#foamed #medsky #emimcc Next week: how to manage the airway of a crashing critically ill patient with RV failure and severe ARDS

Interesting pilot/feasibility trial in @kireports.bsky.social Decremental dialysis in elderly patients with small inter dialytic weight gains - going from 3 to 2x week HD. Easy to recruit, good adherence. www.kireports.org/article/S246...

So happy to be able to share my article on Seattle’s Fresh Bucks program! FB is a $40/month benefit that can be spent on fresh fruits and vegetables at all local Safeways, farmers markets, and some smaller grocers. It requires *no* SNAP enrollment and *no* matched spending… 🧵1/7

Most viewed this week from JAMA: In patients with salvageable brain tissue identified by perfusion imaging who did not initially receive thrombectomy, alteplase given 4.5 to 24 hours after acute ischemic #stroke onset may improve functional outcomes. ja.ma/4oILnRs

Acanthocyte - phase contrast (original mag x400) - from patient with hydralazine-induced vasculitis #UrineMicroscopy #UrinarySediment

Adding the Hypertension journsl link! www.ahajournals.org/doi/10.1161/...

4) Stronger recs for home BP monitoring 5) Same BP goals and treatment initiation thresholds, now with PREVENT score to help guide initiation and with some nudges to consider going for an SBP <120 when tolerated 6) No more race-base recs /n

New 2025 AHA/ACC Hypertension Guideline dropped! www.jacc.org/doi/10.1016/... #hypertension #medsky #nephsky

International guidelines recommend 5 to 7 days of antibiotic prophylaxis for patients with cirrhosis & upper GI bleeding. 🆕🔥Systematic Review ( 14 RCTs, N=1322) & Bayesian Meta-Analysis challenged this universally held dogma #idsky jamanetwork.com/journals/jam...

Vitamin R + Cyclophosohamide in ANCA vasculitis A case series from Edinburgh suggesting this allows faster steroid withdrawal? @kireports.bsky.social www.kireports.org/article/S246... #NephSky #Vasculitis

We are excited to kick off the new academic year with a #womeninnephrology event and welcome our new #nephrology fellows, Erin, Hanna, Heba, and Jessica to our WIN community @uwmedicine.bsky.social! #kidney #healthcare #research #nephsky #WomenInMedicine #AcademicLife

Question for #nephsky #askrenal. Friend found these casts in a patient with multiple myeloma- Cr 0.8 and UPCR 0.1 g/g. They don’t look like typical hyaline casts. Any thoughts? @juancarlosqvelez.bsky.social @jrseltzer.bsky.social

BREAKING: Texas Democrats head to Illinois to deny Republicans a quorum on redistricting

New Fellow Welcome Dinner!! @uwnephrology.bsky.social @uwmedicine.bsky.social #kidney #Seattle #nephsky #nephfellows 🫘🌲🩺😊

This #FellowFriday, we spotlight Dr. Hannah Larson. She says, "I am truly grateful for the opportunity to learn from an exceptional group of #clinicians & #researchers as a #nephfellow @uwmedicine.bsky.social. I love the beauty of #Seattle & am extremely excited to be back!" #kidney #nephsky

I think I'm in love youtube.com/shorts/OJy1Q...

My first attempt at suspending objects (a hard-boiled egg) in jello! Kidney biopsy simulation with our enthusiastic @uwnephrology.bsky.social first-year fellows. @nephsky.bsky.social

The USPSTF has been a paragon of improving care, preventing harm, and saving money for my career Yet again, this administration continues to be the most pro-cancer administration ever

Guidelines no longer recommend holding typical first-line antihypertensive meds since renin will most often still be suppressed despite being on them in true PA. Growing evidence supports proceeding with screening Hot off the press from the Endo Society: www.endocrine.org/clinical-pra...

"CAR T-Cell Therapy in Kidney Disease," presented by Dr. Lily Jeong, describes what it is, the data in autoimmune #kidney disease, therapies that may help in #transplantation, and the adverse effects of CAR-T #cell therapy. @uwmedicine.bsky.social #nephsky Watch: youtu.be/ZP0SN4_8Zv4

In 15 patients with primary aldosteronism, baxdrostat (a second-generation, nonimidazole aldosterone synthase inhibitor) resolved or reduced the severity of hypertension, excessive aldosterone production, and hypokalemia. Full SPARK study results: nej.md/40Js1kz #ENDO2025

Breaking News: Measles cases have hit a record high this year surpassing any other since the contagious virus was declared eliminated in the U.S. in 2000.

Runners protesting ICE cover 15 miles through immigrant communities

Non-cystic fibrosis (CF) bronchiectasis is a chronic lung condition that typically causes cough and sputum production. Read this Review to learn more about non–CF bronchiectasis. https://ja.ma/3Gb4BxD

Congressional Republicans passed President Trump’s sprawling domestic policy bill that extends and expands tax cuts, while slashing Medicaid, food benefits and clean energy initiatives to pay for them — but only partly. What could the bill mean for your wallet? Answer these questions to find out.

