This ought to be engraved somewhere.

Long read about international students in UK in the FT on.ft.com/3IxgL4Q (free for first 3 people to click the url, then $gated) Same could be written about Canada Students are a victim The University/College and the agents in the foreign countries are running the scam

I’ll be honest, if I was a #Pediatrician or #OBGYN I would be dropping out of medicine to go off grid and open a combined tea and book shop on an island. I give you all credit for your strength to still see patiently this without blowing a gasket So far they haven’t effed up #Geriatrics much…yet

It’s that time of the year! www.nephjc.com/news/2025/9/... #NephJC

Doesn’t take too long! All those who think it is hard to measure BP properly in the clinic please fill out this survey from @goupilremi.bsky.social #NephSky #CardioSky #MedSky

🚨 Survey Alert! Standardized office BP measurements are recommended everywhere, but still underused. We want to hear from you: what are the barriers to using them as a routine in clinical practice? Click here to read the consent form and take the survey: redcap.link/barriers.to....

📢 New Research Alert! Check out this important study published in part by one of our own faculty 👏 Associations Between Serum Sodium, Peritoneal Dialysis-Associated Peritonitis, and Mortality in the Peritoneal Dialysis Outcomes and Practice Patterns Study (PDOPPS) pubmed.ncbi.nlm.nih.gov/40220849/

This is not the sort of thing I'd expect a scientist at the FDA to say. Personally, I doubt that any of the Alt accounts are who they claim to be.

ICYMI Full rounds with some great discussion here youtu.be/PhHCf97_Gc8?... #NephGR from @kdjhaveri.bsky.social #onconephrology

Disney decides that destroying it's own brand to kiss the right-wing's ass perhaps not worth it.

This kind of idiotic dunking on @gidmk.bsky.social means that the silly Alt account needs to be blocked (As do most ‘Alt’ accounts TBH)

Tylenol/acetaminophen/paracetamol use in pregnancy probably doesn't give babies autism. Now unlocked for all to read gidmk.substack.com/p/tylenol-us...

Big Brother becoming a reality with the Palantir-ICE team up Or when Saruman goes 1984? www.theguardian.com/us-news/ng-i...

Darren Green writes about a career in nephrology in @bmj.com Completely agree with these sentiments www.bmj.com/content/390/... #NephSky

Biological Age as a Predictor of Arterial Stiffness in Young and Early Midlife Black and White Women 🔗 academic.oup.com/ajh/article/... 🔓 #OpenAccess #Free #Hypertension

Exercise-Based Prehabilitation for Kidney Transplant Candidates: The FRAILMar Randomized Controlled Trial bit.ly/P%C3%A9rez-S... @mjoseperezsaez.bsky.social #VisualAbstract

As therapies in GN explode, the nephrology blogfather @kdjhaveri.bsky.social reviews the classes of drugs www.nephronpower.com/2025/09/in-n... #NephSky

It's that time of year again 🍂🍂🍂 The #NephJC Fall pledge drive. Plese give if you are able to support our decades long mission of #FOAMed for all. #NephSky #MedSky www.nephjc.com/news/2025/9/22/nephjc-fall-pledge-drive

It’s that time of the year! www.nephjc.com/news/2025/9/... #NephJC

Yes, “the worst of the worst.” Drug traffickers. Predators. 73 year old Sikh grandmas who sew saris and pay taxes www.bbc.com/news/article...

we have gone from a world in which we were told not to cite wikipedia because it was unreliable to a world where wikipedia might be the only reliable source left on the internet and we all owe a lot to the pedantic nerds who got us there

While I am genuinely concerned for my colleagues who are doctors currently on H1B visas, I acknowledge that I can't make people care about other humans. But American *should* care about the fact that their ability to get medical care WILL be affected by these visa restrictions.

And THAT is the “study” the Trump administration is using as “proof” Tylenol causes autism. He’s part of a group of physicians with zero toxicology or biochemistry expertise who brand themselves as “environmental exposure experts” and even get academic positions under that heading. 3/

I can't believe we spent 3+ years failing to convince people that yes a Harvard epidemiologist and a Hopkins medic and a Stanford economist can be totally full of shit. Such is the dangerous power of institutional prestige.

As the MAHA autism story breaks - check out @drlabos.bsky.social pod on why it does not make sense to draw such links without careful confounding cleanup podcasts.apple.com/ca/podcast/t...

