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FAO sqad
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I would be most interested in your comments/observations. Mrs W says I should butt out and mind my own business but I'm not so sure.
A friend of mine, male 69 has had a kidney and ureter removed because of cancer.
He is also due to go back in to hospital within the next two weeks for a third operation on his bladder to remove another small tumour. This he is assured is a minor procedure and will only involve an overnight stay.
His weight plummeted to seven and a half stones but is now back to an acceptable level (10 1/2 st). He eats lots of chocolate but very little in the way of solid food - about half a kiddie's portion once a day. His doctor has told him that he must eat more solids to help his stomach regain a normal size and capacity.
The medics have also told him that he should drink 6 pints of water a day. He does this but in the form of 6-8 pints of 4% abv beer per day. Given that beer is a diuretic is he going to do long term damage to his remaining kidney?
Should I butt out or try to convince him to change his lifestyle.
I am very grateful to you for taking the time to read this and look forward to any reply.
A friend of mine, male 69 has had a kidney and ureter removed because of cancer.
He is also due to go back in to hospital within the next two weeks for a third operation on his bladder to remove another small tumour. This he is assured is a minor procedure and will only involve an overnight stay.
His weight plummeted to seven and a half stones but is now back to an acceptable level (10 1/2 st). He eats lots of chocolate but very little in the way of solid food - about half a kiddie's portion once a day. His doctor has told him that he must eat more solids to help his stomach regain a normal size and capacity.
The medics have also told him that he should drink 6 pints of water a day. He does this but in the form of 6-8 pints of 4% abv beer per day. Given that beer is a diuretic is he going to do long term damage to his remaining kidney?
Should I butt out or try to convince him to change his lifestyle.
I am very grateful to you for taking the time to read this and look forward to any reply.
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Iam not sqad but......
Do you have any basis for thinking that he would take any notice of you?
Do you know everything that is wrong with your friend? Might things be worse than you have stated here? There does come a point where what the patient wants is much more important than health if you understand me?
Who tells you what the docs have said? Is it your friend?
Has he had any kind of dietary advice? My late DH was on a kidney disease diet and it is actually the reverse of healthy eating. You are encouraged to eat sweets, full fat milk, cake pies and biscuits and have alcohol in moderation because getting enough calories down and keeping them down can be difficult.
Do you have any basis for thinking that he would take any notice of you?
Do you know everything that is wrong with your friend? Might things be worse than you have stated here? There does come a point where what the patient wants is much more important than health if you understand me?
Who tells you what the docs have said? Is it your friend?
Has he had any kind of dietary advice? My late DH was on a kidney disease diet and it is actually the reverse of healthy eating. You are encouraged to eat sweets, full fat milk, cake pies and biscuits and have alcohol in moderation because getting enough calories down and keeping them down can be difficult.
Thank you very much woofgang for your reply. All the info has been fully and freely offered by my friend but I honestly don't believe he realises the severity of the problem. All advice, dietary and otherwise has been given by the doctors at the local hospital and at the Southern General in Glasgow.
Do they know he drinks beer and so on? The kidney intake advice is watery liquid, not actually water, so while getting your liquid intake in neat whisky is not okay, 4% beer may well be. My DH was given printed advice as the diet is so very different. Had your friend actually seen a dietician or nutritionist?
I have to keep saying things like "might be" or "could be" because it will depend on things like his blood urea, phosphate and so on levels.
I have to keep saying things like "might be" or "could be" because it will depend on things like his blood urea, phosphate and so on levels.
This is my personal view. not necessarily my professional one you understand.
This guy is nearly 70 years of age who has had a kidney removed and his ureter for what was clearly and advanced malignant situation, although we do not know the full details. This "minor procedure for a small tumour" is certainly questionable considering his past history.
His prognosis and quality of life will be poor whatever happens.
If 8 pints of beer will give him some pleasure, then I would so go ahead and drink them as he hasn't got a "long term" in which to improve.
I think that any thought of long term damage to his remaining kidney is of little consequence bearing in mind the comments in my previous sentence.
My professional advice would be the same I'm afraid and if i were you. although you clearly are concerned..........I would "butt out" ;-)
This guy is nearly 70 years of age who has had a kidney removed and his ureter for what was clearly and advanced malignant situation, although we do not know the full details. This "minor procedure for a small tumour" is certainly questionable considering his past history.
His prognosis and quality of life will be poor whatever happens.
If 8 pints of beer will give him some pleasure, then I would so go ahead and drink them as he hasn't got a "long term" in which to improve.
I think that any thought of long term damage to his remaining kidney is of little consequence bearing in mind the comments in my previous sentence.
My professional advice would be the same I'm afraid and if i were you. although you clearly are concerned..........I would "butt out" ;-)
Thank you very much sqad for your interesting reply. I am sorry for being so late in replying but I have had to be away from my desktop for most of today. Your prognosis is pretty much what my layman's brain guessed would be the case. I will, however, take your experienced advice and butt out. Thank you very much again.
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