Today, 11/21/2023, I had my latest Adequacy Test at Fresenius in Granbury, TX. It will be a day or so before the lab results come back, and subsequent meetings with my dialysis team. Recall that I started feeling on the bum side, a microcosm of when I first Rang the Bell to start Peritoneal Dialysis. I tired easily, was rendered short of breath under moderate to light exertion, and knew something was not right.
As a first cut at alleviating this challenge, my dwell fluids were increased to 2500 mL from 2000 mL with the same number of dwells, four. I say first cut on purpose. We like to think that all things medical are absolute, if this, then that, but they are not. In fact, much of medical knowledge is a heuristic or a rule of thumb. They are based on practical experience and knowledge learned over time. So we are “trying” an increase of 500 ml because “experience” has shown that 250 mL isn’t enough.
Hopefully, in the next couple of days, I will be able to report that my wKt/V has increased toward the generally accepted goal of over 2.0 and we will be, from a lab perspective, in the green zone. I am feeling better day by day and have reported the same to my dialysis team.
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