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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 5.

Home Hemodialysisemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Hemodialysis is a process of cleaning and filtering the blood using a dialysis machine (a "man made kidney"). For people with renal failure, dialysis is lifesaving. (This posting will only discuss hemodialysis. Peritoneal dialysis is another form of dialysis that works equally well.) Previously, hemodialysis was only performed in dialysis centers. Typically, dialysis centers are large rooms with twenty or more dialysis machines, nurses, technicians, doctors, and other staff. In the United States, patients usually travel to these centers three times a week and spend three to four hours per dialysis session.In the last few y...
Source: Kidney Notes - November 22, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

ACP Foundation HEALTH TiPSemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
HEALTH TiPS is a new program offered to ACP physicians from the ACP Foundation. HEALTH TiPS are two sided 4"x 6" sheets that contain important information that patients need to know to manage their chronic conditions. ACP Foundation HEALTH TiPS
Source: Kidney Notes - November 18, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Recommended Adult Immunization Schedule --- United States, October 2007--September 2008email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The Advisory Committee on Immunization Practices (ACIP) annually reviews the recommended Adult Immunization Schedule to ensure that the schedule reflects current recommendations for the licensed vaccines. In June 2007, ACIP approved the Adult Immunization Schedule for October 2007--September 2008. Additional information is available as follows: schedule (in English and Spanish) at http://www.cdc.gov/vaccines/recs/schedules/adult-schedule.htm; adult vaccinations at http://www.cdc.gov/vaccines/default.htm; ACIP statements for specific vaccines at http://www.cdc.gov/vaccines/pubs/acip-list.htm; and reporting adverse events at...
Source: Kidney Notes - November 17, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Health Loves a Second Life, from the Second Life News Networkemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
A top official at the National Institute of Health (NIH) says Second Life has huge potential for bringing the science profession together.J.P. Boucher, a contractor with the NIH says, "I (and the people I work with) see tremendous potential in this medium for communicating and interacting for medical and scientific purposes." The NIH is a global organization that provides funding and research to solve medical issues. Boucher has advocated and supported it by creating the NIH group inside Second Life and advocating the use of NVEs (Networked Virtual Environments) throughout the U.S. government. Boucher said NIH entered the ...
Source: Kidney Notes - November 17, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

What's up?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Being generally averse to using public restrooms, I try to avoid using those at the hospital that are situated in high traffic areas. I'm talking about the restroom next to the main elevators, cafeteria or in the main lobby. I usually like the ones that are located in restricted areas or remote corners of the hospital. I consider that one of the few perks of being a physician.Today, I just wanted to wash my hands and entered for the very first time the women's restroom located right next to the emergency room, which I conjecture to be quite busy.Imagine my surprise when I saw a condom dispenser next to the sink!!! What an ...
Source: UroStream - November 16, 2007 Category: Urologists and Nephrologists Source Type: blogs

"Emotional Support Animals"email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Writing a letter for a patient. Everything you need to know is here: http://tinyurl.com/yf859eName of Professional (therapist, physician, psychiatrist, rehabilitation counselor)XXX RoadCity, State ZipDear [Housing Authority/Landlord]:[Full Name of Tenant] is my patient, and has been under my care since [date]. I am intimately familiar with his/her history and with the functional limitations imposed by his/her disability. He/She meets the definition of disability under the Americans with Disabilities Act, the Fair Housing Act, and the Rehabilitation Act of 1973.Due to mental illness, [first name] has certain limitations reg...
Source: Kidney Notes - November 15, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Close to homeemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Many members of my family as well as close (and not so close) friends started to ask me for medical advice very early on in my medical career. Dare I say the first day of medical school? There were all sorts of questions ranging from laryngitis to irregular menses, and I tried to my best to answer them, with the ever present caveat that I wasn't a real doctor yet, and didn't know all that much.Since specializing in urology, I have a similar caveat that I still don't know much beyond the genito-urinary system, but that certainly doesn't stop the phone calls and e-mails. I'm happy to answer all queries and give medical advic...
Source: UroStream - November 13, 2007 Category: Urologists and Nephrologists Source Type: blogs

Parenting Advice from Merlin Mann via Twitteremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Totally relate.)
Source: Kidney Notes - November 12, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

