Journal entry by Melanie Brown —
I was hoping for better things to come my way in 2023 however this start isn’t what I had in mind. My dialysis catheter started becoming a problem again last Friday. Saw Deedee my vascular nurse on Tuesday for an instill to sit 24 hours. They never work and this one didn’t either so the dialysis run continually alarmed on Wednesday mainly the arterial line. Because of the snowstorm we were in the midst of I opted to not run down to the hospital for a preop and have surgery during the storm. I was able to get my blood cleaned on Wednesday so I knew I’d be OK until surgery this Friday. Had my Covid test and preop physical on Thursday and yesterday, Friday I drove myself down to the hospital since I couldn’t find a ride. Surgery was scheduled for 9:30 AM but they got started a bit later than that. I have had all of these surgeries but one done under general anesthesia. The one that was not done under general was just sedation and I woke up in the middle of the procedure screaming in pain. When the nurse in preop said to me OK you’ll be having your procedure today under sedation I said no I won’t. I’ll be having it under general anesthesia or I won’t be having it. I will never be in the position again to go through what I went through before with the pain. It wasn’t a problem and the anesthesiologist wholeheartedly agreed that general anesthesia was the way to go. I woke up from surgery to them removing the breathing tube so that was fun! Because I don’t have anyone to stay with me at home I always stay at least one night in the hospital when normally it may be an outpatient procedure for most.
I stayed in postop until around 1 o’clock and was taken to dialysis since Friday is one of my days to dialyze. Within 60 seconds of being hooked up to the machine the arterial line would not pull so they had to immediately reverse the lines. Not a good start. The entire 3 1/2 hour run the machine continuously alarmed between the venous line and the arterial line. This has never happened with a brand new catheter. The flow rate should’ve been 400 and it had to be run at 300 because it would’ve been a continuous alarm otherwise. That flow rate is OK in the short term but will not work long-term. It’s pretty disgusting to come out of surgery and have immediate problems with this catheter. The x-ray in the operating room showed the placement was good and before I was taken to my room I went to get another x-ray to check the placement of the catheter. My doctor that came to my room late last night and looked at it and said the placement looks good. Today I am waiting to see the nephrology team and find out what the plan is. This catheter isn’t going to work as it is so I’m assuming I’ll be back in surgery again. I don’t know what other option there would be, but maybe the nephrology team has something up their sleeve. I am in a fair amount of pain and the area where the catheter was placed is extremely swollen and I can’t even really touch it because it’s too painful. If for some reason I cannot successfully get a working catheter I will be throwing in the towel on this one. I refuse to have a fistula port in my arm so the only other option would be hospice. If you can’t dialyze and have your blood cleaned then you aren’t going to last long. I don’t have any new kidney offers for donors so my options are limited. We will see what today brings. Yesterday‘s coffee and graham crackers were such a treat being that I was so hungry from not being able to eat. It’s the little things. 😊
I stayed in postop until around 1 o’clock and was taken to dialysis since Friday is one of my days to dialyze. Within 60 seconds of being hooked up to the machine the arterial line would not pull so they had to immediately reverse the lines. Not a good start. The entire 3 1/2 hour run the machine continuously alarmed between the venous line and the arterial line. This has never happened with a brand new catheter. The flow rate should’ve been 400 and it had to be run at 300 because it would’ve been a continuous alarm otherwise. That flow rate is OK in the short term but will not work long-term. It’s pretty disgusting to come out of surgery and have immediate problems with this catheter. The x-ray in the operating room showed the placement was good and before I was taken to my room I went to get another x-ray to check the placement of the catheter. My doctor that came to my room late last night and looked at it and said the placement looks good. Today I am waiting to see the nephrology team and find out what the plan is. This catheter isn’t going to work as it is so I’m assuming I’ll be back in surgery again. I don’t know what other option there would be, but maybe the nephrology team has something up their sleeve. I am in a fair amount of pain and the area where the catheter was placed is extremely swollen and I can’t even really touch it because it’s too painful. If for some reason I cannot successfully get a working catheter I will be throwing in the towel on this one. I refuse to have a fistula port in my arm so the only other option would be hospice. If you can’t dialyze and have your blood cleaned then you aren’t going to last long. I don’t have any new kidney offers for donors so my options are limited. We will see what today brings. Yesterday‘s coffee and graham crackers were such a treat being that I was so hungry from not being able to eat. It’s the little things. 😊