Why my arm hurts...

Why my arm hurts... (83 / 365), originally uploaded by Krississippi.

I've known for at least a week that my dialysis fistula (otherwise known as an 'access') was clotting - at least now and not before my transplant!

On my Tues appointment @ LifeLink, my transplant doctor wanted me to get an appointment with my regular kidney doctor by Monday to have my arm looked at. The thought was I would probably need to also see my vascular surgeon for minor surgery to either unclog the veins or tie off the fistula all together (my vote is for the latter)

After two days of my arm getting bigger (twice its normal size around the biggest part of the fistula) and swelling, tingling and general un-comfortableness in my lower arm and wrist, I called my doc's office again and talked to the nurse:

"Is it normal to have my arm hurt like this when my access is clotting off?" I asked.

She said she thought it was pretty normal but would mention it to the doctor. A few hours later the office called back and asked me to come in right away instead of wait until Monday. The verdict?

My access is definitely clotting off. The stent placed under my collarbone last year has probably collapsed, therefore impeding blood-flow out of my giant fistula vein. The fistula is still being fed by the artery in my arm, there's just no where for the blood/fluid to go. THEREFORE

The massive arterial blood-flow its stressing out the smaller veins and blowing out the smallest of them and bulging the others to the max. I have visible veins from my elbow, around both sides of my arm, up over my shoulder, up the back of my neck and down and across my chest. And L@@K at those crazy ones on/around my pit!

Oh, and my access might be infected so I'm on 10 days Keflex 3x day.

I hope when I see my surgeon on Monday he can figure out a quick solution for me so I can get this behind me, and maybe just stop having pain in one place or another all the time...

Ugh, nothing can ever be easy...

That is interesting because my Cadie bug has broken out in stuff like that as an infant but the doctor never worried. She doesn't have a port or anything. *shrug*

I hope it gets resolved for you soon so you are comfy again!

Its not really a rash, it is broken capilaries and blown veins in my shoulder and chest. I did enhance the picture a little to make it easier to see the blown caps and veins so I guess it kinda does make it look more rash-like. You also gotta remember that these veins are coming directly from my fistula which has a very high arterial flow-rate (higher than a normal vein)... so when something is clogged or stenosed, it makes the smaller veins pop out more to try and handle the flow load. Did that make sense?! :)

Isn't that the truth!! Its all a challenge, isn't it!?!?

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