"My iPod, My Cell, My Insulin Pump"email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Tom Baldwin, a 43-year-old flight attendant, wears two sleek gadgets strapped to his belt. One is an iPhone and the other is a compact insulin pump and glucose monitor called the Paradigm Real-Time (PRT) System made by medical device giant Medtronic (MDT ). It features user-friendly control buttons and a screen that displays Baldwin's glucose levels, measured up to 288 times a day, from a fine needle lodged in the skin of his abdomen. My iPod, My Cell, My Insulin Pump -- in Businessweek
Source: Kidney Notes - November 11, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

A tale of two patientsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Both patients are elderly women in their eighties, who live in a skilled care facility.Both have advanced dementia and are no longer able to make decisions for themselves.Both have close relatives who have power of attorney over their medical care.Both are admitted to the hospital on the very same day for failure to thrive.Both need a urology consult.And that's where the similarities end.One patient was found to have advanced invasive high grade cancer of the renal pelvis extending into the ureter and the bladder and I had to fulfill my very least favorite task as a physician: telling patients and their loved ones that the...
Source: UroStream - November 10, 2007 Category: Urologists and Nephrologists Source Type: blogs

Biological scaffolds for tissue engineeringemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Professor Heike Mertsching and her team of researchers from the Fraunhofer Institute for Interfacial Engineering and Biotechnology (IGB), Germany, have succesfully seeded human liver cells to a piece of pig intestine to use as a 3D model in the early stages of drug development. To build up test systems, a dedicated, PC-controlled bioreactor was developed in which the re-seeded matrix is perfused with fresh medium via the arterial inflow and the spent medium and degradation products are transported away via the venous reflux. The reseeding of the vascularized matrix with adult stem cells and endothelial progenitor cells r...
Source: ESAO - Liver Support Working Group - November 6, 2007 Category: Urologists and Nephrologists Authors: Dr. Igor M. Sauer Tags: Lab_News Source Type: blogs

What Infections Can You Get From Your Pets?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Human contact with cats, dogs, and other pets results in several million infections each year in the United States, ranging from self-limited skin conditions to life-threatening systemic illnesses. Toxoplasmosis is one of the most common pet-related parasitic infections. Although toxoplasmosis is usually asymptomatic or mild, it may cause serious congenital infection if a woman is exposed during pregnancy, particularly in the first trimester. Common pet-borne fungal infections include tinea corporis/capitis (ringworm); campylobacteriosis and salmonellosis are among the most common bacterial infections associated with pet o...
Source: Kidney Notes - November 6, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Hilarious Journal Articles #89: Visualizing Out-of-Body Experience in the Brainemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
An out-of-body experience was repeatedly elicited during stimulation of the posterior part of the superior temporal gyrus on the right side in a patient in whom electrodes had been implanted to suppress tinnitus. Positron-emission tomographic scanning showed brain activation at the temporoparietal junction — more specifically, at the angular–supramarginal gyrus junction and the superior temporal gyrus–sulcus on the right side. Activation was also noted at the right precuneus and posterior thalamus, extending into the superior vermis. We suggest that activation of these regions is the neural correlate of the disembodi...
Source: Kidney Notes - November 6, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Office floraemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Erma Bombeck once quipped:" Never go to a doctor whose office plants have died".If you were to heed this sage advice, I would have to warn patients about coming to my office. After we remodeled our clinic a few years ago, I wanted to make my office space a little cozier by adding some plants. Make that many plants... I have to admit that we've actually had a succession of plants that have ended up shriveled and a wee bit on the dead side despite my attempts at excellent botanical care. I've tried Miracle Gro, special potting soils, frequent watering, infrequent watering, sun, shade, daily sweet talks, directing my positiv...
Source: UroStream - November 5, 2007 Category: Urologists and Nephrologists Source Type: blogs

Halloween Postmortememail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Halloween Parade, New York 2007, from Rocketboom:
Source: Kidney Notes - November 5, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Testing Flockemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Posting with Flock 1.0, a "social web browser."
Source: Kidney Notes - November 2, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Confession of an addictemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
I've finally admitted it to myself after my husband confronted me the other night, but I have a seriously debilitating addiction. It's been consuming me for the past month, and though I have truly been busy at work, this is probably the reason why I neglected my blog recently.I've also neglected TV, conversations with my husband and reading books because of this addiction. I obsess over it once I get home, during dinner and until the wee hours of the morning. I can't stop and it's driving everyone crazy, myself included.SUDOKU!How can a simple numbers game take over my life? This goes way beyond solving the daily sudoku pr...
Source: UroStream - October 30, 2007 Category: Urologists and Nephrologists Source Type: blogs

