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kidneys are shutting down- (not me) - 8/16/2011 4:47:58 PM

pahunkboy

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From: Central Pennsylvania
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Ok-- so we have this friend... and her kidneys are shutting down. The DR has not cut her off of pain pills. Can someone explain this to me?

Pain pills affect more the liver- not the kidneys- I thought. I googled it and go in circles so I am asking here please.

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RE: kidneys are shutting down- (not me) - 8/16/2011 5:02:33 PM

WinsomeDefiance

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Probably because having your kidneys shut down hurts like hell and makes you sick as a dog. I'm sure its a tough call, to balance quality of life with the risks that many pain relievers bring, but such things are really the business of the patient and their doctor. Since you can't know what level of pain your friend is in, or what risks if any he/she is actually taking, all you can do is hope the best for them and try to respect their choices - even if you may think they aren't smart ones.

(in reply to pahunkboy)

Post #: 2

RE: kidneys are shutting down- (not me) - 8/16/2011 5:22:53 PM

pahunkboy

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From: Central Pennsylvania
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This is one of the neighbors... not the one I have dinner with. She is around my age 47. The DR called her boyfriend-- and asked him some blunt questions- possibly against HIIPA. He answered truthfully as he wants to help her. She is in the hospital now.

I dont talk to her much- but I do like her. I stay my distance because she IS dating the other neighbor, you understand.

She had a bad accident some time ago... and had been on pain pills.

I guess- from what I heard- she was on so many of them- she "barely knows who she is".

Her brother age 42 passed away last month in that same house. I get along fine with them- I sent my condolences.

Anyhow- she DOES have serious injury issues- but now she also has kidneys "shutting down", and the DR wont give her anymore of them.

She drinks alot of coffee and soda and smokes so heavily- I gagged on her back porch.

She is a nice lady- and does not deserve this.

I just did not think opiods affected the kidneys. Oh- we think that she obtained more pills when her brother passed away----- that had been his. Which does not make sense to me- because police come and pick up those rxs when someone dies locally.

(in reply to WinsomeDefiance)

Post #: 3

RE: kidneys are shutting down- (not me) - 8/16/2011 5:45:33 PM

Aylee

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quote:

ORIGINAL: pahunkboy

This is one of the neighbors... not the one I have dinner with. She is around my age 47. The DR called her boyfriend-- and asked him some blunt questions- possibly against HIIPA. He answered truthfully as he wants to help her. She is in the hospital now.

She may have put his name down on the consent form for people they can talk to. I have several on mine. So, unlikely to be a violation. Also, they can get information from him, they would just not be allowed to give it to him without this consent form.

Certain bacteria can cause kidneys to shut down.

She may have breathed in a toxin.

She could be dehydrated.

She could have a UTI that got out of control.

Hep B or or HIV.

Strep infection.

There are lots of things. A hospital is the best place for her right now.

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RE: kidneys are shutting down- (not me) - 8/16/2011 5:51:37 PM

TheShrew

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From: The state I live in? Confusion.
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quote:

ORIGINAL: pahunkboy
her kidneys are shutting down. The DR has not cut her off of pain pills. Can someone explain this to me?

ORIGINAL: pahunkboy
It depends on the med .. they can be filtered then excreted through the kidneys or liver
It's impossible to answer many questions you're going to have without a lot more information.
If her kidneys are crashing, he may have switched her to a med that can be processed through the liver.
If her kidneys are completely shot, then she's looking at dialysis and potentially transplant.
If she's an addict, drying her out isn't the first course of action.. stabilizing her condition is.
If she has other 'serious' injuries, that could be the cause of her kidney failure or at least be a contributing factor.
If not, the other injuries could be a factor in the Drs decision not to pull her meds.
If she's on the edge of gone then the meds are to make her comfortable.
I'm sorry, it's just impossible to give a solid answer.
.. I've never seen this happen ~> police come and pick up those rxs when someone dies locally.

ETA .. to remove medical terms & say I hope your friend gets better.

< Message edited by TheShrew -- 8/16/2011 6:00:55 PM >

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RE: kidneys are shutting down- (not me) - 8/16/2011 6:09:46 PM

Termyn8or

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Hunky, answer me one question (for now) has this person been on a low sodium diet for a long time ?

No detail, just answer the question for now.

T^T

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Post #: 6

RE: kidneys are shutting down- (not me) - 8/16/2011 6:09:47 PM

pahunkboy

Posts: 33061
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From: Central Pennsylvania
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quote:

ORIGINAL: Aylee

quote:

ORIGINAL: pahunkboy

This is one of the neighbors... not the one I have dinner with. She is around my age 47. The DR called her boyfriend-- and asked him some blunt questions- possibly against HIIPA. He answered truthfully as he wants to help her. She is in the hospital now.

