Update on Minga

Lily let me know that Minga is having an evaluation because there’s some problem with the placement of her catheter. Originally the catheter was in her chest, but quite high up near her neck, and it bothered her greatly when getting dialysis. They lowered the position of the catheter so she doesn’t have to keep her head tilted so much during the 3-4 hours of treatment, but now there is something amiss. Some people can tolerate a port in their forearm, just under the skin, or in the abdomen — but neither of those are options for Minga. I don’t know why.

For dialysis to work over the long term there has to be a place through which treatment can happen. If the site becomes problematic, and there isn’t another option for placement of the catheter, Minga could be in a good deal of trouble.

I’ll keep you informed as I find out more.

2 thoughts on “Update on Minga

  1. In the US we only insert catchers in the neck for emergency y dialysis. Long term dialysis is most commonly done through a “port a catch” or an”fistula”. The fistula is an artery and vein sewn together to intermingle the blood, creating a larger vessel able to handle the dialysis connection. The fistula is preferred.

    Katie Capitulo PhD, RN, FAAN

  2. for Katie: I wish I had better information about what’s going on. I’m not sure Minga is getting very good information. It doesn’t help that nephrologists rotate through the public hospital weekly, so she has no consistent person that she sees. The nurses, who actually run the dialysis suite, seem very brusque to me. When Minga finishes, a nurse bring her through the door to the dialysis suite into the hall where family members sit. The nurse then turns and goes back in — up to family to be paying attention and run up and grab their person before she faints. Minga has never fainted to my knowledge, but she’s very lightheaded when she comes out and needs to lean on someone to find her way to a chair. Family brings her something to eat, and she sits for 20 minutes or so until she feels well enough to leave.

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