ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

Access to Access

Updated on August 5, 2012
AV Fistula on forearm
AV Fistula on forearm

Me and Dialysis

For those that have been following my posts you know that I lost my kidneys to Lupus Nephritis and that I am on dialysis. Dialysis is a form of kidney replacement; I lost the function of my kidneys and therefore required treatment three times a week.

The first thing I want to say is that dialysis is a substitute but no way like the real thing and that there are a few downers associated with it. The first is that you cannot travel as easily and as much as you would like and second you have to be very conscious of what you're eating and drinking. I do pretty well as I'm very careful with my fluid intake and monitor my numbers very carefully. As I said in an earlier post we must take control of our own health and be proactive about; so most people can't even tell I'm on dialysis.

I also take care of my fistula (the access created for treatment) so I don't have the huge bumps that are usually associated with people on dialysis. The access is very important for obvious reasons. It is very important to make sure that your not be stuck in the same place every time, that its clean and disinfected before every treatment and that you're watching for redness or extra pain; these can be signs of infection and because a vein is connected to an artery it can be life threatening.

AV Fistula

There are three forms of accesses in the world of dialysis first there is the permacath. This is a temporary catheter placed in the chest which accesses the large artery in the neck for dialysis, This type of catheter is used while and AV Catheter matures or graft is put in. This type of access is temporary as it puts a person at risk for infection and also the skin often breaks down from the foreign material (tubing) very quickly. Also, permacaths do not ensure proper dialysis as the blood has to be set to run very slowly due to its location. Generally blood flows should be from 400-600 (on the machine) depending on body mass. With catheters that is taken down to a bit over 300; that's 300 per hour compared to maybe 600 per hour, meaning 50% of the blood is getting cleaned.

The second type of access used is a graft. An Arteriovenous graft is used in approximately 25% of the dialysis population. It is better then a permacath as it decreases the risk of major infection. However, the graft can cause significant complications as it can easily develop clots as it is foreign material being placed in the body. AV grafts are created in those that have poor veins. Upon finding NO suitable veins to attach to an artery a vascular surgeon creates one using GORE-TEX (type of tubing) and

The last and first choice of all vascular surgeons is the Arteriovenous Fistula (AV Fistula); also referred to as the "gold standard". An AV Fistula minimizes the risk of infection and risk of clots since there is no foreign being used. It allows for a clean blood flow and though it requires maintenance it is much less problematic.

Arteriovenous Graft
Arteriovenous Graft


    0 of 8192 characters used
    Post Comment

    • profile image


      3 years ago

      Heh, as I recall there is a Creationist mueusm somewhere that has pictures of humans and dinosaurs living together. sadly I don't think Raquel Welsh is in any of them.

    • profile image


      3 years ago

      More and more, I think that's the point. People like Beck, Limbaugh, etc. don't actually aavndce conservative principles. they simply use those principles as packaging for a range of morbid fantasies.


    This website uses cookies

    As a user in the EEA, your approval is needed on a few things. To provide a better website experience, uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

    For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at:

    Show Details
    HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
    LoginThis is necessary to sign in to the HubPages Service.
    Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
    AkismetThis is used to detect comment spam. (Privacy Policy)
    HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
    HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
    Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
    CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
    Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the or domains, for performance and efficiency reasons. (Privacy Policy)
    Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
    Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
    Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
    Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
    Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
    VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
    PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
    Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
    MavenThis supports the Maven widget and search functionality. (Privacy Policy)
    Google AdSenseThis is an ad network. (Privacy Policy)
    Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
    Index ExchangeThis is an ad network. (Privacy Policy)
    SovrnThis is an ad network. (Privacy Policy)
    Facebook AdsThis is an ad network. (Privacy Policy)
    Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
    AppNexusThis is an ad network. (Privacy Policy)
    OpenxThis is an ad network. (Privacy Policy)
    Rubicon ProjectThis is an ad network. (Privacy Policy)
    TripleLiftThis is an ad network. (Privacy Policy)
    Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
    Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
    Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
    Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
    ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
    Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)