Dialysis from the sharp end of the needle

Dialysis & CKD Blog Report 2/7

By Miriam Lippel Blum

Here are the CKD related blogs updated since my last report on 2/4. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle has the blog report.
• Kamal Shah's Blog After Kamal gets his calcium level corrected, his PTH drops to the normal level, too.
• Kaply, Inc. Tracy has already spent all her money this month but still she is grateful for what she has; she is good at saving money when she shops for groceries, made lasagna and loves cheese; is having trouble sleeping and that makes her cranky. 
• Toastiest Toastie notes the death of veteran soap opera actress Frances Reid; changes the background color on his blog to black.
• Birdman Sparrow has a new insulin pump that isn't calibrated correctly, his blood sugar dropped drastically while he was driving, he became unconscious and had an accident, the car was totaled but he escaped injury. (We're glad that you weren't hurt.)
• Hasten down the wire reports on the SEC finally investigating the role of Goldman-Sachs in the US mortgage market collapse.
• The inner game of PKD Richie explores the reason for bothering to play mind games regarding PKD: to change your attitudes to the events and conditions of your life so as to improve them.
• The Life of a 20-Something With Lupus Flo's hemoglobin dropped  further requiring a blood transfusion, she had severe ear and face pain unrelieved by medication, a new doctor is unhelpful and dismissive.
• Becky Perry posts photos of a baby blanket she made for a baby shower; her Friday Felicities post.
• Transplant, Tantrums, & Tiaras Holly shares links to a video about Jess's funeral and some photos of the flowers.
• On the Road to a Lupus Cure The Lupus Foundation of America has created three videos in which doctors talk about their lupus research, and the importance of learning more about lupus-related cardiovascular disease, links to the videos.
• Really, I'm as Old as I Feel? Abby has a bad night and freaks out her Dad.
• Linda Gromko MD kidneycare Part Three of Linda's Caregiver Burnout Series is on treating depression; Part Four: Supporting the Caregiver.
• Precious Bodily Fluids Joel Topf, MD, shares his checklist for routine admission of dialysis patients.
• Renal Fellow Network The use of warfarin in CKD5 patients promotes vascular calcification; a retrospective analysis demonstrates that those patients who had undergone an allograft nephrectomy had a 32% lower adjusted relative risk for all-cause death.
• Uremic Frost posts an audio report on the dangers of herbal medications.
• UKidney has a post on GI bleeding in CKD5 patients; doctors in the UK used a technique called "cryofiltration" to remove the immune molecules that cause rejection, it was the first time it has been used to help a patient receive a non-matched organ; the commonly-used painkiller Paracetamol can protect against kidney failure after severe muscle injury.
• Pediatric Nephrology Important issues in managing adolescents with renal disease; an article on the identification of fibroblastic growth factor 23 (FGF 23) and its role as a key regulator of phosphate and 1.25 dihydroxyvitamin D metabolism; a case report on a PD patient with peritonitis who had green effluent, caused by a biliary leak from a necrotic gall bladder; a link to a podcast on Acute Kidney Injury; highlights from the KDIGO clinical practice guidelines on the monitoring, management, and treatment of kidney transplant recipients.
  
• Nephron Power  The Feb 2010 issue of AJKD describes an interesting entity of IgA Nephropathy with ANCA presenting with crescentic disease on biopsy; a discussion on fibrotic diseases.
• Kidney Notes - Exploring the Intersection of Medicine and Technology has a link to an interview with Atul Gawande on health care reform and checklists.
• Lemonade and Kidneys has photos of George Clooney.
• The Ballad of Billy The Kidney Stories about two little girls who required organ transplants because of grave injuries received from sitting on the drains of wading pools.
• ....And Bells on Her Toes Kelly addresses a post to her daughter, Caitlyn, in celebration of her third birthday; she uses Davita's Mexican seasoning recipe to make chili for Super Bowl Sunday; Caity gave the cat's whiskers a haircut with the safety scissors.
• Living with PKD Heather sets a goal to do a run-swim-run race in the summer,that's 1K run in the sand, a 1K open ocean swim, and a 5K on the beach boardwalk, regaining her swimming stamina is the biggest challenge for her. (You Go, Girl!)
• Kidney Dialysis News is a new blog to our list. Written by Dr. John, a former research scientist from the UK, he is interested in dialysis because his father died of kidney failure, having been refused dialysis due to being in his late 60's.  His latest post is about the successful transplant of an incompatible kidney.
• Berns on Nephrology In this video blog, Dr. Jeff Berns discusses articles that challenge the widely held explanation for electrolyte homeostasis and suggest a possible new approach to blood pressure control.
• Biologically Safe Water Filters how filtering water that is used to wash burn victims can reduce infections, The Nephros DSU provides a cost-effective method for eliminating waterborne pathogens and providing biologically pure water.
• NephrOnline Blogs In Health Care Beat, Rebecca Zumoff comments on the CMS spending report and its implications for CMS and the renal community.

Dialysis & CKD Blog Report 2/4

By Miriam Lippel Blum

Here are the CKD related blogs updated since my last report on 2/1. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle Bill notes that a CMS transmittal relating to the Quality Improvement Program makes no reference to bone measures and wonders if this means oral drugs will not be included in the bundle? (Since that last post, CMS has called for a technical expert panel to look at various quality measures, including mineral metabolism, so this may mean that oral drugs are still to be part of the bundle.  Time will tell.)
• Kamal Shah's Blog Kamal is thrilled to learn that NxStage is coming to the Middle East and hopes India will be next; he debugs a problem on his iPhone.
• Kaply, Inc. Tracy would like to write a web comic and is looking for artistic assistance; she looks forward to her first Zipcar rental, may be developing arthritis in her hands, and shares a list of things she doesn't care about.
• Toastiest Toastie thinks Republicans are crazy and that bipartisanship with them is a fruitless endeavor; he wishes people and staff would be quiet during his nocturnal dialysis sessions so he could get some restful sleep.
• The inner game of PKD Richie explores how the metaphors used to describe the experience of PKD can alter one's perceptions.
• The Life of a 20-Something With Lupus Flo's hemoglobin drops to 6.8. she doesn't know why and  is exhausted.
• Becky Perry reviews Beguiled by Deeanne Gist; reviews Never Say Never by Lisa Wingate; has committed to baking more bread at home, has her monthly labs drawn, has excess fluid so she's doing an extra manual PD exchange daily, she wishes she felt better and is tired of feeling tired.
• CHRONIC POSITIVITY - Life with Polycystic Kidney Disease Jeff no longer has BK virus in his blood and his pressure ulcer is better, his sister has gall bladder problems.
• Transplant, Tantrums, & Tiaras Holly got hired to work in a childrens nursery; has been doing more speaking for Live Life Than Give Life and makes a new friend.
• On the Road to a Lupus Cure The Lupus Foundation of America (LFA) has created 4 new lupus awareness videos, where people who are living with lupus share their personal stories, the first video is posted here; has updated guidelines for cardiovascular health for women.
• Really, I'm as Old as I Feel? Five inches of snow fall, Rob takes young daughter Abby to a birthday party held at an inflatable moon bounce place; a photo of Abby scaling a moon bounce wall.
• I Am. Are you? The donation mascots are getting together for some special training in preparation for National Donate Life Month in April -- 5 Mascots, 1 Month, 1 Mission...Register Organ Donors.  See the funny video posted.
• The Ins and Outs of Dialysis John has a venogram and an angioplasty.
• Chronic Chick Talk writes about how debt consolidation can be helpful if you lose a job and get into financial trouble.
• Lupus and Humor Carla lists and gives brief reviews of seven lupus books she has read or is reading.
• Bud's Ramblings Bud has had a tough time the last few weeks, he passed out twice and ended up having a defibrillator implanted, then he got pneumonia, but he's doing better now.
• Linda Gromko MD kidneycare Linda tells caregivers to surround themselves with supportive people and stay away from people who sap your energy; Linda starts a four-part series of posts on caregiver burnout. Part One is on the importance of recognizing the signs of burnout; In Part Two she spells out the difference between burnout and depression.
• Precious Bodily Fluids Joel describes a case of someone with the highest aldosterone he'd ever seen, the diagnosis was Gitelman's syndrome; has a table comparing CKD5 mortality rate with some other diseases.
• Renal Fellow Network has a description of how Luminex beads (used in tissue typing labs) work; a post on the actin cytoskeleton of the podocyte; a funny story about a renal fellow and a lab rat; last week's poll results:  who should provide funding for large, randomized controlled drug trials?  Most respondents (58%) chose the diplomatic answer and said that it should be a combination between government and pharmaceutical companies, 24 % thought it should just be government's responsibility, and 7% thought it should be the pharmaceutical industry's.
• UKidney Research performed at UC Santa Barbara points to the drug rapamycin as a potential treatment for polycystic kidney disease; posts Bill Peckham's article questioning urea as a dialysis adequacy marker.
• Nephron Power  has an article on post bone marrow transplant thrombotic microangiopathy  (TMA); a clinical case description and diagnosis; a recent study from Canada in the latest issue of JAMA Feb 3, 2010 talks about the inclusion of proteinuria in CKD staging, they propose subdividing stage 3 in parts -- proteinuria, no proteinuria -- to indicate those at higher risk for CKD5.
  
• Kidney Notes - Exploring the Intersection of Medicine and Technology links to an article by Jay Parkinson in Business Week: "How to Redesign Health Care;" links to an article that gets 10  healthcare workers perspectives on the new iPad.
• Lemonade and Kidneys Ruth writes she has nothing to blog about...but then tells us she has anxiety at work, a new blood pressure medication, her kids got stellar report cards, and she says she won't permit them to get driving permits unless they learn how to fold laundry.
• Rob and Danielle's Kidney Blog Danielle is scared that Rob will get too sleepy to perform his work duties to the best of his ability on Tuesday and Thursday mornings, after he comes off from his nocturnal HD treatment, she gives a brief description of how dialysis works.
• ....And Bells on Her Toes Kelly is worried when her pharmacy doesn't have one of Alex's immunosuppressives available, tells us how much all the medications cost and hopes their insurance plans will continue to cover them; Alex has his first clinic visit two weeks post-transplant and labs are great, he's starting to feel like a human being again and Kelly is happy.
• Transplant Alliance has an article about a fashion company in Miami; and some weird spam posts.
• Michael W. Newman Michael is going for a breathing test, thinks he has late-acquired asthma, hopes an inhaler will help.
• Berns on Nephrology Tests for PTH levels vary widely in reliability and accuracy. In this video blog, Dr. Jeff Berns cautions about relying on these assays in clinical decision making for patients with CKD.
• Encompass Network Partners Men are more likely to suffer from diabetes-related health problems, according to the American Diabetes Association.
• Renal BizBlog CMS is looking to recruit technical experts by Feb. 17 to meet March 10-11 and develop new quality measures for the End-Stage Renal Disease Program.
• My New (transplanted) Kidney Journey Happiness to Al is a good night's sleep and gut regularity; his labs are fine and he feels good post-transplant, still worries about rejection.
• 3 1/2 Hours of Free Cable Jason got pneumonia but is on the mend, explains the concept of "dry weight" and its importance to the dialyzor.
• I need a kidney Jason wishes that kidney disease got more attention; Jason is getting the "I Wear Your Shirt" guys to publicize his need for a kidney again on the web, he is also exploring new options with his transplant team for transplants that come from people who do not share his blood type. (We wish you success in finding the kidney, Jason,  however you find it.)
• Mushroom's Blog Mushroom is haunted by ghosts from his time at war in Vietnam.

Dialysis & CKD Blog Report 2/1

By Miriam Lippel Blum

Here are the CKD related blogs updated since my last report on 1/29. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle Bill reports that the NxStage is being launched in the United Arab Emirates Dubai, and Saudi Arabia.
• Kamal Shah's Blog Kamal shares photos from his Coorg vacation; Kamal changed his dialysate formula to get more calcium and it has helped his bone pain a little but he's concerned his blood calcium level may get too high.
• Kaply, Inc. Tracy is bipolar and cannot sleep without sleep medicines, when she was in Maine on vacation she got sick and ran out of meds and couldn't sleep which caused her to feel paranoid.
• Toastiest has a photo of icicles at 2:00 AM; a photo of his dog Herman out in the snow.
• Hasten down the wire Some new information regarding software gets Michael to give the iPad a second look.
• The Life of a 20-Something With Lupus Flo is speechless and overwhelmed when two of her classmates offer to get tested as possible kidney donors for her (What wonderful people!); she has a bad cold and uses hydraSense to clear her nose.
• Jack's Kidney Adventure Jack creates an index so readers can find his dialysis and transplant posts more easily.
• Transplant, Tantrums, & Tiaras Holly describes her friend Jess's funeral.
• Chronic Chick Talk posts a music video of a teenage girl playing Bryan Adam's song "I Do It For You."
•  Bud's Ramblings Bud shares some of his pet peeves regarding Southerners who either are embarrassed by their Southern accents and idioms or who mangle them with modern slang.
• Precious Bodily Fluids shares his Grand Rounds lecture on "Uric Acid, Fructose and Hypertension."
• Renal Fellow Network links to the  AJKD editorials on the PPS and gives a brief description of the issues involved in the new bundling; a case describing a PD patient who noted cloudy, deep green dialysate fluid upon drainage of their peritoneum (Serious yuckiness! I would have passed out if my dialysate fluid had come out that color.) It turned out to be Gallstone peritonitis and the color came from bile fluid.
• UKidney has an article on slowing the progression of membranous nephropathy.
• Pediatric Nephrology has a quick review and links to the last several posts, mostly focusing on Disasters and Pediatric Nephrology.
• Nephron Power The renal function in Acute Interstitial Nephritis and glomerular disease with NSAIDS was strongly associated with the tubular interstitial changes more  and inversely related to the amount of immune deposits in the glomeruli.
• Kidney Notes - Exploring the Intersection of Medicine and Technology links to Joel Topf's lecture on "Uric Acid, Fructose and Hypertension."
• Rob and Danielle's Kidney Blog When show starts to fall Danielle goes to the market for supplies, deals with some annoying people in the checkout line, drives Rob to nocturnal dialysis, photos and videos of Rob and Danielle playing in the snow.
• ....And Bells on Her Toes Alex is home and resting, his creatinine is down to 205, Kelly is smiling; Kelly has hassles from Home Depot over windows; young daughter Lexie thought that the No Smoking sign at McDonalds meant they served worms on a stick.
• PKD World The impact of some vitamins when taken in high doses; a reminder of World Kidney Day (March 11, 2010); participants are sought for interviews for a research project on altruistic living kidney donation.
• NephrOnline Blogs Mark E. Neumann and Rebecca Zumoff summarize the main points in the AJKD articles on the impact of the PPS bundle.

Dialysis & CKD Blog Report 1/29

By Miriam Lippel Blum

Here are the CKD related blogs updated since my last report on 1/26. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle I shared some thoughts about writing the blog report; Bill explains the terms revenue, margin, and profit, figures out how much yearly per patient profit DaVita makes; Peter gives an update on current research on gout and CKD.
• Kamal Shah's Blog On his way to Coorg, Kamal has a splash at a great water park; he enjoys good food, coffee, and plays in a waterfall, wants NxStage in India so he can take longer trips. (Keep nudging them Kamal and maybe it will happen.)
• Kaply, Inc. Tracy considers "alternative" careers...like hired assassin.
• Toastiest has a sweet photo of his dog and cat together in embrace.
• Hasten down the wire Michael is underwhelmed by the new Apple iPad.
• Paddling on Dialysis for Kidney Health Erich finds his resiliency tested by children, the phone repair technician, and an undone clamp that makes a bloody mess, his wife is very resilient, too;  Erich gets brave and has his new trainer do the caliper test, is disheartened that it shows he has 50 lbs. of fat to get rid of (You can do it, Erich.  We're rooting for you.)
• The inner game of PKD How the mind is connected to Polycystic Kidney Disease.
• The Life of a 20-Something With Lupus Flo got some much needed sleep and shares her face cleansing routine.
• Becky Perry reviews Becca By The Book by Laura Jensen Walker;  "Friday Felicities" of things that make her happy.
• On the Road to a Lupus Cure New research shows that people who have both lupus and antiphospholipid syndrome might have a higher risk of thyroid disease;  potential indicators of lupus is being studied in children.
• Really, I'm as Old as I Feel? has an adorable photo of two little girls sharing a spaghetti strand.
• I Am. Are you? Donate Life Ohio launched a new registration initiative called the Green Chair Campaign to increase donor registrations, has a campaign video you can watch; a photo of Morgan D'Organ and friends preparing for National Donate Life Month (April).
• The Ins and Outs of Dialysis John is starting to use his exercise bike again, it hurts and he needs to build up stamina, Gayle recalls earlier bike rides they took together.
• Chronic Chick Talk has a photo of roses.
• Linda Gromko MD kidneycare Linda discusses how important it is for potential kidney donors to stop smoking; Linda and Jane did a webinar for Home Dialysis Central, you will be able to watch it there; Linda explains why "arranging your life when dialysis comes home" matters.
• Renal Fellow Network has a post on glomerular density and predicting progression IgA nephropathy; there was a near 50-50 divide on last week's poll question on whether the surprising election of Republican Scott Brown to the U.S. Senate in the state of Massachusetts was a good or bad thing.
• UKidney discusses various types of vascular mapping studies used to prepare for the creation of an AV fistula or an AV graft.
• Pediatric Nephrology has a new feature on his site that makes it easy to share it with others; links to the article in Nephrology Times  on nephrologists using social networking tools; a report on a young boy who had recurring urinary sepsis post-transplantation, an x-ray revealed a forgotten ureteric stent (Ouch!); links to a NEJM report on some wonderful earthquake relief efforts in Haiti; results from a study on pediatric lupus; results of a renal biopsy audit from the UK; research looking at the rare phenomenon of FSGS in idiopathic membranous glomerulonephritis; a free online tool, called MyBP, that allows one to record, trend, graph,and communicate blood pressures directly to practitioners; a video of Dr. Prasad Devarajan discussing new research in pediatric nephrology.
• Nephron Power  writes about pseudopheochromocytoma, a disease that causes paroxysmal hypertension; A recent article in Kidney International talks about the hypoxia inducible factor or HIF and its relation to kidney diseases and anemia.
• pkdmom2five has a quote "Without love true holiness is impossible;" shares quotes about kindness, fear, patriotism, religion, and hate.
• Diario de diálisis Crónicas (en Español)  Journal dialysis - Chronicles (Google translated from Spanish) Alejandro gets caught up in a Kafkaesque bureaucratic nightmare while trying to get his transplant workup blood tests done; in a continuation of this story, two administrative clerks fight over how paperwork should be signed and nearly drive Alejandro crazy.
• Dialysis and Me Barry recommends a great product for stripping paint off plastic models.
• Rob and Danielle's Kidney Blog Rob tries a writing exercise (a brainstorm flow chart) to snazz up his blog entry and ends up connecting "kidney" with "cabinets".
• The Ballad of Billy The Kidney John describes the sale of organs as the worst medical imperialism; links to a research article on the best way to remove bandaids - the slow tug?  or the quick rip?;  John missed Linda Gromko's webinar but concurs with the notion that it's important to make one's home dialysis space a comfortable and inviting place to be, shares some details about how he and his wife set up his dialysis space.
• ....And Bells on Her Toes Kelly is so exhausted that she forgot to get her daughter dressed before putting her in the car; Alex needs to stay another day in the hospital for some tests, Kelly breaks down in tears at the pediatrician's office, she is having trouble managing all she has to do and the stress revolving around Alex's transplant. (Hang in there, Kelly. Alex will be home soon, healing and things will calm down.)
• Michael W. Newman Michael expresses frustration with his pulmonologist who has yet to read and communicate the results of his CAT scan; his doctor finally tells him that the spot on his lung has shrunk, and is not sure what is causing his breathing problems, more tests to follow.
• Biologically Safe Water Filters  explains the cost/benefit to using Nephros dual-stage ultrafilter in dialysis.
• Encompass Network Partners The National Kidney Foundation will open a new office in Reno, Nev. at Saint Mary’s Regional Medical Center; an extensive article on the causes, risk factors, symptoms, diagnosis, and treatment of peripheral vascular disease and peripheral arterial disease.
• Kidney Community Emergency Response The FDA and Edwards Lifesciences notified healthcare professionals of a Class I recall of the Aquarius Hemodialysis System due to reports of clinically significant fluid imbalance and the potential for users to repeatedly override the fluid imbalance alarm. This could result in a decrease or increase in the volume of the circulating blood, which may result in serious injuries or death.
• Libre Clothing has a link to an article on how your heart and your kidneys are connected.
• Kidney Diet Tips has a post about how onions are low in sodium, potassium, and phosphorus so they're perfect for the kidney diet, gives cooking ideas and links to recipes.

