- I am mundane and magical, Silly and serious. I am an underachiever who suspects that someday in the eternities I may yet blossom and even fruit. I am a collector of spirits and essences, a studier of mood and nuance.I have many many faults and yet I've always been loved. I am a good friend, but I will let you go if you so desire. I believe in Somewhen. I laugh easily and cannot often cry, which I know is a Flaw. Like You, I am a work in progess.
Thursday, June 22, 2017
I really like my mom's nephrologist. He was so shocked by the drastic plunge in her kidney function that he had a nurse draw blood and ran the test again while we waited. Her other numbers were improved on the previous test so it seemed weird that creatinine went to 3.7. He asked what was going on. I told him how much she is sleeping and mentioned the huge weight gain which I don't think could possibly be food since she barely eats (another symptom of kidney failure) I told him about the increased edema in her feet. I told him about diarrhea and falling. Today was the first day she let me use the wheelchair and I hope it made things easier in her perception, it sure was great in mine! He decreased her nightly insulin to 7 and the nutritionist he brought in suggested I could do 6 if I felt that was better. I love the flexibility. Her blood sugar was just 51 this morning after 8 units of Lantus last night. The nephrologist doesn't want hers lower than 100. That seems really good to me. I don't give her any if the night's blood sugar reading is 200 or less. Anyway, her toxins numbers are good (about 35) so something is working. He thinks she's dehydrated. I'm encouraging her to drink more water. He removed an alkalizing medication for now and her blood pressure medicine for now also. Those will probably be re-added if she gets stronger and her nutrition improves. We asked about whether hemodialysis or peritoneal dialysis would be better for her. He said he generally prefers peritoneal dialysis for his elderly patients but that for now she is too weak. He's referred her to a surgeon to create a fistula but that needs to season. Because her other numbers are good he is not ordering a catheter in her neck right now. Hopefully the fistula will have time too season. We have to go back a lot more often. We have an appointment in 2 weeks and I should get the surgery scheduled by Tuesday (don't know when it will be though) If she improves on the hemodialysis we can switch to peritoneal later. I am happy she is willing to try dialysis and that we have a plan. She will also be taking a protein supplement and fortunately she likes it so that will help with protein. we went out to dinner at her favorite buffet after the appointment and she ate better than she has in a long while.