Blonde momentemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
I was seeing an elderly patient for the first time, and I was in the midst of obtaining a full medical history. She was accompanied by her daughter, who was helping out with some of my questions.I came upon the subject of past surgical history, and asked the patient when she had her hysterectomy. Both women paused for a while to think about the answer, and the daughter finally turned to her mother and asked:"Mom, did you have your hysterectomy before I was born?"As soon as the words tumbled out of her, all three of us looked at each other and burst out laughing. The daughter turned to me and good-naturedly remarked: "anoth...
Source: UroStream - October 27, 2007 Category: Urologists and Nephrologists Source Type: blogs

Following a Birth on Twitter / Flickremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
.flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: center; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } making progress, originally uploaded by merlinmann.Robert Scoble and (now) Merlin Mann have both followed the birth of their children on Flickr and Twitter.View's getting prettier; Ribsy's getting closer.Head down, strong heart, and looking awesome by all accounts.We've also had independent reports of a fontanelle and a sighting of a head of hair.
Source: Kidney Notes - October 27, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

"Professionalism and the Psychopathology of Everyday Life"email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This is an email sent to the Department of Medicine at Columbia by Donald Landry, Acting Chair of Medicine (and one of my mentors).I've reproduced it here because it's one of the strongest and best arguments for handwashing that I've read.--Re: Professionalism and the Psychopathology of Everyday LifeConsider the spectacle of surgeons who argue with JCAHOinspectors rather than mark an extremity prior to lateralizedsurgery, or pediatricians who object rather than wash their handsprior to examining a child. How can we understand such behaviordescribed by witnesses as “bizarre”, “inverted”, and “strange”?How can we...
Source: Kidney Notes - October 26, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

In the blink of an eyeemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
It's just amazing how life in general can really get in the way of keeping up a blog. I went on vacation for a week, then returned to an extremely busy schedule at work (to make up for the fact that I was gone for that week), and next thing I know, it's been five weeks since I last wrote!!!! It feels like I blinked and time just flew by....So never fear, I'm still here. I'm just reeling from the fact that it's now the end of October and my vacation was a month ago!!! Yikes....Orlando was as much fun as anticipated. Husband and I just love DisneyWorld, though truth be told, we would probably have enjoyed the parks more if t...
Source: UroStream - October 26, 2007 Category: Urologists and Nephrologists Source Type: blogs

Wow, their Radiation Detectors are Sensitiveemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Just saw a patient who relayed this story. She was buying coffee at Starbucks at Newark Airport. Two homeland security personnel were standing next to her when the suddenly glanced at each other, then at her. The radiation alarm on their hips had gone off. "Have you recently had a nuclear stress test of the heart?" they asked. "Why yes," she answered, "...three days ago."
Source: Kidney Notes - October 19, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

42nd Street Up Closeemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
.flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: center; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } 42nd Street Up Close, originally uploaded by KidneyNotes.
Source: Kidney Notes - October 19, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Dinner with Sermo's CEO, Dr. Daniel Palestrantemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
I'll be at an informal dinner tomorrow (Thursday) with Sermo's CEO and founder, Dr. Daniel Palestrant. If anyone has particular questions they'd like me to ask (time permitting), please leave a comment.Sermo is the largest online community for physicians. I discussed Sermo at my talk on "Health 2.0" at the 5th Annual Healthcare M&A and Corporate Development Conference.I'm also planning to post observations from the dinner live on Twitter. (Which reminds me -- are there other physicians out there who use Twitter?)
Source: Kidney Notes - October 17, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

"How to Cite Blogs" by the NIH / National Library of Medicineemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
For anyone who's wondered how (or even whether) to cite blogs in formal academic medical papers, the National Library of Medicine / National Institutes of Health now provides a style guide. (They used Kidney Notes as one of the examples. I'm honored.)
Source: Kidney Notes - October 12, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Hilarious Journal Articles #88: Random Neuronal Firing Causes Mistakesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Via Neuron:The resting brain is not silent, but exhibits organized fluctuations in neuronal activity even in the absence of tasks or stimuli. This intrinsic brain activity persists during task performance and contributes to variability in evoked brain responses. What is unknown is if this intrinsic activity also contributes to variability in behavior. In the current fMRI study, we identify a relationship between human brain activity in the left somatomotor cortex and spontaneous trial-to-trial variability in button press force. We then demonstrate that 74% of this brain-behavior relationship is attributable to ongoing fluc...
Source: Kidney Notes - October 11, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

