{"id":8,"date":"2020-01-22T00:00:00","date_gmt":"2020-01-22T00:00:00","guid":{"rendered":"https:\/\/cota1.wpengine.com\/cotaforroyce\/2020\/01\/22\/amazing-lab-values\/"},"modified":"2020-01-22T00:00:00","modified_gmt":"2020-01-22T00:00:00","slug":"amazing-lab-values","status":"publish","type":"post","link":"https:\/\/cota.org\/cotaforroyce\/2020\/01\/22\/amazing-lab-values\/","title":{"rendered":"Amazing Lab Values!"},"content":{"rendered":"<p>Royce has blood work drawn every month and last Thursday was the day.&nbsp; I am super excited to say that he had some of the best blood work results to date!!!!&nbsp; We struggle to control his potassium and phosphorus levels but this month those numbers were amazing!&nbsp; Royce&rsquo;s phosphorus level is usually high (above the 3.7-5.4 range) but this month he was 5.1! We did start him on a new phosphorus binding medication so that seems to be doing the trick!! The biggest surprise was his potassium level.&nbsp; Royce&rsquo;s potassium was low at 3.4, which is crazy because he usually isn&rsquo;t even in the normal range (3.6-5.2). &nbsp;We will continue with his low sodium, low phosphorus, and low potassium diet but this shows that having dialysis four days a week is really making a difference.<\/p>\n<p>As I mentioned Royce was started on a new phosphorus binding medication.&nbsp; Previously he was taking over the counter Tums but this also contains calcium.&nbsp; We don&rsquo;t need to strictly monitor Royce&rsquo;s calcium intake but his calcium level was getting elevated enough that switching off of the Tums was required.&nbsp; The medication Royce was started on is called Sevelamer and it is very expensive!&nbsp; Very expensive as in my co-pay WITH my Mayo insurance was $650 for a month supply!!!! &nbsp;Instead of using my Mayo insurance I show the Costco pharmacy the WellRx app on my phone and only paid $40 for a month supply. I do not understand the prescription drug world because NONE of this makes any sense to me!&nbsp; I am thankful for the reasonable price and will use my FSA funds to pay for the medication.&nbsp;<\/p>\n<p>Some of you may remember me venting about the price of the special kidney formula Royce was started on a month or two ago.&nbsp; Cow&rsquo;s milk is high in phosphorus so Royce drank almond milk as an alternative.&nbsp; Since we have been having issues with his phosphorus being high and as an effort to increase his calorie intake Royce is drinking Rena Start formula.&nbsp; It is a powder formula that I mix with water just like baby formula.&nbsp; The company that makes the formula was nice enough to send me 8 cans\/one month&rsquo;s supply for free.&nbsp; When I inquired the cost of a can to purchase more, they told me it would cost $64 per can.&nbsp; Thankfully I qualify for the company&rsquo;s financial assistance program and now only have to pay $16 per can! I think that the switch to this formula has also helped Royce&rsquo;s phosphorus level drop.&nbsp; And the very best of this story is that Royce actually likes to drink the formula!!! I have yet to taste it but Royce likes it enough that he specifically asks to drink it.&nbsp; In fact, Royce was mad last night because he wanted a drink at 9pm and I handed him some almond milk because I didn&rsquo;t want to mix up any formula right then.&nbsp;<\/p>\n<p>One more piece of good news&hellip;because Royce&rsquo;s labs were so awesome, Dr. Tran gave the ok to drop his dialysis runs times from 3 &frac12; hours down to just 3 hours!!!&nbsp; Going to dialysis four days a week sucks but to see these amazing lab values confirms that this is what Royce&rsquo;s body needs to be healthy!!<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Royce has blood work drawn every month and last Thursday was the day.&nbsp; I am super excited to say that he had some of the best blood work results to date!!!!&nbsp; We struggle to control his potassium and phosphorus levels but this month those numbers were amazing!&nbsp; Royce&rsquo;s phosphorus level is usually high (above the [&hellip;]<\/p>\n","protected":false},"author":0,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-8","post","type-post","status-publish","format-standard","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/cota.org\/cotaforroyce\/wp-json\/wp\/v2\/posts\/8","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cota.org\/cotaforroyce\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cota.org\/cotaforroyce\/wp-json\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/cota.org\/cotaforroyce\/wp-json\/wp\/v2\/comments?post=8"}],"version-history":[{"count":0,"href":"https:\/\/cota.org\/cotaforroyce\/wp-json\/wp\/v2\/posts\/8\/revisions"}],"wp:attachment":[{"href":"https:\/\/cota.org\/cotaforroyce\/wp-json\/wp\/v2\/media?parent=8"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}