Today, my husband and I had lunch at Willi and Bobbi Jo's house and stayed through another day of dialysis. Last time we were there, we knew that Bobbi Jo had just found out that she should be receiving a transplant in the next couple months-- and the donor is Willi's sister! What a blessing! (I was very excited for them that day, but I didn't want to share the news on this blog before they had a chance to announce it to family and friends personally).
Although this is great news, there is a lot that has to happen before then, and if there are any problems in any of the steps along the way, it may not even happen at all. After having 2 transplants that didn't last, it's a very emotional process for both of them. Knowing that it still may not happen-- and that even if it does happen, that it may fail within a few weeks or in a few years down the road, and put her right back on dialysis-- is a very nerve-wracking journey.
I learned a lot more about the process of dialysis today, and was able to be there from start to finish (from 1pm when we had lunch, and dialysis lasted from around 2pm to 6pm).
A large, almost-full container of hazardous waste sits in their living room.
Willi showed me the large needles that they have to stick into her arm for dialysis.
This is her left arm, where the dialysis takes place (or where the process begins). Two needles are inserted-- one will assist in pulling the blood out, and the other will put it back into her body. Dialysis both purifies her blood and removes excess fluid from her body. Around 4 pounds of waste has built up in her body since Friday, and it will be removed today.
She wears a special shirt that has zippers on the sleeve to make it easy to access the arm and insert the needles.
The dogs are very supportive, too. Always by her side :)
Each day that they need to do dialysis, they say a prayer together before they attempt to insert the needles. They wanted to hold hands during this process, but couldn't with the gloves on.
See the "cords" on the floor? Those are actually tubes connected to the water filter that is attached to the dialysis machine. One brings water from the basement to the machine, which is filtered for dialysis, and the other transports the waste-water back to the basement bathroom.
Some days, it's easy to insert the needles, but other days it's a struggle. Today, they were on a slight time-constraint, as Willi needed to be to a meeting at 6pm, so that adds to the stress of the situation-- they felt the need to get the job done quickly.
First, Bobbi Jo gives it a whirl to see if she can get it in.
It's tough, so she asks Willi for help.
However, that can hurt-- he is very sensitive to her, but when she does it herself, she can
pull back if it's painful. So, she tried again. But it's tough to do with only one hand.
Since that still didn't work, Willi tried again. But, as you can see, despite how
gentle he is with her, it can be a painful process.
Even though she looks at her arm when she does it to herself (obviously), she finds it easier
to close her eyes when Willi attempts to insert the needle.
What a frustrating day-- back and forth with no luck-- especially when they feel the need to get this part done quickly so dialysis can be completed in time for Willi to leave for his meeting.
They discuss the options. This needle, as you saw, was hollow and connects inside, but they have to get it in just the right spot. It's just not working very easily today. The other option is to insert a sharp needle directly into her arm. It's the last resort...
Bobbi Jo decided that they needed to use the sharp needle. The obvious pro to this is that it gets the job done in 5 seconds, versus the 15 minutes that were spent trying the other method. However, the cons are that makes her bleed at the insertion point, and also that every time she inserts a sharp, it increases her chance of rupturing that vessel in her arm.
Well, it worked...
Willi ties a tourniquet around her upper arm.
The second needle went in really quickly, the "right" way. Yes!
The tubes are filled with her blood, and those will hook up to the machine. We moved from the room where they prepare for the process to the place where dialysis happens (the living room).
Now she's hooked up and ready to go.
They have to check her blood pressure several times throughout the process. It slowly goes down, as waste is removed from her body. All of the excess fluid causes strain on her heart, and so it's important to limit liquid consumption and do dialysis regularly.
Since they've switched from dialysis 3 days a week at the hospital to 5 days a week at home, Bobbi Jo has much more energy, and reduces her risk of heart problems by 25 percent.
At the end, she has to take her temperature. They have to keep a record of so many things...
... and get all of the blood back into her body, if possible. She needs all of those red blood cells to stick around. The red blood cell counts are lower in dialysis patients.
After the needles are removed, she has to cover them with gauze and put pressure on it for 5 minutes to keep from bleeding from that area.
What a helpful, wonderful husband. He ended up having to be a few minutes late to his meeting. Bobbi Jo feels guilty sometimes, because the process interferes with his work schedule. But of course, Bobbi Jo is Willi's first priority, and it truly shows. (He changed to jet out the door for his meeting...)
Ah yes, there's that smile! :) Another testament to her strength, perseverance and joyful heart.
I had such a wonderful time chatting with Bobbi Jo and hearing more information about the process. Even though I feel like I have a better understanding of it today than I did last time, I still feel a little shaky about repeating the details-- so I hope everything that I said is stated correctly. If not, they will let me know and I'll update the information :)
Keep Bobbi Jo in your thoughts and prayers as she moves forward in the journey to another possible transplant. We'll keep you updated!