http://disqus.com/by/nikhil_nephro/enSat, 07 Feb 2009 20:48:57 -0000http://www.kidneynotes.com/2009/02/13-things-i-hate-about-nephrology-by.html#comment-6075303<p>There is a characteristic difference between the care of a renal patient in a developing country and the US. NO ONE pays for the treatment of renal patient in India. Transplants are financial impossibility for 90% of all ESRD in India. Nobody understands the importance of renal disease PREVENTION. NSAIDS are the 2nd largest selling medicines (Diclofenac) after cough syrup in India. <br>But, never mind the problems which are insurmountable, Nephrology ROX!!</p><p>Not only is the study of Nephrology fascinating, but the application of the same to practice, to delay ( i agree "delay", but then who would not want to live for one more day???) the progression is challenging and rewarding. <br>Eagerly reading journals for that new something which will DELAY the progression, again the anticipation of something new is infectious.<br>Sitting on a quiet evening thinking what you can do for PREVENTION and coming on a brilliant idea on how to educate doctors and patients about CKD and prevention in your own local area - again something that would be rewarding in the long run.<br>Nephrology is just like LIFE, the approach is more than anything else. and PATIENCE pays.<br>I beleive it is very satisfying. <br>Most importantly, you can atleast give your patient HOPE.<br>I know a lot of Nephrology in India rides on luck, hope, happiness, desperation but nonetheless Nephrology works and i am sure it is just a matter of time before the scene here improves.<br>Till then.....</p>nikhil_nephroSat, 07 Feb 2009 20:48:57 -0000