Features

Ambiguities of the Prostate: Searching for Beacons in the Fog

Jeff Forster August 31, 2010

Twenty years ago, a man I revered calmly shared the news that he had just been diagnosed with metastatic prostate cancer. Frank A. Oski, MD, was chair of pediatrics at Johns Hopkins, a beloved, iconic, and iconoclastic figure to thousands of students, faculty, and practicing clinicians throughout the realm of children's health care, a brilliant mind who loved nothing better than tweaking the pretensions of the medically effete.
 

Unique Treatment Raises Tricky Bioethical Issues

Delicia Honen Yard August 12, 2010

Vaccine for advanced castration-resistant prostate cancer prolongs life by a median of four months, but at an extremely high cost.
 

The Ethics of Discontinuing Dialysis

Delicia Honen Yard July 12, 2010

One practitioner's perceived good deed for a dying patient could be another's definition of homicide. In No Good Deed: A Story of Medicine, Murder, Accusations, and the Debate over How We Die (HarperCollins), Lewis M. Cohen, MD, examines the true story of two renal nurses at Baystate Medical Center (Springfield, Mass.) who were investigated for murder in 2001 after a nursing assistant accused them of causing the death of a patient.
 

Commentary

Nephrology In Canada Is Well Supported

Adeera Levin, MD June 10, 2010

Many Americans harbor fears about the Canadian health care system, and I would like to clear up some misconceptions. A fundamental premise of the system is that all Canadians are entitled to health care as a right, not a privilege.
 

A Call to Service For Nephrologists

Lynda Anne Szczech, MD, MSCE April 26, 2010

The pending legislation on health care reform can be polarizing, but the motivation supporting it is not. Operating under the assumption that use of preventative and therapeutic health care services improves outcomes, it is hard to imagine who, in the medical community, would not favor improved health care access and utilization for those who are uninsured.
 

Renin Mutations As a Cause of Inherited Interstitial Kidney Disease

Anthony Bleyer, MD April 01, 2010

An international research team led by Stan Kmoch, PhD, of the Center for Applied Genomics and Institute for Inherited Metabolic Disorders of Charles University in Prague, Czech Republic, have identified a number of families suffering from a mutation in the signal peptide of the renin gene that lead to the development of autosomal dominant CKD.
 

Ongoing Clinical Trials

Ongoing Clinical Trials

July 15, 2008

The following listings of clinical trials are based on information from the ClinicalTrials.gov Web site maintained by the National Institutes of Health. Only trials that are currently enrolling patients are included.
 

Legal Issues

A urologist defends himself in a malpractice case brought by a man who becomes impotent after circumcision

Ann W. Latner, JD August 12, 2010

The physician might have avoided the lawsuit if he had taken the time to speak to the patient about what the patient hoped the outcome would be, and what, realistically, might happen given the fact that he had other health-issues that were not being attended to.
 

A jury ponders whether an earlier PSA test would have made a difference in man who died from aggressive prostate cancer

July 12, 2010

A patient's initial work-up resulted in a diagnosis of prostatitis.
 

Urologist Sued After Failing to Order a CT Scan

Ann W. Latner, JD June 10, 2010

It's essential to keep accurate and detailed records of all patient visits—even those visits where patients follow-up with a partner.
 

Malpractice News

Florida Surgeon Fined for Removing Wrong Organ

Ann W. Latner, JD July 28, 2010

The Florida Board of Medicine has fined a Broward County, Fla., surgeon $5,000 for removing a healthy kidney from an 83-year-old patient instead of taking out his gallbladder, the Miami Herald reported.
 

Las Vegas Physician Indicted Following Hepatitis Outbreak

Ann W. Latner, JD July 28, 2010

The physician owner of a Las Vegas area endoscopy clinic and two nurse anesthetists were indicted on 28 felony counts stemming from a 2008 hepatitis outbreak caused by the reuse of syringes and endoscopy scopes.
 

Practice Environment Is On The Decline in Massachusetts

Ann W. Latner, JD July 28, 2010

The Massachusetts Medical Society (MMS) released its 2010 Physician Practice Environment Index, and the outlook was not good.
 

FDA News

Ultra-Fine Pen Needle for Diabetics Debuts

Jody A. Charnow July 27, 2010

Becton, Dickinson and Company (BD), based in Franklin Lakes, N.J., has launched the BD Ultrafine Nano, which the company says is the world's smallest pen needle.
 

Over the Counter Pain Relief Patches Introduced

Jody A. Charnow July 27, 2010

Hisamitu Pharmaceutical, which has U.S. headquarters in Torrance, Calif., has introduced two over-the-counter pain relief patches to the American market, the Salonpas Pain Relief Patch and Salonpas Arthritis Pain patch.
 

