Brian Rifkin
@brianrifkin.bsky.social
General and Interventional Nephrologist #MedSky #NephSky, pragmatist, lover of memes/GIFs/bad dad jokes, artist, singer, NephJC editor, NephSIM mentor, GlomCon grad. Air Force veteran and type 1 diabetic (insulin pimp).
created November 8, 2024
1,588 followers 4,646 following 1,383 posts
view profile on Bluesky Posts
ASN Publications (@asnpublications.bsky.social) reposted
Could tunneled catheters be more than a last resort for hemodialysis treatment? This #perspective in #ASNCJASN offers insight and a more nuanced view of central venous catheters (CVCs). kidney.pub/CJASN0852
Brian Rifkin (@brianrifkin.bsky.social)
Celebrating w/ @asdinnews.bsky.social September = #WomenInMedicineMonth ✨ Join us as we celebrate incredible women of #ASDIN! To celebrate, we're excited to share the Women of ASDIN video, produced as part of our 20th Annual Scientific Meeting. 👉 Click here to watch: youtu.be/D2lqcNlw-t4?si…
Nephrology Journal Club (@nephjc.bsky.social) reposted
Check out the ACHIEVE visual abstract by @nephromommy-akshu.bsky.social www.nephjc.com/news/2025/8/...
Nephrology Journal Club (@nephjc.bsky.social) reposted
Join us 9/2/25 at 9pm EST. We will discuss the use of spironolactone in patients on dialysis to prevent t cardiovascular outcomes and heart failure hospitalizations. Invite your friends. #NephJC #NephSky www.nephjc.com/news/achieve
Brian Rifkin (@brianrifkin.bsky.social)
Join us #NephJC #NephSky
Swapnil Hiremath 🍁🇨🇦 (@hswapnil.medsky.social) reposted
Excellent summary of the ACHIEVE trial from @drsaivani.bsky.social & @thekidneywhisperer.bsky.social #NephJC chat tomorrow www.nephjc.com/news/achieve
Atul Gawande (@agawande.bsky.social) reposted
9 CDC Directors going back to 1977 speak out. What RFK Jr has done to our nation’s public health system "should alarm every American." It "is unlike anything we have ever seen at the agency, and unlike anything our country has ever experienced." www.nytimes.com/2025/09/01/o...
Ryan Radecki MD MS (@www.evidencetriage.com) reposted
Can't keep track of all the #ESCCongress articles? I've gathered most of the @nejm.org publications under one umbrella for you. #medsky www.evidencetriage.com/p/its-europe...
Brian Rifkin (@brianrifkin.bsky.social) reply parent
So, we shouldn’t listen to the person who actually did the research, has 25 yrs of experience, is nationally recognized & gives lectures around the globe? Is this person infallible, no. Should we accept all conclusions without question, also no. Should we listen to RFK Jr, absolutely no!
Brian Rifkin (@brianrifkin.bsky.social) reply parent
This is a close as “may you have children just like you” curse my mom put on me.
Brian Rifkin (@brianrifkin.bsky.social) reply parent
If you have a pulse and would like a prescription for COVID-19 vaccine, I will write it no cost!
Sarah Melville (@sarahkmels.bsky.social) reposted
cc: @nephroseeker.medsky.social @brianrifkin.bsky.social
Brian Rifkin (@brianrifkin.bsky.social) reply parent
No chance of exploitation of poor people by rich people. 🙄
American Society of Diagnostic and Interventional Nephrology (@asdinnews.bsky.social) reposted
✨ 175 DAYS TO GO! ✨ OUR 22ND ANNUAL SCIENTIFIC MEETING IS RIGHT AROUND THE CORNER — FEBRUARY 20–22, 2026, AT THE WDW SWAN IN LAKE BUENA VISTA, FL! 🌍🩺 📅 MARK YOUR CALENDARS AND MAKE PLANS TO ATTEND. #ASDIN2026 #ASDINMEETING
Michelle Rheault, MD (@rheaultm.bsky.social) reposted
The US sparsentan REMS requirements have been updated and now require Q3 month liver labs instead of monthly. ir.travere.com/press-releas...
kireports.bsky.social (@kireports.bsky.social) reposted
🧵Skeetorial Alert 🧵 1/ Hey #NephSky! Welcome to a 🆕 #skeetorial brought to you by @kireports.bsky.social
Brian Rifkin (@brianrifkin.bsky.social) reply parent
I really don’t think people will be denied access, however, if you are not in the recommended group insurance will likely deny your claim. Also, production of vaccines is likely to be lower because CDC guidelines recommend limiting recipients, so regional shortage are likely.
