Parenting & Family

health problem for senior

  • Last Updated:
  • May 18th, 2017 8:29 am
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[OP]
Sr. Member
Nov 25, 2008
550 posts
6 upvotes

health problem for senior

Hi i recently posted about my 83 yrs old mother health problem ( she has vaginal bleeding, luckily Dr said it shows no cancer cell, but still unknown why she has bleeding)
(my father passed away over 1 year ago )

Another problem she has been having is very weak kidney function (only 10%)
But i just want to ask , in general, is it true that if senior chose to do dialysis , say for a few months, and then stop, the life span actually be even shorter than not even trying the dialysis?
(reason is that kidney became reliant on the machine, and not functioning as well as before , if dialysis stopped )

We did talk to social worker and Dr about opinion, but just want to ask about your personal experience (if your family has senior).

Thanks
TC
7 replies
Deal Addict
User avatar
Mar 23, 2008
3815 posts
1671 upvotes
Edmonton
My advice... Get a second medical opinion if you question the first one. Not getting advice from an anonymous internet forum that isn't nephrology or even medical related.

C
Deal Addict
Aug 19, 2013
2361 posts
930 upvotes
Agreed. You need to stop coming here for medical advice. If you don't want to rely on what your doctor has said then go and get a second opinion.
Sr. Member
Jan 2, 2015
925 posts
315 upvotes
My family is different from yours and everyone else's. As others have said, it really would be in the best interest to get a second opinion.
On a 'smart' device that isn't always so smart. So please forgive the autocorrects and typos.
Deal Addict
User avatar
Dec 27, 2009
3170 posts
1164 upvotes
Ottawa, ON
I agree with others - this is not the place for medical advice. As for your question, I don't think you normally stop dialysis? Depends on the reason the kidneys are shutting down I guess. Once you are on dialysis, I thought you are usually on it permanently or until you get a donor kidney (not happening at 83 years old). An exception could be a temporary lack of kidney function due to trauma or something like that.
Deal Fanatic
Sep 16, 2004
6617 posts
664 upvotes
Toronto
A simple goggle search shows that there are various cancers of different parts of that area of a woman's anatomy.
and more so, many reasons beside cancer, for the bleeding.

http://symptomchecker.webmd.com/multipl ... %7C35%7C35

Cancer cannot be ruled out until all parts are checked out.
The fact that the kidney is failing may be another cause.
Based on your Mom's age she has lived a long life.
Things will get worst faster than better with any ailment especially one with kidney failure.
Even women in their teens may have these symptoms as well as cancer though.
People half your Mom's age die from kidney failure and inability to get get regular dialysis due to financial reasons or other.
I agree with getting a second opinion as all doctors are not created equal here in Canada.
Be it in competence,attitude, perseverance,caring for all equally etc.
Best of luck.
Member
Aug 7, 2014
277 posts
73 upvotes
I note that you are concerned about your mother.

As I have had numerous health issues and once made the mistake to rely on the wrong opinion of my family doctor to do nothing that later resulted in my advanced cancer, here are my question and suggestions to you:

1) Is the doctor u talked to just a general family doctor? If so, ask that doctor to refer your mom to see a medical specialist. If that doctor is already a medical specialist, ask for a 2nd opinion from another specialist, from the rating website below.

2) Go the www.ratemds.com, and find the reviews of medical specialists in your city, and ask your mother's family doctor to refer her to see a particular specialist. I generally gave my family doctor the names of two preferred medical specialists in case one does not accept new patients.

3) Be proactive, google your mom's health issues in some reputable websites, and ask questions to your doctors.

In your mother's case, she may need to consult a gynecologist for vagina bleeding, and a nephrologist for kidney issues.

Good luck.
----------

A gynecologist (medical practice dealing with the health of the female reproductive systems (vagina, uterus, and ovaries) and the breasts)

TOP GYNECOLOGIST IN OTTAWA
https://www.ratemds.com/best-doctors/on ... ist-obgyn/

A nephrologist is a medical doctor who specializes in kidney care and treating diseases of the kidneys. The term nephrologist comes from the Greek word “nephros”, which means kidney or renal and “ologist” refers to someone who studies. Nephrologists are also called kidney doctors.

TOP NEPHROLOGISTS IN OTTAWA
https://www.ratemds.com/best-doctors/on ... st-kidney/
Deal Fanatic
User avatar
Jun 15, 2012
9339 posts
3519 upvotes
Southern Ontario
love0715 wrote:
May 9th, 2017 11:51 am
Hi i recently posted about my 83 yrs old mother health problem ( she has vaginal bleeding, luckily Dr said it shows no cancer cell, but still unknown why she has bleeding)
(my father passed away over 1 year ago )

Another problem she has been having is very weak kidney function (only 10%)
But i just want to ask , in general, is it true that if senior chose to do dialysis , say for a few months, and then stop, the life span actually be even shorter than not even trying the dialysis?
(reason is that kidney became reliant on the machine, and not functioning as well as before , if dialysis stopped )

We did talk to social worker and Dr about opinion, but just want to ask about your personal experience (if your family has senior).

Thanks
TC
Chronic renal failure is an irreversible process, kidneys do not regenerate, at 10% or less, she is eventually going to require dialysis to survive. People her age are not commonly transplant candidates.
She should start it and the regimen of spending 4-5h at a clinic (3-4h of those directly connected to a machine) 3x/week will have her feeling better. Her anemia will be managed and so will her renal medications by a nurse practitioner who will see her regularly, monitor her bloodwork, and correct all the other imbalances caused by CRF.
She will be put on a renal diet. As a result, you may be adding years to her life barring any other co-morbidities affecting her lifespan.

People her age often do not undergo fistula creation, she will likely have a central venous catheter inserted permanently near her heart (simple procedure) for the dialysis access.
Image

To answer your question, if she starts and stops, it will not shorten her life vs not starting at all. In fact, if you let this go, it is a slow death as her blood values get further and further away from normal. She will get more confused, weak, and her skin will get itchy from urea buildup. The most critical situation for someone in renal failure is a high potassium which can cause heart irregularities and cardiac arrest.

The only patients who typically stop dialysis by choice are ones who become palliative, and to continue just prolongs suffering because they are already imminently dying from something else.

I should add there are 2 main kinds of dialysis and your mother may be able to do either of them at home if she fits the criteria. It is a training process over several months and bridged into the home, sometimes with PSW support depending on your kidney program. I have been talking about hemodialysis, there is also a less effective gentler peritoneal dialysis through a stomach tube that does not involve blood and technically does not require a machine but often people use one overnight to make it an automated process. Your nephrologist will offer the appropriate one and you should be discussing further questions with that professional.

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