Category: Uncategorized

Overview of GFR in the elderly

GFR with normal cr in the elderly

Review from JASN

The BMJ published this editorial last month. It is very incisive. We need a change in how drugs are investigated and approved. I can’t believe we live in a world where 20 years after the commercial introduction of EPO we still don’t have outcomes based guidelines on how to dose the drug.

If you have a scanned document and want to avoid retyping your document, OnlineOCR.net is the fast way to do it.

I am going to the NKF meeting and will arrive Wednesday night. If anybody is interested in grabbing a drink, caffeinated or alcoholic, drop me an e-mail or hit me on my iPhone: 248.470.8163.

feedback?

This coming week is the 100th day of school.

As part of a school project all of the kids need to bring in a hundred of something. My son wanted a hundred paper airplanes. We made a couple of dozen and I had my lecture for the ER residents coming up. So passed out two sheets of paper for each resident when I passed out the handout and I asked each resident to make a couple of airplanes. It turned out great.

Thanks St John ER Residents.

Cool image from the lancet

I tried doing some “live” blogging of the ASN and use the blog to take notes during some of the lectures I attended. I would judge that effort to be a failure. I’ll spend the next few days trying to clean up some of these posts.

Actually I’m going to rewrite an old book. The Fluid, Electrolyte and Acid-Base Companion was published in 2000 but went to the printer in 1999. This book on the physiology underlying common clinical electrolyte problems was written by two residents, one in internal medicine, one in Med-Peds.

Since 1999 I have:

Done a year of pediatric critical care as part of Riley Children’s Hospital’s Newborn transport team

Completed a 2 year fellowship in Nephrology at the U of Chicago

Written a textbook chapter in Intensive Care in Nephrology on calcium, phosphorous and magnesium

Written a chapter in Principles of Critical Care, Third Edition on electrolyte issues in critical care

Written a review article on magnesium

Worked as part of the faculty for St John Hospital’s Nephrology Fellowship Program since 2003

So in the last nine years my knowledge and teaching sophistication on electrolytes has exploded. All this time I have been thinking about rewriting this book:

Fixing it

Adding an evidence based medicine perspective

Removing some of the esoteric chapters which add to the length without helping the student

Add resources to make it a better resource for teaching on rounds

Make it relevant in web based world (Think optimized for iPhone)

Complete revamp of Sodium with electrolyte free water

Finish the job we started by adding calcium, magnesium and phosphorous

So I’m going to write a book.
So it begins.