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Come on, “physical inactivity” is right there staring you in the face. EVERYONE QUALIFIES!!!
Brian Rifkin (@brianrifkin.bsky.social) reply parent
There is no hope of educating the worm 🪱
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Welcome to the revolution, it’s a revelation baby!
Brian Rifkin (@brianrifkin.bsky.social) reply parent
🤖
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Once while driving across the panhandle of Florida my 4 year old noted the large number of Cracker Barrel restaurants. We started calling it “Cracker Florida”. True as it ever was.
Soumya Rangarajan, MD, MPP (@soumya-goblue.medsky.social) reposted
A story in 2 skeets: Your 7-year-old child is irrevocably injured in #schoolshooting, paralyzed by #bullets. Can no longer not only go to school, but can't feed or dress or bathe or use toilet. You, parent who holds full time job, need to stay home, because there are no #nursinghomes for children
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Brian Rifkin (@brianrifkin.bsky.social)
They dropped the charges on the Subway guy…he beat the wrap!
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Why hasn’t the company been calling, this could be the greatest ad campaign of all time. “Subway, YEET fascists!!”
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Well your user name is literally “Brain Destroyer” so I guess you are at least partially to blame ? To quote William Wallace, “You can our lives, yada-yada-yada!”
Brian Rifkin (@brianrifkin.bsky.social)
We moved to MS 1 month before #Katrina hit. We celebrated our 3rd wedding anniversary without power, water or a way to get back to our house. We, and our cats, lived at the hospital for 4 days. This design on a hotplate was inspired by the plague of love-bugs that followed the storm.
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Nice, definitely could do a kidney balloon 🎈
Brian Rifkin (@brianrifkin.bsky.social)
Ok, sometimes creativity makes for strange associations… I’ve seen the memes of the Banksy guy throwing a sandwich, and I’m working on art for #KidneyWeek25… so I give you: #Kidneyeet , a faster path to transplant 🤷 #NephSky
Brian Rifkin (@brianrifkin.bsky.social) reply parent
It’s fine, just turn the whole thing off /s (But seriously it sounds the the ship has been hit by a torpedo and everyone should abandon ship immediately)
Brian Rifkin (@brianrifkin.bsky.social) reply parent
In Mississippi, Black infants consistently have the highest mortality rates, which were significantly higher than those for White infants in recent years, with one report showing a rate of 15.2 deaths per 1,000 live births for Black babies compared to 5.8 for White babies in 2024.
Brian Rifkin (@brianrifkin.bsky.social)
Mississippi is dumb. (Thanks Captain Obvious 🫡) VPN engaged…I’m back baby
Brian Rifkin (@brianrifkin.bsky.social)
I see kidney #NephSky
Brian Rifkin (@brianrifkin.bsky.social) reply parent
The dumbification of America, Idiocracy was a prophecy not a comedy
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Nope, no porn day; but now that you brought it up RFK Jr will require it along with “nutritional” courses in med school. 🫣
Brian Rifkin (@brianrifkin.bsky.social)
Hey #MedSky anyone got $3?!
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Simpson are spot on again
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Are you sure you’re not the assistant to the associate professor? Congrats 🎉
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Colleges already screwed, enrollment is going way down. www.nytimes.com/2025/08/20/u...
Kathleen Bachynski (@bachynski.bsky.social) reposted
“A survey of over 500 colleges and universities by the Institute of International Education, a nonprofit which works with governments and others to promote international education, found that 35% of the schools experienced a dip in applications from abroad last spring, the most since the pandemic”
Brian Rifkin (@brianrifkin.bsky.social) reply parent
“Crime is out of control there, and it’s clear something must be done to combat it. Americans deserve a safe capital city that we can all be proud of.” The irony is completely lost on him. What about Jackson MS?!
