Tag: FMS (Page 2 of 50)

Money, Markets and Dialysis Team Meeting

First up, results of yesterday’s dialysis team meeting. On all three lab results I previously commented about bringing up during this meeting, the results indicated in my blog are the same. That is to say, the results of Albumin going down to 3.2 from 3.5 while taking IPN are conflicting, and it was implicit that after a couple of more months with no improvement in this area, it is on the table to discontinue IPN. The second area, Kt/V going up resulted in an agreement that we would continue to watch this adequacy value for a couple more months and not move forward at this time with the installation of a fistula. The third and last lab area was my phosphorus being at the lower bound. It was agreed that I would cut the binder back to one pill vice two at breakfast.

With my background in the US Navy involving engaging all things with missiles, it is natural that I have an interest in drone warfare. I have been reading most of the available stories of how drones are being deployed, how Ukraine is assembling its own, and how we just dumped billions into this area through the Big Beautiful Bill. I decided it’s time to get off the sidelines and invest in US companies that are involved in one aspect or another of drones for the military.

Sitting here with a blank sheet of paper, I first ascertained the players in this basket of companies, then instructed Perplexity to rank order them with the following results:

Here is a ranked table of the cited drone sector companies, integrating “efficacy as an investment” for a private investor with $10,000. The ranking considers product significance for modern conflict, company momentum, and market standing (as of 2025), and exposure to pure-play versus diversified defense. A higher rank means a higher recommended portfolio weighting, although diversification helps lower risk.

RankTickerCompany NameDrone/Defense ProductsInvestment Efficacy (2025 rationale)Example Allocation
1AVAVAeroVironmentSwitchblade tactical drones, P550 eVTOL UAS, LOCUST laser C-UASMajor pure-play military drone supplier, strong US/ally contracts, innovative laser/C-UAS; high warfighting relevance$2,000
2KTOSKratos DefenseXQ-58A Valkyrie stealth combat drones, target dronesLeader in cost-effective loyal wingman/attritable combat UAVs; strong DOD interest, scalable manufacturing$1,700
3DRSLeonardo DRSCounter-UAS (C-UAS) laser and kinetic defense systems, maritime C-UASAdvanced multi-layer C-UAS for mobile, ground, maritime; essential for counter-drone, growing need$1,500
4RCATRed Cat HoldingsDefensive drones, tactical parachute-delivery drones, AI softwareLarge-cap, top-tier counter-drone and drone component supplier, diversified$1,100
5LHXL3Harris TechnologiesCounter-drone sensors, comms, guidance & payloadsLarge cap, top-tier counter-drone and drone component supplier, diversified$1,000
6ONDSOndas HoldingsDrone autonomy, comms, industrial/military systemsMid-cap, key infrastructural enabler for drone networks$850
7AIROAIRO Group HoldingsMilitary-grade autonomous dronesProminent new IPO, high-growth, riskier, notable US government contracts$700
8UMACUnusual MachinesEngines for military and commercial dronesNiche player, pure-play, less liquidity, high risk-reward$500
9DPRODraganfly IncPublic safety/medical drones, tactical/rescue dronesPure-play, expanding into defense, smallest cap$350
10NOC/BA/LMTNorthrop Grumman, Boeing, Lockheed MartinStrategic drones, Loyal Wingman, integration, systemsLower volatility, drones part of diversified product mix, suitable for conservative exposure$1,300 combined

I narrowed this list down to companies that appealed to me because of their product, market(s), and closeness to being a startup. For the four stocks shown below, less than a week ago, I bought 100 shares in each. Here’s where they stand now:

Since purchasing into the military drone market less than a week ago, here’s where I stand with the four stocks I bought:

1. AIRO up $99.22/5.28%

2. ONDS up $85.00/15.57%

3. RCAT up $234.01/26.73%

4. UMAC up $107.42/10.88%

Total gain in less than a week: $525.65. This is approaching something other than chump-change. (Nothing here is meant to be advice concerning investments. I’m just a guy with a computer and AI by my side. You, the public, are on your own in this regard.)

