Friday, July 28, 2023

The Dialysis Aftermath....

 Babygirl's last home dialysis was the Thursday before the transplant, June 8.  One of the most exciting things about getting a transplant is saying goodbye to all of that.  

Except....all of the stuff is still here.  The machine, the recliner, and thousands of pieces of miscellaneous supplies:  IV bags of saline, emergency supplies of dialysate. Needles, syringes, blood tubes.  Dialysis machine cartridges.  Bandages. Chux.  Bottles of blood thinners. IV tubing.  The medical iPad.  A centrifuge. This stuff was taking up 3 closets, and all the space under the spare bedroom bed, and more besides.

The dialysis team is coming to pick up the machine.  Maybe the centrifuge. Probably the iPad.  But all the rest, including the massive ugly hospital-style recliner?  They were ALL "Prescription Items" and are ours to keep.  But tell me what the living heck are we supposed to do with anything but the bandaids?  

I woke up this morning feeling fine, but within an hour I was tossing my breakfast, so I called in sick.  In between bouts of nausea, I helped Babygirl start dealing with it all.  Eight extra large trash bags land dozens of broken-down boxes later, we (mostly she, honestly) had the vast majority of the things that we can dispose of, disposed of.  We quite literally filled our oversized bathtub several times over with bags full of one type of fluid or another. We had to cut each one open, drain it, and stuff the remains into one of the endless trash bags. Decisions about whether huge packages of wrapped, capped needles and syringes needed to go into sharps containers or direct to trash. 

It is so incredibly wasteful  These are supplies that are sealed in impossible to open packaging in sealed boxes with labels attached.  But they can't be returned so someone else can use them. I am certain that we sent thousands of dollars down the literal drain.  

We had to run out for extra trash bags. And since Babygirl's doctors STILL have her on a 10-pound weight restriction (over what for her were some pretty strenuous objections), I got a work out hauling the bags and boxes down the stairs and out to the side of the house to await trash night. It's an impressive pile. 

As for Babygirl herself, she is doing well. She still tires faster than I'd like, but much less so than before the transplant. Her creatinine is down to 1.2, which is gradually approaching normal.  She is still significantly anemic. Her acid levels are creeping up to uncomfortably high levels, and her blood pressure is high.  All of these things are manageable, but are definitely keeping her from moving from twice-weekly labs to weekly ones. We remain on biweekly visits to Rochester.

I spent some time today trying to recall how all this was handled last time.  I don't remember what happened to what must have been a similar amount of unused stuff, but I don't remember getting rid of it all. I do remember taking biweekly trips to Philadelphia for what seemed like a very long time, but without so much blood work in between. Different team. Different kidney. Different approach. Different life. 

DeeDee

Thursday, July 20, 2023

The "Q" Days....

 We in the medical world superstitiously HATE hearing someone say the "Q" word.  When things are peaceful in the ER, and the ICU is miraculously crisis-free, and there hasn't been a sleep-interrupting ring of the phone during an on-call shift, someone innocently saying, "Wow! It's Quiet in here!" will get a universal round of groans and weeping.  We all know that mentioning that word will instantly trigger some kind of chaos and effectively end the Q time.

So I hate to say that it's been quiet, medically.  Babygirl's labs have been slowly but steadily improving. Her general sense of well-being has been steady and her endurance gradually increasing.  Her last creatinine was 1.3, continuing a long, gradual downward trend (I just read an old blog post talking about needing a kidney biopsy to rule out rejection because her creatinine had risen to 1.4, but we are playing a different game here).

I've attended yoga twice this week. I had a massage Sunday after returning from the mission trip.  Self care is adequate but not spectacular.  I'm getting there.

So far Babygirl hasn't been up to going hiking, but she is walking dogs here in the neighborhood. 

I'll take the Q, thanks.

DeeDee


Thursday, July 6, 2023

Down to Once a Week....

 I can't clearly remember how long we were on a twice weekly follow-up schedule following Babygirl's first transplant.  I know we stayed in Philly for a bit, and then Hubby and I took turns, one day a week each, to get her there.  

We are done with twice weekly trips now, and it feels sooner than last time. I'm not saying it is at all a bad thing!  She still does blood work twice a week, once locally and once in Rochester.  That schedule is holding for next week as well.

Currently the new kidney appears to be doing quite well. Creatinine on Monday was 1.56, 1.52 today.  As long as each is lower than the last, we know the kidney is still recovering. Babygirl's last transplant gave her a completely normal creatinine of 0.8 within 48 hours of installation, so this is a very different ride, but... it's reassuring.

It's reassuring enough that I'm packing to leave town for a week on Saturday. (The team was working on a backup plan in case I couldn't make it.) The mission trip is part of my heart and soul, and two of my Grandboys are going along.  I spent most of the 4th sorting tools, shopping with the boys, and generally prepping to get it all on the road.  After Babygirl and I arrived home today I got the tools loaded in the trunk.  I'm still working on bedding for 3 and clothing for me. 

While I am gone my beloved sister-in-law is coming to spend the week and to make the lab and Rochester runs.  

Currently I am sitting in my damp bathing suit, which I will leave on while I finish things up. I'm very likely to need to get back into the pool again shortly LOL.

DeeDee