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Re: neph appt today

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Hi Pierre,

Yes, having talked with the neph and my own research and from

reading here and on the bulletin board, I know that there is nothing

the neph or myself could do.

I have not considered diet however (altho I did ask if there was

anything I could do there, and of course the neph said no). I will

request a renal dietician however.

Thanks,

Sophia

> Unfortunately, that's usually how it is with kidney disease. You

tend to

> lose kidney function faster the less function you have. This is

because the

> remaining good nephrons have to do the work of the non-functional

ones. This

> combines with the kidney disease itself and the higher blood

pressure to

> wear them down even faster. I'm sure your nephrologist would love

to be able

> to say, " Look, do this and it will help prevent it " . But they know

from

> their experience with hundreds of patients that this is what

happens. I

> don't know anything that can prevent it either (if there was, I

wouldn't be

> on dialysis myself), but a proper pre-dialysis renal diet can

certainly help

> to make you feel better in the meantime. If you're at about 30%,

that's the

> right time to start (ask your neph to refer you to a renal

dietician

> though - don't do it on your own).

>

> Pierre

>

>

> neph appt today

>

>

> > I had an appt with my neph today....my creatinine level has

> > increased again to 290. He's talking about putting me on high

dose

> > Prednisone....if I'm not pregnant.

> >

> > As with every neph appt, I'm always numb and in shock from the

> > news. And angry and frustrated and discouraged and unhappy. Why

> > does it take 10 years to for my kidney function to drop 30% but

only

> > 2 years to drop 40% more? And is there anything in my lifestyle

> > that I could change to improve it? My neph shakes his head.

> > Nothing. There's nothing I can do but wait for kidney failure it

> > seems. I feel hopeless.

> >

> > I'm trying to think positive thoughts right now, but it's not

really

> > happening. Anyways, I hope this vent will make me feel better.

> > Thanks for listening.

> >

> >

> >

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Martha, this is exactly my sentiment, it's hard to stay positive

when the doctor can't give you any hope. It helped so much to vent

some of that frustration and to hear from pple here, even get some

good suggestions.

I have been in a better mood now, having hung out with friends and

volunteer at a dance competition on the weekend. Also, talking with

my husband Kris and thinking and reflecting on things have put

things into perspective for me and help me decide what I am going to

do. And of course, reading and getting moral support here from pple

who know what I am feeling helps so much.

Thanks,

Sophia

> > I had an appt with my neph today....my creatinine level has

> > increased again to 290. He's talking about putting me on high

dose

> > Prednisone....if I'm not pregnant.

> >

> > As with every neph appt, I'm always numb and in shock from the

> > news. And angry and frustrated and discouraged and unhappy.

Why

> > does it take 10 years to for my kidney function to drop 30% but

> only

> > 2 years to drop 40% more? And is there anything in my lifestyle

> > that I could change to improve it? My neph shakes his head.

> > Nothing. There's nothing I can do but wait for kidney failure

it

> > seems. I feel hopeless.

> >

> > I'm trying to think positive thoughts right now, but it's not

> really

> > happening. Anyways, I hope this vent will make me feel better.

> > Thanks for listening.

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Hi Amy,

I need to wait until the end of this week before I can try the

pregnancy test again. I tried three days after some " symptoms "

started showing up...but it was negative. Of course...it would have

helped to read the instructions first and realize I should maybe

wait until a more appropriate time.

Positive or negative, I need to tell my neph right away. If

negative, he will need to confirm negative via blood test before I

go on Prednisone. If positive...well, he says he needs to research

the options.

I guess what really worries me is this rapidly accelerating

deteriorating trend. When I was first diagnosed with IgAN, I had

practically full kidney function. Two years ago, it was at 70%, and

now it's at 30%. And therefore, the only thing I see is ESRD for

me. But you're right, maybe the continual deterioration could be

stalled or stopped.

Thanks,

Sophia

> I'm so sorry to hear that you didn't get good news. How soon will

you be

> able to determine if you are pregnant or not?

>

> That feeling of hopelessness is a hard one to shake. No there may

be

> nothing we can do to completely stop our bodies from failing to

function

> correctly BUT your wait may be years before you hit full

failure....look at

> the amount of living you can do in that time. And even with full

failure

> there is still a lot more living to do. Those who post here who

are on

> dialysis or have gone thru the rigors of transplant have shown me

that this

> is not a death sentence...just a new way of life. It takes some

getting

> used to, yes, but as long as you are breathing life continues.

>

> Hang in there...and remember we are all here for you.

> Amy

>

> neph appt today

>

>

> > I had an appt with my neph today....my creatinine level has

> > increased again to 290. He's talking about putting me on high

dose

> > Prednisone....if I'm not pregnant.

