While trying to direct people away from the classic Twigley – Hillman diagram and towards my kinetic diagrams it became apparent that the standard plasma/ interstitial/ intracellular compartment boxes divided by capillary wall or cell membrane is now so ingrained that I have to take a different approach. With thanks
The Manuscript for my Textbook is now with the Publisher, who seems keen to get it on your bookshelf as soon as possible. I shall now try to return to maintaining this website for Starling Ambassadors.
Reflecting on a productive few days chez Duke in Durham NC and delighted to find the ‘new’ (or maybe not so new) fluid physiology is at last gaining traction. You can get a taste at TopMedTalk thanks to my friend and some-time adversary Professor Monty Mythen. Monty is of course an academic
I am very grateful to visitors to this website. Social Media interaction has given me interesting questions to address, though so far no challenges to the principles of my Paradigm for Rational Fluid Prescribing. I know, everyone thinks their point of view is the rational one, but hey… I now
Dear friends and followers of fluidphysiology.org – I think this blog needs an overhaul and will soon start a bit of demolition followed by rebuilding. If there were any pearls among my posts that you would like to keep for posterity or research, now would be a good time to
Got your attention? That’s right, I am discovering that NHS Consultants are refusing to prescribe a licensed treatment for sepsis for fear of being sued or criticised by their peers. To be exact, “Pabrinex Intravenous High Potency, Solution for injection (‘Pabrinex’) provides additional vitamins B and C to correct deficiencies
I have long despaired of Experts, many of professorial appellation, who peddle the obviously oversimplified message that sodium is oedemagenic. In this post I’ll look at the growing body of work on tissue sodium, and we’ll see that plasma sodium concentration does not reflect the overall ECF sodium status. Reports
Things are getting personal in the rearguard action to save the European Medicines Agency Marketing Authorisations for hydroxyethyl starch solutions. Starlingists will be familiar with my own view that ‘therapies’ based on the biophysical oncotic pressure of intravenous fluids are unlikely to make more than a short term difference to
I am grateful to friends in the scientific community who put this paper my way; Katz; INTERSTITIAL SPACE – THE FORGOTTEN ORGAN. 1980 It sort of agrees with my theory that work done more than 25 years ago is presumed ‘of historic interest only’ and may be plagiarised with impunity.
@Interstitium1 says “What’s your body’s biggest organ? Get your mind out of the gutter! It’s me, the #Interstitium. So runs the publicity-grabbing SoMed campaign of neil theise @neiltheise last author of Structure and Distribution of an Unrecognized Interstitium in Human Tissues Before I look at the science let me point you to a nice bit of