Dialysis & CKD Blog Report 1/26

By Miriam Lippel Blum

Here are the CKD related blogs updated since my last report on 1/23. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle Bill discusses why urea was chosen to be a measure of dialysis adequacy and why that was a poor decision.
• Kaply, Inc. Tracy had a great birthday and thanks her friends and family for making it so; the day after she got a migraine and her period and slept all day;  wishes Adam Avitable a happy birthday and has a video of him dancing.
• Toastiest Toastie posts a video of Betty White receiving her Lifetime Achievement Award from SAG; he is feeling depressed and unaccomplished and hopes for five hours sleep.
• Hasten down the wire Michael critiques the Supreme Court's ruling on corporate political spending; he adds a new "User experience" section to his website and hopes eventually to publish a book from the entries.
• Paddling on Dialysis for Kidney Health Even though he would rather stay home and write, Erich gets his boots on and goes to the gym.(Good for you, Erich. You inspired  me so I went to my gym, too.)
• The inner game of PKD Richie asks "What does having PKD mean to you?"
• Becky Perry reviews Kelley's Chance by Wanda E. Brunstetter.
• Transplant, Tantrums, & Tiaras Holly picks out flowers for Jess's funeral and receives some pink  jewelry from a friend to wear at the funeral in honor of Jess; had an interview for a job at a nursery, heads off to Kent for Jess's funeral tomorrow.
• On the Road to a Lupus Cure LFA Indiana Chapter President & CEO Phyllis Simko was honored at the 5th Annual Champions of Diversity Awards dinner by Indiana Minority Business Magazine.
• I Am. Are you? Donate Life Illinois is giving away  40 free pairs of tickets to see Josh Turner at a private concert in Chicago on February 11.
• Chronic Chick Talk is having a bad flare up of lupus; has a link to a wedding invitation site to help couples get organized for their wedding.
• Dialyse This A patient has a medical crisis while Cassie was at dialysis, Cassie's 26th birthday is coming up, and possible kidney donors come her way.
• Linda Gromko MD kidneycare Home Dialysis Central is hosting Linda and her colleague Jane McClure for a free Webinar on Wednesday, January 27 at 6:00 p.m. Pacific Time. The topic is "How to  plan your home dialysis space so that your home doesn't look like an ICU?" Register here.
  (They had some great ideas in their book Arranging Your Life When Dialysis Comes Home so I'm sure this will be a helpful, informative webinar.)
• Renal Fellow Network posts the American Society of Nephrology's new logo; figures out how much money a patient is worth to the dialysis companies for a year of conventional dialysis; the potential use of rituximab as a treatment for membranous nephropathy.
• Uremic Frost posts the new ASN logo; an article from the Nephrology Times about the use of social networking media by nephrologists; a video about World Kidney Day (March 11, 2010); a study showed that once-daily administration of sevelamer carbonate powder (Renvela) was not as effective in decreasing serum phosphorus levels as thrice-daily administration of sevelamer hydrochloride tablets (Renagel). Nevertheless, once-daily sevelamer carbonate powder decreased serum phosphorus levels significantly, reaching the KDOQI phosphorus target in most patients; an obese body mass index is associated with an increased risk of kidney stone disease. However, the magnitude of this risk appears to be stable in the morbidly obese population; a horrifying story from Minneapolis about a urologist removing the wrong kidney and taking a biopsy from another's patient's pancreas instead of a kidney. (Yes, he was suspended but if he can prove competency then he can be reinstated.  I hope he never touches another patient again.)
• UKidney Two types of dialyzer reactions. A  mnemonic for them is that "Type A" (the serious one) can be remembered as "anaphylactic", while "Type B" (the less serious one) can be remembered as "boring"; a quick review of the autoantibodies that may be useful in the diagnosis and management of patients with lupus-related kidney disease.
• Renal tsar's blog The NHS has a new publication out to guide UK clinicians in the diagnosis and management of CKD; the tsar finds inspiration rom The Challenge of Co-Production by David Boyle and Michael Harris in thinking about  what analysis and principles should inform radical innovation in healthcare.
• Pediatric Nephrology has a link to a CNN report in Haiti by Dr. Sanjay Gupta about how crush injuries can be deceptively dangerous because of Acute Kidney Injury from rhabdomyolysis; announcement that the next meeting of the American Society of Pediatric Nephrology will be May 1-4 in Vancouver, Canada; a presentation on "Basics of Nuclear Imaging in Nephrology"; a podcast on MYH9 and its role in focal segmental glomerulosclerosis and related disorders; a review on rhabdomyolysis.
• Nephron Power  is a new blog to our list.  It was created by Kenar Jhaveri, MD, and has a number of contributors.  The last two entries posted were: a brief review on hypertensive retinopathy; some points brought out at a recent symposium on IgA nephropathy.
• pkdmom2five posts a lovely photo of her daughter, Victoria.
• Kidney Notes - Exploring the Intersection of Medicine and Technology also links to the Nephrology Times article "Nephrologists Using Social Media."
• Lemonade and Kidneys  Ruth is disheartened when a new CEO is installed where she works and she anticipates that the business will be sold in a year or two.
• ....And Bells on Her Toes On post-op day 3, Alex is confined to bed because he was leaking blood from the incision, but creatinine continues to go down; Kelly hugged Alex's dad (who donated his kidney) and said thank you before he was discharged, Alex gets to go home tomorrow; shares a true and funny story abouta woman who mistook rivets on a truck for Braille.
• PKD World has an extensive list of books and articles about kidney disease and pain.
• Encompass Network Partners Renown Regional Medical Center in Reno, NV announced that on Feb. 10  they will offer Life Line Screening as part of February's "American Heart Month." Life Line Screening is designed to help people identify their risk of stroke, vascular disease and osteoporosis before they suffer catastrophic illness.
• Kidney Community Emergency Response Nipro Medical Corporation, Miami FL, is initiating a nationwide recall of all GlucoPro Insulin Syringes (This does not include the GlucoPro syringe specific for use with the Amigo Insulin pump).These syringes may have needles that detach from the syringe. If the needle becomes detached from the syringe during use, it can become stuck in the insulin vial, push back into the syringe, or remain in the skin after injection.
• Renal BizBlog has links to a series of columns (from the American Journal of Kidney Diseases)  that explores how the pending bundled payment could change the dialysis landscape.
• Michael W. Newman Michael's oxygen saturation test was okay, and he has noticed less breathing problems when he takes prednisone, he awaits lung CAT scan results.
• My Wife Has Lupus Cellcept gives his wife terrible headaches and Imuran causes stomach flu symptoms, they hope the doctors can come up with some alternative immunosuppression.

Some Thoughts From a Blog Reporter

By Miriam Lippel Blum

This is my 100th post on DSEN, so I thought I would mark it with some reflections on the blog reports I write.  I work on the report at home, usually when I myself am on hemodialysis.  I use my laptop and type with the one hand not immobile because of needles.  Every three days I enter the worlds of the 114 people whose blogs grace DSEN's master list.   I report on whomever has new posts since the last time I visited and summarize what they have to say. 

It is an emotional journey sometimes, for the entire spectrum of life with CKD is represented here, and often written about with graphic detail and brutal honesty.  There are people with polycystic kidney disease, lupus, FSGS, diabetes, and other chronic conditions.  Every kind of renal replacement therapy is represented: peritoneal dialysis, conventional hemodialysis, home hemodialysis, nocturnal hemodialysis (in both home and in-center settings), and, of course, transplants.

There are people here waiting for transplants, people who are getting transplants, people who are living well with their transplants and people who are losing the precious gift of life they received.  There are caregiving family members here who write about the difficulties and stresses of that role.  There are young people here, single people, married people, married with families, and retirees. All united in that they live every day with the burden and challenge of CKD in their lives.

And sometimes they don’t want to live, or find it extremely difficult to live the life they might have but for CKD5.  Some are in chronic pain, distressed and depressed and their blog is where they cry with their words.   Some people find ways to live and be joyful despite their disease issues, some travel, still others take on the role of coach to help guide fellow sufferers using their own coping mechanisms as examples.

Then there are the renal physicians who blog and graciously share their medical knowledge, questions, and scientific updates. A few industry blogs are on the list giving a view into the business side of dialysis that deeply affects our quality of life.

It’s all here, the varied voices of the renal community, full of hope and despair, dreams and nightmares, triumphs and frustrations. 

I have become rather attached to “my bloggers.”  I find myself cheering at their joys and successes and feeling sad for their losses.  The hardest thing is when someone has no new posts for many months or even years and I wonder if they have died.  I quickly check on those, too, because I never know if this will be the day when they will return.

The blog report is my way to help dialyzors connect with others, and to provide access to information.  I feel I give bloggers access to more readers than they would otherwise have, and what blogger doesn’t want an audience?  Thank you, bloggers, for putting yourselves out there and sharing your thoughts.  I consider it a privilege to enter your worlds and report on them. And thank you, Bill, for letting me contribute in this way.

Dialysis & CKD Blog Report 1/23

By Miriam Lippel Blum

Here are the CKD related blogs updated since my last report on 1/20. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle Bill announces that the Northwest Kidney Center's (NKC) Breakfast of Hope is slated for May 12, he also found an extended video on the NKC You Tube page from when he was the honoree; Bill discusses issues both moral and financial involved in the situation with Grady Hospital in Atlanta and the dialysis assistance being  given to Haiti.
• Kamal Shah's Blog Kamal plans a trip to Coorg to relax and visit the coffee plantations.
• Kaply, Inc. Tracy shares insights about her cats, Marie Osmond, music, and the fact that her birthday is tomorrow. (Happy Birthday, Tracy! And many more.); Tracy celebrates "Tracymas"  by eating noodles and being showering with well wishes from friends.
• Toastiest expresses frustration with the Democrats in Congress; shares a musical piece and will give a gift card to whomever is the first to identify the artist and the song title; thinks Conan should get a show on HBO.
• Paddling on Dialysis for Kidney Health Erich starts exercising at a gym and hires a personal trainer to assist.
• The inner game of PKD Richie writes about what keeps a PKD patient up at night. (I'm sure these apply to most people with serious chronic illness.)
• The Life of a 20-Something With Lupus Flo gets fitted for a mouth-guard because she clenches her teeth and finds unexplained bruises on her wrist.
• Becky Perry shares a template for her To-Do list; shares Friday Felicities; describes her dialysis supplies inventory and procedure.
• On the Road to a Lupus Cure New research shows that immunosuppressents render flu vaccination less effective in people with lupus.
• Really, I'm as Old as I Feel? Rob has an awkward moment in the mall while trying to explain potty training techniques.
• I Am. Are you? has a photo slideshow of the Donate Life float at the Rose Parade.
• The Ins and Outs of Dialysis Gayle shares some facts about Medicare and dialysis  coverage, links to an article entitled "I Love My Socialist Kidney."
• Chronic Chick Talk finds that being in a pool helps her chronic pain, wishes she could have a warm therapy pool in her home; Fill it in Friday tidbits; suggests not setting yourself up for failure when you try to lose weight, has a link to a helpful diet resource.
• Lupus and Humor Carla was disappointed with lab test results but for now is continuing her routine of low dose naltrexone, dietary changes, and chi gung to control her lupus flares, she doesn't want to take prednisone again.
• Dialyse This Cassie got a cramp during an xray and has been sore all day, her grandma bought her Season 2 of Bones.
• Linda Gromko MD kidneycare Linda describes how music has been a healing and motivational force in her and Steve's life and suggests that caregivers find music that resonates with their heart and souls and speaks to their challenges.
• Precious Bodily Fluids Joel is reading Atul Gawande's book The Checklist Manifesto and finds it has implications for his medical practice.
• Renal Fellow Network Poll results from last week:  The majority of individuals felt that it was definitely unsafe giving gadolinium to CKD5 patients, with 45% of individuals also agreeing that it was unsafe in CKD stage 4; the effects of interferon on the kidney.
• Uremic Frost reports about a Taiwanese man who got over-excited while watching Avatar in 3D and suffered a stroke.
• UKidney has a helpful video summarizing the mechanism of ion transport in the kidney and and the impact of diuretics on these processes; a Japanese research study shows that parathyroid gland enlargement may delay the response of secondary hyperparathyroidism to cinacalcet (Sensipar).
  
• Pediatric Nephrology has a post on nephrogenic systemic fibrosis; the use of Dilantin in dialysis patients; announcement of a pediatric nephrology seminar, Mar. 11-14 in Miami, FL; has link to the new Davita Diet Helper website.
• ....And Bells on Her Toes Alex gets his Dad's kidney, there are initial complications due to the large size of the kidney, but after some more surgical intervention the kidney "pinks" and makes some urine.  He's in Recovery and Kelly is waiting to see him; Kelly's feels like she's on an emotional roller coaster, first things looked bad for Alex's transplant but later a doctor reassures her that the kidney is working and Alex's creatinine and potassium levels have dropped, he is still sedated and drifting in and out.
• PKD World Describes plans for a scenic drive through England, France and Italy for the the 2010 PKD Charity Tour.
• Encompass Network Partners has an extensive article on peripheral arterial disease; the Scholl College of Podiatric Medicine in conjunction with Rosalind Franklin University of Medicine and Science hosted the 23rd Annual Dance for Diabetes to donate to the American Diabetes Association to help fund research on preventative medicine and education on diabetes; the importance of vascular screenings to catch silent circulation problems.
  
• Kidney Community Emergency Response has more links for getting help to Haiti.
  
• NephrOnline Blogs Mark Neumann writes about the difficulty in diagnosing acute kidney injury in Haiti because of lack of testing and other supplies. He gives a list of needed supplies and contact links to help.
  
• Kim Hoben's Blog Kim feels that allowing substandard care in dialysis is inhumane; she has had it with someone somewhere deciding that they will give the masses enough dialysis to keep them alive but not enough to live. (We all agree with you.)

