tag:blogger.com,1999:blog-4230162007222918868.post5322343382606151387..comments2023-09-19T05:50:03.130-04:00Comments on Renal Fellow Network: Doc, this itching is making me crazyGearoid McMahonhttp://www.blogger.com/profile/08049723797363526138noreply@blogger.comBlogger12125tag:blogger.com,1999:blog-4230162007222918868.post-15403922800909573712012-07-05T16:40:53.804-04:002012-07-05T16:40:53.804-04:00Hello Guys
I am Rafay Aziz From Pakistan My Mot...Hello Guys <br /><br /><br />I am Rafay Aziz From Pakistan My Mother is a Dialysis Patient and i am using a dialyzer with Uf coefficient of 18 and effective surface area of 1.8 m2 <br /><br />My mother's Problem is she is having sever itching but not pain which is making her almost crazy i need your help please do tell me what should i do i am using every method like itching creams attarax tabs and many more anti allergy tabs <br /><br />She feels like burning on her skin sometime <br /><br />Please do let me know what can i do for her i will be very thank full to all <br /><br />My email id is <br />rafay_aziz_3 @ hotmail<br /><br /><br />ThanksAnonymoushttps://www.blogger.com/profile/14153987730763690099noreply@blogger.comtag:blogger.com,1999:blog-4230162007222918868.post-39039848046262882062012-07-04T11:51:17.136-04:002012-07-04T11:51:17.136-04:00Hi, my husband a dialysis patient for 2 years was ...Hi, my husband a dialysis patient for 2 years was just diagnosed with Kyrle's disease yesterday by a Dermatologist. It is very extensive on his body. After suffering with severe itching and pain that was driving him, (and me) crazy for almost a year. He said the pain after the itch was like having a splinter deep in you finger multiplied hundreds of times. Hopefully Vitamin A cream will give him some relief. Unluckily at this point I'm not surprised that HDF is not used in the US except in ICU's<br />and only HD is used. Considering the obscene amount of money that US dialysis treatment centers are receiving for each dialysis treatment given for patients on disability for renal failure. They have TV's for each patient. Let's scrap the TV's...and get HDF instead ok? Personally I do think that the large dialysis companies in the US, do certainly have enough money for HDF. But maybe the greedy "higher ups" are more worried about padding their yearly bonuses. It's not about the patient in dialysis clinics here in the US. It is about how much money the clinics can milk out of a renal patient before they die. That may seem bitter and too hard core but it is true honestly. That does not mean that there are not very good Drs. and caring technicians here because there are many but corporate medicine has a strangle hold on America and it may well bankrupt us all. My husband will not live to see good, fair socialized medicine in the US, and I would have to emigrate out of this country to receive it. But I hope my children and grandchildren have fair, civilized un-rationed by the insurance companies,socialized medicine in the US.Leslie F.noreply@blogger.comtag:blogger.com,1999:blog-4230162007222918868.post-25555733269639138712011-04-30T22:46:32.721-04:002011-04-30T22:46:32.721-04:00Hey guys, just got back from the spring clinical N...Hey guys, just got back from the spring clinical NKF meeting in vegas. Dr. Rajiv Agarwal did a literature review of dialysis papers in 2010. He basically gave a top 10 of 2010. He included an interesting article that I have posted the link to below. Basically it's a randomized, double blinded, placebo controlled trial of Nalfurafine, A kappa receptor agonist, that showed a significant decrease in pruritus. The only issue was insomnia associated with the medication, but with reduced dose of 2.5mg the insomnia prevalence decreases. <br /><br /><br /> http://ndt.oxfordjournals.org/content/25/4/1251.full.pdfFarhanhttps://www.blogger.com/profile/05610357488232036782noreply@blogger.comtag:blogger.com,1999:blog-4230162007222918868.post-85833890512311455912011-04-27T16:11:42.488-04:002011-04-27T16:11:42.488-04:00Why don't American dialysis patients get the b...Why don't American dialysis patients get the benefits of the use of ultra-pure water when Australian and European dialyzors do? Why can they afford it but we cannot? How do you feel when you KNOW your dialysis patients aren't getting the best treatment that technology has to offer? I would really hate to have to work in a dialysis clinic knowing that some bureaucrat has decided that my patients don't deserve ultra-pure water. Must be very hard for you, truly.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4230162007222918868.post-38410702014787033192011-04-19T21:34:12.526-04:002011-04-19T21:34:12.526-04:00To avoid itchiness and reactions,try a steam-steri...To avoid itchiness and reactions,try a steam-sterilized dialyzer like the Polyflux Revaclear from Gambro. E-beam and gamma sterilized dialyzers will always have some residual particles from the manufacturing process, even if the staff is recirculating and/or flushing saline.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4230162007222918868.post-18489553270443777422011-04-19T17:33:32.812-04:002011-04-19T17:33:32.812-04:00Disappointing.
