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Thursday, July 31

Why Not Business Class Dialysis?
Article from Renal & Urology News.

Editor's comment:
Only an elitist, Orange County nephrologist could come up with this.

What's next? Patients paying for a chair with padding? Perhaps forcing patients to pay for more than one or two treatments a week? Or, for a price, nephrologists will provide the kind of care they would choose for themselves?

Instead, how about honoring the meaning and purpose of all patients' lives by providing them with rehabilitation, as well as support for working-age patients to help them stay employed? How about nephrologists being physicians instead of ....

DaVita HealthCare Partners Inc. 2nd Quarter 2014 Results
Former ANNA President Sally Burrows-Hudson Dies
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  July 31, 2014
bullet point Fresenius Medical Care Reports 2nd Qtr Results
Articles from Bloomberg and Reuters. Press release from Fresenius Medical Care.
bullet point Europe to Crack Down on Organ Trafficking
Article from News Channel Daily.
bullet point Data from the Dialysis Outcomes and Practice Patterns Study Validate an Association between High Intravenous Iron Doses and Mortality
Advance Online abstract from Kidney International.
bullet point Very Low-Protein Diet Plus Ketoacids in Chronic Kidney Disease and Risk of Death during End-Stage Renal Disease: an Historical, Cohort, Controlled Study
Advance Access abstract from NDT.
bullet point Unusual Case of HIT With Cardiac Arrest During Hemodialysis
Abstract from Annals of Pharmacotherapy.
bullet point FDA Recall: Lidocaine HCI Injection, USP, 2 percent, by Hospira: Recall - Visible Particulates
Notice from MedWatch.
bullet point Forum Matters - Spring 2014
(link to 2-page pdf) Newsletter from the National Forum of ESRD Networks.
bullet point Biannual Update on UNOS Activities
(link to 5-page pdf) Directors' Report from the United Network for Organ Sharing via the American Society of Transplantation web site.
bullet point Interview with Adam Dakin of Bioconnect Systems (Optiflow™ access device)
Article from Keystone Edge.
bullet point Bluegrass Vascular Technologies Raises $4.5M Series A Financing
bullet point Exploring 3-D Printing To Make Organs for Transplants
bullet point Probe Exposes Flaws behind HealthCare.gov Rollout
Articles from AP and The Hill.
bullet point Reforming the Financing and Governance of Graduate Medical Education
Free, full-text, Online First perspective piece from the New England Journal of Medicine.
bullet point U.S. News & World Report Ranks Best Online Graduate Nursing Programs
Article from Nurse.com.
bullet point Rx For Clarity: Calif. Considers Bilingual Drug Labels
Posting from the KHN blog.
bullet point Drug-Resistant Malaria 'Widespread'
bullet point More in New York, New Jersey Infected with Chikungunya: CDC
bullet point Community-Based Health Coaches and Care Coordinators Reduce Readmissions Using Information Technology To Identify and Support At-Risk Medicare Patients After Discharge
Innovation profile from the AHRQ Health Care Innovations Exchange.


