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@kamama94

@gingerw, thanks for asking!

Feeling a bit better after a very rough morning of headache, dizziness, nausea.

I have known my surgeon for years, he's one of the best. He wants to do a right-sided permacath next Tues so I can have dialysis the next day. Then a week later he'll do a left arm AV fistula for longer-term dialysis. He explained his techiques in detail and said he wants me under general anesthesia while he stitches vein to artery. I was right, my veins are very small but he's evolvd a technique to compensate for it.

I saw him early this morning then had to go to the hospital for pre-op stuff - ekg, more lab work, anesthesia consult, etc. I'm wiped out but less anxious.

I finally found out why the runaround and the delays in treatment - Medicare won't pay for hospital dialysis, only for dialysis at an approved cllinic but because there are hoops to jump through before Medicare will pay for the pre-dialysis surgery, it takes awhile to get everything in place. I told my surgeon I hoped I was still alive by then. He laughed then got serious and said it was his opinion and the nephrologist's opiniion that I was stable enough for now but if I started feeling worse to go to ER and page him.

I reminded him of some of the pranks he pulled on us during my student nursing days and he pled guilty. I told him I forgave him, LOL, but he owed me one.

I feel a nap coming on soon. . .

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Replies to "@gingerw, thanks for asking! Feeling a bit better after a very rough morning of headache, dizziness,..."

@kamama94, Yucky symptoms but good to hear you have such a wonderfully strong relationship with your surgeon. What an extra boost in confidence that must give you! Glad you are feeling spiffy enough to give him a hard time that he owes you one....or two.....or...
Understanding the process and any delays caused eases the situation too I'd imagine. Just wish our pros would explain more beforehand. Medicare is great to have but the rigamarole they put staff and patients through to get approvals is hair pulling at best.