Podcasts about Dialysis

【欢迎订阅】 每天早上5:30，准时更新。 【阅读原文】 标题：How pig-organ transplants might soon save livesAfter a man lives nearly nine months with a pig kidney, two American firms are preparing clinical trials正文：FOR YEARS Tim Andrews, a pensioner from New Hampshire, suffered with failing kidneys. Dialysis could not stop a steady decline in his health. “Most likely I was going to pass away before I got to the point where I would be able to get a human transplant,” Mr. Andrews says.知识点：pensioner n. /ˈpenʃənə(r)/a person who receives a pension, especially because they have retired. 退休人员；领养老金者e.g. The community center organizes weekly activities for local pensioners to keep them active. 社区中心为当地退休人员组织每周活动，以保持他们的活力。获取外刊的完整原文以及精讲笔记，请关注微信公众号「早安英文」，回复“外刊”即可。更多有意思的英语干货等着你！ 【节目介绍】 《早安英文-每日外刊精读》，带你精读最新外刊，了解国际最热事件：分析语法结构，拆解长难句，最接地气的翻译，还有重点词汇讲解。 所有选题均来自于《经济学人》《纽约时报》《华尔街日报》《华盛顿邮报》《大西洋月刊》《科学杂志》《国家地理》等国际一线外刊。 【适合谁听】 1、关注时事热点新闻，想要学习最新最潮流英文表达的英文学习者 2、任何想通过地道英文提高听、说、读、写能力的英文学习者 3、想快速掌握表达，有出国学习和旅游计划的英语爱好者 4、参加各类英语考试的应试者（如大学英语四六级、托福雅思、考研等） 【你将获得】 1、超过1000篇外刊精读课程，拓展丰富语言表达和文化背景 2、逐词、逐句精确讲解，系统掌握英语词汇、听力、阅读和语法 3、每期内附学习笔记，包含全文注释、长难句解析、疑难语法点等，帮助扫除阅读障碍。

What does it mean to design a study with patients, not just for them, and why does that shift matter for kidney care outcomes? Dr. Na'mah, Bethney Bonilla, and Jennifer McClung answer these questions and more with insights from their En-ROUTE Study, which explores transportation challenges through the lived experiences of dialysis patients.   In today's episode we heard from:    Bethney Bonilla-Herrera, MA, is a health researcher at the UC Davis Center for Healthcare Policy and Research (CHPR), specializing in social risks and health policy. She conducts qualitative research, manages projects, fosters community-engaged research, and performs policy analyses. Prior to her role at CHPR, she worked as an investigative journalist, honing her skills in research and analysis.   Na'amah Razon, MD, PhD is a family physician, medical anthropologist, and Assistant Professor in the Department of Family and Community Medicine at the University of California, Davis. Dr. Razon's research focuses the relationship of health and place and evaluating policies aimed to advance social care activities in the healthcare sector. Her current research explores the impact of transportation insecurity on chronic disease and cross-sector opportunities to improve health and mobility.   Jennifer McClung was 16 1/2 when she was diagnosed with end-stage kidney failure. She went from having what was believed to be a bad case of the flu to being told her kidneys had failed, her heart was double the size it should be and needed to be placed on dialysis in less then 48 hours. Jennifer did dialysis for over 17 years. She survived on peritoneal dialysis for just over 14 years and then had to be switched to hemodialysis for 3 and a half years more. She finally received her kidney transplant in Dec 2015. Since getting her kidney transplant Jennifer helps to run a kidney support group in her local community and has devoted her life to being kidney advocate. She uses her voice to educate the public about their kidneys, encourages people to be organ donors, and speaks to the different legislators in Washington D.C about bills and laws that need to be passed to help the kidney community. Jennifer continues to use her story to inspire others that with a positive mindset and a bit of humor, they can get through whatever challenges they may face.   Additional Resources EnROUTE Study Info NKF Cares    Do you have comments, questions, or suggestions? Email us at NKFpodcast@kidney.org. Also, make sure to rate and review us wherever you listen to podcasts.

Send us a textWelcome back Rounds Table Listeners! We are back today with a Classic Rapid Fire episode. This week, Drs. Mike and John Fralick discuss two recent papers: the effects of spironolactone on heart failure and cardiovascular death in patients undergoing maintenance dialysis, and antibiotic prophylaxis in patients with cirrhosis and upper gastrointestinal bleeding. Two papers, here we go!Spironolactone versus placebo in patients undergoing maintenance dialysis (ACHIEVE): an international, parallel-group, randomised controlled trial (0:00 – 7:19)Prophylactic Antibiotics for Upper Gastrointestinal Bleeding in Patients With Cirrhosis: A Systematic Review and Bayesian Meta-Analysis (7:20 – 15:08)And for the Good Stuff (15:09 – 17:51):The $500m slugger who helped Canada get to the World SeriesClinical practice guidelines one-pagers coming soon to Trial Files: https://trialfiles.substack.com/Questions? Comments? Feedback? We'd love to hear from you! @roundstable @InternAtWork @MedicinePods

The opening of a new dialysis unit in Blenheim will save patients with kidney failure a four-hour return trip to Nelson for treatment. The four-chair unit, called Tātari Toto, will initially open for three days a week, and could expand as demand grows. Health sector workers say it's life changing and life saving. Samantha Gee reports from Blenheim.

Bridge the gap between innovation and practice: are you unlocking the potential of novel agents in dialysis-dependent chronic kidney disease (CKD) anemia? Credit available for this activity expires: 10/31/26 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/1003063?ecd=bdc_podcast_libsyn_mscpedu