Been Busy

Yesterday was one of those days with lots going on.

It started with our dog walker taking our Golden Retriever, Dickens, for an hour-long walk. She found a job in Nashville in the music industry and will be leaving us at the end of September, so we’re in the market for a replacement. Yesterday was also order day for Fresensis supplies, so I put in an order online. Yesterday, the PenTec IPN supplies arrived a day late with no explanation of the lateness. These supplies are a real PITH to deal with! I had ordered new tires for my wife’s BMW 330xi and was informed they were in, so I had them installed. BTW, here 2023 XI only has 27+K on it. Seems early for new tires, but here old tires were down to the tread wear indicators. In the evening, I cleaned the rims on the BMW, took Dickens for a golf cart ride, and did a little weeding in our many flower beds. I also watered the two Roma tomato plants that went in the ground on Monday in an attempt to see if we can get another tomato crop here in North Texas. I bought four stocks to get into the exploding military drone game, and sold four others that were underperforming.

Thought I’d share some stats about blog traffic. Below are two screen grabs. The first indicated the top ten countries that have visited the site. The second shows traffic for September, with the peak being 77 page views and yesterday being 37.

Cost to Me of IPN Treatment

Since I just paid the August 2025 bill from PenTec Health of their August 2025 billings, I thought it might be enlightening to share it with you. The actual bill is included as a PDF below with my Medicare credentials blotted out. You can see that our out-of-pocket cost for August on IPN was $1137.13. Let’s do a little math:

  1. In August 25, there were four Tuesdays, the day we receive shipments.
  2. Pentec delivered seven IPN treatments, each delivery, on average
  3. Total IPNs August = 4×7-28
  4. Our August billing/cost = $1137.13
  5. Cost/IPN = 1137.13/28 = $40.61/bag.

For comparison, filet mignon is about $22.00 per pound. So we could almost buy two pounds of filet for daily consumption compared to what the daily IPN is costing us. What’s wrong with this picture?

Labs: They Are What They Are

One of the data points we must face at least once a month and every quarter is the results of our labs. They are an unbiased look into what’s going on with our systems. I am always extremely honest about them and in no way attempt to alter the results. They are what they are.

Last week, we accomplished an Adequacy Test, which resulted in a Kt/V measurement that I have reported in depth on in previous blogs. See below for my most recent results. They are a bit complex. My Kt/V was on a downward trend, leading to my dialysis nurse recommending we start prep for the installation of a Fistula before switching over to hemo dialysis. As you can ascertain from the graph below, with a Kt/V of 1.99 (Fresensis rounds this to 2), the current reading is acceptable. It will be a point of discussion for our team meeting on Thursday.

The second point of discussion with the team is my Albumin reading. I am replacing one of the two main bags on the Cycler with a bag that has been infused with protein with the understanding that such action, at my expense by the way, will improved this reading, in due course. We are now in at least the second month of using an IPN infusion and the readings are going the wrong direction, down from two months of 3.5 to the current reading. See the specific lab result for Albumin below.

The third and last lab reading that IMHO is worthy of note is that of Phosphorous which has fallen from mid-range to on the cusp of being too low at 3.0; it is at the lower acceptable boundary. I take two Velphoro tabs with my breakfast each day to bind this element. Perhaps we should back off to one tab to bring it back up?

The remainder of the labs, to me, are consistent with prior results.

To leave you with something to remember, below is the song Elvira by The Oak Ridge Boys. Get your stomp on!

Vein Mapping: The Precursor to Fistula Prep

Jumble of thoughts for Friday’s blog.

Yesterday, bright and early, we showed up at our local hospital in Granbury, TX, for my vein mapping appointment, the first step in having a Fistula installed in my arm.

An AV fistula is a direct surgical connection between an artery and a vein, most commonly created in the arm for long-term hemodialysis access in patients with end-stage renal disease (ESRD), also known as kidney failure. Its primary counterpart is the AV graft, which uses a synthetic tube to connect the artery and vein when native vessels are unsuitable.clevelandclinic+3 Research has indicated that, if possible, the AV fistula is superior to the AV graft, so that’s what I’m hoping my arm will support.

