Parking Between the Lines: A Radical Concept?
I headed to the Regal Palmetto Grande to catch a movie and, before I even made it to the theater, I got today's "parking performance review."
As I was looking for a spot, I came across this previous-generation Toyota RAV4. It wasn't just a little crooked. It was parked right across the access aisle next to a handicap space.
Now, because I'm a right above-knee amputee with a prosthetic leg and I rely on handicap parking when I need it, I pay attention to these things. Before I get out of my own vehicle, I almost always take a second look to make sure I'm centered between the lines. It takes maybe five extra seconds.
Those painted blue and striped areas aren't decoration. They're there so people using wheelchairs, walkers, prosthetics, or other mobility devices have the room they need to safely get in and out of their vehicles.
Maybe I'm old-fashioned, but I still think staying between the lines is a pretty good idea.
What's next? Maybe I'll start stopping at red lights too.
Sometimes the smallest acts of courtesy make the biggest difference for someone else.
Proof It Was Time for a New Dialysis Backpack 🎒
Yesterday I purchased a new backpack for dialysis, and today was its first trip to the clinic.
Could I have used my old backpack a little longer? Maybe. But after looking at it, the answer became pretty clear. The seams were ripping, and it was only a matter of time before it failed. It wasn't a case of wanting a new backpack—it was a case of needing one.
My dialysis backpack carries my blanket, pillow, and other essentials three mornings a week. The last thing I want is for the seams to split while I'm walking into or out of the clinic, leaving everything on the ground in the middle of the swampy Lowcountry heat and humidity.
The old backpack served me well, but this is proof that replacing it wasn't an impulse purchase. Sometimes the smartest time to replace something is before it completely falls apart.
Remember This Infographic About My Last Labs?
Remember the infographic I shared about my latest dialysis lab results? I was excited because my pre-dialysis BUN had fallen into the normal range for the first time since I started tracking it in October 2025.
On Mondays, either my nephrologist or a Physician Assistant from the nephrology practice stops by the dialysis clinic to check in on patients. I had a feeling the conversation I had with Clark was coming.
He reviewed my labs—not just the BUN, but the entire panel—and simply said:
"We're going to run them again."
As encouraging as the BUN result was, a few other values were out of whack. My phosphorus was very, very low, along with a couple of other numbers that deserved another look.
By the time Clark reviewed everything, I was already well into my dialysis treatment. That meant it was too late to draw a true pre-dialysis sample and then compare it with a post-dialysis sample.
So, we may repeat the labs on Wednesday to see whether last week's results were an anomaly or the beginning of a new trend.
I'm as curious as you are.
Stay tuned!
Join the discussion on NielFlamm.com.
Monthly Dialysis Labs: A Surprising Number I Haven't Seen Since 2025
Every month during dialysis, I have a full set of lab work done. The nice part? No extra needle stick. The blood is drawn directly through the dialysis tubing while I'm already connected.
The monthly labs help monitor many aspects of living with End Stage Renal Disease (ESRD), including:
Potassium – helps reduce the risk of dangerous heart rhythm problems.
Creatinine – shows how well my kidneys are filtering waste.
Phosphorus – high levels can pull calcium from the bones, while levels that are too low can affect oxygen delivery to muscles and lead to weakness.
Iron
Hemoglobin
Sodium
Chloride
Carbon Dioxide
Total Serum Protein
Albumin
Magnesium
Platelet Count
White Blood Cell Count
The number I paid the closest attention to this month was BUN (Blood Urea Nitrogen).
Here's the simple version. When we eat protein, our bodies break it down, producing ammonia, which is toxic. The liver converts that ammonia into urea. Urea travels through the bloodstream to the kidneys, where healthy kidneys filter it into urine.
With ESRD, that process doesn't work very well, so BUN levels can rise because waste isn't being removed efficiently.
During dialysis, my care team measures BUN before treatment and after treatment to see how effectively the dialysis removes that waste.
When I reviewed my results on Saturday, July 18, something caught my attention.
For the first time, when my monthly labs were tracked starting in October 2025, my pre-dialysis BUN was in the normal (green) range.
Even more interesting, my post-dialysis BUN wasn't dramatically lower. Normally, I'd expect to see a much bigger drop after treatment.
So now I'm left with a few questions:
Are my kidneys somehow recovering a little?
Was this simply an unusually good month?
Did my diet or hydration affect the result?
Or was it just one of those lab quirks that occasionally happens?
The answer is... I don't know.
One lab result doesn't establish a trend, especially with ESRD. But after months of watching these numbers, seeing that green result definitely made me stop and smile.
I'll be watching closely next month to see whether this was the beginning of a trend or simply a one-time surprise.
Either way, I'll keep sharing the journey.
Handicap Parking: It’s Not a Suggestion, It’s a Necessity
This morning I arrived at the hospital to visit my mom. Like many mornings recently, it’s another chapter of balancing life, family, dialysis, and everything else that comes with it.
As I pulled into the parking lot, I started looking for a handicap-accessible parking spot. I have a handicap plate. Not because it’s convenient. Not because I want a closer walk.
I have one because I’m an above-the-knee amputee and I live with ESRD (End Stage Renal Disease). Some days the extra distance isn’t just a few more steps — it’s a lot more energy, more strain, and more effort.
There were no handicap spots available.
Then I noticed something.
Apparently, when the designated spots are full, someone decided the solution was simple: create their own spot.
A spot that wasn’t actually a parking spot.
Maybe they were in a hurry. Maybe they had a reason. Maybe they thought, “I’ll only be a minute.”
But here’s the thing — hospitals are one of the places where accessibility matters the most. People coming through those doors may be dealing with challenges you can see and many you can’t.
The lines, signs, and designated spaces aren’t there for decoration. They exist because someone may be walking on a prosthetic leg. Someone may be recovering from treatment. Someone may be helping a loved one while fighting their own battle.
I don’t expect special treatment. I expect people to think beyond themselves.
A little awareness and consideration go a long way.
Because one day, the spot you think doesn’t matter may be the spot you truly need.