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<h2 class='date-header'><span>Sunday, November 19, 2017</span></h2>

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From the Front Lines of Hurricane Harvey: A Nephrology Fellow&#8217;s Perspective
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<tr><td style="text-align: center;"><a href="https://1.bp.blogspot.com/-lw6TKVfmvKE/WhJB-AWbE9I/AAAAAAAABTk/0kfl7ijBqwE8Ae4N0TzgEYeSE6nVOiefACLcBGAs/s1600/IMG_1762.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1200" data-original-width="1600" height="300" src="https://1.bp.blogspot.com/-lw6TKVfmvKE/WhJB-AWbE9I/AAAAAAAABTk/0kfl7ijBqwE8Ae4N0TzgEYeSE6nVOiefACLcBGAs/s400/IMG_1762.JPG" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: 12.8px;">Interstate 10 at the 610 Intersection in Houston During Hurricane Harvey (2017)</span></td></tr>
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As a medical trainee I understand firsthand how vital and yet vulnerable our medical infrastructure is. This was hit home earlier this year when Hurricane Harvey hit my hometown of Houston Texas. Living in Houston for 32 years, I have seen many natural disasters come through Houston, Tropical Storm Allison, Hurricanes Rita, Ike and the most recently Harvey. Tropical Storm Allison caused some damage to the Texas Medical Center but the city was able to recover fairly quickly and thus did not lead to significant delays in patient care. However, Hurricane Harvey was much different and led to the second highest death toll in Houston history and has been referred to as the flood of a century. The greater Houston area was inundated with almost 62 inches of rain in some parts, this made Hurricane Harvey the strongest hurricane to affect the Texas Coastal bend since 1961 with Hurricane Carla. With Houston being the 4th most populous city in the United States, this amount of rainfall proved to be very challenging for everyone to navigate. The multitude of interstates, highways, and beltways succumbed to the rain and divided the city into tiny islands. Physical damage aside, the next hurdle to cross was the acute medical care that was needed in light of power outages, lack of medications lost to floods, and inability to get to inpatient and outpatient facilities due to poor road conditions.<br />
<br />
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<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: 12.8px;">Ritu Patel and Pinakin Patel</span></td></tr>
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As a Nephrology fellow (and the daughter of a Houston based Nephrologist) I am all too aware of the unique susceptibility patients with ESKD have when they are cut off from the medical apparatus especially the chronic hemodialysis unit. When it became apparent that patients were having trouble getting to dialysis units, arrangements needed to be made. Patients who were unable to make it to their regular dialysis units were piling into local hospitals leading to the hospital units becoming overwhelmed. Stranded dialysis nurses and technicians unable to come to work further compounded this already dire situation. This further hit home when my father&#8217;s own dialysis unit was unable to dialyze 18 patients. This was not because of power outage or water damage, but the simple fact that his biomed technician and charge nurse were unable to drive to the unit because of flooded streets. My father and I were at the unit but were not able to prep and start the dialysis machines all by ourselves. We examined each patient to ensure there was no volume issues and did have to send one patient to the Emergency Room. We spent the rest of Monday attempting to find roads to navigate to get staff to the dialysis unit for Tuesday. Once we were able to get staff to the unit, we opened our doors to start dialysis again. In this process we realized that we were probably not the only dialysis unit who was having this issue. After we got our regular dialysis patients started on their treatments after missing Monday, we started to reach out to neighboring units and the major hospital in the area searching for patients who needed dialysis. We used social media, Facebook and Twitter, to extend our reach to patients that were not in the area. Being that we are a privately owned unit that was newly opened, we had plenty of empty Tuesday Thursday Saturday seats that were able to accommodate 8 transient patients who were unable to go to their own dialysis unit.<br />
<br />
