In some way , the blame is on us nephrologists for startingbthis this craze back in the 90's

Incremental HD is an option for patient 1 . If one thing i learned from the HD trials over the years is that ' a lump sum " approach of HD prescription to ALL patients is flawed .

Nuance is critical here . Incremental is not for all incident patients . The 25 year old with a clearance of 10 ml/ min and a 24 urine output of 1.5 lt who started dialysis because of severe itching is not the same like the 75 year old anuric heart failure patient .