Hi everyone I have a question for a friend really hoping to get your input-he is 44 and creat is at 3.3 BUN is 64-he feels week and tired his potassium was 6.1 a few days ago from his primary now is 5.0 -hes waiting for a call from neph-I believe his GFR is around 18-20% wouldnt the dr. recommend prepping him at this point for a fistula?or do you think he needs a cath. right now? He says hes not feeling nausea or tasting metalic in his mouth but hes not really eating-this has came on very quickly and hes a bit taken back by this -I am stage 3 so I dont know all the answers about dialysis but I told him its better to get a fistula ahead of time instead of doing nothing and waiting for it to get so low you need a cath.I guess my question is what is the appropriate move from a neph. at this point-he went to his primary on mon. had a BMP his creat was 3.1 his primary said come back in 2 days and today it was 3.3 he waited all day and called his primary to get results just a lil bit ago they said well we will fax over your results to your neph and let them know you will be calling them-In my opinion I would surely think they would want to see him in the am to discuss the fistula and get him prepped for surgery asap ....?? Am I right? He is a very close friend and I just want to be there for him and know what to expect -thanks everyone!!

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