Although the gradual increase of my serum creatinine was expected, seeing it hit an all time high of 331 umol/L left me shell shocked for a moment as the nephrologist reviewed the results with me. It was quite a significant jump from 304 umol/L in June. The rate at which it increased with each quarterly test is worrisome. Dialysis was not necessary at that level but the doctors wanted me to be prepared and has encouraged me to go for an orientation to get familiarised with the procedures.
The test for parathyroid hormone, which blood as not extracted for the test before this, was above the normal range. Among the many causes of hyperparathyroidism is chronic kidney disease. Because of that and due to hypocalceamia, calcium carbonate was added to my usual prescription. At the direction my health is going, I shudder at the thought of my next blood test results and what other extra treatments I may require.
Renal and liver function test and lipid profile for September 2013.
Blood tests done on 10th June did not change much. Serum creatinine crept up from 301 umol/L to 304 umol/L which is an insignificant change. Since I started seeing the nephrologists at the Medical 2 clinic at the University Malaya Medical Centre, the frequency of my blood tests and visits to the hospital has been increased to quarterly.
This is another reprieve of sorts but I am not happy that the serum creatinine has breached the imaginary 300 umol/L line during the last blood test although it was not unexpected. My kidneys will continue to fail. It is just a matter of time. I will just have to be more careful with my diet and bladder management routines to delay the need for dialysis for as long as possible.
Renal and Liver Function tests and Lipid profile done on 10th June 2013.
Complete Blood Test done on 10th June, 2013.
I had blood extracted for a series of tests on 4th March 2013 before seeing the nephrologist the following week. They were Renal Function Test, Liver Function Test, Complete Blood Count, Lipid Profile, Nutritional Anaemia and calcium-phosphate test. It was to be my first time consulting a nephrologist at the University Malaya Medical Centre.
I went to see the nephrologist on 11th march 2013. Serum creatine broke the 300 umol/L threshold to hit 301 umol/L. It was unsettling to see the creatinine slowly creeping up the scale. Dr Wong, the nephrologist, explained that at some point in time in the future, I will need dialysis. I am at a pre-dialysis stage and need to be prepared for it. He explained the two options available to me – peritoneal dialysis or hemodialysis.
For hemodialysis, I need to go to a hemodialysis centre where I will be hooked up to a machine to have the waste product in my blood filtered. Each session lasts about four hours and has to be done thrice weekly. For this method, I have to have to undergo a surgery to create a fistula for blood to be extracted dialysis and then returned.
In peritoneal dialysis, a catheter is used to fill the abdominal cavity with dialysis solution. The solution draws waste from the body using the membrane in the abdomen called peritoneum as a filter. The waste is then drained away through the same catheter. This procedure has to be repeated every six-hourly and can be done anywhere.
A Complete Blood Count was also done to check on my anemia. The figures looked horrible with most of the blood elements tested coming in below the average ranges. Serum calcium-phosphate test show that I am hypocalceamia or low blood calcium concentration. There is no treatment recommended at the moment and I had to go back to see him in another three months which coincides with my appointment at the Rehabilitation Medicine Clinic.
However, Dr Wong suggested that I start on Ketosteril again and gave me two boxes to start off. That supply will last me forty days at two tablets twice daily. I had stopped taking it after I developed itching. I have been taking it for one month now and have not experienced any allergic reaction so far.
My LDL level went up because I stopped taking Lipitor for three months to see if it was causing the urea level to go up. Apparently, it did not as urea level was still high. I have since gone back to 10mg daily. I hope the next blood test will show better results.
Renal and Liver Function tests and Lipid profile done on 4th March 2013.