Dialysis & CKD Blog Report 1/20

By Miriam Lippel Blum

Here are the CKD related blogs updated since my last report on 1/17. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle Bill's analysis of a NY Times op-ed by Kristoff shows that dialyzors can be happy; Bill critiques Dr. Richard Amerling's depressing article on the future of US healthcare, finding it full of factual inaccuracies and misleading conclusions; Bill reports how alleged practices by DaVita in regard to epogen utilization are damaging to the entire CKD community.
• Kamal Shah's Blog Kamal's nephrologist is perplexed regarding Kamal's bone pain, wants to wait to see if it improves and consult a neurologist; Kamal's phone runs out of power at an inopportune moment so he can't get directions to a dinner party. Luckily, a security guard with a phone comes to the rescue; Kamal has an epiphany about the source of the bone pain, validates it with Dr. John Agar, and goes about correcting the problem. (We hope this solves it soon and forever.)
• Kaply, Inc. Tracy is slowly recuperating from the chest cold she got while on vacation.
• Toastiest shares a photo of Aremid, his 15-year old cat; is so disappointed with the Democrat's loss in Massachusetts, finds politics depressing; posts pet pictures to cheer himself (and the rest of us) up.
• Hasten down the wire Michael wonders whether the NY Times' second attempt at constructing a paywall for online content will be better than its first try, which was a dismal failure; Michael reports on how the FBI illegally obtained phone records.
• Paddling on Dialysis for Kidney Health Erich finds that his strenuous exercise plan is slowed by a low hematocrit, he's getting iron and EPO to address the problem and uses motivational quotes to keep his focus.
• The inner game of PKD Richie shares a number of concepts, practices, and  “mind games” that he used to cope with the challenges he faced with PKD.
• The Life of a 20-Something With Lupus Flo spent the day sleeping and now, as she procrastinates before setting up for her nocturnal dialysis treatment, she wonders if she can paint her nails while having buttonhole needles in her arm. (I wouldn't recommend it.); has a post about her bald spots and how she is going to treat them. (Flo, bald spots or not, you are a beautiful woman.)
• Becky Perry reviews The Judas Ride by Peggy Sue Yarber; reviews  A Lady Like Sarah by Margaret Brownley.
• Jack's Kidney Adventure has a link to an article about what the renal community is doing to help dialysis patients in Haiti.
• Transplant, Tantrums, & Tiaras Since she feels life is short, Holly has decided to complete 101 preset tasks in a period of 1001 days; a list of her 101 tasks.
• On the Road to a Lupus Cure Representatives from the Lupus Foundation of America (LFA), along with 22 national organizations, attended the first consortium meeting aimed at developing a national health care provider education initiative to improve lupus diagnosis, treatment, and management among minorities; Saturday, January 23, is the Kick-Off for the 2010 Walk for Lupus Now event in San Diego.
• Really, I'm as Old as I Feel? shares a cute photo of his young daughter ready to pilot an airplane.
• I Am. Are you? Donate Life Illinois reached their goal of getting 8000 Facebook fans in 8 days.
• The Ins and Outs of Dialysis Gayle took up knitting as an activity to do while John is on dialysis. She asks, "How is knitting like dialysis?"  The answer: Two big needles connected by cables, one needle pushes, the other one pulls.
• Dialyse This Cassie is delighted to find out that all her transplant blood work and ECG could be done through the dialysis unit.
• Bud's Ramblings Bud went to breakfast with his sister and brother-in-law, put away the Christmas tree, and hopes his defibrillator never has to go off.
• Linda Gromko MD kidneycare Linda suggests that both caregiver and dialyzor find something - anything - that renal failure has taken away - and make a valiant effort to reclaim it; congratulates Steve on completing his cardiac rehabilitation program, writes about the importance of exercise for people with diabetes and CKD5; Linda's mom has a medical scare and ends up in the hospital on her 92nd birthday; Linda recalls the events leading up to her marrying Steve and wishes him a Happy Anniversary - she would do it all again despite the CKD5 struggles.  
• Precious Bodily Fluids shows how to properly determine Dilantin levels in a patient on dialysis; links to an article about the demonization of high fructose corn syrup; a photo of a doctor at an  Antarctic research post surgically removing his own appendix.(Well, the penguins weren't gonna do it!)
• Renal Fellow Network discusses the ethical dilemmas associated with care of the undocumented CKD5  population; links to an article that helps determine the molecular basis of Thyrotoxic Periodic Paralysis in many (but not all) cases, and characterizes this disorder as yet another example of a channelopathy: a disorder of ion channels; the use of bortezomib in the management of myeloma cast nephropathy.
• UKidney has a description of the peritoneal equilibration test (PET) which is a standardized method for assessing peritoneal membrane function, and is used for tailoring an appropriate, individualized PD prescription; a Swiss study uses glycyrrhetinic acid, a compound commonly found in licorice, to lower dangerously high potassium levels. 
• Renal tsar's blog The tsar clarifies clarifies some issues regarding pneumococcal vaccinations in patients with CKD; he makes it clear and in no uncertain terms that twice a week dialysis is insufficient and unacceptable (Three times a week isn't really acceptable either but two is definitely not enough.); refers people to a kidney dialysis quality report now available on the UK Department of Health website; the NHS Kidney Care finally unveil their Kidney Care website and the tsar likes it.
• Pediatric Nephrology has a link to the Kidney Community Emergency Response Coalition;  an article about the Automated Wearable Artificial Kidney.
• pkdmom2five shares a quote from Oswald Chambers: "God who made the birds never made bird cages. It's men who make bird cages and after a while we become cramped and can do nothing but chirp and stand on one leg."
• Dialysis and Me Barry has a photo of the hobby desk his father-in-law made him for Christmas.
• Rob and Danielle's Kidney Blog Rob feels well so he and Danielle go on a bike ride with friends through a park; Rob posts a nostalgic piece he found about childhood in years past, although he and Danielle are considering adoption so as not to pass PKD genetically, Rob is glad his parents had him and he learned to persevere as he watched his Dad's struggles with CKD.
• ....And Bells on Her Toes Kelly found a good snow plower, Alex feels better and goes out with the boys to party before his transplant; Kelly realizes how much the family tension regarding the surgery is affecting her young daughter, Alex is going to participate in the post-transplant study regarding diabetes; expresses gratitude to Alex's father who is giving him a kidney.
• Encompass Network Partners  A few of the biggest players in the medical devices arena are accused in a whistle-blowers lawsuit of promoting the off-label use of biliary stents to treat cardiovascular disease in hundreds of thousands of patients. (This seems to be a pattern in companies -- see Bill's post on DaVita's problems.)
• Libre Clothing shares some exercise ideas to help stave off diabetes which is the #1 cause of renal failure; links to an article about how the dialysis community is helping in Haiti.
• Kidney Diet Tips How the DaVita Diet Helper, an online tool, can help you keep your 2010 resolutions.
• Michael W. Newman The doctor found spots on Michael's lungs, more evaluation needed so the oxygen saturation test is canceled.
• LightLizard's Lair reflects on how the impact of past wars echoes in his life and choices.

Dialysis & CKD Blog Report 1/17

By Miriam Lippel Blum

Here are the CKD related blogs updated since my last report on 1/14. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle Bill excerpts 23 comments regarding Medicare's PPS submitted by dialyzors using home hemodialysis to show how successful more frequent dialysis is at controlling symptoms and normalizing life for those with CKD5.
• Kamal Shah's Blog Kamal describes the isotope bone scan he underwent, results showed "Metabolic bone disease", now back to his doctor for continuing consultation.
• Kaply, Inc. Tracy lays out the plan for her birthday celebration and requests pictures from all her  loyal readers of whatever you are doing on "Tracymas."
• Toastiest posts a video of Johnny Carson's last TV appearance; watched an iTunes movie at dialysis to help him fall asleep, was awoken by machine alarms at 4:30,AM.
• The inner game of PKD Richie describes his post-transplant experiences.
• The Life of a 20-Something With Lupus Flo worries that a potential professors strike at her university will upset her education schedule,  her previously fractured foot is giving her pain; she struggles with fragile black hair; she is sleepy, worries about getting bloodwork done for fear that it will show there is something wrong.
• Becky Perry lists four things that make her happy.
• Transplant, Tantrums, & Tiaras Holly posts pictures and thoughts about her friend, Jess, who died last week; Holly continues to grieve.
• On the Road to a Lupus Cure Tips for starting and sticking to an exercise routine.
• Chronic Chick Talk posts a music video "Beauty from Pain" by Superchick; she is amazed at how fast baseballs are thrown during games.
• Bud's Ramblings shares a column written by a friend about lessons learned from burnt biscuits.
• Linda Gromko MD kidneycare Linda posts an update on Steve's transplant status - they hope for a living donor with blood type A or O.
• Precious Bodily Fluids Joel shares a humorous e-mail he received from a patient.
• Renal Fellow Network Last week's poll shows that Up To Date is the most commonly used current reference system for rapidly obtaining nephrology knowledge by renal fellows; a post discussing pre-op cardiovascular testing for kidney transplant recipients.
• Uremic Frost has the Renal Physicians Public Policy in a Minute video.
• UKidney has a post about staghorn calculi which are are upper urinary tract kidney stones which involve the renal pelvis and involve at least two of the calyxes; Baxter Corp. faces numerous lawsuits over harm caused by tainted heparin; an article about the status of the wearable artificial kidney; in a retrospective CKD-inception cohort study, there was no association between hyperphosphatemia and death, though there was less risk of renal replacement therapy in patients with better phosphorus control. A suggestion is made that there should be a randomized study to confirm the relationship between hyperphosphatemia and death, if it is so.
• Pediatric Nephrology has a link for physicians to contact if they can help treat a few Haiti earthquake victims at their centers; a link to ASN's list of relief organizations for Haiti; responsibilities of a nephrologist during earthquakes;  Acute Renal Failure - History; Rituximab is now considered an alternative therapy for refractory lupus, lupus nephritis, and vasculitis but there is no evidence supporting its use in routine care for remission induction or maintenance, nor in primary glomerulonephritis; a study investigates the genetics of reflux; a study on masked hypertension and LVH in children with CKD2 -4; a link to a review article in AJKD on post-transplant lymphoproliferative disorder; a powerpoint on the basics and techniques of various forms of CRRT.
  
• pkdmom2five Life is going well for Amy and her family, she reconciles with estranged friends, and loves the freedom of expression she has with her blog, gets positive feedback from others.
• Lemonade and Kidneys shares some of the stories she didn't get around to blogging about last year: her dog's new girlfriend, new solar panels on her house, and a new ring; a photo of George Clooney; two local scandals have Ruth wondering why people waited so long to take action.
• Rob and Danielle's Kidney Blog Rob struggles with low blood pressure while on nocturnal dialysis, his doctor prescribes a new medicine that doesn't seem to help.
• Mid-life ramblings Dianne celebrates losing weight,  having had no hospital stays in a year, and having her daughter visit over Christmas; she is amazed by a young newlywed couple who are assisting and blogging in Haiti.
• ....And Bells on Her Toes Kelly and Alex get colds from their kids. Kelly worries that Alex's transplant (five days away) might be delayed if he can't recover quickly.
• Encompass Network Partners Pathway Medical Technologies, Inc announced that the FDA has granted the company clearance to market JETSTREAM G3™ which is a peripheral revascularization catheter designed to remove all kinds of artery-clogging plaque in the lower limbs of patients. This minimally invasive solution clears blockages in the peripheral vasculature, restores blood flow and effectively treats Peripheral Vascular Disease; a rise in endovascular treatment for Peripheral Arterial Disease seems to be related to rates of amputation and mortality falling, even though patients seem to be sicker upon presentation.
• Kidney Community Emergency Response American Society of Nephrology (ASN) encourages individuals and organizations interested in contributing financial support to donate directly to entities specifically dedicated to providing disaster relief to Haiti, gives links; more links for information about disaster relief in Haiti.
• NephrOnline Blogs DaVita raises the question as to who is responsible for deaths caused by tainted heparin, they or Baxter who made the stuff?
• Nathan's PKD Nathan celebrates his three-year kidney-versary, no signs of rejection, his labs are great, his bone scan was unchanged, his cardiologist is retiring.(We wish you many more great kidney-versaries!)
• Michael W. Newman Michael sees a new pulmonologist who orders an overnight 0₂ saturation test, and may also want to do a sleep study that Michael thinks is unnecessary. He doesn't want to protest for fear he will be dropped as a patient and there are few other physician choices in his community.
• Life on Dialysis Samiir takes the bus to dialysis and nearly blacks out, notices later that there are seats reserved for physically disabled people and wonders why there are no seats for people who might have a non-visible disability like CKD5 who might need them just as much on a long bus ride.
• Mushroom's Blog Mushrooom received a US flag from Sen. Dianne Feinstein that was flown over the Capitol in memory of his deceased son, Jeremy, whose donated kidney lasted 17 years.

Dialysis & CKD Blog Report 1/14

By Miriam LIppel Blum

To the bloggers on our list (and other folks reading DSEN) who are interested in transplants, this might be of interest to you.  A Webinar is being offered by the Living Donor Kidney Network (LKDN).  The webinar, titled  "Having your Donor Find You," is being offered on 2 different dates, Tuesday, February 2nd and then again on Monday, Feb. 8th at 8:30pm EST (7:30pm CST, 6:30pm MST, and 5:30pm PST.)

This webinar is perfect for people in need of a kidney transplant who want to learn more about living kidney donation and how to communicate their need to friends and family.  If there is someone that wants to help them spread the word about their need, their advocates, ask them to sign up for the webinar, too.  To register for one of the Webinars, click here.  For more information see the website for LKDN.

Here are the CKD related blogs updated since my last report on 1/11. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle Bill discusses the importance of the Northwest Kidney Center's Kidney Research Institute and their successful funding efforts; the NxStage worked great on the cruise,Bill suggests some improvements that would make it even better; Bill critiques Sally Satel's review of Observing Bioethics by Renee C. Fox and Judith P. Swazey.
• Kamal Shah's Blog Kamal's bone pain is getting worse and his nephrologist orders yet another test. (We're sorry to hear that and hope this test will show something that can be helped.) Despite the pain,  Kamal looks into some travel and cruise opportunities.
• Kaply, Inc. While in Maine, Tracy got scratched up by her brother's kitten.; she is still recovering from vacation and her cough, her cable box is malfunctioning...and she declares her birthday a national holiday (It's Jan. 23rd. We' promise to celebrate with appropriate confections.)
• Toastiest Toastie is frustrated with being unable to sleep on in-center nocturnal HD and considers returning to a daytime shift; his 14-year old cat, Aremid, is slowing down and unable to jump as he used to, photos of Aremid.
• Hasten down the wire Michael gripes about the iPhone and new technology, in general.
• Paddling on Dialysis for Kidney Health  is a new blog. To celebrate and mark his 10th year on dialysis, ten years of life, Erich is going to get into shape so he can join the Grand River Expedition 2010 which will lead scientists, educators, local officials, river enthusiasts and at least one fellow on dialysis from its headwaters near Jackson, Michigan to Lake Michigan at its mouth in Grand Haven 225 miles downstream. He will also be soliciting donations for the National Kidney Foundation of Michigan; his Wii Fit video game and his son make him face his obesity head-on.
• The inner game of PKD Richie describes his transplant surgery.
• The Life of a 20-Something With Lupus Flo returns to the grind of school and work.
• Becky Perry reviews and excerpts The Last Day by James Landis; describes her schedule for keeping up with home maintenance, her family assists; shares her menu for the week.
• Jack's Kidney Adventure links to a story about the wearable kidney.
• Transplant, Tantrums, & Tiaras Holly mourns the death of her friend, Jessica Wales, whose lung transplant came too late. (Our condolences to you and her family on your loss.)
• On the Road to a Lupus Cure Belimumab (also known as Benlysta™) effectively treats lupus flares over a four-year period.
• Really, I'm as Old as I Feel? has a photo of daughter, Abby; Rob tries to shampoo Abby's hair and discovers the bathwater is too cold.
• I Am. Are you?  has photos, a video, and a recap of Donate Life Illinois' event at the first of  a year-long series of shows they’re supporting for US99’s “live country” concerts.
• The Ins and Outs of Dialysis Gayle goes to Spokane to visit her beloved 93-year old mother.
• Chronic Chick Talk has been feeling discouraged, awaits a big delivery; suggests taking a course at Online Colleges for work advancement or personal fulfillment; her lupus struggles have given her appreciation of the small joys in life, like her daughter's smile. (These may be small moments but they are big joys.); might be a spectator at but is not interested in riding a bull, ever.
• Dialyse This Her doctor heard the radio interview  and now wants to track down her blog, got a rash from the sticky pads used during her stress echo.
• Renal Fellow Network has a differential diagnosis of Granulomatous Kidney Disease; reports on some promising potential therapy for Polycystic Kidney Disease.
• Uremic Frost has a video about what the National Kidney Foundation does; a study shows that HD patients have a higher risk of colon perforation during colonoscopy; a study shows that angiotensin receptor blockers are linked to lower dementia risk; an FDA panel voted not to recommend approval of nebivolol (Bystolic) for the treatment of chronic heart failure.
• UKidney Dan Rather reported on HDNet a story entitled "Kidney Pirates" about the dark world of black market kidney trafficking.
• Renal tsar's blog Transportation to dialysis in the UK gets better and expects continued  improvements; Case studies from two UK dialysis units provide a guide for salvaging “reject water” that in most units is needlessly “lost to drain” to be put to alternative use in hospital laundry or sanitation systems to provide steam for equipment sterilization or to feed low pressure boilers;  a link to an NHS Renal newsletter; Commissioning for Quality and Innovation (CQUIN) payments may have a positive impact on quality of care for Acute Kidney Injuries.
• Pediatric Nephrology links to Renal Fellow Network's differential diagnosis of Granulomatous Kidney Disease; announces Kamal Shah's new website Dialysis in India; a video about NanoDialysis, another wearable kidney in development.
• History of Nephrology Important discoveries about Acute Kidney Failure were made during the bombings in the Battle of Britain, seventy years ago.
• pkdmom2five has a quote about the damage caused by living without love; and a quote about evil caused by religious conviction.
• Lemonade and Kidneys Ruth considers divorcing her husband because he uploaded the score to Les Miserables to their son Quinlan's digital music device, and Quin has abandoned his nascent adolescent broodiness in favor of singing "Master of the House" all over the house at the top of his lungs.  . (I suggest you start playing Susan Boyle's version of "I dreamed a dream" very loudly in response or maybe something from Phantom of the Opera.)
• Rob and Danielle's Kidney Blog Danielle makes a plea for a kidney for Rob out of Scrabble Cheez-Its.
• ....And Bells on Her Toes Kelly's husband, Alex, is getting freaked out about the idea of having a catheter and stent inserted for five days after his upcoming kidney transplant; family stress is affecting the behavior of their young children, Alex considers participating in a study that hopes to reduce the risk of diabetes post-transplant with lower steroid and immunosuppressive levels, all the forms and literature scare Kelly, she is also feeling overwhelmed with the copious transplant details, expected followups, and hopes that the drugs will be covered by their Canadian insurance.  She feels like she needs a good cry.
• Living with PKD Heather is off to Boston for a 24-hour urine collection marathon at Beth Israel Hospital, likes Boston but it's too cold there now.
• DailyHemo - Home Dialysis Advocates New Videos: Avera Medical Minute - Living On Dialysis; Kidney Disease A Death Sentence? Can Dialysis Extend My Life?; Working While On Dialysis - Patient Success Stories; As A Dialysis Patient Caregiver, What Will Dialysis Be Like For Me?; National Art Contest for Children With Kidney Disease; Davita Teammates Donate Teddy Bears; E-Learning Gives Dialysis Kids Laptops and Equipment; Peritoneal Dialysis in Young Children; Gurdip Singh On Dialysis and Very Active.
• Encompass Network Partners has an article about the symptoms and treatment of Peripheral Arterial Disease.
• Kidney Community Emergency Response posts a news bulletin about the earthquake in Haiti.
• Renal BizBlog Keith comments on and links to a scary editorial by Richard Amerling about what he fears the triple threat of recession,  healthcare reform, and the new bundling rule will bring: clinic closings.
• Kidney Diet Tips announces that Davita's Phosphorus Challenge is coming soon. It will provide education about phosphorus by featuring games, quizzes, polls, points and social networking with others who are taking the phosphorus challenge.
• Nitey Nite- a nocturnal dialysis blog vents frustration regarding dialysis clinic social workers, considers having another kidney transplant; shares two renal related websites she thinks are worth looking at: Dance for Donors and All Kidney News.
• Renal PatientView Blog has updated the info on their Liver Function Tests and verified it with liver experts.

Dialysis & CKD Blog Report 1/11

By Miriam Lippel Blum

Welcome back to Bill and the rest of the NxStage Freedom Cruisers.   May this be the first of many more adventures out in the world.  You have shown that dialysis need not preclude one from exploring interesting places.

