I left a couple of questions hanging prior to starting a vacation. Two days of football watching, golf playing, wine drinking and great camaraderie will continue today and tomorrow. This morning I did awaken early and go to the workout facility, continuing my exercise pattern.
When last I blogged, I posed a question about the circumstances that negative eGFR. We had a classic example of a patient who had bilateral AKA. Here is my list, I hope that readers will add if I have omitted any important examples.
- Significant amputations (like our patient)
- Cord injury (paresis decreases muscle mass dramatically)
- Some muscular dystrophies
- Acute renal failure (remember the eGFR formulas assume a stable creatinine)
Over the next few days I will contemplate the big issues for 2010. At some point I will blog about the issues that I plan to put my focus. Of course, my predictions could be lame, I hope you will read and critique.
Happy New Year and Happy New Decade!