The FiltrateJoel Topf‍ ‍@kidneyboy.bsky.social‬Swapnil Hiremath@hswapnil.medsky.socialAC @medpeedskidneys.bsky.socialSpecial GuestMike Walsh Associate Professor in the Departments of Medicine and Health Research Methods, Evidence, and Impact, McMaster University as well as a Scientist at the Population Health Research Institute and a nephrologist at St. Joseph's Healthcare Hamilton where he is the Chair of the Clinical Nephrology Research Group. Editing and Show Notes bySophia AmbrusoThe Kidney Connection written and performed by Tim YauShow NotesALCHEMIST (NephJC Shorts, Rossignol et al Lancet 2025)AC is in her 83rd year of med-peds fellowship.Joel's monologue brings us all down.Prophylactic ICD therapy doesn't improve sudden cardiac death or all-cause mortality in HD patients in the ICD2 trial (Jukema JW et al. Circulation 2019)Initiation with statins do not impact MACE endpoints or atherosclerotic events (4D AURORA trial Fellstrom BC et al. NEJM 2009 & SHARP trial Baigent C et al. Lancet 2011)Mike tries to liven up the mood by mentioning positive outcomes with iron therapy in heart failure with the PIVOTAL trial (Macdougall IC et al. NEJM 2018)TOPHAT trial revealed treatment with spironolactone in HFpEF did not affect MACE outcomes. (Pitt B et al. NEJM 2014)NephTrials ‘Run-in periods in clinical trials: What can we ACHIEVE?'SPIN D trial - spironolactone dose finding trial in ESRD (Charytan DM et al. Kidney Int 2018)Mike shares the human experience of the trial after being instructed to end the trial prematurely and being told they have “answered their question”Study in Japan - spironolactone predominantly benefits male over females (cannot find this)Male vs female benefit not observed in ACHIEVE despite Mike's initial hypothesisSwap compares and contrasts ACHIEVE, ALCHEMIST & Meta-analysis (Pyne L et al. Lancet 2025)Mike discusses how nonadherence to spironolactone impacted the intention to treat outcomes in the trial.What is a high risk of bias for dummies?Mike, Swap & Joel ponder future nsMRA or ASI trials hemodialysis?Tubular secretionsSwap is probably stalking Martha Wells by now, has moved on from Witch King, now onto Queen Demon on Good ReadsAC is adding to her brood, 2 dogs (Snickers & Harper), 1 childDungeon Crawler Call - a science fantasy book series by Matt Dinniman (on goodreads), which he lovingly referred to as complete nerd trash.Joel is binging on the series Task on HBO max, featuring Mark Ruffalo as FBI agent.NephJC is having its annual fundraiser (get your tickets here) at ASN. Providing a party shuttle that is leaving every 30 minutes from the conference center. As always, it will feature a live podcast recording covering the ASN late breaking, high impact clinical trials.Swap describes the high impact model at ASN this year - go big or go home.

Dialysis in infants with ESKD is often associated with multiple comorbidities and the need for more intensified dialysis regimens. This study found that infant ESKD is associated with significant health care utilization.

What if the key to freedom was not found in a cure, but in a choice? Ridishanae (Nae) Shaw shares how she redefined life, love, and independence in her kidney journey. Hear her story in the latest KidneyTalk® podcast episode.

In this episode of the PFC Podcast, Dennis and Dr. John Holcomb discuss a study on ischemia reperfusion injury related to prolonged tourniquet use in combat settings. They explore the rationale behind the study, the criteria for patient inclusion, and the assessment of limb viability. The conversation delves into the implications of compartment syndrome, the management of reperfusion injury, and the importance of training medics in tourniquet conversion and replacement. The episode emphasizes the need for continuous learning from wartime experiences to improve combat medicine practices.TakeawaysThe study focuses on ischemia-reperfusion injury after prolonged tourniquet use.A significant number of tourniquets applied in combat were unnecessary.Assessing limb viability involves the four C's: color, consistency, contractility, and capillary refill.Compartment syndrome can occur even with effective tourniquet application.Reperfusion injury management is critical to prevent acute kidney injury.Dialysis needs vary based on tourniquet duration and injury severity.Training for tourniquet conversion and replacement is essential for medics.Seasonal variations may affect injury patterns on the battlefield.Continuous reassessment is vital in trauma care.Effective pressure dressings are crucial for managing bleeding post-tourniquet.Chapters00:00 Introduction to the Study on Ischemia Reperfusion Injury02:52 Understanding the Cohort and Inclusion Criteria05:48 Assessing Limb Viability and the Four C's08:47 Compartment Syndrome and Its Implications11:46 Reperfusion Injury: Assessment and Treatment14:47 Managing Potassium Load and Tourniquet Release17:50 Dialysis Needs and Outcomes20:31 Training for Tourniquet Conversion and Replacement23:46 Seasonal Variations in Injury Patterns26:31 Future Training Recommendations for Medics29:39 Pressure Dressings vs. TourniquetsFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

AP's Lisa Dwyer reports that a pig kidney recipient is now back on dialysis.

A doctor's warning can feel like a cliff edge. For Erica Muñoz, it was a turning point. As a California mom of three—including an older son with Down syndrome—she chose a different path: reverse diabetes, raise her energy, and build a life that matches her values. We unpack how she did it without cameras, crash diets, or perfect conditions—just clear goals, protein-forward meals, daily movement, and consistency that didn't blink when life got loud.We get real about the myths that stall progress. Ellipticals that flatter, not measure. Ab routines that won't outwork a kitchen. The lure of shortcuts like Ozempic for blood sugar and why stepping off them takes skills, not willpower alone. Erica shares the practical playbook that works in a busy home: Greek yogurt and whey for fast 60g protein, applesauce in baking to cut oil, protein muffins for sweet cravings, lettuce-wrapped burgers when eating out, and a mindset that treats red velvet cake as a planned celebration, not a failure. We also talk fear—fear of the first gym visit, fear of posting a workout—and how good form, small wins, and genuine community shrink those shadows.This story is bigger than weight loss. It's about picking a why that's strong enough to carry you—kids who need you, health you can feel, a standard you refuse to drop. We explore time honesty (yes, there's room if you stop binging shows), gratitude journaling, and controlling the controllables so bad days don't derail good weeks. Erica's growth from hesitant gym-goer to coach shows what's possible when you stack simple habits and surround yourself with positive people. If you've felt stuck, tired, or intimidated, consider this your nudge to start, to post the rep, and to choose fuel over feelings one meal at a time.If this conversation moved you, follow and subscribe, share it with a friend who needs a push, and leave a quick review to help others find us. What's your why, and what's the one small change you'll make today?Join the What if it Did Work movement on FacebookGet the Book!www.omarmedrano.comwww.calendly.com/omarmedrano/15min

When should dialysis be withheld at the end of life—and who makes that decision? Join host Raphy Rosen with experts Drs. Alvin Moss and Christine Corbett as they explore the ethical, clinical, and emotional challenges the nephrology team face when considering “no” to dialysis. Learn how shared decision-making, time-limited trials, and compassionate communication can help align care with patient values and improve end-of-life outcomes.   Host: Raphy Rosen, MD, FASN, FNKF Panelists: Christine Corbett, DNP, APRN, FNP-BC, CNN-NP, ACHPN, FNKF and Alvin H. Moss, MD, FACP, FAAHPM

The ‘Queen of Dialysis' tells us about her 26 years on the machines and why she never lets them hold her back……Disclaimer: All views, information or opinions expressed in this podcast series are solely my own.The primary purpose of this podcast series is to inform, but it does not constitute medical or other professional advice or services. Please seek advice from your own medical teams regarding your own health

