Dr. Aaronson: Why did You Send Me Silly Notes?

Lifelong Learning with Dr. Aaronson. Dr. Aaronson provides fun facts about kidney disease, serum electrolytes, nephrology, dialysis, transplant, and blood pressure!

Updated periodically! 

Check back once in a while to gain knowledge!

"Oh so many illustrations" -- Morrissey, Suedehead Live on YouTube

From Recent to Older:

• If a patient is older than 65, is on an antidepressant such as a serotonin selective reuptake inhibitor, and is also taking a diuretic, the risk of hyponatremia (low sodium level) is 148 times greater than the other categories evaluated.

Types of SSRIs for depression:

citalopram (Cipramil)

dapoxetine (Priligy)

Escitalopram (Cipralex)

fluoxetine (Prozac or Oxactin)

fluvoxamine (Faverin)

paroxetine (Seroxat)

sertraline (Lustral)

vortioxetine (Brintellix)

The diuretic or water pill that usually causes this is hydrochlorothiazide.

The risk of hyponatremia increases if a patient is older, is on a SSRI, and also is taking a thiazide diuretic.

• 
  

Dr. Aaronson Shot Down Covid 19 at Bryan Medical Center in Lincoln Nebraska

 

Dr. Aaronson Shot Down Covid-19 at Bryan Medical Center

He receives second vaccine in Lincoln, Nebraska.

Dr. Aaronson opines: "One sweet day! An emotional whirl..." Morrissey Live on YouTube

"And I've never felt so alive

in the whole of my life...

Free yourself. Be yourself...

At last! Your life begins..."

Dr. Aaronson and Beatrice Dialysis Rated a 5-Star Center By CMS!

Dr. Aaronson and Beatrice Dialysis Rated by CMS (Centers for Medicare and Medicaid Services) a five-star center!

The Star rating is for quality of patient care and/or patient experience. 

"The quality rating compares dialysis facilities on important indicators of quality, like how well they avoid unnecessary transfusions and hospital admissions. The quality rating shows how well each dialysis facility delivers care compared to the national average."

Dr. Aaronson opines: Well, it's here right under your nose, and you just can't see it, can you? -- Roy's Keen on YouTube Morrissey

Dr. Aaronson Receives Covid-19 Virus Vaccine at Bryan East. #stop_the_pandemic

 

Thank you, Bryan Health for keeping us safe during the coronavirus / Covid-19 pandemic. From PPE (personal protective equipment) to the vaccine to extra staff, you have done all you can!

Next step: work to get the community vaccinated!

Dr. Aaronson opines his thoughts post receiving the COVID-19 vaccine: "I sit and I smile and I say well done!" -- Morrissey The Girl Least Likely To, Live on YouTube 

THANK YOU! AND God BLESS YOU, Bryan Medical Center! #grateful 

#hospitals and clinics _become_safer_with_ first_responders_vaccinated

Thank you Pfizer for providing such great science! 

Friendly suggestion: please continue to wear your mask and social distance. #we_are_in_this_together!

Dr. Aaronson Reflects on Those Affected By the Pandemic-- All of Us. What We Can Do.

Each day shows new cases reported since the previous day. Models predicted this might happen. Read my previous blog to learn more.

That said,

 

Let's wonder how we have been affected by the pandemic and what we can and cannot do about it.

Watch Well I Wonder on YouTube sung by Jan Romina

Well, I wonder...

Do you hear me when you sleep?

I hoarsely cry!

Oh...

Well, I wonder

Do you see me when we pass?

I half die...

Oh...

Please keep me in mind.

Please keep me in mind!!!

GASPING - but somehow still alive.

This is the FIERCE last stand of all I am.

Gasping - dying - but somehow still alive.

This is the final stand of all I am.

Please keep "me" in mind.

Well, I wonder

Well, I wonder

Please keep "me" in mind.

Keep "me" in mind.

Keep "me" in mind.

Songwriters: Steven Morrissey / Johnny Marr

Dr. Aaronson surrounded by telehealth screens monitoring and caring for patients affected by the pandemic.

All that said, please consider getting the coronavirus vaccine when approved by the FDA.

Learn more about the Benefits of Getting a COVID-19 Vaccine from the CDC.

