Bingo: Gmail now automatically filters and forwards fascinating but lengthy mailing list discussions to @Instapaper.
In this study, A Randomized, Controlled Trial of Early versus Late Initiation of Dialysis, by Cooper et al., adults with progressive chronic kidney disease and an estimated glomerular filtration rate between 10 and 15 ml per minute per 1.73 m2 (stage V chronic kidney disease) were randomly assigned to early or late initiation of dialysis. Early initiation of dialysis was not associated with an improvement in survival or clinical outcomes. (Via the NEJM.)
A patient saw the "Salt Must Die" billboards and slashed their intake, assuming it was a public health campaign.
Via the Renal Fellow Network:
In the Jaffe reaction, creatinine reacts with picric acid to form a colored complex. This forms the basis for the commonest methods for measuring serum creatinine. However, this test has well known limitations. Under normal circumstances, the Jaffe reaction overestimates the serum creatinine concentration by 10-20% because of the presence of endogenous chromogens. These chromogens include acetone and acetoacetate which, in the case of diabetic ketoacidosis, can lead to a significant overestimation of the serum creatinine. Similarly, certain drugs, including cephalosporins, flucytosine and barbiturates, can interfere with the assay.
Have we reached the point where detonating an underground nuke to contain the spill is now the best option?
"Now@NEJM" — The New England Journal of Medicine begins blogging. http://ping.fm/4dSVt
NEJM -- Untangling the Web -- Patients, Doctors, and the Internet http://ping.fm/ptska
Public service message: Use secure passwords; Check out lastpass.com & 1password.com. (Yes, someone's old unused hotmail acct. got hacked.)
Freakonomics interview with Atul Gawande (2007). Still relevant. http://ping.fm/g55mC
Will Twitter soon be an essential tool for medical practices? asks CWRU http://ping.fm/Y1mg9
Penguin's iPad Demonstration Asks: Are Kids Destined to Grow Up With Tablets? http://ping.fm/MuiqE
"Social Media and Physicians" in the New England Journal of Medicine. Featuring Dr. Rob, Kevin Pho, and others. http://bit.ly/9IDA7K
Follow @kidneynotes on Twitter for interesting medical links (not just kidney-related) posted automatically.
Nathan Hellman, founder of the Renal Fellow Blog, has died. He was 36. http://ping.fm/LQKj9
NEW LINK. Best interview with Atul Gawande I've read. On health care reform and checklists. Go look. http://ping.fm/oS6wY
Book worms, imperialist nostalgia and the "Stanford 25" - Abraham Verghese http://ping.fm/jaob6
"Here is my log of major interruptions of attempted sleep over a 12 hour period during yesterday’s stay in the hospital..." http://ping.fm/3dGI2
Things I Learned in Medical Training That Have Influenced Me in My Non-Medical Life. (via @intueri) http://ping.fm/mcdlq
