Last Thursday at 1303 FedEx delivered a new/replacement cycler. The replacement is running software version 3.0.03 062; my old cycler was running 2.9.2 062 so we’re on a much newer software version.

So how’s it going so far? The first night, Thursday, no alarms. The second night Friday, slow drain alarms on the first and second drains happening at approximately 1281 and 800+ mL of the accomplished drain. In preparation for Saturday night, I rerouted my patient line so it goes straight across my stomach and to the cycler without any loops being taped to my stomach. No alarms.

I have informed my Dialysis Nurse of the status and inquired about switching to “Treatment Based” as the new manual suggests on page 60. This is still an open item. In order of action, we are going to keep watching alarms given only one night of no alarms with patient line rerouting. We are going to make sure I’m clear of any stool blockage. I may be referred to the doctor who installed my catheter to see if there are any other internal issues blocking the tip of the catheter called “Omental Wrap.” All of this may culminate in a laparoscopic procedure (keyhole surgery) where the surgeon enters my stomach and looks around to ascertain if all is in order.

In the middle of all of this, I was informed initially by Fresenius that the old cycler would be picked up by FedEx on Tuesday, 8/21/2023. Upon receipt of the new cycler, it DID NOT have return labels in the plastic envelope that it was supposed to. This necessitated a call to Fresenius where NOW the FedEx driver is supposed to pick up the old cycler Monday, 8/20/2023, and have a return label with him/her. Seems that Fresenius has a really hard time getting all their ducks in a line!