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Re: Family matters

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--- Pierre L wrote:

These are sobering thoughts Pierre but they are the

kinds of insights I need to hear. I had no idea. Thank

you.

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One caution here might be in order:<BR>

<BR>

A person with about 25% kidney function can certainly

start feeling the more<BR>

severe effects of renal failure (some don't, but many

do). A frequent,<BR>

almost constant sick nausea without vomiting is of

them, seemingly endless<BR>

fatigue is one of them, and sometimes lack of interest

in you know what.<BR>

Lack of energy and consequent lack of motivation come

with the territory.<BR>

<BR>

I know it can be trying, but spouses, partners,

friends, relatives etc.<BR>

sometimes have to be expecially understanding about

these things. I can tell<BR>

you from my own experience that often, you just don't

feel like doing<BR>

anything and even if you did feel like it, you just

couldn't. This is<BR>

because all kinds of things in the body start going

out of whack. Here's an<BR>

example of what just being uremic (high levels of

urea) causes:<BR>

<BR>

QUOTE<BR>

Some of the early signs of uremia are lethargy, mental

depression, loss of<BR>

appetite, and edema; later symptoms include diarrhea,

anemia, convulsions,<BR>

coma, and a gray-brown coloration.<BR>

UNQUOTE<BR>

<BR>

There are bad days, and there are days that are a

little better, basically.<BR>

On top of this, you have to consider to effects any

medications a person may<BR>

be taking, some of which can be pretty debilitating at

times. I very much<BR>

doubt that patients in this situation are just being

lazy.<BR>

<BR>

People in my environment are always bringing up such

and such an example of<BR>

someone they know or have worked with who had kidney

disease and did such<BR>

and such a thing - basically leaped tall buildings,

and that sort of thing.<BR>

They don't say it in so many words, but the gist of it

is that you should<BR>

just do like & quot;Joe & quot; and get up and go. Well,

that isn't always possible. Not<BR>

everyone is the same.<BR>

<BR>

Another point to keep in mind is that pre-dialysis

people in advanced renal<BR>

failure will often feel much sicker than people who

ARE being treated on<BR>

dialysis or who have a good, working transplant. Same

goes with those who<BR>

have a failing transplant. Unfortunately, you have to

get sicker before you<BR>

can get better.<BR>

<BR>

So, I guess somewhere in there, there has to be a

happy medium.<BR>

<BR>

Pierre<BR>

<BR>

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