Spoke With the Doctor

Tuesday has finally arrived, and I was able to talk to Dr. A about my concerns with my dry weight. The patient’s dry weight is the weight that is checked after dialysis is finished for the day until the next dialysis day. Dr. A is not concerned about my weight at this time, but I told him why I was because I want to get on the list for another transplant. I need to be at 180 pounds, and right now, I am between 190 and 200 pounds as my dry weight. It is getting a little frustrating. He understood my concerns, too. I will have to work on eating better. I do love my fruit (apple, plums, grapes, raspberries, blueberries, and blackberries), veggies, and salads. I do have to admit, because of phosphates and potassium and being on dialysis or your kidney is not functioning correctly, there are fruits and vegetables I must to be careful not to eat so much. Also, because I am on Warfarin and an aspirin regimen daily, I need to watch out for certain vegetables such as broccoli, spinach, and other leafy greens that have vitamin K. The doctor and nurses look at the PROTIME/INR levels every week. Dr. A also explained to me that he is going to cut my time on dialysis from 3 ½ hours to 3 hours and 15 minutes, and my dry weight will be at 87 kg instead of 84 kg for a while. My new time begins on Thursday, October 31, 2019.

Dialysis Update on Saturday

Life on Dialysis

Dialysis went well today.  I sat in seat 2 instead of seat 4.  I was surprised at first because I went to seat 4 or started to when my tech T (female) stopped me and showed me the chair I was sitting in which was seat 2.  I forgot what she said on Thursday that she was going to put me in a different chair in the pod she worked in.  OOPS, LOL…  I am not sure if I will have the chair again next week.  We will have to wait and see.

The only concern was my blood pressure.  The machine was reading my BP as 185/100 or 175/105.  This was going on through most of my treatment except for the last half hour or so.  One of the other technicians C (female) decided to take my BP manual and it read 130/54.  She decided to use a different cuff on me, and the machine read my BP 145/83.  The cuff they were using on me was the problem.  I am glad that the BP was lower than it was reading as well as relieved that the technicians and nurse in my care did not stop finding out what was going on.  I was even asked by the nurse if I took any blood pressure medication this morning and I told him that I did not.  I also told him that I will check my blood pressure when I get home and take medication if the machine read it higher than 150/90.  The nurse nodded and left the pod to check on other patients in the other two pods outside the pod I was in.  There are 3 pods/12 machines.  By the time I left my BP was reading below 15/90.  If the machine reads over 150/90 or under 100/80 it beeps to warn the techs and nurses that the cuff may be to be changed or adjusted and be checked again.  I was able to leave relieved that my BP was fine.

Now, on Tuesday I need to talk to Dr. A about my dry weight is high for the past two weeks.  Something may have to be changed.  In the meantime, until then I will watch my fluid intake and see if that will help.  Not sure if it will but T agreed.  In the meantime, I will have to wait until Tuesday.