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CitraPure® Citric-Acid Concentrate from Rockwell Medical – the new standard in dialysis concentrate; available in dry powder, liquid drums or liquid gallons.
Myron L's D-6 offers professional, comprehensive water and dialysate quality analysis in the palm of your hand.
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Better bacteria control in water systems is available now.  Call Mar Cor Purification for our heat disinfection systems today.
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Company of the Day: Charles River
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A Further Guide To Self-Cannulation With The Rope Ladder Technique: Single-Handed Needling
Posting from the KidneyViews blog.
Current Status and Challenges of Dialysis in Asian Countries — Symposium, Shiga, February 2017
Supplement issue containing 10 full-text articles from Blood Purification.
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  Oct. 20, 2017
Near the Campus Cow Pasture, a Scientist Works to Grow Human Organs—in Pigs
Article from STAT.
Medicare Comprehensive End Stage Renal Disease Care Model Performance Year 1 (Oct 2015 - Dec 2016) Quality and Financial Results
(1-page pdf) 12 of the 13 ESRD Seamless Care Organizations (ESCOs) that participated in the first year received sharing savings. (Rogosin did not.) CMS Comprehensive ESRD Care web page.
2 Strangers, A 6-Page List And A Plan Hatched To Help Puerto Rico
Article from NPR.

"Elizabeth Rodríguez Santana, 63, is one of them. She suffers from acute kidney failure and she's been on dialysis for nine years. Hurricane Maria shut down the clinic in Mayagüez where she received treatment three times a week, four hours a pop. There were no doctors at the clinic even when it reopened, says Rodríguez Santana. She says she went days without treatment and then she got an appointment two months out. While she's desperately trying to find treatment on the island, her daughter in Jacksonville, Fla. was desperately working the phones trying to get Rodríguez Santana evacuated to the mainland."

Editor's note: How does hoarding information help this situation?
Dialysis Nurses Volunteer for Puerto Rico Relief Effort
Article from Renal & Urology News.
Clinical Journal of the American Society of Nephrology (CJASN) Announces Patient Voice Initiative
Press release.

Editor's note: I hope the chosen patient voices will disclose all their financial conflicts of interest as well as the amount of money that their organizations receive from dialysis and pharmaceutical companies.
Free, Open Access, Issue-In-Progress Articles from Kidney & Blood Pressure Research:
CJASN Express Abstracts:
Center Variation and the Effect of Center and Provider Characteristics on Clinical Outcomes in Kidney Transplantation: A Systematic Review of the Evidence
Free, full-text article from Canadian Journal of Kidney Health and Disease.
Articles from Medscape Nephrology (registration required, but free):
BP Measurement in Clinical Practice: Time to SPRINT to Guideline-Recommended Protocols
JASN Express abstract.
Nephrology Journal Club — Hypertension Guidelines: Managing Blood Pressure in Kids and Teenagers
Tuesday Oct 24th, 9 PM ET.
Direct Acting Antiviral Agent-based Regimen for HCV Recurrence after Combined Liver-Kidney Transplantation: Results from the ANRS CO23 CUPILT Study
Early View abstract from American Journal of Transplantation.

(DaVita) Promises Services Despite a Person's Ability to Pay
Article from News & Observer (Johnston County, N. Carolina).

"In its Sept. 15 application, DaVita said it will offer services regardless of ability to pay, emphasizing that it will make dialysis services available to low-income clients and racial and ethnic minorities. If a patient is unable to pay, the company promises, "the patient balance is forgiven or reduced."

"Payment will not be required upon admission," the company said. "Clayton Dialysis will work with patients who need transportation, when necessary.""

Editor's note: How do they make their money?

Pollution Linked to One in Six Deaths
Articles from the BBC and NPR.
Is a Dangerous Bird Flu on the Horizon?
Article from HealthDay.
Short on Staff: Nursing Crisis Strains US Hospitals
Article from Reuters.
Due to Hurricanes, CMS Will Suppress Publicly Reported Data on Dialysis Facility Compare
CMS intends to suppress quality data reporting through Dialysis Facility Compare related to dialysis providers located within the Federal Emergency Management Agency (FEMA)-designated “major disaster” counties of Texas, Georgia, and Florida, parishes of Louisiana, Municipios of Puerto Rico, and County-Equivalents of the U.S. Virgin Islands.

For any questions, please contact dialysisdata@umich.edu.
October CROWNWeb Town Hall Registration Now Open
Thursday, October 26, 2017 at 2:00 PM (EDT).

Previous News Stories
John Oliver on U.S. Dialysis Care (YouTube video)
Why U.S. Dialysis Care Has Been Stagnant
Understanding Tassin
Nephrologists Can't Have It Both Ways (2015)
Ten Issues Nephrologists Do Not Want To Discuss with Dialysis Patients (2014)
The Missing Half of Excellence in
Dialysis Care 2013)
Human-Centered Care (2013)
Fix Dialysis
Boston ESRD Conference (2009)
New Views (2008)
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