Hi All,
Bad news today. Despite changing out the ureteral stents last Thursday, it appears my creatinine levels are even higher than before. They are now coming in at 285 umol/L. The previous reading was 196 umol/L.
In some cases it may take some time for the creatinine to go down, however they are likely going to postpone my immunotherapy again until they can get the creatinine levels moving in the right direction.
Is a setback for sure. We can hope that they find the source of the creatinine level jump, since it appears that drainage from my kidney to my bladder is not obstructed.
It is possible that my kidney has been acutely damaged (with the insertion of neph tubes, and now stents) or from the immunotherapy itself. It could mean I have permanent kidney damage that is not repairable.
The next step the Doctors will look at is:
Removing the stents completely and allowing the natural flow from my kidney into my bladder. (The stent would cause a slower drain as it's a smaller tube inserted in my ureter) Removing the stent may allow for better draining of the kidney.
They may try giving me a small dose of steroid to counter a bit of the effect of immunotherapy to see if it results in less damage to my kidney and lower creatinine levels.
They may take me off of immunotherapy altogether, and switch me to a different (chemo like) medication.
Will keep you all posted.
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