Shit

[Doctor Phibes]

Oh Klaus, I'm so sorry.

[George K]

How tough for her, and for you, not being there.

Thank you for the updates.

[LuFins Dad]

That fvcking sucks.

One thing I learned from my grandmother and great aunts, though, is that there is nothing tougher than older German women.

[Klaus]

Well, I guess her life hangs on a thread now. Damn, that was quick. Just 10 days ago she was completely independent with no health issues at all except the kidney stuff.

[jon-nyc]

Fuck.

[George K]

Any information on what caused her sudden decline?

[Catseye3]

Thinking of you, Klaus.

[taiwan_girl]

‍️‍

[Copper]

Sorry to hear this, I hope the ICU can help

[Klaus]

@George-K said in Shit:

Any information on what caused her sudden decline?

Just received a somewhat encouraging update. She seems to be stable at the moment. Main problem is still kidney / urea nitrate. From what the doctors say, it's better to reduce the level slowly. She gets some CPAP breathing support with oxygen. Dexamethasone as a precaution. They are considering to go from PD to hemo-dialysis if the former is not working well enough.

I guess the appropriate American term for the situation is SNAFU.

[Mik]

Klaus, I am so sorry she and you are having to go through this. Has to be heartbreaking. Hoping for recovery.

[George K]

OK - CPAP is much better than being on a ventilator. Presumably she's not intubated.

Uremia can cause the symptoms that you described in your original post - diarrhea, nausea, vomiting, and ultimately confusion.

Hopefully they'll get her BUN down as quickly as safe.

Inserting a temporary hemodyalisis access port is not a big deal. That would be a reasonable thing to do if the PD isn't working.

[Klaus]

@George-K said in Shit:

Hopefully they'll get her BUN down as quickly as safe.

From what I understand, her BUN level was well over 200 <insert some unit whose name I forgot here, mg/dl?>, which normally is supposed to be below 20.

[George K]

@Klaus said in Shit:

BUN level was well over 200

That's amazingly high, and it didn't happen over a few days. I'd guess her PD catheter wasn't working well for quite a while.

[mark]

I hope she quickly takes a turn for the better. I've been keeping you and your family in my thoughts.

[Aqua Letifer]

@mark said in Shit:

I hope she quickly takes a turn for the better. I've been keeping you and your family in my thoughts.

+1. Very sorry you and your mom are going through this. I hope things turn around as quickly as possible.

[Jolly]

@Klaus said in Shit:

@George-K said in Shit:

Hopefully they'll get her BUN down as quickly as safe.

From what I understand, her BUN level was well over 200 <insert some unit whose name I forgot here, mg/dl?>, which normally is supposed to be below 20.

Anything that high, I don't even titrate, just report out as >150.

[Loki]

Hoping for the best for you. The roller coaster ride you’ve described is very frightening. It’s amazing though how treatment can turn things around quickly at times.

[kluurs]

Hope things stabilize soon.

[Klaus]

Thanks, everyone!