Marketing Clearance Granted to New Glucose Test Strips

Jody A. Charnow July 27, 2010

Abbott has received FDA clearance to market FreeStyle Lite glucose test strips. The test strips minimize interference during blood glucose testing and are designed to offer a better experience, Abbott says.
 

World Literature Review

Pulmonary Hypertension in HD Patients Increases Death Risk

Jody A. Charnow June 18, 2009

Pulmonary hypertension (PHT) independently predicts greater mortality in hemodialysis (HD) patients, Israeli researchers report.
 

Hip-Fracture-Related Death Linked to CKD in the Elderly

Jody A. Charnow June 18, 2009

Among older individuals, an estimated glomerular filtration rate (eGFR) below 45 mL/min/1.73 m2 is associated with a nearly twofold increased risk of hip-fracture-related mortality, according to British researchers.
 

Intermittent Hormonal Therapy for PCa May Have Benefits

Jody A. Charnow June 18, 2009

Intermittent hormonal therapy (IHT) for men with locally advanced and metastatic prostate cancer is associated with no reduction in disease progression or survival, according to a European study.
 

Renal Nutrition Update

Managing Metabolic Acidosis in CKD Patients

Alison Steiber, PhD, RD, LD August 12, 2010

The condition occurs frequently in both pre-dialysis and dialysis patients, but correction with either sodium bicarbonate or sodium citrate is safe and effective.
 

Keto Acid Supplements May Help CKD Patients

Alison Steiber, PhD, RD, LD July 12, 2010

New evidence supports CKD patient use of keto acid supplements, which provide protein without overloading the kidneys.
 

Omega-3 Fatty Acids May Beneft Dialysis Patients

Alison Steiber, PhD, RD, LD June 10, 2010

Supplementation could provide a low-cost way to protect against cardiovascular events.
 

Meetings Calendar

Your Money

Fund investors can avoid making poorly timed trades by having clear idea of the fund's track record

Stan Luxenberg June 18, 2010

In the rollercoaster markets of recent years, many fund investors engaged in self-destructive trading. As markets approached their trough in March 2009, shareholders panicked and began dumping their stock mutual funds.
 

Your Money

Stan Luxenberg April 01, 2010

Now is a good time to examine your bond portfolio and get ready for the day when rates rise
 

When you invest in companies with advantages competitors cannot duplicate, they tend to be relatively resilient in downturns

Stan Luxenberg March 02, 2010

Warren Buffett has often talked about investing in companies that are protected by "wide moats." Such businesses dominate their markets for years because of advantages that competitors cannot duplicate.
 

Your Practice

CROWNWeb and its Impact on Vascular Access Data Collection

Oniel Delva April 29, 2010

The Centers for Medicare & Medicaid Services (CMS) is evaluating clinical data entered into its CROWNWeb system by participating Phase 2 facilities against that provided by dialysis facilities nationwide. This evaluation is allowing CMS to determine if the data entered into the CROWNWeb system are comparable to that previously provided in other ways, and to establish if the data entries are in line with benchmarks currently set for the end-stage renal disease (ESRD) Clinical Performance Measures (CPMs) and Fistula First Breakthrough Initiative (FFBI).
 

CROWNWeb: Next-Generation CPM Reporting

Oniel Delva December 22, 2008

For more than four decades, the Centers for Medicare and Medicaid Services (CMS) has had as its mission the advancement of effective, up-to-date health-care coverage and the promotion of quality care for beneficiaries. Toward this end, CMS will launch a new data-collection system called CROWNWeb that allows end-stage renal disease (ESRD) facilities to report relevant data in an accurateand timely manner.
 

MD Recruiting: Finding the Right Fit

May 06, 2008

FOR NEPHROLOGY practices bringing a new physician on board and physicians searching for a practice, success ultimately is measured in terms of establishing a long-term relationship that meets the most critical needs of all involved and results in a seamless integration of new clinical staff.
 

Reviews

CKD in Non-Renal Transplant Recipients On the Rise

R. Michael Hofmann, MD August 12, 2010

The risk for CKD is influenced by many factors, some of which depend on how patients are treated before, during, and after transplantation.
 

Prostate Cancer Screening: An Update on New Approaches

Eric A. Klein, MD May 21, 2010

Distinguishing life-threatening from indolent tumors has not been possible thus far, but this could change with the debut of better tests.
 

Prostatitis: A Multifaceted and Complex Diagnosis

Anthony J. Schaeffer, MD May 11, 2010

The condition can be challenging to diagnose because it frequently refers to a vague constellation of pelvic pain and voiding symptoms.
 
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