Good.

I'm super proud of this work detailing the results of genetic testing in hundreds of kidney stone formers. We identified genetic causes for stones in 34% of those tested (47% if < 16 y.o.). So thankful for such great collaborators & patients! journals.lww.com/cjasn/fullte... #nephrology #mayoclinic

I love it when I realize I hit send on an email in which I type-o'd "my" to "me" and I sound Cockney, e.g. "Let me discuss it with me team."

Hot take: Academics are just an isoform of social media influencer. Publications are clicks and citations are likes. H-index = clout.

I have a pediatric patient who refers to her serum phosphorus as "serum preposterous" so that's what I'm calling it from now on.

Happy Match Day, and thanks to @jbcarmody for continuing to do this thorough and important analysis!

You know why I love a hepatectomy? It always de-livers! I just made that up and am amused with myself. But also appropriately disappointed.

From JAMA Cardiology: South African regulations limiting sodium in processed foods were associated with reductions in sodium consumption and blood pressure among rural adults aged 40 years or older. ja.ma/4hMWyUW #CardioSky

Pt (w/ permission) showing # of nights @ Ronald McDonald House paid for so far at this amazing fund raiser co-chaired by my beautiful wife, Samantha. Looking for a worthwhile charity? #RonaldMcDonaldHouse provides wonderful services for peds pts & is a valuable partner with Mayo Clinic Children's.

Update on ALA treatment for cystinuria reveals we have a long way to go before nephrologists will be satisfied with evidence that it is effective and safe. Also, no one has supplied a viable mechanism of action. #rock2015

"Let's take a walk through the nephron and focus on calcium" is how kidney stone nephrologists say, "I love you." @R.O.C.K. Society Annual Meeting 2025

I love this thread because it illustrates the niche expertise hidden all around us.

Eloquent opinion piece:

Great article!

Kids getting kidney stones! @davidsas.bsky.social and Greg Tasian ("it's NOT just white, middle-aged men") @nyunephro.bsky.social www.msn.com/en-gb/health...

The best thing about the end of the year is seeing all the regularly-scheduled meetings get canceled and drop off the calendar.

bsky.app/profile/bmj.... @bmj.com Medicine is difficult—there are no shortcuts #medsky

1/n sharing a case: Young adult comes in 4 elective ENT procedure. Receives several doses of ketotolac for 3-4 days + empiric vancomycin. Then, labs are checked: Cr 4.0, up from 1.0. UA: neg blood/protein/cells. High suspicion 4 IV NSAID / IV Vanco hemodynamic/tubular insult. Non-oliguric, lytes OK

Most hospitals have dropped masking & #SARSCoV2 testing requirements. But after 10 Boston hospitals ended both precautions a surge in hospital-onset viral infections ensued. Just resuming masks—for healthcare workers only—lowered rates of respiratory infections by 33% jamanetwork.com/journals/jam...

A perfect 0.01 act play. >chef's kiss<

I've always assumed that people who drink ethylene glycol do it because they've internally asked themselves, "I wonder what it's like to have primary hyperoxaluria, types 1, 2, or 3?"

I wish there was an award for who most diligently updates Family History and Social History in Epic.

Fun fact: cystinuria was the first of the genetic kidney stone diseases to be characterized. Garrod presented his findings at the 1908 Croonian Lectures in London. Primary hyperoxaluria was the next to be described, and that was in 1925 by Lepoutre.

Says a lot about Tyson that my son is going to watch a Tyson fight with his friends just the way I did in high school.

I love a deep dive into our college admissions processes.

It was fun while it lasted. My nearly-2-day reign atop the #medsky kidney stone world has abruptly come to an end now that @weddellite.bsky.social has shown up. Ladies and Gentlemen, please join me in welcoming the World Famous Dr. David Goldfarb to Bluesky!

So how are we denominalizing (verbing) around here? "I Blueskeed about this very disease earlier this morning." I Skeed? I Skyed? I Butterflied? We need a consensus.

One of my favorite underrecognized serious kidney diseases? Dent disease! Many of my Dent patients have male relatives with CKD/ESKD either "of unknown origin" or misdiagnosed as FSGS.

Officially deactivated my Twitter account. One might say I got rid of that annoying smell, that... Musk.

I'm pronouncing it 'BLOO-skee and you can't stop me.

You know you're eating at a restaurant blocks away from Mayo Clinic when this is above the urinal in the restroom. (The restaurant is Our Paladar and it's fantastic!)

Hey. It's my first time at this spot. What's good here?