Bell Maddux, a working mother, living with ESRD, testifies about how receiving home hemodialysis has changed her quality of life.
By offering flexibility for patients in rural and underserved communities, we can empower ESRD patients with more control over their care.
If it works, it will be a blockbuster in some parts of the USA.
Pfizer's $130M Lyme disease vaccine advances to phase 3 after 3rd shot shown to increase antibodies
This week, I joined
@DaVita
, in the role of Vice President of Epidemiology. I'll split my time between DaVita Clinical Research and home dialysis operations. My personal mission is unchanged: to grow and improve home dialysis (PD and HHD), day by day.
I want to thank everyone
This man has been dialyzing for 40 years.
"Nephrologist
@RossNesbit
was on hand as DCI congratulated Hodge for this 40-year milestone. The doctor told Hodge that he has been on dialysis for longer than Nesbit’s been alive."
As of today, I am happy to report that I have passed through the eye of the COVID breakthrough storm. Most of you don't need me to tell you that this is one terrible illness.
He put the dialysis machine on a trailer! Incredible determination.
‘It’s deeply personal to me’ – Galway man cycles 240 km with dialysis machine in tow for Irish Kidney Association
I am sad for Mr Slayman and even a little frustrated by how difficult this disease is to crack. (This could have been an unrelated cardiac event, but multimorbidity is the theme in ESKD.) I toil over home dialysis more often than not, but it is pretty clear that 99 of 100 kidney
Mass General is deeply saddened at the sudden passing of Mr. Rick Slayman. We have no indication that it was the result of his recent transplant. Mr. Slayman will forever be seen as a beacon of hope to countless transplant patients worldwide and we are deeply grateful for his
Satellite Healthcare is pleased to announce that Eric Weinhandl, a highly respected epidemiologist within the home dialysis arena, will be joining Satellite Healthcare as our Senior Director of Analytics and Home Therapies. Click here to learn more:
"...some epidemiologists see their role in advancing public health as ending with publication...if all epidemiologists stop short of helping to affect policy, then the voice of science will be lost from making decisions that most affect the health of the public." - Brownson 2010
@DGlaucomflecken
@UHC
This personality phenotype is employed by many of the Medicare Administrative Contractors (MACs), too. I've never entirely understood why someone who devoted their time to medical school would eventually be attracted to this type of work.
Take a trip to Mars, and you'll develop CKD.
Cosmic kidney disease: an integrated pan-omic, physiological and morphological study into spaceflight-induced renal dysfunction
Let's name this senior epidemiologist, can we?
Take a bow,
@eric_weinhandl
Given the garden of forking paths possible in epidemiological research, would different choices for exposure, outcomes given different results?
I want to quibble about the language here. Dialysis generates waste. I’m definitely not down with pinning culpability for medical waste on people who wish to survive.
HD patients generate a colossal 1,500,000 tonnes of waste annually—enough to construct three One World Trade Centers. PD patients add another 300,000 tonnes, sufficient to build one Azteca Stadium, a future host of the 2026
@FIFAWorldCup
#GreenNephrology
♻️
#WorldEnvironmentDay
I am happy to announce that my next adventure will take me home.
On Monday, I am joining the Chronic Disease Research Group
@CDRGNews
, a division of the Hennepin Healthcare Research Institute
@hhrinstitute
, in Minneapolis, Minnesota.
I, too, think about the
#nephrology
match, not that I can do much about it.
Crazy question: What changed in 2011, that might have precipitated a trend that would fully manifest a few years later?
Crazy answer: ESRD PPS.
I have a hot take about this:
These annual meetings for medical organizations are hugely important sources of revenue for their societies. If there is little or no demand for a specific keynote speaker (let alone hostility toward that speaker), then the business model of the
Shrunken Pore Syndrome: A New and More Powerful Phenotype of Renal Dysfunction Than Chronic Kidney Disease for Predicting Contrast‐Associated Acute Kidney Injury
This is incredible content. I could have told "the Americans" this 8 months ago.
@ChristosArgyrop
@mikejohansenmd
COVID vaccines are not meant to prevent all infections, experts say. Americans need to reset their expectations.
