Another milestone in the dialysis saga today: my nurse used a larger needle for my arterial site and as before a small needle for the vein site of my fistula. Pump speed was higher, which leads to better clearances. They had advised me that the “big boy needles” were coming after some 15 runs of the fistula. We might be slightly ahead of that. Apparently my fistula is developing very well. Not all dialysis patients are that fortunate. Two of the eight people in my run group have had problems with their new fistulas in the past year.