Hospital discharge letter

[gail2]

have just looked at my discharge letter and it says eGFR 67 m/min/1.73m2 and then goes on to say Mildly decreased GFR- Stage 2 CKD if kidney damage confirmed. The diagnosis of Stage 2 chronic kidney disease requires the presence of kidney damage for 3 months or greater, manifest by pathological abnormalities of the kidney, abnormalities in the composition of urine such as haematuria or proteinuria abnormalities in imaging tests

Is this something to be worried about ? I have gps appointment tomorrow will ask him

 

[Catwoman76]

have just looked at my discharge letter and it says eGFR 67 m/min/1.73m2 and then goes on to say Mildly decreased GFR- Stage 2 CKD if kidney damage confirmed. The diagnosis of Stage 2 chronic kidney disease requires the presence of kidney damage for 3 months or greater, manifest by pathological abnormalities of the kidney, abnormalities in the composition of urine such as haematuria or proteinuria abnormalities in imaging tests

Is this something to be worried about ? I have gps appointment tomorrow will ask him

Oh yes gail, definitley ask him and take the letter with you. Hope everything goes well tomorrow. I will be thinking of you. Sheena xxxx

 

[margie]

The diagnosis of Stage 2 chronic kidney disease requires the presence of kidney damage for 3 months or greater, manifest by pathological abnormalities of the kidney, abnormalities in the composition of urine such as haematuria or proteinuria abnormalities in imaging tests

I think this is saying that sometimes you can get results that are caused by other things, so they need to monitor you to check whether things return to normal. Its only if they don't that they need to do anything I don't know how serious it is and your Dr is a good place to start. As I said on the other thread but don't know if you saw it - ask whether you need additional antibiotics or tests because you don't seem to be able to shake that chest infection.

Your kidneys will be under a lot of strain at the moment because of your high sugar levels - and I think they are also involved in metabolising ketones - that may be contributing to the kidney problem - but that is just a guess - your Dr should be able to help - and really the staff at the hospital should have talked you through the diagnosis.

 

[everydayupsanddowns]

Hope you get good support/advice at the GP tomorrow Gail

 

[Caroline]

Good luck at the doctors, take the discharge letter with you and ask him.

 

[AlisonM]

I'd definitely ask the doctor to translate that.

 

[gail2]

docter said it was nothing to worry about at all as it was effected by one of my other levels
Panic over

 

[AJLang]

Hi Gail I'm really pleased that it was good news

 

[caroleann]

Hi Gail pleased to hear it was nothing to worry about.
carole

 

[Ellie Jones]

Hi Gail

Stage two isn't as drastic as it looks and/or sounds.

It is a problem that needs monitoring and addressing but the good news is it can be either held at that point or reserved.. And day to day you won't notice the effects of it..

There is verious methods that they can used to address, such as reducing the paitents blood presures, if your BP is in the normal range they will try to reduce to the lowest point possible that the patient can tollerate.. Maintaining blood glucose levels will obviously help the patient...

The will also use a 24 hour urine collection to determin how well the kidney's are filtering...

To give you a bit more reasurance before I went onto my insulin pump I was classed as being stage 3, pumping out proteinuria ambulium (sp) or the billies has I used to call them..

At stage 2 they had tried the BP tablets even though I had normal range BP, but I couldn't tollerate it lower very well, at times it would drop it slightly too low and I suffered from spin outs.. So stop taken them.. One of the reasons I ended up going up to stage 3..

I used to have to do the regular 24 hour urine test which used to be fun...

As it's one of those tests that as to be done ASAP after the collection, it can't have perservitives added, it can't be refridgated or left for any length of time etc.. So you time slot for getting it back to the hosptial for testing, meant Monday morning-Thursday morning which for me meant that as I worked full-time at some point of time I would be doing part of the collection in work😱:

The good news is that after going onto the insulin pump, I have turned all this around my kidneys have been able to natural repair and now have normal functioning kidneys, and it's been a while since I've had any proteinuria abnormalities.. I think I'm now classed as Stage 1!

It's sort of thing that on one hand yes you do need to take seriously but on the other hand not live in fear that you are either going to have renal failure or the damage is permement..

As your doctor said, they know what caused it, and it's a bleep that will recify itself..

 

[Northerner]

Good to hear it Gail, and thank you for your explanation Ellie 🙂

 

[trophywench]

And thank you Ellie from me too; I now know why a certain person I know had kidney failure ...... before they lost their sight ... tra la la .....

Please don't get me wrong but it's a sobering thought to be able to understand the ins and outs behind the 'horror stories' instead of just a generalised 'lack of control' description which is frustrating and just scares the pants off me - because exactly where is the dividing line between OK and bad? - and is more likely to keep me on the straight and narrow than any amount of photos of gangrenous appendages and dialysis machines! 🙂

 

[Mummyt]

The reply from Ellie was good Gail , just keep a check on your B/P and diabetes .
Unfortunately I an Stage 4 with Kidney Diesase, and have a rare condition , its bad yes , but they are very good at taking care of you and keeping real close eye on you too ....... Not completely all doom & gloom.
I hope you are continuing to feel good 😉
Hugs Mo xx