Feliciano Serrano

Why early vascular access planning can preserve options and why prolonged reliance on a dialysis catheter carries risks.

A practical look at the first ninety days of dialysis access, from vessel mapping and fistula placement to maturation and follow-up.

A choice that gets rushed When a patient needs dialysis access, there is usually pressure to move fast. Kidney function is dropping, someone needs a fistula, a graft, or a catheter, and everyone in the room wants a plan today. I understand the urgency. But

Learning to Be Comfortable With Questions When I entered medicine, I thought learning was mostly about finding answers. You study biology, chemistry, anatomy, and disease. You take exams where there is usually a correct answer and several incorrect ones. If you work hard enough, you

Where My Idea of Service Started Long before I became a physician, my parents taught me something simple. If you are fortunate enough to help someone, you should. I grew up in Los Angeles, and I saw early that people living in the same city