On this month's EM Quick Hits podcast: Dr. Isaac Bogoch on recognition and management of osteomyelitis in the ED, Dr. Anand Swaminathan on tourniquet tips and tricks. Dr. Andrew Tagg on managing pediatric distal radius buckle fractures & the FORCE trial. Dr. Justin Morgenstern on Delayed Sequence Intubation (DSI): RCT Takeaways. Dr. Brit Long on ESRD & Dialysis in the ED: altered mental status. Dr. Lisa Thurgur & Victoria Myers on leadership and medical education. Please consider a donation to EM Cases to ensure ongoing high quality free open access medical education here: https://emergencymedicinecases.com/donation/

Suite à une conférence débat menée en janvier 2018 sur l'initiation de la dialyse, le choix de la modalité et la prescription, il a été recommandé le recours à la prise de décision partagée entre le patient et l'équipe de soins pour établir des objectifs de traitement permettant au patient d'atteindre ses propres objectifs de vie et au clinicien de prescrire une dialyse personnalisée de haute qualité1. Mais concrètement, qu'est-ce que la décision médicale partagée (DMP) ? Quels sont les avantages de la DMP et quels sont les moyens possibles pour la développer ?  Le Dr Pierre Housset, néphrologue au Centre Hospitalier Sud Francilien, répond à vos questions.   Invité : Dr Pierre Housset, néphrologue au Centre Hospitalier Sud Francilien Le Dr Housset déclare ne pas avoir de lien d'intérêt en rapport avec le sujet traité.   L'équipe :
 Animation :  Pyramidale Communication Production : Pyramidale Communication   Crédits : Pyramidale Communication, Sonacom   Ce podcast est uniquement destiné à des fins d'information. Si vous souhaitez contacter Baxter pour de plus amples informations ou pour signaler un événement indésirable, veuillez consulter notre site web à l'adresse suivante : https://www.baxter.fr/fr/contact-us   Références : 1. Chan CT et al. Dialysis initiation modality choice, access, and prescription: conclusions from Kidney Disease: Improving Goal Outcomes (KDIGO) Controversies Conference. Kidney International 2019 2. HAS, Patient et professionnels de santé : décider ensemble. 2013 3. Prieto-Velasco M, Quiros P, Remon C, Spanish Group for the Implementation of a Shared Decision Making Process for RRT Choice with Patient Decision Aid Tools (2015) The Concordance between Patients' Renal Replacement Therapy Choice and Definitive Modality: Is It a Utopia?. PLOS ONE 10(10): e0138811. 4. Ramer SJ, McCall NN, Robinson-Cohen C, Siew ED, Salat H, Bian A, Stewart TG, El-Sourady MH, Karlekar M, Lipworth L, Ikizler TA, Abdel-Kader K. Health Outcome Priorities of Older Adults with Advanced CKD and Concordance with Their Nephrology Providers' Perceptions. J Am Soc Nephrol. 2018 Dec;29(12):2870-2878. doi: 10.1681/ASN.2018060657. Epub 2018 Nov 1. PMID: 30385652; PMCID: PMC6287864. 5. Mendelssohn DC, et al. A prospective evaluation of renal replacement therapy modality eligibility. Nephrol Dial Transplant. 2009;24(2):555-561. 6. Oliver MJ, et al. Impact of contraindications, barriers to self-care and support on incident peritoneal dialysis utilization. Nephrol Dial Transplant. 2010; 25(8): 2737-2744. 7. de Jong RW, Stel VS, Rahmel A, Murphy M, Vanholder RC, Massy ZA, Jager KJ. Patient-reported factors influencing the choice of their kidney replacement treatment modality. Nephrol Dial Transplant. 2022 Feb 25;37(3):477-488. doi: 10.1093/ndt/gfab059. PMID: 33677544; PMCID: PMC8875472.

What resources has ASN developed to help the nephrology community prepare for emergencies? Host Dr. Srinath Yadlapalli talks with Dr. Jeffrey Silberzweig and Sara Brady, RN, as they explore what is unique to nephrology practices in facility preparedness.

What resources has ASN developed to help the nephrology community prepare for emergencies? Host Dr. Srinath Yadlapalli talks with Dr. Jeffrey Silberzweig and Sara Brady, RN, as they explore what is unique to nephrology practices in facility preparedness.

Death of the middle class: What is it: Anyone who has had to work to pay for rent, bills, food, etc. How to reestablish it: Corporate regulation, People over profit, Wage theft prosecution (no more deferred accountability loopholes), etc. (the upcoming series will contain specific examples)What's killing it: A system that prioritizes profits over people means: Catering to the wealthy and eliminating services + experiences for the middle class.Eliminating the working class from every direction. Culture, economics, sustainability, livelihoods, nothing is safe. Wage theft is the largest form of theft even if you take all of the other forms of theft that exist, combined. So they're stealing our money, benefiting from corporate bailout loopholes that they lobbied for, which means their own workers are paying taxes into the system that robs them of their own profits, and THEN Pricing us out with an increase in taxes, wage theft, and manufactured inflation.They've privatized or are in the process of fully privatizing everything: Prisons, Healthcare, Vet care, Wellness, Dialysis, Education, Housing, Politics, and the land itself… literally everything that should be in the best interest of the public and the world at large has been bought and sold to the highest bidder. But it is not hopeless. What is manufactured can be restructured. We can fight back, if we're strategic and conscious of the ways in which they're attacking us. This is psychological warfare, only when we recognize this, can we begin to push back + defend ourselves against these attacks. Resources for Resisting a Coup: https://makeyourdamnbed.medium.com/practical-guides-to-resisting-a-coup-b44571b9ad66SUPPORT Julie (and the show!): https://supporter.acast.com/make-your-damn-bedDONATE to the Palestinian Children's Relief Fund: www.pcrf.netGET AN OCCASIONAL PERSONAL EMAIL FROM ME: www.makeyourdamnbedpodcast.comTUNE IN ON INSTAGRAM FOR COOL CONTENT: www.instagram.com/mydbpodcastOR BE A REAL GEM + TUNE IN ON PATREON: www.patreon.com/MYDBpodcastOR WATCH ON YOUTUBE: www.youtube.com/juliemerica The opinions expressed by Julie Merica and Make Your Damn Bed Podcast are intended for entertainment purposes only. Make Your Damn Bed podcast is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Support this show http://supporter.acast.com/make-your-damn-bed. Hosted on Acast. See acast.com/privacy for more information.

