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Surgical Reminiscences |

The Practice of Critical Care Surgery While on Long-term Hemodialysis

Marvin A. McMillen, MD
Arch Surg. 2004;139(9):1019-1021. doi:10.1001/archsurg.139.9.1019.
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I had 23 years to prepare for February 4, 2002, my first day as a patient on chronic hemodialysis, yet I was completely unprepared for it. I was diagnosed as having polycystic kidney disease in 1979, while a transplant immunology fellow at the University of Minnesota, and had 20 years of advice and guidance from some of the world's best nephrologists and transplant surgeons on how to preserve kidney function and do well on dialysis. But I quickly found that the view from the shore of the river is much different than it is when swimming in the swift-flowing current.

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