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Nice job @kidneyboy.bsky.social , one might even say… #NephJC
Brian Rifkin (@brianrifkin.bsky.social) reply parent
I liked 10, A Study in Tuberculin. KOCH, Doyle, Pasteur #NephJC
Brian Rifkin (@brianrifkin.bsky.social) reply parent
#NephJC This book really is the antithesis of our current situation in the US with all the anti-science, defunding of discoveries and conspiracy nonsense.
Brian Rifkin (@brianrifkin.bsky.social) reply parent
I have a feeling TB will be around much longer than mankind #NephJC
Brian Rifkin (@brianrifkin.bsky.social) reply parent
There is something about a candle snuffed out prematurely that captures the imagination-it is the thought perhaps of the books, paintings and songs that might’ve been, or the idea that artists simply burn too bright for this world. -pp 63
Brian Rifkin (@brianrifkin.bsky.social) reply parent
I forgot that one 😱 #NephJC
Brian Rifkin (@brianrifkin.bsky.social) reply parent
#NephJC
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Didn’t he also create the internet 🛜 😜 #NephJC
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Poe is one of my favorite authors. #NephJC
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Found out in Oslo Norway this summer that the artist Munch’s family was also profoundly effected by TB #NephJC
Brian Rifkin (@brianrifkin.bsky.social) reply parent
#NephJC
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Someone mentioned it already, Dr Alan Hart. I good books makes you want to read more about interesting characters in history #NephJC en.wikipedia.org/wiki/Alan_L....
Brian Rifkin (@brianrifkin.bsky.social) reply parent
For those of us in medicine, we all know a “Henry” who makes the best of the cards they are dealt, and show amazing strength and resilience. #NephJC
Brian Rifkin (@brianrifkin.bsky.social) reply parent
#NephJC
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Really makes the reader have a personal stake in the diagnosis and treatment of TB. It is always important to give disease a face to build empathy #NephJC
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Amazing the number of literary references (many I hadn’t considered previously) #NephJC
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Fiction or nonfiction, I prefer…short. I almost felt like I needed to start The Covenant of Water over when I finished because I forgot the beginning. #NephJC
Brian Rifkin (@brianrifkin.bsky.social) reply parent
#NephJC
Brian Rifkin (@brianrifkin.bsky.social) reply parent
#NephJC
Brian Rifkin (@brianrifkin.bsky.social) reply parent
#NephJC
Brian Rifkin (@brianrifkin.bsky.social) reply parent
#NephJC
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Brian Rifkin, no COI But I did train at UMDNJ, Newark capitol of TB and car theft in the USA #NephJC You’ll be fine @kidneyboy.bsky.social
Brian Rifkin (@brianrifkin.bsky.social) reply parent
#NephJC
Brian Rifkin (@brianrifkin.bsky.social) reply parent
#NephJC
Akshaya Jayachandran (@nephromommy-akshu.bsky.social) reposted
Just a few hours left for the #NephJC book club ! 📒 We’re discussing “Everything Is Tuberculosis” by @johngreensbluesky.bsky.social ! Come see how he turns a disease 🦠 into a story about injustice, stigma, and hope. 🙏🏻 @hswapnil.medsky.social @kidneyboy.bsky.social @brianrifkin.bsky.social
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Kathleen Bachynski (@bachynski.bsky.social) reposted
“The World Health Organization is warning that current transmission patterns resemble a global outbreak that infected 500,000 people 20 years ago, contributing to a surge of new disabilities. Although it is rarely fatal, chikungunya causes excruciating and prolonged joint pain and weakness.”
Brian Rifkin (@brianrifkin.bsky.social) reply parent
As long as you remember to use it?!
Joel Topf (@kidneyboy.bsky.social) reposted
Beautiful and meaningful poem by @nephromommy-akshu.bsky.social inspired by @johngreensbluesky.bsky.social's Everything is Tuberculosis www.nephjc.com/news/2025/8/...
Cristina Popa (@nephroseeker.medsky.social) reposted
After 2 on calls in 4 days, relax time… 🗺️Finishing 📚 for tomorrow’s #NephJC bookclub Any favorite quote?