Here are the CKD related blogs updated since my last report on 1/8. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle On Day 6 of the NxStage Freedom Cruise, Bill goes snorkeling at Cozumel and later enjoys sunning on the beach, video of the beach; on Day 7 the seas were choppy as the Cruisers headed back to Miami, Bill posts a nice video summarizing the trip and reflects on how with a higher dose of dialysis and a NxStage machine enjoyable travel is possible; Bill writes that foreign travel on dialysis is an obtainable dream and to prove it lists all the places he has traveled as a dialyzor (an impressive list), he has a personal goal of visiting 50 countries and six continents. ( I'm convinced you will reach that goal.); Bill writes of an unpleasant encounter with a Miami-Dade county employee who gave the Freedom Cruisers' cab driver a hard time unnecessarily. (She deserves a reprimand for conduct unbecoming an officer.  I hope you'll report her to the appropriate authorities. Despite that, it sounded like a wonderful trip.)
• Kamal Shah's Blog Kamal would like to set up a support network of dialyzors in India  (he sees Lori Hartwell's Renal Support Network as a model) and asks for help;  Kamal has created an online website forum called Dialysis in India, it has sections that offer basic information, sections that offer his perspective on well-being and leading as normal a life on dialysis as possible and a forum where people can share problems specific to India, any helpful feedback would be appreciated. (Bravo, Kamal, for starting this.  No doubt there is a need for this and you will find the support you need as you assist others through your site.)
• Kaply, Inc. Still sick and coughing, Tracy made it home to Seattle and got loving attention from her friends and her cats.
• Hasten down the wire Michael is angry that Obama has flip-flopped on the issue of taxing health insurance benefits; a critique of a column by NY Times writer, Robert Lowenstein, wherein he suggests people walk away from mortgages when the value of their property has dropped lower than the mortgage.
• Becky Perry shares a personal story of religious faith and the birth of her son.
• CHRONIC POSITIVITY - Life with Polycystic Kidney Disease Jeff gets an ulcer on his foot as a result of Charcot-Marie-Tooth Disease, he chooses conservative treatment right now but foot surgery may be in his future.
• Jack's Kidney Adventure In his first post of the new year, Jack celebrates good lab results and gives thanks for all the medical people who help support him. 
• Transplant, Tantrums, & Tiaras Holly feels helpless as her friend Jessica struggles for life after a double-lung transplant.
• On the Road to a Lupus Cure Lupus Foundation of America's Advocacy Day on Capitol Hill is March 15-16, 2010. Help educate Members of Congress about lupus, and encourage them to support more funding for lupus research.
• Really, I'm as Old as I Feel? Rob describes the upside of being married to a teacher.
• I Am. Are you? Having reached their goal of 7,000 Facebook fans, Donate Life Illinois increases their goal to 8,000.
• Lupus and Humor Carla is taking low dose naltrexone to help reduce lupus flares,  along with her gluten-free diet, no nutrasweet, and faithfully doing chi gung.
• Dialyse This Cassie posts a link to her radio interview; answers some questions about her blog; dreams of having a magic sci-fi hand-held device that will cure everything (Don't we all?), gets ready for her annual transplant workup.
• Bud's Ramblings shares Robert St. John's essay "My South."
• Linda Gromko MD kidneycare After reading Bill's posts on the NxStage Freedom Cruise, Linda and Steve are ready to sign up for the next one, shares a NxStage travel anecdote of her own; recommends films for inspiration and lists some that she and Steve like.
• Precious Bodily Fluids gives a link to a free service that will allow one to unlock downloaded PDF files so you can copy from them.
• Renal Fellow Network has a post on the three main mechanisms by which hypercalcemia of malignancy can occur; hydrothorax in PD patients; how too handle carotid stenosis (a major risk factor for stroke)  in patients with CKD and CKD5.
• UKidney has a Wall Street Journal article "The Meat Market: Tackling the Organ Shortage;" a case report of a kidney transplant in a bone marrow transplant patient; the Chinese herb Aristolochic acid can cause a severe form of interstitial nephritis, also patients with aristolochic acid toxicity are also prone to developing malignancies of the urinary tract (e.g. bladder cancer).
• Pediatric Nephrology has his Pediatric Grand Rounds compilation of posts; a case report on aHUS and Factor H S119L mutation; long term PD and encapsulating peritoneal sclerosis.
• pkdmom2five announces a music night at her church.
•  The Ballad of Billy The Kidney John shares some funny words of wisdom from his young goddaughter to end 2009 and wishes all good health for 2010; a profile of Jimmy Little, indigenous Australian country singer, actor, teacher and philantropist who received a kidney transplant in 2006 following 2 years of home dialysis.
• ....And Bells on Her Toes Kelly talks to the Transplant Coordinator to iron out some details in preparation for Alex's transplant; her daughter gets the stomach flu and must stay away from Alex whose transplant operation is pending.
• PKD World announces a free webinar tomorrow (1/12 at 8PM ET) on "What causes pain in PKD and what can you do about it?" Presenter is Dr. Ted Steinman, a Clinical Professor of Medicine at Beth Israel Deaconess Medical Center and Harvard Medical School .If you miss it, recorded version will be available here; an article on how to treat kidney cyst pain; an article on a revolutionary new operation that can 'cure' high blood pressure.
• DailyHemo - Home Dialysis Advocates New Video: Mom Gives Kidney to Daughter.
• Encompass Network Partners Researchers in Canada are recommending that people over age 40 be screened for peripheral arterial disease (PAD); people should talk to their doctor if they have difficulty with walking and develop pain or discomfort in the calves or legs that get better with rest. This symptom -- called claudication -- is angina in the legs and puts you at risk of heart attack; a patient survey shows deficiencies in footcare of diabetic patients on dialysis.
• Libre Clothing announces the winner of the "Share Your Story" contest.
• NephrOnline Blogs In the Health Care Beat blog, Rebecca Zumoff writes about the upside-down nature of our healthcare spending.  In particular, the penny wise pound foolish actions of cutting poor immigrants off from dialysis care only to have them end up in the ER later for more expensive care.

Dialysis & CKD Blog Report 1/8

By Miriam Lippel Blum

Well, now that 2010 has begun, I can tell that a lot of bloggers resolved to get back to updating their blogs with a vengeance, so there's lots to share and read.  I particularly recommend reading  Bill's posts on the Freedom Cruise adventures for fun and inspiration for what is possible.

Here are the CKD related blogs updated since my last report on 1/5. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle  Bill continues blogging the NxStage Freedom Cruise. Bad weather at Cayman Island canceled snorkeling plans but he and his mom had fun shopping,  playing golf and going on the ship's water slide.  His treatment went well but he adjusted therapy fluid bags to accommodate boat movement that threatened to bowl over the machine;   next he describes a reception hosted by NxStage where the cruisers were greeted by NxStage CEO Jeff Burbank and  got to hear about some of the new data being developed to support the efficacy of more frequent dialysis; Day 4 took them to Isle Roatan, Honduras.  Bill took a zip-line tour of the jungle canopy and posts a video to give us a taste of it; Day 5 brought the Cruisers to Belize where they explored ancient temples. There are links to photos and NxStage's cruise blog.  Also, Bill finds that there is even more storage in his ship cabin and contemplates a longer cruise next time.
• Kamal Shah's Blog After hearing Indian politician Amar Singh,  say that he got a transplant because he felt like dying when on dialysis, Kamal reflects on his own and other dialyzors' situation and wonders why we continue struggling and going on day after day.  Is it that we really want to live or that we are more afraid of death? (I can't speak for others, Kamal, but I dialyze to live, fully realizing that some day, like the rest of humanity, I will die. I still find that the struggle is worth the effort.  Reading about the Freedom Cruise gives me hope and inspiration to find the things, places, and people that give me joy and seeking them out, as I can, when I'm not dialyzing.); Kamal is proud that his Telugu language skills are gradually improving.
• Kaply, Inc. Tracy is stuck in Maine with a really nasty chest cold.
• Toastiest Toastie was able to change insurance plans (What a relief!  We hope your transplant plans come to fruition.); a game show video; some early photos of his cats.
• The Life of a 20-Something With Lupus Flo successfully resolved problems with a hotel bill.
• Becky Perry has book reviews and peeks into the first chapters of Sydney's DC Discovery (Camp Club Girls #2) by Jean Fischer;  Raising a Modern Day Princess by Pam Farrel and Doreen Hanna; Love Finds You in Holiday, Florida by Sandra D. Bricker; Becky reminds that you don't have to be dead to donate a kidney,  posts contact information for the transplant programs she is registered with; shares an article that summarizes the impact that CKD has on the body.
• On the Road to a Lupus Cure The Lupus Foundation of America announced new funding for research grants to address issues of critical importance for people with lupus; guest blogger Wendy Rodgers writes about her Rose Parade float experience.
•  I Am. Are you? has a video from a donor family event, A Day of Hope and Remembrance; photos of the Donate Life Rose Parade float; puts out a challenge to try to get 7000 fans on their Facebook page in 7 days.
• Chronic Chick Talk had a tooth extraction; lessons learned from a friend's moving experience; a gift of leg warmers from her Dad warm her inside and out; her daughter likes to play the boxing game using the Nintendo Wii; some Friday Fill-Ins; loved working at the skilled nursing facility, enjoyed bringing comfort to the residents and families she met there.
• Dialyse This Cassie has a few minutes of fame when her radio interview airs and she buys a USB modem so she can have internet access while on dialysis. (Every unit should have wifi, if you ask me.)
• Linda Gromko MD kidneycare Linda discusses the use of "anecdotal medicine" in addition to "evidence based " medicine in medical practice, and the importance of common sense; to save time and sanity she makes "kits" that contain the supplies needed for each daily dialysis treatment; Linda says bringing dialysis home is like bringing home a new baby...but you don't get a baby shower to help out. She makes helpful suggestions of resources to check out for support and ideas.
• Renal Fellow Network describes the mechanism by which insulin resistance causes sodium retention and hypertension; results from last week's poll were that the most appealing Nephrology Consult scenario was workup of new-onset glomerulonephritis.
• Uremic Frost  Amgen Inc. and Johnson & Johnson face a review of their top-selling anemia drugs by an advisory panel for the U.S. Food and Drug Administration; has a link to a clinical article of interest to nephrologists in the New England Journal of Medicine.
• UKidney Differential Diagnosis of Hypomagnesemia; FDA will do a safety review of anemia drugs from Amgen and Johnson & Johnson; Keryx Biopharmaceuticals Inc. has agreed with FDA regulators about the design of clinical studies for its drug candidate Zerenex, which treats high levels of serum phosphorus in people with CKD5.
  
• Renal tsar's blog The tsar shares his goals for the year ahead:   raising the profile of acute kidney injury so that it gets on every healthcare professional’s radar and every healthcare organization’s agenda; driving the data into knowledge initiatives that will support improved quality and outcomes for people with kidney disease and promoting shared decision making which he believes is at the core of high quality personalized care planning for long term conditions.
• Pediatric Nephrology Requests donations for Pediatric Kidney Foundation, a non-profit organization, whose chief objective is to provide support to children with renal diseases and create awareness for the same; article on the limitations of dual x-ray absorbtiometry; questions to ask when evaluating a child with nocturnal enuresis (bed-wetting); the history and epidemiology of urolithiasis; a link to a Powerpoint presentation on acute renal failure by Dr. Joel Topf.
• Diario de diálisis Crónicas (en Español)  Journal dialysis - Chronicles (Google translated from Spanish) Alejandro writes about an Argentinian celebrity who died while awaiting a lung  transplant.
• Lemonade and Kidneys Ruth and her husband have 100,000 frequent flier miles and are dreaming about where to go with them.
• ....And Bells on Her Toes Kelly's husband, Alex's transplant date is set for two weeks from now. He is getting a kidney from his father, Kelly is hopeful and terrified at the same time.(We all send good thoughts his way for a successful surgery and rapid healing.)
• The inner game of PKD Richie continues telling his PKD story with how he got his transplant.
• DailyHemo - Home Dialysis Advocates New Videos: World Kidney Day, 2010; How Many PD Boxes? Wow!
• Encompass Network Partners shares link and information about My Access Site which is a new online community to bring together dialysis patients and their supporting friends and families.
• Kidney Community Emergency Response links to an article in Renal & Urology News on disaster preparedness.
• Libre Clothing gives a link to an article with tips for dialyzors on winter storm preparation.
• NephrOnline Blogs in the Health Care Beat blog, Rebecca Zumoff lists three attainable New Year's goals for 2010 that the renal community and the Medicare ESRD program should reach for.
• Renal BizBlog has a link to a Fresenius article that offers advice for patients to prepare for this year’s winter storms.
• Phoenix27 wishes a Happy New Year and looks forward to a more positive and prosperous year.

Miriam's Websurfing Find:
This is a fun site to check out if you like to listen to books on tape.  LibriVox provides free audiobooks from the public domain. There are several options for listening. The first step is to get  the audio files into your own computer

LibriVox was started in August 2005, by Hugh McGuire, a Montreal-based writer and web developer.  LibriVox was once called “perhaps the most interesting collaborative cultural project this side of Wikipedia.” They are the most prolific audiobook publisher in the world, putting out 70-100 books a month and have a catalog of 2,100+ books, in 29 languages. All driven by the passion of thousands of volunteers around the world who love books.

LibriVox volunteers record chapters of books in the public domain, and then release the audio files back onto the net for free. Since all their audio is in the public domain, you may use it for whatever purpose you wish.

If you'd like to participate, volunteering for LibriVox is easy and does not require any experience with recording or audio engineering or acting or public speaking. All you need is a computer, some free recording software, and your own voice. They accept all volunteers in all languages, with all kinds of accents. You don’t need to audition or send voice samples. They’ll accept you no matter what you sound like.

Dialysis & CKD Blog Report 1/5

By Miriam Lippel Blum

The launch of the 2010 Freedom Cruise is spreading hope and inspiration (and some jealousy) through the Dialysphere. Several bloggers have mentioned or linked to it through DSEN or the NxStage site. It is getting dialyzors to dream of future cruises and other travels that might be possible with NxStage. Keep posted  to DSEN for future Freedom Cruise updates.

Here are the CKD related blogs updated since my last report on 1/2. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle Peter reflects on the barriers that American medicine puts up that deter optimal dialysis in this country; Bill takes off on the Freedom Cruise with a group of NxStage dialyzors; Bill takes us on a video tour of his boat cabin and how he organized his dialysis supplies; a report on the 2nd day at sea, with a  link to a video about Jeff and Susan who celebrated their 25th wedding anniversary on the cruise. (Congratulations!  What a great way to celebrate.)
• Kamal Shah's Blog Kamal writes about the launch of the Freedom Cruise and how much it inspires him; describes some of the inner workings of constructing an iPhone application.
• Toastiest is concerned he won't be able to change insurance policies because the HR representative has been out of the office.
• The Life of a 20-Something With Lupus Flo posts photos taken in the dialysis unit she went to in Florida.
• Becky Perry reviews The Silent Governess by Julie Klassen and shares the first chapter; posts the first chapter from Faith That Works:A Topical Study of the Book of James by Anne Fortenberry.
• On the Road to a Lupus Cure Belimumab (also known as Benlysta™) reduced lupus disease activity and flares, as compared to placebo in Phase III clinical trials.
• I Am. Are you? recaps the Donate Life float in the Rose Parade, it won the award for Theme Trophy for Excellence in presenting the Parade Theme, “A Cut Above the Rest.,” a link to TV footage of the float so you can see it in the parade.
• Dialyse This learned that vodka gives her heartburn.
• Renal Fellow Network The basics of PD prescription writing; a description of familial juvenile hyperuricemic nephropathy; a differential diagnosis of hypomagnesemia.
• Uremic Frost has the top 10 nephrology stories of 2009 from Renal Business Today.
• UKidney A study from Norway suggests that CKD5 patients older than 70 years old who receive a renal transplant experience a significant improvement in survival compared with remaining on dialysis.
• Neophron's Senescence has a satirical music video critiquing Senator Joseph Lieberman.
• pkdmom2five has some landscape photos and welcomes a new member of her church.
• Lemonade and Kidneys shares delicious photos from the holidays.
• ....And Bells on Her Toes is having trouble potty training her three-year old.
• The inner game of PKD In Part 5 of his "Struggles of a Polycystic Kidney Patient," Richie describes his early dialysis sessions.
• DailyHemo - Home Dialysis Advocates New Videos: Taking Dialysis on a Sea Cruise; NXStage Freedom Cruise - Typical Cabin on Sea Cruiser.
• Encompass Network Partners Statistics on lower leg amputation in the United States.
• Libre Clothing is starting sales later this month, contact them if you have any ideas you would like to see in their dialysis clothing line, they welcome suggestions.
• Bridge of Life shares a thank-you note and photos from the medical director of FUNDANIER - the Guatemalan Foundation for Children with Kidney Diseases.
• Transplant Alliance Gail is having chronic rejection and wonders if she'll get a second transplant.
• PKD & Dialysis ... Where I Tell It Like It Is Da Grandma is feeling tired, wonders whether she should continue blogging but sometimes likes looking back at old posts.

Dialysis & CKD Blog Report 1/2

By Miriam Lippel Blum

As the year turns, many of the CKD bloggers reflect on the state of their health, joys and disappointments. You may find some inspiration in here for your own struggles or, perhaps, just validation that you are not alone.