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Wednesday, July 30

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  July 30, 2014
bullet point Amgen 2nd Quarter Profit Rises; Announces Four Facility Closings and Up to 2,900 Job Cuts
Articles from Reuters, The Seattle Times, and The Los Angeles Times.
bullet point Hospitalization in Daily Home Hemodialysis and Matched Thrice-Weekly In-Center Hemodialysis Patients
Article in Press abstract from American Journal of Kidney Diseases.
bullet point Loss of Power Plant in Gaza Threatens Dialysis Patients
Article from EURONEWS.
bullet point Continuous Renal Replacement Therapy-Related Strategies to Avoid Colistin Toxicity: A Clinically Orientated Review
Free, full-text, Issue in Progress article from Blood Purification.
bullet point Advance Access Abstracts from Clinical Kidney Journal:
bullet point Hemodialysis Catheter Insertion: Is Increased PO2 a Sign of Arterial Cannulation? A Case Report
Provisional abstract and full-text article (9-page pdf) from BMC Nephrology.
bullet point Immunization after Kidney Transplantation-What Is Necessary and What Is Safe?
Advance Online abstract from Nature Reviews Nephrology.
bullet point AmeriWater's MediQA Dialysis Water Treatment System Obtains FDA Clearance
(2-page pdf) Press release.
bullet point #WTC2014 Late Breaking Oral Session: 1000 Kidney Paired Donation Transplants through the National Kidney Registry
Posting from the eAJKD blog.
bullet point Humacyte Receives Fast Track Designation for HumaGraft™ for Vascular Access in Hemodialysis Program
Press release.
bullet point Hemodialysis University Meeting in August Offers Updates, Advances in Dialysis Care
bullet point Substantial Gift for Mayo Clinic's Regenerative Medicine Research
bullet point Minor Changes in Kidney Function With Rheumatoid Arthritis Drug
bullet point Reducing Kidney Injury from Contrast Dye Using a Quality Improvement Method
bullet point Expert Panel Recommends Sweeping Changes To Doctor Training System
Article from Kaiser Health News.
bullet point PCORI Board Approves $54.8 Million in Funding for Patient-Centered Comparative Effectiveness Research Projects
Press release from the Patient-Centered Outcomes Research Institute.
bullet point Google to Harness Its Computing Power to Mine for Biomarkers of Disease and Healthy Living
Article from MedGadget.
bullet point Lawmakers Announce $17 Billion Deal To Overhaul VA Health Care
bullet point CROWNWeb: Slides for the July 24th Town Hall Event “User-Driven Demonstrations” Are Now Online
bullet point CROWNWeb: Clinical Months Close in 2 Days – Act Now!


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Tuesday, July 29

AmeriWater's MediQA Dialysis Water Treatment System Obtains FDA Clearance
(2-page pdf) Press release.
Hemodialysis University Meeting in August Offers Updates, Advances in Dialysis Care
Reducing Kidney Injury from Contrast Dye Using a Quality Improvement Method
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  July 29, 2014
bullet point 4 Facts You Need to Know About Kidney Transplants and Dialysis
Article from Cleveland Clinic's HealthHub.
bullet point Intradialytic Exercise Training: a Pragmatic Approach
Free, full-text, Early View article from Journal of Renal Care.
bullet point Decision Aids for Advance Care Planning: An Overview of the State of the Science
Free, full-text, Online First review article from Annals of Internal Medicine.
bullet point The Renal Patient Support Group: Supporting Patients with Chronic Kidney Disease through Social Media
Early View abstract from Journal of Renal Care.
bullet point Correspondence (Full-Text PDFs) from BMC Nephrology:
bullet point Wanted: Pediatric Nephrologists!-Why Trainees Are Not Choosing Pediatric Nephrology
Early Online abstract from Renal Failure.
bullet point Study Protocol: Rationale and Design of the Myocardial Microinjury and Cardiac Remodeling Extension Study in the Sodium Lowering in Dialysate Trial (Mac Solid Study)
Provisional abstract and full-text article (19-page pdf) from BMC Nephrology.
bullet point Plasma S100A12 and Soluble Receptor of Advanced Glycation End Products Levels and Mortality in Chronic Kidney Disease Stage 5 Patients
Advance Access abstract from NDT.
bullet point Finally, a Biosimilar Application Has Been Accepted by the FDA
Article from PatentDocs.
bullet point 'Pea-Sized Brain Hub Could Shed Light on Depression'
Article from the BBC.
bullet point CDC Downplays Ebola's Threat to the United States
bullet point Good News For Boomers: Medicare's Hospital Trust Fund Appears Flush Until 2030
Article from Kaiser Health News. CMS press release.


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Monday, July 28

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  July 28, 2014
bullet point More Patients Take on In-Home Dialysis Due to Compensation, Yearly Savings
Article from Trib Live (Pittsburgh).
bullet point Intradialytic Training Accelerates Oxygen Uptake Kinetics in Hemodialysis Patients
Online First abstract from European Journal of Preventive Cardiology.
bullet point Kidney Transplant Drug Halves the Early Risk of Rejection and Allows Less Toxic Treatment
Press release from the University of Oxford. Abstract from The Lancet.
bullet point Free, Full-Text, Online First Reviews from Pediatric Nephrology:
bullet point Free, Full-Text Articles from American Journal of Transplantation:
bullet point Accepted Articles Abstracts from Nephrology:
bullet point Human Brain Has Coping Mechanism for Dehydration
bullet point Six Second Bursts of Exercise 'Can Transform Health' of Elderly
Article from the BBC.
bullet point Ebola Kills Liberian Doctor, 2 Americans Infected
Article from AP.
bullet point Fist Bumps Are Cleaner Than Handshakes And High-Fives, Study Says
bullet point  


