Nephrology Care Dynamics in Different ICU Settings
Tension – nephrologists live in it. The tension between trying to delay chronic kidney disease (CKD) progression whilst also preparing a patient for dialysis. Tension with [...]
Gould
Sickle Cell Disease: Peering Behind the Veil…
The association between sickle cell disease (SCD) and chronic kidney disease (CKD) is well known. A disease of recurrent vascular occlusion due to sickling red cells, the [...]
Deciding Not to Dialyze: What Comes Next?
Discussion about renal replacement therapy selection in our patients with CKD is complex, but an important part of any nephrology practice. If we know the patient well, it [...]
New Anticoagulants in Chronic Kidney Disease: A Beacon in the Darkness
A familiar problem. A problem that sits inside an increasingly convoluted landscape of treatment options. Atrial fibrillation and advanced chronic kidney disease (CKD): Do we [...]
Creatinine Linearity – Connecting the Dots Has Never Been So Complicated
Prediction. My least favorite part of the chronic kidney disease (CKD) clinic visit. “No crystal ball.” “I’m not in a position to guess.” “Only God knows the [...]
Management of Gout in the CKD Patient…Not So Different After All!
One afternoon during my year as Chief Resident, I was asked to cover the resident Clinic at our Veteran’s Affairs (VA) hospital. One of the senior residents presented a [...]
Understanding Cognitive Decline Among Hemodialysis Patients
One of the greatest losses in life comes while watching a previously witty and thoughtful loved one lose the things that make them, them. I suspect most people can relate to [...]