The napping took about 12-13 minutes per arm. The tech used a sonic device, like what’s used to look inside pregnant women to look at their pre-birth child/children. She made notes from time to time on the resulting echogram. Toward the end, she asked me if I was diabetic, to which I responded in the affirmative. I asked her why she asked, and she stated that it was apparent from the procedure that I was.

For those who would like to know more about this procedure, here’s what Perplexity provided:

Vein mapping is a key, painless preparation procedure before surgically installing an arteriovenous (AV) fistula for dialysis. It utilizes ultrasound imaging to evaluate veins and arteries in the arms, guiding the surgeon to the optimal site for fistula creation, thereby improving the likelihood of successful and long-lasting dialysis access.

Purpose of Vein Mapping

  • Assesses veins and arteries in the arm to determine if they are suitable for fistula creation.
  • Helps the surgical team select veins that are large enough and have optimal blood flow for a successful AV fistula.
  • Reduces the risk of early fistula failure, infection, or post-surgical complications.

The Mapping Procedure

  • Vein mapping is performed using an ultrasound (often a Doppler ultrasound), which sends sound waves to visualize the arm’s blood vessels.
  • The scan typically takes about 45 minutes to an hour and is painless, without the need for anesthesia or recovery time.
  • A digital map of the veins and arteries is produced, showing their size, depth, and blood flow.
  • This information is used by the surgeon to choose the optimal location to place the AV fistula and to predict potential challenges that might arise during surgery.

Benefits and Outcomes

  • Studies show preoperative vein mapping is associated with a higher rate of successful AV fistula creation, especially in the forearm, compared to procedures without mapping.
  • Mapping helps avoid less preferred options like graft placements if a healthy vein is available.
  • Patients with preoperative vein mapping have improved outcomes, including higher rates of access patency (long-lasting functionality) and fewer secondary interventions.

Practical Considerations

  • Vein mapping is especially helpful for patients with a history of vascular problems or those at higher risk of complications.
  • The procedure is non-invasive, convenient, and can be completed in an outpatient vascular lab setting.
  • Results guide both patients and surgeons in planning and optimizing the fistula creation procedure for hemodialysis.

In summary, vein mapping is a simple, effective way to maximize the chances of a successful and durable AV fistula, improving dialysis outcomes and reducing complications.

I’ve embedded a video below to explain the results of the required change of events leading to hemodialysis.





Peritoneal to Hemo Dialysis In the Cards

In the past few blogs, I have discussed in depth the concept of GRIT, which yesterday came home to roost. My dialysis nurse informed me that we are on the cusp of shifting over to home-hemo. Seems my peritoneal is no longer doing the job it once accomplished as indicated by decreasing Kt/v. Also, my kidneys are crapping out as indicated by the decreasing amount of urine collected for adequacy tests. This could have been mitigated to some extent by using a 2.5% solution for the adequacy tests, but I know I’m producing even less urine, a couple of drizzles per day. So it’s time to man up and excel at new challenges in the future with GRIT.

Here is the text of what and how I was informed:

“While I did note a slight decrease in your urine output, the change is not substantial. In June, you brought in 80 mL, and at your most recent visit, I measured 60 mL. Both of these volumes are below the threshold we use for adequacy calculations and are therefore considered as “zero” in our assessment. That said, I remain hopeful that your results will still meet adequacy requirements.

Additionally, I noticed that you brought in a slightly greater volume of peritoneal dialysis (PD) fluid this time, which is also encouraging and may contribute positively to your overall results.

However, I believe it is an appropriate time to begin discussions about establishing a permanent vascular access for hemodialysis. I know how thoroughly you approach medical decisions, and I encourage you—if you haven’t already—to begin researching arteriovenous (AV) fistulas and AV grafts.

