I was dissappointed when a few comments made fun of a patient's questions. Yes this forum is intended for Techs, but it's not exclusive. Yes the patient could have posed his questions in one long breath, but maybe they're not familiar with the format.

Last week I asked a question re TMP, and of all the techs, a simple answer was lacking, to be kind. I'm a motivated patient cause I don't want the system to kill me. That's why I research and make changes in my tx. I was responsible for deducing that the advent of Renagel useage was resulting in lower CO2 levels for many patiients. I did the reseach, asked the hard questions, and demanded that our unit change to a higher yeild bicarb mix to compensate. Part of my overall info comes from reading your comments. so if a patient isn't up to your tech snuff, direct them to a different board, but do it nicely.

I've got a lot more to say, but I'd settle for a quick answer. I run on a Fres 2008H with an Optiflux 200nr. Pump speed 450, bp 135/82, a goal of 1500 over 4 hours. I never need to remove fluid, but the advice or folklore around here is that you need to remove 300cc hr for correct "fluid travel"
The TMP right now is +120. I will replace a total of 2000cc during tx in 400cc doses., how many cc per hour have to be removed to avoid backflow of the UF.

quote:

Originally posted by m micone:
I was dissappointed when a few comments made fun of a patient's questions. Yes this forum is intended for Techs, but it's not exclusive. Yes the patient could have posed his questions in one long breath, but maybe they're not familiar with the format.

Last week I asked a question re TMP, and of all the techs, a simple answer was lacking, to be kind. I'm a motivated patient cause I don't want the system to kill me. That's why I research and make changes in my tx. I was responsible for deducing that the advent of Renagel useage was resulting in lower CO2 levels for many patiients. I did the reseach, asked the hard questions, and demanded that our unit change to a higher yeild bicarb mix to compensate. Part of my overall info comes from reading your comments. so if a patient isn't up to your tech snuff, direct them to a different board, but do it nicely.

I've got a lot more to say, but I'd settle for a quick answer. I run on a Fres 2008H with an Optiflux 200nr. Pump speed 450, bp 135/82, a goal of 1500 over 4 hours. I never need to remove fluid, but the advice or folklore around here is that you need to remove 300cc hr for correct "fluid travel"
The TMP right now is +120. I will replace a total of 2000cc during tx in 400cc doses., how many cc per hour have to be removed to avoid backflow of the UF.

A quick question. What is your venous pressure? Second, are you sure about the TMP being +120? If it was +120 you would be in a constant state of alarm. Back flow or back filtration is just something that happens due to the pressure dynamics in high flux dialysers like the F200. The only way to reduce it is with a high goal or a lower flux dialyser.

quote:

Originally posted by m micone:
I was dissappointed when a few comments made fun of a patient's questions. Yes this forum is intended for Techs, but it's not exclusive. Yes the patient could have posed his questions in one long breath, but maybe they're not familiar with the format.

Last week I asked a question re TMP, and of all the techs, a simple answer was lacking, to be kind. I'm a motivated patient cause I don't want the system to kill me. That's why I research and make changes in my tx. I was responsible for deducing that the advent of Renagel useage was resulting in lower CO2 levels for many patiients. I did the reseach, asked the hard questions, and demanded that our unit change to a higher yeild bicarb mix to compensate. Part of my overall info comes from reading your comments. so if a patient isn't up to your tech snuff, direct them to a different board, but do it nicely.

I've got a lot more to say, but I'd settle for a quick answer. I run on a Fres 2008H with an Optiflux 200nr. Pump speed 450, bp 135/82, a goal of 1500 over 4 hours. I never need to remove fluid, but the advice or folklore around here is that you need to remove 300cc hr for correct "fluid travel"
The TMP right now is +120. I will replace a total of 2000cc during tx in 400cc doses., how many cc per hour have to be removed to avoid backflow of the UF.

I think ORC said it best. However, to reply to what you said about the patient being made fun of: This patient has done nothing but start trouble on this board for sometime now and if you ask me, they had it coming. They are not new to the board and know the format, so that excuse gets tossed out the window. I understand and fully support a patient being involved with their treatment and continuing the pursuit of excellence in the renal field and their own personal life, but if you go back and read the patient's posts from the past you will see where all of our frustration comes from. This patient seems to only want to make everyone look bad and point out everyone's mistakes. I would consider the patient's questions legitimate if the alterior motive wasn't so blindingly obvious. Perhaps if you read them, you will see what I mean. I can also confidently say that I am not the only one that feels this way. For the record, I do not have a problem with patients (or anyone for that matter) posting legitimate questions for the purpose of extending their knowledge of the field. My problem is with someone attempting to cram their ridiculous rhetoric down my throat.