Friday -morning 4-29

Ed was up and dressed and just finishing his breakfast this morning. Then he declared he was still hungry and ordered more outmeal and a banana. Everything is on track for a release tomorrow. :)
Todays values:
Creatinine 5.62 –no dialysis!!
BUN 71
Hematocrit 24
Eosinophiles 14
Jeanne joined us and Dr Lee came at 9:30 and took his time talking to us. Ed is scheduled to go home tomorrow if everything stays well
Here is the plan:
1) No dialysis today (Friday) since the creatinine is slowly decreasing
2) Daisy (dialysis nurse) is supposed to flush the catheter and tape it in place so Ed can go home with it.
3) blood test tomorrow (Saturday) – if creatinine is holding or decreasing then Ed can go home. Tomorrow’s nephrologist will be Dr Eckel.
4) Appointment for blood draw on Monday at Cary Nephrology clinic
5) Resultes expected Tuesday – based on the results the clinic will make an appointment to have the catheter removed. The removal will be at a clinic close to Wake Med Raleigh
6) Appointment with Nephrologist in clinic at the end of next week
7) determination of weekly/monthly clinic visits to keep monitoring values. It may take a while for them to drop below 2 (that is the goal)
8) Dr Lee is trying to get an appointment for Ed with Dr Engeman (Wake Med Infectious disease) ASAP, but Dr Enegeman is out this week.

The other outstanding questions were:
--Procrit ; Ed has been getting it with dialysis. He received another dose yesterday (Thursday)and is scheduled to receive another dose tomorrow (Saturday) before going home. If future Procrit is necessary, then Ed will have to be referred to a hematology clinic.
--Digoxin – This is Ed’s second heart medication - Do not take until the creatinine is down to 2 and then only after consultation with cardiologist
--continue to take TUMS 2 with every meal . that serves as a phosphate binder. Avoid Phosphate rich foods dark sodas, chocolates etc; – but do continue eating meat etc. .Good nutrition has priority, worrying about phosphates is secondary.
--Risperdal – discontinue. Dr. Latif may come by this afternoon (Friday) to discuss.
--elevated eosinophiles – The tryptase results are not back. Needs to be discussed with infectious disease clinic and/or hematology clinic.
That's it for today - Friederike