Visiting the Austin

I will be admitted to the Austin Hosptial Wednesday 16th at 8am. I will be Jane Thomson as a patient there. I will be able to have visitors that day, but most of the day I will be on dialysis or having a plasma-exchange infusion. I am not sure of the location, other than it is the 7th floor. I will not have any visitors on Thursday, the day of the operation. Only Stuart is allowed on Friday, Sat and Sun. Other visitors may come from Monday 21st until I am discharged, probably on the 24th December.

Please ring Stuart to arrange a day and time to visit. I am only allowed 2 people at a time and only for 10-15mins. I will need rest periods. It is a good idea to ring before you set out even if you have a time allocated in case I am unable to have visitors.

No flowers or fruit baskets are allowed due to infection control. Please do not come if you are unwell. Children will probably be asked to stay outside the ward.

I will have a phone, check with Stuart about good times to call, and for the number.

Monday 14th Dec

Today was the last day of procedures as an out patient. It all went very smoothly with no problems such as cramping, thank goodness. We are concerned about the viral cough I still have. It would be very unpleasant to be coughing after abdominal surgery. We are trying ventalin in the hope it may control the coughing fits. No one will make the call to postpone the transplant. They are waiting to the last minute, hoping I get over this cold. Meanwhile they took a chest x ray and I am collecting urin for 24 hours to be tested. We'll see what they say about it all tomorrow.

Improvement

Things went better on friday with less cramping and for a shorter time. This time however my blood pressure went rather low so i had to hang around until it was high enough for the nurses to let me go. I have also got over the worst of the cold, I hope. Thanks to Glenys for the lift home on Friday and to Melissa for Monday and Mum for Wednesday. Mum and I got excellent results for the last cross matching test. So it looks like it is full steam ahead.

Wednesday 9th Decmber

The whole infusions, dialysis and plasma-replacement went much more smoothly today. We started just after 8am and concluded after 5pm, so it was another long day. They have prevented the problems with calcium leaching so no pins and needles this time and the cramping, which started out bad, was treated with magnesium and hasn't bothered me since. Also I seem to have crossed over the worst of the cold, and there is still a week before the transplant, so I might recover in time.

Plasma- exchange and Dialysis

To say the dialysis and plasma- exchange has gone smoothly would not be the truth. There have been a number of surprises and minor complications. It is a know possible side effect of kidney failure to get cramps. I suffer from this mostly in the leg, foot and hands. It is also known that dialysis can aggravate cramping and so it has been with me. They don't seem to know what to do to prevent this. They have offered pain killers to ease the symptoms.

In some cases, including mine, Plasma-exchange can leech the calcium out of the blood leaving you with pins and needles in the hands and lips. From now on I will be given a calcium supplement before the procedure.

My iron levels are low so I will also have iron added to the mixture to help make me less anemic and prepare for the transplant.

Let's hope all of that will make the days on the 10th floor more comfortable.

Permacath Inserted

After spending the night in St Vincent's Private Hospital I am glad to be home. The medical procedures all went very well, but took a long time. I didn't arrive in my room until 7 pm last night. The line isn't attractive, but it's only in for a month. and the main thing it is working well.

After the doctors evaluation this morning I now know I will be going for dialysis each time I go in for plasma exchange. They will be long days. A special thank you to Geoff who came to my rescue at short notice by going to our home and collecting essential overnight stay items and delivering them to me. Also thanks to Glenys who was on standby to take me home but wasn't needed in the end. Thanks also to all of you who have offered support of various kinds. For example I returned home to find a selection of books left by Linda, wonderful. I just finished 'the white tiger' and was wondering what I would read during Monday's session. Thanks also to Neal and Tim who helped Vicky get to and from Guides.

Get it off my chest

It is the day before the permacath insertion, first plasma-exchange and dialysis and I have not received any letter about these procedures. All I know is to turn up at St Vincent's private at 8 am. I assume at day procedures. I don't know what to do to prepare other than stop the clexane that morning. Should I fast?, or take my usual tablets? for example. I don't know who is doing the surgery or what type of anesthetic to expect.

In addition I don't have the admission information for the Austin yet. Mum has got hers. Nor do I have the bloods slip for the cross matching next Thursday from the Red Cross. I had concerns that know one was project managing me, now my fears are coming to pass.