The short term news is good. He came out of the surgeries very well. As a reminder, he had his dialysis port tied off to restore circulation in his hand. Before that, a catheter was inserted. Circulation appears to be coming back, although he’s likely to have short term pain. Long term there could still be issues, but we’ll have to wait and see. The hand stuff occurred because of a legion in his ulnar artery. The catheter went in at a similar site to the last one, but not exactly the same. As I suspected, they really can’t repeat sites for those.
The doctor still hopes to put a graft in the thigh area and have that work long term, but she didn’t lie to me when she said that finding dialysis access sites long term is getting tougher and tougher. She said they are coming to the outer boarder of what is ordinary in dialysis access. She said that there may come a day when they can’t find a dialysis access point. This was the most difficult news to hear. In the back of my mind, I knew it, but it’s hard to hear that spelled out in black and white. No dialysis, that’s the end of his life, unless a transplant becomes available right then. In addition, she’s going to refer Phil to a vascular surgeon. Nothing has to happen right away. The arteries are hardening, and having a long term plan in place about how to deal with it is important.
It was difficult to find Phil a ride home, but fortunately at the last minute, a friend of a friend stepped up. I also needed to get a few groceries and walked to the Spanish supermarket down the street. It was closed, so another friend got a few things to tide us over until our big grocery order comes on Wednesday. A third friend took Garron for the afternoon, brought him back to her house for a play date with their dogs, and will be bringing him home around the same time Phil gets here — probably in about fifteen minutes. I worry about Garron being very excited and jumping up in the wrong place, but hopefully Phil will be with it enough to handle him.
Rebecca Kragnes and Zane – Black-lab and Seeing Eye Dog