Lifetime immunosuppressive drug coverage is part of protecting the health of kidney transplant recipients and under current medicare rules this coverage only extends for 36 months post transplant. During this period medicare covers 80% of immunosuppressant drug costs,…
Renal allograft rupture has been defined as a split in the renal capsule, associated with haemorrhage, when no identifiable injury was noted at the time of harvesting. Renal allograft rupture is a rare, but life-threatening, complication of renal…
Recently, a patient presented to the transplant service with diarrhea and dehydration. He had been trying unsuccessfully to manage his diarrhea at home and was admitted for intravenous fluids. During his work-up, his tacrolimus levels were noted to…
Pair Up is the American Kidney Fund’s new national campaign empowering women to protect themselves— and the people they love— from kidney disease. Laila Ali joined the AKF this past Thursday to kick off the Pair Up campaign…
Although diabetes and hypertension rates in developing countries is rising to match that seen in developed regions, care for patients with end-stage renal disease is still a nascent field. I recently visited Dhaka, Bangladesh. I was able to…
Estimating a patient’s intra-abdominal pressure (IAP) can be a challenge when the patient is not in an ICU setting and abdominal compartment syndrome or intra-abdominal hypertension are suspected. Here is a quick method for estimating IAP. This is…
In this week’s NEJM, Foley and colleagues published a retrospective analysis of the End-Stage Renal Disease Clinical Performance Measures Project (CPM) cohort examining the association of the long interdialytic break (i.e. Friday to Monday for MWF patients and…
As a kid growing up in the San Francisco ACT brought to mind guys in tights running around and projecting their voices at the American Conservatory Theater. Now I’ve got to adjust my association with the acronym with…
Here is a handy free PD calculator for your phone that I came across today. It includes an Access Care and Complications Manual that covers the management of PD catheters and infectious peritonitis, a PD Prescription Guide with PD Prescription…
Glucocorticoid-Remediable Aldosteronism (GRA) is an inherited autosomal dominant disorder which causes early-onset (often childhood) high blood pressure, often occuring in individuals with Celtic ancestry. It typically presents with standard symptoms of aldosteronism (hypertension, hypokalemia, and metabolic alkalosis) with…