Aside from extending a helping hand in the dialysis unit, my father and I volunteered some time at the NRG arena make shift shelter. This shelter was in addition to the American Red Cross Center that was set up at George R. Brown Center. The medical care was very efficiently set up. Harris County Health had set up a great mini-clinic as many Houstonians were already registered in the system. CVS and Walgreens also had mini pharmacies set up for patients to pick up their outpatient medications. There was an overwhelming response of community physicians as well that had come out to help. Volunteers ranged from medical students, nurses, residents, fellows, nurse practitioners, and attending physicians, not only from the Houston area but from places all over the United States. Even though there was no hemodialysis being done at NRG, medical director, Dr. Adrogue Jr, opened up Dialyspa in the NRG area to help accommodate the displaced victims get the treatments they needed. As a physician volunteering, I spent my time at NRG arena triaging patients. We decided if the patient could be watched and treated at NRG arena or if they needed to go to the hospital for further evaluation or more complex medical treatment. This was to help alleviate the limited resources many hospitals in the area were facing.<br />
<br />
Hurricane Harvey did leave behind a significant death toll, taking number two to Hurricane Ike. Many lessons can be learned from this.<br />
<br />
<ol>
<li>Preparing patients to be in an alternate location was a key point that proved to be beneficial for patients and caregivers alike.</li>
<li>When patients are armed with information of their past medication history, medication list, and treatment regimens, makes it easier on the transient physician to continue the same regimen.</li>
<li>Ensure that patients carry at least a 5-day supply of medication on their self when a natural disaster is about to hit. A common reason patients presented for medication refills was that the flood waters swept away their medications. Having a pill box stocked with 5 to 7-day supply medication can help bridge the time until a patient can get help.&nbsp;</li>
<li>Make sure an emergency contact is updated for patients is vital. In instances where the patient is unreachable, having an alternate phone number or emergency contact to ensure the safety of a patient will allow physicians to keep better track of them.</li>
<li>In regards to physician preparedness, make sure staff has reliable access to get to work and back home. Without staff, dialysis units are rendered non-functional. In this instance, it would also be helpful if the physician or medical director responsible for the dialysis unit was trained in setting up the dialysis machine and prepping the bicarb and K baths.&nbsp;</li>
</ol>
The experience of working during Hurricane Harvey was very unique. We become accustomed to the luxuries we have when it comes to taking care of patients. When these luxuries are taken away from us, we become helpless. The gratitude for simple gestures was also heartwarming. They know that this assistance is not mandatory and they appreciate the help that they get. It was very nice to see the medical community come together to help out and relieve the burden on the hospitals. Working during Hurricane Harvey, although stressful and dangerous at times, was one of the most rewarding experiences I have had as a physician.<br />
<br />
Ritu Patel, MD&nbsp;<a href="https://twitter.com/RituPatelMD" target="_blank">@RituPatelMD</a><br />
Nephrology Fellow
<br />
Houston Methodist
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2017/01/'>
January
</a>
<span class='post-count' dir='ltr'>(8)</span>
</li>
</ul>
</li>
</ul>
<ul class='hierarchy'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2016/'>
2016
</a>
<span class='post-count' dir='ltr'>(48)</span>
<ul class='hierarchy'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2016/12/'>
December
</a>
<span class='post-count' dir='ltr'>(7)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2016/11/'>
November
</a>
<span class='post-count' dir='ltr'>(3)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2016/10/'>
October
</a>
<span class='post-count' dir='ltr'>(3)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2016/09/'>
September
</a>
<span class='post-count' dir='ltr'>(2)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
<a class='toggle' href='javascript:void(0)'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2016/08/'>
August
</a>
<span class='post-count' dir='ltr'>(3)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2016/06/'>
June
</a>
<span class='post-count' dir='ltr'>(4)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2016/05/'>
May
</a>
<span class='post-count' dir='ltr'>(6)</span>
