Nate Hellman MD PhD, the founder of the Renal Fellow Network, died tragically just over two months ago. He was a wonderful person, who possessed a strong sense of humanity, humor and compassion. Nate touched the lives of…
Patients over 65 tend not to choose peritoneal dialysis for a host of reasons, not the least of which is PD is underutilized in the US in general. However, a recent study suggests that PD may be preferable…
Almost one year ago, Nate posted here about the results of a large GWA study of chronic kidney disease by Kottgen et al. This project was the result of a collaboration between 4 groups, and produced many exciting…
A colleague of mine at another academic institution recently informed me about a patient that had been admitted to the ICU with organophosphate poisoning. In spite of aggressive treatment, the patient remained critically ill with multiorgan dysfunction and…
Population-wide salt reduction is gaining increased media and political attention over the last few years. The most notable example is the National Salt Reduction Initiative (NSRI) spearheaded by New York City Mayor Michael Bloomberg. This initiative was unveiled…
I recently saw a patient in clinic who had sustained a head injury and developed hyponatremia that persisted after discharge. In his chart was a great deal of debate over the cause of his hyponatremia: SIADH or cerebral…
For the past 5 years, alloantibody measurement has become a standard of practice in recipients of kidney transplants experiencing worsening allograft function. This week, I admitted a patient who had a rising creatinine and on biopsy mild-moderate interstitial…
Monoclonal gammopathies generally arise from an abnormal clone that has developed from a single cell of B-cell lineage. The monoclonal protein can be intact immunoglogulin (often associated with free light chain), free light chain (FLC) in isolation, or…
Almost every transplant clinic I have, one of my patients will ask about reducing his or her immunosuppression. This happened again this week. Needless to say that this is one of the most frustrating area in transplantation where…
Historically – before CHOIR and CREATE – Goals for anemia management were Hb level of 11-13 g/dl Iron saturation > 20% Ferritin >200. CREATE changed the tide which was followed by CHOIR. CREATE (Epo-β) had intent to treat…