Berns on Nephrology

 
 
  • Is Cinacalcet Useful in Dialysis Patients?   Dr Jeffrey Berns reviews the latest research on cinacalcet's role in managing hemodialysis patients.
  • Dialysis Pits Patients' Desires Against Clinicians' Goals   What if dialysis patients don't want to follow fluid restrictions but also want less time on dialysis? Jeffrey Berns discusses the tension between patient-centered care and optimal medical outcomes.
  • Is Spironolactone a 'Savior' for Hemodialysis Patients?   A new study found that spironolactone significantly reduced the risk for cardiovascular and cerebrovascular morbidity and death in hemodialysis patients, reports Dr Jeffrey Berns.
  • Warn Dialysis Patients of Transport Fraud   Medicare is scrutinizing the use of ambulances to transport patients to and from dialysis, and nephrologists should warn patients about possibly illegal schemes, says Dr Jeffrey Berns.
  • MOC Exams: Nuances and Need-to-Knows   Dr Jeffrey Berns explains the requirements and other nuances of the American Board of Internal Medicine's Maintenance of Certification program, including the new specialty boards.
  • What Common Food Packs a Sodium Punch?   Many people eat this menu item every day without realizing how much sodium it contributes to their diet, reports Dr Jeffrey Berns.
  • 'Be Careful' When Evaluating AKI Recovery   Dr Jeffrey Berns reviews a new study that examined the level of error in evaluating recovery from acute kidney injury with estimated GFR in relation to ICU stay.
  • Can BP Go Too Low in Kidney Disease Patients?   Dr. Jeffrey Berns talks with Dr. Ray Townsend about a new study that found higher mortality in kidney disease patients whose systolic blood pressure dropped below 120 mm Hg.
  • 'We Can Do Better' With CKD and ESRD Patients   As he takes the reins as President of the National Kidney Foundation, Dr. Jeffrey Berns outlines ways to improve care in patients with chronic kidney disease and end-stage renal disease.
  • Risks to Live Kidney Donors: What to Tell Patients   New studies have raised serious questions about the risks faced by living kidney donors. Drs. Jeffrey Berns and Peter Reese tease out the issues to offer some guidance for clinicians.
  • Ask Patients About Recovery Time Post-dialysis   Dr. Jeffrey Berns reviews a new study that suggests clinicians can help dialysis patients by trying to reduce their recovery time after dialysis sessions.
  • Statin Reduces Risk for Contrast-Induced AKI   Dr. Jeffrey Berns advises clinicians to prescribe a statin to patients before they undergo coronary angiography, to reduce the risk for acute kidney injury from the contrast media.
  • Considerations in Predialysis Anemia Treatment   Are clinicians so focused on good outcomes that they overlook quality of life in some predialysis patients? Dr. Jeffrey Berns reviews a new study on the topic.
  • Offering Options for Dialysis: 'We Need to Do a Better Job'   Clinicians need to better educate themselves so that they are comfortable encouraging patients to try home dialysis and peritoneal dialysis, says Dr. Jeffrey Berns.
  • Keys to a Successful Home Dialysis Program   Dr. Joel Glickman talks with Dr. Jeffrey Berns about the benefits and potential barriers to establishing a home dialysis program.
  • Drinking Water: What's the Science?   Who should drink how much water? Bottled or tap? Dr. Jeffrey Berns and Dr. Stanley Goldfarb discuss the evidence and what you should tell patients.
  • Two Easy Steps Improve CKD Care   Dr. Jeffrey Berns reviews 2 recent studies that achieved significant improvements in the management of chronic kidney disease.
  • Hyponatremia: Don't Miss Subtle Clinical Clues   New guidelines suggest that asymptomatic hyponatremia doesn't really exist but that clinicians can identify and treat it if they know the warning signs. Dr. Jeffrey Berns discusses.
  • Paying Living Donors: Could a Trial Clarify the Issues?   Dr. Jeffrey Berns talks with Dr. Peter Reese about the benefits of conducting a trial with paid kidney donors to help sort out the ethical issues involved.
  • Warn Patients of Fall Risk Tied to BP Drugs   Dr. Jeffrey Berns reminds clinicians that antihypertension drugs may increase patients' risk for falls, especially if they are taking more than 1 such medication.