</li>
</ul>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2016/04/'>
April
</a>
<span class='post-count' dir='ltr'>(4)</span>
</li>
</ul>
<ul class='hierarchy'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2016/03/'>
March
</a>
<span class='post-count' dir='ltr'>(6)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2016/02/'>
February
</a>
<span class='post-count' dir='ltr'>(6)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2016/01/'>
January
</a>
<span class='post-count' dir='ltr'>(4)</span>
</li>
</ul>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2015/'>
2015
</a>
<span class='post-count' dir='ltr'>(55)</span>
<ul class='hierarchy'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2015/12/'>
December
</a>
<span class='post-count' dir='ltr'>(8)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2015/11/'>
November
</a>
<span class='post-count' dir='ltr'>(3)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
<a class='toggle' href='javascript:void(0)'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2015/10/'>
October
</a>
<span class='post-count' dir='ltr'>(3)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
<a class='toggle' href='javascript:void(0)'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2015/09/'>
September
</a>
<span class='post-count' dir='ltr'>(3)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2015/08/'>
August
</a>
<span class='post-count' dir='ltr'>(5)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2015/07/'>
July
</a>
<span class='post-count' dir='ltr'>(1)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2015/06/'>
June
</a>
<span class='post-count' dir='ltr'>(7)</span>
</li>
</ul>
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</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2015/05/'>
May
</a>
<span class='post-count' dir='ltr'>(1)</span>
</li>
</ul>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2015/04/'>
April
</a>
<span class='post-count' dir='ltr'>(5)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2015/03/'>
March
</a>
<span class='post-count' dir='ltr'>(10)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2015/02/'>
February
</a>
<span class='post-count' dir='ltr'>(7)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2015/01/'>
January
</a>
<span class='post-count' dir='ltr'>(2)</span>
</li>
</ul>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2014/'>
2014
</a>
<span class='post-count' dir='ltr'>(86)</span>
<ul class='hierarchy'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2014/12/'>
December
</a>
<span class='post-count' dir='ltr'>(6)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2014/11/'>
November
</a>
<span class='post-count' dir='ltr'>(9)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2014/10/'>
October
</a>
<span class='post-count' dir='ltr'>(6)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2014/09/'>
September
</a>
<span class='post-count' dir='ltr'>(3)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2014/08/'>
August
</a>
<span class='post-count' dir='ltr'>(5)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2014/07/'>
July
</a>
<span class='post-count' dir='ltr'>(8)</span>
</li>
</ul>
<ul class='hierarchy'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2014/06/'>
June
</a>
<span class='post-count' dir='ltr'>(8)</span>
</li>
</ul>
<ul class='hierarchy'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2014/05/'>
May
</a>
<span class='post-count' dir='ltr'>(5)</span>
</li>
</ul>
<ul class='hierarchy'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2014/04/'>
April
</a>
<span class='post-count' dir='ltr'>(5)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2014/03/'>
March
</a>
<span class='post-count' dir='ltr'>(12)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2014/02/'>
February
</a>
<span class='post-count' dir='ltr'>(7)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
<a class='toggle' href='javascript:void(0)'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2014/01/'>
January
</a>
<span class='post-count' dir='ltr'>(12)</span>
</li>
</ul>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2013/'>
2013
</a>
<span class='post-count' dir='ltr'>(113)</span>
<ul class='hierarchy'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2013/12/'>
December
</a>
<span class='post-count' dir='ltr'>(7)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2013/11/'>
November
</a>
<span class='post-count' dir='ltr'>(9)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
<a class='toggle' href='javascript:void(0)'>
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        &#9658;&#160;
      
