Wuan accompanied me to the University Malaya Medical Centre (UMMC) yesterday. It was for my scheduled check-up at the Spinal Rehabilitation Clinic. I had been anxious from the time we went there three weeks ago to have my blood drawn for renal profile, blood glucose test and lipid profile.
Blood test results for August 2010.
I had half-expected the serum creatinine to be higher than previous results. I have been going through a spell of lethargy that I thought could be due to be caused by my kidneys. It was a great relief when I saw that the serum creatinine was 288 umol/L. No doubt, it was very high due to kidney disease, it has stayed below 300 umol/L. That was all I had been hoping for.
Serum potassium was marginally higher at 5.4 mmol/L. Normal values should be between 3.6 to 5.2 mmol/L. I need to be aware of potassium-rich food that I have to cut down on. Serum urea had come down although still above the desired range, while sodium was hovering at previous levels. Fasting blood glucose looked good. Likewise, lipid profile. Saying that I am happy with the results is an understatement. I am ecstatic!
Every quarter, I go for a medical review at the UMMC Rehabilitation Clinic. The most recent was last Wednesday. I had a blood sample taken, sent in 24 hours worth of urine and had an ultrasound done on my kidneys and bladder two weeks prior to that.
Like all other reviews before that, I always approach the appointed day with trepidation. Would the blood tests show further deterioration of my renal function? I go through this period of nervousness without fail every time. What I fear most is impairment to my kidneys will come to a stage where I need to undergo dialysis thrice weekly.
The results for the renal profile the creatinine level at 294 umol/L. That is not much different from 299 umol/L for the specimen taken on December 26, 2008. I am still studiously adhering to a low-protein diet regime for most days save for the occasional indulgence. The figures for the 24-hour urine creatinine was within range. The ultrasound of my kidneys showed the size of the right kidney at 8.9mm and 7.9mm for the left kidney. They are small compared to healthy kidneys.
The review this time has shown that there is progress in the impairment although slower than I had anticipated. This is positive news no doubt. What I need to do is to keep up with the low-protein diet, take the once daily Detrusitol SR 4mg religiously and perform clean intermittent catherization (CIC) as scheduled, and pray that this pair of impaired kidneys will sputter on till my time is up.