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Thursday, February 28, 2008

Can I have a consult?

Good morning. It’s me again. I’m sorry I’ve been gone for a little bit. I didn’t mean to – it just happened cuz of a bit of stuff. It’s about 4 am now and I have until 5:30 am, so God willing maybe I can write a little this morning.

First thing first … everything is pretty much fine. There is one set of scares though. I’ve been real good about going to the Dr.’s offices. This week I had blood work done, plus the mammogram, PLUS my regular 3 month doctor visit. Dr. Albright had to check on several things, because since the last visit we’ve gone through those things, plus heart and stress, arthritis, psychology, foot, and wellness/nutrition.

Skipping to the chase … there were problems with a couple of things hopefully small problems. There was a compression spot on one of my chest x-rays, which is going to mean going back to have another picture taken over again and they are going to need doing an ultrasound of the area. I’m thinking it’s just precautionary, but that and the next were enough to have me in a puddle of tears anyway. The other part was that is that the renal or kidney tests aren’t coming back as good as she would like …

Ok didn’t get so far there … It’s now 4:53 am I googled around for a bit. I was trying to figure out what the tests were indicating past what little the doctor said. She’s worried about kidney disease, but she was trying not to say stuff, but being worried anyway. My BUN came back higher than last time … before 20 and now 23 … I think normal range is from 10-20, but I’m not sure how high it goes. I don’t really want to test that out because I think high is bad though I heard one lady talk about a 36, so there’s probably higher. I don’t think I’m in a race with anyone the concern is that I am starting to show kidney failure – low scale. The create is on the edge too last time it was 1.1 and now it is 1.2 where the good range seems to be between .5 and 1.2. The BUN/CREAT RATIO was 18.2 and is now 19.2 I think this one too you want to be under 20. Also the estimated creatinine clearance is low at 53.20 or GFR of 56.3 or 68.7 (comparing two last tests) …

Ok I’m getting the picture kidney disease seems to be ranged between such numbers.

90 and above to 2-300 something is good. Stage 1

I seem to be in between stages 2 and 3

Stage 2 is between 60 to 89
Stage 3 is between 30 to 59

Hold on I’m doin the math …

Stage 1 and 2 there are often few symptoms early chronic kidney disease is usually diagnosed when there is high blood pressure, higher than normal levels of creatinine or urea in the blood, blood or protein in the urine, evidence of kidney damage in an MRI, CT scan, ultrasound, or contrast, a family history of polycystic kidney disease. Stage 3 they talk about shortage of red blood cells or anemia and/or ealy bone disease *gulp*

I will have to ask for a copy of the report she writes for Dr. Marvin’s meeting today … because she gave me the lab results and they do state there is the higher than normal levels of creatinine, etc. … we were already flippin because of the spot on the breast plus this to think clearly to say that my father’s diabetes … and he had to have a kidney transplant and was on dialysis the last years. So, in this respect I already KNOW then I have chronic kidney disease!

Stage 4? 15-29

Time to begin preparing for dialysis and/or kidney transplant??????

ALREADY?!!!!! 30 to see the specialist 15 says imminent. It says they don’t usually fail all at once – it progresses slowly over a period of years.

Stage 5 less than 15
Kidney failure end stage renal failure

Back we’re showered and dressed and stuff, but Rich says we gotta stop staring at numbers. I say they are real and he says they are negative, but isn’t it real even if its negative???