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Bingo: Gmail now automatically filters and forwards fascinating but lengthy mailing list discussions to @Instapaper.

Early Dialysis

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.

Pseudohypercreatininemia

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?

New Blog: Info-Snacks

For new content posted daily, visit Info-Snacks.

Bant: "A Free Diabetes App for the ePatient" http://ping.fm/yl8T4

"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

Doing Less Stuff Better: Another Interview with Merlin Mann. http://ping.fm/yQvZn

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

The Power User's Guide to Google Apps. http://ping.fm/YM4ai

Healthy info-snacks: http://jschwimmer.net

Will Twitter soon be an essential tool for medical practices? asks CWRU http://ping.fm/Y1mg9

Mac Power Users: Workflows with Merlin Mann. http://ping.fm/RuX3X

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

10 more takes: The Healthcare industry on iPad. http://bit.ly/9uJ9dj

BusinessWeek: "How to Redesign Health Care" by Jay Parkinson. http://ping.fm/JZgOT

"Uric Acid, Fructose and Hypertension" by Joel Topf

Uric Acid, Fructose and Hypertension

View more presentations from Joel Topf.

Nephrologists Using Social Media (from Nephrology Times). http://ping.fm/lWBEJ