Thursday, 20 September 2018

Sex, Drugs, and... CKD


A few days ago, I've seen on Twitter that the next @rasprclub meeting, which is going to be held in Leeds this autumn, will cover a usually undervalued theme: Sex and the Kidney.

Risultati immagini per sex drugs



This has always been an interesting theme for me, one of my first presentation more than 10 years ago was on this topic. Although not really updated, I think this is still a good starting point for all those interested in approaching the topic.

Here's the link to my presentation: SEX, DRUGS, AND... CKD

Thursday, 4 January 2018

Finding a human touch in digital age medicine

When I was at Med School, one of my favorite question was: "What does it mean to be human in nowadays medicine?". So far, I have been unable to answer it adequately. Nevertheless, this still unanswered question deserves a comment. I find really interesting how this question and its meaning have changed over years. Asking today the same question today, I would say: "What does it mean to be human in the age of digital medicine?"

Making the real patient in front of them an iPatient, nowadays doctors are losing their human touch. Once upon a time the practice of Medicine was believed to be something between science and art, now it is becoming a "mere technology". Clinicians are now techno-doctors, they work like computers in a world of computers. We need to regain our human touch.

Not surprisingly, there are many doctors who are currently struggling to lead the technological change of the digital medicine bringing a human touch in it. Abraham Verghese, professor of Medicine, at Stanford University, is one of the most representative figure of this battle. His commitment for a more human patient-doctor relationship is an example of how the oldest values of Medicine may be preserved in our everyday clinical practice, facing the many challenges of technology.

Sunday, 15 October 2017

Challenging Choices in Nephrology: Should dialysis be offered to advanced cancer patients?


Decisions at the end of life are always challenging...

Should dialysis be offered to patients with advanced cancer?

I think there is only one response to this question: Clinical Judgement.
What is Clinical Judgement? It's hard to define, but certainly Clinical Judgemenet should be seen in the 3 domains of pathos, ethos and logos.


I give some, hopefully useful, advices to answer this question in this lecture



Wednesday, 27 September 2017

Good night stories for mankind

I have just listened an amazing story. I need to share it:

In 1954, #RaulFollereau asked Russia and US presidents to donate the cost of one B52 bomber for the treatment of the leprosy patients. He had estimated that money would have been enough to treat all world leprosy patients. Follereau didn't receive any response to his letter. Some years later, he saw several dismissed B52 bombers. He said himself "Here are my 2 airplanes too... Now it's too late, the 2 presidents of Russia and US are retired and they have missed a great opportunity and a great and pleasant memory for their retirement".

Friday, 21 July 2017

My lost lecture on FLCs test in kidney diseases


Last year, I was honoured to give a lecture on the clinical use of the Free Light Chains test in kidney diseases. It was my first time as a presenter in one of the most popular Universities of Rome.


It was very exciting to take the stage after such a big name of Clinical Medicine as Prof Giampaolo Merlini. Fortunately, it was a success.


Many delegates asked me to share my slides, but, moving back at home, I lost my USB drive... I found it only two days ago.

So, here's my Lost Lecture 

A lecture on the use of Body Composition Monitor

A few months ago, I gave a lecture con BCM use in dialysis.
Here's the link to the slides:


 https://www.dropbox.com/s/jvst82uxds8e7qw/BCM%20Fresenius%202.ppt?dl=0 

Tuesday, 9 May 2017

Physical examination skills and NNT: number needed to teach

A number of physical examination techniques have been abandoned because of poor reproducibility. Studies have shown that many physicians are unable to use them appropriately. Thus it seems, they simply don't work. Is this type of evidence really applicable to the teaching of physical examination?
Is there any threshold or any NNT (number needed to teach) to justify the emerging practice of omitting the teaching of this techniques?
Why shouldn't we continue to teach these techniques even if there will be only 1 of 1000 students skilled enough to perform them successfully?