Follow up on why the Nephrologist wants us to do a colon cleanse before placement of PD Catherter

[TDPowers]

We finally have an answer. We were told the nephrologist does the colon cleanse just as a precaution and so that they are no problems with the solution. We were told the solution works better with the colon clean. We will start taking stool softeners too. It will be done laparoscopically in a hospital. I will post after the procedure. If I get any more information I will post. Thanks everyone for posting

[Hidden]

This still doesn't sound right. What solution? If he's referring to the PD solution, a clean colon helps with draining but that doesn't happen until after the catheter is placed and you start using the cycler. This sounds like you have an apprentice or amateur Nephrologist. This is scary to me.

[TDPowers in reply to Hidden]

Thank you for your input. It doesn’t sound right to me either. The nephrologist is suppost to be one of the best in Dallas/Fort Worth area his name is Nishant Jalandhara. He graduated from Tulane University. He’s published over 15 research papers. He is involved with teaching resident Dr’s at Medical City Fort Worth Tx. He serves on committees at Renal Physician Association and also Texas Medical Association. All I know is what I’ve been told and it’s hard to get answers. I wish I had more trust in the medical community but I don’t. I will post again if and when I get more information. Thanks again

[bumblebee_tuna in reply to TDPowers]

I would trust him, looks like you have an experienced nephrologist. Maybe he tests the catheter with a little bit of fluid right after the surgery.

[TDPowers in reply to bumblebee_tuna]

I’ve been told that he stays on top of anything new with treatments. Maybe if and when anyone sees their nephrologist that could ask if this is something new or if that would know why a colon cleanse. Thank you

[Hidden in reply to TDPowers]

I see my Nephrologist in a week and I will ask him.

[TDPowers in reply to Hidden]

Thank you so much

[TDPowers in reply to bumblebee_tuna]

Thank you

[Darlenia]

I agree with LLWegeners. I also have some questions regarding your nephrologist, Nishant Jalandhara. Generally, nephrologists don't do surgery. I've checked his medical background online and he doesn't have any direct surgical experience that's visible on the web. He holds board certifications in nephrology/internal medicine, not surgery. Maybe he picked up surgical experience/education abroad somewhere? Maybe he can clarify this for you so you can set aside your concerns? Jalandhara is also the physician/owner the DFW Kidney Care Clinic in Fort Worth, Texas. Many nephrologists participate in published studies, etc. - some journals are better known than others. I noticed Nishant Jalandhara published two papers on PD. In one paper, he supports using "ultrasonography and fluoroscopy during percutaneous PD catheter placement by the Seldinger technique in patients with complex abdomen". It's possible that these two procedures may require a very clean colon. His papers are listed on LinkedIn: linkedin.com/in/njalandhara... I think getting answers to your questions directly from your nephrologist will give you a sense of direction. Simply bring it up and see what he says. It could be that he "assists" or "advises" a surgeon in the procedure room. Asking questions is good!

[TDPowers in reply to Darlenia]

Thank you so much for looking up all that information about him. Yes I need a good explanation from him. We may be changing Nephrologist and looking for a second opinion. If you know of any good nephrologist in the DFW area please let me know. Thank you again

[Darlenia in reply to TDPowers]

I don't know anyone in the DFW area; my hubby and I are in northern Virginia. Your nephrologist may actually be quite good - ask a few questions and see what he says. I have noticed that many nephrologists are from Southeast Asian nations - my hubby's entire transplant team, except for one, were all from Southeast Asia. And his local nephrologist is Asian. Perhaps your nephrologist is actually be working with a surgeon. And that would be very cool.

[TDPowers in reply to Darlenia]

Wow! you live in a beautiful state. Yes, I just found out he works with a surgeon. I appreciate all the information you have given me . It’s all so confusing . I wish you the best. Thanks again

[Darlenia in reply to TDPowers]

Aww...thank you. I imagine that doing a colon cleanse while being wheelchair bound would be incredibly difficult as that process goes on for a very long time. My hubby used a rollator for a time and I can't imagine him undergoing that procedure without having lots of accidents. I'd probably look for a work-around like an enema that you could control and wouldn't go on for hours. Or find a new set of doctors that wouldn't do any of this at all. Please let us know the outcome.

[TDPowers in reply to Darlenia]

Thank you yes when we get the PD placed I will post

[RhenDutchess123]

He may be checking for hernia or other colon problems...Especially for Catheter placement...the condition of the colon is very important for successful PD

[TDPowers in reply to RhenDutchess123]

Thank you