An excerpt from The Healthy Kidney Handbook: A Comprehensive Guide to Manage Hypertension, Control Stress, and Prevent Renal Failure, Kidney Disease, and More.
A good friend and neighbor of mine is a kidney transplant survivor, and I wanted to thoughtfully document her thoughts on different parts of her journey. She is currently a married, African American woman, mother of a teenage son, in her forties, and works full time in …
We’re constantly reminded of the organ shortage and the lives lost while waiting for a kidney. Like fish unaware they swim in water, we’ve accepted the rising tide of kidney failure as natural and inevitable, but it’s not. The most urgent question goes unasked: Why do so many kidneys fail?
Diabetes is the leading cause of kidney failure, with 40 percent of those on the kidney waitlist diabetic. Every day …
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Health care executive and patient advocate Aja Best discusses her article, “How early CKD diagnosis can save lives: a transplant survivor’s journey.” She shares her harrowing personal experience with a delayed diagnosis …
Chronic kidney disease (CKD) often develops unnoticed, gradually impairing kidney function. Approximately 950 million people worldwide are affected by CKD, and it is now the 9th leading cause of death, projected to become the 5th leading cause in the near future.
For years, I was unaware of the severe health battle brewing beneath the surface—until a routine pregnancy scan in 2015, at the age …
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We sit down with Amol Shrikhande, a nephrologist, to explore the challenges faced by frontline health care workers in an overburdened system. We delve into the real-world impact of budget constraints, staffing shortages, …
An excerpt from The Committee Will Kill You Now.
“You couldn’t get her niece to budge on the hemodialysis decision?” Harper sank into the resident lounge’s threadbare couch and kicked up her feet.
“Nope.” Noah slumped in the chair across from her. It was late afternoon, and he’d almost finished checking off …
When a colleague recommended a book, I hoped it would be something enjoyable – perhaps a sports anthology, a music biography, or even a novel. Unfortunately, it was about dialysis, the great American scam that it is.
As a nephrologist (kidney doctor), I had already come to the same conclusion. Here’s why, supported by Tom Mueller’s meticulous research in How To Make a Killing: Blood, Death and Dollars in American …
After she developed a serious complication, she wanted to know the facts plainly stated. I told her the treatment would change her quality of life; it would be hard but doable. To this, she replied, “Now, don’t bullsh*t me, I don’t like bullsh*tters.”
These words were uttered by my resilient, 75-year-old patient undergoing peritoneal dialysis. She had recently developed one of the most dreaded complications of this treatment: calciphylaxis.
Her strong will …
I noticed a troublesome trend during my three weeks working in the pediatric dialysis unit and the post-kidney transplant unit. The whiter and younger pediatric patients were resting comfortably in the post-transplant unit with their new surgically placed kidneys being meticulously taken care of. The darker and older pediatric patients spent countless, mindless hours attached to a dialysis machine with little hope for a new kidney after years of being …
As I’m sure you know, nephrology is the branch of internal medicine that deals with the kidneys. And in the U.S., young doctors are quite unlikely to choose this path.
Why? The combination of long hours, chronic illness, and (relatively) unimpressive pay has proven deadly to the field. In fact, around 30 percent of training (fellowship) positions go unfilled each year.
To stay afloat, the nephrology community has turned to …
Those of us who live in developed nations generally take for granted that we have ready access to clean water. Yet, the World Health Organization estimates that over two billion people worldwide must drink unsafe water. This problem is often greatest in remote areas of developing countries. Ingestion of water from rivers, wells, and other sources that feces have contaminated induces diarrheal …
In my recent TEDx Talk titled, Why Black Patients Don’t Trust the Healthcare System, I explored racially-based medical algorithms and their impact on health outcomes for Black patients. As a physician, I believe such algorithms have no place in the modern healthcare system, as they can affect how Black patients are diagnosed and the morbidity and mortality rates in the community.
A study published as recently …
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Health care has changed dramatically in the last decades, from the introduction of electronic medical records to the COVID-19 pandemic serving as a catalyst for telehealth and virtual care options to the increased familiarity with digital therapeutics, etc. Just as the industry has transformed over time, the physician’s role has similarly evolved.
Traditionally, those of us who attended medical school have had just a handful of career options to choose from …
It was a Monday two years ago. I was still fresh from coming back from having been out of school from a COVID break. I was no older than 22, and I was in my pediatrics clerkship. I was greener than a freshly watered lawn, and I felt every bit of it. It was one day into this rotation that I met Adam.
He was a 7-year-old boy the size of …
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 26-year-old man is evaluated during a follow-up visit after presenting to an urgent care clinic for back pain 1 week ago. Laboratory studies at that time were significant for a serum creatinine level of 1.4 mg/dL (123.8 µmol/L); other laboratory studies, including urinalysis, were normal. A …
In recent times, physician burnout has rightfully surfaced as a social concern for the medical fraternity. Physician burnout is a thing, and lately, I was thinking about it related to nephrology.
Many national physician organizations and local hospital systems are developing strategies to reduce work-life stress and improve the engagement of the workforce. In November 2018, I represented the Renal Physician Association at the interim meeting of the American Medical Association …
How did I miss his hypokalemia? Two weeks into my intern year and my patient’s potassium returned at 2.9. Minutes later, he coded. And I felt responsible. As I explained to my partner how my patient had become pulseless after diuresis of his heart failure, she looked at me and said, “Physicians kill patients, it’s inevitable. Has no one told you it’s part of the job?”
There is truth to this …
A number of media outlets recently featured a story about a Florida general surgeon who removed a normal kidney from a woman who was undergoing spine surgery. How could this have occurred?
The 51-year-old patient who had been injured in a car crash was scheduled for an anterior lumbar interbody fusion (ALIF) of the fifth lumbar to the first sacral vertebra. The general surgeon’s role was to provide …
I saw two patients with a chief complaint of bubbles in their urine this month.
One middle-aged woman had eaten some wild mushrooms she was pretty sure she had identified correctly, but once her urine turned bubbly a few days later, she came in to make sure her kidneys were OK.
Even though she was feeling quite well, they were not, and she ended up going straight to Cityside hospital for IV …
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