The fiscal conservatives in the GOP just added $4 trillion to the deficit to give the wealthiest people on earth a tax cut. The pro-family party just took healthcare away from 17 million Americans to give ICE a bigger budget than Brazil’s military. The single most inhumane bill ever passed.

"Orientation Week" has been so much FUN!! Our incoming #nephrology #fellows have been spotted all over #Seattle at the various @uwmedicine.bsky.social locations. They are set to begin a fantastic academic year @uwnephrology.bsky.social #kidney #nephsky #nephfellows

oral vanco prophylaxis in patients with recent Cdiff who need systemic antibiotics: RCT with signals of efficacy (yet disappointing) I will continue using oral vanc prophy for now (should we be using *longer* vanc courses to prevent delayed Cdiff?) jamanetwork.com/journals/jam... #IDsky #EMIMCC

We’re thrilled to welcome @jbullockruns.bsky.social to the CLIME team as Associate Director for Educational Scholarship! He brings a passion for identity safety and creating spaces where learners and providers can be their authentic selves. Learn more: bit.ly/4lAjOHh #MedEd

"Each year, the legislation would kill 51,000 Americans, researchers at Yale have estimated." www.theatlantic.com/ideas/archiv...

This is nuts, a $35-per-treatment copay for dialysis and CKD patients above the poverty line could cost dialysis patients over $5,000 annually *Quickly checks show of hands at the unit, anyone got $5K?, No one? Ok cool cool I’ll let them know*

I really don’t understand how anyone in this administration, or anyone who supports them, sleep at night.

We are extremely proud of our 2025 #Nephrology #NephFellow Grads, Drs. Mahlet Assefa, Megan Griffin, Manuel Rovira, Gauyuan Huang, and Cassandra Chiao. The future is bright! They are each headed toward #kidney greatness!! #nephsky @uwmedicine.bsky.social @kidney-resrch-inst.bsky.social

This is what we were waiting for. A direct comparison between apixaban and rivaroxaban for the treatment of acute VTE. Apixaban reduces bleeding risk in the first 3 months by >50%! Practice changing investigator-initiated RCT. #ISTH2025

In A Few Words essay by Alan Finkelstein: Giving Grace bit.ly/FinkelsteinI... (FREE)

We are thrilled that ASN selected Dr. Dan Lam for the @asnkidney.bsky.social Mid-Career Distinguished Clinical Service Award!! Dan is such a compassionate physician, and the Director of #PalliativeCare services at HMC @harborviewmedical.bsky.social #nephsky #kidney @kidney-resrch-inst.bsky.social

🔍 New Publication in Kidney International Reports Pleased to share our recently published editorial commentary: “Upstream Causes, Downstream Consequences: Targeting Pre-Dialysis Pathways to Tackle Inequities in Access to Kidney Transplantation” 👉 doi.org/10.1016/j.ek...

📌 Thanks ASN in the Loop for featuring our study @ASNKidney360 on “Biopsy-proven renal sarcoidosis & outcomes” led by @jingneph.bsky.social journals.lww.com/kidney360/ab...

Intravenous hydrocortisone was associated with a reduced need for new kidney replacement therapy in patients with septic shock. #CCR25 #MedSky ja.ma/3SLC3xg

Very cool paper with pragmatic conclusions! #hypertension www.ahajournals.org/doi/abs/10.1...

We do this a lot in our post-AKI rehab program. Nudges don’t work unless the sender is known or invests their own time in convincing the receiver. It takes a one-on-one discussion and even then not 100%. That’s why we fill in the gaps with an AKI medical director prescribing GFMT independently.

Because of low patient numbers and uneven geographical distribution, nephrology fellows may not have experience caring for home hemodialysis patients. Researchers developed and validated a home hemodialysis objective structured clinical exam to solve this problem. kidney.pub/CJASN0740 #ASNCJASN

Congratulations to this year's recipients of our Evans Awards, medical students Sophia Chahine and Jorie Wittig and resident Sarina Sandhu! These awards recognize residents and medical students who most clearly reflect the qualities of compassionate care, as exemplified by Dr. Robert Evans.

Interesting post-hoc analysis just published in @jamanetworkopen.com- pts with AKI from the ADRENAL RCT. All had sepsis and on MV. In the adjusted analysis, risk of dialysis ⬇️ in pts treated with hydrocortisone (21% v. 24%). #nephsky #icusky Full article jamanetwork.com/journals/jam... Editorial

Adult colouring books are great for relieving stress

Thrilled and humbled to be named to the IM Faculty Honor Roll for teaching! It's a privilege to work with such dedicated residents at Geisinger. You inspire me every day. Super happy to receive it with my friend and collegue @alexchangmd.bsky.social !! #InternalMedicine #MedEd #Nephrology

"Experience of the #kidney #transplant evaluation for older adults," presented by Dr. Kate Butler. What is the eval, and how likely are older adults to receive a transplant? @uwmedicine.bsky.social #nephsky #nephrology Watch: youtu.be/KvD1XYvapos

Also read the corresponding commentary from Drs Kenny and McEvoy academic.oup.com/ajh/article/...