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Cruise Conference Planning For Your Association

Current Topics in Nephrology and Rheumatology

Royal Caribbean's <em>Freedom of the Seas</em>
Royal Caribbean's Freedom of the Seas
7-Night Southern Caribbean Cruise
Round-trip San Juan, Puerto Rico

August 09 - 16, 2020
14.0 AMA PRA Category 1 Credits™
14.0 Contact Hours

Course Fees:

$895 for Physicians, Attorneys, Psychologists, Doctors of Pharmacy, & Dentists
$695 for Physician Assistants
$695 for Nurse Practitioners
$495 for Nurses, Residents, Students & Others

IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the University at Sea® meeting group through University at Sea® at 800-926-3775 or by registering online. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.

Mohanram Narayanan, MD, FACP, FNKF, FASN, FRCP(C)

Mohanram Narayanan, MD, FACP, FNKF, FASN, FRCP(C)
Clinical Associate Professor of Medicine, Texas A&M HSC COM
Director, Division of Nephrology & Hypertension
Chief, Section of Clinical Transplantation 

Dr. Narayanan received his medical degree at Christian Medical College, Ludhiana, India, and completed residencies in Internal Medicine at the Post Graduate Institute of Medical Education & Research, India and at Cook County Hospital, Chicago, Illinois. He completed clinical fellowships in Nephrology at the University of Illinois College of Medicine at Chicago, Illinois, and at the University of Texas Southwestern Medical Center at Dallas, Texas. He is board certified in Internal Medicine, Nephrology, and Geriatric Medicine and is a Certified Specialist in Hypertension by the American Society of Hypertension.

Dr. Narayanan is an Associate Professor of Medicine at the Texas A&M Health Science Center-College of Medicine and Baylor Scott & White Healthcare in Temple, Texas, where he serves as Director, Division of Nephrology-Hypertension and Medical Director of the Abdominal Transplant Program.

A fellow of the National Kidney Foundation, the American Society of Nephrology, the American College of Physicians and the Royal College of Physicians and Surgeons of Canada, Dr. Narayanan&apos's clinical practice focuses on all aspects of Nephrology as well as kidney and pancreas transplantation. 

A frequent lecturer, presenter, and author, Dr. Narayanan's work has been published in several peer reviewed journals including the American Journal of Kidney Disease, American Journal of Transplantation, Annals of Emergency Medicine, Hemodialysis International, Investigative Radiology, and Journal of the American Society of Nephrology , among many others. He is also the Principal Investigator for several industry sponsored clinical trials. Dr. Narayanan serves on the editorial board of the journal Advances in Chronic Kidney Disease and is a reviewer for the American Journal of Transplantation .

Ronald R. Butendieck, JR, MD, FACP

Ronald R. Butendieck, JR, MD, FACP
Assistant Professor of Internal Medicine
Rheumatology Consultant
Mayo Clinic
Jacksonville, FL Dr. Ronald Butendieck is an Assistant Professor of Internal Medicine at the Mayo Clinic. He received his undergraduate degree of biochemistry and molecular biology at Rollins College in Winter Park, Florida and his Doctor of Medicine degree at the University Of Florida College Of Medicine. He then completed his Internal Medicine residency and his Rheumatology Fellowship at the Mayo Clinic. He is actively involved in teaching Internal Medicine Residents and Rheumatology Fellows at the Mayo Clinic and has received the Top Teacher in Rheumatology Award three times as a consultant at the Mayo Clinic.

Dr. Butendieck has an interest in Behçet's disease and has presented on the topic of Neuro-Behçet's at the 16th International Conference on Behçet's Disease in Paris, France and the 56th Annual Australian Rheumatology Association Conference in Adelaide, Australia. He is the contributing author on the topic of Behçet's for the National Organization for Rare Disorders. He has also given numerous national and regional presentations and authored peer-reviewed articles and book chapters.

Dr. Butendieck maintains membership in the American College of Rheumatology, American College of Physicians and the American Medical Association. In 2017, he was elected as a Fellow in the American College of Physicians. He currently serves on the Mayo International Health Program Selection Committee and the Humanities in Medicine Subcommittee.

Our staff can assist you with all your travel arrangements.

Target Audience
Nurses, Nurse PractitionersPhysicians, Physician Assistants, Pharmacists
Program Purpose / Objectives
Thepurposeoftheselectures istoequiptheattendeeswiththenecessaryclinicalskillsandstrategiestoidentify,
evaluateandmanageeither individually or as part of an interprofessional team, commonclinicalproblemsinNephrologytooverall improvepatientcare.Thelectureswillhelp the healthcareprovider(s)beconfidentinthe:
  • Approachtoevaluatingurinalysisandhyponatremia
  • Recognitionofrenovascularhypertensionandchronickidneydisease
  • Appropriateuseofdiuretics
  • ManagementofAcute Kidney Injuryandpoisonings.