The AV fistula is considered the gold standard for hemodialysis access due to its long-term reliability and lower risk of infection. Still, not all patients’ blood vessels are suitable for fistula creation, in which case an AV graft may be a more appropriate option. It’s important to note that a fistula often requires 3–4 months to mature before it can be used effectively, which is why beginning the process now is prudent.

Our first step would be to schedule a vein mapping ultrasound, which evaluates the size and condition of your veins and arteries. These results are then reviewed by a vascular surgeon, who will meet with you to discuss the best access option and plan for surgery accordingly. Because these appointments and procedures can take time to coordinate, I recommend we begin initiating the process soon.

Please feel free to reach out with any questions or concerns. I’d be happy to talk through any part of this in more detail. Let me know your thoughts.”

And here’s my response:

“Start the ball rolling aka bring it on. It is what it is. We’ll do our best to excel at this challenge also.”

Uodate: Vein mapping appointment in progress. Step one.

Update2: Scan this morning at 0900.

Hypothesis: Military “People” Achieve Better Dialysis Results Through GRIT

In the past couple of blogs, I have developed the concept of GRIT, first as it applies to people like myself on Peritoneal Dialysis, then the background of the situation I faced in the military, which I posit enhanced the concept in me. In this last blog about the concept of GRIT, we will delve into the title, which addresses the Hypothesis: People with military training and experience are positioned to achieve better dialysis results than their civilian counterparts, all else being equal.

To address this hypothesis, I turned to Perplexity with the following Prompt and results:

Prompt: Do military personnel, through training and facing the enemy, have more grit than civilians?

Military personnel who undergo training and face enemy situations tend to exhibit higher levels of grit and psychological resilience compared to civilians, especially those without similar endurance training or exposure to adversity.pjpr.scione+2

Grit and Military Training

  • Military training is specifically designed to push individuals beyond their comfort zones through deliberate practice, endurance tasks, and facing realistic stressors, often fostering higher grit, which is defined as sustained passion and perseverance toward long-term goals.pmc.ncbi.nlm.nih+2
  • Studies show that military trainees with higher grit scores are more likely to complete challenging courses, such as special operations selection, than those with lower grit.havokjournal
  • Grit can be cultivated through exposure to adversity and repeated, goal-driven practice, which is central to military environments but less so in typical civilian life.gritmilitarygym+1

Resilience and Psychological Well-Being

  • Research comparing military personnel (with endurance training) and civilians (with none) finds that service members score higher on psychological well-being and often display more adaptive emotional regulation under stress.onlinelibrary.wiley+1
  • While raw resilience scores (the ability to bounce back from hardship) may not always differ significantly, the way resilience translates into effective coping and well-being is generally more pronounced in the military group.pjpr.scione
  • Military environments promote collective resilience through teamwork, strict discipline, and a shared sense of purpose, contributing to grit and the capacity to face adversity.gritmilitarygym+1

Civilian and Military Comparison

  • Civilians typically have higher expressive suppression (hiding feelings), potentially due to fewer structured challenges or less need for overt emotional regulation in routine life.pjpr.scione
  • Military personnel’s frequent exposure to controlled adversity and high-stress simulations enhances grit and moral competence, critical in mission success and facing real-world adversities.pmc.ncbi.nlm.nih+1
  • However, individual differences exist, and not all military or civilian individuals respond identically to adversity; both nature and nurture contribute to grit development.havokjournal

In summary, rigorous military training and facing enemy threats generally foster greater grit and resilience in military personnel compared to civilians, particularly those not exposed to comparable levels of adversity or structured endurance challenges.pmc.ncbi.nlm.nih+2

