The medical profession is one of the few professions in the world where the person remains a student for life. We are perennially in this stage of learning some more …a bit more…a little more…And not surprisingly this…
As a current Nephrology trainee I recently decided to do a side step and rotate through obstetric medicine (looking after medical problems in pregnant women). I was interested in this for a few reasons. Throughout my medical training…
Membranous nephropathy is among the most common causes of the nephrotic syndrome in non-diabetic adult. It is an immune complex mediated disease which occurs when circulating antibodies permeate the glomerular basement membrane and form immune complexes with epitopes…
What is the Fistula First Initiative? The Fistula First Initiative (FFI) is a national quality improvement project that was established in 2003 to increase the use of arteriovenous fistula (AVF) for hemodialysis (HD) access in incident and prevalent…
‘That was so cool! He looked a thousand times better! And his bloods too!’ Rob, our junior resident, was bounding down the stairs beside me, breathless with the thrill of the last 24 hours. We had met…
Raji* was feeling increasingly distraught as she waited at the doctor’s clinic with her 14 yr old daughter. The teenager had not been eating well and was losing weight for the past 6 months. She was always tired…
Quality Incentives for ESRD Care Reimbursing physicians based on the quality of care they provide is not a new idea. In the 1700s B.C. in ancient Babylon, Hammurabi’s Code stated “If a physician operates on a man for…
Time: 11:30 pm Place: Emergency Department (ED) of a public hospital in Mumbai (average attendance ~ 550 patients per day). A weary and teary mother wheels in her daughter ‘Asha’* who is in her early twenties. They have…
The cartoon that graced the cover of the April 1924 edition of Radio News depicted a physician linked to a patient only by sight and sound i.e. the Radio Doctor. The term Telemedicine first appeared in the medical…
As a new pediatric nephrology fellow, my first weeks taking care of patients on hemodialysis were overwhelming. Each of my patients had complex problems and intricate physiology, and I initially learned to focus on the numbers – clearance,…