Vipin Varghese

@vipvargh.bsky.social

Nephrologist Henry Ford Detroit

These tirzepatide miracles are almost becoming routine Weight down 110 lbs Hgb a1c from 12 to 8 Cr from 3.4 to 2.8 Albumin Cr ratio from 1254 to 280 All at 5 mg a week

Confession: I LOVE hyponatremia 🤓 (I know, I know. What can I say, I'm a true internist!) HypoNa is often feared, maligned, and misunderstood - but I promise it doesn't have to be scary! Here are my top 10 hyponatremia tips and tricks - a 🧵 #emimcc

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1/n consultation for multiple electrolyte and acid-base disturbances. Pt arrives with abdominal pain. Not eating for 5 days. Chemistry shows low Na, K and C02. VBG on the other hand shows a CO2 18 mEq/L higher than that of the BMP. Why the discrepancy?…

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