It's an all too familiar scenario.  A patient gets admitted to the hospital under my care. As I review their admission laboratory tests, I suspect they may have chronic kidney disease. My suspicions are confirmed when I take a look at their laboratory tests over the last several months to a year. Then I ask if they have ever been told that they have abnormal kidney function?  They respond by saying either, “No one has ever mentioned that to me” or “Yes my doctor mentioned they were a little abnormal and that we would just watch it for now”.  When I [...]