I started my buttonholes this past summer, first cold turkey on myself and when that failed, a tech started new buttonholes. They were established in September - but I haven’t been able to have the same tech continuously until just this week. (After much begging on my part). I talked the tech that is going to be my dedicated cannulator into doing the “touch” technique and it worked GREAT!!! I also asked her to pull the needles out a bit to avoid hubbing.
My major problem (other than getting the center to work with me on having the same tech) is that I have to hold afterwards for at least 30 minutes and as long as two hours. My fistula surgeon did an ultrasound on my arm and was very satisfied with the fistula. It thrums, buzzes, and vibrates like a champ. He felt no need for a fistulagram (which is what the center keeps harping at me to do). I think that the buttonholes have been enlarged by all the fishing around, even forming a phantom channel right above the real channel. I also think that if my tech continues to be successful like she was today (gliding the needles in like into butter), that my tissues will respond and the bleeding will lessen. Any thoughts??? (Also, I requested them to reduce my heparin and it is now two-thirds of the bolus - no maintenance.)
Thank you - you are highly recommended.