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Dialysis Centers Go Patient Friendly

A mural featuring a sun-dappled lake, crimson and azure birds, lush flowers, and palm trees adorns one waiting room wall. In another, a comfy couch beckons; a cheery blaze crackles in the fireplace, and the aroma of hot coffee wafts from an adjacent kitchenette.

Cuffed Catheters Are Riskier

Cuffed Catheters Are Riskier

SAN DIEGO—Cuffed catheters for hemodialysis patients are associated with a 46% higher risk of septicemia or endocarditis compared with temporary catheters, according to a study of nearly 30,000 patients.

Pulling the Plug on Dialysis Patients

Pulling the Plug on Dialysis Patients

Nephrologist Jean Holley, MD, will never forget Deena and Mary (not their real names), two patients with end-stage renal disease (ESRD) she cared for 20 years ago who asked her to let them die. Deena, a widow in her 70s, had been on hemodialysis for eight years.

Elevated BMI Cuts Dialysis Death Risk

GLASGOW—A European study confirms that overweight and obese patients have a survival advantage on hemodialysis when compared with normal-weight patients, researchers reported. Furthermore, a weight loss of 3% over the first year of dialysis was associated with a higher mortality rate compared with patients whose weight remained stable or who gained weight.

A Milestone in Hemodialysis: James E. Cimino, MD, and the Development of the AV Fistula

“My wife says the only time she realizes I’m retired is on payday,” said James E. Cimino, MD, one recent morning, glancing down at his Mickey Mouse watch to make sure he was on schedule. Although he officially retired from his position as director of the Palliative Care Institute at Calvary Hospital in the Bronx in 2003, Dr. Cimino, 78, is lively, engaged, and continues to meet regularly with medical students and work on special projects.

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