Resources:  Rutherford Chapters (10th ed.): 174, 175, 177, 178 Prior Holding Pressure episode on AV access creation: https://www.audiblebleeding.com/vsite-hd-access/ The Society for Vascular Surgery: Clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access: https://www.jvascsurg.org/article/S0741-5214%2808%2901399-2/fulltext  KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update: https://pubmed.ncbi.nlm.nih.gov/32778223/    Venous Hypertension   Definition A functioning AV circuit delivers high volume arterial flow towards a stenotic venous segment, causing buildup in pressure and venous hypertension. If there are few or no branching veins between the access and stenosis, thrombosis could occur   Etiology The most common etiology is venous stenosis caused by a history of vessel wall trauma by centrally-inserted venous devices such as tunneled and non-tunneled dialysis catheters, central lines, pacemakers, or defibrillator. In a study performed at a large academic medical center1, new hemodynamically significant central venous stenosis was associated with the duration of catheter dependence (26% in patients with CVCs for more than 6 months, versus 11% in patients with CVCs for less than 6 months). PICC lines can directly damage cephalic and basilic veins Venous stenosis can often go undetected until AV access creation occurs   Patient Presentation Symptoms of venous insufficiency will be present– most commonly regional edema, in the area of venous stenosis. If there are patent venous branches between the AV anastomosis and the stenotic area, swelling can occur throughout the arm. Pigmentation, induration, dermatosclerosis, and ulceration may also be observed. An extensive collateral network of veins may be visible throughout anterior chest, shoulder, or flank SVC obstruction can result in swelling of the head, neck and shoulders, as well as a feeling of head and neck fullness, airway compromise, and visual problems Normal palpable thrill can be replaced by a strong pulse Dialysis can be complicated by difficulty with needle access, recirculation syndrome, and arm swelling after dialysis sessions. Workup  Central vein thrombosis can be hard to detect on ultrasound because clavicle and sternum can block transmission Venography is essential to determine the presence and severity of venous stenosis or occlusion.   Prevention The ideal scenario is to avoid central dialysis catheters completely, and this involves evaluating CKD patients and placing AVF or AVG before the need for dialysis arises.  If a patient presents placement of an AVF/AVG, it is important to perform venography if a patient has a history of a central venous catheter or clinical signs of venous hypertension. A history of SVC obstruction from any cause can preclude permanent AV access creation in both upper extremities Treatment Endovascular approaches to venous outflow stenosis can be first-line treatment options, due to their minimal risk. They can also be performed at the same time as a diagnostic venogram. Angioplasty alone or with stenting are the endovascular options. In a study by Bakken et al2 that compared primary high-pressure balloon angioplasty versus stenting, primary patency was equivalent between groups, with 30-day rates of 76% for both groups and 12-month rates of 29% for angioplasty and 21% for stenting. Assisted primary patency was also equivalent with a 30-day patency rate of 81% and 12-month rate of 73% for the angioplasty group,  84% at 30 days, and 46% at 12 months for the stenting group. This study, along with others, shows that the major downside of endovascular interventions, whether angioplasty or stenting, often require repeat intervention and have poor long-term patency. For subclavian vein stenosis, angioplasty alone is appropriate due to its anatomical location that can put a stent at risk for extrinsic compression from the first rib and clavicle. Surgical bypass can be performed Possible bypasses include axillary-axillary, axillary-jugular, axillary-right atrial, and axillary-femoral. In these bypasses, the preferred conduits are autogenous saphenous or femoral veins. In cases where the proximal subclavian vein is obstructed, a jugular vein turndown can be performed. In this procedure the distal jugular vein is transected, sewed end-to-side at the distal subclavian vein, effectively acting as a bypass route for that obstructed segment. The Hemoaccess Reliable Outflow (HeRO) Vascular Access Device can be used as a hybrid approach, combining endovascular and open surgical techniques to bypass a central venous occlusion  and provide a reliable outflow for dialysis.  This device has a PTFE inflow limb that is sewn end-to-side onto the brachial artery. This limb is tunneled subcutaneously and connected to a silicone-coated nitinol outflow catheter that is inserted into a central vein and tracked directly into the right atrium. This effectively bypasses central venous stenoses. In the largest study to date on HeRO access grafts placed in 167 patients,3 HeRO primary and secondary patency was 48.8% and 90.8%, respectively, at 12 months. Interventions to maintain or re-establish patency were required in 71.3% of patients resulting in an intervention rate of 1.5/year. Access-related infections were reported in 4.3% patients. The authors concluded that HeRO device had performed comparably to standard AVGs and had proven superior to tunneled dialysis catheters in terms of patency, intervention, and infection rates. If no treatment options for venous hypertension or outflow obstruction  are available, an alternate AV access site can be created, either in the contralateral arm if the SVC is uninvolved, or through placement of femoral AV access or a peritoneal dialysis catheter.   Bleeding Access Site   Etiology and Risk Factors Bleeding can be caused by high venous pressure after dialysis, pseudoaneurysm rupture, or trauma. Patients with end stage renal disease (ESRD) have a baseline elevated risk of bleeding due to uremia-induced platelet dysfunction and use of systemic anticoagulation within the hemodialysis circuit. Additional risk factors include dialysis through an AV graft, hypertension, longer duration of access use, and compromised integrity of the vascular access due to complications (clotting, infection) or invasive procedures. Dual antiplatelet therapy is also associated with overall bleeding events in ESRD patients. Dialysis patients could be on antiplatelet therapy for management of comorbid cardiovascular risk and/or patency of AV graft Patients with bleeding fistulas often present from their dialysis unit when standard digital pressure at the cannulation site fails to stop the bleeding. This is a very serious condition since most mature fistulas have high blood flow and the patients are at risk for hemorrhagic shock and death.    Initial Management  The first step of management is to obtain hemostasis. Elevate the limb above the level of the heart and apply firm and directed pressure at the site of bleeding using gauze for at least 30-40 minutes Milosevic et al4 reviewed non-operative management of bleeding fistulas and grafts and found that compared to standard dressings, the use of specialized hemostatic dressings decreased bleeding time at arterial and venous cannulation sites. These hemostatic materials included the IRIS compression bandage and cellulose-based, chitosan-based, poly-N-acetyl glucosamine-based, and thrombin-soaked dressings. There has been a “bottlecap method” described where the hollow side of a bottlecap is pressed on top of the puncture site. Maintaining pressure on the cap will cause the cap to fill with blood and clot, which tamponades the bleeding. The provider can also place a shallow figure-of-8 or purse string stitch just below the skin surface to aid in hemostasis. It is important to avoid placing the suture too deep as this can cause inadvertent fistula ligation. During this process, an assistant applies pressure just proximal and distal to the bleeding site to stop blood flow so the sutures can be placed. If these methods fail to achieve hemostasis, apply a tourniquet proximal to the fistula and tighten it until bleeding stops and the radial pulse is lost. This signifies complete occlusion of arterial inflow to the fistula. Tourniquet use should be limited to 3 hours or less, since limb ischemia beyond this timepoint is associated with permanent neuromuscular damage. Regardless of the method used for initial hemostasis, the patient is at risk for repeat hemorrhage, hematoma formation, vessel stenosis, and thrombosis. They should be evaluated by a vascular surgeon as soon as possible.  Definitive Management Definitive management depends on etiology of each case, and there are a variety of interventions that can be pursued (i.e. aneurysmorrhaphy for aneurysmal bleeding) If skin erosion over the conduit is present, it should be assumed that the AV access is infected and emergency intervention should be pursued. A jump graft can be placed through with healthy tissue.  A covered stent could be introduced through a separate percutaneous puncture site Finally, coagulopathy can be addressed by administering cryoprecipitate, DDAVP, erythropoietin, estrogen, tranexamic acid. Aneurysms and Pseudoaneurysms   Definition and Etiology Aneurysms involve all three layers of the vessel wall and they develop due to hemodynamic changes causing remodeling of the vein wall in an AV fistula. This is necessary for vein maturation, but becomes problematic if the post-anastomotic vein continues to dilate and becomes aneurysmal.  Aneurysms can also occur at anastomosis sites due to technical aspects of the surgery. Pseudoaneurysms only involve some layers of the vessel wall caused by repeated puncture for hemodialysis.  Both aneurysms and pseudoaneurysms can enlarge due to venous outflow stenosis causing increased intraluminal pressures. Both true aneurysms and pseudoaneurysms can lead to overlying skin erosion and subsequent hemorrhage, pain, AV access dysfunction, and cannulation difficulties.  Dialysis cannulation should be avoided at the aneurysmal sites to prevent bleeding complications. Diagnosis They can be diagnosed on ultrasound, which also provide information on flow rates, presence inflow/outflow/stenoses, and vessel diameters.  Indications for Treatment Treatment is indicated for aneurysms that are rapidly expanding or ulcerating through the skin surface. These are at high risk for rupture and hemorrhage, which is life-threatening. Treatment is also indicated when the aneurysm occurs at the anastomotic site of the AV fistula, the patient has a cosmetic concern, cannulation becomes difficult, there is concern for infection, or the patient has high-output heart failure that could be exacerbated by high flow through the fistula. Treatment is not indicated in asymptomatic aneurysms, regardless of their size. True  aneurysms and pseudoaneurysms are not prone to spontaneous rupture.   Treatment Options Aneurysmorrhaphy is the most common treatment. It involves the resection of the aneurysmal vein wall to restore a normal diameter and removal of excess skin. Anastomosis is performed along the lateral wall to prevent issues with cannulation along the suture line. Aneurysm resection with interposition grafting is also possible. If multiple aneurysmal segments require treatment, staging their repairs can allow for continuation of dialysis without needing to place a temporary dialysis catheter. AV access ligation is an appropriate alternative to AV access salvage in certain situations but usually requires excision of the aneurysm/pseudoaneurysm due to the potential to develop thrombophlebitis and the cosmetic appearance of the thrombosed segment. If there is concern for an infected pseudoaneurysm or aneurysm, surgery should include removal of all infected material. References   1. Al-Balas A, Almehmi A, Varma R, Al-Balas H, Allon M. De Novo Central Vein Stenosis in Hemodialysis Patients Following Initial Tunneled Central Vein Catheter Placement. Kidney360. 2022;3(1):99-102. doi:10.34067/KID.0005202021 2. Bakken AM, Protack CD, Saad WE, Lee DE, Waldman DL, Davies MG. Long-term outcomes of primary angioplasty and primary stenting of central venous stenosis in hemodialysis patients. J Vasc Surg. 2007;45(4):776-783. doi:10.1016/j.jvs.2006.12.046 3. Gage SM, Katzman HE, Ross JR, et al. Multi-center Experience of 164 Consecutive Hemodialysis Reliable Outflow [HeRO] Graft Implants for Hemodialysis Treatment. Eur J Vasc Endovasc Surg. 2012;44(1):93-99. doi:10.1016/j.ejvs.2012.04.011 4. Milosevic E, Forster A, Moist L, Rehman F, Thomson B. Non-surgical interventions to control bleeding from arteriovenous fistulas and grafts inside and outside the hemodialysis unit: a scoping review. Clin Kidney J. 2024;17(5):sfae089. doi:10.1093/ckj/sfae089

