I will be starting TOON : Transformation Oriented Opinion (for) Nephrology a safe space for laughs, videos, deep dives, AI, blockchain and NFTs powered by Claude and facilitated by chatGPT. US professionals only for how as I want a clean IPO. Will you join me in monetizing You?

more h/t @nephcrit.bsky.social www.fda.gov/drugs/drug-a... accusations of selectively re-adjudicating with an intent to p-hack #Avacopan #Tavneos

B cell therapies in IgAN advance: povetacicept from Vertex www.medscape.com/s/viewarticl... #NephMadness timing was perfect for this Atacicept has competition now (and there’s the Chinese Telitacicept)

SLANH 🌎 survey (Mar–Dec 2024; n=505; 20 LA countries): EBP for AKI 👉🏻IHD 98%, PD 65%, CRRT 59% (unavailable in 🇭🇹, 🇳🇮, 🇵🇾 & 🇻🇪). Advanced EBP scarce: ECMO 16.7%, ECCO₂R 7%. Top training needs: ECMO, ECCO₂R, CRRT, TPE. @SLANH_ #AKI #EBP 🔗 doi.org/10.1159/0005...

Proud to have been part of this newly published phase 2 RCT in AKI + iron deficiency (n=120). A single 1,200 mg IV iron dextran infusion was safe but did not reduce MAKE at 90 days vs usual care (82% vs 75%; p=0.37). #AKI #Nephrology #ClinicalTrials 🔗 journals.lww.com/kidney360/ab...

A multicenter retrospective HRS-HARMONY study (11 🇺🇸 🏥 systems; n=374 cirrhosis + AKI requiring dialysis): HRS-AKI was not associated with higher 90-day mortality vs other AKI etiologies. Overall mortality 59.6%—similar to other AKI-dialysis cohorts. 🔗 journals.lww.com/kidney360/fu...

recording another episode of @freelyfiltered.bsky.social like @nephcrit.bsky.social at BICARICU2 I was in a minroty in this discussion thanks @ucsfnephrology.bsky.social and @nephroninja.bsky.social and Sam Silver for joining us!

Wow - excellent discussion of the totally underwhelming BICAR-ICU2 trial podcasts.apple.com/ca/podcast/f... @nephcrit.bsky.social fighting a line fight against the unimpressed nephrons with guest @weddellite.bsky.social #NephSky #EMIMCC

From last nights fish grill (Audio on)

Time to grill Charmaine Lok about fish oil for the next Freely Filtered with @nephcrit.bsky.social and @hswapnil.medsky.social

Excellent talk by @nephcrit.bsky.social on precision dose CRRT. #kidneywk

Nice of @ajkd.bsky.social to recognize this! Congrats to @karenwoomd.bsky.social @nephcrit.bsky.social @amyaimei.bsky.social and all the others! ajkdblog.org/2025/11/06/2... #NephSky #KidneyWk

ICYMI, recording now live Excellent exposition on lower doses, anti coagulation and much more. Lot of RCTs in this space youtu.be/xfEVlh_68vc?... by @nephcrit.bsky.social #NephGR #NephSky

as expected, this happens, again pubmed.ncbi.nlm.nih.gov #Pubmed #USGovtShutdown #MedSky

Coming up this week! We have @nephcrit.bsky.social talking to us about CRRT #NephGR at @uottawa.ca @ottawahospital.on.ca

The October academic activities in nephrology at @uottawa.ca @ottawahospital.on.ca Feat @nephcrit.bsky.social @dialysisbloke.bsky.social and @asakhuja.bsky.social #NephGR #NephSky

ICU Snapshots: Walking from room to room in the ICU, you see this on the monitor of a 60 yo female patient admitted the previous night with severe community-acquired pneumonia & what you were told was "refractory" septic/cardiogenic shock. Arterial line was in the R fem artery:

Is this the earliest description of contrast nephropathy from 1959? @juancarlosqvelez.bsky.social pubmed.ncbi.nlm.nih.gov/14437345/ Several aspects still key - immediate oliguria - recovery by 2 weeks - false positive urine protein - high dose contrast #NephSky

Don't miss our NEW regular feature, "5 Nephrologists, 1 Question." This time, we asked about recent tools and tech that are changing nephrology practice. #nephrology #nephsky #nephrologist #kidneycare www.docwirenews.com/post/5-nephr... @jordybc.bsky.social @nephcrit.bsky.social

Core Curriculum by @nephcrit.bsky.social , @hswapnil.medsky.social , Abdulghani Omar Kabli, Oleksa G. Rewa, and Edward G. Clark: Continuous Kidney Replacement Therapies: Core Curriculum 2025 bit.ly/TeixeiraCC25 (FREE)

🩺💬 Ever wonder why CRRT is the go-to in the ICU? Or how to de-escalate #CKRT safely? Kidney Commute: Pitstop dives into the latest AJKD Core Curriculum update on CKRT. 🔗 Listen now: www.kidney.org/podcasts/kid... #MedEd #Nephrology #KidneyCare @annagaddy.bsky.social @ajkd.bsky.social

In which I become an honorary Canadian citizen 🇨🇦 @nephcrit.bsky.social @hswapnil.medsky.social

Want to learn about CRRT in a hands-on manner in a fun and relaxed environment directly from some of the biggest experts in the world, including the Queen of CRRT herself, Dr. Tolwani??If so, you need to come to 'Bama in September! check out the video: bitly.cx/heI5 register here: rb.gy/l49le1

Officially graduated from #CriticalCare fellowship. It’s been a unique and fulfilling journey taking a break from my #Nephrology associate professor role to return as a trainee. Strengthened my #POCUS foundation, built #TEE skills, and now looking forward to returning as #NephCrit.

