In 2010, to celebrate my tenth year of a wonderful life on dialysis I sort of got in shape and canoed 225 miles with the Grand River Expedition 2010. It was an incredible journey that couldn't have happened without my family and many dear friends.

I have been on dialysis since 2001 and have used every form of dialysis currently available in search of the best outcome and the best life. I have done in-center hemodialysis, at home hemodialysis with a traditional dialysis machine, peritoneal dialysis and finally, NxStage's System One home hemodialysis machine. I have had two kidney transplants, one from my beautiful wife and another because a thoughtful motorcyclist had checked the donate organs line on his license. For me, the technology for a successful transplant does not exist for my disease. I remain open and optimistic about wearable and implantable artificial kidneys.

Since I started my first blog, Tasty Kidney Pie, in 2001, I have tried to, and hope to continue to, inspire dialysis patients and others living with chronic illnesses to get outdoors and live an active and fruitful life.

Since 2001, The Riverdudes, my National Kidney Foundation of Michigan Walk Team has raised $78,000.

I currently spend my time writing, raising my children, snuggling with my wife, getting outside and staying active, and hopefully inspiring others along the way.

Thank you

With your help we can exceed this year's goal of $5,000 for the National Kidney Foundation of Michigan. Thank you very much for your continued support. Erich



Thursday, April 21, 2011

Please help me raise $5,000 to help beat Kidney Disease



Dear Friend:

Last year was a hoot and together we raised $17,000 as we walked and then paddled the length of the Grand River.  It was an incredible journey both in raising the amount that we did and in getting the word out that life begins a new on dialysis and that one can be active despite one's chronic illness.  Thank you for all the support last year.

This year we have a new goal of $5,000.  With our support to the National Kidney Foundation of Michigan we will be helping the organization reach out to everyone in Michigan, including our friends and families, about the importance of maintaining a healthy weight and blood pressure, both if out of control can lead to the loss of one's kidneys.  And let me tell you, while everyday I try to live a great life with the help of dialysis, it would be a whole lot easier if I didn't have to do it.

I want to share a short story from my blog http://paddlingondialysisforkidneyhealth.blogspot.com/


My daughter and I are driving and she notices a couple of children running on the sidewalk and turns to me and says, "I wish you weren't fat.  I wish your were skinny."

 I take a Twix like pause to give my good daddy side of my brain time to kick start and them timidly ask, "Why?"

"Because then we could run together," she innocently responds.  

Apparently all the physical benefits of my 235 mile canoe odyssey last year have disappeared.  This year's goal will be to run with my daughter.  

There are three ways that you can get involved:

1. Make a donation through this secure website right now. http://donate.kidney.org/site/TR/Walk/Michigan?px=1006841&pg=personal&fr_id=3391

2. Join The Riverdudes and The Hubbard Law Firm Walk Team and collect funds to help us reach our goal. We will be walking down town starting at Cooley Law School Stadium (an no they don't fight attorney gladiators there) on Sunday, June 12. Let me know and I will happily sign you up or you can sign up on the Team Webpage http://donate.kidney.org/site/TR/Walk/Michigan?team_id=85711&pg=team&fr_id=3391

3. Become a virtual member of my crew.  Join the Walk Team but because of timing or distance, just help raise money.  If you can't walk with us, you can still be a part of the Team.  Use the Team Page link above.

The money you donate to NKFM is used for research into cures and better treatments, sending kids on dialysis and with transplants to camp, making medicines more affordable to patients, and educating at risk populations about how to reduce their risk to kidney disease.

Please donate $100, $50, or what you can to day. If you would rather, you can send a check made out to the National Kidney Foundation of Michigan and mail it to me at:

Erich Ditschman

Together we can help many others through supporting the NKFM.
Dialyze for the Prize!  And, have a wonderful day.
Erich 




"I wish you weren't fat."

My daughter and I are driving and she notices a couple of children running on the sidewalk and turns to me and says, "I wish you weren't fat.  I wish your were skinny."

I take a Twix like pause to give my good daddy side of my brain time to kick start and them timidly ask, "Why?"

"Because then we can run together," she innocently responds.  

Apparently all the physical benefits of my 235 mile canoe odyssey last year have disappeared.  This year's goal will be to run with my daughter.  

