Saturday, November 27, 2021

Post-Transplant Rejection Update: 27 November 2021

I hope that my US readers had a safe, wonderful Thanksgiving!

Now that the Thanksgiving holiday has passed, I decided to look at how long it has been since my last post, and was surprised to see that it is now three full weeks.    So let's get started...


My latest infusion of Belatacept happened on 24 Nov. The nurse had a great stick, hitting a difficult vein on her first try. The infusion was uneventful, and I have had zero side effects once more.

And backing up a bit more, around two weeks ago I had another downturn in my energy level. It wasn't anything severe, but it has definitely impacted my day to day. Right now, I am once again averaging just two workouts each week. And these workouts are taking longer than just a month ago.   Last week I started getting a cold which initially, caused a nasty headache that was non-TMD involved. I managed one workout over that week, and am getting ready to finally get another session done after I finish with this entry.

As a result of the downturn, I am sleeping restlessly (for some reason), and taking more naps during the day. Not working out regularly certainly does not help my sleeping; but even when I do, I am still napping the next day.

I have started having several days each week [since this downturn] that find me just not feeling very well. It's nothing specific, but reminds me of how I felt most days when I was on dialysis. Luckily, feeling like this doesn't last...yet. 

My appetite has taken a hit because of those days that I don't feel well. I've had several days that I ate about half--or less--of what I normally eat. 

I don't remember if I had previously stated that I started eating breakfast most mornings--I know, it's a shocker!--and eat a double portion of the hot cereal Zoom! and two slices of toast, so that I get some good nutrition for my workout days, as well as the grains in the cereal helping to keep my intestines working properly. With all of the diuretics, I was getting stopped up far too often, and usually took three to five days between bowel movements. The Zoom! has helped make the BM's happen every day. 

My weight is fluctuating again, but in the right direction this time. With the help of a few bouts of nasty diarrhea, I have dropped my weight by two full kilograms, and currently hover around 116 Kgs. I am always sure to drink a glass of gatorade to resupply the lost electrolytes. It isn't the ideal way to lose water weight but I'll take it anyhow. 

My TMD headaches have been OK, I guess. I haven't had a really bad one in about a month now. As long as I can keep the headaches from exploding, I'll consider this a victory!

With this latest downturn, and considering how I am feeling overall from day to day, it is evident that dialysis is getting closer. How long from now it will start is anyone's guess. The farther away, the better!

Unfortunately, it will be at least two weeks before my next entry. My wife and are having to help our daughter move out of State, so next week will be preparing for the move, followed by a day of driving, a couple of days there, then back again. After that, I'll do my December lab draw, and have my next Nephrology appointment on the 14th of December. Whether or not I get an entry done before the 14th remains to be seen.

So, I'll get one done as soon as I am able, and have the brain power to write.

May you all enjoy the start of the Christmas season!

Good Health to All!

ScottW




Monday, November 8, 2021

Post-Transplant Rejection Update: 08 November 2021

 Let's start with my November Labs...


02 Nov 21 Labs:

*Creat:   3.49 (+0.23)

*HCT:   34.7 (+0.5) Low

*Hemo:   10.9 (+0.1) IR

*RBC:   3.82 (+0.05) Extremely Low

*WBC:   7.7 (+0.5) IR

*BUN:   49 (+3) Extremely High

*CA:   9.6 (NC) IR

*GFR:   18 (-2) Extremely Low

*K+:   3.9 (+0.4) IR

*NA+:   140 (+3) IR

*Phos:   4.5 (+0.8) IR

               NC= No Change      IR= In Range


There is nothing or any real significance on these labs. 

While they are by no means "stable," and I am definitely headed towards dialysis, this set of labs simply looks like the kidney is worsening, but incrementally. 


And on that note, I have seen more signs that the kidney is struggling. I am gaining--and holding--onto new weight that is NOT from muscle buildup. Even taking extra Torsemide is having little effect on ridding the extra water from my body. As of this morning, my weight sits at 118.2 Kgs!

In order to try to combat this, I have added an extra 10 Mg of Torsemide every day. (I believe that I mentioned this on my last post.) With doing this my weight remained somewhat stable, hovering between 115.9-116.7 Kgs. Only over this past week has my weight suddenly, inexplicably gained another kilogram plus.

Additionally, I have had four days out of the last ten, or so, that I have felt sick again. It wasn't anything huge, or debilitating; but it was there, and it felt lousy! The latest incident was just yesterday. I awoke feeling more tired than usual, and then had a non-TMD headache come on slowly, followed by that feeling sick. By noon, I had no energy, my head was in terrible pain, and I felt awful! This lasted all afternoon, and I finally felt relief at around 700p.

My urine has also been smelling stronger, more odiferous. This is happening both day and night. The color remains fairly consistent; which is mostly clear with a slight yellow tinting.

Energy-wise, I am seeing greater and greater loss in my overall energy. I am only averaging two workouts each week, and if my energy saps even more, even that number will decrease.

I am getting overly sleepy once more, and take short 10-15 minute naps several times each day.

I do not know what triggered this suddenly downturn, but I am trying every day to do as much as I can without thoroughly exhausting myself, and then taking days to recover.

My sleep is good, and my dreams remain completely under my control. 

Despite the new developments, I still do not feel like it is time for dialysis. 

My appetite remains commensurate with my exercise and activity level. The headaches have definitely ramped up; both TMD and non-TMD related. I have reminding myself numerous times every day to relax my face, shoulders, back, etc. The acupuncture is still doing its job of healing the neuropathy.


That's all for now. 

My brain and body are tired, and I am feeling terribly sleepy....again.

So, I will wish you all the very best!

Good Health to All!

ScottW