  1. https://pjpr.scione.com/newfiles/pjpr.scione.com/22/22-PJPR_1_1.pdf
  2. https://pmc.ncbi.nlm.nih.gov/articles/PMC10013315/
  3. https://havokjournal.com/culture/military/grit-a-necessary-trait-to-ensure-success-in-future-operating-environments/
  4. https://gritmilitarygym.com/behind-the-barracks-how-military-training-differs-from-everyday-workouts/
  5. https://onlinelibrary.wiley.com/doi/full/10.1002/smi.3343
  6. https://pmc.ncbi.nlm.nih.gov/articles/PMC11407409/
  7. https://search.proquest.com/openview/bc15e6c8d7b5c6b9358b680cd65e4adf/1?pq-origsite=gscholar&cbl=18750&diss=y
  8. https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1249&context=select-program
  9. https://onlinelibrary.wiley.com/doi/10.1002/smi.3271
  10. https://news.va.gov/1474/the-civilian-veteran-gap-widens-further/

Based on the above research, it is evident that the hypothesis is valid. Here are some points to consider that are often overlooked. Military experience changes individuals in many ways, and I suggest it is GRiT, which is ingrained in their being through training and experience.

1. Discipline and Routine

Military training instills a strong sense of discipline, which can translate into a structured approach to managing health. This discipline helps patients adhere to dialysis schedules and treatment protocols, enhancing their likelihood of positive outcomes.

2. Mental Fortitude

Service members often develop resilience in the face of adversity. This mental toughness can help them cope with the physical and emotional challenges of dialysis, allowing them to persist through tough treatments and maintain a positive outlook.

3. Problem-Solving Skills

Military training emphasizes critical thinking and quick decision-making. This skill set can enable patients to navigate the complexities of their treatment plans, troubleshoot issues, and advocate for their needs more effectively.

4. Support Networks

Veterans typically have strong camaraderie with fellow service members, which can foster a robust support network. This community can provide emotional and practical support during the dialysis process, contributing to better psychological well-being and adherence to treatment.

5. Goal-Oriented Mindset

Military personnel are trained to set and achieve goals. This goal-oriented approach can motivate dialysis patients to focus on their health objectives, such as improving their overall well-being or preparing for a transplant.

6. Adaptability

The military environment often requires individuals to adapt to rapidly changing situations. This adaptability can help patients adjust their lifestyles and coping strategies in response to the challenges posed by dialysis.

7. Coping Mechanisms

Service members are trained to handle stress and trauma, which can enhance their ability to cope with the emotional aspects of chronic illness. This can lead to improved mental health, reducing anxiety and depression commonly associated with dialysis.

8. Advocacy and Empowerment

Veterans are often well-versed in navigating systems and advocating for their needs. This empowerment can translate to proactive engagement in their healthcare, leading to better communication with healthcare providers and improved treatment outcomes.

Conclusion

Overall, the combination of discipline, resilience, support systems, and a goal-oriented mindset associated with military backgrounds can significantly enhance grit in dialysis patients. This grit not only helps them endure the rigors of treatment but also improves their overall health outcomes.

How My Life’s Experience Developed MY Grit

While many experiences in life add to a person’s grit profile, I am going to relate a handful that I know were very influential in my personal life.

Let’s start with how and why I joined the US Navy in the first place. My parents were lower-middle-class and both blue-collar workers without the advantage of even a high school education. As a result, when it came time for me to consider going to college, it was preordained that I would have to work my way through college.

I first attended what was then New Mexico A&M with the thought in mind of going to school for a semester, then working at the White Sands Proving Grounds in a program A&M sponsored for engineering majors. While this program sounded good from afar, I soon learned that the compensation while co-oping was not nearly enough to support oneself, let alone meet the expenses of enrolling in their Mechanical Engineering program. After one semester, I transferred to Wittenberg University in my hometown, which had a program in engineering linked to Case Institute in Cleveland, Ohio. To pull this off, I had to work full-time, which I did as a gas station attendant on the evening shift, some 4 PM to 11 PM at Joe’s Sunoco. After a semester and a half of being a full-time pre-engineering student and working full-time, but making passing grades, my parents suggested I join the military, and when I finished my tour, they would be able to help me out.

