A hospital-wide policy to administer lactated Ringer’s solution rather than normal saline did not result in a significantly lower incidence of death or readmission to the hospital within 90 days after the index admission. www.nejm.org/doi/full/10....

Clinical variables and antibody levels predict remission in PLA2R-membranous nephropathy over 3 or 6 months of treatment, with 3-month models allowing earlier assessment of response. bit.ly/CJASN0694 #ASNCJASN

By far my favorite KIDNEYcon memory and possibly my favorite nephrology conference moment. The karaoke Uber with Tim Yau singing Taylor Swift as we came home from John Arthur's Martinis and Meatballs party

Hahaha . . What kind of world we must live in if Swap would be considered an evil no-gooder.

We should have stopped the count a full decade ago after the original #nephgate was exposed with @nephrowhitt.bsky.social mugshot. We didn't thus allow the election of topics to be stolen by evil no gooders like @hswapnil.medsky.social

🎉Congrats to these #NephMadness 2025 Grand Prize Winners: 🏆 Top Medical Student: Linh Luong 🏆 Top Fellow Score: Claudia Villegas 🏆 Top Resident Score: @therealdrdub.bsky.social 🏆 Top Attending Score: @nephrowhitt.bsky.social

@nephrowhitt.bsky.social and @proximal-baxi.bsky.social eh? Remember #NephGate anyone? #NephMadness #RushRenalRules

Congrats to the #NephMadness winners! 👑 👏 🥇Mel Hoenig and @glombandit.bsky.social 🔝Also, lots of familiar names in the top 10% @verner-venegas.bsky.social @basunephro.bsky.social @nephrowhitt.bsky.social @proximal-baxi.bsky.social @drmontomoli.bsky.social @arvindcanchi.bsky.social

That time again. Join us for another great GN case TODAY with Rush Nephrology's Biopsy Conference! Thursday, 2/20, 1 PM CST (starting in 60 minutes). Zoom info below. @nephrowhitt.bsky.social @nephsim.bsky.social #nephrologyrules #RushRenalRules

That time again. Join us for another great GN case TODAY with Rush Nephrology's Biopsy Conference! Thursday, 2/13, 1 PM CST (starting in 10 minutes). Zoom info below. @nephrowhitt.bsky.social @nephsim.bsky.social #nephrologyrules #RushRenalRules

Think primary aldosteronism means hypertension, hypokalemia and metabolic alkalosis...think again. Can undercover hyperaldosteronism be a key to CKD?🔎 #NephJC chat 2/11/25 at 9pm EST #NephSky www.nephjc.com/news/primary...

20F with MN BUT full house staining IF. Neg ANA/dsDNA. Associated neph syndrome. Minimal response to ritux x2. Minimal response to MMF (attempt to rx for presumed prolif LN). Next step? Not the most reliable patient so 'easy' regimens preferred 🙏🏾 @askrenal.bsky.social @nephrowhitt.bsky.social

This is interesting Aerococcus sanquinicola and Aerococcus urinae in the urine metabolizing creatinine resulting in false low readings with implications for UPCR, UACR and 24 hour urine creatinine collections www.kireports.org/article/S246...

I've decided that "hyponasality" is my least favorite diagnosis when i am on call because it makes me type 6 letters before i get to the fun diagnoses

🚨One Week Left: Apply for Kidney TREK 2025🚨 Hands-on nephrology experience + mentorship at your choice of location: 🏞️ MDIBL: Research with model organisms. 🏙️ UChicago: Renal physiology and procedures. Apply by January 22 🔗https://www.asn-online.org/treks 📷 Credits: Arvin Halim

That time again. Join us for another great GN case tomorrow with Rush Nephrology's Biopsy Conference! Thursday, 1/16, 1 PM CST. Zoom info below. @nephrowhitt.bsky.social @nephsim.bsky.social #nephrologyrules #RushRenalRules

Hope many of you can join tomorrow morning. Hopefully a diversion for any of us impacted by the LA fires. #renalpath #nephsky #pathsky A Medley of Renal Pathology Cases from Pediatric Patients ID: 875 5077 1266 Passcode 202122 sign up 👉🏻 bit.ly/3zm4tYy #GlomCon

The efficacy and safety of half-dose glucocorticoids combined with #rituximab versus high-dose glucocorticoids for initial treatment of minimal change disease: a single-center experience #nephsky www.frontiersin.org/journals/pha...

