I think the general message is beyond ACHIEVE: 1. Big, rigorous trials are possible in dialysis. 2. It is more about doing than complaining about the lack of quality studies. 3. Negative studies serve us better lessons than pozitive ones #NephJC Pic from DaVinci museum in Rome. (+bonus kidneys)

Thank you Natalia 😇! #NephJC

To accompany the discussion on ACHIEVE - a short piece on ALCHEMIST & the metaanalaysis from @lonniepyne.bsky.social www.nephjc.com/news/2025/ne... #NephJC

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

Check out the ACHIEVE visual abstract by @nephromommy-akshu.bsky.social www.nephjc.com/news/2025/8/...

Hey I’m Akshaya, young Nephrologist from Vellore India - no COI ! Have treated TB empirically, and in an evidence based manner, with all kinds of evidence ! And also TB has played with my health too ! So have some first hand experience with the deadly guy ! #NephJC

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

After 2 on calls in 4 days, relax time… 🗺️Finishing 📚 for tomorrow’s #NephJC bookclub Any favorite quote?

#NephJCBookClub will be on this week Check out @kidneyboy.bsky.social take on 'Everything is TB' here www.nephjc.com/news/2025/8/... Hope @johngreensbluesky.bsky.social can join us tomorrow at 9 pm EST for the discussion #NephJC

Beautiful and meaningful poem by @nephromommy-akshu.bsky.social inspired by @johngreensbluesky.bsky.social's Everything is Tuberculosis www.nephjc.com/news/2025/8/...

Hey this is Akshaya, nephrologist from Vellore, India - and #NephJC intern. I have no COI ! And I’ve been so trained to keep it low that I feel afraid seeing any Phosphorus over 6mg/dL !! (our Upper limit is 4.5) ! Wish I could say I belonged to the “High” team!

😎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

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...

Neither Creatinine nor Cystatin C has won the war (Cystatin C is still probably better - but also costlier) ! They end in a truce - promising to work their differences (eGFRdiff) better ! #NephJC

Amazing Chat! A job very well done Akshaya! Have seen your passion and dedication over the past few days! Keep going! #NephJC

Late Post from your host ! 😇 Hey! I’m Akshaya Jayachandran (nephromommy-akshu.bsky.social), nephrologist from Christian Medical College Vellore, India — glad to have hosted my first #NephJC chat, with the adrenaline running high! My introduction got missed in the eGFR wars!

9/ I want more info ✅ Check out #NephJC summary by @nephromommy-akshu.bsky.social ‬ @roxnonna23.bsky.social @glomerican.bsky.social www.nephjc.com/news/egfrdiff ✅Visual abstract by @nephromommy-akshu.bsky.social @drsaivani.bsky.social www.nephjc.com/news/cricdiff

👏 Great discussion! 📅 Up Next: 8/5/25 we discuss the 📘HiLo trial- A RCT of phosphate targets for HD patients #NephJC Do we finally have data to end “the great phosphate-bypass” pubmed.ncbi.nlm.nih....#NephJC

🔍 But here’s the twist—creatinine and cystatin C don’t always agree. That gap? It might be more than just a lab quirk.

#NephJC chat in 4 hours! Tune in for "Creatining" scientific discussions rather than "C-static" silence. ⚡ Ming the eGFR gap though!🫘

Check out the VA from @drsaivani.bsky.social and @nephromommy-akshu.bsky.social on eGFRdiff in the CRIC cohort. #Nephsky #NephJC www.nephjc.com/news/cricdiff

On 7/22/25 at 9pm EST only on Bluesky! #NephSky #MedSky join us for a lively discussion. We're debating eGFRdiff (the gap that is sometimes present between the eGFR of cystatin C and creatinine). What does it mean, what causes it and what you should do about it. #NephJC www.nephjc.com/news/egfrdiff

Check the insightful #NephJC summary by @jeyakumarmeyyappan.bsky.social and @sejalplakhani.bsky.social 👉 www.nephjc.com/news/...#NephJC

And @nephjc.bsky.social, is this a COI by the way?? 😂 #nephJC

Hey all ! I’m Akshaya, from India, and part of the #nephronauts gang. Here for the CONFIDENCE #nephJC chat 😃, and also building up my confidence to finally discuss in the Chat 😂!! No COI. And happy hosting @msocomd.bsky.social! #nephJC

💥 Finerenone and empagliflozin have each delivered big wins in CKD + T2D. But what happens when you combine them? That’s exactly what the CONFIDENCE trial set out to explore— and tonight, we’re breaking it all down #NephJC

🎨Check out the beautiful #visualabstract by #NephJC intern @shelliefravel.bsky.social ⏰Chat happening on July 8, 9 pm EST www.nephjc.com/news/2025/7/...

1/10 Last #NephJC we discussed tacrolimus (TAC) versus mycophenolate mofetil (MMF) for the treatment of pediatric nephrotic syndrome. A first👶to👶immunosuppression study for SSNS in kids #TenPostNephJC . Read the articles 👇 pmc.ncbi.nlm.nih.gov/articles/PMC...

Attended @ksnmeeting 2025 at Seoul and had the opportunity to present my poster at the conference! Thrilled by the city’s vibrant cultural and modern landscape!! @nephromommy-akshu.bsky.social #nephrology #KSN #seoul #nephroconference

Attended #KSN2025 in Seoul 🇰🇷! Presented two posters at the conference! 👩🏻‍⚕️ A scintillating experience soaking in all the science, savouries and Seoul skies !! 😃🎏🥋🍜@assadsm.bsky.social #nephrology #KSN #seoul #nephroconference

Oh look, a list of the 30 best nephrology podcasts. www.millionpodcasts.com/nephrology-p...

The class of 2025, #NephJC interns www.nephjc.com/news/2025/6/...

The #NephJC is starting ! Welcome everyone ! 🎊 @nephjc.bsky.social @kireports.bsky.social

And Team B: #NephJC @glomerican.bsky.social @bogdan-agavriloaei.bsky.social @nephromommy-akshu.bsky.social @DrSaiVani.bsky.social @roxnonna23.bsky.social

Welcome next #NephJC generation! New NephJC authors & creators debuting in July 2025, check them out & give them a follow! 📸 Team A: @sejalplakhani.bsky.social @notjustdialysis.bsky.social @msocomd.bsky.social @shelliefravel.bsky.social @salinesolut.bsky.social @jeyakimarmeyyappan.bsky.social

Hi,😊 I'm Akshaya Jayachandran, a freshly minted nephrology trainee from Vellore, India ! We do deal with a few pediatric nephrotic syndrome patients though (probably a handful each year). This is my first NephJC chat and I’ve no COI. #nephJC

Major Trials in the use of ASIs targeting difficult-to-control hypertension #NephJC