The right arm

They decided it would be okay to put the fistula in the right arm. I went to the hospital at about 10:30 in the morning. This time they used the left arm to put in the I. V. and take the blood pressure. They had to put the IV close to the hand so they could use the forearm to take the blood pressure. The bicep in the left arm is where the graft was that they had to remove. They were able to get me on the operating table before noon. I was out of the operating room by a little after five. I left the hospital at around 7:30 at night. I was the last one to leave recovery. As a matter of fact the nurse that was watching me was called back in after going home and eating dinner. When I got out of the car at home my right arm was throbbing so much my wife called the Doctor.   He said it was probably just the nerves in the arm and to just double the pain pills for the night.

The left arm had about eight stitches in it and really didn’t hurt at all. My neck had to three stitches in it and made it hard to shave but it didn’t hurt. Now my right arm as far as I could see had no stitches. It was just glue closed. There was a large lump in my forearm before the elbow. There was another lump of smaller size left of my bicep. This is where he cut the veins and took off the side branches and then connected them up together. I took a week off bowling because it hurt a little to straighten my arm. My wife kept saying that it look like a little alien would come crawling out of my arm with a large lump was. It took about 3 1/2 to 4 weeks for that large lump to shrink down to a small lump. I use my arms to stand up, so during the first week after the operation it was very hard for me to stand up. My wife went back to putting a gate belt on me to make it easier to lift me onto my feet. The Sunday two days after the operation we went out for breakfast. I was able to get into the booth okay but when it was time to get out my wife grabbed my gait belt and pulled me out of the booth. I did not quite get my knees straight on this attempt so I then collapsed on top my wife and pinned her to the table next to us. Thankfully the waitress saw the gait belt and knew what to do and lifted me to my feet. Another waitress tried to help and started reaching for my arm. Both me and my wife said the same thing… don’t grabbed the arms.

Around and Around We Go Again

The new graft has been working now for about two weeks. So now it’s time to have the port taken out and get back to normal. I went to the hospital and had the port removed on Friday. I went to dialysis on Saturday at the end of which I had 101° fever. So I was told to go back to the hospital to find out what was wrong. I spent 29 hours in the emergency room. I was admitted and was supposed to get a room. A nurse came in and said you don’t look like an ICU patient let me check with your doctor. At this time they had a room for me,  it was just being claimed. This is was about six hours into the stay at the emergency room. By the time she found out that the doctor did want me to go to ICU, the room was given away. The reason all this happen turned out to be a urinary tract infection. So I was treated with antibiotics and  the infection went away.

So now it’s been about a week since they took out the port and there’s another problem. There seems to be another infection in the graft. This time they want to take out the graft. They believe my body is rejecting the materials that make up the graft.  My wife was the one who noticed the infection.  They want to do this asap but we are waiting for the scheduling of the sonogram of my right arm.  They want to map it first to make sure there is a vein that will handle becoming a fistula.  Then they’ll put in a another fistula in the right arm. So basically we start all over again.

New graft

I came home one day and  showed my wife a bubble on my hybrid fistula graft. She looked at it and said it look like an infection.  So we contacted my kidney doctor and told her what we saw. She immediately made an appointment for me to see the vascular surgeon the next day. After the surgeon looked at it, he said we would treated it with antibiotics for 2 to 3 weeks. I went on with my day thinking that the matter was over.

The surgeon called my kidney doctor to tell her the results. She reminded him that I was a liver transplant patient and that they couldn’t treat me for 2 to 3 weeks with antibiotics. So the kidney doctor call me back Thursday night and told me my surgery was scheduled for Monday morning. I immediately said what surgery? They said the old graft had to come out and they would put in a new one. They would also need to put in a port, so they could do dialysis while I healed. So Monday morning around 9 AM we showed up for my surgery.

They finally took me in around 1:30 in the afternoon and ended up in recovery around 6:30 PM. They were able to go around the old graft with the new graft; pull out the old graft that the surgeon said had not wanted to come out; and get the port in. The next day I had to go to the foot doctor. The bandage on my arm had stains from the leakage of blood. But the port in my chest was losing a little blood out of the bottom of the incision. I believe this is the quickest appointment I ever had with the foot doctor.  He was great and  put an additional bandage on my chest where the port was. From there I went back to the hospital where I had a appointment with my kidney doctor.  The nurse saw where I was leaking and called for the surgeon to take a look.

So before I saw my kidney doctor I had already been treated by the foot doctor and the vascular surgeon. Both of who bandaged me back up.

Below are pictures of both the port and the graft.  As you can see I have a lot of bruising but funny enough less then last time according to my wife.  I am really looking forward to when they remove the port so they can remove the stitches in my neck that are holding the port’s internal tubing in place.

port

port

 

new graft location

new graft location

Removing a basal cell

I’ve had a small sore on my right leg for the last four years. With everything else settling down I was finally able to go to the dermatologist and have it checked out. This is about the sixth time I’ve been to the dermatologist to be checked out. This time he took a biopsy and determined it was a basal cell.

When they find a basal cell they bring you into the office and do a procedure where they take off one layer of the sore and put it under a microscope and see if there’s any cells on the edge. If there are basal cells in the cut, they cut little more until they get all of it. This all started at the size of an erasure by the time they decided to do something with it was the size of a nickel. The size that they removed was about the size of a silver dollar. The sizable hole they left behind was too big to be sutured closed. So that means they have to do a skin graft to close the hole.

They took the extra skin from the bottom of my right bicep. They say everybody has extra skin under their biceps. Until the graft took hold I would have to stay off my feet. This would take about 10 days. The biggest problem I had during this time was dialysis. During dialysis they keep a blood pressure cuff on you and take your blood pressure every 30 minutes. They can’t use my left arm because of the fistula, they can’t use my right arm because of the graft,they can’t  use the right leg that’s where they put the graft. So all that was left was my left leg.

My legs are not in the best condition and when they take blood pressure from your legs it is higher than when they take it from your arms. I also usually run a little high in the blood pressure department. After the 10 days they took off the bandages and determined that the graft was growing well. I thought this was going to be great and I was going to be all done and  just let it finish healing but oh no. They are going to be sending out a nurse to change the bandages every couple of days. Then in about two weeks the doctor will take another look and reevaluate at that time. That means I can walk around and still bowl on days as long as I can get my foot with the bandage in a shoe.