180

Mr. R wheeled Mr. J into the exam room 90 minutes late. Since patients often wait an hour or more to see us here in the county clinics, it was not an issue for me. But there was an air about Mr. R that let me know I was in for a special encounter.

low hanging fruit

Nearly 2 years ago, as my desire to move from whine to action with regard to how we care for patients with end-stage kidney disease grew, I joined the American Society of Nephrology’s (ASN) Dialysis Advisory Group (DAG). This was very much a calculated action.

if he was my father

Mr. Navarro is 79 years old and shakes my hand with his left because rheumatoid arthritis has twisted the right like a pretzel. But even with the left, the shake is not the firm palm-to-palm fingers wrapped around my hand kind of shake.