Nephrology Journal Club (@nephjc.bsky.social) reposted
It's finally here!! #NephJC summer book club 📚 Everything is Tuberculosis by @johngreensbluesky.bsky.social 8/19/25 @ 9pm EST Come for the discussion, stay for stories. www.nephjc.com/news/2025/8/...
kireports.bsky.social (@kireports.bsky.social) reposted
Hey #NephSky! Welcome to a 🆕 #Skytorial brought to you by @kireports.bsky.social, @isnkidneycare.bsky.social. Our author is @elbaonelida.bsky.social nephrologist at Hospital General de Mexico @hgm_nefrologia. Please also check out www.kireportscommunity.org educational #blogposts. FOLLOW US!
American Society of Diagnostic and Interventional Nephrology (@asdinnews.bsky.social) reposted
🚨 BIG NEWS! 🚨 We’re officially launching ASDIN TV — your go-to spot for the ASDIN community. 📺✨ 🔗 Click here to subscribe: www.youtube.com/@ASDINTV ➡️ Make sure you’re following ASDIN on all of our social platforms! 📲 Stay informed. Stay inspired. Stay connected.
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Soumya Rangarajan, MD, MPP (@soumya-goblue.medsky.social) reposted
Things I found out from data: - The #MayoClinic apparently pays its physicians really well (highest compensated city in country is Rochester, MN, and in probably one of the lower COL places in US) - #AnnArbor has third lowest salaries in US for physicians, but drops out of top 10 with COL adjustment
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Jade Teakell, MD (@jmteakell.bsky.social) reposted reply parent
Everything is Tuberculosis ✍️&🎙️ John Green @johngreensbluesky.bsky.social #NephJC 📚 #NephJCBookClub #NephJCSummerBookClub 👉 www.nephjc.com/news/2025/6/... @nephroseeker.medsky.social @brianrifkin.bsky.social @kidneyboy.bsky.social @hswapnil.medsky.social
Brian Rifkin (@brianrifkin.bsky.social) reply parent
…but what about dose, duration, initiation prior to dialysis, patients who make urine vs anuric and nsMRAs #NephJC
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Subway is having a heck of a year! First Happy Gilmore 2 and now this.
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Why wait?!
Joel Topf (@kidneyboy.bsky.social) reposted
Listening to @johngreensbluesky.bsky.social 's Everything is Tuberculosis as I prep for Tuesday's #NephJC Summer Book Club. 9pm EDT
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Bully puppet 😂😂😂
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Captured this image this morning
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Are you fishing for an answer?
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Man, you’re everywhere! I’m getting tired just reading your articles
Brian Rifkin (@brianrifkin.bsky.social) reply parent
You’re full of $h!t
American Society of Diagnostic and Interventional Nephrology (@asdinnews.bsky.social) reposted
🎥 ASDIN TV! 🎥 @Kidneylsu shares insights on dialysis access and patient outcomes in this exclusive clip from his full interview—now available online! 🔗 Watch it here: youtu.be/TnhvKK6hrAA?...
Nephrology Journal Club (@nephjc.bsky.social) reposted
1/10 Last #NephJC we discussed HiLo: Hi vs Lo phos targets in HD patients #TenPostNephJC Can restricted diets & loading patients full of phos binders be filed under “Things We Do For No Reason,” or do we finally have proof these measures save lives? pubmed.ncbi.nlm.nih.gov/40638247/
ASN Publications (@asnpublications.bsky.social) reposted
Could interleukin-6 have the potential to lead to treatments for calciphylaxis? The rare and life-threatening complication takes center stage in a new study described by Aarushi Varshney and Matthew Sparks. kidney.pub/KN1707-20 #ASNKidneyNews @nephrosparks.bsky.social
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Studies are hard. If they were easy…we’d already have all the answers #NephJC
Brian Rifkin (@brianrifkin.bsky.social) reply parent
#NephJC I’m (overly) critical, but I appreciate any and all authors insight into the challenges of study design and evaluation 🍻
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Read da book #NephJC
Brian Rifkin (@brianrifkin.bsky.social) reply parent
I don’t feel like I’ve changed my goals, but I probably have limited the upper amount of binders I prescribe since starting practice (due to patient reluctance) #NephJC
Brian Rifkin (@brianrifkin.bsky.social) reply parent
Agreed, again I’m impressed they went to publication rather than abandon ship #NephJC