Tag: nephrology
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Korotkov’s Sound
Joseph deBettencourt Chicago, Illinois, United States A portrait of Nikolai Sergeevich Korotkov I’m watching, knees bending, Looking meek, my heart quiet, Drifting away are the shadows Of fussy world affairs While I’m envisioning, dreaming of voices from other worlds -Aleksandr Blok, untitled poem, July 3, 1901a Stepping off the train in northern…
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Sir William Gull, polymath and pioneer physician
William Gull (1816-1890) is remembered by nephrologists as one of the prominent Guy’s Hospital physicians who worked to extend the seminal observations first made by Richard Bright. These investigators worked at a time when blood measurements were not available in clinical medicine and the role of hypertension in causing disease was not appreciated. They tried…
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History of nephrology vignettes
Hippocrates: “Those whose urine is merely blood-stained have suffered in the veins. When urine is thick, and there are passed with it small pieces of flesh like hair, you must know that these symptoms result from the kidneys and arthritic complaints.” Bubbles appearing on the surface of the urine indicate disease of the kidneys…
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High blood pressure and the kidney: the forgotten contribution of William Senhouse Kirkes
Excerpt from: “High blood pressure and the kidney: The forgotten contribution of William Senhouse Kirkes” by J. Stewart Cameron and Jackie Hicks The realization of the key role for raised intra-arterial pressure as a pathogenetic agent in hypertension is usually credited to Ludwig Traube. But Traube in his writings gives credit for the idea to a…
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Pierre Rayer (1793- 1867) – first to use microscopy to study kidney disease
Pierre Rayer occupies a special place in the history of nephrology for his attempt to classify the various diseases that Richard Bright had described in his monumental publication of 1827. With his intern Eugene Napoleon Vigla, he revolutionized the study of kidney diseases by using microscopy to analyze urinary sediments, describing crystals, cells, casts, and…
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A fatal and mysterious illness
Michael D. Shulman Philadelphia, Pennsylvania, United States In late 1972, a flurry of letters began to appear in the British medical journal The Lancet which captured the alarm, the bafflement, and the intense professional curiosity aroused by a mysterious new illness. The illness was unique to patients receiving hemodialysis, typically those who had been…
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Mrs. M’s refusal
Ladan Golestaneh Bronx, New York, United States My role as a physician includes foregoing a prescriptive approach to some patients in favor of a supportive one. Yielding to a belief system that does not fit the structure of my many years of training feels like a personal failure. But sometimes I know I have…
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Fifty years on an Englishman recalls Cook County Hospital
Simon CohenLondon In 1968 I was a senior registrar at a London teaching hospital. My ambition was to become a staff member at a major London institution and at that time one of the requirements was a qualification known as the BTA (Been to America). My chief, probably correctly, recognized that I was not much…
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Dr. Willem J. Kolff: a great man
George Dunea Chicago, IL In Memoriam Willem J. Kolff: A great man Willem Kolff, often called the father of the artificial kidney,died in January 2009, 3 days before his 98th birthday. During his long life he received numerous honors and accolades for his work. Many people thought he should have received the Nobel Prize, but as he once…
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There is a time
Joel L. Chinitz Philadelphia, Pennsylvania, United States Vanitas, 1686 Adriaen Coorte, Dutch (1660–1707) Oil on canvas 19.72 × 16.3 in When the doors flew open, the noisy hoard—many in dirty, white jackets and floppy, bloodstained, green pants—circled the nurses’ station and overran the medical Intensive Care Unit. Wednesday renal rounds had begun. As two…