Kent Bressler talks with Finn Israel, a young man living with Atypical Hemolytic Uremic Syndrome. Finn shares how a surprising diagnosis led to kidney failure and the urgent need for a transplant. Through it all, Finn highlights the strength he finds in family, friends, and community support. He and Kent also talk about the challenges of kidney disease, the strict process for finding donors, and the hope that comes from living donors. Finn stays positive by enjoying activities like hiking and cooking while waiting for a match. Tap here to stay up to date with Finn. If you feel inspired to become Finn's donor, go to Stanford Health — Living Donor Program and complete a short questionnaire. Are YOU the one? For more information on Kidney Solutions and to join our supportive community, visit kidneysolutions.org. Host: Kent Bressler Producer: Jason Nunez Remember to keep breathing, and don't miss the next amazing episodes of Kent's Kidney Stories!

This summer, join host David Mandell as he revisits and highlights episodes from Season 3 and 4 of The Wealth Planning for the Modern Physician podcast, in our 2025 Summer Rewind Series. "I genuinely believe there is a lot of information to gain from all of our episodes deliver, but for the summer, I've handpicked a few that offer intriguing ideas and a unique perspective for physicians in 2025," says David. "I hope you enjoy this Season encore series. Have a great summer!" Episode 3.13 | Originally Released: March 9, 2023 In this episode, Dr. Shaminder (Shammi) Gupta joins David to discuss his career path, the impact of Hurricane Katrina on that path, and what he is learning from being a business executive as well as a clinician. Shammi begins with his background – where he grew up, what got him interested in medicine why he gravitated to internal medicine & nephrology. He explains why his first job out of training was not a fit for him and how hurricane Katrina changed his path completely – as it did for many living in New Orleans at the time – opening up a career path he would not have considered otherwise. Shammi also covers how he built a significant dialysis practice in a smaller town setting, became president of the Kidney Foundation, and built a reputation throughout the state.  This led to his practice being acquired by Monogram Health, where he works today as an executive and clinician. Shammi then shares what he is learning from the “business side” of medicine, as he builds out a multi-state medical platform for kidney health, and describes the value CEOs see in physicians who can communicate well and know their field of medicine intimately.  Next, David gets Shammi's insights on wealth management, including building the right advisor team and why to potentially change advisors as you grow, and Shammi concludes with his three pieces of advice for fellow physicians, especially those starting out. Learn more about our guest, including additional show notes and more, by visiting www.physicianswealthpodcast.com.

