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….
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…
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…
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….
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…
A few years ago, a unit that I worked at started using hemodiafiltration (HDF) routinely for the first time. Prior to starting our patients, we visited another unit where they had been using HDF for a few years…
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…
To follow up on one of Nate’s posts from 2010, hair grows not only on your skin. He describes a glomerular capillary to be hairy. Glycocalyx, a hairy structure attached to the glomerular endothelium, is a mixture of…
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…
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…