Andrew B. Chung said:It seems you would attempt to stifle Jason with your MD training.
I would certainly like to stifle Jason from giving out potentially
dangerous medical advice. The same goes for others in this group who
post such advice.
Quoted message said:If you had more integrity, you would publicly acknowledge that
hyperkalemia is an immediately lifethreatening condition whereas neither
moderate renal insufficiency nor type 4 renal tubular acidosis (RTA) can
kill someone outright.
Doctors and patients frequently tolerate mild degrees of hyperkalemia to
allow for the continued renal protection of being on an ACE inhibitor.
Ending up on dialysis is not all that pleasant and many people would
accept some slight increased risk of death for a significant decrease in
the risk of dialysis.
What I'll publicly acknowledge is that I do not have adequate
information based on the original posting to be providing medical
advice. There are certainly situations in which I would consider keeping
someone on an ACE inhibitor in the face of hyperkalemia to be extremely
dangerous and extremely foolish. But I don't know enough to know whether
this was one of those situations. Why are you so sure it was?
--
David Rind
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