Raphael Rosen, MDFellow, New York Presbyterian / Columbia University Medical Center@RaphyRosen One of the major challenges in the care of patients on hemodialysis is the establishment and adjustment of dry weight. Strikingly, among the many quality metrics that…
Shweta Shah, MDAssistant ProfessorRenal Section, Department of PediatricsTexas Children’s Hospital@nefron1310 I recently came across a tweet about the use of mustard for dialysis cramps. I had never heard of my patients using this remedy for their muscle cramps…
As a graduating nephrology fellow, I am well trained in triaging patients for timely dialysis treatments. Recently, the COVID-19 pandemic has posed a different challenge. Every day we work closely with our colleagues in the emergency department to…
South Africa appeared on the cover of TIME magazine last year as the ‘world’s most unequal country’, with a Gini index of 63. Resource limitation, especially in reference to specialist health care services like dialysis, continues to be…
The use of extracorporeal therapies, like dialysis, is a core part of nephrology training and practice. Fellowship programs spend a considerable amount of time delivering educational content aimed at kidney replacement therapies (KRT). This included hemodialysis, home-based dialysis,…
“Doctor, I’m calling because Mrs. X has 2 hours of treatment left. This is the third time her blood pressure has been low…What do you want me to do?” Intradialytic hypotension (IDH) is a universal, often unavoidable scenario…
Acquired Cystic Kidney Disease in the ESKD population Acquired cystic kidney disease (ACKD) was first described in 1847 by Simon while studying patients with glomerulonephritis (Bright’s Disease). However, it was not until 1977 when ACKD was “rediscovered” by…
The vast majority of us have been confronted with these questions: When to start dialysis in a patient in the ICU ? What modality should I start with? What kind of vascular access should I place? How I…
While making rounds, I was paged to the dialysis unit to evaluate a patient on hemodialysis via a tunneled dialysis catheter, who began having chills and hypotension during a session. Unfortunately, this is not an uncommon situation and…
If you are interested in learning more about the ins-and-outs of dialysis consider attending the Annual Dialysis Conference: the largest multidisciplinary dialysis conference founded in 1980 by the Division of Nephrology at the University of Missouri. Who Can…
