Couple Dialysis Related Things:

As previously scheduled, we had our Dialysis Team meeting this morning. During the meeting, it was decided that I would no longer be using IPN (yea!), that I did indeed up my phosphate binder in response to my phosphorus lab reading going up (I have), and that the team would move forward on getting a Fistula installed should I have/need to go on hemo.

I provided the team dietitian with my food intake for the last three + days, and she calculated my daily protein intake. My goal is 90 grams per day based on my dry weight. This past Tuesday, I came close to my goal at 87 grams, but not so much the other two days. She mentioned, somewhat tongue-in-cheek, that she expected me to provide the data already massaged by my favorite AI.

I wrote the following prompt for Perplexity with the stated results:

Prompt: Can I input my meals and ask for the total protein in table format?

Yes, meal input and total protein calculation in table format is fully supported. Please provide the details of each meal—including food items and approximate portions (e.g., grams, ounces, cups)—and a table will be provided.

To try Perplexity out, I ran the following data:

1/3 pound hamburger grilled Pattie on a large bun, 30-gram protein drink. Provide total protein consumed in table format.

1/3 pound hamburger grilled Pattie on a large bun, 30-gram protein drink. Provide total protein consumed in table format.

Here is a table summarizing the protein content for each item you provided, along with the total protein consumed:

Food ItemProtein (g)
1/3 pound hamburger patty (grilled)32
Large hamburger bun8
Protein drink (30 grams protein)30
Total Protein70
  • The hamburger patty (1/3 pound, cooked) typically provides about 32 grams of protein.
  • A large hamburger bun generally contains about 8 grams of protein.
  • The protein drink provides 30 grams, as stated.

Your total protein intake for this meal is approximately 70 grams.

Leg Cranps & Spinal Cord Stimulator

For the past week or so, I have been experiencing pretty bad leg cramps at night. Bad enough they wake me up, and on more than one occasion, I have to get up and walk around. Obviously, this is not a good thing.

The HDX team tends to call me every week or so to check in on how it’s going. I received such a call yesterday and related the leg cramp issue. It was suggested that I turn down the power/intensity of the treatment at night and see how it goes. This is easy enough to do using the iPhone app, which I did last night and experienced no cramps. While one night does not make a trend, it is a start in the right direction.

I spent about five hours yesterday troubleshooting my wife’s email issues. Recall, I have her set up using Thunderbird. It worked fine for years, then all of a sudden did not. I previously had her set up on a Gmail account, which she does not use. I set this account up to also use the account previously on Thunderbird, and got it to send and receive both accounts. The last thing I am working on is migrating all of her Thunderbird emails and contacts over to Gmail. I’m attempting to accomplish this with a piece of software, but I haven’t gotten it to work yet either. Good thing I have time on my hands.

One of our son’s business partners, who runs a construction company, is to stop by today and look at repairing our front door. Standby

Two Steps Back Day

I’m having one of those two steps back days when all around me things are breaking or need fixing. Some examples: I’m trying to intake more protein, so last night I started to cook hamburgers on the grill outside. The grill has never presented any problems, but last night, while it was lit, it was not heating up enough to cook the burgers. I was tired and it was late, so I brought them inside where we finished cooking them in our little oven. Luckily, they were precooked Angus burgers so all we had to do was essentially reheat them. I tore the grill down after checking for gas, which was ok, fired it up again, and it was good to go.

I’m keeping a log of all food intake for three days in prep for our dialysis team meeting on Thursday. During this meeting, the subject of discontinuing IPN will be at the forefront, and what to do in its demise. The team dietitian has requested the data on meals and provided me with a rich source of protein-rich foods for those of us on dialysis. This listing is provided below in PDF format.

My wife’s email stopped working all of a sudden. We use a source named bananic.com and “own” the domain names feeser.net, along with feeser.me. Our email addresses are our first names followed by feeser.net. Mine, running off of Gmail as a front end, never has any problems. I’m running hers out of Thunderbird, and therein lies the problem. I finally got the server settings tweaked so that she can receive emails, but not send them. I’ll keep plugging away at it.

My wife has several projects that she has brought to the fore as follows:

  1. Our front door leaks air around the top. We had a replacement door estimate, and it was $29,906. Ha to that. We have a builder friend of our son coming in tomorrow to do a look-see and possibly rehang the door or replace it.
  2. Our front porch is developing small cracks, and our driveway has several large ones. We are still seeking estimates to recoat both of these.
  3. We have funkey gates across the front of our single garage roll-up door because HOA restrictions in Pecan don’t allow garage doors to be seen from the street. The gates are sagging and need to be replaced.
  4. We have a brick extension installed off our back patio, which is starting to settle in places. We have the guy who installed them under contract to come back, remove the brick and necessary materials, and relevel the entire extension.

