I don't even like when they put it in a smaller font
Saying the product of the kidneys is urine is like saying the product of a factory is pollution. Urine is a by-product. The product is homeostasis. COI: https://pbfluids.com/about/
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I don't even like when they put it in a smaller font
@gruber.foo panzarino is such a good guest. Awesome insights. Great episode. pca.st/episode/c0d6...
In my office, I have a Wall of Adventure™️ documenting 15 years of backcountry trips Today, I leave to hike the Laugavegur Trail in Iceland and add another couple of pictures
💯 this Forget the introduction Never read the discussion Make up your own mind www.nephjc.com/news/10steps
“No one cares about your method” is one of the most insane things I’ve read in academia.
I have extra vitriol in social-space so I can be extra nice in meat-space
I've never seen this figure or sentiment before. But it makes me want to vomit. The intro and discussion are the least important parts of the paper. Methods rule. Results are meaningless without clear and logical methods. If a mentor suggests this, find a better mentor. x.com/acagamic/sta...
Anyone else adding em-dashes to their consults, you know to give it that AI-crafted feel?
Hey, if a resident asks you to write a leter of rec, at the very minimum get their name right. JResidents give their right arm for us and our patients. Treat their career aspirations with respect.
Going to add this to my lecture slides.
RIP Nicolas Madias Of the Adrogue-Madias formula and much more I don’t know he wrote three textbooks as a medical student! www.kidney-international.org/article/S008... In @kidneyint.bsky.social #NephSky
🕵️♀️ We watch the prices so you don’t have to! www.costplusdrugs.com/medications/... ⭐️ When our cost drops, yours does too at costplusdrugs.com!
If the cars is Nissan: it is neph fellow or academic nephrologist, if Tesla : private neph, and if Porsche it is plumber
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Nephrologist or plumber?
Thanks
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bsky.app/profile/kidn...
TIL that Bayer has two clinical research platforms to study finerenone: MOONRAKER looking at finerenone in heart failure THUNDERBALL looking at finerenone in diabetic kidney disease. Who is the James Bond fan at Bayer?
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🙏🏼 The overdue is my own fault. Didn't have anyone or anything (my work for the medical school is entirely without reimbursement) pushing me to apply
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did someone say sodium?
Some interesting insights here, including that people are much more influenced by *people they follow* switching platforms than by their own *followers* switching platforms. Preprint: "Why Academics are Leaving Twitter for Bluesky" arxiv.org/abs/2505.24801
Promotion I am no longer merely an assistant professor of clinical medicine, you are talking to a genuine associate professor of clinical medicine pbfluids.com/2025/08/prom...
Once when I was the medicine consult resident overnight I got a page from an OB resident who “just wanted to discuss hyponatremia.” It still makes me happy just thinking about it.
Sorry I didn't have time to engage. I was prepping to host the #NephJC Bookclub chat here on Bluesky. It went well. Our journal club made the transition to Bluesky fairly well. It is not peak MedTwitter, but it still operates effectively.
means a lot coming form you. Thanks.
Agree 1000%. Old #MedTwitter was an amazing place. Nothing currently comes close to the mutual teaching/learning/networking
Yeah, I don’t have the bandwidth to do Bluesky and LinkedIn, and I prefer general content (for browsing) over the business/professional content on LI. But it is a real shame to have lost what MedTwitter was for so many of us
Not even close
That’s not true, & I don’t even think it’s close. The networking benefit of Twitter is nonexistent here. My research and scientific posts get almost no traction. I am not growing my professional network here the way I did on Twitter. There are other reasons to be here, but that has been a big loss.
Anybody recommending lucky iron fish for patients with iron deficiency anemia? @shematologist.medsky.social www.youtube.com/watch?v=Izbo...
And….this was a thing back in the ‘60’s, although they probably couldn’t imagine how it’s now evolved. Ask your grandparents for details! youtu.be/v0WIgwCL-ds?...
A clinical practice guideline for tuberculous meningitis Tuberculous Meningitis International Research Consortium www.thelancet.com/journals/lan... 🔒
Anrikefon (previously known as HSK21542) aka difelikefalin cousin, and itching @kidneyboy.bsky.social choice of #KidneyWk draft now in the @bmj.com www.bmj.com/content/390/... #NephSky #Pruritis
The Yo Yo has evolved from shoot the moon and walk the dog www.reddit.com/r/nextfuckin...
"Patients with severe HTN without evidence of acute target organ damage (previously called hypertensive urgency) should NOT have aggressive BP lowering in the short-term or be given parenteral anti-HTN drug therapy." (my caps) New 2025 AHA HTN guidelines! share.google/2Xc7UFRimn2A...
If the surgeons live by the rule that all bleeding stops...eventually, then I declare all ventricular tachycardia is non-sustained...eventually.
The greatest trick the devil ever pulled was convincing clinical labs that urine lytes should not include a urine creatinine
📣Career Alert: The University of Wisconsin's Department of Pediatrics is seeking a Division Chief of Pediatric Nephrology. As a visionary leader passionate about academic medicine, shape the future of clinical care, research, and education. Learn More: ow.ly/tN9050WBzph
Beautiful and meaningful poem by @nephromommy-akshu.bsky.social inspired by @johngreensbluesky.bsky.social's Everything is Tuberculosis www.nephjc.com/news/2025/8/...
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/...
