This blood test was done six months after the previous one, the longest gap in between tests and routine medical reviews for a while now. Serum creatinine level hit its highest at 337 mmol/L. It was 331 mmol/L in September last year and went down to 299 mmol/L in March this year.
This blood test shows that my kidneys are functioning at 18% of normal capacity. Looking at the history and progression of my kidney disease, the doctor was not too concerned with the results yet as the serum creatinine levels are fluctuating within a narrow range.
I am now edging closer to needing dialysis. I have already decided on the treatment option should that day come, which I hope never. I think am prepared for it but I wonder how my emotional state will be when I hit the threshold.
There were no significant changes to the blood test results from the one done in December 2013. Serum creatinine dropped to 299 umol/L. Since the condition of my kidneys seemed to have stabilised, I have requested for a half-yearly medical review instead of quarterly.
Renal function test, liver function test and lipid profile on 21 March, 2014.
Blood serum minerals and nutritional aneamia on 21 March, 2014
The last quarterly review of my kidneys for 2013 was one I was not looking forward to. My serum creatinine for the previous three blood tests for this year showed a marked decrease in kidney function when it went above 300 umol/L. What a relief it was when the creatinine level went down to 316 umol/L from an all time high of 331 umol/L. Although the reduction was not significant, it did not continue to go up at the very least.
My cholesterol level went up as I stopped taking Lipitor for a few. The doctor advised me to start again to bring down the LDL level. I also reduced the dosage of Ketosteril from four capsules to two because I suspect it was causing itching. At the same time, I stopped supplementing with calcium carbonate. The other reason I stopped was because I was overwhelmed with having to take too many pills and capsules. I have since learnt to space the dosage throughout the day.
The annual ultrasound was done on the same day my blood were was on 9 December. There were no extraordinary findings in the ultrasounds of my kidneys and bladder.
US KUB of 09-Dec-2013
Tetraplegia with neurogenic bladder.
Comparison made with previous ultrasound dated 17/12/2012.
Both kidneys are increased in echogenicity.
Right kidney measures 10.4cm in bipolar length.
Left kidney measures 9.0cm in bipolar length. Simple cyst seen at upper pole of left kidney measuring 1.9 x 1.5cm.
No calculi or hydronephrosis.
The bladder wall is trabeculated and not well distended. No stone seen within.
Generally, the kidneys are holding up for now as the blood tests and ultrasound have shown. I have had to go for quarterly review of my renal function every quarterly since the beginning of this year. If the results for the next review does not differ too much, I may want to request for half-yearly review instead.