Must see photo
Check out Joshua Schwimmer’s photo of a foley bag. Great shot, highly illustrative of vaptans effect on urine osmolality.
One of my friends from residency sent me this video. It’s perfect. My line favorite is: There is multiple medical mysteries but I’m a renal super sleuth and my one diagnostic tool is the golden window of truth. Check!
In September I recommended Oryx and Crake to @DrSnit, a person I follow on Twitter. Link to tweet Then to both of our surprise Margaret Atwood retweeted this. Link to tweet This was cool because a famous author had noticed our exchange but in retrospect it seems to be standard social media marketing, track your mentions […]
A few weeks ago the Sunday New York Times had an op ed by Randall Stross regarding Steve Jobs. Stross suggested that Jobs’ leaving Apple in 1985 was instrumental in him becoming the capable executive that he is today rather than “the worst personnel decision.” In 1993, Stross released a book, Steve Jobs and the Next […]
On Monday night I was called by one of our fellows regarding a patient in the ED with a potassium of 8.5. They had already given insulin, glucose and kayexalate and the follow-up potassium was 8.1. This is not much improvemnt and less than you typically see. The patient was in acute renal failure with […]
A few weeks ago while on acetazolamide for altitude sickness prophylaxis the whole group noted tingling and paresthesias. What was curious is that the symptoms were most pronounced in the morning. The paresthesias were primarily on the hands and feet with a rare complaint of symptoms on the face. I suspected that these symptoms are due to […]
One of the inherent truths in transplant is that the longer someone is on dialysis the worse the outcome after transplant. Patient with higher dialysis vintage prior to transplant are more likely to lose their graft and die following transplant. This was first shown by Cosio Et al. and subsequently verified by other researchers. Cosio’s primary figure […]
My camping club, Aggressive Deer Adventures had a great trip to Kings Canyon National Park. The group consisted of 7 men, all 40-something who lived at around 600 feet above sea level. The whole trip took place between eight thousand and twelve thousand feet. Every one started on low dose acetazolamide (125 mg bid) 36 […]