Renal Services THRIVE Story

In This Section
Renal Services "Home"
  -- Site Services And Locations
Physicians And Staff
  -- James McAnally, MD
  -- Joseph McTernan
Hemodialysis Overview
  -- Hemodialysis Vascular Access
  -- Hemodialysis FAQ
End-Stage Renal Disease Overview
  -- End-Stage Renal FAQ
Peritoneal Dialysis Overview
  -- Peritoneal Dialysis FAQ
Chronic Kidney Disease (CKD) Overview
  -- Chronic Kidney Disease FAQ
THRIVE Program
  -- THRIVE Program Story 1
  -- THRIVE Program Story 2
  -- THRIVE Program Story 3
KEEP Program
-- KEEP Program Events

Trinitas' THRIVE program, if followed by the patient, can give the patient a substantially higher quality of life than the person who doesn't take charge of his own care through the THRIVE suggestions.

For example, a 30-year-old man came into THRIVE already in Stage 5 kidney failure. In other words, he needed dialysis—and fast. He was anemic, which meant he was suffering from a rapid heartbeat, shortness of breath, and chronic tiredness and feeling cold. He also had signs of uremia, which is a build-up of uric acid because the kidneys aren't working. His symptoms of uremia were nausea, vomiting, shortness of breath, feeling tired, and loss of appetite.

The young man's primary care doctor referred him to a Trinitas nephrologist early in April. He started immediately on THRIVE's course of anemia management, which included iron and procrit injections. He complied with a very strict, low-potassium and low-protein diet (when kidneys are failing, they can't process these compounds). The THRIVE team also put him on a careful fluid management regimen and encouraged him to lose weight.

Once he was on the diet, lost weight, and had the anemia under control, the THRIVE team talked to him about early placement of an access portal, a critical step because the access has to mature so that it can be used for dialysis. An access portal is also known as an arteriovenous fistula, a surgical opening in an artery that can be used for dialysis. It can take six to twelve weeks to mature, sometimes longer if a person is diabetic. It must mature before it can be used for dialysis.

The THRIVE team also referred him for a transplant, and he was placed on the active transplant list.

The young man started dialysis and is doing very well. He works full time again and feels better all around, including the fact that he lost 20 pounds.

"He only lost a short amount of time from work because we were able to schedule everything through a long weekend," Peggy Custode, Renal Clinican, said. "He worked with us, and therefore he was able to transition back into his job with no financial hardship. Even though he came in at a late stage, we were able to work with him. We had to push him, but we were supportive. In fact, we were a support system for him in more ways than one, during his grandmother's last illness and death. We are supportive to all our patients through life changes."



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