Category Archives: Clinical Care
Evaluating In-Center Hemodialysis (ICHD) Patients for Home Dialysis
Patient non-adherence to the dialysis schedule or prescribed medication is a common challenge for clinicians serving hemodialysis (HD) patients and has been associated with significant…
Continue Reading »Anderson-Fabry Disease (AFD): A Rare Genetic Disorder with Multi-System Affects
Anderson-Fabry Disease (AFD) is the second most common of lipid storage diseases affecting approximately 1 in 100,000 people. The mutation occurs in the alpha-galactosidase A…
Continue Reading »Dialysis Patients and Exercise
Prognosis for patients with kidney failure requiring renal replacement therapy remains poor. Three-year survival for patients on dialysis is only 51% and five-year survival is…
Continue Reading »Protecting Kidney Disease Patients from Intestinal-Renal Syndrome
When I asked several nephrologists to define intestinal-renal syndrome or explain the significance of the severe imbalance of gut microbes seen with progressive uremia, the…
Continue Reading »Advance Care Planning in End-Stage Kidney Disease
Patients on dialysis often have multiple comorbidities and generally have a life expectancy substantially shorter than that of the general population. Despite improvements in dialysis…
Continue Reading »Educating Patients about Transitioning from In-Center to Home Dialysis
Each year, approximately 100,000 patients face choosing a dialysis modality as they transition from CKD to ESKD. In 2016, 87.3% of incident patients (< 3…
Continue Reading »Kidney-Friendly Holiday Meal Tips to Share with Your Patients
Holidays around this time of the year tend to revolve around traditions that include food, which can pose a significant challenge for patients who are…
Continue Reading »Podcast: Home Is Where the Start Is
Patients with ESRD who start on home dialysis have improved outcomes and enjoy a better quality of life compared with patients who start with in-center…
Continue Reading »Podcast: Hurricane Harvey and Disaster Planning
Hurricane season generally begins June 1 and lasts through November 30; the damage from hurricanes can affect an entire community. In 2017, the flood waters…
Continue Reading »The Importance of Education for Patients with Chronic Kidney Disease
To say that I was not an early adopter of the Kidney Smart® community education program is an understatement. When the program was first introduced…
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