Here are the CKD related blogs updated since my last report on 12/30. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle Bill links to a news story about Freedom Cruisers Susan and Jeff; NxStage will be blogging cruise updates, as will NxStageUsers.
• Kamal Shah's Blog Kamal has a quick review of his health, work and life in 2009; meets and compares notes with another dialyzor who only dialyzes twice a week and has no comorbidities, Kamal wonders whether all the work he does to manage his disease is worth it.(We're all different, Kamal, and must deal with the cards we are dealt.  Your friend is fortunate. Your efforts to take care of yourself and manage your CKD5 are worth it. We're glad you're here and hope that your condition improves.)
• Toastiest Toastie spends New Year's Eve with his pets, feels he didn't accomplish what he had hoped for in the last decade, posts photos of high points for balance.
• Becky Perry writes a short review of her health and dialysis in 2009, now she's back on the PD cycler at night with one exchange during the day and that is working better for her.
• Transplant, Tantrums, & Tiaras Holly had a quiet Christmas, visited her grandmother, best gift was the double-lung transplant for her friend, Jessica; reviews the first lines of all her 2009 blog posts; answers a list of questions about her life in 2009; reviews her last year's goals and sets some new ones for 2010; Holly reflects on her last five years since her diagnosis of kidney failure.
• On the Road to a Lupus Cure reviews lupus advances in 2009 and lists the Lupus Foundation of America's accomplishments.
• Really, I'm as Old as I Feel? Rob reviews 2009 by taking the first sentence from the first post of each months blog entry, welcomes 2010, and notes that he kept his resolution from last year to not eat a doughnut for the whole year, but hopes to have one at brunch on New Year's Day.
• I Am. Are you? Donate Life Illinois wishes all a Happy New Year and reminds everyone to look for the Donate Life float in the Rose Parade.
• The Ins and Outs of Dialysis John and Gayle did dialysis on New Year's Eve and post a great photo to prove it, they resolve to stay healthy in 2010 and get more exercise.
• Linda Gromko MD kidneycare Linda writes about how important it is for caregivers to take care of their own health needs, too, and she makes sure to see her primary care physician, as needed.
• Renal Fellow Network Results from last week's poll, nephrology fellows won the "hardest working fellow in show business" award (No big surprise there.); while in Paris, he stumbles across a plaque commemorating one of the key steps in the invention of ureteroscopy and cystoscopy, has a photo and a link to a free article on the development of the modern cystoscope.
• UKidney A study shows that pre-dialysis transplant recipients with a high level of kidney function do not appear to benefit from their transplant more than pre-dialysis recipients with a low level of kidney function; a differential diagnosis of red urine.
• Pediatric Nephrology A study shows higher mortality among pediatric CRRT patients with fluid overload; announces the 6th International Conference on Pediatric Continuous Renal Replacement will take place in Rome on April, 10, 2010; a study showing that Sevelamer carbonate from Genzyme Co. can be an alternative to Renagel as a phospate binder.
•  Diario de diálisis Crónicas (en Español)  Journal dialysis - Chronicles (Google translated from Spanish) shares some thoughts that help him put dialysis in a positive light.
• Neophron's Senescence flew an F-16 in a computer simulation with a friend, shares photos from that and family at Christmas.
• pkdmom2five reflects on how the difficulties of 2009 helped her and her family grow spiritually.
• Dialysis and Me shares his list of resolutions for 2010.
• Kidney Notes - Exploring the Intersection of Medicine and Technology links to an article by a physician about what he likes in modern medicine and what he doesn't like.
• Rob and Danielle's Kidney Blog have a new photo at the top of their blog of Rob asleep while  dialyzing with their puppy in his arms.
• ....And Bells on Her Toes hated 2009 and hopes 2010 is better, wishes she could fix all that's wrong; shares some amusing antics of their young daughters.
• The inner game of PKD Richie describes his transition to dialysis.
• Biologically Safe Water Filters has an article on endotoxin control for portable reverse-osmosis machines.

Dialysis & CKD Blog Report 12/30

By Miriam Lippel Blum

Tomorrow night the year will turn bringing us 2010. I hope it brings you all joy and health. I hope it brings wise decisions by our leaders. But whatever it brings, let's all continue working towards the betterment of our health and the world. And for goodness sakes, have some fun, too! Happy New Year! Here are the CKD related blogs updated since my last report on 12/27. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle Bill is going on the NxStage Freedom cruise and posts a news video about Pat & Ralph, another adventurous couple who are also going (Bon Voyage to all the NxStage cruisers! Enjoy your freedom and the independence that optimal dialysis with NxStage can bring. We look forward to photos and stories to enjoy vicariously.); the blog report. 
• Kamal Shah's Blog Kamal plays a rowdy family game of Taboo and an ordinarily quiet relative really got into the game; a description of Kamal's morning swim routine.
• Toastiest Toastie may have a possibility for a kidney transplant and discovers that his insurance policy has a clause that disallows payment for a transplant with an unrelated living donor, he may be able to change policies. (This is unconscionable! Has it not occured to this insurance company how much a transplant would save over perpetual dialysis? I hope you can change policies.)
• The Life of a 20-Something With Lupus Flo describes her last day in Florida which included dialysis, Dairy Queen, mall shopping, and flea markets. She also makes a point of saying that she looks forward to going home to her nocturnal dialysis because in-center, three times a week treatment leaves her not feeling well. (It's a big difference. I wish more people who do conventional in-center HD knew how much better they could feel with more dialysis.)
• Transplant, Tantrums, & Tiaras Holly's friend, Jessica Wales, gets a double lung transplant.
• On the Road to a Lupus Cure New research shows that urine components may indicate the severity of lupus nephritis possibly allowing for diagnosis without a biopsy in the future; how you can help promote Julian Lennon's album "LUCY" and raise funds for Lupus Foundation of America.
• I Am. Are you? has a quick look back at some Donate Life Illinois highlights from the past year.
• The Ins and Outs of Dialysis John and Gayle had a great Christmas with their grandchildren and dressed up like Santa Claus, photos.
• Dialyse This Cassie is into Rock Banding/Guitar Hero-ing and decides she needs a new TV.
• Linda Gromko MD kidneycare Steve gets a new Primary Care Physician and Linda explains the importance of having one.
• Renal Fellow Network lists some complications of erythropoietin use.
• Uremic Frost has a chart showing the top causes of death in 2006-2007. No change is seen in a primary renal cause which remains number 9 in the top 10; a CDC study shows that since 1996, the rate of diabetes-related CKD5 has declined.
• Pediatric Nephrology has posts on the role of intradialytic parenteral nutrition; the differences between animal and human models in Acute Kidney Injury; photo and information about Renal Angiomyolipoma; a CKD5 patient finds a kidney donor through Facebook; links to Bill's post about the Freedom Cruise; therapeutic strategies for Encapsulating Peritoneal Sclerosis; a study on the risk of exit-site infection following topical mupirocin and sodium hypochlorite application.
• pkdmom2five has links to some articles about courtship vs. dating for religious Christians; lessons about dress and appearance.
• Dialysis and Me shares videos from Christmas eve - JoJo the Boxer enjoying her new bone, nephew unwrapping his Transformers gift and family having a wrapping paper ball battle; a review of video game "Fairy Tale Fights"; Dialysis Guy (video) reviews "Avatar" and relates Christmas activities; a video of Barry making a Warhammer model.
• Rob and Danielle's Kidney Blog Danielle made Rob a banana split for dinner (Yum, I want one, too!); a potential kidney donor for Rob turns out to be the wrong blood type but Rob is still grateful for the offer and prays that a matching donor will come his way sometime.
• ....And Bells on Her Toes bought a 54" plasma TV at the Boxing Day sales.
• The inner game of PKD Richie continues his PKD story with descriptions of his early symptoms and EPO injecting.
• Michael W. Newman Michael's dialysis unit is understaffed again, an unacceptable situation that must be addressed.
• Unfiltered Hope Darren continues to heal from his kidney transplant, he and Sara are busy with life and grateful.
• Encompass Network Partners has an article explaining why many diabetic foot amputations are preventable and what can help.
• Renal BizBlog DaVita CEO Kent Thiry says why he's nervous with the healthcare legislation and its possible ramifications on dialysis care.

Dialysis & CKD Blog Report 12/27

By Miriam Lippel Blum

Here are the CKD related blogs updated since my last report on 12/24. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle Bill posts a graphic from National Geographic's blog that shows how the US compares to the other developed nations in terms of dollars spent and life expectancy...the US spends more than twice the average yet is below the average for life expectancy.  Bill thinks the US healthcare system is perverse. (I agree with you.)
•  Toastiest Toastie rates the movie "500 Days of Summer"  -- it made him feel terrible and he hated it.
• Birdman Sparrow posts a silly (and slightly deranged) animated Christmas video; his wife saved his life when he was unconscious from low blood sugar.
• The Life of a 20-Something With Lupus A stranger tries to enter Flo's hotel room, all is later resolved (it was the manager) and she goes shopping by the beach;  had a great time at Disney World and Epcot Center, has dialysis at 7AM tomorrow morning. 
• Jack's Kidney Adventure Jack gets some sort of flu and has to go to the ER to make sure his new transplanted kidney is okay, it is and he recovers in a couple of days; enjoys time at a B&B in Columbus.
• Transplant, Tantrums, & Tiaras has a photo of Holly sporting a winning smile in her Santa hat.
• Linda Gromko MD kidneycare Linda and Steve love movies. went to see Invictus and found inspiration in the same poem that helped Nelson Mandela persevere despite adversity.
• Renal Fellow Network discusses the association between phenytoin and hypocalcemia.
• Uremic Frost Excerpts from an interview with DaVita's CEO Kent Thiry where he discusses his view on the current healthcare legislation and the company's explosive stock growth; because of patent infringements, the U.S. District Court in Boston issued a permanent injunction barring Roche from selling Mircera in the United States, but a licensing agreement with Amgen will allow it in mid-2014; a study shows that day napping and short night sleeping were found to be associated with a higher risk of the development of diabetes.
• UKidney posted a discussion of skin problems in chronic kidney disease; an argument as to why KT/V may not be the best measure of dialysis adequacy; researchers in Boston have identified the genetic cause of focal segmental glomerulosclerosis which mat eventually lead to treatment; a new study finds that the gap between supply and demand for donated kidneys for transplant is widening in Canada.
• Pediatric Nephrology has his  Pediatric Grand Rounds with links to the articles highlighted from the last two weeks.
• Diario de diálisis Crónicas (en Español)  Journal dialysis - Chronicles (Google translated from Spanish) In response to a commenter's accusation about improper care at a Fresenius unit in Argentina, Alejandro researches the matter and meets with Fresenius representatives at their Buenos Aires headquarters for an explanation.
• pkdmom2five has a wonderful Christmas, including tamales, a church service, family, football, and movies.
• Kidney Notes - Exploring the Intersection of Medicine and Technology has a link to an article that logged all the sleep interruptions experienced by a  patient in the hospital during a 12-hour period;  a link to an article with tips on how to get what you need from your doctor.
• ....And Bells on Her Toes describes how her young daughter wakes up the family in the morning.
• Jenna Franks Jenna was able to get home after 27 hours in 4 countries, as the snow in Europe created many delays. She and mom, Karol, had a great Christmas together.
• DailyHemo - Home Dialysis Advocates New Video: Fresenius Medical Care Dialysis in Chicago.
• Transplant Alliance Barb wishes everyone a Merry Christmas.

Dialysis & CKD Blog Report 12/24

By Miriam Lippel Blum

Here are the CKD related blogs updated since my last report on 12/21. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle Peter critiques the US nephrology community for not embracing optimal dialysis;  the blog report.
• Kamal Shah's Blog Kamal struggles with life expectancy questions as he looks at pension plan options; his bone pain is getting worse, nephrologist feels it may be from too low phosphorus; gives his suggestions about what must be done in Telangana, India.
• Kaply, Inc. Tracy's cable box goes down, doesn't need to see the nose doctor for 6 weeks, and got her H1N1 shot before she heads out for holiday travel.
• Hasten down the wire Michael critiques Google's non-answers when it comes to questions of user privacy.
• The Life of a 20-Something With Lupus Flo is vacationing in Florida, hotel is nice but almost slipped on newly washed carpets, likes the free wi-fi, checks out the dialysis unit she will go to and plans a retail therapy day in Orlando; has seafood at Winn-Dixie, describes her shopping day at the outlet mall; dialysis went well and now she's off to another mall to shop, tomorrow she goes to the beach.
• On the Road to a Lupus Cure Winter weather skin advice for those with lupus; the Lupus Foundation of America launched a Facebook fan page.
• Really, I'm as Old as I Feel? Rob has photos of and describes their family's last minute homemade Christmas gifts; a cute photo of Rob and daughter, Abby, enjoying a snow day.
• I Am. Are you? has a description of the Donate Life Rose Parade float and the people who make it happen; Donate Life Illinois and mascot, Morgan D’ Organ, wish everyone Happy Holidays and safe travels!
• Linda Gromko MD kidneycare Linda's family Christmas letter reviews the medical difficulties of the year,  hopes for a smoother, "medically boring" 2010 (We wish that, too, for us all.)  celebrates their resilience, understanding, love and commitment; Linda and Steve become acutely aware of their blessings in the light of friends' tragic loss of a child.
• Precious Bodily Fluids discusses the conflicting data on CKD and injury caused by contrast-medium exposure.
• Renal Fellow Network presents a differential diagnosis of red urine; describes a case of a patient who developed acute renal failure shortly after undergoing attempted Angiojet therapy for a pulmonary embolus; announces the winners of the Mt. Rushmore of Nephrology poll.
• Uremic Frost has a really gross video of a man drinking fat; a study shows for a person with known or expected heart disease exercise hypertension is actually good, but for a healthy person exercise hypertension can be bad.
• UKidney describes the combined kidney/bone marrow transplant protocol used at the  Massachusetts General Hospital Kidney Transplant Program They transplant both kidney & hematopoeitic stem cells from the same donor, which will hopefully induce a state of immune tolerance that allows a sparing (and ideally a complete cessation) of immunosuppressive drugs without inducing rejection.
  
• Pediatric Nephrology has a new section on his website featuring Powerpoint presentations on important nephrology topics - the first is on H1N1; a recent paper from New York  discusses the diagnostic yield of renal biopsies by a retrospective review; a study shows that pediatric burn patients with acute kidney injury have a higher mortality rate.
• pkdmom2five her son Nick's BP was high, doctor adjusted the medication; describes many Christmas activities, had a pleasant chat with a member of her former church.
• Dialysis and Me Barry plays an an impromptu Apocalypse game with his Warhammer figurines and has a blast, photos of the event.
• The Ballad of Billy The Kidney John wishes "the Top of the Season" to everyones, whether it be Christmas, Hanukkah, or Festivus. (Back at ya', Mate!  Cheers!)
• ....And Bells on Her Toes Her husband has an angiogram, results show some plaque deposits that may cause problems in the future but don't impede transplant plans; she posts a video of  "I want a hippopotamus for Christmas" (Really cute song.) and a saga about getting Zhu Zhu Pets (mechanical hamsters without the mess) for her children for Christmas - she is not a fan of Toys R Us anymore.
• The inner game of PKD Richie continues telling his PKD odyssey with how me met his wife.
• My New (transplanted) Kidney Journey Al's labs are stable, Cellcept is giving his bowels less trouble, solved his insurance troubles, and is starting back at work.
• Berns on Nephrology Dr. Jeff Berns reviews the results of a randomized controlled trial examining the effect of a low-protein diet in patients with chronic kidney disease.
• Renal BizBlog The Centers for Disease Control and Prevention posted the proposed guidelines for prevention of Intravascular Catheter-Related Infections (which included information specific to hemodialysis catheters) for comment on its Web site  - the deadline for comment has passed but nurses would like it extended so that renal nurses will have a chance to contribute based on their expertise.
• Kidney Diet Tips suggests using the days between Christmas and New Year's to revisit your CKD management plans so you're read  for a healthy 2010.

Dialysis & CKD Blog Report 12/21

By Miriam Lippel Blum

Here are the CKD related blogs updated since my last report on 12/18. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle Bill's vote for the best non-dialyzor comment to CMS goes to a renal dietitian from CA;   while the immunosuppressant coverage wasn't included in the Manager's Amendment, a GAO study of including dialysis-related oral drugs in the dialysis payment was.  This probably means oral drugs won't be in the PPS for now, and hopefully immunosuppressant coverage will be part of the final merger of the House and Senate bills.
• Toastiest Toastie is traveling and resolves to institute life changes when he returns.
• Hasten down the wire Michael critiques the politicking that pitted immunosuppressant drug coverage against funding for dialysis care; and expresses his great disappointment with President Obama's first year actions.
• The Life of a 20-Something With Lupus Flo is on a plane headed to Florida for vacation. (Have a great time, Flo!)
• I Am. Are you? shares a nice reflection post from heart and kidney recipient Bill Coon.
• The Ins and Outs of Dialysis Gayle and John wish everyone Happy Holidays and share family photos chronicling their year.
• Chronic Chick Talk has a music video of "Silent Night;" suggests that a grandfather clock would make a good wedding gift and gives a source where to get one.
• Dialyse This Cassie marks four years on dialysis and has a lot of last minute holiday shopping to do.
• Precious Bodily Fluids shares the sign he has in his offices to alert patients to the problem with clopidogrel (Plavix) and omeprazole.
• Renal Fellow Network important differences between mouse and human Acute Kidney Injury when considering the warm ischemia-reperfusion model.
• Uremic Frost 30 Rock actor, Grizz Chapman, has stage CKD5 and is not sure a transplant is the right way to go for him; a son finds a kidney donor for his father through Facebook; 24 hr. ambulatory blood pressure monitors can disturb patients sleep patterns and, hence, blood pressure so results from these devices must be carefully evaluated given this information.
• UKidney a study looks at the ratio of unnecessary vs necessary procedures in regard to fistula surgery; China will in the next two years set up a data bank of Chinese renal failure patients who might be in need of organ transplants - China currently has 1 million such patients.
• Pediatric Nephrology shares an encouraging study from Germany on infants with renal failure; a differential diagnosis for hypertension along with metabolic alkalosis and hypokalemia; research shows that urine might be the next fuel for all our houses, cars and appliances; a study from India done with pediatric CKD3-4 patients comparing short-term efficacy of sevelamer versus calcium acetate.
  
• Neophron's Senescence returns from his cruise, where he met Howard Dean, just in time to see the inadequate Senate healthcare bill get signed.
• Kidney Notes - Exploring the Intersection of Medicine and Technology Things he learned in medical training that influenced him in his non-medical life.  
• Team Teddy Bear Bob gets the notification that he is not a match to donate a kidney to his wife so he's starting the process of getting himself into a Donor Swap program.
• Biologically Safe Water Filters writes how Nephros Dual Stage Ultrafilters can save hospitals money and aggravation by preventing "Superbug" infections.
• Kevin’s Blog Kevin reflects on his life one year post-transplant and finds religious significance there for the season.

