Monday and Tuesday show my dad's Creatinine level to high so he could not take the CHEMO so we are going to try again tomorrow. Three days in a row, 3 vials of blood. What does that mean:
Creatinine is mainly filtered by the kidney, though a small amount is actively secreted. There is little-to-no tubular reabsorption of creatinine. If the filtering of the kidney is deficient, blood levels rise. As a result, creatinine levels in blood and urine may be used to calculate the creatinine clearance(ClCr), which reflects the glomerular filtration rate (GFR). The GFR is clinically important because it is a measurement of renal function. However, in cases of severe renal dysfunction, the creatinine clearance rate will be "overestimated" because the active secretion of creatinine will account for a larger fraction of the total creatinine cleared. Ketoacids, cimetidine and trimethoprim reduce creatinine tubular secretion and therefore increase the accuracy of the GFR estimate, particularly in severe renal dysfunction. (In the absence of secretion, creatinine behaves like inulin.) - Thanks Wikipedia.com
So either this means my dad is not getting enough fluid or his kidney's are not doing a good job filtering Creatinine. That's the last thing I want to hear....I used to think the heart is the most important organ in the body but after studying A&P I think it's the kidneys. Once those start failing all is lost. So they gave my dad another night of fluid and I gave him 2 bottles of water in his tube today and I hope that helps. I just hope he is able to do the CHEMO tomorrow.
And after all that I had to ask my brother to move out of my parents house FOR MY MOM and that did not end pretty. I will spare you all the hurtful things my brother said to me so you won't hate him. He will someday realize the hurt he has caused and I hope he will be able to live with himself after he is clean and sober.
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