DSEN twitter feed

    follow me on Twitter
    Blog powered by Typepad

    « Dialysis & CKD Blog Report 10/4 | Main | Seattle area CKD meeting October 17 - register now - it's FREE »

    October 05, 2009


    Feed You can follow this conversation by subscribing to the comment feed for this post.


    Maybe it's the person's New Year's resolution to quit denying it and get on dialysis.

    Bill Peckham

    That or EIRI (Eggnog Induced Renal Insufficiency).

    It would be interesting to see if there is a seasonal skew in the data one way or another from people who are under a nephrologist's care. Your NYE resolution theory would suggest more people who are under a nephrologist's care transitioning in Q1. The EIRI theory would suggest fewer people who were under a nephrologist's care transitioning - more emergency transitions.

    I don't really believe eggnog induces CKD5 but other seasonal factors may - for instance the flu. The flu is seasonal and maybe it is the proverbial back breaking straw. In general if the skew among Q1 patients was towards those who were not under a doc's care then it would suggest some clinical externality makes them vulnerable.

    If the skew is towards people under a nephrologist's care then the explanation may well be social/emotional/psychological.


    I would think that, especially if one is under a nephrologist's care, that one would want to put dialysis off over the summer, when family and friends may be more likely free for leisure activities, and the late fall/early winter, when people may say "I'll wait until after the holidays". Personally, I'm glad I've started just at the start of fall when the weather is my favorite, not too warm/not too cool. It's some consolation for the suckiness of dialysis.

    Richie Perl

    It certainly seems suspicious that there is a seasonal bias.
    Perhaps the dummer isn't "convenient" to start dialysis.
    For either the patient or the doctor!
    (I'm just a cynical New Yorker!)

    Verify your Comment

    Previewing your Comment

    This is only a preview. Your comment has not yet been posted.

    Your comment could not be posted. Error type:
    Your comment has been saved. Comments are moderated and will not appear until approved by the author. Post another comment

    The letters and numbers you entered did not match the image. Please try again.

    As a final step before posting your comment, enter the letters and numbers you see in the image below. This prevents automated programs from posting comments.

    Having trouble reading this image? View an alternate.


    Post a comment

    Comments are moderated, and will not appear until the author has approved them.

    Your Information

    (Name is required. Email address will not be displayed with the comment.)

    Gala (2)
    Supporting Kidney Research at Northwest Kidney Centers 2017 Gala - Give 'til It Feels Good -

    Fix Dialysis


      DSEN in the Press

      "... not evil ...""
      Kent Thiry, 5280 Magazine

    Search DSEN

    • WWW

    Rate DSEN

    December 2017

    Sun Mon Tue Wed Thu Fri Sat
              1 2
    3 4 5 6 7 8 9
    10 11 12 13 14 15 16
    17 18 19 20 21 22 23
    24 25 26 27 28 29 30