Poll results: the most appealing Nephrology Consult scenario chosen, perhaps not surprisingly, was workup of new-onset glomerulonephritis (44%). I would contend that many individuals choose Nephrology because they are interested in issues such as glomerulonephritis, interesting electrolyte and acid-base cases, and workup of new-onset renal failure–even though the bulk of the work is dialysis and access-related.
Thanks for your comments, Michelle, and best wishes for the future. It's always good for doctors to hear the patient's perspective on how to cope with such difficult medical illnesses.
I am a renal patient, and I just wanted you to know that I've learned a lot from this blog. I've had fsgs for almost twenty years, and I am now being referred for a possible pre-emptive transplant. Who knew that kidneys and their functions were so complicated?
I know that this is a blog for professionals, and I see that what makes for interesting practices for most of you is a new nephritis work-up, but please remember that we, the patients, are scared to death. We fear feeling so ill that life becomes torture. Bad kidney function and shedloads of potent medicines become soul-destroying and, for a lot of us, financially crippling. A diagnosis of CKD is a life-changing event; it physically feels like the world has tilted on its axis. For us, this is a battle that will never really be won, even if we are lucky enough to have a successful transplant.
Again, thank you for your blog. It is both illuminating and, frankly, terrifying.