After I told this story to Andria, she mentioned that I could have said, "At least I'm not dead."  

To which I responded, "Honey, I don't live in a world of attorneys.  I have to assume innocence first and anyways, sarcasm only works with Jacob."

Monday, February 28, 2011

A message to a friend

Hi:


I understand things are going very well for you at FSU.  It is because you are a very smart and confident young woman.  This is a wonderful time in your life and I am very excited for you.


I've heard that you are wrestling with whether to pursue a Ph.D. Perhaps you have already decided, but in case you haven't I want to share briefly my experience on pursuing a Ph.D.  O.k., I'm sure you are thinking what could a 45 year old due that you just met a few years ago possible share that has any value?  I know I would be if I were in your shoes.  But,  I wholly believe that it "Takes a Village," so here it goes.


Andria and I were high school sweethearts who miraculously waited until we graduated from college to get married.  When she graduated I had just started on my MS at MSU.  I had a well funded Assistantship which pretty much covered my end of our shared financial obligations and Andria worked full-time.  As I came closer to finishing my program I started working close to full-time at MSU and Andria started law school at Wayne State.  We lived in Farmington Hills and she commuted to Detroit and I to East Lansing.


I graduated and moved into a full time position in Rochester Hills at a not for profit organization (means low pay but meaningful work) and Andria continued at WSU.  A couple years into my position I started a PhD program at MSU.  Andria graduated and took a position in Port Huron.  For a while she commuted to Port Huron and I to East Lansing in the evenings for classes.  Eventually we moved to PH and I commuted to Rochester Hills then to EL and back to PH.  I really wanted the Ph.D.  I saw myself sometime in the future as a professor who did part time consulting.  I knew some professors who did that and it seemed like a pretty good gig.


Eventually I moved from my not-for-profit job to the private sector.  The money got better.  Here is an important point - as the money got better so did our lifestyle - from Ramen to actual cuts of meat as well as futons to to solid furniture and ten year old cars to  new cars.  


So, I'm into my new position, enjoying developing the work I was doing, making new clients, doing things with the Partners and along comes a three-year full ride Water Science Fellowship.  The Fellowship is designed to pay for my classes, give a decent stipend (in graduate school terms) and significant opportunity for professional growth.  It was a sweet deal.  You see I was still commuting to EL now from PH to Bloomfield Hills to EL and back to PH.  This Fellowship is like a gift from the heavens, right?


The problem is that there is no way we could take such a big cut in our combined household income to live on that stipend, even with Andria working full-time.  So I passed on the Fellowship.


I still was not daunted in continuing to pursue my Ph.D.  It just took a tremendous about of time and discipline and wear and tear on our cars.  


During this time Andria experienced a number of miscarriages and we also experienced issues with fertility.  As we sought fertility treatments, I realized it wasn't fair for Andria to have to administer her shots by herself and to not have me by her side as we worked through this very emotionally difficult time in our lives, so I walked my last walk at MSU and decided I would stop pursing the Ph.D.  


A year or two later I was able to continue to pursue my program until we started having difficulties with the adoption process.  And again, I took what I thought were my last steps along the Red Cedar River so that I could be where I was needed most.


A few years later I take a new job in Lansing and we buy our house which is blocks away from the University.  I again restart my program.  In fact, this becomes the third time I take the same Ag Economics Course with the same professor.  I proudly tell him, this time I'm going to finish his course.  And darn if a month in, my feet swell and it turns out I'm losing the use of kidneys.  I don't complete his course and instead go on dialysis.


That was ten years ago.  Last year I found out that I timed out of the system and would have to take most of the course work again not to mention that I would have to re-apply to the program that I spent ten years in.  I had nearly finished my course work and was starting my dissertation research.


My dreams have changed and I have lost the desire to pursue the Ph.D.  I spend a significant amount of time with Antonia and Jacob and of course Andria and I can't conceive of having to be away from them right now to sit in a classroom or be holed up in a library.


One of my regrets is how much time away from Andria I spent over the many years I pursued my Ph.D.  She was always supportive of my pursuit but it just wasn't fair to be away from my love for so long.  In retrospect, had I taken the Fellowship, the program would have been done in three-years and I wouldn't have missed all that time with Andria.  We would have just had to eat Ramen more frequently and make a few other economic adjustments.


