August 2016 Labs:
*Albumin (19 Jul): 4.00 g/dL (-0.20 g/dL from 21 Jun)
(A measure of Protein in the blood) NR (Normal Range) 4.0 g/dL or Higher
*Hemoglobin (02 Aug): 10.80 G/dL (-0.40 g/dL from 05 Jul)
(A Measure of Anemia)
*Ca Corrected (02 Aug): 9.80 mg/dL (-0.50mg/dL from 05 Jul)
(A measure of Heart and Bone health) NR 8.40 to 10.20 mg/dL
*Phosphorous (02 Aug): 4.80 mg/dL (-1.00 mg/dL from 05 Jul)
(High Phosphorous affects the health of your Heart and Bones) NR 3.0 to 5.5 mg/dL
*PTH Intact (19 Jul): 263 pg/mL (+42 pg/mL 21 Jun)
(A measure of Vitamin D absorption and bone and tissue health) NR 150 to 600 pg/mL
*K+ (02 Aug): 5.2 mEq/L (+0.60 mEq/L from 05 Jul)
(Proper potassium levels keep your nerves and muscles working well) NR 3.5 to 5.5 mEq/L
*spKdt/V Dialysis (02 Aug): 1.64 (-0.04 from 05 Jul)
(A measure of the effectiveness of dialysis and blood filtering.) NR 1.20 or Higher
(A measure of Protein in the blood) NR (Normal Range) 4.0 g/dL or Higher
*Hemoglobin (02 Aug): 10.80 G/dL (-0.40 g/dL from 05 Jul)
(A Measure of Anemia)
*Ca Corrected (02 Aug): 9.80 mg/dL (-0.50mg/dL from 05 Jul)
(A measure of Heart and Bone health) NR 8.40 to 10.20 mg/dL
*Phosphorous (02 Aug): 4.80 mg/dL (-1.00 mg/dL from 05 Jul)
(High Phosphorous affects the health of your Heart and Bones) NR 3.0 to 5.5 mg/dL
*PTH Intact (19 Jul): 263 pg/mL (+42 pg/mL 21 Jun)
(A measure of Vitamin D absorption and bone and tissue health) NR 150 to 600 pg/mL
*K+ (02 Aug): 5.2 mEq/L (+0.60 mEq/L from 05 Jul)
(Proper potassium levels keep your nerves and muscles working well) NR 3.5 to 5.5 mEq/L
*spKdt/V Dialysis (02 Aug): 1.64 (-0.04 from 05 Jul)
(A measure of the effectiveness of dialysis and blood filtering.) NR 1.20 or Higher
Albumin is the only number with a Red. That means I have been working on, and doing, everything I should be. Diet, fluids, etc.
Once again, following the guidance and recommendations of your physicians, nurses, techs, etc is NOT difficult to do! You simply have to choose to follow their instructions. Do that and you will be healthier, happier and everything will not seem like such a terrible burden. That's never to say that dialysis won't suck...it always will!...but you will be able to hold off complications that would otherwise pop up simply because you refuse to properly take care of yourself. Plus, your mind will be in a much better place, as well!
Remember also, that your Potassium (K+) numbers will go up and down, no matter how compliant you are to the renal diet. All you do is control the intake of K+ rich foods, and avoid becoming frustrated when the labs come back higher than the established range. When that happens--and it will!--just assure that you are avoiding tomatoes, potatoes, certain juices, etc. Having these once in a while is OK...but when you need to get your labs back in line, you already know what to do!
Dialysis Weights:
*For some reason I still don't understand, there is a two week gap in where I record my weights each dialysis session. So, don't be thrown by the gap...
12 Jul 16
Starting Weight: 104.7 Kg
Ending Weight: 101.3 Kg
Water Removed: 3.40 Kg
Start BP: 210/94 End BP: 120/82
14 Jul 16
Starting Weight: 103.5 Kg
Ending Weight: 100.2 Kg
Water Removed: 3.20 Kg
Start BP: 187/112 End BP: 113/85
28 Jul 16
Starting Weight: 102.2 Kg
Ending Weight: 99.7 Kg
Water Removed: 2.50 Kg
Start BP: 176/94 End BP: 99/55
30 Jul 16
Starting Weight: 102.1 Kg
Ending Weight: 99.7 Kg
Water Removed: 2.40 Kg
Start BP: 159/99 End BP: 101/71
02 Aug 16
Starting Weight: 103.9 Kg
Ending Weight: 100.7 kg
Water Removed: 3.20 Kg
Start BP: 176/106 End BP: 123/61
04 Aug 16
Starting Weight: 102.7 Kg
Ending Weight: 99.9 Kg
Water Removed: 2.80 kg
Start BP: 159/96 End BP: 105/68
And that brings you up to speed. My weights have been good, and when a Tuesday weight is high, I take until Saturday to get it back to where it should be. This is on purpose so that I avoid excessive cramping, and a possible drop in BP that would leave my artificial graft closed and unusable. As it is, I may push my dry weight up half a kilogram because the longer I am at the 99.5 Kg weight, the more the ending BP is lower than I want (110+ systolic minimum).
As far as my sleep goes, I am getting LOTS! Yesterday, I had 5 hours pre-dialysis, slept one hour during treatment, went home and slept 9 hours, then fell asleep again during the night for 6 more; bringing the sleep to 21 total hours! That's a new record for me. Without my kidneys, it seems that the longer I go, the more sleep I'm getting. I have no idea if anyone else experiences this or not; I'm just talking about what I am going through.
And that is all I have for today. I am trying to be cognizant of the passage of time, and have been doing a good job with my recent posts. Let's hope this continues
Have a fantastic week, everyone!
Good Health to All!
ScottW
**Oh, By The Way: I placed myself on Voluntary Hold on the Transplant List for the month of August. I did this because August is one of three times every year that my wife is horridly busy at her work, and there is no one that could just step in and do her job in the event I get my transplant call. So, I did what had to be done so that she avoids that happening.
YES, I will still accumulate time on the list; I just won't be receiving a call at any time during August.
On September 1st I will call my coordinator and reinstate myself to the Active List. sw
**Oh, By The Way: I placed myself on Voluntary Hold on the Transplant List for the month of August. I did this because August is one of three times every year that my wife is horridly busy at her work, and there is no one that could just step in and do her job in the event I get my transplant call. So, I did what had to be done so that she avoids that happening.
YES, I will still accumulate time on the list; I just won't be receiving a call at any time during August.
On September 1st I will call my coordinator and reinstate myself to the Active List. sw
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