the fine art of dialysis took another turn today…. came in with a bruise on the under side of my left forearm, my fistula arm. The nurse decided to use one needle for the areterial and one chest line, stuck ma and got virtually no flow at all. She suspected a clot and after setting up both chest lines to get my run started, she removed the needle and had difficulty in pushing the small amount of blood out of the needle line. That was good evidence of a clot and after a bit of exertion on the plunger she cleared the needle line and we saw the clot. Talking it over and with me doing a little thinking back, i probably strained the left arm a few days ago when I finally got around to carrying my summer car tires on rims to the boathouse to store until Spring. I had tried to use my right arm but switched briefly to the left arm. The other theory is that people with fistulas get clots when they sleep on their fistula arm. So more knowledge, more restrictions and forward we go. If the situation had been one with me with no chest lines, they will be coming out sometime in the next few months, then once the clot was removed, a second attempt to insert the needle and get a good flow would have been done.
yesterday found my forearm a little swollen upstream from needle hole number two and so since I still have my chest lines in my chest, my nurse decided to use the hole number one for arterial flow and the venus flow from my chest line, kind of a hemodialysis half and half. in a short time we will hit the magic number of 15 needles of fistula use and then switch to a larger needle, according to one humorist-nurse, the ones that are an inch wide, ha ha ha.
thanks to Len M. for the photo, it cost him real money, a film shot, thanks again.
Took Grace over for a visit to the dialysis clinic on a day where I am not there for a run to visit the nurses. We got her weighed on the scale, 53 lbs. She is six months old now. She met two of the patients in their dialysis chairs as well and behaved pretty well for a puppy. This was her third visit. I especially wanted to get her over today since the nurse who turned me onto the breeders back in the summer is leaving dialysis work and going into diabetes education. Her last day on dialysic clinic work is mid January. Without her calling the breeders and asking about puppies, I suspect my procrastination might have kicked in full time and no Grace would be in our lives these days.
There is a circle
In which I dance
And my shadow watches
Some days the circle is loose
And the dance broad and silly
The music for a happy clown
Some days the circle is tight
The music shrill
My steps over broken glass
My knees stiff and old
My shadow hugs me closer
Than a shrunken suit of lies
And the circle spins out
And the circle turns in
And I dance and dance and dance
of the five formerly feral fab felines, Louise is the one who is friendly with Grace, the wonder pup. In this technically poor shot, there is evidence of the easy going nature that exists between these two. I just with the other cats would come to be this relaxed with Grace. A logn way to go with a couple of them.
Had a word with Scrooge and we are convinced that we are not only right but that we have been right all along. Did a tiny portion of shopping today and with a few last nanoseconds of retailing I will finish tomorrow just in the St. Nick of time. maybe next year we will rent a kid and add a layer of fresh gloss to the festive season.