Doctor insights on:
Process Analysis Of Dialysis
Kidney failure labs: In addition to elevated BUN and creatinine levels in the blood, patients with kidney failure have low hemoglobin, carbon dioxide and calcium blood levels. They also have high parathyroid hormone, potassium and phosphorus levels. Pt's with chronic kidney disease (ckd) can have some of these abnormal levels, but with lesser deviation from normal depending on the class of their ckd. ...Read moreSee 1 more doctor answer
Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more
Kidney failure labs: You would look at the BUN and creatinine (c)levels which would be elevated. C is dependent on the age, sex, race and weight of the patient. You would also expect to see high levels of potassium, phosphorous, and parathyroid hormone in the blood. The carbon dioxide would be low as would be the hemoglobin level. Ask to be sent to a nephrologist for further evaluation and diagnostic studies. ...Read moreSee 1 more doctor answer
What are the chances of natural conception with semen analysis volume 7ml, count 30 mil, motility 30%, pH 7.5, normal morphology 80%, viscosity normal.
Your values: Are in the normal range except that motility is slightly low, but can vary from one analysis to another. It should be sufficient if you have a fertile partner. ...Read more
Microscopic eval: After liquifaction of the sperm sample an hour or so after ejaculation, a drop is placed in a small measured volume chamber, and sperm count and motility are measured under the microscope. Multiplying these values by the sperm volume gives a total motile sperm count, the best single measure of sperm quality. Many other measures exist. Automated systems are available for semen analysis. ...Read more
Two methods : There are two methods: mechanical or chemical. Occasionally both methods are used. In general, the doctor accesses the av graft or fistula with a needle and places a tube into the graft. He then uses wires and catheters to cross the clot and inject clot busting meds. There are devices he can use that also break up clot. Or, he can open the graft and use special balloons to pull clot out. ...Read moreSee 1 more doctor answer
Start of dialysis: Your question is difficult to answer without knowing the age, weight, sex and race of the patient in question. The creatinine level is rarely the only indication for starting dialysis. Factors such as high potassium, nausea, vomiting, increased sleep during the day time and itching are more commonly used indicators. Ask your doctor, or go to a nephrologist to get more information. Good luck. ...Read moreSee 1 more doctor answer
Treatment: D&C: You need to see your ob/gyn. He/she needs to verify that the unborn fetus is completely gone. Tissue fragments could lead to infection and pain/bleeding. He may need to do a dilation and currattage. ...Read more
My brother (51) is in the final stages of multiple myeloma and was told he will die of kidney failure. Blood tranfusions weekly. Timeline estimate?
Get extra support: Agree with prior answer that difficult to say. If not already involved ask for a palliative medicine specialist to work with your hematology-oncology team. They might be able to provide additional prognostication opinions as they monitor his progress and also provide additional support for the time that he has. ...Read moreSee 1 more doctor answer
Responds to demand: The transplanted kidney will respond to the demand placed on it by the recipient. Small kidneys can be transplanted into large persons and the kidney will increase capacity over time to respond to the work load. Similarly, a living donor is left with a single healthy kidney. The remaining kidney adjusts to the increased demand within days. The remaining kidney compensates to other demands also. ...Read more
Complete duplex collecting system found at 21yrs old w/ severe ureter swelling &build up of ureteral stones. Risks of ureteral reimplantation surgery?
Before I head down this path, what are implications of fertility testing in terms of diagnostic ability and invasiveness of follow-up tests?
Good test accuracy: Fertility testing is much more accurate now than it was 20 years ago, when we did not know much about ovarian reserve testing. We used to say that 15-20% of couples had 'unexplained infertility' when all the tests came out normal, now it is way under 1% of couples who are really unexplained. However fertility tests are not perfect, couples with bad tests still conceive, some with good tests don't. ...Read moreSee 1 more doctor answer
Dialysis water loss: Patients who are being dialyzed (d) lose water during their d session. The amount of fluid loss can be controlled and they need to have this fluid removed on dialysis so they do not get fluid overloaded and wind up with fluid in their lungs. To answer your question, there is water loss on d which leads to the better health of the patient. ...Read more