🔥Hot Debate—"The "KDIGO BP Targets in CKD Are (Un)Achievable and (Un)Realistic with @hswapnil.medsky.social pro unbiased take #ISNWCN His job was to convince a full room of unbelievers in low BPs #NephSky

10/ We shouldn't be afraid of creatinine #ISNWCN #MedSky @scoca1.bsky.social made it very easy to understand: maybe attach this to every consult? @glaucomflecken.bsky.social

2/ It was so close... but there was a winner. Curious to see who won? #ISNWCN

Happy to receive a prize on IgA quiz by Kidney Kolumns from @isn-india.bsky.social at WCN 2025. Thank you 🙏Dr. Mayuri Trivedi, Dr. Shyam Bansal and Dr. Vineet Behera. #ISNWCN

Doctors shouldn't measure BP 😅 We suck at it. 🤐 There are quite significant pre-requisites for it. All trials did automated BP recording. @hswapnil.medsky.social #ISNWCN

@nephjc.bsky.social session is happening now. @hswapnil.medsky.social @nephromythri.bsky.social #ISNWCN

Screening criteria per Endocrine society for PA Contrast with actual screening rates - summarized here pubmed.ncbi.nlm.nih.gov/36965825/ from @ajkd.bsky.social #ISNWCN #NephSky

@argaiz.bsky.social killing with his teaching skills. It was an amazing session on POCUS and VExUS 👏🔥. Thank you 🙏 #ISNWCN

This is the algorithm he prefers from a 2020 for biopsy and management www.kidney-international.org/article/S008... 2020 @kidneyint.bsky.social - looks #OpenAccess #ISNWCN #NephSky #Onconeph Watch this space for biomarkers I say 😎

Eisei Sohara talking about importance of genetic testing in CKD. ➡️10-15% of so called ADPKD do not have family history yet have PKD1/2 mutation. ➡️ Other genes involved in PKD (IFT40, CFAP47). ➡️10% of dialysis patients with unknown cause actually have genetic cause. #ISNWCN

The Aldosterone Paradox: A Skeetutorial:

And we need to play by local rules and those rules say, we need to repost rather than just like. It was okay to be a lurker on #MedTweeter, but here we have to embrace our inner extrovert. Repost rather than like to help build #MedSky

The excellent overview of IgA management and the upcoming @kdigo.org guidelines from Prof IgA himself, Dr Barratt youtu.be/OChs5BcTEGE?... #NephGR #NephSky

1️⃣ We are pleased to announce the publication of the KDIGO 2025 ADPKD Guideline! This first-ever KDIGO guideline focused on a rare kidney disease provides practical tools to improve diagnosis, care, and treatment. Read the news release: kdigo.co/2025-ADPKD-G... #ADPKD

@askrenal.bsky.social #askrenal One of our DrNB final theory questions. Role of nephrologists to promote Donation after Brain Death (DBD) programme in the country.😕 All I could write was SoMe campaign, talks, posters etc. What would #NephSky and #MedSky add to it?

Alisporivir, an original antiviral (HepC) drug had shown to increase in mutant trimers in Alport's syndrome acc. to this paper. It's also a cyclosporin derivative binding to cyclophilin and not to calcineurin. This was a final DrNB theory question 😑 journals.lww.com/kidney360/fu...

Good noon all, IJN: Year: 2025, Volume: 35, Issue: 1, January-February Issue of Indian Journal of Nephrology is live. Kindly follow the link: indianjnephrol.org/current-issue/ @arvindcanchi.bsky.social @priti899.bsky.social

#askrenal Why has @goKDIGO not released any transplant recipient guidelines since 2009? As per that, HCV needs to be treated with IFN, only if benefits outweigh risks! 🤷‍♂️ Of course, '2018 tx candidate' and '2022 HepC' guidelines mention DAA for treatment in transplant pts.

One request for the journals. Can we have the article downloaded in PDF format with title mentioning the title of the article or the first author name and not some PIIS123?