A little over three years into a four-year tour in the Navy, my father suddenly died, and all bets of any help were null and void. As luck would have it, almost in concert with my father’s death, the Navy instigated a program wherein if you passed a test that was more difficult than describable, you would be selected to attend either Purdue University or the University of Washington. I made it through all the barriers and received my third choice of a major and school, Electrical Engineering at Purdue University, where in four years I obtained a BS & MSEE with Distinction.

As you can see, I had many opportunities to pack it in, but didn’t. While not having the deep pockets that many parents have, my parents instilled in me the many advantages of education, so I pressed on. This is one of the many ways life’s experiences contributed to my grit.

Here’s another instance. After joining the Navy, I was shipped off to boot camp in San Diego, CA. It was early Spring and seemed to rain all the time. We had one bucket of water in which to wash and rinse our clothes, and had to hang them out to dry using clothes stops (short pieces of line) with military precision. We had to accomplish this task daily, in rain or shine. Many times we hung our clothes in the rain, took them down in the rain, and wore them wet. When a recruit bitched to our Company Petty Officer, a whizened Chief Bosanmate named Crocker, he replied, “Sympathy is between Shit and Syphillis in the dictionary, and that’s where you are.” In other words, man up. Griping is not going to change things. You’re in the Navy now. Deal with it. His quip is still with me, and I often think back when life gets a little out of hand, what Chief Crocker would say about it.

Here’s a third instance. While stationed aboard the USS Long Beach CG(n)-9, I was at one point the Talos Fire Control Officer, responsible for all the computers, radars, and display equipment that were involved in engaging N. Vietnamese aircraft and, in particular, MiGs. We were the first US ship to actually shoot down several MiGs. Up until we arrived in the Gulf of Tonkin, it had been strictly an air war, and we provided a new deterrent to the combat picture. I was at the same time the Senior Watch Officer, which meant that I was a bridge watch stander and responsible for the training of all junior officers standing watch on the bridge. Along with all of this, I was also the Weapons Liaison Officer, the person operating between weapons in one ear and control in the other. As a result, the Captain wanted me in the ship’s Decision and Control area when MIGs were up, and we were presented the opportunity to go after them. He set me up so I stood watch on the bridge driving the ship from midnight until four in the morning, and stood watches from noon to four in Decision and Control. Now MIGs didn’t know or care when I was on watch, so they came up in the late afternoon and stayed just out of engagement range and otherwise dilled dalled around, so I never got off watch at four, more like six. This took place for sixty days at a time, during which I NEVER got more than four hours of sleep at a time. This effort over a nine-month period taught me resilience like no other situation could have. I learned how to pace myself, concentrate on what’s important, and above all else, to approach any situation with GRIT foremost in mind. Who needs sleep? Not a Lieutenant in a nasty war zone involved in why he is there, shooting down enemy aircraft that were only there to harm our troops. BTW, as a result of my performance in this and other combat operations, I was promoted two full years early.

One more: Along the way, as a senior Lt Commander, I was told that I was diabetic, which in normal circumstances is a career-ending ailment. Rather than acquiesce to the disease, I started running, modified my diet, and changed my lifestyle. In due course, I was found to be physically fit for any duty anywhere. I pushed myself to overcome this shortfall while on active duty. This took more GRIT than I can describe and is yet another instance where real obstacles can be overcome if one sets their mind to the task at hand. Yes, diabetes eventually won, and I am on dialysis now, but hey, I’m alive and still enjoying life.

GRIT got me here.

Grit

Grit

For the next several blogs, I will delve into the four-letter word GRIT, exploring what it is, how it is developed, if at all, and how and why military-trained personnel are better equipped with it. The initial blog will relate how it affects those of us on dialysis and how it contributes to our successful treatment.


Grit: The Essential Trait for Success in Peritoneal Dialysis

Living with kidney failure and choosing peritoneal dialysis (PD) is no small decision. Unlike in-center hemodialysis, PD gives patients freedom, independence, and flexibility, but it also demands personal responsibility, discipline, and resilience. While medical knowledge, proper training, and support systems are vital, one quality often determines whether a patient thrives on PD—grit.

