end-stage kidney disease

so you think you want to stop dialysis?

After recording my latest YouTube video for the fifty-leventh time before getting a usable version, I realized I didn’t answer the question posed by the inspiration email. In the video, I talk about how to bring up the notion of stopping dialysis to the nephrologist, but the writer was asking how to bring it up to their sister on dialysis. Anyone familiar with the vernacular “fifty-leventh” knows that means I did not have it in me to do even one more take. But I can address their question here.

the truth about dialysis

I recently learned that my piece, “When Dialysis Is the Wrong Approach to End-Stage Kidney Disease,” published on the CHCF blog nearly 4 years ago has proven to be evergreen, a story that lives on rather than dying on the vine of whatever is hot at the moment. Last year it was viewed more than 25,000 times, making it a top blog post.

In the piece I argued that not every old person approaching end-stage kidney disease should start dialysis. But judging by some of the folks who have reached out to me, many eyes don’t register phrases like “elderly patients over 75” and “who have dementia or ischemic heart disease.”

how to create racial disparities without saying it's about race

It has been months since I’ve last posted here. Way too long. And to my blog readers, I do apologize. While no excuse for neglecting my writing practice is sufficient, the one that comes the closest is because I have been vigorously promoting my book, followed by desperately trying to catch up with the day job.