Friday, December 29, 2006

The last few days of 2006

Town Musician

Did I mention that my son Erik is now supposed to see a urologist? Already in 1997 he saw a urologist. The doctor suggested at the time that it would be best if Erik saw a kidney specialist. Now that he has seen a kidney specialist, almost ten years later, and this specialist has nothing further to contribute even though the osteoporosis Erik has is clearly "renal rickets," there is more deadly silence. Every time we go to see a doctor, it seems that there is deafening silence. The lack of interest is overwhelming. Until recently I didn't know that Vitamin D had anything to do with the kidneys. Now I know that the place where Vitamin D becomes active in the form of the hormone calcitriol is the kidney and only the kidney. But that seems to matter very little when it comes to Erik. He is special, pardon my pun, I don't mean to be funny. What Erik's last hospital visit revealed was that Erik had a urethral obstruction. This obstruction caused his bladder to become very large. This caused the kidney to turn hydronephrotic. That means that when the bladder has no exit, the urine can only go one way, and that is up into the kidney. It might destroy it if the urethra cannot be opened up. The strange thing is that Erik had nothing but clear urine in October when he was checked at Stanford Hospital. When he went to Dominican Hospital just a month later, the doctor had to work hard to open up the urethra. Erik's care-giver told me the doctor used a Foley catheter pushing up the urethra. Suddenly there was something like a wall. The doctor pushed through it and a massive amount of material came out that looked like cottage cheese mixed with blood.

The only thing that could possibly explain why that might have happened was that maybe Erik has two bladders. Is there another explanation?


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