At its core, grit is the combination of perseverance and passion in pursuit of long-term goals. It’s about sticking with something even when challenges pile up, setbacks occur, and progress feels slow. For someone on peritoneal dialysis, this character trait is not optional—it’s essential.

Daily Commitment in Peritoneal Dialysis
Peritoneal dialysis is not a once-in-a-while treatment; it becomes a part of daily life. Patients must set up sterile environments, follow very specific procedures, and maintain rigorous schedules, often every single day. This consistency requires commitment when motivation runs low or when physical fatigue sets in. Grit helps patients push beyond the initial overwhelm of learning the process and turn it into a disciplined routine that safeguards their health.

Overcoming Difficulties and Setbacks
Even the most dedicated patients encounter obstacles: occasional infections, equipment problems, or travel restrictions. These moments test mental strength and patience. A person fueled by grit approaches setbacks with problem-solving determination instead of resignation. Instead of thinking, “This is too hard,” a gritty mindset reframes the challenge as, “This is difficult, but I will find a way to make it work.” That resilience can be the difference between success on PD and feeling forced to switch to another treatment option.

The Role of Passion and Purpose
Grit isn’t only about endurance—it’s also about passion. Patients who connect PD with a personal purpose, such as wanting to be there for family, pursuing meaningful work, or enjoying more independence in daily life, are more likely to stay motivated. PD offers freedoms that in-center dialysis often doesn’t: the ability to travel, to maintain employment, and to take control of one’s own care. Anchoring daily treatment in these larger goals creates the fuel for perseverance.

Support and Self-Belief
Having grit doesn’t mean doing everything alone. Family members, caregivers, and healthcare providers play critical roles in encouraging consistency and problem-solving. But ultimately, the patient must believe in their own ability to adapt and stay committed. Each successfully completed exchange reinforces confidence, and over time, the cycle of effort and small victories strengthens resilience.

The Bigger Picture of Thriving with PD
Patients with grit don’t just “get through” dialysis—they find ways to flourish. They learn to balance treatment with hobbies, relationships, and personal goals. They celebrate progress, like declining infection rates or improved lab results, and use those milestones as stepping stones toward a sustainable future.

In the world of peritoneal dialysis, medical expertise provides the tools, but grit supplies the drive. It is the trait that transforms a demanding regimen into a manageable lifestyle—and ultimately into a source of empowerment. For anyone beginning their PD journey, developing grit may be one of the most powerful treatments of all. It works for me.

In tomorrow’s blog, we will delve into my background and how it helped develop my GRIT-facing approach to life.


SCS, Leaking IPN Bag, and Football

As previously suggested, this past Friday, we journeyed to Fort Worth to have the temporary spinal cord stimulation (SCS) device removed from my back. The experiment was a success, and on 17 Sep, I am scheduled to have the “permanent” device installed with a followup on the 19th. Removal was extremely simple and almost painless compared to the installation. So now, for the next couple of weeks, we are on our own again as far as diabetic nephropathy goes. But it’s not the first time, is it?

Had a weird thing happen on Sunday. One of the IPN bags we get from Pentec to supply me with protein during dialysis at some point since its delivery last Tuesday sprang a leak with only about 10% remaining in a 6-liter bag. It was in the second bottom slot in the provided refrigerator, and leaked out from under the bottom front door gasket down to the piece of 1×4 we had placed underneath, soaked the board, and disappeared into the carpet. My wife took care of the cleanup, and now I will inform Pentec of the problem tomorrow since today is a holiday. It appears that the connection lead (yellow cap) was bent over by 180 degrees in the shipping plastic bag and causing it to have a slow leak.

The OSU and Texas football game I last blogged about is now history with OSU coming out the winner, so I won (grin.) My take is that it wasn’t all about Manning’s performance. It was all about OSU’s defence. This defence won the game and was instrumental in many, if not most, of Mannang’s challenges. Regardless, it was a well-played game, but I question why the Texas coach did not pull Manning in the second half when it was obvious he was struggling.

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