When Florida physician Bernd Wollschlaeger, MD, asked an elderly female CKD patient to tell him all the medications she was taking, she listed four or five. When he asked her to bring her medications to her next visit, however, she brought in a shoebox filled with 84 different supplements. He asked her why she had not mentioned these at the previous visit, and she responded, "Well, these aren't medications; they're supplements, so I didn't think they mattered."

WHAT DO you know about the pathologists analyzing your patients' specimens? Are you sure the person signing off on the report is qualified to do so? How many other slides has the pathologist looked at that day? That year? Does the lab pay its pathologists using a system that encourages productivity beyond the point of proficiency and into the realm where quantity is more important than quality?

THE CONSEQUENCES of anabolic steroid use is a treatment reality for many clinicians, including urologists. Although anabolic steroid use among professional athletes gets the lion's share of attention in the media, many more casual competitors partake as well.

THE ABILITY to purchase organs from live donors could largely eliminate transplant waiting times and only modestly increase total transplantation costs, according to a newly published economic analysis.

SHOULD CHILDREN with disorders of sex development (DSD) —in which genitalia, chromosomes, or reproductive systems diverge from what is considered the norm for females or males—have reconstructive surgery before they are old enough to make their own decisions? Few questions in medicine evoke a more emotional and divided response. It is a question that may be asked more often than you might think.

No matter how ordinary his life looks from the outside, though, Ed Strudwick, 67, is not a typical senior. Three times each week since February 1972 he has undergone hemodialysis, a nearly 36-year time span that could possibly make him the longest-surviving dialysis patient in the world.

Overactive bladder (OAB) is usually associated with women, but it afflicts nearly one out of every eight American men. Its symptoms can also be confused with those of BPH, resulting in unneeded surgery.

For some men with localized prostate cancer, active surveillance has emerged in recent years as a viable management option. Defined as rigorous monitoring with the option of initiating potentially curative therapy should disease progress, this approach generally has been considered for patients with early, indolent disease (T1c or T2a tumors, a Gleason score of no more than 6, and a PSA level not greater than 10 ng/mL).

The most moving part of the ceremony at which A. Barry Belman, MD, received the 2006 Urology Medal at the American Academy of Pediatrics meeting last October was the series of photos that ac-companied it.

While obesity,While obesity, hypertension and hypercholesterolemia are well-established harbingers of poor cardiovascular health and death, so-called reverse epidemiology holds that these physiological states actually increase the chance of survival in many people including dialysis patients.