Dialysis & CKD Blog Report 12/18

By Miriam Lippel Blum

Here are the CKD related blogs updated since my last report on 12/15. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle Bill shares the comment he sent to CMS about the Proposed Payment System and notes the lack of trust evident amongst all the stakeholders.
• Kamal Shah's Blog Kamal wishes that he had been able to travel and see the world but CKD5 ended that dream for him at the age of 22 (Maybe you can go on a dialysis cruise sometime like a whole bunch of NxStage users are in a couple of weeks.); he had a DEXA scan which showed he does not have osteoporosis so that is not the cause of his bone pain, the pain is now impinging on his ability to do daily activities.
• Kaply, Inc. Tracy's phone is on the fritz and she is really mad about it, so watch out; gets her phone replaced, her surgery went well, and does weird things when under the influence of pain meds.
• Toastiest Toastie posts videos of Howard Dean and Al Franken talking about the healthcare reform bill; a video of Al Franken pwn-ing Joe Lieberman.(If you don't know what "pwn" means, go Google it, like I did...and I dare you to pronounce it.)
• Hasten down the wire Michael is disgusted with Chase's penalization of responsible credit users; explains why he is replacing his TiVo system and with what; critiques the Huffington Post's new online publishing business model.
• CHRONIC POSITIVITY - Life with Polycystic Kidney Disease encourages an elderly man with CKD5 to get a fistula, discusses how attitude is everything when it comes to dealing with chronic illness.
• On the Road to a Lupus Cure has a video of Julian Lennon and James Scott Cook explaining the story behind and singing  the song, LUCY.  A portion of the proceeds raised by the song will be donated towards lupus research; Amanda Davenport describes meeting Julian Lennon at the CBS Early Show.
• Really, I'm as Old as I Feel? Rob and his beloved, Anny share a birthday, a very young photo of the birthday boy and girl. (We wish you both many happy, healthy years.)
• I Am. Are you? A woman describes her emotional meeting  with the recipient of her husband's kidney; Donate Life Illinois is giving out 40 free pairs of tickets to a private Phil Vassar concert in Chicago on Jan. 6, details here. 
• Chronic Chick Talk suggests that men do their holiday shopping online and gives a link to a website that sells nice watches, always a good gift. 
• Dialyse This has a meeting set up with a radio personality who wants to interview her for a story, has lost a little dry weight, and isn't sleeping very well.
• Linda Gromko MD kidneycare Linda recommends that caregivers do strength training (weight lifting, resistance training, etc.) to increase physical strength and emotional endurance.
• Precious Bodily Fluids Joel recommends a web service he likes for making booklets; describes a case of tenofovir toxicity and how he came to that diagnosis; discusses the studies on the impact of IV contrast on residual renal function; links to an article on the dietary causes of gout.
• Renal Fellow Network posts on the clinical signs of transplant glomerulopathy; reports the results of last week's poll on IgA Nephropathy, and has next week's poll asking which prominent nephrologists are/were most prominent to the field? Write-ins are acceptable.
• Uremic Frost The Medicines Company announced a voluntarily recall of eleven lots of Cleviprex (clevidipine butyrate) injectable emulsion due to the potential presence of visible particulate matter which has been observed in some vials during a routine annual inspection; a study shows that a higher hemoglobin level was associated with a significant 26% reduced risk of death or the initiation of dialysis, challenging the results of the CHOIR study; recommends UKidney as a resource and found a free online blood pressure log; video of the RPA Public Policy in a Minute.
• UKidney has a post explaining hemoperfusion; and an article on the lifting of Australia's five-year ban on the transplantation of animal cells and organs into humans.
• Pediatric Nephrology has information about a study on "Alternative complement pathway activation in D+ HUS"; and a report on experience with combined liver kidney transplants from a center in Germany.
• Neophron's Senescence describes the seminars and discussions he has had on his cruise, talked to Howard Dean about healthcare reform.
• pkdmom2five celebrates her anniversary, shares photos; photos from "The Messiah."
• Lemonade and Kidneys Ruth suggests her friend Leigh's website for last  minute gift ideas.Leigh hand crafts beautiful jewelry and ornaments out of silver and copper, with designs ranging from the demure to the baroque, photos of some of the jewelry.
•  The Ballad of Billy The Kidney John reminds people not to overdo their fluid limitations on the holidays and links to a story from the Liver Transplant Unit at Flinders Medical Centre in his new home of Adelaide, Australia.
• ....And Bells on Her Toes The caulking from newly installed windows gives Kelly a headache; shares a really sweet Dear Santa note her daughter wrote.
• The inner game of PKD Richie tells Part 1 of his personal 45-year PKD odyssey.
• Kidney Community Emergency Response has a Q & A with pertinent information about the recall by Sanofi Pasteur of some lots of pediatric H1N1 vaccine; announces the KCER 2010 Summit will be held April 13 in Orlando, Florida.
• Renal BizBlog On Dec. 10, the Medicare Payment Advisory Commission met to discuss dialysis payments, among other topics, and recommended a 0.9 percent composite rate increase for 2011. MedPAC will vote on the recommendation at its January 2010 meeting.

Dialysis & CKD Blog Report 12/15

By Miriam Lippel Blum

Tomorrow is the last day left to make your comments to CMS regarding the proposed payment rules.  The deadline is December 16 at the end of business hours EST. Make your voice heard!  It matters.

It has been an interesting week - 13 people received kidneys in a major swap/donation that took place over 6 days; at the same time this is happening the US Senate is deciding whether to increase immunosuppression funding by reducing funding for dialysis.  What the future holds for both US dialyzors and transplant recipients may be decided soon.  I find myself frightened for us all as I desperately hold on to my life with dialysis with the same passion as a transplant recipient would protect their new kidney.  Who is going to win this battle for funding?  Or will we all lose?

Here are the CKD related blogs updated since my last report on 12/12. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle has the blog report.
• Kamal Shah's Blog recommends Dr. Sethi's new website on Pediatric Nephrology where an article by Kamal appears in which he describes his emotional reaction to watching a child undergo dialysis. (Very moving, Kamal.)
• Kaply, Inc. Tracy's doctor orders her a fistulagram and her friend, Sizzle, orders her a mani-pedi. (I know which one I would rather do.)
• Toastiest Toastie posts a moody black and white photo of a water tower against a cloudy sky, tries not to think about his upcoming birthday. 
• Hasten down the wire has harsh criticism for AOL's latest business plan.
• Becky Perry shares an excerpt from Joyce Meyer: A Life of Redemption and Destiny by Richard Young.
• On the Road to a Lupus Cure Congress passed the Omnibus Appropriations bill for Fiscal Year 2010 which contained important funding for lupus research and education; from now until March 15, 2010, 100 percent of the proceeds from each iTunes download of the song “LUCY” by  musicians James Scott Cook and Julian Lennon will be donated to lupus research.
• I Am. Are you? Donate Life Illinois launched a new website and invite you to take a look; photos from the Donate Life Float floragraph decorating event.
• The Ins and Outs of Dialysis Now that John is feeling a little better, he and Gayle are getting back into pot...that means making them.  They share photos of some of their beautiful creations.
• Lupus and Humor Carla uses Umcka to fight off colds; describes products she uses for pain management. (That suction cup massage device looks pretty weird, Carla!)
• Linda Gromko MD kidneycare Linda and Steve attend a party and find inspiration in this quote from Robert Ingersoll:  "The time to be happy is now.  The place to be happy is here. The way to be happy is to make others so." (Wise words to keep in mind, particularly at this time of year.)
• Precious Bodily Fluids demonstrates how he used an iPhone application to access PubMed and get important information about the impact of IV contrast on residual renal function to his colleagues in a flash. (Don't you just love technology!)
• Renal Fellow Network gives a differential diagnosis of disease processes which lead to hypokalemia, metabolic alkalosis, AND hypertension; welcomes another new contributor to the blog, nephrology fellow Albert Lam, of Brigham & Women's Hospital, and describes hemoperfusion which is a procedure employed in the treatment of specific intoxications and consists of running a patient's blood through a column containing adsorbent particles to which the toxin binds and are removed from the circulation; a post about atypical Hemolytic Uremic Syndrome(HUS) and a drug recently granted "orphan status" in an attempt to aid its testing in clinical trials for patients with atypical HUS.
• Uremic Frost A study shows that patients with stage 3 CKD and symptomatic high-grade carotid stenosis gain a large benefit in stroke risk reduction after endarterectomy; Australia has lifted its five-year ban on the transplantation of animal cells and organs into humans, bringing concerns from animal rights activists and transplant specialists that the procedure had not been proven safe and could result in the creation of deadly viruses.
• Renal tsar's blog reviews progress made in renal care and goals yet to reach in his Christmas message; answers a question from a potential kidney donor about getting paid leave from their job in order to donate.
• Pediatric Nephrology has an article on enteral feeding of children with CKD; a recollection by Kamal Shah about a child experiencing dialysis for the first time.
• Neophron's Senescence continues describing his vacation, had dinner with interesting people.
• pkdmom2five links to an article on "spiritual abuse" that sounds like what she went through at her last church. 
• Kidney Notes - Exploring the Intersection of Medicine and Technology links to an article about the incredible 13-patient kidney transplant chain.
•  The Ballad of Billy The Kidney John links to an article describing the terrible lack of dialysis availability in the Australian outback.
• ....And Bells on Her Toes  also links to a story about the 13-way kidney swap/donation and calls it a Christmas miracle.
• The inner game of PKD Richie attends a Holiday party given and attended by members of the Long Island Chapter of the PKD Foundation and finds inspiration from all the people with PKD who were there enjoying themselves despite their condition.
• Michael W. Newman Michael gets his H1N1 flu shot; in his understaffed HD unit, when one of the patients experienced chest pain requiring attention from both the patient care technician and head nurse, the rest of the patients were unattended.
• DailyHemo - Home Dialysis Advocates New Video: Massive Transplant Effort Pairs 13 Kidneys To 13 Patients.
• Berns on Nephrology Dr. Jeffrey Berns raises issues about the treatment of anemia in CKD patients since publication of the TREAT study, which advises against use of darbepoietin alfa.
• Encompass Network Partners shares information about Peripheral Arterial Disease; and Chronic Critical Limb Ischemia.
• My Wife Has Lupus is starting to recover from a bout of depression.
• Mushroom's Blog has photos from his recent move from Washington to sunny Long Beach, California.

Dialysis & CKD Blog Report 12/12

By Miriam Lippel Blum

There are just a few days left to make your comments to CMS regarding the proposed payment rules.  The deadline is December 16 at the end of business hours. Make your voice heard!  It matters.

Here are the CKD related blogs updated since my last report on 12/9. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle has the blog report.
• Kamal Shah's Blog Kamal disapproves of the way in which a new Indian state may be formed; goes to a new lab for his Vitamin D test and is pleased as they had online results available for him that evening. (What a concept!  To be able to get one's lab results at home when one wants to.  I wish a few dialysis and other lab companies would do likewise here in the US.)
• Kaply, Inc. Tracy reviews some things she has recently discovered about herself, she also has declared herself Surgery Queen of 2009. (We hope that 2010 will bring you much less surgery and lots more fun.)
• On the Road to a Lupus Cure The Lupus Foundation of America is holding its Annual Advocacy Day on March 15- 16.  It provides lupus advocates from across the nation the opportunity to participate in meetings with their U.S. Senators and Representatives to educate policy makers about lupus and discuss public policies that impact people with lupus.
• Really, I'm as Old as I Feel? Rob has a cancer scare because of a lump he finds in his breast (he is a 30- year old MAN), had to have a mammogram, and then see a surgeon about a possible biopsy. It turned out to be a non-cancerous lipoma and does not require removal.  He is relieved and thanks God. (A scary ordeal but with a good ending.)
• I Am. Are you? has links to an excellent interview with Chicago Bears cornerback Charles Tillman who has stepped up as a huge advocate for organ donation; announces a gathering to be held this Saturday to decorate two floragraphs that will be placed on this year’s Donate Life float.
• The Ins and Outs of Dialysis John and Gayle get a house call from their dialysis nurse, Yvonne, share photos of her and their unit's social workers.
• Lupus and Humor Carla discovers that her chronic shoulder pain was caused by bad guitar playing habits, some acupuncture helps, now taking low dose naltrexone which seems to be helping her lupus, finds her thinking clearer now that she is off pain meds.
• Dialyse This meets a boy she likes, gets an interview request from a reporter regarding dialysis.
• Linda Gromko MD kidneycare Linda recommends listening to Dr. Peter Laird's interview on Renal Support Network's  Kidney Talk and shares what she learned.
• Renal Fellow Network posts the poll results from last week's question regarding anemia management in a dialysis patient and relevant research to consider; an article in this month's JASN describes a cohort of 10 bodybuilders with chronic kidney disease, and makes a compelling case that anabolic steroid use is an under-recognized cause of secondary Focal Segmental Glomerularsclerosis (FSGS).
• Uremic Frost A new study shows that more than 1 in 5 dialysis patients who had a percutaneous coronary intervention (PCI) received a contraindicated antithrombotic, resulting in a significant increase in the risk of a major in-hospital bleeding event;  the New York Times posted online an article with an accompanying video about the link between anabolic steroid use and progressive renal disease; the FDA has approved Tris Pharma’s clonidine extended-release tablets and suspension for the treatment of hypertension.
• UKidney A study suggests that patients returning to dialysis after a transplant fails experience improved survival if the kidney is removed; a study describes an association between CKD5 patients with CMV-positivity and those with EPO resistance.
• Pediatric Nephrology A new blog to our list. Dr Sidharth Kumar Sethi is a pediatric nephrologist in India, who has started a Blog for education in Pediatric Nephrology. He will post every two weeks an edition of news, journals, patient experiences and everything related to the fascinating world of Pediatric renal diseases.
• Renal tsar's blog The NHS's Secretary of State for Health launches an improvement program that puts an emphasis on home dialysis.
• Neophron's Senescence got a challenging ER dialysis patient right before he went on vacation; describes Day 3 of his vacation.
• pkdmom2five is feeling much better and ascribes removal of stressors to her new health and energy. (Good advice for us all -- decrease stress.)
• Dialysis and Me Barry is done with Christmas shopping and describes adventures in tree trimming; two cute videos of his boxer, Jojo.
• Kidney Notes - Exploring the Intersection of Medicine and Technology links to his paper on kidney disease in bodybuilders that was in the NYT sports section (Excellent video there on one of the weight lifters); 20 people who make healthcare better.
• Rob and Danielle's Kidney Blog A customer writes an article about Rob's kidney situation and says he will pray for a donor, later a reader of the article offers to be tested to be a donor for Rob.
• ....And Bells on Her Toes ponders what do you get someone who gives you their Kidney?
• The inner game of PKD Richie asks PKD patients "How Do You Perceive Your Future?"
• Michael W. Newman Michael posts an article about troubles with Medicare.
• Unfiltered Hope Darren is home from the hospital and feeling good, his creatinine is going down, gratitude for faithful family and friends is expressed.
• My New (transplanted) Kidney Journey Al's clinic visit goes well, his labs are okay, hopes to go back to work next month, has insurance company trouble. (Who doesn't?)
• Kidney Diet Tips posts information and resources on phosphorus and CKD.
• El Blog del programa “R - Hacelo por mí” (en Español) The Blog of "R - Hacelo for me" (Google translated from Spanish) Betoreyna has decided to return to writing this blog after a long hiatus; reports that  Fresenius Medical Care Argentina (whose motto ironically is "Innovating for a Better Life") is preparing a new "protocol", in which the dialysis machine is not disinfected between patients, with all the dangers this can bring. (Being a dialyzor in Argentina is scary business!)
• I'm-u-no-logic reflects on the nature of friendship and what Facebook has done to destroy authentic connections between people; wishes procrastination was a human quality that would evolve out of the species already.

Dialysis & CKD Blog Report 12/9

By Miriam Lippel Blum

There are 7 days left to make your comments to CMS regarding the proposed payment rules.  The deadline is December 16 at the end of business hours. Make your voice heard!  It matters.

Here are the CKD related blogs updated since my last report on 12/6. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle has the blog report.
• Kamal Shah's Blog Kamal describes political unrest that is occurring in his part of India.
• Kaply, Inc. Tracy may need another angioplasty for her fistula before she goes on her trip, posts a funny video of a kitten singing about cake.
• Toastiest shares a photo of his cat sleeping.
• The Life of a 20-Something With Lupus has a photo of her pill boxes filled with her medications for the month.
• Transplant, Tantrums, & Tiaras Holly didn't feel well, thought it was from a change in immunosupressant dosage, her friend Emily Thackery appears in a short documentary called I'd Give You One about organ donation, ; the founder of Bebo, Michael Birch constructed a website, Help Jess Breath, to bring attention to organ donation and to help save Holly's friend, Jess, who needs a lung transplant.
• On the Road to a Lupus Cure The Lupus Foundation of America has videos available for viewing about the latest lupus research; a post on lupus-related headaches and ways in which to lessen their frequency and severity.
• Really, I'm as Old as I Feel? Rob has a photo of daughter, Abby, baking cookies in the kitchen.
• I Am. Are you? Information about a key part of the Rose Parade float - the Family Circle Garden.  This Rose Dedication Program offers families touched by organ and tissue donation the opportunity to honor their loved ones by dedicating a rose that is tagged with a personal message and placed in the Family Circle Garden;  Donate Life Illinois announces that there are now 5 million Illinois residents registered as organ/tissue donors!
• The Ins and Outs of Dialysis Gayle makes Christmas Kransekake for special people (Go look at her blog for a photo and description if you don't know what that is), John had one laser surgery done and hopes for vision improvement, next week the other eye, they have a busy week of medical appointments.
• Chronic Chick Talk finds moving very stressful and exhausting,  recommends a moving company in Los Angeles that she likes; shares a snowy photograph and prepares for a freezing day.
• Bud's Ramblings Bud hopes the rain and sleet clears before a family gathering and so he can go out in his power chair.
• Linda Gromko MD kidneycare Linda describes how home dialysis gives some flexibility to life and they take advantage of their free time whenever they can; Linda discusses discuss the common signs and symptoms of an acute heart attack.(Important for people with CKD and caregivers to know given the pervasiveness of heart problems in CKD5)
• Precious Bodily Fluids has a post on cast nephropathy and plasmapharesis;  describes two cases of super high glucose and calcium he saw this weekend; his list of the top nephrology stories in the last decade; links to information about potassium from the Linus Pauling Institute; a new study indicates low Vitamin D levels may influence the development of renal disease.
• Renal Fellow Network Some CPT coding advice regarding billing that renal fellows should know; hysterical photos of Billy the Kidney demonstrating important principles of kidney disease;   a few interesting tidbits from a Renal Grand Rounds presentation about a case of tenofovir-induced renal failure (a drug commonly used in the HIV population).
• Uremic Frost 53 men worldwide have developed breast cancer while taking finasteride (Proscar), a medication commonly used for benign prostatic hypertrophy (BPH); the results of a D-dimer test for suspected pulmonary embolism may be less accurate in the setting of a decrease in Glomerular Filtration Rate (GFR); a federal advisory panel recommended the Food and Drug Administration approve a new anti-rejection drug from Novartis, everolimus; surgeons at the University of Maryland School of Medicine in Baltimore transplanted five kidneys from which they had removed small masses, three of which were cancerous. Four of the five patients have survived between nine months and 41 months so far without any evidence of recurring tumors. The fifth transplant patient died about a year after the operation because of a fall in an accident. (Personally, not my choice for a transplant organ.); a study found that men who drank the most coffee had a 60 percent lower risk of aggressive prostate cancer than men who did not drink any coffee.(So, Guys, go drink your java!  It's good for you.)
• UKidney There’s now an iPhone app that will walk you through all the steps needed to sign up to be an organ donor; surgeons who successfully performed kidney transplants after removing small cancerous and benign masses from the donated organs, have published their results in the December issue of the urology journal BJUI.
• Renal tsar's blog has a drug safety warning about Ciclosporin for transplant patients because switching between different types or formulations without close monitoring may lead to clinically important changes in blood levels even if the same dose is taken; information on MRSA and Clostridium difficile rates is available from the UK Health Protection Agency.
• pkdmom2five posts a note regarding people who lurk on her website.
• Kidney Notes - Exploring the Intersection of Medicine and Technology Dragon Naturally Speaking Dictation available for free for the iPhone; more medical applications available for the iPhone.
• ....And Bells on Her Toes shares her ideas for raising money for the food bank.
• The inner game of PKD challenges people with PKD to write him exactly and specifically what the biggest obstacle is in their PKD Odyssey that keeps them from having the the lifestyle they desire.
• 3 1/2 Hours of Free Cable Jason reflects on his own mortality after the death of his cousin.
• Unfiltered Hope Darren is doing better, has a kidney biopsy; biopsy shows no signs of rejection but Darren must learn how to drink more -- after five years of fluid restrictions that is not as easy as it sounds.
• DailyHemo - Home Dialysis Advocates New Videos: Promising Discovery in DRA in Long-Term Dialysis; Twitter: Why it's Better Than Traditional Methods of Communication; Tunisian Researcher Invents New Technique of Dialysis.
• Kidney Community Emergency Response With the New Year approaching, KCER wants to encourage the renal community to make preparing for an emergency a resolution and gives steps to take towards that goal.
• Libre Clothing links to a story about Natalie Cole when she was on dialysis; links to videos of the Libre elves having holiday fun.
• Renal BizBlog Fresenius Medical Care announced a transition to a new management board structure, which includes a contract extension until 2012 for chairman and chief executive officer Dr. Ben J. Lipps.
• Nitey Nite- a nocturnal dialysis blog is still on nocturnal dialysis, drives 1.5 miles to get there, is displeased with her nephrologist who is generally unhelpful, toys with the idea of going to Asia to procure a transplant.
  