A US-funded nutrition program was helping to keep this woman’s baby alive. Days after the program was cut, he died. https://cnn.it/4ndDYbl

I don’t know how we are ever going to be able to repent for this as a nation — but we owe it to ourselves to think creatively now about what re-engaging the world in a way they will believe actually looks like

The ongoing spread of the most recent #Measles epidemic in North America From Thailand to a wedding in New Brunswick, then Ontario and Texas, Alberta Excellent storytelling - with plenty of lessons apple.news/Ar28W-6-hTFa... from Globe/Mail

Is this the earliest description of contrast nephropathy from 1959? @juancarlosqvelez.bsky.social pubmed.ncbi.nlm.nih.gov/14437345/ Several aspects still key - immediate oliguria - recovery by 2 weeks - false positive urine protein - high dose contrast #NephSky

I’m in Vienna right now. A city which went from being the intellectual and cultural capital of the world to a “provincial backwater” (to quote Brian Barry) in a couple of decades due to nationalism, anti-semitism and fascism which drove away the leading scholars and artists it didn’t murder.

I’ve just been informed that there is a TikTok trend of using salt to osmotically cleanse the bowel. Salt will enter the blood stream and need to be peed out. It may increase blood pressure and strain the heart. It can cross out of the gut as easily as cross in, and it will take water with it.

#RenalPath: Minimal change disease (MCD) is the most common cause of nephrotic syndrome in children aged 1 to 7 yrs. This figure shows preserved cortex with normal-appearing glomerulus. In this case, the tubules are distended with loss of brush border bit.ly/3W0go60 (FREE)

Except for all the new diabetes technology, I think I could pull off endocrinology without killing anyone. (And by “new” I mean changed from my training 25 years ago)

Oh man. I think gen IM like @hswapnil.medsky.social but it would be a LOT of looking things up. Maybe GI if not scoping?

Good luck getting an accurate weight. Plus are you going to wait 24 hours before dose escalation? And then there’s 👇🏾 pubmed.ncbi.nlm.nih.gov/25595470/

Physicians, what's the speciality that isn't your own that you think you could moonlight pretty well in? Willing to bet the most common answer would be infectious disease #MedSky

🆕 Education Hub FREE course: Diabetes in Dialysis New resource for the whole MPT managing the complexities of #diabetes in #dialysis: ✔ Hypoglycaemia prevention ✔ Medication & prescribing ✔ Dietary advice ✔ Complication management ✔ End-of-life 👉 https://bit.ly/4n1PWES

And he got it wrong. Hypertensive crisis was removed from the latest 2025 AHA/ACC guidelines. It has been replaced with called severe hypertension without target-organ damage www.ahajournals.org/doi/10.1161/...

#UrinarySediment #UrineMicroscopy

updated IBCC chapter on anaphylaxis, some new additions: 🆕 methylene blue for anaphylaxis refractory to epi & fluid 🆕 sugammadex for anaphylaxis 2/2 roc or vec 🆕 nebulized epi (in combination with IV) for upper airway edema? Don't bank on it but might help? (emcrit.org/ibcc/anaphyl...) #EMIMCC

Also that sens isn't exactly what you want in a screening test Don't be reassured you're not HTN if your watch doesn't alarm

#medsky #nephsky whether you learned EBM from Users’ Guides to the Medical Literature and The Rational Clinical Examination, or from someone who learned it from there, be grateful for the life and work of Drummond Rennie, a nephrologist and a lion of an editor shorturl.at/WjvVU

My inflection . is case-dependent. For AKI-RRT in which we r watching 4 recovery, 300 ml/day is meh and not enuff 2 wean off RRT; in shock ATN, 300ml/day is 👍 because I may be able to convert it into 1.5-2.0 L w/high dose diuretics if needed, whereas <30ml/day means RRT is imminent

The exact number of millilitres of urine is for surgeons doing their post op rounds & the ICU charts An art of nephrology is classifying all patients into the binary of "making urine" and not. The inflection point between the two varies from nephrologist to nephrologist #LearnToTalkNephrology

Primäre Hyperoxalurie - Prof. Dr. Bernd Hoppe (Bonn) Prof. Dr. Bernd Hoppe explains the pathophysiology, diagnostics, current and possible future therapies of primary hyperoxaluria. youtu.be/T18mxSSlG7g?...

H-1B visas, in addition to J-1, are often used by medical residents who went to school in foreign countries. Those residents will now cost the hospitals in which they work an additional $100k/year, up from about $2000 every 3years. Poor communities will suffer, and people will die.

Parents outraged as Meta uses photos of schoolgirls in ads targeting man

🚨Check out the latest KI Reports community blog on the personalization of immunosuppression from @drpriyajohn.bsky.social #NephSky www.kireportscommunity.org/post/persona...

People keep talking about tech firms in relation to the H1-B $100k fee but it’s gonna really sink universities.