Tag: kidney failure
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A case of toxic blood
Shruthi DeivasigamaniPhiladelphia, Pennsylvania, United States On a blustery winter day, a molecule of water condenses around a particle of dust in the air. The structure grows in size as it falls closer to earth, and before it hits the ground outside, it has crystallized into a perfect, six-sided snowflake. Miles away, a thirty-one-year-old woman is…
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Nils Alwall—One of the founding fathers of nephrology
Mårten SegelmarkLund, Sweden More than two million people suffering from kidney failure are currently being kept alive by dialysis. But when Nils Alwall was a young doctor eighty years ago, medicine had little to offer to the patients with kidney diseases other than bed rest and tasteless diets, measures that only added new burdens to…
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Scarred for life
Shanda McCutcheonCalgary, Alberta, Canada Most mornings I wake and it does not seem like it happened at all. Still half asleep, I step under the cascading waters of a warm shower without even thinking about it. Life does not seem much different than it did a year ago, except that then I was embarking on…
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Retirement reflections: from code to compassion with Chloe
Gregory RuteckiCleveland, Ohio, United States William May and Samuel Shem have described inadequacies of doctor-patient relationships that are characterized as code models.1,2 May observed that these medical codes binding patients and their physicians together shape relationships similar to habits or rules, are aesthetic, and value style over compassion. Shem wrote The House of God when these…
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A tribe’s fattening culture and its impact on health
Victor John EtukDaura, Nigeria When nineteenth century European explorers began to colonize West Africa, they were shocked by the corpulence of the Efik people of the Nigerian coast—over seventy percent of the population weighed more than ninety kilograms.1,2 Little did the Europeans know that fattening rituals took place behind closed doors, which largely contributed to…