HDF rocks.Disappointing.<br />HDF rocks.Nephroboyhttps://www.blogger.com/profile/11855196994957601617noreply@blogger.comtag:blogger.com,1999:blog-4230162007222918868.post-74160594079992519722011-04-19T17:33:22.307-04:002011-04-19T17:33:22.307-04:00I was on home hemo and had an angiogram on my fist...I was on home hemo and had an angiogram on my fistula. They used iodine contrast and a day after the angiogram I had horrible itching all over my body. Went to a dermatologist got a biopsy and was diagnosed with pruitis. The itchig would get worse when doing my dialysis. My nephrologost suggested I run one liter of saline thru the machine before I start dialyzing. This helped a lot but did not stop the pruitis. Had a kidney transplant and the itching and all the lesions and scabs were gone within a week. No more itching!!<br />The itching can drive you crazy. Sarna was a nice very temporary lotion that helped a little. I wish you all the best!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4230162007222918868.post-59930812208333523712011-04-19T15:13:14.249-04:002011-04-19T15:13:14.249-04:00I have talked to a few people about HDF and our ma...I have talked to a few people about HDF and our machines aren't set up to do that. My understanding is that it is cost prohibitive to do the ultra pure water treatment or bagged replacement fluid. We do pretty much exclusively HDF in the ICU for our continuous patients, but the current cost-cutting environment in outpatient dialysis units probably means that we won't be seeing outpatient HDF here anytime soon.emily petersenhttps://www.blogger.com/profile/09531089926154718790noreply@blogger.comtag:blogger.com,1999:blog-4230162007222918868.post-21356822302073137522011-04-19T11:21:45.218-04:002011-04-19T11:21:45.218-04:00Thanks guys
I feel a post coming on...
TomThanks guys<br />I feel a post coming on...<br />TomTom Oateshttps://www.blogger.com/profile/09953948473734469328noreply@blogger.comtag:blogger.com,1999:blog-4230162007222918868.post-17645814938985953162011-04-19T08:16:19.491-04:002011-04-19T08:16:19.491-04:00HDF is being increasingly used in dialysis unit in...HDF is being increasingly used in dialysis unit in Europe but bot so much in the US. It is much more expensive as it requires ultra-pure water treatment. Even in the ICU, most units use hemofiltration only, as far as I know, there is no really convincing evidence that HDF is better than HF.<br /><br />I had some experience with HDF before I came to the US and the patients who were switched said they felt better at least althogh there were no objective data suggestiong better clearance etc.Gearoid McMahonhttps://www.blogger.com/profile/08049723797363526138noreply@blogger.comtag:blogger.com,1999:blog-4230162007222918868.post-7532380290450630392011-04-19T07:44:00.045-04:002011-04-19T07:44:00.045-04:00That's interesting- it's true at least her...That's interesting- it's true at least here in Utah that we don't use HDF except in the ICU. I'll have to check and see if our machines are even set up for it. Do you use HDF regularly in the UK?emily petersenhttps://www.blogger.com/profile/09531089926154718790noreply@blogger.comtag:blogger.com,1999:blog-4230162007222918868.post-4950390345776181912011-04-19T04:57:33.147-04:002011-04-19T04:57:33.147-04:00Emily
Great idea for a post. There has been reaso...Emily<br />Great idea for a post. There has been reasonable success with HDF reducing itch compared to standard high flux HD.<br />I practice in the UK & hear that HDF is not really much used outside of the ICU in the US - is that true?<br />TomTom Oateshttps://www.blogger.com/profile/09953948473734469328noreply@blogger.com