Bill Peckham's Blog
Annual Dialysis Conference 2010: The Take Home Message of Myocardial Stunning
Thursday, March 11, 2010
By Peter Laird, MD The most important lesson that I have learned from this years Annual Dialysis Conference 2010 is that of myocardial stunning related to current conventional dialysis practices, especially as seen in America. Although the debate over the need or lack of need for further randomized.. .. read more.. What’s new at ADC - An update from Seattle
Thursday, March 11, 2010
By Jim Smith As this years ADC comes to an end in Seattle, I had a chance to reflect on what was said and shown to many of the attendees during the last 4 days. On the professional side there were two significant developments first announced on Saturday during the Successful Home Hemodialysis preco.. .. read more.. Monday at the Annual Dialysis Conference - the debate
Tuesday, March 9, 2010
By Bill Peckham I attended a great session this afternoon at the Annual Dialysis Conference: Challenges to and Defenses of Dr. Kjellstrand’s Keynote Address at the 2009 ADC: Clinical Observations vs. Randomized Controlled Trials (RCTs) in Dialysis Research Richard Amerling, MD, Presiding RCT Is Red.. .. read more.. Hats off to Scribner
Monday, March 8, 2010
The Northwest Kidney Centers, with this full page ad in the Seattle Times (on page A5 today) is celebrating Scrib's achievement and honoring the physician who's insights and understanding of dialysis echoed through all the Annual Dialysis Conference sessions that I attended. His most noteworthy ach.. .. read more.. The Annual Dialysis Conference: Seattle 2010 - A Day of Hope
Monday, March 8, 2010
By Peter Laird, MD I met Bill at the top of the escalator minutes before the morning session opened with my conference pass that Dori Schatell of the Medical Education Institute and Home Dialysis Centra l made available to me for today. The Annual Dialysis Conference is one of the best organ.. .. read more.. Sunday at the Annual Dialysis Conference
Monday, March 8, 2010
By Bill Peckham I'm taking notes but can't maintain the live blogging pace. I'll update this post whenever I get home tonight. I can say it's been a very informative conference. Main take away today: control your sodium. .... I'm home, dialysis machine set up and dog walked. Apparently my limit for.. .. read more.. Live blogging the Annual Dialysis Conference - the Daily Hemodialysis Update
Sunday, March 7, 2010
By Bill Peckham This is moving too fast will have to clean it up in retrospect. Conference handouts are available generally but these speakers didn't get them posted. Daily Hemodialysis: An Update on On-Going Registries and Clinical Trials - Robert Lockridge, MD, John Stivelman, MD, Presiding .. .. read more..
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The Renal Tsar
"Fair society, healthy lives"
Tuesday, March 9, 2010
In presenting his report on health inequalities in England, Sir Michael Marmot responded to the question “what’s the one thing you would recommend based on the review of health inequalities you have just completed?” with “work as hard at you can and as we can to create a fair society. Creating a fai.. .. "Fair society, healthy lives" Short clinical guideline on phosphate management in people on dialysis
Tuesday, March 9, 2010
NICE have been invited to develop a short clinical guideline on phosphate management looking at the difference in practice between units and at the bone mineral chemistry achieved in the Renal Registry reports it is clearly an area of large variation and uncertainty. Hopefully the NICE guideline wil.. .. Short clinical guideline on phosphate management in people on dialysis Lessons for everyone
Tuesday, March 9, 2010
“If there is one lesson to be learnt, I suggest that it is that people must always come before numbers. It is the individual experiences that lie behind statistics and benchmarks and action plans that really matter, and that is what must never be forgotten when policies are being made and implemente.. .. Lessons for everyone Improving donor identification and consent rates for cadaveric organ donation
Thursday, March 4, 2010
A short clinical guideline is to be produced by NICE on this topic. Given the wide variation in deceased donor rates between critical care and neurosurgical units I am hopeful that it will identify and promote good practice. Further details will be available on the NICE website in due course. .. Improving donor identification and consent rates for cadaveric organ donation Acute Kidney Injury – getting down to business in North London
Thursday, March 4, 2010
I visited the North Central London AKI Network recently to listen and learn about their approach to implementing the NCEPOD recommendations from “Adding Insult to Injury” and driving up quality. Hearing a patient story – a recollection of the unnecessary delays and missed opportunities – was a power.. .. Acute Kidney Injury – getting down to business in North London New resources to support quality improvement in chronic kidney disease
Thursday, March 4, 2010
Alaster Rutherford and colleagues at NICE have updated the package of resources to help implement the guideline on CKD. It’s a 30 page document packed full of useful tips, signposts and patient-facing information. .. New resources to support quality improvement in chronic kidney disease NICE Guidelines on Acute Kidney Injury
Thursday, March 4, 2010
The National Institute for Health & Clinical Excellence will be producing a clinical guideline on the “prevention, detection and management of acute kidney injury up to the point of renal replacement therapy”. The clinical guideline will require improvements in training of undergraduates and post gr.. .. NICE Guidelines on Acute Kidney Injury A further step towards a best practice tariff for haemodialysis
Tuesday, March 2, 2010
The Department of Health published confirmation of Payment by Results arrangements for dialysis in adults on 22 February 2010. No changes have been made to the tariff price or trim points following road testing but the guidance has been clarified in a number of areas including dialysis in response t.. .. A further step towards a best practice tariff for haemodialysis The Venice of the North
Tuesday, March 2, 2010
Monday 1 March was a beautiful day in Yorkshire. I am not always a fan of the early morning trans-pennine express but the views en route to Hull were magnificent. One of the privileges of my post is getting out and about to chat to patients and NHS staff and earlier this week I was at the Yorkshire .. .. The Venice of the North Q & A: Anaemia management in non RRT CKD
Tuesday, March 2, 2010
Q: Dear Donal, I am a renal nurse specialist and wondered if you had heard anything at national level about withdrawal of funding for pre-dialysis EPO? Our local PCT (Cambridgeshire) seems to be thinking this way, and whilst I appreciate the lack of research to support pre-dialysis EPO we have some .. .. Q & A: Anaemia management in non RRT CKD
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