> >

> > As with every neph appt, I'm always numb and in shock from the

> > news. And angry and frustrated and discouraged and unhappy. Why

> > does it take 10 years to for my kidney function to drop 30% but

only

> > 2 years to drop 40% more? And is there anything in my lifestyle

> > that I could change to improve it? My neph shakes his head.

> > Nothing. There's nothing I can do but wait for kidney failure it

> > seems. I feel hopeless.

> >

> > I'm trying to think positive thoughts right now, but it's not

really

> > happening. Anyways, I hope this vent will make me feel better.

> > Thanks for listening.

> >

> >

> >

> > To edit your settings for the group, go to our Yahoo Group

> > home page:

> > http://groups.yahoo.com/group/iga-nephropathy/

> >

> > To unsubcribe via email,

> > iga-nephropathy-unsubscribe

> > Visit our companion website at www.igan.ca. The site is entirely

supported

> by donations. If you would like to help, go to:

> > http://www.igan.ca/id62.htm

> >

> > Thank you

> >

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Thanks Lorrie, I will definitely take that advice!

> > I had an appt with my neph today....my creatinine level has

> > increased again to 290. He's talking about putting me on high

dose

> > Prednisone....if I'm not pregnant.

> >

> > As with every neph appt, I'm always numb and in shock from the

> > news. And angry and frustrated and discouraged and unhappy.

Why

> > does it take 10 years to for my kidney function to drop 30% but

> only

> > 2 years to drop 40% more? And is there anything in my lifestyle

> > that I could change to improve it? My neph shakes his head.

> > Nothing. There's nothing I can do but wait for kidney failure

it

> > seems. I feel hopeless.

> >

> > I'm trying to think positive thoughts right now, but it's not

> really

> > happening. Anyways, I hope this vent will make me feel better.

> > Thanks for listening.

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> I guess what really worries me is this rapidly accelerating

> deteriorating trend. When I was first diagnosed with IgAN, I had

> practically full kidney function. Two years ago, it was at 70%, and

> now it's at 30%. And therefore, the only thing I see is ESRD for

> me. But you're right, maybe the continual deterioration could be

> stalled or stopped.

I know what you mean Sophia finding out you are rapidly moving on a downhill

slope is quite hard to cope with. I went from living a normal life with

normal lab values in Nov 2002. To feeling tired all the time in April 2003,

to finding out my b/p was thru the roof in July, to finding out I only have

30-40% function in Sept 2003. Talk about a shock to ones system normal to

" you got a BIG problem " in less than a year. Prednisone treatment has so

far worked for me and my function has stabilized at about 35% or

so...depends on what values you look at. I'm in the middle of another 24hr

collection today so I'll see if my stability still stands next week when I

go to the neph.

If there is one thing I've learnt since my diagnosis is this disease

requires a constant balancing act. Between medications, diet, supplements,

and exercise there are at least a few things you can try to stay proactive

in your own treatment. Sometimes just feeling like you can control one part

of that balancing act can help, even if it's just getting out to walk daily

so you are in the best health you can be if you do end up in ESRD.

And remember you are never alone with this....there are days I have to

remind myself that. :)

Amy

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Wow Amy, that's really rough! And only in one year. I guess

Prednisone isn't so bad if it can stabilize kidney function...I just

still hate the thought of having to deal with all the side effects.

But deal I will. And yes, it's good to have a good group of pple

like here. : )

I hope that all goes well for your neph appt!

Sophia

> > I guess what really worries me is this rapidly accelerating

> > deteriorating trend. When I was first diagnosed with IgAN, I had

> > practically full kidney function. Two years ago, it was at 70%,

and

> > now it's at 30%. And therefore, the only thing I see is ESRD for

> > me. But you're right, maybe the continual deterioration could be

> > stalled or stopped.

>

> I know what you mean Sophia finding out you are rapidly moving on

a downhill

> slope is quite hard to cope with. I went from living a normal

life with

> normal lab values in Nov 2002. To feeling tired all the time in

April 2003,

> to finding out my b/p was thru the roof in July, to finding out I

only have

> 30-40% function in Sept 2003. Talk about a shock to ones system

normal to

> " you got a BIG problem " in less than a year. Prednisone treatment

has so

> far worked for me and my function has stabilized at about 35% or

> so...depends on what values you look at. I'm in the middle of

another 24hr

> collection today so I'll see if my stability still stands next

week when I

> go to the neph.

> If there is one thing I've learnt since my diagnosis is this

disease

> requires a constant balancing act. Between medications, diet,

supplements,

> and exercise there are at least a few things you can try to stay

proactive

> in your own treatment. Sometimes just feeling like you can

control one part

> of that balancing act can help, even if it's just getting out to

walk daily

> so you are in the best health you can be if you do end up in ESRD.

>

> And remember you are never alone with this....there are days I

have to

> remind myself that. :)

> Amy

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