Improving Symptoms of Pain, Erectile Dysfunction, and Depression in Patients on Dialysis
[摘要] As nephrologists, we spend hours on monthly dialysis rounds examining and fine-tuning numbers: hemoglobin, iron saturation, ferritin, phosphorus, calcium, albumin, intact parathyroid hormone, and Kt/V, among others. Yet our dialysis patients are less concerned about whether they meet Kidney Disease Outcomes Quality Initiative guidelines and are more concerned about how they feel on a day-to-day basis, commonly bringing the presence of “nondescript†symptoms to our attention: symptoms we do not know exactly what to do about. We frequently encounter complaints about pain, erectile dysfunction (ED), sleeping disturbance, poor appetite, fatigue, and “Doc, I just don’t feel well;†symptoms that do not necessarily point us to a certain disease to diagnose or a laboratory value to intervene upon, but leave us with the relentless uncertainty of “Well, what do I do now?†This becomes particularly challenging when considering that adding another psychoactive, anticholinergic, or narcotic medication to the long list of medicines already prescribed to such patients may result in no benefit but may increase the risk of adverse events and drug-drug interactions.
[发布日期] [发布机构]
[效力级别] [学科分类] 泌尿医学
[关键词] Bone marrow necrosis;Sickle cell disease;Hyperhemolysis syndrome [时效性]