Removing the port

Now that the fistula is working properly it’s time to have the port removed. In some cases they do this in the office. In my case no procedure can be done in the office and must be done as an outpatient. So we went to the hospital where they told us they were running about 45 minutes late. If you ever been to the hospital before 45 minutes isn’t bad for waiting. They took me into the back room where they had me put on a gown and go over my medications and medical history. Then the next thing they have to do is start the I.V. in most cases this is done quite quickly. In my case the first nurse tried twice. The next nurse tried once. Then they called in the anesthesiologist he never misses. He tried once the arm and twice in the wrist then he gave up. They thought for a second maybe they would put an iv in my leg. Then they looked at my legs and remembered all the scar tissue and decided not to go there. Then they decided maybe they would go for the neck. Before they could do that the Doctor came in and said we don’t ┬áneed the blood tests and really don’t need the IV. Instead he would give me a local and pull it out in the preop room. So he told the anesthesiologist to standby just in case and he did the procedure. The whole procedure took about 10 minutes. Since there is no anesthesia there was no real recovery time. My wife stayed in the room with me while this was going on so as soon as the procedure stop bleeding and they were able to put a little glue on top. I was able to go home.

Fistula: still waiting for it to work right

It’s time to try to use the fistula again. We start the same way we started the first time with both 17 needle. Then we’ll go to the 16 needle and finally the 15. Needles are based on resistance just like wires. So the larger the number the smaller the needle and the more resistance. Now my fistula is one third normal skin and two thirds under scar tissue. So far I’ve only been able to get them to stick the scar tissue twice. They only want to stick me into the skin that is thinner. The problem with that is the whole area is only about an inch and a half long. That’s a lot of sticks for such a small area. They say they will stick me wherever the surgeon marks my arm. Right now they been using the fistula for two weeks that’s a total of six sticks. They have missed twice. Every time they miss it makes a bruise about 3″ x 3″ on my bicep. On the two times that they have missed they used one needle in my arm and the other in the port. I was really hoping to get rid of the port so I would stop having this thing sticking out of my chest. Now I am thinking that I’ll try to keep the port in for a while longer. This will give me time for the bruises on my arm to heal a little. This also makes it easier for me to get out of dialysis because when they stick my arm I have to wait 20 minutes for the bleeding to stop. Usually I don’t mind the wait but I still have lots of appointments to make at the center that is 3 1/2 hours away. I have two more appointments at the dialysis center before I make it to the surgeon. When I make it to the surgeon he will make the final decision of where they can and can’t stick me.