Nephrology is Dead - stay away

I did my fellowship with great interest in Nephrology - Acid base/electrolyte/Acute dialysis stuff. Joined a private practice - get around 170 K. my day starts at 6 and ends at 5. run around 4 hospitals and 3 dialysis units. Real life of nephrology - Oversupply - tremendous oversupply - so employers dont really have any need to offer a fair deal universities need bodies to do the scutwork - there is no need for these bodies outside an academic setting many nephrologists end up as... Nephrology is Dead - stay away
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Other Subspecialties Source Type: forums

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Authors: Kostakis ID, Loukopoulos I Abstract BACKGROUND: There is a renewed interest in using bovine carotid artery grafts for haemodialysis vascular access after recent advances in conduit manufacturing and endovascular management of access-related complications. Our aim was to summarize the results of the recent studies comparing bovine carotid artery grafts with polytetrafluoroethylene grafts as vascular access for haemodialysis. METHODS: A systematic review was conducted for original articles comparing bovine carotid artery with polytetrafluoroethylene grafts for haemodialysis vascular access published betw...
Source: The Journal of Vascular Access - Category: Surgery Tags: J Vasc Access Source Type: research
Purpose of review Hypertension is a major risk factor for cardiovascular disease, cerebrovascular events, and progression to end-stage kidney disease (ESKD). The kidneys play a causative role in hypertension, but they are also organs vulnerable to hypertensive injury. Thus far, goals for optimal blood pressure in chronic kidney disease (CKD) and ESKD patients are not fully elucidated. Herein, we critically review the existing evidence. Recent findings Large randomized controlled trials (RCTs) continue to be deemed as the best source of evidence to guide optimal blood pressure goals in CKD and ESKD patients. Despite re...
Source: Current Opinion in Cardiology - Category: Cardiology Tags: HYPERTENSION: Edited by Hector O. Ventura and Carl J. Lavie Source Type: research
Authors: Shigematsu T, Asada S, Endo Y, Kawata T, Fukagawa M, Akizawa T Abstract Purpose: Evocalcet is a novel oral calcimimetic drug that has demonstrated similar efficacy to cinacalcet in regulating serum parathyroid hormone (PTH), calcium, and phosphate levels, with fewer upper gastrointestinal tract-related adverse drug reactions (ADRs) in patients with secondary hyperparathyroidism undergoing hemodialysis in Japan. We investigated the efficacy and safety of once-daily oral evocalcet under different dialysate calcium concentrations. Patients and Methods: A post hoc analysis by dialysate calcium concent...
Source: International Journal of Nephrology and Renovascular Disease - Category: Urology & Nephrology Tags: Int J Nephrol Renovasc Dis Source Type: research
Publication date: Available online 5 June 2020Source: American Journal of Kidney DiseasesAuthor(s): An S. De Vriese, Marijke Reynders
Source: American Journal of Kidney Diseases - Category: Urology & Nephrology Source Type: research
CONCLUSIONS: The study shows an important correlation between oral health, oral hygiene habits, dental assistance and clinical intercurrences with hospitalization in dialysis patients. The results are weighty to establish protocols that can, directly improve, critical health outcomes of end-stage kidney disease patients under dialysis treatment. PMID: 32489089 [PubMed - indexed for MEDLINE]
Source: Minerva Stomatologica - Category: Dentistry Tags: Minerva Stomatol Source Type: research
FRIDAY, June 5, 2020 -- Patients who report choosing dialysis to please doctors or family members more often report decisional regret, according to a study published online June 4 in the Clinical Journal of the American Society of Nephrology. Fahad...
Source: Drugs.com - Pharma News - Category: Pharmaceuticals Source Type: news
CONCLUSION: A significant rise in cerebral oxygenation was observed following the manual compression of arteriovenous fistula. Therefore, the arteriovenous fistula could have a role in impaired cerebral oxygenation in hemodialysis patients. PMID: 32489138 [PubMed - as supplied by publisher]
Source: The Journal of Vascular Access - Category: Surgery Tags: J Vasc Access Source Type: research
CONCLUSION: Findings of our experimental model suggest that concentration of aspired drug is effected by the distance between the central venous catheter and central venous dialysis catheter, being lowest when the drug is infused distally to central venous dialysis catheter. Furthermore, the concentration of the tracer is directly proportional to the infusion speed and far less effected by the aspiration rate of the drug. PMID: 32489133 [PubMed - as supplied by publisher]
Source: The Journal of Vascular Access - Category: Surgery Tags: J Vasc Access Source Type: research
Title: Many Kidney Failure Patients Regret Starting DialysisCategory: Health NewsCreated: 6/4/2020 12:00:00 AMLast Editorial Review: 6/5/2020 12:00:00 AM
Source: MedicineNet Digestion General - Category: Nutrition Source Type: news
CONCLUSION: depressive symptoms are associated with burden of comorbidities, greater number of disease complications, hemodialytic intercurrences and functional dependence. Physical exercise practice can be an effective care strategy. PMID: 32490957 [PubMed - in process]
Source: Revista Brasileira de Enfermagem - Category: Nursing Authors: Tags: Rev Bras Enferm Source Type: research
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