While this might sound like a sad story it isn't.  Life is a crazy ride.  Thankfully each of us are very resilient.  If not, we'd be a miserable lot.  Instead, we have the ability to rebound from the many difficult hurdles that come our way.  I have learned to become an incredible Rebounder.  I think Izzo could use someone like me right now.


You are such an incredible young lady that I know that whatever decision you make will be right for you.


I am lucky to know you.


Take care, Erich

Monday, February 7, 2011

A cool picture published in Our Grand Journey: discovering the river we thought we knew.

This photo is on page 108-109 of Our Grand Journey: Discovering the river we thought we knew -http://vintagegrandrapids.com/



Removing my fistula and inserting a Graft

The following are recent posts to my Paddling on Dialysis for Kidney Health Facebook Page.

January 16, 2011
Tomorrow I say goodbye to my fistula, what Jake and Antonia affectionately call my snake. We have had a great ten year run. It is the access that keeps me alive and keeps me paddling...


I struggle posting this type of post. For many it is too much information. However, occasionally I hear from someone who has happened on something I write, rarely mind you, but it happens, and they tell me thank you for posting. So it is with that thought- that perhaps what I write may help someone else dealing with kidney disease or crisis, that I post too much information. Thanks for reading.


For more information on what a fistula is see http://kidney.niddk.nih.gov/kudiseases/pubs/vascularaccess/



Jaunary 17, 2011


I'm posting this because I have had some questions. Always Fistula First!. A fistula is the best access to avoid infection and blood clots. No one likes needles but you eventually grow to tolerate them. After numerous sticks scar tissue develops and it becomes less painful. Of course the best to combat pain is to develop button holes, a technique that allows you to pick off a scab and place the needles through a tunnel similar to how pierced ears work (without the scab of course). My first fistulagram was after eight years of use of the fistula and my first angio was last week. My skin became very tight and was not longer able to make button holes, then it became difficult for the skin to heal. But, it wasn't until my fistulagram last week that it was determined that the walls were too thin and that there was a real risk of rupture. Please keep the questions coming.





(these are Xrays of my fistula showing the 
large pseudoaneurysms that eventually were incised 
after the vectra graft was placed)

Does this mean that you will need a new fistula made...

Eventually. But I'd like to gain as much time as I can from the graft. Because it will be more difficult sticking my right arm with my left hand after a new fistula is placed there. Also, once the right arm is used up we have to move to a leg and that doesn't sound at all appealing. But waking up with Andria at my side and coming home to big but cautious hugs from Jacob and Antonia make it all worthwhile.


So fistulas can go wrong? Do you mean the vessel part or the actual fistula tubing? In the hospital they told me they were for life which clearly isant the case! So where do they go when your arms and legs are all used up? 
:-(

They can go wrong but they are the least likely to, especially if the are being followed by a good vascular surgeon. Some people have used their fistulas for over 35 years. Every patient is different. Remember a fistula is you - nothing artificial. The blood vessel is the fistula. The artery is rerouted to a vein. The vein which is a low pressure system back to the heart enlarges when it receives the high pressure from the artery. This is how it gets large enough to use as an access. I absolutely love to swim and canoe and kayak as do my children which are 6 and 11. The fistula allows me to continue to do these things. Also, I love the fact that I don't have anything hanging on like a catheter. Home Dialysis Central has a great tutorial about establishing button holes athttp://www.homedialysis.org/learn/buttonhole/

February 7, 2011
After a couple of weeks of recovery I had the thirty staples removed from arm. As the pain of the surgery and and the swelling both subsided, I started to poke my new graft.  I am now happy to report that Dialysis Dad and graft are both doing fine.


Friday, February 4, 2011

Phi Sigma Sigma Golf Outing in Mt.Pleasant to benefit National Kidney Foundation

If you are in the Mount Pleasant area on April 16th check this out http://www.wix.com/holla4jm/phisigmasigma-golfouting
The sisters of Phi Sigma Sigma are hosting a golf outing to benefit the National Kidney Foundation. I just found out my cuz is a sister - small world.


I plan to attend.  I  hope you can join me.