Nurturing a new department
Alan Watson recently won “Best Doctor” at the WellChild awards
I was nominated by the play therapist and social worker on behalf of our multiprofessional team in appreciation of the hard work that had gone into establishing, developing, and nurturing a unit over 25 years to serve a population of 6 million in the east of England.
When children are growing and developing, any chronic illness can impede those goals. With kidney disease it is not only the drama of hands on intensive care with acute kidney injury, biopsies, dialysis, and transplantation but also all the psychosocial aspects of care embracing educational, social, and psychological goals. There is never a dull moment.
The kidney makes about 180 litres of filtrate a day, but only two litres are passed as urine. This emphasises the tremendous reabsorptive capacity of the tubules and is one of the reasons that acute kidney injury can have such a major impact on prognosis in acutely ill