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Articles by Anna Gaddy
A nephrologist gives a kidney, receives hope
Key takeaways: Nearly 90,000 people are waiting for a kidney transplant. About 20,000 transplants are performed each year, and nearly 3,500 donated kidneys are discarded. Alternatives to kidney donation are needed. Last winter, I donated my kidney to a stranger. As a nephrologist, I see people every day who need a gently used kidney, and having two myself, I could not see fit to hold on to both. The experience gave me a look into a field I work closely alongside but did not fully understand.
A nephrologist gives a kidney, receives hope
Key takeaways: Nearly 90,000 people are waiting for a kidney transplant. About 20,000 transplants are performed each year, and nearly 3,500 donated kidneys are discarded. Alternatives to kidney donation are needed. Last winter, I donated my kidney to a stranger. As a nephrologist, I see people every day who need a gently used kidney, and having two myself, I could not see fit to hold on to both. The experience gave me a look into a field I work closely alongside but did not fully understand.
Fall: Diese 72-Jährige ist gestürzt – und zeigt eine Hyponatriämie
close Sind Sie sicher, dass Sie sich ausloggen wollen? Eine 72-jährige Frau wird in die Notaufnahme gebracht, nachdem sie bewusstlos am Fuß einer Treppe aufgefunden wurde. Wie lange sie dort gelegen hat, ist unklar. Aus der Anamnese ergeben sich mehrere relevante Vorerkrankungen: arterielle Hypertonie, eine Angststörung sowie ein Alkoholmissbrauch. Die Patientin nimmt regelmäßig Alprazolam, Losartan, Fluoxetin und Ibuprofen ein.
How to Be a ‘Nurse Tree’ for Your Mentees
I’ve had the good fortune to spend the last four months working at St. Erik’s Eye Hospital in Stockholm, Sweden. Eleven years ago, I’d worked at St. Erik’s filling in for three surgeons on maternity leave; the medical culture and work-life balance impressed me and I’d always wanted to return. Beyond that, I wanted to live for a time in Sweden because I have Swedish heritage. Specifically, my great-grandfather was from the small inland island of Visingsö, which is located in Lake Vättern.
As a family medicine physician, I often receive the following question from patients: “Are multivitamins actually worth my money, or are they just a waste?” The utility and effectiveness of multivitamins for general health purposes has long been a topic for debate.
There are many things over the last 11 years I have learned in my role as a nurse practitioner. I certainly would not be able to write them all down into a list, but there are six that I fall back on almost daily (in no particular order). 1) What you don’t know can hurt you and others. It can be hard to figure out the parameters of your role and the depth of your knowledge level when you are new at this job.
NKF Spring Clinical Meetings: Excellent Kidney Care-For All
Spring Clinical Meetings are around the corner and it’s time to start making my itinerary. As I look through this year's program, it’s hard to not be excited by the state of nephrology care today. Kirk Campbell, whose innovative work on IgA nephropathy and with the Kidney Precision Medicine Project I admire, will be giving the NKF Presidential Address. From there, there’s a few sessions I will be heading toward.
A 72-Year-Old Woman Is Found at the Bottom of a Staircase
close Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. Editor's Note: The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians, but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions.
19-Year-Old With Confusion and Kidney Failure
close Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. Editor's Note: The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians, but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions.
Management of Hypertension in Diabetic Kidney Disease
1. Introduction When considering the treatment of hypertension in diabetic patients with chronic kidney disease, two main questions arise: What should our target blood pressure be, and what pharmacologic interventions should we use to achieve these targets? The answer to the first question has been the topic of much debate over the past decades, with a shift from a less intensive 130/80 goal historically to a trend toward tighter control post-SPRINT reflected in 2021 KDIGO Guidelines [1].
How Two Weeks of Summer Camp Restored My Love for Medicine
Op-Med is a collection of original articles contributed by Doximity members. I didn’t realize how low my candle was burning. My first year out of fellowship was one of grueling scheduling, a dangerous hour-plus long commute after night shifts, and learning the heroic yet unrealistic expectations of community emergency medicine.
The Arc of Our Careers Is Long, But Always Changes. Don't Take It Personally
Op-Med is a collection of original articles contributed by Doximity members. As a middle-career “Gen X” private practice physician, I find myself going to more and more physician retirement parties for my senior colleagues and partners. Some of these were elaborate, speech-laden bourgeois galas and some quiet, intimate send-offs. I very much doubt that my own retirement one day will involve the unveiling of my “official” portrait.
Critical Feedback Is Actually Critical
Op-Med is a collection of original articles contributed by Doximity members. “OK, OK, one second, you did what?” There is a flurry of activity at the bedside of my ICU patient who is, simply put, not doing well. “I adjusted the vent … I increased the respiratory rate.” I look at the resident standing across from me. She is visibly anxious. She has told me before that she looks up to me, and I know that I make her nervous. The patient we are caring for is very, very ill.
NKF SCM 2023: Shaping Clinician Advocates for Health Equity
Op-Med is a collection of original articles contributed by Doximity members. The emergence of sodium glucose transporter type 2 inhibitors has brought overwhelming optimism for those who treat chronic kidney disease. For the first time in decades, the nephrology community has been able to offer patients hope of a life without kidney failure. At the same time, we are faced with the harsh reality that many patients literally cannot afford these life-improving and lifesaving medications.
Skeleton Key Group Electrolyte Case 14: Salt-Wasting in a Newborn
Welcome to the 14th case of the Skeleton Key Group, a team of 40 – odd nephrology fellows who work together to build a monthly education package for the Renal Fellow Network. The cases are actual cases (without patient identifying information) that intrigued the treating fellow. Hello nephro nerds! This time we bring you a baby case (diaper alert!) of hyponatremia and hyperkalemia! Let’s see if it intrigues you as much.
A physician on the importance of taking pause
Anna Gaddy, MD | Conditions | August 31, 2020 “I’m one of the doctors taking care of your dad.” As a resident, I made this call countless times. Even more than breaking bad news to patients, I feared surprising their families at night by telephone. Nearly always, though, people were calm and certain despite the circumstances, and their response was always the same: “Do whatever you have to do.” As a fellow, I looked forward to leaving those calls behind.
What COVID-19 taught me about autonomy
Anna Gaddy, MD | Conditions | March 10, 2020 I came back from a family vacation to Italy one day before the first case of novel coronavirus was reported there. Two days later, the CDC issued a Level 3 travel warning for visitors to Italy. Eight days later, and six days after returning to work, I got a fever. I live in Indiana, where no cases have been diagnosed, and our protocols are still green.
Intelligence does not protect against the worst of life's cruelties
Mr. O has a drinking problem. More specifically, Mr. O drinks far too much and far too often, and for reasons that can’t be addressed with the tool he’s chosen. I met him at what could be called the low point of his life, except I know better than to hope things will look up. On a night I covered the intensive care unit, this particular man ascended from the coma of liver failure and wanted answers. His family, just arrived in town, were in the room as well.
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