</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2013/10/'>
October
</a>
<span class='post-count' dir='ltr'>(9)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
<a class='toggle' href='javascript:void(0)'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2013/09/'>
September
</a>
<span class='post-count' dir='ltr'>(6)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
<a class='toggle' href='javascript:void(0)'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2013/08/'>
August
</a>
<span class='post-count' dir='ltr'>(9)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
<a class='toggle' href='javascript:void(0)'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2013/07/'>
July
</a>
<span class='post-count' dir='ltr'>(13)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2013/06/'>
June
</a>
<span class='post-count' dir='ltr'>(13)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2013/05/'>
May
</a>
<span class='post-count' dir='ltr'>(9)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2013/04/'>
April
</a>
<span class='post-count' dir='ltr'>(6)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
<a class='toggle' href='javascript:void(0)'>
<span class='zippy'>

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</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2013/03/'>
March
</a>
<span class='post-count' dir='ltr'>(13)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
<a class='toggle' href='javascript:void(0)'>
<span class='zippy'>

        &#9658;&#160;
      
</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2013/02/'>
February
</a>
<span class='post-count' dir='ltr'>(9)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
<a class='toggle' href='javascript:void(0)'>
<span class='zippy'>

        &#9658;&#160;
      
</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2013/01/'>
January
</a>
<span class='post-count' dir='ltr'>(10)</span>
</li>
</ul>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
<a class='toggle' href='javascript:void(0)'>
<span class='zippy'>

        &#9658;&#160;
      
</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2012/'>
2012
</a>
<span class='post-count' dir='ltr'>(113)</span>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
<a class='toggle' href='javascript:void(0)'>
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        &#9658;&#160;
      
</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2012/12/'>
December
</a>
<span class='post-count' dir='ltr'>(11)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
<a class='toggle' href='javascript:void(0)'>
<span class='zippy'>

        &#9658;&#160;
      
</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2012/11/'>
November
</a>
<span class='post-count' dir='ltr'>(14)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
<a class='toggle' href='javascript:void(0)'>
<span class='zippy'>

        &#9658;&#160;
      
</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2012/10/'>
October
</a>
<span class='post-count' dir='ltr'>(12)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
<a class='toggle' href='javascript:void(0)'>
<span class='zippy'>

        &#9658;&#160;
      
</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2012/09/'>
September
</a>
<span class='post-count' dir='ltr'>(11)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
<a class='toggle' href='javascript:void(0)'>
<span class='zippy'>

        &#9658;&#160;
      
</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2012/08/'>
August
</a>
<span class='post-count' dir='ltr'>(10)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
<a class='toggle' href='javascript:void(0)'>
<span class='zippy'>

        &#9658;&#160;
      
</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2012/07/'>
July
</a>
<span class='post-count' dir='ltr'>(11)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
<a class='toggle' href='javascript:void(0)'>
<span class='zippy'>

        &#9658;&#160;
      
</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2012/06/'>
June
</a>
<span class='post-count' dir='ltr'>(4)</span>
</li>
</ul>
<ul class='hierarchy'>
<li class='archivedate collapsed'>
<a class='toggle' href='javascript:void(0)'>
<span class='zippy'>

        &#9658;&#160;
      