We are excited to restart our #RushNephrology #RUMC_RBC Biopsy Conference for 2025! First session tomorrow, thursday, 1/9 at 1 PM CST. See below. @nephsim.bsky.social @nephrowhitt.bsky.social #NephrologyRules

Some light holiday reading courtesy of @ajkd.bsky.social and my co-author @captainchloride.bsky.social. The questions sync up with scenes in Home Alone. 😉 Unfortunately, we have no cat related commentary. That’s there for general cuteness (and a different paper on feline CKD)

Excited to share our core curriculum on volume disorder in @ajkd.bsky.social! Thanks to @sarahsanghavi.bsky.social for writing this with me and @melhoenig.bsky.social for the invitation! www.sciencedirect.com/science/arti...

CALL FOR SUBMISSIONS: Have you encountered a tricky case that could be submitted as a Quiz to help others learn? Details on the #AJKDBlog: https://bit.ly/3OjKpdd All Quizzes are freely available: https://bit.ly/3B4vccS

Thanks to the dedication of the kidney community—readership, studies, and contributions—2024 was an incredible year for ASN publications, showcasing impactful articles, insightful reviews, and engaging visual abstracts. Explore the highlights in the 2024 End-of-Year Report: bit.ly/yearendpubsr...

9.8 grams of caffeine...not good. 🔬

An amazing evening with friends and colleagues ! Continuing the annual holiday #ChicagoGNcrew get together! Missing suneel, kana, Shikha and yoni! @laurendwyer.bsky.social #Nephrology

Make sure you join us tomorrow 12/19/24 Thursday 1:00 PM CST for a LIVE @Rush_Nephrology renal biopsy conference. We has a zinger. Sometimes common diseases can have very uncommon presentations and responses. Help us figure this one out! #RUMCRBC #RushRenalRules @nephrowhitt.bsky.social

A tradition as old as time: End-of-rotation dinner with our amazing #Rush_Nephrology housestaff and fellows. A chance to step away from the wards, enjoy great conversations, and build lifelong relationships. Grateful for their dedication and teamwork! 🌟 #MedEd #RushRenalRules

Had the honor to be at the Rush PA Program Graduation this past week. So incredibly proud of this amazing group of individuals! #RushRules

#AskRenal Where are we with real time mGFR? This paper came out in 2018. Looked promising pubmed.ncbi.nlm.nih.gov/29748326/ Just found this from 2024: www.kidney-international.org/article/S008... And MediBeacon has completed enrollment for their phase 3 trial: www.medibeacon.com/focus-areas/...

Are these triangles triple phosphate crystals? There were some coffin lids mixed in. @weddellite.bsky.social @juancarlosqvelez.bsky.social @jrseltzer.bsky.social

Didn’t know about the SC v. IV trial until I saw this. (I may be a little younger than you and Bill). These are really interesting results. Did you notice any changes in practice after it was published? Reference for others. www.nejm.org/doi/10.1056/...

Bill, appreciated! My idea. For Jim Kaufman’s study of IV vs SC epo (NEJM 1998) I suggested: Usual Regimen of Injection or New?: Epo! So Ryan fulfilled my goal to do the URINE study - it fits better here! 🔥

The UKKA AKI report is out, h/t @beckybonfield.bsky.social @ukkidney.org www.ukkidney.org/sites/defaul... (PDF) Incl. - Don’t call RAASi nephrotoxic - Don’t delay contrast imaging - Sick day rules are mostly 🐴 💩

Great study to quote if you’re having trouble getting a GLP1-RA approved in your CKD patients because they’re already on an SGLT2i.

This is how Bill says hi.

Yes!!

Seems likely- I’ve seen primary Aldo + Abiraterone too. If not improved with dex/pred I use Eplerenone to avoid any androgen effect of spironolactone

Abiraterone? cc @drjmluther.bsky.social @juancarlosqvelez.bsky.social (I think @kidneyboy.bsky.social is relaxing in the backwaters so won’t bother him)

Guess who I found? @nephrowhitt.bsky.social who is definitely not here just because he lost a bet. #nephsky @proximal-baxi.bsky.social @hswapnil.bsky.social

Consult for hypoK on rounds (w/ permission). Hx of resistant prostate CA. BP 140/100 mmHg. UCl 100, UK 55, UCr 76. Serum: SODIUM: 138 POTASSIUM: 2.5 CHLORIDE: 101 CO2 TOTAL: 26 BUN: 12 CREATININE: 0.83 GLU 78 Cause?