This video from Fairmount Bagels in Montreal from their Instagram is the most impressive thing I've ever seen
Came across a hobbit hole on today's run
Listening to @johngreensbluesky.bsky.social 's Everything is Tuberculosis as I prep for Tuesday's #NephJC Summer Book Club. 9pm EDT
What do you think @maximalchange.bsky.social ?
Saturday is a dialysis day!, 🙏💛 ICYMI: the #NephJC @ajkd.bsky.social #NephMadness Canada kidney cup, cc: Dr. @nephrosparks.bsky.social resides in Atlantic Canada this year,🏆👊🤓😎#ThingsThatMakeYouSmile 🤓😃🙏💛
Nephrologists relate to Dune's Fremen because like the Fremen, everytime we meet a patient we frame them up by how much water they contain www.youtube.com/watch?v=8PuL...
Latest episode of @freelyfiltered.bsky.social is live! This one on the two RCTs of DDAVP to prevent renal biopsy bleeding. We had special guest Vandana Niyyar join us. @medpeedskidneys.bsky.social @captainchloride.bsky.social www.nephjc.com/freelyfilter...
Haven’t yet
Tolvaptan getting cheap. I use a lot of 7.5 mg for SIADH, now down to $129.15/month @costplusdrugs.com
I totally forgot to join #nephjc yesterday - I wanted to join just to say I detest phos binders and their sole purpose is to torture the patient so a lab number can improve. Plus major under recognized and under reported side effect like colonic ulcers and GI bleeding
I thought they were already in the bundle?
This was really interesting youtu.be/JkuS-JkHd8s?...
yeah, thanks for coming. Super helpful for you to be here. Thanks for hacing the courage to do this trial. I wish it could have provided some clarity. #NephJC
Up next! ☀️📚 We're taking a short break from trials, but don’t go far— #NephJC Summer Book Club is back! We’ll be diving into “Everything is Tuberculosis”—a powerful, thought-provoking read. Join the conversation soon! 📖
T3h 🔚 Bottom line: HiLo was thoughtful, pragmatic, and brave — but underpowered, under-recruited, and undermined by real-world complexity Until stronger evidence emerges, phosphate control remains a house built on shaky observational ground 🔜Your move, PHOSPHATE trial #NephJC
HiLo2 brought to you by Coca Cola -free Coke for hi -free Sprite for lo #nephjc #newnewnephrology
you need to get a cohort of patients who initially had a high phos that then were successful at lowering it with binders and then randomize to continue current binders or no binders. See easy 🤪 #NephJC
Perfect tweet #NephJC
There is some hesitation to sign up for something you've been told is harmful... also hesitation on the part of the dialysis facility staff to approach select patients for this reason. #NephJC
Another good Q What are the CMMS quality measures for PO4 and PTH? #NephJC
or maybe because every month when they see the nutritionist and 4 times a month when they see their provider they are told to maintain a low phos diet and take their binders because a low phos is important. It must have been jarring to hear that "actually we don't know if it is important." #NephJC
da fuck? #NephJC
P hack to get them down to p=0.05 #NephJC #TheWrongPee
lets have Debner randomize dialysis units to long or short dialysis time! #NephJC
the same nutritionists that gave protein restriction a 1A 🤡#nephjc
we should put some of the "health people" stuff in a pill and test that #NephJC
is 2C a good grade? #NephJC
HiLo reminds me of TIME Important question Great intentions Pragmatic trial Total failure #NephJC
just don't ask for the time
that is just mean #NephJC
That's the story of old nephrology. New new nephrology is guided by under powered pragmatic trials that don't answer the question! #NephJC
Joel Topf here. Sorry I'm late. New PR for 5k. #NephJC
They never made the jump to mobile. The 8 page article is great if you have an hour but with contemporary attention spans at goldfish-level they need to summarize them down to a handful of paragraphs. And as mentioned elsewhere in the thread, a job perfectly suited to AI.
It is wild to watch UpToDate drift towards obsolescence. I’m not sure how I would have survived without it a few years ago, but the search feature has gotten so weirdly awful. I searched “management alcohol related hepatitis” and had to scroll to the 8th link for a relevant article.
This has become the most viral thing I’ve ever put on the internet and I think that rules
HiLo, HiLo it's off to work we go! ⛏️ Join us 9 pm EST 8/5/25 to discuss. #NephJC #NephSky Controlling Phos in patients on HD is a lot of work, but is it worth it? HiLo looks at hospitalization & death in low/high Phos goals. Will we finally have a RCT with answers ⁉️ www.nephjc.com/news/hilo-tr...
😎Check out the VA for HiLO by @sejalplakhani.bsky.social 🆒 This should be quite the discussion, don't miss it! #NephJC #NephSky www.nephjc.com/news/2025/8/4/the-hilo-trial-visual-abstract
We hosted our first live event on Friday, and look forward to sharing the videos soon! Thank you to @kidneyboy.bsky.social, @changucanspare.bsky.social, Roger Rodby, Cybele Ghossein, and Fernando Fervenza for participating. #nephrology #nephsky
The utter mendacity of #Tesla electrek.co/2025/08/04/t...
My record for a patient’s highest BUN (406) has just been shattered! #vetneph
Got this email today No subject No pleasantries No salutation Just a question I love when people use email like an IM client. More of this please. Here is my reply, "Yeah, I like that plan. Take a look at this study. Seems to support your strategy: pubmed.ncbi.nlm.nih.gov/8840293/ "