⏳ One week left to apply. The Fellows’ Travel Support Scholarship gives nephrology fellows $1,000 to attend the UAB CRRT Academy. Train in person, build practical CRRT skills, and learn through simulation and expert-led sessions. Apply by Monday, July 21 👉 bit.ly/3FGntEx

In honor of the 2025 Euros, Basel, Switzerland has changed the men in the traffic lights to female football players, and we are OBSESSED with it🚦🇨🇭 🎥: @lionel_pittet

Pedro expounding on a esoteric nuance of Qb/QD in CRRT watch out for a 🎙️episode drop with @nkf-professionals.bsky.social @kidney.org soon @annagaddy.bsky.social @nephcrit.bsky.social Ted Clark #NephSky

Core Curriculum by @nephcrit.bsky.social , @hswapnil.medsky.social , Abdulghani Omar Kabli, Oleksa G. Rewa, and Edward G. Clark: Continuous Kidney Replacement Therapies: Core Curriculum 2025 bit.ly/TeixeiraCC25 (FREE)

We are deeply saddened by the passing of Prof. Rinaldo Bellomo — a pioneer in critical care nephrology, a brilliant mind, and a generous mentor. His legacy will live on through the countless intensivists he inspired and the lives his work transformed. Our thoughts are with his loved ones.

PO meds are so hot right now (PO=IV) but in critically ill patients (esp with enteral feeding tubes), the pharmacology gets tricky & data is often scant when the patient starts vomiting... do we redose everything? IMHO the default route for live-saving meds in ICU should still be IV #EMIMCC

Sad news: Another giant in Critical Care, Professor Rinaldo Bellomo, passed away this morning. He was born in Reggio Emilia, Italy & emigrated to Australia in the 1980s receiving his medical degree from Monash Medical School in Melbourne He completed fellowships in nephrology,

Vale Rinaldo Bellomo. www.linkedin.com/posts/anzics...

My first post on Bluesky is my saddest - saying goodbye to a legend of the ICU world. Rinaldo's enthusiam, passion and drive for ICU research was second to none. A mentor & friend to so many of us.

Comparison of children receiving extracorporeal treatments for poisoning at United States centers with and without a pediatric nephrologist pubmed.ncbi.nlm.nih.gov/39911112/

Core Curriculum by @nephcrit.bsky.social , @hswapnil.medsky.social , Abdulghani Omar Kabli, Oleksa G. Rewa, and Edward G. Clark: Continuous Kidney Replacement Therapies: Core Curriculum 2025 bit.ly/TeixeiraCC25 (FREE)

Reminder that Core Curriculum in @ajkd.bsky.social are always Free! Permalink: www.ajkd.org/article/S027... to the CRRT Curriculum #NephSky

Nice blurb in @asnkidney.bsky.social in the loop about the CRRT curriculum in @ajkd.bsky.social Free link (few more weeks, download now) authors.elsevier.com/sd/article/S... Thanks to @nephcrit.bsky.social & Ted Clark for helming this & @melhoenig.bsky.social for the invite! #NephSky #Free

Literally spent several hours searching for a proper teaching guide on CRRT during my ICU rotation. What a gem❣️

Passionate arguments (discussions) during the OttawaRenal #NephMadness fellowship bracket choices

University of New Mexico division of nephrology #NephMadness fellowship bracket choices Incremental HD takes the crown 👑 #UNMNephro @christosargyrop.bsky.social @nephcrit.bsky.social

Excited to see this finally in press! Special thanks to @hswapnil.medsky.social for invitation and coauthors Abdulghani Kabli, Oleksa Rewa, Ted Clark. #canada. Special thanks to my role models Etienne Macedo and Ravi Mehta whose prior version we built upon. #nephsky #medsky #emimcc rb.gy/8kke9h

Suggested New Year's Resolution: more mindful prescribing of IV fluids 🫧 Far too often I see IV fluids thrown around with minimal consideration; meanwhile, we'll deliberate for hours about a dose of lasix 🤦‍♀️ Here are the 10 most common fluid prescription mistakes I see 🧵 #emimcc

1/n happy to share a recent publication from Ochsner Nephrology at Kidney International Reports @kireports.bsky.social Nice visual abstract by Priti Meena. Link here: www.kireports.org/article/S246... But let me tell you the story a little bit…

Early Terli Giving terlipressin at lower creatinines (1.5-2.0) or within 12 hours of presentation (skipping the “albumin challenge”) 1. From the RCTs journals.lww.com/hepcomm/page... 2. Pilot trial doi.org/10.1007/s106... #liversky

Here's some of the math with references. Even for someone with fixed ventilation, PCO2 returns to normal pretty rapidly.

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...

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)

We had a suggestive case and a Q came up.How often do we see acute respiratory acidosis post HD,due to HCO3 shifts, in pts w/ pulm issues?Saw only a few case reports. #nephsky #pulmsky @kidneyboy.bsky.social @grahamabra.bsky.social @pulmcrit.bsky.social @hswapnil.bsky.social @emilyfri.bsky.social