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  • Scribners Wines
    by John R De Palma, MD, FACP; CEO - Hemodialysis, Inc (Hi)

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    The second in a series of the continuing adventures of Carl Club, medical detective. Scribner's Wines is a commentary about the early days of dialysis in Seattle, Dr. Belding H. Scribner, and a prohibited affinity for California wines.


  • The Case Of The Apathetic Caregivers
    by John R De Palma, MD, FACP; CEO - Hemodialysis, Inc (Hi)

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    One in a series of the continuing adventures of Carl Club, medical detective. The Case of the Apathetic Caregivers finds Carl Club investigating the lack of adequate training of dialysis personnel.


  • Design Requirements for a Water Distribution System in a Hemodialysis Center
    by Philip Andrysiak, BS, MBA, CHT & Philip M. Varughese, BS, CHT

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    Water systems are an integral part of the dialysis facility. They are vital to the safe and effective treatment of the patient. The purpose of this article is to help with the design of a water distribution system that will maintain adequate flow velocities throughout the entire system. This article presents a new approach toward designing the water distribution system for the hemodialysis center. There is no charge to receive the CH credit. It is the reader's responsibility to contact his/her BRN, its equivalent, or other certifying bodies prior to submitting this post-test for CH credits to determine acceptability by the reader's state and/or certifying agency.


  • Body Mass Index and Uremia
    by John R De Palma, MD, FACP; CEO - Hemodialysis, Inc (Hi) & Joanne D Pittard MS, RN; Professor of Allied Health - Glendale Community CollegeDownload Body Mass Index and Uremia

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    This educational article will instruct the student in the use of the body mass index (BMI) and its application in the treatment of the End Stage Renal Disease (ESRD) patients. The BMI is a centuries old formula, which is useful to estimate:
    • malnutrition obesity
    • lean body weight
    • "dry" body weight
    • total body water (TBW)
    • hemodialysis ultrafiltration calculations
    • dialysis dose
    • incidence of diabetes mellitus type II
    • epidemiologic correlations.


  • Body Weight - Body Water
    by John R De Palma, MD, FACP; CEO - Hemodialysis, Inc (Hi) & Joanne D Pittard MS, RN; Professor of Allied Health - Glendale Community College
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    This educational article discusses the concepts of body weight - body water. These 2 concepts which should be - mentally - inseparable when planning the hemodialysis procedure. Body water is the most abundant single substance in the body in the normal, healthy adult. A basic, simple, and clear understanding of body weight - body water should be essential for all who care for End Stage Renal Disease (ESRD) patients.


  • Dialysis Dose
    by John R De Palma, MD, FACP; CEO - Hemodialysis, Inc (Hi) & Joanne D Pittard MS, RN; Professor of Allied Health - Glendale Community College
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    This article will introduce the student to the concepts of dialysis dose and adequacy of dialysis. The student will focus on a single issue, dialysis dose, and the factors that influence the outcome of the hemodialysis procedure. A basic understanding of the risk factors that contribute to the morbidity and mortality rates of the End Stage Renal Disease (ESRD) patient is necessary to improve patient survival.