Thank you #nephjc for presenting LIBERATE-D! Great discussion! Huge shoutout to our fearless leaders Drs Hsu and Liu at @ucsfnephrology.bsky.social
Anitha Vijayan MD
@vijayanmd.bsky.social
Nephrologist, senior medical director Intermountain health kidney services, lifelong learner Views are my own
We are discussing LIBERATE-D this week on AKI www.nephjc.com/news/liberat... Summary by @msocomd.bsky.social and @sejalplakhani.bsky.social ! #NephJC
Dialyze Less, Recover More? AKI’s Chance to Get LIBERATE-D — NephJC
This week, we will discuss whether less is more when it comes to discontinuing dialysis in patients with AKI and a chance to recover.
nephjc.com
Will add this to the things that would not have made my bingo card - My daughter said recently watched a podcast where Travis Scott said his childhood goal was to be a nephrologist!! Google did the rest 👇 Really want to know who this cool nephrologist uncle was :-) hiphopdx.com/news/travis-...
Travis Scott Opens Up About Unlikely Pre-Music Career Plan: ‘That’s All I Wanted To Do’ – HipHopDX
hiphopdx.com
The so-called ‘Big Beautiful Bill’ that passed the Senate today is a giant leap backward for people living with kidney disease. NKF urges Congress to reject these harmful provisions. www.kidney.org/press-room/b...
Big Beautiful Bill is Downright Ugly for Kidney Patients
Tune in for the latest research and perspectives on kidney health from NKF.
kidney.org
Florida man (medical resident) shoots an….Indiana Nephrologist? This story seems nuts www.cbsnews.com/dialysis/ h/t @vijayanmd.bsky.social @grahamabra.bsky.social #NephSky
In the shooting of an Indiana kidney doctor, fresh echoes of the UnitedHealthcare murder and the specter of vigilante violence
Long-running questions about kidney dialysis don’t justify shooting, prosecutor says
cbsnews.com
Hilarious (and sobering) essay on the use of AI in medical research & manuscript writing Read the whole thing! John Daugirdas has been on the cutting edge of tech in meded before #MedEd was thing onlinelibrary.wiley.com/doi/10.1111/... #MedSky #NephSky
Use of Artificial Intelligence in Scientific Writing. The Danger of Trying Too Hard to Please
The author describes his experience using several artificial intelligence programs to assist in the process of editing or preparing manuscripts for publication. While the programs were very useful to...
onlinelibrary.wiley.com
This week at the Ottawa #NephGR we have @vijayanmd.bsky.social from Intermountain Health on outpatient dialysis after AKI #NephSky
The June calendar for Ottawa Nephrology Featuring talks from @vijayanmd.bsky.social @aisha-shaikh.bsky.social and more! #NephSky
Very nice catch! And word descriptions (small/regular/large) are quite meaningless across manufacturers - see from @amjhypertension.bsky.social academic.oup.com/ajh/article/...
Aaand it’s official, we have a new antihypertensive class!!!! 🎉🍾🎊 I like this RCT design in particular because it was open to both uncontrolled not-yet-resistant AND resistant hypertensive patients, opening to door to prescribe it as an earlier line agent www.nejm.org/doi/full/10....
Lorundrostat Efficacy and Safety in Patients with Uncontrolled Hypertension | NEJM
Aldosterone dysregulation contributes to hypertension. Lorundrostat is an aldosterone synthase inhibitor, but data on its efficacy and safety in patients with hypertension are limited. In this mult...
nejm.org
But…very low SGLT2i/GLP1 use in this study, so we are living in a different world. Plus we don’t stop either of those meds in CKD/CKD5 not on dialysis #NephJC
a woman says " we live in a different " while wearing a polka dot shirt
ALT: a woman says " we live in a different " while wearing a polka dot shirt
media.tenor.com
Honored to attend my good friend’s and outstanding clinical researcher’s Dr Kathleen Liu’s Shaul Massry endowed lecture at #NKFClinicals Sepsis associated AKI
The @akdhjournal.bsky.social Post-hospital AKI care issue is out! #NKFClinicals Huge thanks to Dr Thakar for the invite! Enjoyed working with J Neyra @sarahsanghavi.bsky.social M Heung, C Hsu SSilver I McCoy and many others! Also 🙏🙏 for 3 compelling patient voices! www.akdh.org/issue/S2949-...