She may have put his name down on the consent form for people they can talk to. I have several on mine. So, unlikely to be a violation. Also, they can get information from him, they would just not be allowed to give it to him without this consent form.

Certain bacteria can cause kidneys to shut down.

She may have breathed in a toxin.

She could be dehydrated.

She could have a UTI that got out of control.

Hep B or or HIV.

Strep infection.

There are lots of things. A hospital is the best place for her right now.

Yeah. That makes sense.

(in reply to Aylee)

Post #: 7

RE: kidneys are shutting down- (not me) - 8/16/2011 6:12:59 PM

DesFIP

Posts: 25191
Joined: 11/25/2007
From: Apple County NY
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Not to mention that if her kidneys aren't working, then she needs dialysis.

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Post #: 8

RE: kidneys are shutting down- (not me) - 8/16/2011 6:37:01 PM

pahunkboy

Posts: 33061
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From: Central Pennsylvania
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quote:

ORIGINAL: Termyn8or

Hunky, answer me one question (for now) has this person been on a low sodium diet for a long time ?

No detail, just answer the question for now.

T^T

I dont know. I never eat with her.

(in reply to Termyn8or)

Post #: 9

RE: kidneys are shutting down- (not me) - 8/16/2011 6:44:15 PM

Andryanna

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I'm curious about the low sodium diet

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Post #: 10

RE: kidneys are shutting down- (not me) - 8/16/2011 6:54:05 PM

ashjor911

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frrom what I know that kidneys are for filtering the blood from all excess stuff... suger, urine, water, & drugs.
so if they get shutdown, they are not functional anymore, your friend may accept to be hocked up for dialesis 5 hour/day at hosbital every day,

or you can get a doner if they match the boold test
My blood is B+ tell me if I was match.... we will talk about the price

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Post #: 11

RE: kidneys are shutting down- (not me) - 8/16/2011 6:55:51 PM

pahunkboy

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From: Central Pennsylvania
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It takes 5 hours a day to do dialysis?

(in reply to ashjor911)

Post #: 12

RE: kidneys are shutting down- (not me) - 8/16/2011 6:58:22 PM

littlewonder

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quote:

ORIGINAL: pahunkboy

It takes 5 hours a day to do dialysis?

or more

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Post #: 13

RE: kidneys are shutting down- (not me) - 8/16/2011 7:27:01 PM

Termyn8or

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"My blood is B+ tell me if I was match.... we will talk about the price "

Offering blood for sale like organs is illegal here. Not that I care, but that's how it is. My shit is O negative which is the most valuable on the planet. Too bad, not for sale at any price. I give it or not. What, I'm gonna drive over to Pennsylvania to give some to someone I don't know ? I don't think so.

But transfusions are worth shit, you would need them almost every day. Now I am not sure, but I am sure someone knows, if you DO go in for dialaysis for five hours you don't have to have it every day. I am not sure how often, but it's not every day. I do believe that certain drugs and diet plans can lessen the needed frequency for it as well, but I have never researched it. Others can say better.

People have the mistaken idea that kindeys and the liver filter out waste products and poisons. This is not true. These are needed substances in the body, they only become toxic when they do not go where they are suposed to go. These are enzymes etc. which are recycled, but they can't remain in the ailimentary tract. They come out into these glands and if processed correctly come back in to again facilitate the digestive process.

Dialysis doesn't quite do the jpb. It will remove the toxins, which didn't used to be toxins, but these enzymes are not put back where they need to be for life. This leads to digestive anomalities and therefore malabsorption diseases. It is not pretty.

And like with cihrrosis(sp) of the liver, that bile belongs in a certain part of the body, around the small intesinte. IT IS toxic when it is in other places, causing jaundice and shit.

These glandular diseases are among the most poorly recognized and treated in this country, and I think in other countries as well. Doctors are great at rebuilding your back, eyes and ears, even a few other things, but the endocrine system is not yet fully understood, and even less so by many doctors, unless they specialise in it. And MONEY caused that.

T^T

(in reply to ashjor911)

Post #: 14

RE: kidneys are shutting down- (not me) - 8/16/2011 7:28:21 PM

Hippiekinkster

Posts: 5512
Joined: 11/20/2007
From: Liechtenstein
Status: offline

quote:

ORIGINAL: TheShrew

quote:

ORIGINAL: pahunkboy
her kidneys are shutting down. The DR has not cut her off of pain pills. Can someone explain this to me?