A ransomware attack exposes personal medical records of VA patients. New joint guidance from CISA and the NSA emphasizes asset inventory and OT taxonomy. The UK government reportedly spent millions to cover up a data breach. Researchers identified two critical flaws in a widely used print orchestration platform.  Phishing attacks increasingly rely on personalization. Rooting and jailbreaking frameworks pose serious enterprise risks. Fortinet warns of a critical command injection flaw in FortiSIEM. Estonian nationals are sentenced in a crypto Ponzi scheme. Michele Campobasso from Forescout joins us to unpack new research separating the hype from reality around “vibe hacking.” Meet the Blockchain Bandits of Pyongyang. Remember to leave us a 5-star rating and review in your favorite podcast app. Miss an episode? Sign-up for our daily intelligence roundup, Daily Briefing, and you'll never miss a beat. And be sure to follow CyberWire Daily on LinkedIn. CyberWire Guest Michele Campobasso from Forescout joins us to unpack new research separating the hype from reality around “vibe hacking.” Their team tested open-source, underground, and commercial AI models on vulnerability research and exploit development tasks—finding high failure rates and significant limitations, even among top commercial systems. Selected Reading Medical records for 1 million dialysis patients breached in data hack of VA vendor (Stars and Stripes) NSA Joins CISA and Others to Share OT Asset Inventory Guidance (NSA.gov) CISA warns of N-able N-central flaws exploited in zero-day attacks (Bleeping Computer) U.K. Secretly Spent $3.2 Million to Stop Journalists From Reporting on Data Breach (The New York Times) From Support Ticket to Zero Day  (Horizon3.ai) Personalization in Phishing: Advanced Tactics for Malware Delivery (Cofense) The Root(ing) Of All Evil: Security Holes That Could Compromise Your Mobile Device (Zimperium) Fortinet warns of FortiSIEM pre-auth RCE flaw with exploit in the wild (Bleeping Computer) Estonians behind $577 million cryptomining fraud sentenced to 16 months (The Record) Someone counter-hacked a North Korean IT worker: Here's what they found (Cointelegraph) Audience Survey Complete our annual audience survey before August 31. Want to hear your company in the show? You too can reach the most influential leaders and operators in the industry. Here's our media kit. Contact us at cyberwire@n2k.com to request more info. The CyberWire is a production of N2K Networks, your source for strategic workforce intelligence. © N2K Networks, Inc. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, we review the high-yield topic ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Dialysis Indications⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠from the Renal section at ⁠⁠⁠⁠Medbullets.com⁠⁠⁠⁠⁠⁠Follow⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets

There was a moment — in the sterile hum of a dialysis clinic — when Dr. Connie Cheung realized everything she had built, every identity she held, was breaking. Her education, her training, her health, her motherhood, her womanhood — all felt stripped away. And yet… in that breakdown, something else awakened. In this intimate and powerful episode, Dr. Connie shares the full story of how kidney failure forced her into stillness, grief, surrender — and ultimately, transformation. You'll hear what saved her when nothing else could, what healing actually looks like from the inside, and how the Human OS™ framework was born from the depths of that darkness. This isn't just her story. It's a mirror for anyone who has suffered, lost, broken — and still dares to rise. Unlimited membership: https://functionalyogamedicine.com/. FYMCP: https://www.hossystems.com/fymcp-humanOS. Human OS Reset https://www.hossystems.com/human-os-health-reset #BreakdownToBreakthrough #DialysisWarrior #HumanOS #FunctionalYogaMedicine #HealingThroughSuffering #YouAreTheMedicine #FromGriefToGrace #ChronicIllnessHealing #HealingIsNotLinear #TraumaToPurpose #RewireAndRise

Microsoft warns of high-severity flaw in hybrid Exchange deployments France's third-largest mobile operator suffers breach Dialysis company's April attack affects 900,000 people Huge thanks to our sponsor, ThreatLocker ThreatLocker® is a global leader in Zero Trust endpoint security, offering cybersecurity controls to protect businesses from zero-day attacks and ransomware. ThreatLocker operates with a default deny approach to reduce the attack surface and mitigate potential cyber vulnerabilities. To learn more and start your free trial, visit ThreatLocker.com/CISO. Find the stories behind the headlines at CISOseries.com.

There is a growing interest in understanding the economics of serial acquisitions, particularly in the healthcare industries and markets, and whether such corporate strategies lead to changes in prices and quality causing antitrust concerns. What has been found in existing economic studies? Paul Eliason, Assistant Professor of Economics at Brigham Young University and co-author of a leading study on serial acquisitions focusing on the dialysis industry, discusses his observations and insights with Anora Wang and Derek Jackson. Listen to this episode to learn about the knowns and unknowns from the empirical evidence as well as implications for competition policy. With special guest: Dr. Paul Eliason, Assistant Professor of Economics, Brigham Young University Related Links: How Acquisitions Affect Firm Behavior and Performance: Evidence from the Dialysis Industry, Journal of Quarterly Economics Hosted by: Anora Wang, Arnold & Porter Kaye Scholer LLP and Derek Jackson, Cohen & Gresser LLP

What happens when a remote island community must build its own dialysis unit to keep families together? In Galiwin'ku, a Yolŋu community on Elcho Island in the Northern Territory, rates of chronic kidney disease are rising, forcing many to leave their homelands for life-saving dialysis treatment—often hundreds of kilometres away. In this episode, Dr Sarah Hanieh speaks with Charlie Yebarrarr Dhamarrandji, a community member undergoing dialysis, and Kat Baxter, a dedicated dialysis nurse from Purple House—an Indigenous-led healthcare service providing dialysis in remote communities. Together, they discuss the profound significance of the new local dialysis unit: what it means for culture, identity, and community.

It is time that we connect to the blood of Jesus. Snd allow him to purify us of all our sins

“I was pumping in the NICU, feeling completely disconnected—and my husband looked at me and said, ‘Can you invite her in?' That moment changed everything. A nurse handed me a swab, I gave my baby colostrum for the first time, and I thought, ‘I'm a mommy.'” – Tanisha NICU mom and advocate Tanisha shares her deeply moving journey through an unexpected fetal diagnosis, a 157-day NICU stay, and the powerful moments that helped her reconnect with motherhood. Diagnosed at 20 weeks with Lower Urinary Tract Obstruction (LUTO)—a rare, life-threatening condition—Tanisha's son Jaleel faced impossible odds. From transferring care to Cincinnati Children's Hospital, navigating in-utero surgery, to forming a life-saving care team that included her husband and child life specialists, Tanisha's voice is a beacon of strength, love, and resilience.

