Tag Archives: Dialysis

The ESRD Program and Single Payer Medicine

In 1972 the nephrology community convinced congress to pay for the treatment of patients with end stage renal disease (ESRD). Thus, the federal government assumed fiscal responsibility for chronic dialysis and kidney transplantation. We sold the program by telling congress that it would save lives (true) and that it would not be very expensive (decidedly…

Read the full entry

The Ultimate Problem

The article below was originally published in 1983. I think it’s still relevant to any current discussion of euthanasia. It also appears under the Seminars in Nephrology Editorials. Mr. Lincoln (not his name) was a 54-year-old man with metastatic prostatic cancer and chronic renal failure. He had been on dialysis for a number of years…

Read the full entry

More on Gadolinium and NSF

More evidence mounts supporting the causal role of gadolinium containing MRI contrast agents and nephrogenic systemic fibrosis (NSF) in patients on dialysis. Two papers in the June 2008 issue of the American Journal of Kidney Diseases examine the issue. Kallen, et all report that “Receipt of gadolinium-containing MRI contrast is associated with NSF in a…

Read the full entry