Dialysis & CKD Blog Report 12/6

By Miriam Lippel Blum

There are 11 days left to make your comments to CMS regarding the proposed payment rules.  Make your voice heard!  It matters.

Here are the CKD related blogs updated since my last report on 12/3. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle has the blog report.
• Kamal Shah's Blog Kamal reminds healthy people to not take their bodies for granted.
• Kaply, Inc. Tracy shares moments from her super productive day.
• Toastiest posts a Michael Damien music video; reviews the movie Dan in Real Life.
• CHRONIC POSITIVITY - Life with Polycystic Kidney Disease 10 days of Cipro brings down Jeff's BK virus, neuropathy gives him foot problems, gives kudos to a young woman dealing with a devastating dermatologic illness.
• Transplant, Tantrums, & Tiaras Holly describes a star-studded party she attended at Number 10 Downing Street to which she was personally invited by Sarah Brown, the Prime Minister's wife; updates on her Live Life Then Give Life campaign.
• On the Road to a Lupus Cure  reminds how important donations are to the Lupus Foundation of America and different ways to contribute.
• Lupus and Humor Carla reviews Model Patient: My Life as an Incurable Wise-Ass by Karen Duffy, finds it a funny, colorful, well-written, page-turning memoir, but strongly disagrees with Duffy's attitudes towards alternative medicine and compliance without question.
• Bud's Ramblings Bud describes the first snow of the season, too cold to go out in his power chair.
• Linda Gromko MD kidneycare Linda gives caregivers ten tips that may help make the holidays more pleasant and less stressful.
• Precious Bodily Fluids Joel Topf, MD shares his recent presentation which looks at five different issues with hyponatremia; saw a patient with the highest urine urea he had ever seen.
• Renal Fellow Network shares the results of last week's poll on the use of steroids in treating Acute Interstitial Nephritis; discusses a promising new class of oral hypoglycemic agents for type 2 diabetes; a study describes an association between CKD5 patients with CMV-positivity and those with EPO resistance.
• UKidney Blocking the effects of high levels of urea might benefit patients with CKD5; a new model can help physicians determine if a kidney disease patient on dialysis is likely to die within the next few months.
• pkdmom2five shares holiday photos.
• Kidney Notes - Exploring the Intersection of Medicine and Technology links to a description of a Grand Rounds on participatory medicine, given by E-Patient Dave and his doctor, Danny; Dr. Rob's 6 Rules for Doctors; how Google now personalizes everyone’s search results.
•  The Ballad of Billy The Kidney John reports that the National Health and Medical Research Council announced that the ban in Australia on xenotransplantation is about to be lifted; highlights heart transplant recipient, Jerry Richardson, who is owner and founder of the Carolina Panthers.
• ....And Bells on Her Toes is proud of her bright daughter, describes a recent parent-teacher conference; Alex undergoes his last pre-transplant tests and they hope for a kidney in January.
• Jenna Franks describes her involvement with the Renal Support Network's 2010 Renal Teen Prom and tells how you can help.
• Unfiltered Hope Darren's condition improves with steroids but the joint inflammation has gotten worse in his knees and ankles.
• DailyHemo - Home Dialysis Advocates New Video:  Delivering the Prescription for Hemodialysis; David Rosenbloom, Kidney Patient, Lectures to USC Med Students; Malaysia Kicked Off Its First Free Dialysis Clinic; Steven Olsen's Life Changed With Nocturnal Dialysis; Sometimes Kidney Disease Can Shatter Your American Dream; Home Dialysis Units Increase Freedom For Kidney Patients;Gambro Prismaflex Sure Looks Home Friendly.
• Free range fish sticks After 6 months of silence, this caregiver blogger reports that his wife Sheila has been very ill with CKD5 and often in the hospital, he turns to his faith and religious music for comfort.

Dialysis & CKD Blog Report 12/3

By Miriam Lippel Blum

There are 14 days left to make your comments to CMS regarding the proposed payment rules.  Make your voice heard!  It matters.

Here are the CKD related blogs updated since my last report on 11/30. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle  Bill reports that DSEN's Peter Laird, MD does an excellent interview for Kidney Talk where he describes his experiences being a physician with CKD5, Trading Places - What Happens When a Doctor Becomes the Patient? ;  the blog report.
• Kamal Shah's Blog Kamal is experiencing intense pain from his arterial sites during dialysis, is going to use sharp needles and establish a new buttonhole site; his new buttonhole site works well, he has no pain and finally gets a good night's sleep. 
• Kaply, Inc. Tracy loves Christmas, is looking for guest bloggers to write while she is away; a list of things that make her angry; she goes shopping for jeans expecting not to find any she looked good in but at Lane Bryant found two great pairs and a raincoat to boot.  (Enjoy!)
• Toastiest Toastie feels wiped out by dialysis like he did pre-dialysis and thinks it "sucks." (We agree with you, but you should check in with your doctor to see if he can help. Maybe there is some imbalance or anemia that can be corrected.); makes fun of a story headline; a photo of him at 1:36 AM on nocturnal dialysis.
  
• Birdman Sparrow spends  a few days in the hospital after being found unconscious outside his home, after release he sees an ophthalmologist about an eye problem and the doctor examines the wrong eye.
  
• Transplant, Tantrums, & Tiaras Holly mourns the death of a young friend who was waiting for a lung transplant that never came.
• On the Road to a Lupus Cure The Lupus Foundation of America (LFA), Greater Washington Chapter celebrates its 35th anniversary with a luncheon on Sat., December 5; the LFA's next "Medication"  webchat is Wednesday afternoon, December 9, at 3 p.m. Eastern Time. Dr. Graciela S. Alarcón will serve as the guest expert.
• Really, I'm as Old as I Feel? has photos from a joyful Thanksgiving.
• I Am. Are you? Donate Life Illinois started a two month advertising campaign with ads on trains and buses around Chicago. Snap a photo if you see one around town and post it to their Facebook page; heart and kidney transplant recipient Bill Coon shares thoughts about Thanksgiving one month after his transplant.
• The Ins and Outs of Dialysis Gayle took a CPR class, remembers an encounter with Santa Claus from  Christmas in 2002 when John had a stroke and his kidneys failed.
• Dialyse This Cassie coughed so hard she damaged her ribs and was in great pain.
• Linda Gromko MD kidneycare Linda and Steve are willing to do a donor exchange to get Steve a kidney.  He needs a Blood Type A or O kidney, and Linda has a Blood Type B kidney to offer. Contact information is in the post; Linda's two books Arranging Your Life When Dialysis Comes Home: 'The Underwear Factor'and Complications: A Doctor's Love Story are now available for Kindle at Amazon.com.(Definitely worth reading.)
• Renal Fellow Network has a post on Restless Leg Syndrome in dialysis patients.
• Uremic Frost Davita and Fresenius are accused of Medicare fraud; new research establishes the link between stress and hypertension.
• UKidney The Kidney Foundation of Canada conferred the 2009 Founder's Award to all Québec nurses who have worked in dialysis and/or transplantation for 25 years or more and have devoted their careers to the care of nephrology patients. A Gala was held to honor and celebrate them. (Congratulations to all those great nurses!); a Japanese doctor who helped develop a new transplant method has taught the technique at a hospital in China that has come under international criticism for its use of organs from executed prisoners.
• Renal tsar's blog writes about the benefits of peer-review for renal unit personnel.
•  Dialysis and Me Barry is having a bone scan to diagnose an aberrant liver enzyme, his phosphorus and thyroid hormone levels are off, too. (We hope the tests will help you resolve it all soon.); will be participating in his first Warhammer tournament.
• Kidney Notes - Exploring the Intersection of Medicine and Technology links to an article  from the NEJM entitled "The Emotional Epidemiology of H1N1 Influenza Vaccination."
• Lemonade and Kidneys Ruth loved the bloggerfest she attended but had some unexpected expenses from the day.
• The inner game of PKD Richie writes about how he deals with PKD frustration; "Mind Games" for PKD patients.
• 3 1/2 Hours of Free Cable Jason shares memories of his 25-year old cousin who was just killed in a car crash. (Our hearts go out to you and your family.)
• Unfiltered Hope Darren develops severe pain in his hands/arms/shoulders/neck and spiked a temperature, he's in the hospital to determine the cause. (We hope all resolves well and quickly,)
  
• DailyHemo - Home Dialysis Advocates has a new look to his blog; New Video: Bell Tolling for the Swine Flu.
  
• NephrOnline Blogs Mark E. Neumann reports that the National Renal Administrators Association(NRAA), concerned with many aspects of the bundle, has suggested a second public review and comment period before the bundled payment system goes into effect in 2011. (Great idea.) 
• Renal BizBlog shares quotes from AAKP President, Roberta Wager, and NxStage CEO Jeff Burbank, about home training and the bundle, links to their full interviews.
• Kevin’s Blog Kevin describes the hermeneutics class he is taking through his church.

Dialysis & CKD Blog Report 11/30

By Miriam Lippel Blum

There are 17 days left to make your comments to CMS regarding the proposed payment rules.  Make your voice heard!  It matters.

Here are the CKD related blogs updated since my last report on 11/27. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle has the blog report.
• Kamal Shah's Blog Kamal gives his opinion on overly complex computer coding.
• Kaply, Inc. Tracy has a busy day with her friend Sizzle.
  
• Toastiest has a photo of his dog, Herman.
  
• The Life of a 20-Something With Lupus Flo and her family mourn the death a friend. (Our condolences for your loss.)
  
• Transplant, Tantrums, & Tiaras Holly won the National Shout Award for Campaigning and reports on her exciting evening, has photos. (Congratulations. Holly, you deserve it !)
• On the Road to a Lupus Cure Julian Lennon, son of the legendary John Lennon, and James Scott Cook announced today that they will donate a portion of the proceeds from their song, “LUCY,” to fund lupus research.
• Chronic Chick Talk has a photo of a landscape she likes.
  
• Bud's Ramblings Bud describes his Thanksgiving meal, had to stop dialysis 30 minutes early because of cramping.
  
• Linda Gromko MD kidneycare Steve has a small heart attack during Thanksgiving night dialysis and required balloon angioplasty at the hospital. (We're glad it was minor and that he'll be back to his cardiac rehab this week.) Linda describes the wonderful dialysis nurse,  A'dree-Rose Hollenger,  who took care of Steve in the hospital; shares a supportive note from another caregiver who also  appreciated A'dree-Rose.
• Renal Fellow Network has a brief review of thiazide diuretics.
• UKidney The BBC reports that more organs from higher risk donors are being used for transplants in the U.K. because of a donor shortage; Health Canada is informing health care professionals and Canadians of recent changes to heparin manufacturing standards in the United States that will result in a decrease in the potency of certain heparin products by about 10 per cent; the British government is exploring the idea of having organ donor registration available at polling stations during elections.
• ....And Bells on Her Toes Another new blog to the list.  Kelly started her blog in May 2009 when her  husband, Alex, was first diagnosed with IgA Nephropathy (Berger's Disease).  He is now at CKD5 and just had the last tests prior to transplant expected to take place early in the new year.  His Dad will be the donor. In her latest posts, Kelly describes Alex's horrendous experience during the cardiac testing when his blood pressure jumped to 240/170; an incident where they see a young child in a stroller left alone outside a convenience store; and comparison photos of her daughter Caity on Santa's lap this year versus last year.
• 3 1/2 Hours of Free Cable Jason is thankful for all the people who are blessings in his life and expresses appreciation.
• Michael W. Newman Michael overdoes the fluid on Thanksgiving and dreads his next dialysis session; he is glad to see that his clinic has finally increased staffing; shares a quote from CMS' Conditions for Coverage regarding the requirement that an RN must be present in the facility when patients are being treated; a CMS press release from 2008 regarding the Conditions for Coverage.
• Team Teddy Bear Bob writes an open and very poignant letter to all that his wife, Jeanne's transplanted kidney is now failing after 11 years.  She is on the national transplant list but the wait will likely be seven years as she is Blood Type O.  Bob is willing to participate in a donor swap on her behalf.  He has Blood Type AB.  He gives the contact information for the transplant center they are working with if anyone is interested in being evaluated as a donor or recipient. (We wish you both well and hope that a donor will be found soon.)

Dialysis & CKD Blog Report 11/27

By Miriam Lippel Blum

There are 20 days left to make your comments to CMS regarding the proposed payment rules.  Make your voice heard!  It matters.

Here are the CKD related blogs updated since my last report on 11/24. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle Bill reports that Northwest Kidney Center's CEO Joyce Jackson was presented with the 2009 Warren Featherstone Reid Award for Excellence in Healthcare by the State of Washington.
• Kamal Shah's Blog Kamal reflects on completing his first year working at Grene; he finds it frustrating when people sign e-mails with just a first name, especially when they have a common name and he doesn't know which of the several people he knows by that name sent it. (I find that frustrating, too, but sometimes you can tell from the e-mail address.)
• Kaply, Inc. Tracy is busy healing from surgeries and getting ready for her trip to Maine; describes making Chex-mix (I love Chex-mix, yum!); posts a comic about Thanksgiving.
• Toastiest Toastie is having a contest to identify the name of a piece of music, $5 gift card for the winner; has a Thanksgiving weekend plumbing disaster. (Stuff like that always happens on holidays!)
• The Life of a 20-Something With Lupus Flo describes frustration with the long waiting line at the eye doctor.
• Jack's Kidney Adventure Jack agrees with a research article he read on NephrOnline regarding the quality of life of transplant recipients over time.
• Transplant, Tantrums, & Tiaras Holly is excited about going to London for the awards show where she will be acknowledged.
• I Am. Are you? Anne Gulatta, whose husband, Jay, was an organ donor describes what "Thanks" means to her on Thanksgiving.
• The Ins and Outs of Dialysis Gayle is grateful to have John in her life and shares a happy photo of them with their grandchildren.
• Linda Gromko MD kidneycare Linda is proud of Steve who is now doing serious aerobic and strength training workouts at the gym after having had a heart attack during his kidney transplant surgery and subsequently losing the kidney (What a heartache that must have been. We wish you success with your workouts, Steve, and that the next transplant will be a success.); shares the letter she wrote to CMS about the Medicare Bundling Plan and reminds us of the December 16 deadline for getting comments in.
• Precious Bodily Fluids shares some questions to get people to initiate conversations about  about their end of life wishes.
• Renal Fellow Network comments on research that indicated allograft nephrectomy to be independently associated with improved survival in people when they return to dialysis; was thankful not to be on call so he could enjoy Thanksgiving with family and posts a new poll about treatment for interstitial nephritis.
  
• Uremic Frost Another study shows the danger of salt intake, this one showed that higher salt intake was strongly associated with a higher incidence of stroke and cardiovascular disease; reports that using a calculation of the fractional excretion of uric acid (FEUA) may be more useful in the diagnosis of Acute Kidney Injury caused by decreased kidney perfusion.
• Renal tsar's blog responds to a query about establishing new kidney units.
• Rob and Danielle's Kidney Blog Danielle and Rob describe a pleasant Thanksgiving Day and share photos.
• The inner game of PKD Richie describes emotional stages he went  through as he grappled with his PKD diagnosis.
• Nathan's PKD Nathan recovered from his 9-day illness, wonders if infant immunizations have any impact on immunosuppressed people - they are expecting a baby soon. (A good question to ask your nephrologist. Perhaps, live virus mist-type vaccines might be a problem.)
• Jenna Franks Jenna joins her family's Thanksgiving via Skype. (The next best thing to being there.)
• Biologically Safe Water Filters AAMI is adopting tighter standards on bacteria limits. Ultrafilters from Nephros are safe and easy to install on RO units at home and in acute units and can protect patients from bacteria exposure.
• Kidney Diet Tips Kidney-friendlys suggestions for your Thanksgiving meal.

Dialysis & CKD Blog Report 11/24

By Miriam Lippel Blum

There are 23 days left to make your comments to CMS regarding the proposed payment rules.  Make your voice heard!  It matters.

