In the pre-DAA era, the dogma was to treat HCV pre-transplant for two reasons: active HCV increases post-transplant hepatic complications, NODAT, and decreases patient and graft survival and that IFN cannot be used post-transplant because of higher risk…
The Burden of Hepatitis C The estimated global Hepatitis C viral infection (HCV) burden was slashed down to 71 million by the WHO in 2015, from the earlier estimate of 130-150 million, after Rao et all showed that…
The July 2017 nephrology webisode is part 2 of a series featuring vascular access expert Dr. Dirk Hentschel. In last month’s episode we went to the bedside to examine the access of 2 patients on chronic hemodialysis. This…
The MUDPALES mnemonic for raised anion gap acidosis was drilled into me from medical school. However recently after working through each category I became stumped when nothing ticked the box to identify the cause. The lady I had…
Therapeutic plasma exchange (PLEX) is a type of therapy where a patient’s plasma volume is removed over a period of a few hours, through a process of centrifugation of blood with subsequent separation of its constituents, and replaced…
Figure 1 Ms. Phursty is a 66 year old Caucasian woman with a past medical history of Graves’ disease who was referred to nephrology for polydipsia. She endorsed extreme thirst for the last 3-4 months drinking 6 glasses…
The ASN is conducting a critical FELLOWS SURVEY about your experiences in training and future goals/expectations in nephrology. They need more fellows to participate and represent our field well. The survey is ANONYMOUS and very helpful in developing…
The June web episode features a special guest who was visiting St. Louis – Dr. Dirk Hentschel, Assistant Prrofessor and Director of Interventional Nephrology at Brigham and Women’s/Harvard Medical School. Follow him on Twitter – @dialysisaccess1 This is…
I have the distinct advantage and pleasure of having an Internist as my spouse. Rarely a dinner goes by without a case discussion. Recently, she brought up an all-too-common case… One of her ‘’favorite’’ ESRD patients had died…
Please check out the link for full details. Includes an ultrasound for nephrologists workshop!