It’d be interesting to put a dialysis unit in a mall, and add a primary care clinic next to it.
Opinion | Can Dying Shopping Malls Fix Medical Deserts?
My goodness, someone actually had a chance to tell the House Ways and Means Committee that hemodialysis frequency improves their life. THIS IS THE GREATEST WORLD KIDNEY DAY EVER.
“In terms of the impact to my quality of life, from a physical perspective, the frequency of your
I suppose this puts the porcine transplant failure in perspective. May she rest in peace.
Woman who received pig kidney transplant and heart pump dies | CNN
In case you don't have time to look at the
#USRDS
Annual Data Report, I wrote a synopsis for you.
Latest US Renal Data System report examines Medicare Advantage, post-COVID-19 care
Case *self-report* of combination booster dose and breakthrough infection. 🧵 alert.
Well, I don't know if any of this means anything, but it's an interesting story still in progress...
@ashishkjha
@bhrenton
I don't think that ease of access is great, and I'm saying that as a parent of two kids in that 27% in MN. I drove 60 miles for dose 1 and will drive 30 miles for dose 2.
@GlassockJ
@annmohare
@nytimes
The NYT report is both sad and unsurprising. The hunger for margin is a metastatic infection that has spread throughout all of healthcare, precisely because healthcare is regarded as an industry, not a humanitarian mission, by so many in positions of power. We have lost our way.
@dennyhamlin
I received a clock like the Martinsville clock as a wedding gift from a grandparent. That clock has stared at me for almost 18 years. What am I supposed to do with it? So I agree with you about the clock.
Bad time to tweet a study, let alone a non-randomized study, but this one is good. The association of dapaglfilozin use with new-onset CKD is impressive.
Another great title in
@PDI_Journal
. Having both cat + dog associated w/ 🔼 risk of peritonitis.
A different PET test: The relationship between pet ownership and peritonitis risk in the Peritoneal Dialysis Outcomes and Practice Patterns Study (PDOPPS)
"Sodium polystyrene sulfonate use in patients on hemodialysis was not associated with a higher risk of an adverse GI event. Our findings suggest that SPS use is safe in an international cohort of maintenance hemodialysis patients."
Pretty exciting to see all the happiness about nephrology matches! I love this field and I hope that all these future nephrologists find as much joy as I have found.
It finally happened.
"Fresenius Medical Care (FME) receives U.S. Food and Drug Administration (FDA) 510(k) clearance of the company's 5008X Hemodialysis System."
@healthcareandy
All those CKD patients in MA plans generate a lot of spending. People immediately think of dialysis spending, but the real magic is in preventing the transition from CKD stage 3 to CKD stage 4.
Dr. Fred Shapiro (left) overseeing the dialysis treatment of a patient at Minneapolis General Hospital, using a parallel plate dialyzer.
#HistoryOfDialysis
“Two or three people have said they’re just going to call it a day, stop dialysis, and go home to be with the Lord in a couple of days."
Tillamook dialysis closure has patients fearing the worst
Let's clear some urea!
(Actually, let's save dialysate and focus on some other things.)
Impact of Dialysate Flow Rate on Hemodialysis Adequacy: A Systematic Review and Meta-Analysis
I'm going to whine about something.
Despite my terminal degree, I don't care if you fall me Eric or Dr Weinhandl. I prefer my first name.
What does bug me is the attribution of "epidemiologist" to an MD who does not have an MPH, MS, or relevant PhD.
Let the ratio begin.
There are a few nephrologists around the country who will always answer an email, offer career perspective, etc. to an epi such as I, despite never having been coworkers in an institution. Over the years, Dan has done that for me.
I endorse his election.
Dear friends: As you may have seen, I am running for ASN Council. I am a passionate advocate for patient-centered kidney care and research and will continue this advocacy if I am on council. Please DM me with any questions and thanks for your support.
Sincerely,
Dan
What if we ran an experiment (RCT) in which the intervention was "turning off" all Kt/V monitoring?
This thought occurs to me primarily in the context of PD, but one could broaden the population.
#dialysis