Truly an honor to chat with @nkf-professionals.bsky.social prez Kirk Campbell! Leading the way with brilliance, kindness, and engagement! #NKFclinicals #nephsky @aisha-shaikh.bsky.social
“Thus, the apparent reduction in the incidence of AKI in the PROTECTION trial may be more an ephemera than a meaningful clinical benefit.” Paul Palevsky #NephSky (Also, read the whole thing)
Dr. Paul Palevsky shares his #CJASN perspective on the results of the Intravenous Amino Acid Therapy for Kidney Protection in Cardiac Surgery (PROTECTION) trial bit.ly/CJASN0678 #ASNCJASN
Interesting that @sciam.bsky.social will describe an “unlikely” organ as a hero when it comes to hypoxia, altitude and acid-base balance #nephsky We know kidneys are the everyday heroes 😊😊 www.scientificamerican.com/article/an-u...
An Unlikely Organ Helps to Explain Sherpas’ Aptitude for Altitude
New work reveals a surprising hero in combating altitude sickness
scientificamerican.com
The 2nd ASN Kidney Health Guidance on the Outpatient Management of Patients with Dialysis-Requiring AKI @asnpublications.bsky.social in JASN Listen to the podcast on ASN Kidney Translation with @vijayanmd.bsky.social and Dr Heung here www.asn-online.org/media/podcas...
Very proud of this ASN Guidance on outpatient AKI-D care; an exceptional group of colleagues including co-chair Michael Heung. Some practical points- warm hand-off, AKI specific orders (avoid “DW”), prevent dialytrauma, active monitoring for renal recovery. journals.lww.com/jasn/fulltex...
ASN Kidney Health Guidance on the Outpatient Management of... : Journal of the American Society of Nephrology
An abstract is unavailable.
journals.lww.com
Who even cares about PO4 binders! Maybe do a natural experiment if that mattered clinically? Stop the binders and QoL will surely go up?
The Dept of HHS announces the winners of the HHS- @asnkidney.bsky.social $7.25 million #KidneyX sustainability award www.hhs.gov/about/news/2... #GreenNephrology
Incredible effort by Shruti Gupta, David Leaf on this multicenter collaboration and publication on MTX toxicity and AKI. Very proud to be part of this group! Glucarpidase associated with 2.7 fold higher adjusted odds of renal recovery! #nephsky pubmed.ncbi.nlm.nih.gov/39760780/
Glucarpidase for Treatment of High-Dose Methotrexate Toxicity - PubMed
High-dose methotrexate (MTX) results in high rates of acute kidney injury (AKI), neutropenia, and hepatotoxicity. Glucarpidase is a recombinant enzyme that cleaves MTX, but clinical data supporting it...
pubmed.ncbi.nlm.nih.gov
➡️ Up next on #NephJC #NephSky 🦋 Join us for some high pressure discussion on Dec 3,4 as we discuss #BPROAD from #NEJM nejm.org/doi/abs/10.1... Tweetorial by @drpallaviprasad.bsky.social
Intensive Blood-Pressure Control in Patients with Type 2 Diabetes | NEJM
Effective targets for systolic blood-pressure control in patients with type 2 diabetes are unclear. We enrolled patients 50 years of age or older with type 2 diabetes, elevated systolic blood press...
nejm.org
that time I called nephrology about one of their acute renal failure patients acting altered and he asked "is he still taking Gabapentin?" and I said "f*ck"
As a kidney doc I think you should worry more about the Chloride than the Fluoride
Why pay for escape room when you can go to #IKEA? 😵😵💫
#nephsky starter pack from @hswapnil.bsky.social gets a shout out in the NYT trend piece on @bsky.app!! www.nytimes.com/2024/11/22/t...
Bluesky Is Turning Into a Strong X Alternative
Bluesky has a hint of the old Twitter magic, but the feeling of freedom it offers might be even better.
nytimes.com
But we still have #manels on Bluesky.
In the wake of the election, many are leaving #MedTwitter for #Bluesky. @kristinafiore.bsky.social spoke to @nickmark.bsky.social @nicksawyermd.com @kiswanson.bsky.social @mdaware.org @kidneyboy.bsky.social about the critical mass of docs engaging here: www.medpagetoday.com/special-repo... #MedSky
Honey, stop what you're doing, new hyponatremia research just dropped! What's it say? It looks like slow correction is associated with worse outcomes, like death and length of stay! Was it just a small study? No, it was a meta-analysis of almost 12,000 patients! jamanetwork.com/journals/jam...
Correction Rates and Clinical Outcomes in Hospitalized Adults With Severe Hyponatremia
This systematic review and meta-analysis evaluates the association of sodium correction rates with mortality among hospitalized adults with severe hyponatremia.
jamanetwork.com