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?