Awake and up all night

Kidneys can quickly misbehave if one or both ureters have been obstructed by a stone, swelling caused by infection, or a blockage resulting from surgical activity in the bladder. Additionally, if the bladder outlet is blocked a build up of urine in the bladder (retention) can backflow to one or both kidneys, in turn leading to infection within the kidney(s). The kidney drain procedure (nephrostomy) reduces the backflow risks by draining urine directly out of the kidney in to a bag via a thin plastic pipe inserted through the skin. Kidney function will be monitored by observation of the bag contents as well as blood tests. Usually, the kidney(s) recover once drainage has been reinstated but antibiotics may also be given if infection markers from blood tests indicate a problem. As you have said, the kidneys will be the focus of attention at the moment. The path lab will be analysing samples of material taken from the bladder (tumour scrapings and/or biopsy tissue). The analysis can take a week or three. Once those results are available, the cancer (if confirmed) can be graded for type and speed of activity (slow or aggressive). A multi-disciplinary  meeting will consider all aspects including the patient's medical history and current health status, then propose a path of treatment. These are purely my comments based on my experience with bladder cancer. I had kidney trouble but it was caused by very low haemoglobin from excessive loss of blood. One kidney recovered, the other has atrophied, losing over half of its capability. Don't be too surprised if the treatment path changes a few times during its course. Obviously, bend the ears of the doctor, consultants and cancer nurses for a more informed picture. You will know all of this already but it might give you a steer. Ray xxx    

You mean the thread title is not an instruction? 

It's hard to know whether waving our insomnia insanity like a flag is healthier than pretending our gravel covered eyeballs gawping at daylight is down to some noble higher calling?

Or is it one and the same? Meeeeow!

Was that Schrödinger's cat?  

Cheers

 You could be right.

Awake!!! And up ALL Night!

Does that look better, sort of like following an order?

Hmmm...

Ooh no! I am all ears. Scooterless has many issues, obesity, respiratory, cardiac, minor musculoskeletal, fluid filled swollen legs all impacting mobility so he was nibbling at all of these with numerous appointments. 

Spotting flecks of blood in urine was just yet another GP appointment. No one really expected the rapid discovery of cells in the bladder they wanted to remove. Of course the TURBT had to consider all his health risks first and our concern was that up until minutes before his procedure, the safe option was considered to be spinal anaesthesia and then became general.That risk was a worry. They also laboured the risk of persistent delirium and he has existing memory issues. Luckily all was well 

I  nievely and unusually for me never considered other organs needing immediate attention.

Those cells turned out to be two tumours, one  4-5cms and surgeon feels very probably muscle wall involved.

Cheers

Oh I meant to say earlier, it was teatime before I realised it wasn't Friday today!!!

Tomorrow err I mean now  it is Sunday. Club bingo day. We have now got our own membership whereas before could only go as Scooterless's guests.

The breakfast visit to hospital will dictate if we can still go without him or need to be around for him.

Cheers 

Around here, there are old dears and blokes who own class 3 scooters but not necessarily a full set of marbles. They do not realise or couldn't give a damn that class 3 scooters when used on pavements and in shops are legally limited to 4mph. They can only be driven at 8mph on roads, following normal traffic rules as far as possible. We fairly often have these heavy machines hurtling down supermarket isles or getting wedged in gaps that were too small. Mine is a quite heavy class 2, 4mph max pavement scooter. I've had it for 22 years, bought 2nd hand. It was made in the mid 1980s. I don't like the controls on modern ones. Mine has a handlebar layout which suits my unsteady hands perfectly as the throttle control is by thumbs, not fingers. 

Well whatever happens with the bingo hon, I hope there's some help for Scooterless as his condition sounds grim. Poor chap.

I'll bow out now and let yourself and Ray get on with the more serious stuff.

It's been a well funny pleasure once again, and you inspired me to get the full meaning of Erwin's cat theory, as I only knew a bit of it.

Night Shimmy and Ray xxx

Goodnight Gill. xxx

Shimmers, you are either going blue with rage if another message has disappeared or have fallen asleep after an action packed day. I am signing off now. Sweet dreams. Ray xxx 

Oops! Bidding off. Kor! Well done keeping scooter going for that long!

Really must say night as time to get up soon.

Thanks for ... Everything. Hope we all get some sleep. Nyt