Neurology topics:
  1. Urinalysis - A Window into the Body
    • Describe methods of urine collection.
    • Interpret physical and dipstick examination of urine.
    • Identify microscopic elements in urine sediment.
    • Solve clinical cases with abnormal urinalyses
  2. Understanding Diuretics
    • Describe classification and mechanism of action of diuretics
    • Review clinical uses and adverse effects
    • Define diuretic adaptation and resistance
  3. Acute Kidney Injury
    • Review definition, epidemiology, course and burden of AKI
    • Recognize common causes of AKI and identify risk factors
    • Discuss the medical management of AKI in the hospitalized patient
    • Illustrate with case presentation
  4. Poisonings in Nephrology
    • Discuss different medications and poisonings seen in clinical practice
    • Review the clinical presentation of these poisonings
    • Describe the management of these poisonings
  5. Disorders of Water Balance
    • Define osmolality and tonicity
    • Describe approach to hypo and hypernatremia with case presentations
    • Review steps and pitfalls in management of hyponatremia
  6. Renovascular Hypertension
    • Review the pathophysiology of renovascular hypertension
    • Describe patients at risk for developing ischemic nephropathy
    • Describe diagnostic evaluation of renal artery stenosis
    • Discuss management of patients with atherosclerotic renal artery stenosis
  7. Chronic kidney Disease - A Call to Action
    • Facilitate timely testing and intervention in patients at risk for CKD.
    • Apply appropriate clinical measures to manage risk and increase patient safety in CKD.
    • Comanage and refer to nephrologists, when appropriate, to improve outcomes in CKD.

This purpose of this lecture series is to provide health care providers with the latest tools to evaluate and initiate early treatment for a variety of common rheumatic diseases. By the end of the lecture series, attendees will be able to diagnose and initiate treatment for rheumatoid arthritis, Sjogren's syndrome, polymyalgia rheumatica, giant cell arteritis, gout and pyrophosphate deposition disease. Attendees will also be able to critically analyze lupus serology and explain the poor specificity of the anti-nuclear antibody.

Attendees will be able to describe key clinical findings in scleroderma and discuss the role of an echocardiogram, pulmonary function test and high resolution CT scan of the chest to screen for and identify interstitial lung disease and pulmonary arterial hypertension. Finally, attendees will be able to outline a plan for timing of immunizations and elective surgery for patients who are being treated with immunosuppressive agents for their rheumatic disease.

Rheumatology topics:
  1. Rheumatoid arthritis: Diagnosis and management
    • Diagnose and initiate treatment of rheumatoid arthritis
  2. Lupus: A case-based approach
    • List the most common clinical and laboratory features of lupus
  3. Sjogren&aposs syndrome: Beyond sicca
    • Identify extra-glandular features of Sjogren's syndrome and outline a treatment plan for most common manifestations.
  4. Scleroderma: A systemic disease
    • Describe key clinical features scleroderma.
    • Accurately select patients who require more immediate investigations to identify cardiopulmonary disease.
  5. Polymyalgia rheumatica and giant cell arteritis
    • Diagnose polymyalgia rheumatica and initiate treatment.
    • Diagnose giant cell arteritis and initiate treatment
  6. Gout and calcium pyrophosphate deposition disease
    • Use the ACR/EULAR guidelines to diagnose and treat gout.
    • Differentiate between gout and pyrophosphate deposition disease.
  7. Rheumatologic medications: what you need to know
    • Summarize key potential risks when using disease modifying anti-rheumatic drugs (DMARDs).
    • Develop a plan for the appropriate administration of immunizations and timing of surgical procedures in patients who are being treated with DMARDs
Conference Sessions generally take place on days at sea (as itinerary allows), giving you plenty of time to enjoy your meals, evenings and ports of call with your companion, family and friends.
Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.

Cruise Itinerary

Sun Aug 09 San Juan, Puerto Rico
- 8:30 pm
Mon Aug 10 *At Sea - Cruising
- -
Tue Aug 11 Oranjestad, Aruba
8:00 am 9:00 pm
Wed Aug 12 Willemstad, Curacao
8:00 am 8:00 pm
Thu Aug 13 Kralendijk (Bonaire), Antilles
8:00 am 5:00 pm
Fri Aug 14 *At Sea - Cruising
- -
Sat Aug 15 Philipsburg, St. Maarten
8:00 am 5:00 pm
Sun Aug 16 San Juan, Puerto Rico
6:00 am -
*Tentative course schedule, actual class times may differ.
Royal Caribbean Freedom of the Seas Map

Ports of Call

San Juan, Puerto Rico - In days of yore, the waters near Puerto Rico teemed with pirate ships commanded by the likes of Sir Francis Drake. Aye, they are long gone, but in their wake they have left an island of national treasures: La Casa Blanca, built in 1501 for the island's first governor, Ponce de Leon; the cobblestone streets of Old San Juan; the tropical rain forests of El Yunque.  

At Sea - Cruising - Cruising

Oranjestad, Aruba - A Dutch jewel with a tropical touch. In Oranjestad, Aruba's capital, explore the colorful floating market and Nassaustraat, brimming with quaint shops. Head for the beach where water sports abound: snorkeling, rides on glass bottom boats and submarines. Or venture into the countryside to see the haunts of the huge green parakeet, the unique rock gardens of Casi Bari, the curious divi divi tree, forever bending in the tradewind breezes

Willemstad, Curacao - An isle of Dutch treats: gabled storybook houses, duty-free Delftware, the famous Curacao orange flavored liqueur

Kralendijk (Bonaire), Antilles - Kralendijk is the sleepy capital of Bonaire, an island in the Dutch Antilles. Kralendijk is lined with delightfully pastel stucco houses, in pinks, oranges and lime greens. Famous for its diving - the island is surrounded by a Marine Park - Bonaire also offers such treats as flamingos, hiking and the only barefoot casino in the Caribbean.

Philipsburg, St. Maarten - An island under two flags. Sample the Dutch treats of Philipsburg: chocolate, cheese, delftware. On the French side linger over bouillabaisse, shop for Parisian perfumes.

Our staff can assist you with all your travel arrangements.

Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.
Please note that our shore excursions are operated separately and
independently of those offered by the cruise line.
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