It's starting to take real effort to ignore the latest data on hyponetremia treatment rates.

It's like trying to ignore the pop-up ads after your teenage son was home when you were out to dinner and he was using the computer all evening.

I don't want to give definitive advice on this podcast.

And I'm going to use a caveat here that I'm not telling anybody

to change their practice. This undoubtedly will get you thinking about what you're doing in your

practice. But how you practice is not up to me. As a teenager once responded to me, as I was

trying to talk about getting a Taco Bell tattoo,

I'll do me, you do you.

But as many of you have been keeping up on, there are several recent studies that challenge

conventional guidelines and challenge conventional thinking.

Now after you hear the recent data, you have to decide

how long do you want to hold a human in a hyponatremic state,

which is what you're doing if you're too slow in the rate of correction of hyponatremia.

But I also caution that I am not saying that rapid correction is the

best in every situation because it is going to be a nuanced answer as we figure it out more and

more for different patient populations. But why don't we start with the article titled

Sodium Correction Rates and Associated

Outcomes Among Patients with Severe Hyponatremia?

This was a retrospective study, and it's from the Annals of Internal Medicine from

January 27th, 2026. And what the conclusion of the study is, if you quote it, is faster sodium

correction is associated with lower risk for 90-day death or delayed neurologic events. Treatment

guidelines should be re-examined. And in this study, a slow correction at

...