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Fri./Sat., July 25-26

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  July 25, 2014
Free, Full-Text Articles from Clinical Kidney Journal:
bullet point DaVita Dialysis Clinic in D.C. Shut Down Due to Inadequate Air Conditioning
Article and video from WJLA.
bullet point

Ferric Citrate May Reduce Dialysis Patients' Need for Multiple Medications
Press release and JASN Express abstract from the American Society of Nephrology.

bullet point Ancestral Exposure to Pesticides May Increase Kidney Disease Risk in Future Generations
Press release from Washington State University.
bullet point Organ Procurement From Executed Prisoners in China
Early View abstract from American Journal of Transplantation.

"Organ procurement from executed prisoners in China is internationally condemned, yet this practice continues unabated in 2014."
bullet point Advance Access Abstracts from NDT:
bullet point Vascular Access for Hemodialysis: Current Perspectives
Abstract and link to full-text PDF from the International Journal of Nephrology and Renovascular Disease.
bullet point Serum Fibroblast Growth Factor-23 Is Associated with Incident Kidney Disease
JASN Express abstract.
bullet point Effects of a Symbiotic on Gut Microbiota in Mexican Patients With End-Stage Renal Disease
Article in Press abstract from Journal of Renal Nutrition.
bullet point Keryx Drug Improves Phosphorus, Iron in Kidney Patients: Trial
bullet point World Hepatitis Day — July 28, 2014
bullet point Pennsylvania Doctor Shoots Patient at Hospital
Article from AP.
bullet point Study Links Shift Work to Risk for Type 2 Diabetes
Article from HealthDay.
bullet point The Wonder Drug (for Hepatitis C) That Could Cure Millions — and Imperil Medicaid
Article from the Washington Post.


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Thursday, July 24

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  July 24, 2014
The Perspectives of Aboriginal Patients and Their Health Care Providers on Improving the Quality of Hemodialysis Services: a Qualitative Study
Free, full-text, Early View article from Hemodialysis International.
Hyperammonemia-When Should We Start Dialysis?
Posting from the Renal Fellow Network blog.
COnsiderations of Nephrologists when SuggestIng Dialysis in Elderly patients with Renal failure (CONSIDER): A Discrete Choice Experiment
Advance Access abstract from NDT.
bullet point Design of the Standardizing Care to Improve Outcomes in Pediatric End Stage Renal Disease Collaborative
Online First abstract from Pediatric Nephrology.
bullet point Effects of Spironolactone on Dialysis Patients With Refractory Hypertension: A Randomized Controlled Study
Free, full-text, Early View article from the Journal of Clinical Hypertension.
bullet point APOL1 Associations with Nephropathy, Atherosclerosis, and All Cause Mortality in African Americans with Type 2 Diabetes
Advance Online abstract from Kidney International.
bullet point Outpatient Glycemic Control with a Bionic Pancreas in Type 1 Diabetes
Abstract from the New England Journal of Medicine.
bullet point Efficacy and Safety of Fluoroscopic Manipulation Using the Alpha Replacer for Peritoneal Catheter Malposition
Online First abstract from Clinical and Experimental Nephrology.
bullet point Monitoring, Dose Adjustment for Pradaxa?
bullet point Alcohol May Protect Kidney Function in Men
bullet point California Nurses Union Braces For Contract Battle
Article from Kaiser Health News.
bullet point New York Law Offers Nurses More Recognition, Responsibility
Press release from Columbia University Medical Center.
bullet point Research on Psychiatric Disorders Targets Inflammation
Free, full-text, Online First article from the Journal of the American Medical Association.
bullet point Health Reform and Changes in Health Insurance Coverage in 2014
Free, full-text, Online First special report from the New England Journal of Medicine.
bullet point Don't Learn on Me — Are Teaching Hospitals Patient-Centered?
Free, full-text, Online First perspective piece from the New England Journal of Medicine.
bullet point  


