The Accreditation Council for Graduate Medical Education (ACGME) continues to restrict resident duty hours in an effort to improve patient care related to resident fatigue. These restrictions are beginning to impact fellowship training as the shift in workload…
Interest in nephrology as a career continues to decline as highlighted by this recent editorial entitled “The Future Nephrology Workforce: Will There Be One” in CJASN. This article, which was presented at ASN in Denver as the Summit…
When managing patients with metabolic acidosis, some nephrologists are afraid of prescribing NaHCO3 because of the potential adverse consequences of increasing ECF volume and worsening blood pressure. However, there is significant evidence that the kidneys handle NaCl in…
Cisplatin was discovered more than 40 years ago, and is still widely used in chemotherapy regimens for many different types of cancer. Its wider use has been limited by toxicities, one of which is nephrotoxicity. Nate Hellman also…
Profound hyponatremia of around 100mEq/L or less is a double-edged sword- it’s got to be treated but can be terrifying to treat. The University of Rochester shared their protocol for controlled correction of severe hyponatremia with AJKD in…
I was recently called to evaluate an obese patient with profound metabolic acidosis who was admitted to the hospital with change in mental status and poor oral intake for several days. Her admission labs revealed severe hyperglycemia (glucose…
Happy World Kidney Day 2011! This years theme is- protect your kidneys, save your heart. World Kidney Day began in 2006 and has continued to grow each year. While every other organ system/disease has had a day/month for…
Nephron Power and Precious Bodily Fluids have nice kidney-related Top 10 lists for World Kidney Day. Here’s our list. 10. One kidney= winning, two kidneys= bi-winning 9. Most successful solid organ transplant. Living donor transplant is a…
As you would have likely guessed by looking at the picture to the left we often tend to believe what we see without giving much thought. This is frequently true in the evaluation and management of patients with…
In the summer of 2010, I came across a health report on the national news that was titled “Angiotensin Receptor Blockers Linked to Cancer”. The headline was based on a publication that demonstrated an increased cancer signal associated…
