Category Archives: nephrology

Kidney Disease and the Elderly

Tweet I hate to write this, but it appears that the New York Times may be more up to speed than your primary care doctor or even your nephrologist when it comes to kidney disease in the elderly. For Older Adults, Questioning a Diagnosis of Chronic Kidney Disease accurately describes a problem which has not received…

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Acute Renal Failure

Tweet   The PowerPoint slides of a talk given by me to the Fall Medical/Surgical Conference of the Lubbock-Crosby-Garza County Medical Society are below . The file can be downloaded by clicking on the link. It is a general review of the various forms of Acute Renal Failure also known as Acute Kidney Injury. Acute…

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Hemodialysis Update

Tweet Two new articles discuss important aspects of hemodialysis in the US. One is in the lay press, the other in the New England Journal. The lay article, in the Atlantic Magazine, is an exercise in yellow journalism. If you or someone in your family needs dialysis it will scare you to death – perhaps…

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Acute Kidney Injury and Clinical Outcomes

Tweet A paper in the Mayo Clinic Proceedings, Acute Kidney Injury Predicts Outcomes of Non–Critically Ill Patients, examines the effect of Acute Kidney Injury (AKI) on the clinical out comes almost 6000 patients at a community teaching hospital affiliated with Yale. AKI was deined as an increase in serum creatinine of at least 0.3mg/dL over…

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Bicarbonate Therapy in Severe Metabolic Acidosis

Tweet This is a PowerPoint presentation of a talk given at the annual meeting of the Southern Society for Clinical Investigation – February 23, 2008. It can be used for any noncommercial purpose as long as the original source is acknowledged. Also listed below is a pdf file of a paper on the same subject…

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Nephrogenic Systemic Fibrosis

Tweet As if the world weren’t dangerous enough new diseases keeping popping up like, well new diseases. Over the past few years nephrologists have recognized a new skin disease that was previously called nephrogenic fibrosing dermopathy, but which has been rechristened Nephrogenic Systemic Fibrosis. The current issue of the NEJM describes another patient with this…

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