Dr. Michael Aaronson FEATURED in the Nebraska Medical Association Membership Directory 2020

 

Enjoy access to this valuable resource:
The Nebraska Medical Association Membership Directory, 2020 version is available here, for your consideration.

Notable features of the resource: 

1. Dr. Aaronson is listed by City.
2. Dr. Aaronson is listed by Last Name.
3. A Search Field is available.
4. A Table of Contents is provided.

ENJOY!

Dr. Aaronson's Must Not Miss: Additional Benefits of the SGLT2 Inhibitors and Treating Diabetes 6.12.2020

Start in the center and read like a clock, starting at 1 o'clock and ending at 11.
What are 2 additional benefits of the SGLT2 inhibitors?

What are 2 additional benefits of the SGLT2 inhibitors in addition to blood sugar control?

Note: your primary provider or endocrinologist will prescribe these medications for you. We nephrologists collaborate with your team to help prevent worsening chronic kidney disease. It's important to know the different providers' roles in the management of your care.

In patients with diabetes mellitus and chronic kidney disease, medications in the SGLT2 (Sodium-glucose Cotransporter-2) class of medications, medications that include dapagliflozin (also called Farxiga), empagliflozin (also called Jardiance), and Canagliflozin (also called Invokana) can provide 2 additional benefits besides sugar control. These benefits include:

1. Weight loss: patients can excrete up to 100 grams of glucose per day in the urine. That amount equates to around 300 calories a day of sugar. That's equivalent to around 2 cans of soda pop.
2. The SGLT2 inhibitors decrease the risk of kidney disease and protect patients against acute kidney injury in the future.

When tolerated, the SGLT2 inhibitors are frequently combined with metformin. If you have more interest in this modality of therapy, ask your doctor for more information.

Recommended reading: SGLT2 inhibitors for the prevention of kidney failure in patients with Type 2 diabetes.

Beatrice Dialysis Unit Ranks First Taking Care of Patients with End Stage Kidney Disease

This certificate is awarded to Beatrice Dialysis in Beatrice, Nebraska in recognition of achieving the first Quartile Leaderboard: May 2020

Beatrice Dialysis has been recognized as having been placed in the top 15% of units nationwide. Dr. Michael Aaronson, who is part of the team and currently follows the patients there, has decided to opine:

Dr. Michael Aaronson: Board Certified Nephrologist: The pleasure, the privilege is mine -- Morrissey  on Youtube.

There Is a Light That Never Goes Out...

In summary: Michael Aaronson, Nephrologist / Kidney Doctor and High Blood pressure specialist, who sees the kidney dialysis patients at Beatrice in Nebraska is part of a team recognized for achieving very high-quality scores suggesting the patients at Beatrice Dialysis are getting world-class care.

Dr. Michael Aaronson

I'm I Still Ill? Dr. Michael Aaronson Recommends Preventing the Spread of Covid-19 by Wearing a Mask in Public Places

The risk of transmission of Covid-19 from one person to another: the novel coronavirus is rarely transmitted from person to person when all parties wear a mask. This very low risk of transmission includes the case where a person who has Covid-19 is close to someone who does not have it.

Ask me why (sans mask), and I'll die. Ask me why, and I'll die. And if you must.... Go to work, tomorrow. [Just please remember to wear a mask.]

I'm I still ill? -- Morrissey on YouTube

Historians note: A recent study found that people are most contagious two days before they have symptoms. Another study indicated that if at least 80% of the population wore a mask, we could reduce the spread of COVID-19 by over 90%.

Dr. Aaronson suggests wearing a mask whilst in public to prevent the spread of Covid-19, the novel coronavirus.

Dr. Aaronson Gives Kudos To The University of Nebraska for Their Participation in Remdesivir Trial

The National Institute of Health study demonstrated that Remdesivir sped the recovery in patients with advanced coronavirus, also known as COVID-19.

The first trial participant in the ACTT trial was an American who was repatriated after being quarantined on the Diamond Princess cruise ship that docked in Yokohama, Japan, and volunteered to participate in the study at the first study site, the University of Nebraska Medical Center/Nebraska Medicine, in February 2020.

Morrissey: an oracle and "a reasonably good buy."

Interesting drug, the one that you took. Tell the truth! It really helped you, an interesting drug!

Morrissey An Interesting Drug Live on YouTube

Read more about the ACTT Remdesivir trial.