[QUOTE=jbernardini;23378]Sorry if my last note was confusing. Icodextrin is ONLY used for long dwell of 8 hours or more. And only 1 exchange per day of Icodextrin. I do not want to presume to write your PD prescription. Just sugggesting you talk with your nephologist about using Icodextrin as a long overnight dwell when travelling. And, depending on the UF and clearances you get with that plus your residual renal function clearances, perhaps a long CAPD exchange in the day might be needed. You are right about the clearance targets, but remember those are numbers. The real measure of the quantity and quality of your dialysis is how you feel clinically. Are you well, active, eating normally, able to do what you like to do with your life? So of course this is where your PD nurse and doctor really can help you evaluate your prescription. Best of luck.
Okay, I understand. What I want to achieve is NOT to have a fill throughout the day when I travel and NOT to have to take the machine. Actually, where I was going with the comment about clearance is that at 1.78 residual I believe that I am borderline for dialysis. My numbers have changed since moving to PD. I run about 6 or so with creatinine and 50 or so BUN. They were lower with hemo. All of my other labs look fine – especially potassium and phosphorus. They did not seem to change much with the move.
You mentioned how I feel as being important. I feel great. I am active (on my own business and work 50 or 60 hours/wk) and walk about 20 to 30 miles a week. I was a runner for 30+ years but the sickness (lymphoma) that took out my kidneys also zapped my strength for running. I hope to start again, though. The bottom line is I feel great and have no other maladies other than being in remission from lymphoma and having kidneys that do not work so well.
I have only skipped one treatment on PD since beginning and could not tell a difference in how I felt. When I was in-clinic I skipped two treatments in 18 months. Both were on a Friday which meant that there was no dialysis from Wed until Monday. I felt fine and could not tell any difference. Keep in mind I am not dealing with fluid since I make a normal amount of urine (1600 ml).
Finally, I am in no way looking for a re-write of my prescription from you – just your informed thoughts which I greatly appreciate. It’s good to talk to my doc and nurse from an informed point of view. I would never make any change without the direction of my doctor. Now, I might get a second opinion, but whatever I do will come from the doc.