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Wednesday, July 23

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  July 23, 2014
Free, Full-Text Articles from American Journal Of Kidney Diseases:
Abstracts from Health Services Research:
Remote Patient Monitoring: How Mobile Devices Will Curb Chronic Conditions
Article from Medical Economics.
Free, Full-Text Articles from NDT:
bullet point Free, Full-Text Articles from July Issue of Advances in Chronic Kidney Disease:
bullet point Early View Abstracts from Hemodialysis International:
bullet point Transfer of Low Molecular Weight Single-Stranded DNA through the Membrane of a High Flux Dialyzer
Article in Press abstract from the International Journal of Artificial Organs.
bullet point Free, Full-Text Articles from the Journal of the American Medical Association:
bullet point Fluid Resuscitation in Sepsis: A Systematic Review and Network Meta-analysis
Online First abstract from Annals of Internal Medicine.
bullet point Randomized Trials of Human Albumin for Adults with Sepsis: Systematic Review and Meta-Analysis with Trial Sequential Analysis of All Cause Mortality
Abstract from British Medical Journal.
bullet point FDA Class 1 Recall: Diabetic Supply of Suncoast, Inc., Advocate Redi-Code+ BMB-BA006A Blood Glucose Test Strips – Labeling Error May Lead to Use of Incorrect Glucose Meters
bullet point High-Salt Diets Could Double Risk of Heart Woes for Diabetics
bullet point PCORI Engagement Awards Program Offers New Meetings Funding Support
bullet point Life Expectancy Gains Threatened As More Older Americans Suffer from Multiple Conditions
Press release from Johns Hopkins University.
bullet point Survey: Patients Have a Different View of Quality Than Pros
Article from HFMA.
bullet point Wild Day for Obamacare: Appeals Court Rulings Conflict
Articles from HealthDay, Kaiser Health News, Washington Post, and USA Today.
bullet point CDC Director Warns of 'Post-Antibiotic Era'
   


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Tuesday, July 22

Wild Day for Obamacare: Appeals Court Rulings Conflict
Articles from POLITICO and USA Today.
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  July 22, 2014
Hepatitis C Treatment in Dialysis Patients: Is a New Dawn Approaching?
Free, full-text article from American Journal of Kidney Diseases.
Barbiturate Poisoning and the Role of the Nephrologist
Posting from the eAJKD blog.
July 22 Free Webinar: Patient- and Family-Centered Care
Notice from Agency for Healthcare Research and Quality.
Provisional Abstracts and Full-Text PDFs from BMC Nephrology:
High-Performance Information Search Filters for CKD Content in PubMed, Ovid MEDLINE, and EMBASE
Article in Press abstract from American Journal of Kidney Diseases.
bullet point Nutrition Assessment and Risk Prediction in Dialysis Patients—A New Integrative Score
Article in Press abstract from Journal of Renal Nutrition.
bullet point Depression, 5HTTLPR and BDNF Val66Met Polymorphisms, and Plasma BDNF Levels in Hemodialysis Patients with Chronic Renal Failure
Abstract from Neuropsychiatric Disease and Treatment.
bullet point Taurolidine-Citrate-Heparin Catheter Lock Solution Reduces Staphylococcal Bacteremia Rates in Hemodialysis Patients
Advance Access abstract from QJM: An International Journal of Medicine.
bullet point Sonographic Detection of a Radiolucent Object in Dialysis Vascular Access
Early View abstract from Journal of Clinical Ultrasound.
bullet point Fluid Resuscitation in Sepsis: A Systematic Review and Network Meta-analysis
Online First abstract from Annals of Internal Medicine.
bullet point Stroke Risk Higher in Patients Who Recover from AKI
bullet point Big Data Peeps At Your Medical Records To Find Drug Problems
Article from NPR.
bullet point New Poll Finds Consumers Have Trouble Comparing Physicians' Quality Of Care
News summary from Kaiser Health News.
bullet point Study: Size of RN Workforce Surpasses Forecasts
Article from Nurse.com.
bullet point Has Congress Gotten So Pathetic That Even the Protesters Aren't Bothering To Show Up?
Article from The Washington Post.


