So I needed another chronic medical condition like I needed a new hole in my head, but here we are.
In case you guys don't recall, I had knee surgery in June of 2024. The surgery went fine, but my blood sodium and iron count tanked and scared the living hell out of my internist. I spent four days in the hospital having my liquid intake monitored and watching dumb shark movies on Max. I've been followed around by a kidney doc ever since. The low sodium and iron are probably at least partly genetic, since other family members also have those issues. But, they can also be signs of kidney problems. And as of March, I have finally been diagnosed with chronic kidney disease.
What does that mean, you ask. Well, I'll tell you.
The kidneys are two organs at the bottom of your back ribcage that filter toxins out of your blood and send them, along with extra water, to the bladder as pee. Kidneys also regulate your blood pressure and help your bones by activating Vitamin D after you take it in. As long as your kidneys are happily filtering your blood, all is well. Many things can damage your kidneys, including diabetes (check), high blood pressure (check) and long term use of psychiatric medications (check, check, check). And sometimes you just get lucky.
So I could trot out all the numbers from the various blood tests, but they're kind of confusing and I'd have to explain each one. Let's just say, however, that from November 2023 going forward, the numbers were fine, fine, fine, fine, fine, fell off a cliff in October. At the time they fell off a cliff, I was stung by a couple of wasps. I doubt that was the actual cause, but it assuredly didn't help.
So what can be done about this, you may ask. Well, honestly, not a lot. Once there is kidney damage, it doesn't get better and will inevitably get worse. I can change my diet to make life easier on my kidneys, in hopes of slowing things down. I might change medications, though I'm really hesitant to do that because Everything Affects Everything Else. And there are some drastic things that can be done if things get catastrophically worse, but honestly? They are not appealing.
I saw my doc last Tuesday. Everything is stable, except it might not be. Nothing is getting worse, except it might be. I'm going in for another round of tests in three weeks and then back to the doc for a recap. This batch might be able to tell us what, exactly, is going on vs. Kidneys Not Working Good. Ie, where creatinine ratios are compared to glomular filtration, which could have some bearing on the number of stars in the constellation Orion. It's Complicated. I have read all the test results and Googled the relevant terms and looked at a bunch of journal articles and I'm still not entirely certain I get it.
Meanwhile, my doc sent me to a registered dietician who is certified in both kidney failure and diabetes, and this is the best advice I've received so far. (Note: I have always had good results with registered dieticians. Make sure they have that "RD" after their names, though, if you go looking for one.) She wants me eating less protein overall, more plant protein and more fruit. More plant protein means I get ALL THE HUMMUS AND BABA GANOUJ I WANT, within reason of course. And luckily there's this great restaurant in Richardson called Afrah that makes the stuff by the gallon.
No matter what happens, though, I am probably looking at a shortened life expectancy. Shortened to what, is the big question, and we may not know for some time. (In fact, we may not know until it pounces on me, but most likely there will be signs.) After the batch of tests in March, I thought it might be only a year or more. Which was somewhat jarring. I mean, we all know we're gonna die. We Buddhist folks even do the Five Remembrances about we're of the nature to get sick, to get old, to die, etc. etc. on a regular basis. But most of us think it'll be some years from now, some unimaginable time when we are very old. Having the end date possibly pushed up that far made me ponder what, exactly, I still want to do and accomplish in this life, and more important, what I'll feel cheated of if I get to the end and don't get it done.
The surprising answer: Not a lot. I don't know if I ever had a laundry list of goals in life, but if I did, I've done most of them. I played in a symphony orchestra. I traveled to weird places and had crazy adventures. I saw Big Country live fourteen times. I saw the Who. I saw the Stones. I didn't see the Beatles, but they broke up when I was three, so I think we can let that one slide. I went to college. I changed careers four times. I moved across country with no money and no plan. Twice. I wrote a book. (Nobody cared, but I did write one. In fact I wrote several.) I swam in a mud lake in North Dakota at a balmy 65 degrees. Many times. I illegally crossed the Canada border. Many times. I ate carne asada at the La Especial in Tijuana. Many times. I went surfing. I went skiing. I went skydiving, I went Rocky Mountain climbing -- Okay, I didn't do those last two things. I don't care how terminally ill I am, I'm not jumping out of a perfectly good airplane, and camping makes me itch. Most importantly, I fell in love with a good woman, and I have loved many friends and family members and cats.
I mean, there are still things. I still wanna see some Buddhist temples in Japan and maybe Thailand. I would like to see Hawaii and maybe Africa. I still wanna do the Flowers Sea Swim in the Cayman Islands (I'm thinking next summer) and go on a cruise. I wanna finish another book, and maybe somebody will care about that one. Or maybe I'll self publish the first batch. Or maybe both. I wanna Give Something Back professionally, whether it's speaking at a conference or maybe writing that book about law firm culture that I keep tossing around in my head. But none of that's critical. If I get to do it, great. If not, the world will not end.
There's this thing Thich Nhat Hanh says in his Five Mindfulness Trainings (the Five Precepts writ larger and adapted for modern times): "I am aware that happiness depends on my mental attitude and not on external conditions, and that I can live happily in the present moment simply by remembering that I already have more than enough conditions to be happy." I have a good job, a house, a car, a marriage. I do the daily chores and I watch space science shows on TV and I make dumb jokes with my wife. I cuddle cats. I have medical care. Lots of people don't have those things. I have been, and am, supremely lucky.
So we'll see what happens. Maybe I'll get to be supremely lucky for years and years yet. And on that note, I'm leaving for Afrah to get a fresh batch of baba ganouj.