Tagged: Acute Kidney Injury

Hot oil baths and other things to do on World Kidney Day 2015 - Kidney Punch

John Pickering Mar 11, 2015

“In ancient times the Persian philosopher Avicenna [Ibn Sina] noted that urine may be retained in crisis of fever (s393) and prescribed hot oil baths (s413)(1). Unfortunately, apart from the supportive therapy of dialysis, there has been little progress since in the treatment of acute kidney injury (AKI).”(2) Given that getting AKI at least doubles […] … Read More

Cheesecake files: Just how deadly is it? - Kidney Punch

John Pickering Nov 27, 2014

Everyone said it did, but how did they know and by how much?  Statements like “The development of AKI [Acute Kidney Injury] after CPB [Cardiopulmonary Bypass Surgery] is associated with a significant increase in infectious complications, an increase in length of hospital stay, and greater mortality.” (Kumar & Suneja, Anaesthesiology 2011 14(4):964) are common place […] … Read More

Can Doctors and Nurses help Dialysis patients recover? - Kidney Punch

John Pickering Nov 07, 2014

In the case of dialysis dependent acute kidney injury patients this is a question which Dr Dinna Cruz  and colleagues (University of California San Diego) are asking and seeking opinions from both nephrologists and non-nephrologist doctors and nurses involved in care of dialysis patients.  It was a question which arose out of discussions at this […] … Read More

Cheesecake files: A stadium full - Kidney Punch

John Pickering Aug 06, 2014

As we’ve been enjoying the World Cup and the Commonwealth Games my latest cheesecake appeared in print online. The topic once more is Kidney Attack biomarkers – those pesky little proteins in the urine that appear when your kidney is injured.  This time I have been getting stuck into some math (sorry) to try and … Continue reading → … Read More

Does being unconscious mean you should miss out? - Kidney Punch

John Pickering May 14, 2014

The front page of the Herald this morning questions the participation of unconscious patients in clinical trials. While I understand Auckland Women’s Health Council co-ordinator Lynda Williams unease, I also detected a failure to understand the process of how progress in medicine is made. First, all research in such cases is approved by ethics committees which include … Continue reading → … Read More

A new entity is born: CDaR - Kidney Punch

John Pickering Aug 29, 2013

Have you ever been told the blood test is positive and the disease in question is shocking – Cancer, an STD (but you don’t sleep around!), MS?  Have you every wondered why it is that some drugs get withdrawn years after, and millions of prescriptions after, they were first approved?  Surely, you’ve read a headline … Continue reading → … Read More

Nelson Mandela is on dialysis - Kidney Punch

John Pickering Jul 06, 2013

CNN is reporting Nelson Mandela is on dialysis. http://t.co/HZTIlmGrtO.  This means he is suffering from Acute Kidney Injury, the disease I study.  Having to have dialysis is very serious. Unfortunately, survival rates are only about 50% by this stage, less in the very elderly.  Dialysis is not a treatment, merely a support for the kidney to … Continue reading » … Read More

Too little pee - Kidney Punch

John Pickering Jun 26, 2013

This week’s post is really about the coloured stuff & why too little of it is dangerous.  Note, I say coloured stuff because it aint just yellow – check out this herald article if you don’t believe me (or just admire this beautiful photo). Story time A long time ago, when Greeks wore togas, and … Continue reading » … Read More

Injury, function, and death - Kidney Punch

John Pickering May 29, 2013

When they say your tests are positive for a disease just what do they mean?  If it is a simple blood or urine test often they mean that the concentration measured is outside (above or below) some  reference range.  In my field of Kidney Attack (a.k.a. acute kidney injury: AKI) two tests of the same … Continue reading » … Read More

H7N9 kills and attacks kidneys - Kidney Punch

John Pickering May 24, 2013

27% of patients with H7N9 Influenza A died.  This is the finding of a report just released  in the New England Journal of Medicine is a study of 111 of the 132 confirmed cases of H7N9 Influenza A*. Acute Kidney Injury or “Kidney Attack” was amongst the most common complications. Of the 111 patients we … Continue reading » … Read More