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Monday, July 21

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  July 21, 2014
DaVita HealthCare Partners Announces Leadership Transition
Press release.
Until Phosphorus Gets on the USDA's Radar, Labeling Policy Won't Change: NKF
Article from FoodNavigator-USA.com.
Champion Bodybuilder in UK Faced with Dialysis
Article from the Leicester Mercury (UK).
Predictors for and Impact of High Peritonitis Rate in Taiwanese Continuous Ambulatory Peritoneal Dialysis Patients
Online First abstract from International Urology and Nephrology.
Abstracts from Journal of Nephrology:
Iron Repletion Is Associated with Reduction in Platelet Counts in Nondialysis Chronic Kidney Disease Patients Independent of Erythropoiesis Stimulating Agent Use: a Retrospective Cohort Study
Provisional abstract and full-text article (14-page pdf) from BMC Nephrology.
bullet point Online First Abstracts from Pediatric Nephrology:
bullet point Usability of Mobile Technology to Screen for Drug-Drug Interactions in Kidney Transplant Patients
Issue in Progress abstract from American Journal of Nephrology.
bullet point New Expensive Treatments for Hepatitis C Infection
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
bullet point CROWNWeb July 31 Clinical Deadline: Finding Patients with Missing or Saved Clinical Data
Notice and video from the Project CROWNWeb website.
bullet point CROWNWeb June 26 Town Hall Materials Now Online
Notice from the Project CROWNWeb website.
bullet point CMS Launches Next Phase of New Quality Improvement Program
Press release.


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Fri./Sat., July 18-19

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  July 18, 2014
Amgen Parathyroid Drug Found Effective in Dialysis Patient Trial
Article from Reuters. Press release from Amgen.
Articles from Nurse.com:
Vascular Access in High Risk PD Patients?
Posting from the eAJKD blog.
Chronic Kidney Disease and Support Provided by Home Care Services: a Systematic Review
Provisional abstract and full-text article (26-page pdf) from BMC Nephrology.
Cost of Kidney Donation May Be Too Much for Potential Donors with Low Income
Press release and JASN Express abstract from the American Society of Nephrology. Article from HealthDay.
CJASN Express Abstracts:
Heparin-Free Dialyzer Effective in High-Risk Patients
(Registration required, but free.) Article from Medscape Medical News.
bullet point New Opportunities in the Changing Landscape of Prevention
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
bullet point Gambro Acquisition Boosts Baxter's Sales
Article from Reuters.
bullet point Programs Honored for Innovation in Palliative, End-Of-Life Care
bullet point 1st Case of Locally Acquired Chikungunya Virus Reported in U.S.
bullet point Deaths by Medical Mistakes Hit Records
Article from Healthcare IT News. News item with links from AHANews.com.
bullet point Biggest Insurer Drops Caution, Embraces Obamacare
Posting from the KHN blog.
bullet point NIH System to Monitor Emerging Drug Trends
Press release from the National Institutes of Health.
bullet point New Study Finds Diabetes Risk Rises With Statin Adherence
(Registration required, but free.) Article from Medscape Medical News.
bullet point SynCardia Freedom Driver FDA Approved to Discharge Patients with Total Artificial Heart
Article from MedGadget.
bullet point Patient Engagement in a Mobile World
bullet point 2013 ESRD QIP Performance Scores Available for Dialysis Clinics


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Thursday, July 17

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  July 17, 2014
Baxter Recalls 0.9% Sodium Chloride and Highly Concentrated Potassium Chloride Injection
 Recall notice via the FDA web site.
2014 NxStage® Freedom Tour
Press release and web page.
Over 5000 Lawsuits Target Fresenius Medical Care
Article from the Boston Herald.
Aggression on Hemodialysis Units: a Mixed Method Study
Early View abstract from Journal of Renal Care.
Vancomycin-Resistant Enterococci Colonization Among Dialysis Patients: A Meta-analysis of Prevalence, Risk Factors, and Significance
Article in Press abstract from American Journal of Kidney Diseases.
Rationale for Early Treatment of Polycystic Kidney Disease
Online First abstract from Pediatric Nephrology.
bullet point Baclofen in Dialysis Patients: Just Say No!
Posting from the Renal Fellow Network blog.
bullet point HHS Honors Hospitals for Outstanding Organ Donation Efforts
News item from AHANews.com.
bullet point Study Warns of Kidney Damage Risk with Popular Mesothelioma Drug, Reports Surviving Mesothelioma
bullet point

The 'Obesity Paradox': Cardiovascular Mortality Lowest among Overweight Patients
Article from HealthDay. Press release and full-text articles with videos from Mayo Clinic Proceedings:

bullet point Registered Nurses Increasingly Delay Retirement, Study Finds
Postings from the KHN blog and ForbesFull-text article from Health Affairs.
bullet point Chikungunya at the Door — Déjà Vu All Over Again?
Free, full-text, Online First perspective piece from The New England Journal of Medicine.
bullet point Study Finds No Sign That Health Law Has Created Crush Of Medical Demand
Article from Kaiser Health News.
bullet point What's Wrong with the Five Star Rating System for the Renal Community
Article from Nephrology News & Issues.