</span>
</a>
<a class='post-count-link' href='http://renalfellow.blogspot.com/2012/05/'>
May
</a>
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April
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February
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January
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2011
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December
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November
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October
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September
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August
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July
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June
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May
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April
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March
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February
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January
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2010
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December
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November
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October
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September
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August
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July
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June
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May
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April
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March
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February
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January
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2009
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December
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November
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October
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September
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August
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July
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June
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April
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February
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January
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2008
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November
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October
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September
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August
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July
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June
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May
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April
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<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/chronic%20kidney%20disease'>chronic kidney disease</a>
<span class='label-count' dir='ltr'>(49)</span>
</span>
<span class='label-size label-size-3'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/diabetes'>diabetes</a>
<span class='label-count' dir='ltr'>(22)</span>
</span>
<span class='label-size label-size-5'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/dialysis'>dialysis</a>
<span class='label-count' dir='ltr'>(132)</span>
</span>
<span class='label-size label-size-4'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/dialysis%20access'>dialysis access</a>
<span class='label-count' dir='ltr'>(29)</span>
</span>
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<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/diuretics'>diuretics</a>
<span class='label-count' dir='ltr'>(15)</span>
</span>
<span class='label-size label-size-5'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/drugs'>drugs</a>
<span class='label-count' dir='ltr'>(88)</span>
</span>
<span class='label-size label-size-4'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/electrolytes'>electrolytes</a>
<span class='label-count' dir='ltr'>(70)</span>
</span>
<span class='label-size label-size-4'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/end-stage%20renal%20disease'>end-stage renal disease</a>
<span class='label-count' dir='ltr'>(52)</span>
</span>
<span class='label-size label-size-3'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/erythropoietin'>erythropoietin</a>
<span class='label-count' dir='ltr'>(15)</span>
</span>
<span class='label-size label-size-4'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/genetics%20of%20kidney%20disease'>genetics of kidney disease</a>
<span class='label-count' dir='ltr'>(72)</span>
</span>
<span class='label-size label-size-4'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/glomerular%20disease'>glomerular disease</a>
<span class='label-count' dir='ltr'>(55)</span>
</span>
<span class='label-size label-size-4'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/history%20of%20nephrology'>history of nephrology</a>
<span class='label-count' dir='ltr'>(37)</span>
</span>
<span class='label-size label-size-2'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/HIV%20and%20kidney%20disease'>HIV and kidney disease</a>
<span class='label-count' dir='ltr'>(11)</span>
</span>
<span class='label-size label-size-2'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/humor'>humor</a>
<span class='label-count' dir='ltr'>(12)</span>
</span>
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<span class='label-count' dir='ltr'>(65)</span>
</span>
<span class='label-size label-size-4'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/hyponatremia'>hyponatremia</a>
<span class='label-count' dir='ltr'>(32)</span>
</span>
<span class='label-size label-size-3'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/ICU%20Nephrology'>ICU Nephrology</a>
<span class='label-count' dir='ltr'>(20)</span>
</span>
<span class='label-size label-size-3'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/IgA%20Nephropathy'>IgA Nephropathy</a>