A Stanford Medical IT Specialist Inteviewed by Robert Scobleemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Via Scoble:This 47 minute conversation is very interesting. Why? Well, he’s working with Google on a personal healthcare site. We cover a LOT of ground about technology trends inside the medical industry... we cover the various “personal healthcare services like Microsoft HealthVault” at about minute 41 and also cover some of the fears of giving services like these your health care data. Don’t miss that part of the interview, especially around minute 44 where he explains what these new health services could do for you.
Source: Kidney Notes - October 8, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

I'm an Editor at Medgadget.comemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The good folks at Medgadget.com made me an editor! So I'll be intermittently posting there, too -- because, you know, I have so much time.
Source: Kidney Notes - October 7, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Doctors and Medical Students on Twitteremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
I'm surprised more doctors and medical students don't use Twitter. It's a useful tool -- for example, see the sidebar of this blog, this post on Medicine 2.0, and this post on Clinical Cases and Images. The following is a list of doctors and medical students on Twitter:Enoch ChoiBertalan MeskóJoshua SchwimmerIf you'd like to add your name to the list, please post a comment.
Source: Kidney Notes - October 7, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Adam Bosworth Returnsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Via his blog:Well, as some seem to know, I’ve left Google. And now that I’ve left, that old entrepreneurial fever has struck me again and I’m off working on a startup. Google is a wonderful company and I had a great time there and had a lot of fun building something I really believe in, Google Health, which I think has a great potential to change the way consumers manage their health when it launches. Still, for me, it is time to start a new company and I’m off and running.
Source: Kidney Notes - October 7, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

42nd Street From Afaremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
.flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: center; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } 42nd Street From Afar, originally uploaded by KidneyNotes.
Source: Kidney Notes - October 4, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

New Preop "Clearance" Guidelines: ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgeryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Updated from 2002.The PDF is here: ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery: Executive Summary. A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery)
Source: Kidney Notes - October 2, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Jack at Apple Store (via iPhone)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
.flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: center; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } Jack at Apple Store (via iPhone), originally uploaded by KidneyNotes.
Source: Kidney Notes - September 30, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Hilarious Journal Articles #87: "You've Gotta Know When to Fold 'Em: Goal Disengagement and Systemic Inflammation in Adolescence"email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Apparently quitting reduces C-reactive protein.The notion that persistence is essential for success and happiness is deeply embedded in popular and scientific writings. However, when people are faced with situations in which they cannot realize a key life goal, the most adaptive response for mental and physical health may be to disengage from that goal. This project followed 90 adolescents over the course of 1 year. Capacities for managing unattainable goals were assessed at baseline, and concentrations of the inflammatory molecule C-reactive protein (CRP) were quantified at that time, as well as 6 and 12 months later. To ...
Source: Kidney Notes - September 28, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Maria from Intueriemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This week met Maria, who writes Intueri, the best-written medical weblog. (So of course, she blogged it.)Since my last entry, Iam still alive. Just to be clear.met Joshua Schwimmer, a nephrologist (kidney doctor) who writes at Kidney Notes, Healthline, and The Efficient MD, in addition to his clinical research publications. He managed to spare some time away from writing to meet me for dinner (after we stood in line in the behemoth Apple Store, where Joshua deftly picked up two potential patients at the cash register. Yeah, Apple apparently sells iPatients now.) I also met his adorable French bulldog, Jack, who is well-tra...
Source: Kidney Notes - September 27, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Photowalk in NYC with David Sifryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Planning to go on a photowalk over the Brooklyn Bridge with David Sifry this Saturday.
Source: Kidney Notes - September 27, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

My Talk on "Health 2.0" for the 5th Annual Healthcare M&A and Corporate Development Conferenceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This is the talk I gave at the 5th Annual Healthcare Mergers and Acquisitions (M&A) and Corporate Development Conference on September 24, 2007. I was part of a panel titled "Healthcare 2.0: Technology & Healthcare Services of the Future," and we were asked to talk about disruptive changes in healthcare.--Good afternoon. I'm a bit out of my element here, because I'm a practicing kidney and blood pressure specialist in New York City, but I do have a lot of friends and patients on Wall Street.I'm going to talk briefly about the disruptive potential of online communities of physicians and patients.These online communities are ...
Source: Kidney Notes - September 26, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

