From the transplant clinic to the dialysis unit (and back again?)

  On the monthly ward round of your satellite dialysis unit you come across a new patient: a man in his mid-50s, originally from Cyprus, who has recently been discharged from the renal ward and transferred to your unit in the last week. From his discharge paper work and chatting to the patient you learn Read More …

A referral from the haematology ward

You are asked to see a 68 year old woman on the haematology ward of a teaching hospital.  From the notes you learn that she has multiple myeloma with IgG lambda paraprotein.  Serum creatinine at the time of diagnosis was 155μmol/l and there was 13g/24h of proteinuria.  Initial treatment was with bortezomib (Velcade), doxorubicin and Read More …