Dr.
I am worried about preserving my membrane. I am a Type II in control diabetic and have been on PD for two years. I do have some fibrin and use Heparin at times. What is the best fluid to use? I use baxter dianeal pd-2 now. What else can I do, e.g. adrenaline, Heparin to help preserve my membrane. I am in a smaller town and while we do have a Davita PD clinic there are not many docs here or none that champion PD. I am the one that put myself on a low protein diet and informed my doc prior to my renal failure. I chose to do PD and it seems like most docs just say well, go to hemo. I do not want to do hemo and enjoy being able ot travel and live some what normally using home PD.
What is the lowest clearance number that can provide life support? Davita has stated it is 1.7. My number has never been much higherr and urine output has declined a bit. I feel very good and do projects and my other numbers are good. Doesn’t how you feel mean anything, as I am not just a number, right?
If I am forced that direction can you do PD and use hemo once a week to help with clearance and live normally for 6 days or more a week. I want to stay on PD unless it becomes absolutely required to switch. I was told to lose 50lbs and then reconsider a transplant and I have lost 30 lbs and have a ways to go to even complete evaluation. I may be on treatment for ever and want to use PD.