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#192 Dialysis for the Internist with Joel Topf MD

The Curbsiders Internal Medicine Podcast

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The Importance of Vaccinations in Dialysis

As the patient goes on to dialysis, in many cases, the nephrologist almost becomes the primary care doctor. So I would say that influenza vaccine is another thing that's taken care of by the dialysis units. The guidelines for the dialysis columns are called KEDGO. And every year some dialysis patient comes into an ER with abdominal pain and gets given a fleet's enema and dies. They get hypokalcemia and their heart stops and it's tragic. It says right on the damn box of the fleet'sEnema, don't use if you have kidney problems.

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