Eric explores how digital tools will allow virtualization of the entire medical encounter. Hello Tricorder.
Chapter Eight: My Costs
Chapter Seven: My Records and Meds
Chapter Six: My Lab Tests and Scans
Capter Five: My GIS
Chapter Four Angelina Jolie: My Choice
Chapter Three: A Precedent for Momentous Change
Chapter Two: Eminence-Based Medicine
Chapter One: Medicine turned Upside Down.
Eric Topol begins this book by setting the stage of why patients will become more empowered. Topol argues that patients are not going to settle for the amount of power physicians are comfortable yielding, but rather that forces larger than medicine will fundamentally alter the traditional patient-doctor relationship.
The NephJC Summer Book Club is coming
The #NephJC Pip/Taz + Vancomycin chat wrap up
Storify for both chats
Transcripts
Required reading for This Week's Chat
The introduction by Matt Graham-Brown is excellent but I think the post by Josh Farkas will be a major influence on the discussion. Don't miss it.
Assigning causality in AKI – Untying the Gordian Knot?
Next NephJC: Pip/Tazo + Vanco = AKI
This has been a hot topic that has been gaining momentum. See the discussion in NephMadness 2015 and ALiEM. We should have an official summary up in a day or two. Please join us for the discussion next week.
TWiN (The Week in Nephrology) 4th July 2016
Neesh Pannu (@nipannu) and others published a new risk prediction score for #AKI requiring renal replacement therapy post cardiac surgery using variables available pre-op like - congestive heart failure, Canadian Cardiovascular Society angina class III or higher, diabetes mellitus , baseline estimated glomerular filtration rate , increasing hemoglobin concentration, proteinuria , coronary artery bypass graft (CABG) plus valve surgery (v. CABG only), other cardiac procedure (v. CABG only) and emergent status for surgery booking. This new tool published in CMAJ improves the prediction over the previously available Cleveland Clinic Score.
An excellent review on the pathophysiology and treatment of Lupus Nephritis from Kidney International was just published. And published in NDT is a comparison of all the Lupus Nephritis treatment guidelines. A nice 1-2 for #Lupus Nephritis this week.
In a recent study published in CJASN, a group of investigators studied the outcomes of use of various induction therapies and the use of steroids in deceased donor kidney transplants. The data suggested that rATG may have better outcomes in patients on a steroid avoidance protocol.
A review from Nature Reviews Nephrology - Phil Halloran authors an informative review on the molecules of kidney transplant disease states from transplant biopsies. #mustread
A fascinating review on the role of infectious diseases and its impact on kidney diseases was published by Vivek Jha (@vjha126) and N.Prasad in AJKD. Though this articles relates to the Asia Pacific region, Veeraish Chauhan(@DrVC_kidney) makes a compelling argument for all nephrologists (incl Western Hemisphere) to pay heed, in his AJKDBlog post.
- Nikhil Shah (@dr_nikhilshah)
The EMPA-REG Renal #NephJC chat wrap-up
TWiN ( The Week in Nephrology ) 27 June 2016
Lecture on Diabetic Kidney Disease
What's up with the NephJC signal cityscape
In the last few months we have been scheduling our chats out further and further, however this breaks down when a high impact trial is published. This led to the concept of the emergency NephJC chat. We did it first for AKIKI and ELAIN:
And then most recently for this week's chat on EMPA-REG
Some people have asked about the buildings in the cityscape. They are:
Sears Tower in Chicago for Edgar
Leaning Tower of Pisa for Francesco
The Gherkin in London for Tom and Matt
The Statue of Liberty in New York for Kenar and Scherly
The CN Tower of Toronto for Swapnil (closest I could get to Ottawa)
The Renaissance Center in Detroit for Joel
The AT&T building in Nashville for Anna
The Trans America Pyramid in San Francisco for Graham
That's not the whole team but it is a start.
