Thursday, January 11, 2007

4 AM Thursday

The phone rang at 4:00 am this morning (about an hour ago) to tell me to get down to Baylor Dallas for a blood draw and then to head to Fort Worth to see if I am a match. It seems that there is a cadaveric kidney available in Fort Worth and that I am at the top of the list to get it. All they have to do is check my blood (4 hours of waiting) and see if I will have an adverse reaction.

If you see this on Thursday morning, please pray that God's will be done in seeing if I should get this kidney. If I do not get it, I will make another post today to let you know.

So, today is exciting -- we will see what it brings.

(Note: This did not post at 5am as expected)

Wednesday, January 10, 2007

Three Sticks?

Well, it has been a while since I have posted an update, so I figured that today would be as good of a day as any. I am not going to apologize for the long wait this week, as I am sure that my regular readers (the faithful five) are tired of seeing that!

So, I have been having good dialysis treatments for several months now. There are three (or possibly four) technicians that I let stick me. They are the best technicians at the clinic, and normally do not have too much trouble. They will have to move a needle around a little bit after the treatment starts occasionally, if they did not hit it right down the middle. But, all in all, there have not been too many needle problems.

Last night, however, there was a slight mis-hap. One of the trusted technicians was there to stick me for my treatment. He put in the first needle (the arterial line) and it went in with no problems. He then went for the venous line, and it was a little tricky. He thought he had it in, but it was not pulsing. He opened the line to let it fill with blood, and it filled rather quickly (which was normal). He then went to add heparin to the line, which they always do at the beginning of the treatment. Unfortunately, when he drew the blood in to the heparin needle, he also drew in a clot. So, he swapped out to an empty needle and tried to pull more blood, but could not. He ended up having to remove that line, bandage it up, and put the needle in slightly higher. It hurt a little more going in higher, but that was because it is not an area that normally gets stuck. So, he got me with that needle for the venous stick. They got some new heparin, and all was well. There were no major problems with the rest of the treatment.

The only complaint that they have at the clinic is that my blood pressure and heart rate seem to drop during my treatment. I have had it explained to me that the likely cause is my mitral valve prolapse. My heart rate is irregular, and the machine may not always catch the lighter beats. I think this is why is will register my heart rate as 44 one minute and 88 the next. This problem happens every treatment, but the nurse doesn't seem to have it noted in my chart that it is normal for me. Instead, she worries every week and asks if I am taking too much blood pressure medication.

I guess she did not see in the chart where my blood pressure was up over 150 back in November of 2005. Before we got my medication all worked out, I was having actual heart rate problems. Now, however, I think that everything is fixed, and the machine just doesn't like my heart.

Kala has her test at the end of next week, so I will update everyone as soon as I hear anything. They drew my blood at the clinic yesterday for the monthly (and yearly) tests, so I should have lab results for everyone next week.

Thanks for coming by!

Wednesday, January 03, 2007

Welcome to 2007

Good morning everyone, and welcome to 2007. I realize that it has now been 2007 for at least 48 hours in most time zones, but I am still here to wish you welcome. Thank you for coming by (from all over the world) to read my little blog. Allow me to introduce myself, for the new readers.

My name is Nathan. I am 28 years old and live in Texas. I was diagnosed with Polycystic Kidney Disease in 1998, at the age of 20, while in college. According to http://www.pkdcure.org/, polycystic kidney disease is: "the most common genetic, life threatening disease affecting more than 600,000 Americans and an estimated 12.5 million people worldwide - regardless of sex, age, race or ethnic origin. In fact, PKD affects more people than cystic fibrosis, muscular dystrophy, hemophilia, Down syndrome and sickle cell anemia — combined."

My kidney disease, which is supposed to be genetic, was not discovered until I went to the hospital with a kidney stone. In making sure that I was healthy, the doctors discovered that I had multiple cysts growing on my kidneys. I was told that my kidneys would eventually fail due to this disease, and that I should watch my blood pressure and get regular check-ups with a nephrologist (which is a fancy word for kidney doctor).

