Rheumatology

 Had my first visit with Dr Lally a rheumatologist.  

Main points: 

my disease was caught early and my treatment at Lenox Hill has been the best.  So my prognosis is good. For my diet she recommends the Mediterranean diet and exercise.  My fatigue is partially the disease and partially the anemia and in time both will correct themselves and I will improve.  There may be lapses but generally I will get better.

Blood tests and Urine tests were done yesterday and some of the results are now available.  

The main issues: 

BUN is 31 [blood urea nitrogen should be between 5 and 25 if kidneys are working well],  Creatinine is 1.8 [another kidney waste product that should be between .4 and 1.2], and hemoglobin is 8.6 and should be 13.3 to 17.2 [a sign of anemia].

The results show the impact of my kidney disease.  Not a lot of change from the last test of a month ago.  It is going to take time and what I am feeling today, the dull ache and being out of breath with a little exertion is all a part of this disease and they will get better.  One marker, 'C Reactive Protein', which shows the prevalence of inflammation and the chances of a heart attack is .7 and the normal range is 00 to 1.0 so that's a good sign.

Next week I have visits with ENT and Nephrology and I need to see about going to the dentist for a cleaning.