Kent Bressler talks with Josie Maier, co-director of Project Donor—a nonprofit offering free support to living organ donor candidates. Kent reflects on his journey as a living donor kidney transplant recipient and his recent triumph over cancer. Josie sheds light on key challenges in organ donation, especially how BMI restrictions can prevent otherwise willing individuals from donating. Project Donor works to shift the conversation by helping potential donors overcome reversible barriers through free weight loss programs, smoking cessation resources, and therapy. Together, Kent and Josie highlight the urgent need for more living kidney donors and the importance of awareness. Listen in and discover how you can make a difference in this life-saving mission. For more information about Project Donor, visit projectdonor.org and to connect with Kidney Solutions, go to kidneysolutions.org. Host: Kent Bressler Producer: Jason Nunez Remember to keep breathing, and don't miss the next amazing episodes of Kent's Kidney Stories!  

On this episode of KidneyTalk, Lori Hartwell chats with Shelby McClure, whose kidney journey is anything but ordinary. Shelby has experienced nearly every form of dialysis"each with its own challenges, breakthroughs, and life lessons. From peritoneal dialysis in the quiet hours of the night to the self-discipline of home hemodialysis, Shelbys story is packed with unexpected turns, personal revelations, and a powerful transplant experience that changed everything "tune in to hear the full story.

Join us for an inspiring episode of the Diary of a Kidney Warrior Podcast as we sit down with Ravi—a fellow Kidney Warrior whose story is one of courage, connection, and unshakeable will. From his unexpected diagnosis of Chronic Kidney Disease (CKD) to life on dialysis, Ravi opens up about the challenges and triumphs that have shaped his journey.   What began as a routine post-holiday health concern quickly became a life-altering revelation. Ravi walks us through the early warning signs, the shock of diagnosis, and the complexities of seeking care amid a global pandemic. As dialysis buddies turned friends, Ravi and our host share a powerful camaraderie that highlights the strength found in community.   In this candid conversation, Ravi speaks openly about the physical, mental, and emotional toll of CKD—detailing side effects, collapsing from poor health, and the resilience needed to push through. Balancing a demanding career in IT, he reveals how he copes with the daily realities of dialysis and the hope of an eventual transplant.   Whether you're newly diagnosed or supporting someone with CKD, Ravi's insights offer encouragement, practical advice, and heartfelt wisdom. He champions the importance of early detection, mental well-being, and finding purpose amidst the struggle.  

Calls for more regional health services after a retired farmer loses access to local dialysis care, the commercial fishing industry ramps up calls for government support for fishers affected by the algae bloom, and a breeding value for footrot expected to be introduced into Australia soon.

Do you know someone on dialysis? If you do, you know how time intensive it can be. Did you know that there are options to do this treatment at home? In this episode outreach coordinator Dana Hentschel speaks with Mary Teising, an independent consultant with over 25 years of experience in dialysis about how to navigate this journey.

A new medical facility in Ennis is being welcomed as a vote of confidence in the town which will drastically cut journey times for patients. Fresenius Medical Care Limited, which is the operator of the Limerick Dialysis Centre on the Dock Road, has secured planning permission for a renal dialysis facility in the Clare Technology Park. It's understood the unit will be operational between April and June of next year and will feature 20 stations capable of catering for up to 20 patients at any one time. Chairperson Irish Kidney Association's Clare branch, Dermot Hayes, has been telling Clare FM's Seán Lyons it's a gamechanger for many in the county.

The Shared Decision-Making-Renal Supportive Care intervention elicited dialysis patient preferences for end-of-life care. The HIGHWay project updated this intervention to scale it for broader implementation of advance care planning.

Kent Bressler welcomes Glenna Frey, MSN, APRN-CNS. She has dedicated over 40 years to nephrology nursing, specializing in hemodialysis, peritoneal dialysis, and kidney transplantation. In 2017, she donated a kidney to a stranger at the Cleveland Clinic. The following year, she co-founded Kidney Donor Conversations (KDC), a nonprofit providing education and support for living kidney donation with her daughter, Amanda. Glenna serves as executive director of KDC and frequently presents programs on living kidney donation. She is a member of the American Nephrology Nurses Association and the National Kidney Donation Organization. She volunteers with the National Kidney Foundation and other kidney-focused groups. Her connection to kidney disease and transplantation is deeply personal. Many of her relatives, including her husband Bob, have Polycystic Kidney Disease (PKD). Bob has undergone dialysis and is now living with his second kidney transplant from a living donor. Her children, Amanda and Sawyer, also have PKD but currently maintain normal kidney function. Glenna is a published author and contributor to several works on kidney donation and nephrology nursing, including In Pursuit of a Better Life: The Ultimate Guide for Finding Living Kidney Donors, Thriving Post Kidney Transplant, and the Nephrology Nursing Journal. Additionally, she served as a reviewer for the 4th edition of Contemporary Nephrology Nursing. She is the author of the book Understanding Living Kidney Donation: The Best Treatment for Kidney Disease, now available on Amazon. Glenna also specializes in holistic therapies, holds a Black Belt in Tae Kwon Do, and is a Hula Hoop instructor. She resides in Northwest Ohio with her husband and enjoys time with her cat, chocolate lab, as well as crocheting, and native plant gardening. Glenna's pride and joy are her children, Amanda and Sawyer, and her granddaughter, Zora. For inquiries, contact: https://www.linkedin.com/in/glennafreyrnkidneydonor/ or visit https://www.facebook.com/LivingKidneyDonationBook For more information on Kidney Solutions and to join our supportive community, visit kidneysolutions.org Host: Kent Bressler Producer: Jason Nunez Remember to keep breathing, and don't miss the next amazing episodes of Kent's Kidney Stories!  

Dr. Scott Harris, ASTHO President and State Health Officer with the Alabama Department of Public Health, discusses takeaways from the most recent ASTHO Board of Directors meeting; Alex Kurutz, dialysis epidemiologist for the Healthcare Associated Infections and Antimicrobial Resistance Program at the Tennessee Department of Health, shares how the state created an educational program to help dialysis facilities strengthen infection prevention; Dr. Manisha Juthani, ASTHO's President-Elect, and Anne Zink, ASTHO's Past President, served on a panel at the Yale Innovation Summit to discuss how state and local leaders can advance public health and health innovation in today's political landscape; and stay up to date on all things public health by subscribing to this newscast.  ASTHO Web Page: Board of Directors ASTHO Blog: Tennessee Partners with Dialysis Facilities to Strengthen Infection Prevention Yale School of Public Health: Public health needs to find its way through “the in-between” ASTHO Web Page: Subscribe to Public Health Review Morning Edition  