And that’s just a start!

Hobbies: Raising Tomatoes

Here in North Texas, we tend to have warm weather well into the Fall. I first planted tomato plants outside on Feb 28, and we had our first ripe tomato in May. The last of these tomatoes ripened in September, and I then pulled the plants.

About the sixth of September, I planted two new plant starts of the Roma variety. As I write this one month later, we have a nice-sized tomato on one of the plants that also has several additional blossoms.

It appears that we can safely double-crop tomatoes here in Pecan Plantation.

Dropping IPN

From left to right, the Albumin values are 3.2, 3.4, 3.5, 3.5, 3.2, and 3.4, being the most recent. The rationale for stopping IPN treatment should jump out of the above graph. When I started IPN on July 11, my nearest lab had albumin at 3.5. It was 3.5 in Aug, then 3.2 in Sep, with Oct 3.4, lower than when we started.

We are getting nowhere except expending lots of energy and funds.

Not a way to run a railroad. My dialysis nurse has asked me to stop by and has something else in a bottle for me to try, perhaps LiquaCel. This is what Perplexity has to say about this magic in a bottle:

LiquaCel is a liquid protein supplement composed mainly of hydrolyzed collagen. It provides 16 grams of high-quality liquid collagen protein and 2.5 grams of arginine per 1 oz serving. It is designed for individuals who have difficulty swallowing or digesting solid foods, such as renal, bariatric, wound healing, or dialysis patients. LiquaCel is available in various flavors and can be taken straight or mixed with beverages. It offers flexible administration options, including oral intake or via enteral feeding, and is beneficial for muscle preservation, wound healing, and addressing malnutrition. It is low in potassium and phosphorus, sugar and gluten-free, and has a moderately thick consistency according to IDDSI standards.mckinhealth+4

Here is the Amazon link to LiquaCel: https://www.amazon.com/LiquaCel-Concentrated-Protein-Packets-Variety/dp/B0B5FBQYTB/ref=sr_1_1?adgrpid=1330409643026272&dib=eyJ2IjoiMSJ9.bG4g9FjNJMC50cUJmxNeaC6Po09D6C9vGbbrh747JqYpcy1iKkvOZgEAombLa0dYJpmGhTNTQss-Ug3XjMcseOGHxBx95lg16eZ_VOBocstEilkbecjPBnKracOM2FzgYGp8Y4dBYz7HFqyTBTnerHi8uIDGrpzST0rF-eRRebJJatYnZ31nOz0Zl36QYW-FAJG1eJ1jswhm4R-ZR78QtvDDr4mssophSTIQ_G9iUtBs01hXYvXQdEFBDTWCAi5nMM7Fpx1Irt7NYnzufVpNOQU8hv0hofrHzLt8YiieiOY.EG-3Tm0RgAeQXHs18Mf_f6jhAc-fldYm77MYuWgyq6M&dib_tag=se&hvadid=83150841222992&hvbmt=bb&hvdev=c&hvlocphy=65300&hvnetw=o&hvqmt=b&hvtargid=kwd-83150967505093%3Aloc-190&hydadcr=21881_13321961&keywords=liquacel+protein+packets&mcid=c7f4f7c5fe9a32678d769519cd035607&msclkid=bf75e8d1ab9a1afd1bfb80336842c4c3&qid=1759691742&sr=8-1

Labs In

Most recent labs for October 2025 are in. My Albumin increased to 3.4 from 3.2. Since I am taking IPN with my dialysis, this is much less than expected. It has been bouncing around, up and down by 0.2. There is a very good chance that I will stop staking IPN in due course.

Another anomaly was Phosphate. Last month’s reading indicated that the trend was too low, so we reduced Velepro to one tab. This lab showed a big jump over the maximum, so I’m back on two tabs each morning.

The third reading of interest my A1c up to 5.4 from 4.7. This is a desired increase as both my nephrologist and GP suggest it could be higher.

Let The Good Times Roll

My health continues on the upswing. Pretty soon, at this rate, I will be as normal as can be expected given the condition my condition is in. Got all that on board?

My lab visit this morning consisted of recalling all my biometrics for the technician, covering my hands with a special ointment, then washing them, and finally examining them under a black light to identify any missed areas. There were a few places, especially around the wrinkles in my knuckles, but no biggies. Then a blood draw, and lastly a flu shot of this season’s expected variety.

Stopped on the way home at a Chinese place we frequent and brought home hot and sour soup for lunch. It was too much on the hot side, so did’t eat much of it.

Our former dog walker’s last day was Monday, but luckily, we found another, and she walked Dickens yesterday morning for us. I will take him for a golf cart ride this evening, so he will have two “outings” per our plan to do this at least three times a week.

