PhosLo

Let me tell you about PhosLo. It’s one of those workhorse medications in nephrology that doesn’t get flashy headlines, but in the trenches of managing end-stage renal disease (ESRD), it’s absolutely fundamental. When I started my fellowship, the senior attending threw a chart at me—figuratively, of course—and said, “Your job is to get Mr. Henderson’s phosphorus under 5.5. He’s on calcium carbonate and it’s not cutting it, and his PTH is climbing.