<span class='label-count' dir='ltr'>(18)</span>
</span>
<span class='label-size label-size-1'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/Image%20of%20the%20Month'>Image of the Month</a>
<span class='label-count' dir='ltr'>(8)</span>
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<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/immunology'>immunology</a>
<span class='label-count' dir='ltr'>(21)</span>
</span>
<span class='label-size label-size-4'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/immunosuppressive%20therapy'>immunosuppressive therapy</a>
<span class='label-count' dir='ltr'>(41)</span>
</span>
<span class='label-size label-size-3'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/infectious%20disease'>infectious disease</a>
<span class='label-count' dir='ltr'>(24)</span>
</span>
<span class='label-size label-size-3'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/interstitial%20nephritis'>interstitial nephritis</a>
<span class='label-count' dir='ltr'>(20)</span>
</span>
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<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/lupus%20nephritis'>lupus nephritis</a>
<span class='label-count' dir='ltr'>(17)</span>
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<span class='label-count' dir='ltr'>(14)</span>
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<span class='label-size label-size-3'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/molecular%20biology'>molecular biology</a>
<span class='label-count' dir='ltr'>(20)</span>
</span>
<span class='label-size label-size-3'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/multiple%20myeloma'>multiple myeloma</a>
<span class='label-count' dir='ltr'>(15)</span>
</span>
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<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/nephrolithiasis'>nephrolithiasis</a>
<span class='label-count' dir='ltr'>(20)</span>
</span>
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<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/Nephrology%20Boards'>Nephrology Boards</a>
<span class='label-count' dir='ltr'>(16)</span>
</span>
<span class='label-size label-size-3'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/nephrology%2Foncology'>nephrology/oncology</a>
<span class='label-count' dir='ltr'>(25)</span>
</span>
<span class='label-size label-size-4'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/nephrotic%20syndrome'>nephrotic syndrome</a>
<span class='label-count' dir='ltr'>(33)</span>
</span>
<span class='label-size label-size-3'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/pediatric%20nephrology'>pediatric nephrology</a>
<span class='label-count' dir='ltr'>(18)</span>
</span>
<span class='label-size label-size-4'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/peritoneal%20dialysis'>peritoneal dialysis</a>
<span class='label-count' dir='ltr'>(35)</span>
</span>
<span class='label-size label-size-3'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/phosphorus%20metabolism'>phosphorus metabolism</a>
<span class='label-count' dir='ltr'>(15)</span>
</span>
<span class='label-size label-size-3'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/polycystic%20kidney%20disease'>polycystic kidney disease</a>
<span class='label-count' dir='ltr'>(26)</span>
</span>
<span class='label-size label-size-3'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/potassium'>potassium</a>
<span class='label-count' dir='ltr'>(24)</span>
</span>
<span class='label-size label-size-3'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/pregnancy%20and%20renal%20disease'>pregnancy and renal disease</a>
<span class='label-count' dir='ltr'>(18)</span>
</span>
<span class='label-size label-size-4'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/proteinuria'>proteinuria</a>
<span class='label-count' dir='ltr'>(35)</span>
</span>
<span class='label-size label-size-3'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/renal%20and%20liver%20disease'>renal and liver disease</a>
<span class='label-count' dir='ltr'>(21)</span>
</span>
<span class='label-size label-size-3'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/renal%20pathology'>renal pathology</a>
<span class='label-count' dir='ltr'>(24)</span>
</span>
<span class='label-size label-size-3'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/renal%20pathophysiology'>renal pathophysiology</a>
<span class='label-count' dir='ltr'>(16)</span>
</span>
<span class='label-size label-size-3'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/renin-angiotensin-aldosterone%20axis'>renin-angiotensin-aldosterone axis</a>
<span class='label-count' dir='ltr'>(16)</span>
</span>
<span class='label-size label-size-3'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/Sodium'>Sodium</a>
<span class='label-count' dir='ltr'>(18)</span>
</span>
<span class='label-size label-size-3'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/toxins'>toxins</a>
<span class='label-count' dir='ltr'>(20)</span>
</span>
<span class='label-size label-size-3'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/transplant%20infectious%20diseases'>transplant infectious diseases</a>
<span class='label-count' dir='ltr'>(24)</span>
</span>
<span class='label-size label-size-5'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/transplant%20nephrology'>transplant nephrology</a>
<span class='label-count' dir='ltr'>(132)</span>
</span>
<span class='label-size label-size-3'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/Urology'>Urology</a>
<span class='label-count' dir='ltr'>(17)</span>
</span>
<span class='label-size label-size-2'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/vasculitis'>vasculitis</a>
<span class='label-count' dir='ltr'>(12)</span>
</span>
<span class='label-size label-size-3'>
<a dir='ltr' href='http://renalfellow.blogspot.com/search/label/water%20metabolism'>water metabolism</a>
<span class='label-count' dir='ltr'>(24)</span>
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<a href='http://renalfellow.blogspot.com/2018/02/kidney-effects-of-liraglutide.html' target='_blank'>
