later at the end of dialysis, nurses or me have to press to help to stop the blood .
    Unfortunately I have complication. I have to meet a surgeon ( next Monday) to take off the prostate and I am waiting for this surgery ( date ? ) . In waiting for I have a urinary catheter since November 7. Not fun!
    I wish you courage , Doug.
    In friendship
    Michel

    • It’s less painful than one might imagine. There is just a light prick. Once buttonholes are created (they are entry points that form a permanent path to the fistula), there is even less discomfort unless the nurse misses the pathway and tries to force the needle in. Even then, the sensation is more pressure than pain.

    • That I am! Good thing because these bleed outs can happen any time. Some are worse than others, of course. One needs to be aware of the possibility at all times because it isn’t impossible a person can bleed out in one’s sleep, with potentially fatal results!

    • It’s just a matter of maturation (complete healing from the initial surgery creating it…), then they are pretty routine to maintain. (Mostly avoiding infections and not using the arm for blood pressure checks or needles for any reason other than the dialysis needles…)

    • It’s a matter of holding the access holes till the blood coagulates and prevents blood flowing from them. That’s a ten minute process, if you hold the right place. I call the plugs “scablings”, because it sounds funny and cute, and I can visualize these “scablings” doing their big job.

        • Yes, Davita is a major source of private dialysis care. I’ve been to two of their sites, one in Denver, and another in Scottsbluff, Nebraska. While they give competent care, they are set up for sixteen people a shift (if I recall the number of seats…), the one attached to my local general hospital is set up for six people at a time (three of us on my “shift”), with three nurses to take care of the patients. The small number of patients means they are able to deal more efficaciously with issues that arise during the treatment. That is to say, if you are having cramps, you don’t have to wait for so long to get relief.

          • Me, too. Too often too few people are expected to do the work to many. What do you bet the benefits are “satisfaction of helping others and occasional praise”?

          • This depends on the person. Companies are making many positions part time to offset their own costs, many can’t sit on that. There’s never enough praise. I remember not getting any nice comments like that from employers over the years and that’s BS.

          • I know what you say. I’ve had decent bosses and some that were total idiots, but praise was always slight, though I worked hard at doing a good job. I got to the place where I worked for my own satisfaction of doing the best [possible work. As far as pay…!

    • These are typical adjustment issues for dialysis patients starting use of a new fistula. The placement of the new one is a little off center, making applying pressure a bit of a trick I need to learn. I’ve had far worse bleed outs. The biggest problem with bleed outs is you don’t notice them until you feel wetness…! Or happen to look down at the fistula. I just happened to look down at the right time. There is a blue pad that’s barely seen in the photo that is put under one’s arm to catch blood. In this instance, the blood spilled over the edge. I don’t freak out at the sight of blood, fortunately!

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