Agree. Cooled dialysate may not be the solution. In fact prior studies showing lower FA with cooler dialysate are worrisome- lower FA is not exactly a ‘good’ sign. Lower FA is associated with dementia!

So true. We have to remind people what it was like before we had vaccines. It’s easy to forget if you haven’t witnessed this yourself.

Many important tasks in nephrology are not RVU generating. Dialysis is. We gave up our other revenue generating tasks to IR and ICU. The problem may not with nephrology but with running health care as a for profit/ business where nephrologists are not appropriately compensated.

I will post this forever...