yeah we don't want any facts or frame of reference around here. Carry on.
I don't care if it is noticeable or not noticeable. There is no reason to site it here, except to minimize the situation. And yes, that is insensitive.
No offense, but it is a frame of reference. Like I said earlier, losing 20-40% of your kidney function isn't a good thing nor is it something to tossed aside casually. However that number by itself doesn't necessarily mean anything. You can, in fact lose quite a bit of kidney function, and not see any sort of symptoms, and if treated properly can live a perfectly normal life (even if kidney function doesn't remain). What we don't know is if kidney function is deteriorating further, which is certainly a concern.
As for the weight gain, in a previous post on this thread I did some quick math to show that these guys are, assuming the treatment is similar to the paper I read, getting something like 40-50 pounds of fluids being pushed their system. The treatment for rhabdo requires a
lot of fluids to be pushed through, so that the body excretes out all the toxins and junk.
However if their kidneys are glommed up with proteins, the flow rate out would be significantly lower than the flow rate in. Thus, you'd see a lot of water retention. Now, whether that by itself is a serious issue, or will work itself out, I don't know.
From an article regarding rhabdo, that talks about treatment...
Once the patient has reached the hospital, fluid infusion should be continued with the goal of maintaining a urinary flow of 200 mL/h. To avoid volume overload, it is recommended to alternate 500 mL of sterile saline solution with 500 mL of 5% glucose solution, adding 50 mmol of sodium bicarbonate for each subsequent 2–3 L of solution (usually 200–300 mmol on the first day), with the goal of maintaining the urine pH above 6.5 and plasma pH below 7.50 (1, 5, 6). The speed of infusion should be ;500 mL/h, while hemodynamic parameters and urine output should be monitored
closely
Also, it is necessary to consider that up to 12 L of fluid can be sequestered in the damaged tissue in the first 48 h, which explains the
imbalance (possibly exceeding 4 L) between the fluids that are administered and urine output.
Without further information, we can't be wholly sure what to make of these two claims. On the one hand, they could be signs of deteriorating kidney function. On the other, they could be what happens during the treatment and recovery process.
EDIT:
And no, CAAR, I have no intention of minimizing what's going on with these kids. I hope to God that they're on their way to recovery, and will be able to play football for a long, long time. What
I, personally, am saying is that without any sort of further info, we can't know what, exactly, is going on in those two statements regarding kidney function or weight gain.