Going to chill out to ride time. Meanwhile, Let The Good Times Roll!

Little More Dialysis & Spinal Cord Stimulator ++

Today, we are to host our dialysis nurse visiting our humble abode for an annual home check. Not certain what’s involved, but we are what we are. Not expecting any trials and tribulations from the visit. Will advise tomorrow when we have completed the visit. It’s annual BTW.

Keep hearing from the Spinal Cord people. I get frequent calls from their tech reps asking me how it’s going. They outfitted me with an iPhone SE with their app on it, which I update how I’m doing. The app also informs me how much battery I have left in the battery pack embedded in my back. It was activated on 9/17/25, and so far, after 12 days, it shows three of four bars. Regardless, I’m going to recharge it on Wednesday. It has an inductive recharger that looks like a small ping pong paddle, and a battery pack for juice. The HFX (what the device is named) has a video link on its web page that is very easy to follow.

Our new domestic showed up today as planned. My wife and I split up her five hours allotted time. I had her do yard work for me, and my wife has her busy with household chores.

We are rolling along, getting stronger each day. Rationalizing meds has helped me gobs and now I wake up with a clear mind and ready to rumble.

It’s Monday, but not Blue Monday

Before I even got out of bed Sunday, my wife informed me that we were making a “To Do List” first thing. That generally does not bode well for me, as often as not, she has some task in mind that I’d rather pass on. So this morning I beat her to the punch and made up my own To Do list as follows:

  1. Massague Linda’s legs – this was added first thing, and I didn’t mind.
  2. Take Dickens, our Golden Retriever, for a golf cart ride. On days when our dog walker is not scheduled, I generally take Dickens for a 20-minute cart ride around Pecan Plantation, which he really enjoys, in the mornings and evenings.
  3. After the ride, fuel the golf cart. I do that once a week. Takes 5.5 gal and topped up today.
  4. Check tire pressures on wife’s car. We recently had new tires installed, and according to the car’s tire pressure monitor system, all pressures were off. Not now.
  5. My wife has a stick vacuum cleaner; she does out tile floors with a Golden Retriever that produces gobs of hair. The brush was not going around was reported. I ran it on my workbench for some time without any difficulty, and also vacuumed floors, also no problem. So this one ended up as an open item.
  6. We have a local gal coming in today to work in the house and do some yard work for me, which I had to get ready for. I filled our wheelbarrow with bark mulch – 2 1/2 bags, and loaded a cart up with 2 bags of mulch/compost for use tomorrow. We’re going to place bark mulch around three new trees we have recently planted in the front yard and replace the mulch that has floated away in the rainstorms we have here in North Texas.
  7. We have a thornless rose that grows very, very rapidly and needs trimming almost weekly. I got the big Ryobi 40-volt trimmer out that we have and gave the bush a trimming.
  8. The last thing on my list is to watch the Ravens-Chiefs game at 3:25 PM. I’ll be ready to sit by then.

Meanwhile, I’m going out and clean the front bumper on our truck that I recently backed into and left a little evidence behind. Keep in mind, all of this was accomplished before lunch by an 86-year-old on dialysis with heart conditions, a spinal cord stimulator, and diabetes. Not too shabby, I would say. Now to the ball game and Dickens’ evening golf cart ride.

Fresenius Dialysis Cycler: A Mostly Hate Relationship

You would think that a central piece of equipment for dependable peritoneal dialysis would be the Liberty Cycler from Fresenius. I have not found this to be the case. In this regard, the Cycler, often as not, has a mind of its own. It does what it wants to do rather than what it’s supposed to do.

Last night was a case in point. I had two bags on the cycler, a six-liter IPN bag on the heater tray, and a 5-liter bag hanging on the left of the cart connected to the first “White” bag lead. I went through a normal setup until the Cycler ran checks for bags and repeatedly informed me it found no heater bag. Usually, this is caused by not having cracked the cone enough, and over and over again, I checked the cone being broken on both bags to no avail. I had to shut the cycler down, replace the bags and cassette, and start over. Of course, this was happening on a night when I had to get up early to go to Fort Worth for an appointment regarding my spinal cord stimulator.

After the reboot and replacement of bags and the cassette, everything worked as advertised. I’m pretty certain the cassette was to blame, as this has occurred before. It is from a freshly delivered box, and the first one out. This is one of those instances where a call to tech support would only have consumed precious time and not have resulted in a more harmonious result. In this regard, Fresensisus’ “tech support” is an oxymoron.

Typically, one has a love/hate relationship. Not here, only hate. What’s to love about an inanimate piece of junk that lets you down?

And yes, my visit to the doc about how my SCS is doing went well. Got “See you in a month!” guidance.

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