The readers of the Renal Fellow Network have spoken, and the answer is clear: the most blood pressure elevating activity is catheter-related! 29% of fellows selected the first answer (the MICU nurse paging you to inform that your IJ catheter is malfunctioning), with the second answer (your program director asking you to pick up the slack by double-covering services) coming in a close second at 25%. Thanks for voting and be sure and make your voice heard in our latest Poll of the Week on the right.