I followed up with a nephrologist and a cardiologist on a regular basis. My blood pressure was kept mostly under control. The cardiologist found that I have mitral valve prolapse, and that was monitored closely as well. My kidney function was tested after I moved to Texas, and it was around 25 or 30% of normal (which is not good). I was told that in several years, after my function had decreased under 10%, that I would have to start dialysis.

In February of 2005, I had a minor stroke. The cause was undetermined, though I tend to blame my kidneys. I fully recovered, and the neurologist put me on a blood thinner as a precaution to prevent further strokes. I was sick quite a bit after that, just not feeling 100%. At the end of May, I got some kind of infection in my left kidney. The cysts were bleeding into each other. I went to the hospital and got several blood transfusions, but the blood was all getting trapped in my left kidney. After about a week, the kidney had grown to a gigantic size. (See this post for details: http://nmccart.blogspot.com/2005/08/photos-of-kidney.html). Basically, they had to cut out my kidney, and it weighed 15 pounds when removed.

So, needless to say, my kidney function declined rapidly. By the next time it was checked, I was under 10% function. I had an AV Fistula placed in my lower left arm, and I was scheduled to begin dialysis. I started my treatments in the hospital at the end of July in 2005. That fistula never quite worked as well as it should have, and it eventually stopped functioning at all. So, after several minor surgeries on my arm, I finally got a new fistula in my upper left arm (above the elbow). It is quite twisty, which isn't so great for sticking giant needles into, but it has an excellent flow rate and helps me get a great dialysis treatment.

So, from a health standpoint, I am maintained by dialysis and watched carefully by a hand-picked team of doctors (all of whom I have acquired in the past five years). Once I had a fully failed kidney, I started looking in to the possibility of a transplant. Every doctor that I saw said that I was an excellent candidate, since I was only 28 and was relatively healthy, minus the horrible kidney disease. They recommended that I look in to transplantation as an option. I completed the paperwork and had my transplant orientation in December of 2005.

I had several people immediately volunteer as a possible donor. My father volunteered to be tested for me first. Unfortunately, he was not a good match. After he was denied, a friend of mine named Josh stepped into the volunteer booth. He, too, was denied the opportunity to have a vital organ removed and given away. Next, a lady in our church, Kala, asked if she could be tested. She had heard of my plight through my mother-in-law and wanted to see if she could donate a kidney to help me out. So far, all of her tests have been positive. The transplant committee has conditionally approved her, and she has one final test on January 18. Once we get the results of that test, she should be fully approved to be my kidney donor.

I am hoping that we will be ready to have the transplant in February of 2007 (this year!). It has been a long, difficult journey so far, but I am ready for the next turn.

You may be asking yourself, "Self, what can I do to help Nathan? It seems like he is a wonderful person with a great sense of humor. In fact, I would probably be his friend if I met him in person. He seems, oh wait, I was asking myself a question. Self, how can I help Nathan out?"

I am glad you asked that (and thanks for saying all of those nice things about me). As a Christian, I think that the most help that anyone can give is prayer. Pray for my health, and pray that Kala's tests will continue to go well so that she can donate her kidney. You can also send me e-mail or leave comments on my blog. The comments route is the more public choice, and works well, depending on what you want to say. If you have questions for me, or want to know more, then you can always e-mail me. I try to read and reply to all of my e-mail, it just takes a while to do so.

Well, now you have an idea of who I am and where I am going. I hope that this post will be a good start to 2007. Keep reading, and come back to find out when I get my transplant and what all wonderful things that they will then get to do to me to help me keep the new kidney!

(For those of you that are not new, thank you for reading this year-end recap. You may have also noticed that I updated the format on the blog page. Blogger recently upgraded their system, so I got a new look to the blog. I hope you like it.)