Hosted by Jane Pauley. In our cover story, Erin Moriarty reports on a CBS News investigation into serious concerns about the kidney dialysis industry. Also: Lee Cowan interviews actor Patrick Schwarzenegger, star of HBO's “The White Lotus”; Anthony Mason looks back at the origin of the rock group The Doors; Norah O'Donnell sits down with GOP Sen. Lisa Murkowski; Gayle King tours the recently renovated Waldorf Astoria hotel in New York; and Mo Rocca attends a New York City school for children who divide time between the classroom and the stage. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

Brian from Lakewood, CA calls in, sounding very torn. His 80-year-old mom has been going through it: on dialysis, suffering, cirrhosis of the liver... just totally worn out. She’s telling him she’s done, but Brian’s heart is aching and he’s scared. Would letting her stop dialysis be a sin? Patrick Madrid assures him: "No... it’s not a sin." Here’s why: Dialysis is extraordinary care, not ordinary care. That means it's morally permissible to stop it if it's burdensome, especially when it’s only prolonging suffering. At 80 years old, in declining health, your mom has a right to say, "I’m ready to go home to God." Patrick gently reminds Brian: This could be a time to trust God and let go even if it's hard. Brian’s love for his mom is beautiful and totally understandable. Wanting to hold on isn’t wrong. But as Patrick said, clinging too tightly can get in the way of letting God do His will. So, if you're in a similar boat? Here’s the takeaway: -It’s okay to say “enough” when treatment becomes more pain than peace. -It’s not giving up. It’s letting go into God’s mercy. And hey... hug your mom today, if you can. Or call her. Or say a Hail Mary for her soul. Moms are priceless.

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In this episode of the Kidney Commute: Pitstop* series, host, Raphy Rosen is joined by Christine Corbett and Alvin Moss to discuss active medical care without dialysis. Host: Raphy Rosen, MD, FNKF Guests: Christine Corbett, DNP, APRN, FNP-BC, CNN-NP, ACHPN, FNKF & Alvin Moss, MD, FACP, FAAHPM Please visit https://www.kidney.org/podcasts/kidney-commute to view additional resources. *The Kidney Commute: Pitstop series was previously known as the NKF Life as a Nephrology Professional podcast.

Your daily news in under three minutes. At Al Jazeera Podcasts, we want to hear from you, our listeners. So, please head to https://www.aljazeera.com/survey and tell us your thoughts about this show and other Al Jazeera podcasts. It only takes a few minutes! Connect with us: @AJEPodcasts on Twitter, Instagram, Facebook, Threads and YouTube.

What if your life changed overnight—and you had to start all over again? Salvador Bermudez went from law enforcement and life-threatening health issues to flipping houses and building real estate syndications in just two years. Episode Summary: In this powerful and inspiring episode of The Property Profits Podcast, Dave Dubeau chats with Salvador Bermudez, a former police officer turned real estate syndicator. After experiencing kidney failure and spending hours on dialysis, Salvador had a wake-up call about the fragility of financial security. While recovering and undergoing treatments, he began studying real estate, eventually flipping homes and diving into multifamily syndications. Salvador explains how his engineering background and obsession with learning helped him create a strategy called "Predictive Value Add," a rigorous underwriting method that minimizes investor risk. Today, he manages a fund of funds that allows investors to diversify across syndications, and he's also built a thriving community called Predictive Wealth Alliance. Salvador shares the importance of helping others, building legacy, and redefining wealth beyond money. What You'll Learn in This Episode: How a life-altering health scare inspired Salvador's real estate journey The path from flipping houses to launching syndications The “Predictive Value Add” strategy and why it matters Why he believes risk mitigation is key to investor success How community, purpose, and giving back guide his business approach   - Get Interviewed on the Show! - ================================== Are you a real estate investor with some 'tales from the trenches' you'd like to share with our audience? Want to get great exposure and be seen as a bonafide real estate pro by your friends? Would you like to inspire other people to take action with real estate investing? Then we'd love to interview you! Find out more and pick the date here: http://daveinterviewsyou.com/

Welcome to Episode 4 of our Patient Stories of Hope series!After a sudden trip to the ER, Ibeth was diagnosed with severe lupus and kidney failure—told she might need dialysis for life. But her story didn't end there. In this heartfelt episode, Ibeth shares how she found hope, support, and a path to healing with Dr. Amigues and the UnabridgedMD team. Discover how a personalized, holistic approach helped her regain kidney function, reduce medications, and believe in remission again.If you or a loved one is facing a serious autoimmune diagnosis, Ibeth's story is proof: there is always hope, and healing is possible.

In this episode of Kidney Talk, Lori welcomes Dr. Richard Johnson - renowned nephrologist, author of Comprehensive Clinical Nephrology, and a pioneer in kidney disease research. Together, they dive into the fascinating connection between gut health and chronic kidney disease, exploring how good bacteria can support kidney function. Dr. Johnson shares insights on probiotics like Renadyl, leaky gut syndrome, and how gut imbalances might impact people who are on dialysis or have elevated creatinine levels. This enlightening conversation uncovers why gut health matters more than we ever imagined.

In this episode, Lori talks with nephrologist Dr. Arun Malhotra about what inspired him to pursue nephrology and dives into an important discussion about the connection between chronic kidney disease (CKD) and high potassium, also known as hyperkalemia. They cover symptoms to watch for, the role of diet, how to manage potassium levels, and the importance of working closely with healthcare providers.

The Cybercrime Wire, hosted by Scott Schober, provides boardroom and C-suite executives, CIOs, CSOs, CISOs, IT executives and cybersecurity professionals with a breaking news story we're following. If there's a cyberattack, hack, or data breach you should know about, then we're on it. Listen to the podcast daily and hear it every hour on WCYB. The Cybercrime Wire is brought to you Cybercrime Magazine, Page ONE for Cybersecurity at https://cybercrimemagazine.com. • For more breaking news, visit https://cybercrimewire.com

Cody Kubiak's story is one of extraordinary resilience, faith, and hope. In this episode, we dive into his powerful journey—from childhood surgeries to receiving a kidney transplant and battling cancer. Through every trial, Cody has shown what it means to persevere and live with purpose. Hear firsthand how he turned hardship into hope, and discover why raising awareness for kidney donation is more important than ever. Dive deeper into Cody's story at kidneysquitwedont.com For more information on Kidney Solutions and to join our supportive community, visit kidneysolutions.org Host: Kent Bressler Producer: Jason Nunez Remember to keep breathing, and don't miss the next amazing episodes of Kent's Kidney Stories!

The FiltrateJoel TopfJordy CohenNayan AroraSpecial Guest Katie Kwon @katiekwonmd.bsky.socialMariana Murea @MarianaMureaEditing bySimon Topf and Joel TopfShow NotesNephMadness at AJKDblog.orgThe Hemodialysis RegionVote for your favorites