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<div class='item-title'><a href='http://renalfellow.blogspot.com/2018/02/kidney-effects-of-liraglutide.html'>Kidney Effects of Liraglutide</a></div>
<div class='item-snippet'>  Liraglutide (marketed as Victoza or Saxenda) is a glucagon-like peptide -1 (GLP-1) receptor agonist  that is dipeptidyl peptidase-4 (DPP-4...</div>
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<div class='item-title'><a href='http://renalfellow.blogspot.com/2018/02/how-to-answer-board-style-multiple.html'>How to Answer Board-Style Multiple-Choice Questions Like a Boss</a></div>
<div class='item-snippet'>  From Gomerblog http://gomerblog.com/2014/05/medical-specialty     The multiple-choice question (MCQ) is the workhorse of medical education...</div>
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<div class='item-title'><a href='http://renalfellow.blogspot.com/2018/02/fellows-perspective-5-reasons-why-you.html'>Fellow's perspective: 5 reasons why you should attend NBLU</a></div>
<div class='item-snippet'>    What is this? NBLU: &#160; Nephrology Business Leadership University  Who should apply: &#160;US Nephrology Fellows who will be second year in Aug...</div>
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<div class='item-title'><a href='http://renalfellow.blogspot.com/2018/01/steroid-use-in-transplant-hope-of.html'>Steroid use in Kidney Transplantation - The Hope of Harmony </a></div>
<div class='item-snippet'>    Presently, death with a functioning graft is one of the most important causes of kidney transplant failure with the leading cause of dea...</div>
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<div class='item-title'><a href='http://renalfellow.blogspot.com/2018/01/lvad-for-nephrologist-part-1.html'>LVAD for the Nephrologist-Part 1</a></div>
<div class='item-snippet'>    Advanced heart failure is associated with very poor survival rates of about 10 % at one year. Treatment options include cardiac transpla...</div>
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<div class='item-title'><a href='http://renalfellow.blogspot.com/2018/02/starvation-ketosis-rare-cause-of.html'>Starvation Ketosis: A Rare Cause of Metabolic Acidosis</a></div>
<div class='item-snippet'>                 As a child growing up in India, I have seen several family members performing ritual fasting. Fasting is a ubiquitous relig...</div>
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<div class='item-snippet'>   A research team led by Jenny Flythe  at the University of North Carolina have developed a 9-minute dialysis research education video. Div...</div>
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<h2>Other Nephrology-Related Blogs</h2>
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<ul>
<li><a href='http://ajkdblog.org/'>AJKD Blog</a></li>
<li><a href='http://clinicalcases.blogspot.com/2005/07/nephrology-cases.html'>Clinical Cases-Nephrology</a></li>
<li><a href='http://www.kidneydoctorbradenton.org/'>Demystifying Kidney Disease</a></li>
<li><a href='http://www.fixdialysis.com/'>Fix Dialysis</a></li>
<li><a href='http://www.gkaonlineacademy.com/about-us'>Global Kidney Academy</a></li>
<li><a href='https://glomcon.org/'>GlomCon</a></li>
<li><a href='http://www.kidneynotes.com/'>Kidney Notes</a></li>
<li><a href='http://www.leoriella.com/'>Leo Riella (Transplant)</a></li>
<li><a href='http://www.nephjc.com/'>NephJC</a></li>
<li><a href='http://nephrohug.com/'>NephroHug (French)</a></li>
<li><a href='http://blog.ecu.edu/sites/nephrologyondemand/'>Nephrology-on-demand</a></li>
<li><a href='http://www.nephronpower.com/'>Nephron Power</a></li>
<li><a href='http://www.pbfluids.com/'>Precious Bodily Fluids</a></li>
<li><a href='http://redbeans.tulane.edu/'>Red Beans</a></li>
<li><a href='http://www.renalweb.com/'>Renal Web</a></li>
<li><a href='http://www.renalassociation.org/home/'>UK Renal Association</a></li>
<li><a href='http://www.ukidney.com/'>UKidney</a></li>
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<h2>Useful Kidney-Related Links</h2>
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<ul>
<li><a href='http://www.asn-online.org/publications/kidneynews/'>ASN Kidney News</a></li>
<li><a href='http://www.asn-online.org/education/training/fellows/profiles.aspx'>ASN Renal Fellows Page</a></li>
<li><a href='http://www.ajkd.org/'>American Journal of Kidney Disease</a></li>
<li><a href='http://www.kidneyfund.org/'>American Kidney Fund</a></li>
<li><a href='http://www.asn-online.org/'>American Society of Nephrology</a></li>
<li><a href='http://www.a-s-t.org/index.cfm'>American Society of Transplantation</a></li>
<li><a href='http://ejc.cjasn.org/'>CJASN eJournalClub</a></li>
<li><a href='http://cjasn.asnjournals.org/'>Clinical Journal of the American Society of Nephrology</a></li>
<li><a href='http://www.nocturnaldialysis.org/'>Geelong Hospital - Nocturnal Home Hemodialysis</a></li>
<li><a href='http://www.hdcn.com/'>HDCN- Hypertension Dialysis & Clinical Nephrology</a></li>
<li><a href='http://www.michigan.gov/mdch/0,1607,7-132-2940_2955_2959_55706---,00.html'>High Blood Pressure University (U of Mich)</a></li>
<li><a href='http://www.isn-online.org/isn/index.html'>ISN Nephrology Gateway</a></li>
<li><a href='http://jasn.asnjournals.org/'>Journal of the American Society of Nephrology</a></li>
<li><a href='http://www.kidney.org/professionals/KDOQI/'>KDOQI Guidelines</a></li>
<li><a href='http://www.nature.com/ki/index.html'>Kidney International</a></li>
<li><a href='http://www.kidney.org/'>National Kidney Foundation</a></li>
<li><a href='http://www.nephcure.org/'>NephCure: Nephrotic Syndrome and FSGS</a></li>
<li><a href='http://www.nephronline.com/'>NephOnline: Nephrology News & Issues</a></li>
<li><a href='http://www.nephrologyrounds.org/cgi-bin/templates/body/accueil.cfm'>Nephrology Rounds (Brigham and Women's Hospital Nephrology Division)</a></li>
<li><a href='http://www.renalmd.org/'>Renal Physicians Association</a></li>
<li><a href='http://www.ustransplant.org/'>Scientific Registry of Transplant Recipients</a></li>
<li><a href='http://www.unos.org/'>United Network for Organ Sharing</a></li>
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