Alternatives to evidence based medicine
Clever. My favorite is international units of piety.
Dr. Katz was my mentor in the nephrology clinic my first year of fellowship. It was his last year of clinical work at the University of Chicago. He was also the supervising attending during some of my dialysis rotations. That rotation was liking being a traffic cop for inpatient dialysis. It is also where I […]
Darbepoeitin meets a similar fate as epoetin alpha in CKD patients. Here is the press release from the trial onset, a more opportunistic time: Amgen Inc. (Nasdaq:AMGN), the world’s largest biotechnology company, today announced that the company has initiated a landmark trial to evaluate the impact of treating anemia on cardiovascular outcomes in patients with […]
A long time dialysis patient of ours came to the ED yesterday with the chief complaint of “weakness.” She had not missed any dialysis in the last week. She had gone to the farmer’s market on Saturday (2 days prior to admission) and had purchased some melon. She ate two melons on Saturday and a […]
One of the concepts that is regularly taught in the evaluation of acid-base status is determining if there are multiple acid base disorders by evaluating the ratio of the delta anion gap/delta bicarbonate. I teach this concept as determining what the bicarbonae would be in the absence of or prior to the anion gap. The […]
Our fellowship director asked me to do a lecture on osmolar gap. At first I thought that this was an odd topic as toxic alcohols, the standard reason for determining an osmolar gap are relatively rare findings and I was worried I’d be able to find enough to talk about for an hour. I’m really […]
Last week I turned in a chapter (sub-chapter?) on life-style modification for the control of blood pressure. This is part of a educational initiative for the National Kidney Foundation of Michigan. I looked at all of the life-style recommendations in JNC-7: I hope I will get permission to share my section on this blog because […]