"Wrong Object"email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
.flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: center; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } wrongobject, originally uploaded by brucesflickr.
Source: Kidney Notes - September 25, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

More attempts to capture unusual glowing cloud formationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
.flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: center; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } More attempts to capture unusual glowing cloud formation, originally uploaded by KidneyNotes.
Source: Kidney Notes - September 24, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Leaving Nashvilleemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
.flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: center; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } Leaving Nashville, originally uploaded by KidneyNotes.
Source: Kidney Notes - September 24, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Healthcare M&A Conferenceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
.flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: center; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } Healthcare M&A Conference, originally uploaded by KidneyNotes.
Source: Kidney Notes - September 24, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

5th Annual Healthcare M&A and Corporate Development Conferenceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
On September 24th, I'll be appearing on a panel at the 5th Annual Healthcare M&A and Corporate Development Conference. The panel topic is "Healthcare 2.0: Technology & Healthcare Services of the Future." I'll be speaking on online communities of physicians and patients.If you'll be at the conference, please feel free to look me up.If there's time, I'll be posting pictures from the conference on Kidney Notes and posting observations on Twitter.
Source: Kidney Notes - September 23, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

The Health 2.0 Conference Videoemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Source: Kidney Notes - September 22, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Thriving on stressemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
I've discovered that in order to be a successful physician, especially a surgeon, you have to like being on edge. In fact, I'm not sure it's such a big secret. Why else would we have chosen a profession where responsibilities and major decisions are daily events? Not only do we like stress, we also thrive in it.It's not always as obvious as I make it sound. Certainly if you were to ask any practicing physician, I don't think any of them would willingly admit to liking stress. None of us in the right frame of mind would knowingly put ourselves in a stressful situation, yet we do it all the time when we go into the operating...
Source: UroStream - September 21, 2007 Category: Urologists and Nephrologists Source Type: blogs

Currently Reading: Against the Day by Thomas Pynchonemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Not reading, exactly -- more like listening to the 56 hour audiobook from Audible.com, which is worth it for the range of accents alone, and which makes referring to the Pynchonwiki easy while listening, but man, this is 1000 pages and it's his most accessible book -- I'll see you in a week.
Source: Kidney Notes - September 21, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Hilarious Journal Articles #86: Elvis to Eminem: quantifying the price of fame through early mortality of rock and pop starsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: Pop stars can suffer high levels of stress in environments where alcohol and drugs are widely available, leading to health-damaging risk behaviour. However, their behaviour can also influence would-be stars and devoted fans. Collaborations between health and music industries should focus on improving both pop star health and their image as role models to wider populations.The Hilarious Journal Article collection is here. (Thanks, Huck.)
Source: Kidney Notes - September 15, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

FDA Hearing on Erythropoeisis-Stimulating Agents (ESAs)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Discussion and VotingThe first question posed to the committee was whether the ESAs label should “&be changed to state that the target hemoglobin should not exceed ~11 g/dL for patients on hemodialysis&” The committee voted 14 to 5 against this question. Many Committee members were uncomfortable with the language “shall not exceed” and felt that the 11 g/dL upper target was inappropriate. Several members preferred other options, such as a 10-12 g/dL range or a target of 11 or 11.5 g/dL (omitting the words “not exceed”).The second question was very similar to the first except it addressed the target hemoglobin f...
Source: Kidney Notes - September 13, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs

Why does it always come as a surprise?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The cycle of life and death is an inexorable constant of Nature, death being one of the inescapable absolutes of life.As a physician, one would think you would get used to death since we tend to encounter it more often than most people. You confront the whole concept of mortality the very first day of medical school when you come face to face with a cadaver in gross anatomy, continuing on in pathophysiology and pathology when you learn about all the different processes that can eventually end your life.But the truth is that you NEVER get used to death. Rationally I understand that people don't live indefinitely, but it's h...
Source: UroStream - September 12, 2007 Category: Urologists and Nephrologists Source Type: blogs

First World Bioprinting Congressemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Source: ESAO - Liver Support Working Group - September 12, 2007 Category: Urologists and Nephrologists Authors: Dr. Igor M. Sauer Tags: Meetings Source Type: blogs

Currently Reading: Understanding Exposureemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Source: Kidney Notes - September 12, 2007 Category: Urologists and Nephrologists Authors: Joshua Schwimmer, MD, FACP, FASN Source Type: blogs