Sunday, July 27, 2014

cJASN is building an open access renal physiology text book

One of the surprising things about nephrology fellowship is how far separated renal physiology is from the day to day work of nephrologists is. Kind of by definition we are called in when the kidneys aren't working so we don't get normal physiology thrown in our face. But that doesn't mean we don't need to know it. One of the important jobs of the nephrologist is to keep this knowledge alive and be experts in the internal workings of the kidney. I am a disciple of of Burton Rose, others carry the generation before me used Brenner and Rector and before that Guyton and before that Homer Smith. Who will the next generation of nephrologists look to enlighten them in the ways of the kidney?

CJASN is making the argument that they will. Mark L. Zeidel, Melanie P. Hoenig, and Paul M. Palevsky have started a renal physiology course that is open access and will come serially every month like Dickinson novel.

Take a look at the editorial describing the project and the first chapter which is just an introduction to the main course. The introduction is the subject of this month's eJC. Here is what I wrote in their forums:
I am so excited about this series. Fellowship application season is upon us and I have already heard rumblings that this year will be even worse than the devastating match results from 2014.  
The work-force task group from the ASN has been focusing on developing nephrology mentors to increase interest in nephrology. This is a great idea, but the mentor that inspired me to become a nephrologist was not made of flesh and blood but of ink and pulp. 
I am a nephrologist because I was inspired by the brilliant prose of Burton Rose in the yellow edition of Clinical Physiology of Acid Base and Electrolyte Disorders. But times have changed and residents no longer read books. I applaud this series and hope it will serve as a contemporary inspiration for medical students and residents to pursue the noble and fascinating field of nephrology. 
I also tip my hat to the editors of CJASN for making the series open access. A resource this valuable should be shared with the world.  
Bravo.

Monday, July 21, 2014

Hemo the Magnificent. A classic

Check out the complete video:



and part 2:



Wikipedia entry. 

This was the movie I was thinking about when I tweeted:




Hat tip to Dr. McIinnis for uncovering the video!




I had no idea this masterpiece was done by Frank Capra! Wow.

Monday, July 14, 2014

Richard Lehman is a medical treasure

Read this one paragraph and you will understand why.
Someone recently told me that the link between alcohol and reduced coronary disease is purely observational, and that therefore we should not recommend alcohol as part of the “Mediterranean” diet. I didn’t want to argue, but you could say much the same about smoking and cardiovascular disease. The evidence of benefit from alcohol is solid, robust, and repeatedly found wherever you look, but almost impossible to replicate experimentally for the very good reason that people who drink do so as part of their daily pleasure. Yet the several hundred authors of this paper have tried to do something even more impossible: make this evidence disappear by a Mendelian hat trick. I am completely baffled that they should (a) want to do it and (b) think this is good enough: “Individuals with a genetic variant associated with non-drinking and lower alcohol consumption had a more favourable cardiovascular profile and a reduced risk of coronary heart disease than those without the genetic variant. This suggests that reduction of alcohol consumption, even for light to moderate drinkers, is beneficial for cardiovascular health.” No it doesn’t.
Read him every week and your life will be better.,

Some twitter lover for Lehman








Unusual causes of non-anion gap metabolic acidosis: chlorine gas

Chlorine gas inhalation happened this week-end at a water park in Michigan. Link


Fact sheet on chlorine here.

Related Posts Plugin for WordPress, Blogger...