ORIGINAL: pahunkboy
It depends on the med .. they can be filtered then excreted through the kidneys or liver
It's impossible to answer many questions you're going to have without a lot more information.
If her kidneys are crashing, he may have switched her to a med that can be processed through the liver.
If her kidneys are completely shot, then she's looking at dialysis and potentially transplant.
If she's an addict, drying her out isn't the first course of action.. stabilizing her condition is.
If she has other 'serious' injuries, that could be the cause of her kidney failure or at least be a contributing factor.
If not, the other injuries could be a factor in the Drs decision not to pull her meds.
If she's on the edge of gone then the meds are to make her comfortable.
I'm sorry, it's just impossible to give a solid answer.
.. I've never seen this happen ~> police come and pick up those rxs when someone dies locally.

ETA .. to remove medical terms & say I hope your friend gets better.

I don't know of any opioids that are NOT metabo;ized via the liver enzymes (which are also found in the intestinal tract, which is why grapefruit juice (bergamottin) is contraindicated with certain meds). AFAIK, all but codeine and possibly methadone (I'd have to check) are metabolized via the CYP3a4 family of polypeptides. I just had a bout with Rifampin, which, being an inducer of CYP3a4 enzymes, caused me to metabolize my oxy faster than normal, which caused me to "overtake" them, which got me bitched at by my pain doc.

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Post #: 15

RE: kidneys are shutting down- (not me) - 8/16/2011 7:31:51 PM

Termyn8or

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"caused me to metabolize my oxy faster than normal, which caused me to "overtake" them"

Despite what may have happened later, it sounds like you had a good time, at least for a little while.

T^T

(in reply to Hippiekinkster)

Post #: 16

RE: kidneys are shutting down- (not me) - 8/16/2011 7:34:49 PM

Hippiekinkster

Posts: 5512
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From: Liechtenstein
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quote:

ORIGINAL: Andryanna

I'm curious about the low sodium diet

Sodium, which is the most common cation in foods, causes an increase in both the specific gravity, and the osmotic pressure, of blood. In order to lower said properties, the body retains water. This causes both an increase in blood volume, and also blood pressure. To lower the blood pressure and blood volume, the kidneys have to excrete more sodium (and water), causing them to work overtime.

That's how I understand the process, anyway.

_____________________________

"We are convinced that freedom w/o Socialism is privilege and injustice, and that Socialism w/o freedom is slavery and brutality." Bakunin

“Nothing we do, however virtuous, can be accomplished alone; therefore we are saved by love.” Reinhold Ne

(in reply to Andryanna)

Post #: 17

RE: kidneys are shutting down- (not me) - 8/16/2011 7:44:09 PM

pahunkboy

Posts: 33061
Joined: 2/26/2006
From: Central Pennsylvania
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Can kidneys be bad- but the liver is fine?

She had been in a terrible car accident- 5 years ago.

(in reply to Hippiekinkster)

Post #: 18

RE: kidneys are shutting down- (not me) - 8/16/2011 7:47:57 PM

Hippiekinkster

Posts: 5512
Joined: 11/20/2007
From: Liechtenstein
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quote:

ORIGINAL: Termyn8or

"caused me to metabolize my oxy faster than normal, which caused me to "overtake" them"

Despite what may have happened later, it sounds like you had a good time, at least for a little while.

T^T

Actually, the reverse is the case. I had to take more to achieve the same level of analgesia. For a good time I pre-dose with cimetidine and grapefruit.

I have tickets to see Jerry Garcia.

_____________________________

"We are convinced that freedom w/o Socialism is privilege and injustice, and that Socialism w/o freedom is slavery and brutality." Bakunin

“Nothing we do, however virtuous, can be accomplished alone; therefore we are saved by love.” Reinhold Ne

(in reply to Termyn8or)

Post #: 19

RE: kidneys are shutting down- (not me) - 8/16/2011 7:50:32 PM

pahunkboy

Posts: 33061
Joined: 2/26/2006
From: Central Pennsylvania
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quote:

ORIGINAL: Hippiekinkster

quote:

ORIGINAL: Termyn8or

"caused me to metabolize my oxy faster than normal, which caused me to "overtake" them"

Despite what may have happened later, it sounds like you had a good time, at least for a little while.

T^T

Actually, the reverse is the case. I had to take more to achieve the same level of analgesia. For a good time I pre-dose with cimetidine and grapefruit.

I have tickets to see Jerry Garcia.

no way. how does that help? pre dose grapefruit

(in reply to Hippiekinkster)

Post #: 20

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