NEPHROLOGY: HE HAS LVEF OF 25% WITH BNP OF 8000 THIS IS PURE CARDIOGENIC! CARDIOLOGY: HE HAS TRANSPLANT KIDNEY THAT IS FAILING WITH BUN SKYROCKETTING THIS IS ALL RENAL! NEPHROLOGY: THIS IS IMPENDING CARDIOGENIC SHOCK! ADMIT TO CCU FOR DOBUTAMINE GTT!! CARDIOLOGY: NO, IDIOT JUST START DIALYSIS!!