dialysis

defining success

Last week I gave my first truly invited international talk at the American Society of Nephrology Kidney Week in Philadelphia. I say “truly” because I did give a couple of talks about my dental-kidney research in England last year, but I offered myself up on a platter and they kindly accepted.

saving at all costs

Samuel Alexander is a 35 year-old man with active drug use that led to end-stage kidney disease. Recently he added endocarditis, an infection of a heart valve, to the list of things wrong with him. It’s hard to remember he is only 35 because when he talks, his lips pout and his jowls sag like an old man because he has no teeth.

a stranger's advice

She was nearly a year from her 50th birthday, but her brown Samoan skin was smooth like her hair, coiffed just so. A low pompadour was slicked into place with gel. I walked into the clinic exam room to find her face was clenched like she was silently counting down the seconds until she would get up and leave because she didn’t want to be there in the first place.