Primary polydipsia Alcoholism may cause physiological thirst since ethanol inhibits vasopressin, the hormone primarily responsible for water retention in osmoregulation. The following conditions should also be excluded: DI, cerebral salt wasting, pseudohyponatraemia caused by hyperlipidemia or hyperparaproteinemia, SIADH, mineralcorticoid deficiency, salt-wasting nephropathy, nephrotic syndrome, chronic heart failure and cirrhosis. Tobacco smoking is an often overlooked factor linked to hyponatremia, due to the ADH-releasing effect of nicotine, although this is usually limited to heavy smokers. One study suggested that around 70% of patients with self-induced polydipsia were tobacco smokers. Diagnostic tests for primary polydipsia usually involves the fluid deprivation test to exclude ADH
Concierge medicine such a doctor's introduction to the practice of concierge medicine. A young doctor becomes a for hire physician for the wealthy residents of the Hamptons. Also on USA Network television series "Rush" focuses on a doctor who serves a very specific clientele, the kind with a lot of cash and a lot of secrets. The Robin Cook novel "Crisis" focuses on a medical malpractice trial involving a doctor practicing concierge medicine. Concierge medicine Concierge medicine (also known as retainer medicine) is a relationship between a patient and a primary care physician in which the patient pays an annual fee or