Tuesday, July 26, 2011

This is my 6th hemodialysis treatment. First, i was there on time, actually fifteen minutes early. I went through the usual rital, (my weight and vitals were taken). The nurse does the prepping to connect me to the dialyzer. I am now on my way, i was eating some ice chips, when i began to cough, uncontrollably, it became a bother, when i would cough, it would disturb the blood flow of the treatment. Finally, after the nurse had to come over four times to tend to those alarms, she decided to administer some benadryl, to help with the coughing. Getting this benadryl, i got very sleepy, and of course the coughing stop cold turkey. Then about fifteen minutes after getting the benadryl, i became nauseated, and of course, yes, you guess it, i began to vomit. I had warned the nurse and tech, that i was feeling very nauseated, and they took forever to bring me a barf bag to relieve myself, but of course, i ended up throwing up all over my blanket, and into my purse, in which it was stationed on the side of my chair (because of possible thieves at the unit), and guess what, i threw up my dinner from the night before (spaghetti and meat balls), all that came up. I am very concerned about this, and i hope it doesn't have anything to do with this darn umblicical hernia and my bout with recent bowl obstruction. Well i am feeling better. The dietitian comes over to me, to discuss a certain lab result, that gives her much concern. It is my PTH levels, that is rapidly rising to the 1,000 mark. Now, mind you, when i was previously on hemo, during my prior ten year run, i did have very serious issues with my PTH level, i was told that if i keep my phosphorus levels in normal range, it would help to keep the PTH tamed, but that was not the case, my PTH was continuing to rise, and at the time, i was being followed by the unit nephrologist, and all he was doing was re adjusting my rocatrol (vitamin D)med, like rotating to every other day at times, or just take it M-F, or double up on the weekends, and this was not showing any improvement, until by the Grace of God, Kaiser decided to have their nephrolgist follow the kaiser patients, and that was a God send thing to happen, because right after being assigned to this neph, he immediately had a very serious concern for my PTH levels, and he asked why haven't i had my glands removed. And of course, i didn't have an answer for him, as i was being followed by the unit neph, whom i thought knew what he was doing, and that he could eventually remedy this high PTH issue. Well, to make a long story short, the new kaiser neph, scheduled to have my glands removed immediately, and i never had any issues with my PTH rising ever since, now returning to hemo, my PTH is rapidly rising go figure! my phosphorus is in normal range, as well as my Calcium, so what gives. I need to research this further, to find out if my diet on hemo, has changed somewhat, and that this maybe causing my PTH to begin to rise., because i sure do not want to have my glands removed again, and that is mainly because having this surgical procedure, the calcium can drastically plummet, and this is what i experienced back in 1999. Well, that is it for my blogging today. take care and until next blog, all the best to my bloggers.