TRAPS
It’s been a long time since my last blog post, so I have decided to catch up by writing about two cases I saw in my transplant clinic. However, they have the same disease, a brother and sister…
Deciphering the pathologists secret code!
I will share with you some of the tips I learned from my pathologist friend Ibrahim Batal.When evaluating an allograft kidney biopsy for acute changes, you should:First, scan at low power magnification, look for arteries, check for necrosis…
The bad habit of ACEI!!!!
Coming to the transplant clinic from 2 years of CKD clinic, prescribing ACEI/ARBs was a habit, a good one I guess. Does this hold truth in the transplant world, well… I am not sure anymore after I read…
Does CMV glomerulopathy exist?
I asked this question during my clinical renal fellowship at Brigham, where I had the chance to take care of a 39 yo female with a history of ESRD secondary to MPGN s/p DCD kidney transplant 8 months…
Compensation for living organ donation! status quo no more but…
I talked earlier this year about “Compensation for living donation”. The comments I got show how controversial this subject is. I was happy to see that ATC this year opened the debate on this crucial matter because keeping…
Does CAPRIT trial need a TREAT!!!!!
This morning at ATC, the results of a very interesting trial were presented. I would like to share them with you so we can look at them more carefully once the paper is published. The CAPRIT trial is…
Monitoring the immune function: a shot in the dark!!
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…
Technology wins again???
The interest in machine perfusion for preservation of kidney transplants has been revived. Were we serious when we decided to put the organ in ice??? A recent NEJM prospective, controlled trial randomizing 336 consecutive deceased donors to either…
Compensation for living organ donation! A taboo no more but….
Talking to Nate always stimulated new ideas and new challenges. Last time I met him, we played soccer in the park with the kids (that was also a challenge but fun and easy to win…). We also talked…