Most of us go to sleep and wake up around the same time every day, even on the weekends when we try to sleep in. When we change our schedule to either wake up earlier or because we…
In my intern year while on the wards a patient of mine with normal kidney function on admission developed acute kidney injury (AKI) 48 hours after angiography; I thought I was confident about the diagnosis, it had to…
A 2008 research study found that Canadian medical residents were most likely to choose a specialty based on factors such as lifestyle, previous role models, experience of the resident with the specialty, and mentorship. The same study found that procedural…
A 50 year-old presented with a 3 day history of malaise and fatigue 2 months after receiving a deceased donor kidney transplant with T-cell depleting induction therapy. Discharge medications after transplantation included tacrolimus, mycophenolate mofetil, prednisone, and valganciclovir…
Doing my nephrology training in San Francisco, CA has made it clear to me that homelessness is an essential health policy issue. 553,742 people experience homelessness in the United States as of January 2017. While San Francisco has…
To determine if a patient receiving hemodialysis newly diagnosed with a malignancy might benefit from aggressive cancer treatment, an oncologist colleague posed the following question to me: “What is the typical survival rate for end-stage kidney disease (ESKD)…
Nephrology fellows – you don’t want to miss the Siegfried & Roy of Billing & Coding @ParinMakadia @drirfanagha at Nephrology Business Leadership 2018 https://t.co/2GtrF6hBCM @NBLUniv @Nephro_Sparks @DiMiRenalMD @DallasRenal pic.twitter.com/XaD2gmuJ1U — Samir Nangia MD CPE (@SamirNangia) January 19, 2018…
As part of an effort to organize some materials relevant to career development for budding physician-scientists in my division, I wrote the following letter and deposited it on a shared drive. Since it might be helpful to other…
Almost all the formulas we use in the management of the disorders of water homeostasis are derived from the Edelman equation. I am presenting where these formulas come from for the math aficionados. Edelman equation · Original…
As a renal fellow, I have found myself reaching for spironolactone more and more. It is very helpful when treating the patient with resistant hypertension, but it continues to be under-utilized. Aside from the renal-centric effects of aldosterone,…