World Cup fever
Congratulations to the USA and England on going through to the second round of the World Cup today. As an Irishman, I will confess to a modicum of schadenfreude at the humiliating exit of France yesterday, but we…
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…
Board question: Transplant-1 answer
The vast majority of people answered correctly; the best answer is D. Approximately 3-5% of patients with Alport’s syndrome develop de novo anti-glomerular basement membrane (GBM) disease in the transplanted kidney. Alport’s syndrome is a genetic disorder that…
Board question of the week: Transplant-1
An 18-year-old white man presents to the renal transplant clinic with complaints of fatigue and nausea for the last week. He was the recipient of a deceased donor kidney transplant 12 months prior and has experienced stable allograft…
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…
Amazing Immunology!
I am still reviewing all my notes from the American Transplant Congress that occurred last May in sunny San Diego but I wanted to share with you a couple of interesting findings that I learned: First of all,…
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…
The Earlier The Better
I am currently writing a chapter about Living Kidney Donation “the Gold Standard”. With that in mind and two recent discussions with my co-fellows, I decided to discuss a little bit about the choice of the kidney donor…
Preventing Chronic Rejection: Can it B?
For the past 5 years, alloantibody measurement has become a standard of practice in recipients of kidney transplants experiencing worsening allograft function. This week, I admitted a patient who had a rising creatinine and on biopsy mild-moderate interstitial…