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Wednesday, July 16

2014 NxStage® Freedom Tour
Press release and web page.
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  July 16, 2014

The Top-Ranked Hospitals for Nephrology
Annual feature from U.S. News and World Report.

The top five adult nephrology departments listed are:

The top five pediatric nephrology departments listed are:

Richard Lehman's Journal Review—30 June 2014
Scroll down to JAMA 25 June 2014 Vol 311 Page 2518.

"(The article states) "Chronic kidney disease (CKD) is a worldwide public health problem, with increasing prevalence, poor outcomes, and high treatment costs." I don't know if I believe a word of this."

Editor's comment: After seeing this recent posting on the Precious Bodily Fluids blog, I began reading some of Richard Lehman's reviews and tweets.

Wow!!  I'll bet this "ancient English GP" could slay a hundred corporate nephrologists with one hand tied behind his back. I especially appreciate the statement that appears under his photo on his Twitter page: "Use your right brain to make a better world for yourself and others."

If there is one field of medicine that seemingly treats its patients without ever tapping into its right brain, it is U.S. corporate nephrology. The numbers in the medical charts define these nephrologists' concepts of "quality care." The purpose and meaning of the lives of their working-age patients are nearly always treated as inconsequential... while at the same time they routinely dialyze 80-year olds with multiple comorbidities. This left-brain-only thinking has controlled U.S. nephrology practices and policies for the last 40 years and it has failed patients horribly. In order for chronic dialysis patients to thrive, they need right-brain-using physicians and leaders in all aspects of their care. Unfortunately, these people have largely eliminated from leadership positions in corporate dialysis care — and are sadly missing from most "patient" organizations.

(P.S. If you've never seen Dr. Jill Bolte Taylor's TED Talk on the right/left brain and her "stroke of insight," it's well worth the 18 minutes. It has been reported that she practiced delivering the talk 200 times before the 2008 conference in Monterey.  It shows. In her book and other online talks, she speaks of the tremendous differences she experienced as a patient when interacting with left-brain-only doctors as compared to right-brain-using physicians.)

Donating a Kidney May Make it Difficult to Change or Initiate Life and Health Insurance
Additional press releas and Early View abstract from the American Journal of Transplantation.
Pre-Diabetes Label 'Worthless', Researchers Claim
Article from the BBC.
Home Blood Pressure Monitoring Likely Saves Money, Study Finds
Article from HealthDay.
Association between Depression and Inflammatory/Anti-Inflammatory Cytokines in Chronic Kidney Disease and End-Stage Renal Disease Patients: a Review of Literature
Early View abstract from Hemodialysis International.
FDA's June 2014 Safety Labeling Changes
Includes 52 products with revisions to Prescribing Information.
bullet point Physicians Have Higher Rate of Organ Donation Registration Than General Public
bullet point 40-Year-Old Mom with Kidney Disease Becomes New Orleans Saints' Cheerleader
bullet point Mayo Clinic Ranked No. 1 Hospital on U.S. News & World Report's Honor Roll
Posting from the Mayo Clinic blog. Rankings from U.S. News and World Report.
bullet point Telecare Collaborative Management of Chronic Pain in Primary Care:  A Randomized Clinical Trial
Free, full-text article from the Journal of the American Medical Association.
bullet point Missouri Law Creates New 'Assistant Physician' Designation
(Registration required, but free.) Article from Medscape Medical News.
bullet point Global AIDS Epidemic Can Be Controlled by 2030, U.N. Says
bullet point $100 Million CMS Initiative Aims to Improve Medicaid


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Tuesday, July 15

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  July 15, 2014
Effects of Nurse-Managed Protocols in the Outpatient Management of Adults With Chronic Conditions: A Systematic Review and Meta-Analysis
Free, full-text, review article from Annals of Internal Medicine.

