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Living With One Kidney

On June 20, 2005, I had my right kidney removed through open surgery. This blog is to inform others about how this can happen, and to offer support to others living with one kidney.


In late March, 2005, I had a series of seizures that sent me running to my internal medicine doctor. She immediately scheduled an MRI. My kidney was non-functioning due to calcium stones that had overtaken both parts of the kidney. My left kidney was clear.

This was the beginning of my kidney stone education.

Good News, Bad News

In 2007, I had another 24 hour analysis. The good news: No stones in the remaining kidney.

The bad news? I still had hypocitraturia, at 267 megs. of citrate. In addition to the potassium citrate, I drink two liters of water per day.

To keep from becoming bored with so much water, I add lemon slices and a very small amount of lemon lime soda to the mix. It helps!

Stones and Bones

A Calcium Kidney Stone


Almost everyone knows someone who has had kidney stones. The kidneys filter the blood to remove excess mineral salts and other soluble (dissolvable) wastes. The kidneys also produce the urine that dissolves these wastes and excretes them through the urinary tract. Kidney stones form when the urine becomes so saturated with a certain mineral that no more of it can dissolve into the urine (like trying to dissolve too much sugar in your iced tea). The undissolved portion of the mineral forms crystals that then clump together and grow into hard stones. Kidney stones usually develop in the kidneys. However they can form anywhere in the urinary tract. This condition is medically known as urolithiasis or nephrolithiasis.

When kidney stones are quite tiny, they may pass unnoticed with the urine. Often however, they grow too large to pass easily through the urinary tract, and some stones have rough or sharp edges. When these stones are passing through the urinary tract, it can be quite painful. In some cases, kidney stones cannot pass on their own, and treatment with specialized medical equipment or surgery may be necessary.

For most people, kidney stones are like dandelions in the lawn; they can be eliminated, but they'll be back another year. Therefore, a major part of the treatment for this condition is aimed at preventing recurrences. There are various types of kidney stones. Because treatment for each differs, it is important for the physician to determine the stone's mineral content and to identify any medical conditions that may have contributed to stone formation.In my case, my stones were formed by "misdirected calcium", forming stones instead of bones! Preventive treatment may be with medications and/or changes in the diet.

About 80% of all kidney stones are composed of calcium and other minerals, usually a combination of calcium and oxalate. In some cases dietary adjustments help to prevent the recurrence of these types of stones.

Recovery

My hospital stay was 5 days. I had no complications, so i was released. I received staples as closure for my long surgical scar, but they really weren't any trouble, just ugly.

My family assisted me for 7 days after my release, then returned to Massachusetts. I returned to the urologist for the post-op exam, and I was in good shape. I couldn't drive or lift anything for six weeks, but that part of my recovery was unremarkable.



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