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.