Editor's comment: Since nephrologists generally avoid dealing with dialysis patients' psychosocial needs, wouldn't advanced practice nurses be better at managing their overall care?

UK Research Finds Kidney Transplant Waiting Time Is Equivalent to Two Trips to Mars
Article from Kidney Research UK.
United States Organ Transplantation: OPTN / SRTR 2012 Annual Data Report
(Released June 2014) Chapters can be downloaded as PDFs.
Peritonitis: Where Do We Stand?
Posting from the eAJKD blog.
Early Online Abstracts from Renal Failure:
bullet point Free, Full-Text Articles from Indian Journal of Nephrology:
bullet point Peritoneal Dialysis and Problems with Vascular Access Problems
(7-page pdf) Free, full-text article from Portuguese Journal of Nephrology and Hypertension.
bullet point Seven New Cases of MERS-CoV are Reported to WHO
bullet point Study Finds People May Stop Taking Heart Medications If Color or Shape of Pill Changes
Article from HealthDay. Abstract from Annals of Internal Medicine.
bullet point Engineering a Better Health Care System:  A Report From the President's Council of Advisors on Science and Technology
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
bullet point Nurse Practitioners Gain Flexibility With New State Law
Article from Kaiser Health News.
bullet point High Blood Pressure May Protect the Very Old From Dementia
bullet point  


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Monday, July 14

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  July 14, 2014

National Minority Donor Awareness Week Aug. 1-Aug. 8
Press release.

Zumba Therapy for Dialysis Patients
12-minute audio program from Australia.
ACEIs and ARBs in CKD: Should Anyone Not Receive Them?
(Registration required, but free.) Article from Medscape Medical News.
Provisional Abstracts and Full-Text PDFs from BMC Nephrology:
Articles in Press Abstracts from Journal of Renal Nutrition:
bullet point Articles in Press Abstracts from the Journal of Vascular Access:
bullet point Endotoxemia in End-Stage Kidney Disease
Early View abstract from Seminars in Dialysis.
In Lab Studies, Hydroxyethyl Starch Has Direct Harmful Effects on Kidney Cells
Press release from Wolters Kluwer Health.
bullet point US Nephrologists View Hyperphosphatemia Treatment
bullet point Kidney Donors Face Higher ESRD Risk
bullet point Great Potassium Links
bullet point Offering Options for Dialysis: 'We Need to Do a Better Job'
(Registration required, but free.)
Berns on Nephrology video blog from Medscape Nephrology.

"I queried the audience at the talk I gave at the Spring Clinical Meeting, and absolutely no one indicated that they would be willing to do 3-times-weekly, in-center hemodialysis as their own initial dialysis modality.

There is clearly a tremendous disconnect between what we as nephrologists would opt to do if we needed renal replacement therapy and what our patients end up doing. This is troubling and disconcerting."

Editor's comment: Unfortunately, the kind of medicine that nephrologists want to practice is not the kind of medicine that dialysis patients need. Nephrologists, being gods of internal medicine alchemy, disdain dealing with patients' psychosocial needs. Nephrology much prefers a formulaic/alchemical approach to medicine and has successfully avoided a whole-patient approach to dialysis care for forty years.

Adding to the problem, business leaders and the government have assisted them in creating systems that enable and richly reward nephrologists for practicing a perverse form of medicine... and for being lousy physicians. By design, these systems don't respond to patients' needs, they ignore them. As a result, after forty years we have the wrong machines, wrong clinics, wrong care teams, wrong quality measures, and wrong reimbursement incentives, as well as no significant employment or rehabilitation programs.

While I commend Dr. Berns for speaking out, I don't believe he — or any other prominent nephrologist — has come close to understanding the depth and true nature of the problems. Nephrology has huge blind spots and misconceptions as to its roles in poor patient outcomes. As a start, we should no longer allow nephrology to hide behind its alchemical knowledge and command of statistics. Nephrologists need to evolve into being better physicians.

Nephrology needs to embrace approaches to dialysis care that continually balance the patients' preferences, their psychosocial needs, and their medical needs. After 40 years, we should be restoring a large percentage of dialysis patients to health who are also living as normal lives as possible. That's what nephrologists would do for themselves. What are we paying them for?

bullet point One in Three Alzheimer's Cases Preventable, Says Research
Article from the BBC. Press release from the Alzheimer's Association.
bullet point  


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