Noah markewitz

@noahmarkewitz11.bsky.social

Internal Medicine Resident at Montefiore. Interested in Med Ed and Nephrology He/him

Wild to think that 5 years ago everyone told me not to do nephrology because “there are no new treatments for kidney disease” and now here I am a brand new July nephrology fellow filling out my first form requesting approval for Sibeprenlimab for IgA Nephropathy in GN clinic today!

The way to get younger doctors back to the bedside is with data the physical exam finding outperforms other care. This is exactly what the ANDROMEDA shock 1 and 2 trial has done for capillary refill time. This is also the reason POCUS has brought younger docs back to the bedside!

NEJM.org@nejm.org · 12mo ago

The authors of a new review provide practical suggestions for clinical educators to reinvigorate the teaching and practice of bedside clinical skills in the modern health care environment. Learn more: nej.md/4nUirnP #MedSky #MedEd

Key Points from the Review Article "Strategies to Reinvigorate the Bedside Clinical Encounter"

Love a well made sequel! But 10 percent absolute mortality decrease might have been asking for too much? Also why bicarb vs. no bicarb and not bicarb vs placebo? Have to wonder if no bicarb group received dialysis early because everyone knew they weren’t getting bicarb.

JAMA@jama.com · last yr.

📢 Presented today in the #LIVES2025 Hot Topics session: Sodium Bicarbonate for Severe Metabolic Acidemia and Acute Kidney Injury: The BICARICU-2 Randomized Clinical Trial, from JAMA_current. ➡️ Free to read online: ja.ma/4hRZXmF

The image, set against a gradient maroon background, features the text "Read papers from the JAMA Network™" in white. Logos for ESICM (in a black rectangle) and JN are displayed in the top corners.

Love this change in the new 2025 AHA HTN guidelines. Hypertensive urgency completely removed. Asymptomatic severe HTN as outpatient , DO NOT send to the emergency room, and more importantly if in the ED, NOT to give IV meds, nor admit. Much needed evidence based change.

Bild