The Brave New World of Renal ACOs

This past week CMS announced the formation of a new form of payment and service delivery for patients with ESRD – the ESRD Seamless Care Organization (ESCO) – essentially an ACO specifically and exclusively for individuals with ESRD….

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Keeping up with the Neighbours

These days, the proliferation of medical journals makes it difficult to keep up with all the changes in our field. There are a number of means that people employ to manage their reading. I personally use google reader…

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Vascular rejection – Reassessing its etiology

Vascular rejection has been traditionally considered a severe form of acute rejection characterized by infiltration of mononuclear cells beneath the endothelium or by the presence of arteritis. Though initially reported as an aggressive form of T-cell mediated rejection…

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Pearls for Boards

1) Surreptitious vomiting or diuretic abuse – metabolic alkalosis, Laxative abuse – non-gap metabolic acidosis. 2) Aquaporin 2 –  apical membrane of collecting duct, Aquaporins 3 and 4 – basolateral membrane of collecting duct, Aquaporin 1 – proximal tubule….

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Lupus Foundation of America Grant

The Lupus Foundation of America is proud to announce its new Career Development Award RFA. The purpose is to facilitate the professional development of nephrology, dermatology, and rheumatology fellows, in the U.S. and Canada, interested in lupus research towards a…

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Falsification Analysis

Interesting paper this month in JAMA about post-marketing studies of adverse drug effects. Randomized controlled trials are obviously the gold standard for the detection of common adverse events related to treatment. The problem is that, if an adverse…

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Image of the Month – 2

A man in his 50s with a history of diabetes, renal stones, gastric bypass surgery and CKD stage III/IV presented to the clinic with fevers, chills and vague abdominal pain. A urine culture was positive for E Coli…

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Home Dialysis University

The dates and locations for this year’s Home Dialysis University for Fellows have been released. This is a series of courses on home HD and PD aimed at graduating fellows that is sponsored by the ISPD. You can…

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