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Re: Fistula Failed

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For some reason, it seems like it has gone by very fast.

Pierre

RE: Fistula Failed

[snipped]

> Pierre,

> I can't believe it has been two years since your procedure! Has it been

> fast for you or does it seems like it's been longer than 2 years?

>

> Connie

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For some reason, it seems like it has gone by very fast.

Pierre

RE: Fistula Failed

[snipped]

> Pierre,

> I can't believe it has been two years since your procedure! Has it been

> fast for you or does it seems like it's been longer than 2 years?

>

> Connie

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Thanks! I am very scared and sometimes ask myself if I am going to really do

this. Yes, i know I have to, but it still scaes the pudding out of me. I have

an apponitment to visit the center Thursday morning.

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Because:

1) If it's successful, it can take up to 6 months for the fistula to fully

develop, and it usually takes at least a month or two before it can be used.

It's done up to a year before expected time of dialysis because that gives

plenty of time for it to develop, and for a follow-up appointment with the

vascular surgeon.

2) Fistula surgery occasionally fails, as the fistula fails to develop -

rare for healthy IgAN patients though. In this case, as we have seen from

another member this week, it has to be tried again in another location on

you arm.

3) Given 1 and 2, the need for dialysis could come sooner than expected, so,

having it done a year ahead of time is a very good idea for you. It shows

you have a good nephrologist who cares. It's much better to start dialysis

with a working fistula than having to start on a central venous line.

When my fistula surgery was ordered, when like you, I thought it was early,

I remember my nephrologist saying that she didn't want me to have to start

dialysis with a chest catheter.

Pierre

Re: Fistula Failed

> I am supposed to have this done soon. I have not even visited the dialysis

> center because alltis creeps me out. My nephrologist sees me Wednesday and

will

> probably ask me if I ave gone.Question: Why does it have to be put in so

> early? I willprobably notbe ondialysis for a year.

>

>

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Because:

1) If it's successful, it can take up to 6 months for the fistula to fully

develop, and it usually takes at least a month or two before it can be used.

It's done up to a year before expected time of dialysis because that gives

plenty of time for it to develop, and for a follow-up appointment with the

vascular surgeon.

2) Fistula surgery occasionally fails, as the fistula fails to develop -

rare for healthy IgAN patients though. In this case, as we have seen from

another member this week, it has to be tried again in another location on

you arm.

3) Given 1 and 2, the need for dialysis could come sooner than expected, so,

having it done a year ahead of time is a very good idea for you. It shows

you have a good nephrologist who cares. It's much better to start dialysis

with a working fistula than having to start on a central venous line.

When my fistula surgery was ordered, when like you, I thought it was early,

I remember my nephrologist saying that she didn't want me to have to start

dialysis with a chest catheter.

Pierre

Re: Fistula Failed

> I am supposed to have this done soon. I have not even visited the dialysis

> center because alltis creeps me out. My nephrologist sees me Wednesday and

will

> probably ask me if I ave gone.Question: Why does it have to be put in so

> early? I willprobably notbe ondialysis for a year.

>

>

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Guest guest

Because:

1) If it's successful, it can take up to 6 months for the fistula to fully

develop, and it usually takes at least a month or two before it can be used.

It's done up to a year before expected time of dialysis because that gives

plenty of time for it to develop, and for a follow-up appointment with the

vascular surgeon.

2) Fistula surgery occasionally fails, as the fistula fails to develop -

rare for healthy IgAN patients though. In this case, as we have seen from

another member this week, it has to be tried again in another location on

you arm.

3) Given 1 and 2, the need for dialysis could come sooner than expected, so,

having it done a year ahead of time is a very good idea for you. It shows

you have a good nephrologist who cares. It's much better to start dialysis

with a working fistula than having to start on a central venous line.

When my fistula surgery was ordered, when like you, I thought it was early,

I remember my nephrologist saying that she didn't want me to have to start

dialysis with a chest catheter.

Pierre

Re: Fistula Failed

> I am supposed to have this done soon. I have not even visited the dialysis

> center because alltis creeps me out. My nephrologist sees me Wednesday and

will

> probably ask me if I ave gone.Question: Why does it have to be put in so

> early? I willprobably notbe ondialysis for a year.

>

>

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I agree, but I thought maybe that was because I'm on the outside looking in.

I'm keeping my fingers crossed for a kidney for you!

Connie

Re: Fistula Failed

For some reason, it seems like it has gone by very fast.

Pierre

RE: Fistula Failed

[snipped]

> Pierre,

> I can't believe it has been two years since your procedure! Has it been

> fast for you or does it seems like it's been longer than 2 years?

>

> Connie

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