I guess the hype for Google's Willow is real. What do you think Willow and it's quantum computing can change in the medical field?

1/17 [Why] is furosemide susceptible to malabsorption from "gut edema"? When a patient with heart failure is hospitalized with congestion I often hear "let's use IV furosemide; they're probably not absorbing the PO." It's a comment unique to furosemide. But is it accurate?

👉20 - 30% Na reabsorption in TALH. 50% of that occurs paracellularly😮 ➖️NKCC2 probably inhibits paracellular reabsorption as well (Mg and Ca loss). ❓️But why didn't ROMK,the main channel responsible for paracellular reabsorption,inhibitors pick up? Still wondering if we can increase the arsenal.

Safety and efficacy of different transplant kidney biopsy techniques: comparison of two ... - goo.gl/alerts/wTrkre #GoogleAlerts

A warm welcome to every one again in this #ECNeph session 🙏🙏🙏 Greetings from Chandigarh, one of the most planned cities of India ! Lets start with the discovery of Parvovirus B19! Latin word ‘parvus’ or ‘parvum’ means small or tiny @myadla.bsky.social @theisn.org #ECNeph #Nephtwitter #Nephsky

12/12 in conclusion, be bold, NE + Lasix works and does not throw pts back into HRS. Push the MAP up, diurese away.

Happening Tomorrow on Bluesky #NephSky Join us for the inaugural #ECNeph Discussion by @DivyaveerSS.bsky.social , moderation by @myadla.bsky.social An interesting post-transplant case!

Wow... Nicely explained 👌

The main transporter responsible for Na entry into cells is NHE3 in proximal tubular cells of kidney. The encoded gene is SLC9A3. SLC - SoLute Carrier. I couldn't figure out how the numbering of SLC was done. Is it by the order of discovery like interleukins or anything else?

While going through H indexes of various investigators, found a "shark profile" and his most cited article. 😉 scholar.google.com/scholar_url?...

We are trending on @bsky.app (🤪) #NephJC

T3e #nephjc BPROAD, the largest BP trial in high-risk T2D (n=12,821), used attended office BP measurements like ACCORD and ESPRIT but shifted to home monitoring during COVID-19, unlike SPRINT's unattended approach Table made by @shahsonride.bsky.social

But if a spike in first 6 months, but then keeps going up throughout … 3/

Fantastic thread 👏 Thirst is because of (begin underline) effective osmole, causing intracellular dehydration (end underline).

Wonderful results favouring urgent start APD vs HD for those on maintenance PD. I feel in a corporate setup in India, PD in general is costlier than HD unless enrolled in some scheme. So to convince based on cost is ruled out here 😞

So who all come under CKD G1 A1 class?

We heard you and we are verified on Bluesky! Follow the World Health Organization here for public health updates.🎉

The MOST ABUNDANT PROTEIN ON EARTH is probably the one that almost all life depends on. It makes up ~3% of the mass of every leaf & blade of grass on the planet: a total weight of 10^11 kg. Let's talk about Ribulose-1,5-bisphosphate carboxylase/oxygenase or 'RuBisCO'. www.pnas.org/doi/10.1073/...

someone needs to put this in a development economics lecture

Nephrology - is not for normal doctors but for exceptionally skilled physicians 😎 #nephsky from www.thelancet.com/journals/lan....

Going through the FLOW trial and found that apart from the white population, where it clearly favours semaglutide, for the rest of the ethnicities, 95%CI lie on both sides. Given that there were 231 Indian patients and Asian population also not giving conclusive results, how to go about it?

A medical oncologist in a state run Indian hospital, who recently underwent aortic valve replacement and on anticoagulants, was stabbed in the neck by the patient's son due to alleged neglected treatment of his mother. He's taken for surgery, but is very critical. Hope the situation improves 😥

Steatorrhea with renal failure think about enteric oxalosis. Can anyone tell me the prevalence of renal failure in enteric oxalosis? My search couldn't pick up any figure. #Nephsky #Medsky

This bluesky gives the nostalgic Twitter feel...