Here are the CKD related blogs updated since my last report on 11/21. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle Bill notes that most of the comments sent so far to CMS regarding the bundling describe problems with it but give no concrete alternative suggestions. He also thinks that CMS should wait on some decisions until the national health reform bill is passed.
• Kamal Shah's Blog Kamal explains the role of Vitamin D in the production of calcium and bone health, his doctor has put him on Calcitriol to supplement, hopes this will help with bone pain; Kamal conducts international research to find out if it is possible for him to have a successful kidney transplant despite his Atypical Hemolytic Uremic Syndrome (aHUS).
• Toastiest Toastie writes a strong (but civil) letter of complaint to his dialysis unit regarding their behavior during nocturnal dialysis. (You tell 'em, Toastie!)
• Hasten down the wire Michael thinks the Washington Post is becoming irrelevant; comments on a media mogul's verbal swipes at public radio; suggests that Twitter may have "jumped the shark."
• The Life of a 20-Something With Lupus Flo gets her H1N1 shot and her arm is sore for a couple of days.
• Transplant, Tantrums, & Tiaras Holly shares the press release she wrote after her abseiling down the lighthouse  fundraising event for organ donor awareness.
• On the Road to a Lupus Cure highlights a new blog about lupus issues written by a woman in Oregon.
•  I Am. Are you? has links to excellent videos from a week-long TV series that profiled various personal stories related to organ donation.
• The Ins and Outs of Dialysis John struggles with balance problems, they hope physical therapy and exercise will help; Gayle shares her philosophy on caregiving and how she copes.
• Lupus and Humor Carla recommends two diet books, Eat to Live by Joel Fuhrman, MD, and The Lupus Recovery Diet by Jill Harrington.
• Linda Gromko MD kidneycare Linda notes how difficult it is to get people to do what is necessary for their health; finds the hypervigilance she must maintain as a caregiver exhausting.
• Renal Fellow Network posts two video clips, one a weird animation about Knuckles the Kidney, the other a basic explanation of diuretic action in the kidney; describes the The Nephrology Oral History Project and what early nephrologists and patients had to go through for dialysis access (Reading this made me very grateful for my AV fistula!); an article examines the role of polycystin proteins in causing high blood pressure in people with PKD.
• Uremic Frost A small study in Italy found that a low protein diet did not decrease the risk of death or dialysis therapy initiation compared with a moderate protein diet.
• UKidney A study concludes that patients starting dialysis have an increased risk of death that is not specifically caused by excess cardiovascular mortality.
• Renal tsar's blog discusses some issues to consider in the establishment of new kidney units; development of new specifications for peritoneal dialysis in the UK  should increase access to that modality.
• Diario de diálisis Crónicas (en Español)  Journal dialysis - Chronicles (Google translated from Spanish) Alejandro describes the insane procedure required in order to obtain a disability certificate in Buenos Aires. (And you thought the DMV was bad?)
• pkdmom2five had a happy and busy weekend filled with church activities.
• Kidney Notes - Exploring the Intersection of Medicine and Technology posts a satirical tee shirt design by Warren Ellis about universal health care.
• Rob and Danielle's Kidney Blog Rob describes a woodworking project, he has trouble sleeping on dialysis and needs to use Ambien to sleep;  Danielle gets a new job, rents My Sister's Keeper because it's about renal failure, dialysis and a potential kidney donation.
• The Ballad of Billy The Kidney John is swamped with end of the term paperwork and hopes to return to posting soon.
• The inner game of PKD Richie explores issues and problems in communication when one has PKD.
• Michael W. Newman Michael is asked by an online news organization to write articles pertaining to credit/debt issues and will then become syndicated, wishes a news agency would do the same for dialysis issues.
• Unfiltered Hope Darren is home and the new kidney continues to improve, they celebrate this new lease on life; Darren's creatinine has dropped down to 3.09 from 8.5, they and the doctors are thrilled,  Sara buys an industrial size container of hand sanitizer to keep the flu away from her now immunocompromised husband.
• Libre Clothing  Create a name for Libre’s new pull-over, and share your story. The name can be inspired by anything; a gifted doctor, inspiring nurse, favorite place, or even yourself. Every name has a story. The winning story writer will receive a free Libre pull-over and the pull-over style will be named after the inspiration from his or her story! Deadline: December 15, 2009.
• Renal BizBlog reports that in October, the first national certification for medical interpreters was launched to help patients in the United States with limited English proficiency receive better healthcare.
• Living with PKD Heather writes about the lessons she learned from running her half-marathon; shares how she lives with PKD.
• My New (transplanted) Kidney Journey Al's creatinine has crept up a little and he's nervous, thinks he should try a kidney-friendly diet to ease stress on his new kidney.

Dialysis & CKD Blog Report 11/21

By Miriam Lippel Blum

There are 26 days left to make your comments to CMS regarding the proposed payment rules.  Make your voice heard!  It matters.

Here are the CKD related blogs updated since my last report on 11/18. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle Bill notes that the Senate bill seems to address dialysis coverage in a couple of citations.  It doesn't include immunosuppresant coverage, and reverses the 1% decrease of payment mandated by MIPPA.  The language about Medicare Advantage programs is, basically, unintelligible, and he's not sure what they are saying. (I looked at it, too, and promptly gave up.); Peter points out that CMS has not addressed in any of their comments or discussions the hidden administrative costs of the bundle for physician and dialysis providers Medicare compliance. (Excellent points, Peter! Someone has to pay those costs and the way it is written...or not written now, puts that burden on the providers.)
• Kamal Shah's Blog Kamal figures out how to add multiple items to svn in one shot. (This is software lingo I don't understand, but Kamal does, and his colleagues think he's brilliant so it must be good.)
• Kaply, Inc. Tracy has an untraditional Thanksgiving by going out for Indian food; has problems with the feed on her website, and the doctor gives her more medications to put up her nose, post-sinus surgery.
• Toastiest Toastie critiques the way MSNBC.com and the like present the costs of the healthcare reform bills; photos of Herman the dog playing with the TV remote and Aremid, the cat, sleeping.
• CHRONIC POSITIVITY - Life with Polycystic Kidney Disease Jeff's BK Virus increases and he is put on antibiotics again, otherwise he is okay, provides a link to another blog that is following the story of a young woman struggling with PKD and a brain aneurysm.
• On the Road to a Lupus Cure The Lupus Foundation of America (LFA) attended the American College of Rheumatology's conference and has released videos about the latest lupus research they learned about; has  a video with a new low-impact exercise program, designed specifically for people with lupus, available from their store.
• Really, I'm as Old as I Feel? photo of 2-year old Abby having a bad hair day.
• I Am. Are you? announces the winners of the Donate Life Illinois 2009 Campus Challenge; is giving away 20 autographed copies of Carrie Underwood’s new CD, Play On. 
• Bud's Ramblings Bud's Thanksgiving plans, had a lot of cramping on dialysis.
• Precious Bodily Fluids posts on treatment recommendations for membranous nephropathy; slides from the journal club's discussion of an NEJM article on CRT dosing; comments on headlines from current news that shows that drinking alcohol can be good for you, and taking vitamins can be bad.
• Renal Fellow Network last week's poll results showed that the majority of individuals were wary of using physician "Pay For Performance" as a strategy towards increasing AV fistula placement rates; a case study on  analgesic nephropathy.
• Uremic Frost Simon samples the new Renvela powder and is not convinced it is going to as big a hit as Genzyme hopes, also reports on the failure and discontinuation of development of Genzyme's new proposed APB (advanced phosphate binder).
• UKidney The results of a new study into side effects of gadolinium MRI contrast agents indicates that patients undergoing dialysis are at 77 fold higher risk of contracting nephrogenic systemic fibrosis (NSF), and kidney transplant patients face a 69 fold higher risk of developing the rare and potentially life-threatening condition, which is associated with a hardening and thickening of the skin and other tissue throughout the body; comments on research interventions to improve fluid restriction adherence in chronic HD treatment.
• Renal tsar's blog opines on whether improving quality of renal care saves money.
• Kidney Notes - Exploring the Intersection of Medicine and Technology links to a new research study on how physicians use the Internet; link to an article on Google's Health Beta and Microsoft's My Health Info; links to the case report on analgesic nephropathy found on Renal Fellow Network; a video lecture by Merlin Mann entitled "Something Something Social Media: The Overdue Minority Report"; an article on how doctors' ties can spread the flu and an antimicrobial tie with a graphic design based on the H1N1 virus.
• Lemonade and Kidneys Ruth is feeling cranky having had an allergy attack that deprived her of a good night's sleep.
• Rob and Danielle's Kidney Blog This is a new blog to our list written by both a husband and wife.  He has PKD, is on dialysis and awaiting a transplant. They hope to share experiences and information about Polycystic Kidney Disease (PKD) and dialysis that will help others.
• The inner game of PKD Richie explores how people with PKD explore emotions.
• 3 1/2 Hours of Free Cable Jason tells the story of how he and his kidney donor, Jeremy, met, emphasizes Jeremy's character and the fact that a donor doesn't have to be a family member.
• Unfiltered Hope Darren's new kidney is definitely waking up; Darren celebrates his 41st birthday with a new kidney and should be out of the hospital in the late afternoon.. Includes a photo of all the pills he must take.
• Berns on Nephrology Jeffrey S. Berns, MD, reports from the floor of American Society of Nephrology Renal Week 2009 on 3 major trials, including an "outstandingly done study" on differing hemoglobin levels in patients with CKD and type 2 diabetes; discusses the effect of bundling all ESRD services into one prospective payment system as well as The Lancet retraction of the COOPERATE study.
• Kidney Community Emergency Response This month's issue of "Welcome to Disasterville" focuses on winter weather. Be sure to check it out at http://www.kcercoalition.com/newsletter.htm
• NephrOnline Blogs Mark E. Neumann summarizes the reports from CMS  proposing  recommendations on how the ESRD Networks can improve.
• My New (transplanted) Kidney Journey Al's creatinine has gone up some and he is worried, has a doctor appointment soon, is thinking about initiating a dialysis diet to take the stress off his new kidney.

Dialysis & CKD Blog Report 11/18

By Miriam Lippel Blum

There are 29 days left to make your comments to CMS regarding the proposed payment rules.  Make your voice heard!  It matters.

Here are the CKD related blogs updated since my last report on 11/15. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle Bill points out the foolishness of the House's Health Reform Act trying to pay for immunosuppression by insisting that oral drugs be included in the ESRD bundle.
• Kamal Shah's Blog Kamal's vitamin D level is very, very low and he will get a supplement now but worries what other damage this has caused him.
• Kaply, Inc. Tracy announces her new, improved blogsite at  www.kaplyinc.com is ready and if you wish to continue reading her then change your bookmark.
• Toastiest Toastie feels embattled by unfulfilling work, frustrating dialysis, and no life goals that interest him, he posts a picture of his cat to cheer himself up; figures out an app on his beloved  iphone that allows him to live-blog while on dialysis; notes the deaths of two minor celebrities.
• Hasten down the wire Michael would like to expose and penalize politicians who take money from the healthcare lobby and do not vote in the interest of the American people (As the saying goes "Whose bread you eat, their song you'll sing."); reveals the cynicism and irony in the fact that Big Pharma is raising drug prices to offset any savings expected by the healthcare bill. (I agree with you, Michael, and here's a prime example. Yesterday, my AARP Medicare Part D plan run by United Healthcare sent me a notice that on Jan. 1, 2010 the cost of a generic medication, midodrine, that I must take to raise my dangerously low blood pressure and for which there is no alternative has gone from a $7.00 copay to $42.00.  A six-fold increase!)
• The Life of a 20-Something With Lupus Flo took a study break and went to a party; describes the weird behavior of an addict on the train; shares photos of her dialysis machine and all the boxes and supplies in her room, hopes to get it better organized sometime with some help from her Dad.
• On the Road to a Lupus Cure The Lupus Foundation of America's webchat is next Monday afternoon, November 23, at 3 p.m. Eastern Time. The guest expert is Dr. Sam Lim on the topic of "Medication Adherence."
• I Am. Are you? posts an excellent comic about organ donation; kidney transplant recipient, Michelle, shares thoughts about sharing in the latest chapter from the Illinois Donor Diaries.
• The Ins and Outs of Dialysis John's fistula gets an angioplasty to widen vessel narrowing; he likes his internist and his other doctors who act as a supportive team, but so much time is taken up by appointments and dialysis,  a photo of his internist having fun with several John masks.
• Linda Gromko MD kidneycare Linda profiles an amazing 79-year old dialysis caregiver, Gloria Lomax, who dialyzes her husband at home; Steve has some more cardiac rehab to do before he can have another transplant but some people have been tested as possible donors, no matches yet because of antibody issues, pain is caused by people offering to donate and then not following through. (Don't offer unless you mean it.)
• Precious Bodily Fluids links to a commentary at KevinMD on the results of the ARBITER 6-HALTS study showing that treatment with niacin is a more effective way of slowing atherosclerosis in high-risk patients on long-term statin therapy than seeking additional LDL cholesterol reductions by adding ezetimibe (Zetia); describes a case of secondary hyperparathyroidism treated successfully with Vitamin D.
• Renal Fellow Network Posts about diagnosing reset osmostat; Leptospirosis-induced renal failure; kappa versus lamda light chains in paraproteinemias; the ASTRAL trial comparing renal revascularization to medical therapy found no benefit and substantial increased risk. 
• UKidney A study indicates that many CKD children are not appropriately treated for hypertension, which puts them at serious risk of developing heart disease; illegal organ trafficking in China is more active than ever despite efforts to crack down on the trade;
• Renal tsar's blog comments on the importance of diagnosing depression in those with CKD and newly published guidelines to assist in this endeavor.
• Dialysis and Me Barry starts his new exercise routine and shares what he has learned so far, gets help from a website that helps track your experience.
• Kidney Notes - Exploring the Intersection of Medicine and Technology links to a post by Matt Haughey about his brain tumor diagnosis. (Quite a story!)
• The inner game of PKD Richie feels that that there are PKD patients that may need a level of connection with other patients that social sites don’t provide.
• 3 1/2 Hours of Free Cable reflects on the expectations he had of how he would use his time after his last transplant and the reality of how he spent it.
• Michael W. Newman Care for the more acute patients being treated at Michael's understaffed clinic delays his take-off procedure.
• Kidney Community Emergency Response announces that their next in-person summit meeting will be held on April 13, 2010.
•  Renal BizBlog The FDA warned Shire that a brochure it has been sending patients about the phosphate binder Fosrenol is misleading.
• Unfiltered Hope Sara chronicles the first few days after Darren's transplant.  After a slow start, the kidney seems to be waking up but still isn't functioning well enough yet, and their three-year old daughter, Alice, comes to visit her Dad in the hospital.

Dialysis & CKD Blog Report 11/15

By Miriam Lippel Blum

There are 32 days left to make your comments to CMS regarding the proposed payment rules.  Make your voice heard!  It matters.

Here are the CKD related blogs updated since my last report on 11/12. If you have or know of a blog that should be on the list let Bill know. Comments in parentheses are my reactions or opinions.

• Dialysis from the sharp end of the needle has the blog report.
• Kamal Shah's Blog Kamal discusses the pros and cons of using lidocaine on his buttonhole sites to reduce cannulation pain, decides to use a little and that helps him immensely; he reflects on his blogging experience after reaching his 400th post. (Congratulations, Kamal!)
• Kaply, Inc. Tracy describes her post-sinus surgery week and doctor appointments, pretty yucky times, is not allowed to lift anything yet which is fine with her as she is still exhausted and dizzy.(We're sorry you feel bad and hope that things will improve.  Thanks for posting something so we knew you were alive, as we in the dialysphere do worry about you.)
• Toastiest posts a music video from The Cure.
• Birdman shares photos from a reunion with dear friends; describes an Oliva cigar tasting he attended; went on a date with his wife to see A Christmas Carol in IMAX 3-D, gives a review of the movie.
•  The Life of a 20-Something With Lupus Flo makes an appointment with her dialysis clinic to get her H1N1 flu vaccination.
• Becky Perry reviews A Prisoner of Versaille by Golden Keyes Parsons.
• On the Road to a Lupus Cure announces that the LFA Lupus Advocacy Day on Capitol Hill will be held on March 15 -16, 2010; the "Could I Have Lupus? awareness campaign ranked #1 for Outdoor Donated Media Dollars.
• Chronic Chick Talk bought makeup to cover the lupus-caused butterfly rash on her face; used to dislike tennis but now enjoys it very much.
• Bud's Ramblings Bud worked in the garden, went to the mall, got through dialysis without cramping.
• Linda Gromko MD kidneycare Linda suggests caregivers formulate a list of what their personal "minimum daily requirements" are for their own care.
• Precious Bodily Fluids critiques data presented by UpToDate on the protein-to-creatinine ratio.
• Renal Fellow Network Last week's poll showed general support for the Kidney Allocation Score which is an alternative method proposed for matching organs to recipients; discusses metformin-induced lactic acidosis; the mechanism of aminoglycosides toxicity.
• Uremic Frost A study reiterates that there is no clinical benefit from revascularization in patients with atherosclerotic renal vascular disease; a Medpage audio report on renal artery stenosis.
• UKidney A study shows that dialysis patients with low body fat are at increased risk of death—even compared to patients at the highest level of body fat percentage; a study has reported that growth retardation in pediatric dialysis patients (the propensity for children to not achieve normal height) can be improved by a type of dialysis known as daily on line hemodiafiltration.
• Dialysis and Me Barry aims to lose 10 pounds and get back into shape.(You can do it, Barry!)
• Kidney Notes - Exploring the Intersection of Medicine and Technology links to a blogpost by Merlin Mann about Marco Arment.
• The inner game of PKD Richie asks, "What do PKD patients want?"
• 3 1/2 Hours of Free Cable Jason gives a vivid description of what his first day on in-center dialysis was like; when he gets down at dialysis, Jason thinks about others who have worse problems, particularly his grandfather who suffers from dementia.
• Michael W. Newman Much to his chagrin, Michael's HD unit goes back to an unsafe 8 to 1 patient/staff ratio.
• PKD World Research shows that preemptive kidney transplantation is associated with lower risk of rejection and graft failure in patients with PKD.
• Kidney Diet Tips discusses the importance of early phosphorus control in CKD.
• Unfiltered Hope Two beautiful posts entered here after a long silence. On the anniversary of Darren's  now failed transplant, Sara posts a poignant letter from the friend who donated a kidney seven years ago to Darren, wherein she wishes that this anniversary date could become a celebration again with another kidney for Darren; late afternoon the same day, Darren gets the call that a kidney is available, he's first on the list, it's a good match, and he is transplanted the next day. (What an amazing and happy story! We wish you, Darren and this kidney a long, healthy and happy life together.)