Ultrasound results

We got some not so good news today. The ultrasound report came back saying "significant amounts of debris in the bladder (presumably mucus) as well as in the allograft" (the allograft is the transplanted kidney) so they want us to do twice daily bladder irrigations with saline. That involves inserting a catheter into her bladder, hooking up a syringe and putting the saline into her bladder then pulling it back out or letting it flow back out (through the catheter.) We've had to do this before and it has helped with infections before. Katie is NOT happy because the last time we had to do this it was very painful for her. We were using acidic acid before so we'll use saline this time and see if there are things we can do to make it more comfortable. My concern is the debris in the new kidney. I asked the nurse from peds surgery who called, if the debris being there was a direct indicator of reflux (urine backing up from the bladder into the new kidney, that's something we battled for many years.) She checked and called me back and said it could indicate reflux or it could indicate that these infections (the first one or this latest one or both) originated in the new kidney. Both of which are potential problems that could be quite serious. The reflux could lead to additional surgery and the infection being in the kidney could obviously damage the kidney. So, I'm concerned. They don't want to do the test to check for reflux until the infection is cleared. I'm not sure I understand why but for now we'll go with their plan of antibiotics and bladder irrigations.