Hi Dr. Agar,
My latest battle on dialysis is with lactic acid levels being high because of what the NxStage dialysate bags are adding to me during treatment. My neph. here switched my treatments to every other day and the lactic acid level went back to normal. I thought I was OK but then I wasn’t being dialyzed enough. We changed the flow fraction settings (from 45 to 33) of NxStage so treatments are now 3 hrs and 45 min. instead of 2 hrs and 15 min. Dr has my wife dialysing me 5 tx a week. Then every Mon for about 2 months now, the lab takes lactic acid level and BMP. My liver doesn’t metabolize the lactic acid when treatments are back to back. My neph is trying to work with me to help me stay at home. In-center would add no lactic acid to my body and be a simple solution but I hate in-center. It would also be simple if NxStage didn’t add lactic acid to their sacs. Baby K setup has no lactic acid but it is too big for my room.
I have the labs every week to see how my numbers are. Either my lactic acid levels are high or I’m not getting enough dialysis because my Co2 is low. My neph. keeps playing with what days I do dialysis and the time I’m on treatment. When it’s almost right, my lactic is a little above normal but creeps up a little more weekly.
Dr. Agar, is there any other suggestions I could make to my nephrologist?
God Bless, Tom Shuford