He was shocked! He asked me why I 'needed' so much dialysis. I was at a loss for a few seconds. This, from a senior urologist!
I explained that the kidneys worked 24 X 7. Dialysis was trying to replace kidney function. So, obviously, more the better.
Hmmmm. I could see the look on his face. Amused. He asked me if I felt better. I said yes.
It was obvious this doctor had not heard about daily dialysis, about nocturnal dialysis, much less about buttonholes or antegrade cannulation. Though he was a urologist, he was also playing the role of a nephrologist for many patients. Many people did not see any other doctor for their kidney disease.
The advances in medicine totally elude these kind of doctors. They have no clue about what is happening in the world outside their hospitals. They are dedicated to their profession, no doubt. But they are too 'old-world' to keep in touch with the latest by getting onto the internet.
The field of medicine is constantly changing. The internet is possibly the only way doctors can keep abreast. Journals are not a substitute.