Thursday, November 8, 2012

Star Wars and CKD Anemia: Letter to Jay Wish

Dear Jay:

I want to applaud you on your article in Nephrology News and Issues:
Dr. Jay Wish

"A White Knight arrived with force, called EPO, and was hailed as a savior of the ESRD people. With the force the ESRD people regained their vitality and lost their dependence on blood transfusions. The White Knight, gratified by the response to the force, encouraged the ESRD people to use more. But a wise sage called Obi-Wan-KDOQI urged restraint. He cautioned that the use of the force is not to be taken lightly and that it might do more harm than good at higher doses.

Nonetheless, the force was so seductive that the guardians of the ESRD people offered it liberally and were rewarded for their benevolence with gold pieces. This concerned the Lord Master FDA who, weary from a recent battle with Darth Avandia, wanted to avoid a similar battle with the White Knight who was becoming more powerful. The Lord Master consulted his advisors, Princess CHOIR and TREAT, and deemed that the force was a threat to the ESRD people. In a good faith effort to act in the ESRD people’s best interest, the Lord Master decreased their supply of the force. The guardians no longer received gold pieces for providing the force and were taxed based on the amount of the force they gave to the ESRD people. 

This caused many of the ESRD people to weep in despair as the scourge of anemia began to reappear, causing an increase in blood transfusions.  Obi-Wan-KDOQI was banished from the land because it was discovered that he had accepted pieces of silver from the White Knight two decades before. However, the son of Obi-Won-KDOQI, Obi-KDIGO, escaped banishment and became a champion for the ESRD people, receiving the blessing of the intergalactic council. He challenged the Lord Master by brandishing the most fearsome weapon, evidence."

However, I have a different view of the characters  in your article (p.s., I had to consult my son Vikrum, an in-house Star Wars expert):
  • The Lord Master is CMS (i.e., Medicare).
  • Darth Andeddu (The self-styled "Immortal God-King of Prakith" who reigned as Dark Lord of the Sith during the Hundred-Year Darkness.). The large dialysis organizations (LDO's).
  • Admiral Gial Ackbar –  Commands the Rebel fleet in their attack against the second Death Star in Return of the Jedi. Ackbar was a Mon Calamari leader and military commander. Given a name that means "selfless servant"  The FDA
  • The question is: who is Emperor Palpatine?