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#AskRenal

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Swapnil Hiremath 🍁🇨🇦<p><a class="hashtag" href="https://bsky.app/search?q=%23NephSky" rel="nofollow noopener noreferrer" target="_blank">#NephSky</a> <a class="hashtag" href="https://bsky.app/search?q=%23AskRenal" rel="nofollow noopener noreferrer" target="_blank">#AskRenal</a><br><br>RE: <a href="https://bsky.app/profile/did:plc:dgfn4rqgmqxwevvdiritkcu2/post/3ln3tpxdrcs2q" rel="nofollow noopener noreferrer" target="_blank">https://bsky.app/profile/did:plc:dgfn4rqgmqxwevvdiritkcu2/post/3ln3tpxdrcs2q</a></p>
draashish<p>So what is the current consensus (if any) on choice of fluids for resusc in sepsis. Balanced vs NS? (TBI not considered). SMART, SALT-ED and the NEJM meta analysis towards balanced vs BaSICS&#39; null findings? Any practice changes? <span class="h-card" translate="no"><a href="https://med-mastodon.com/@Kidney_boy" class="u-url mention">@<span>Kidney_boy</span></a></span> <span class="h-card" translate="no"><a href="https://med-mastodon.com/@hswapnil" class="u-url mention">@<span>hswapnil</span></a></span> <a href="https://med-mastodon.com/tags/askrenal" class="mention hashtag" rel="tag">#<span>askrenal</span></a></p>
BavariaNephro<p>A 60yo otherwise healthy woman develops <a href="https://med-mastodon.com/tags/nephrotic" class="mention hashtag" rel="tag">#<span>nephrotic</span></a> syndrome. Only putative trigger: first vaccination w/ Comirnaty 10 days before. </p><p>Biopsy shows IgAN with a podocytopathy resembling <a href="https://med-mastodon.com/tags/FSGS" class="mention hashtag" rel="tag">#<span>FSGS</span></a>. </p><p>Steroids and CNI are not tolerated. </p><p>1) how would you label the disease? Primary or secondary FSGS?<br />2) next treatment? Ritux?</p><p><a href="https://med-mastodon.com/tags/AskRenal" class="mention hashtag" rel="tag">#<span>AskRenal</span></a> <a href="https://med-mastodon.com/tags/Nephrology" class="mention hashtag" rel="tag">#<span>Nephrology</span></a></p>
Catherine Clase<p>Please boost even if this isn't for you. On Mastodon, favoriting is not like 'liking' on the other site. All it does is it tell the writer you liked it, there is no algorithm.</p><p>Trying to reach <a href="https://qoto.org/tags/KidneyVerse" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>KidneyVerse</span></a> people on Mastodon</p><p> <a href="https://qoto.org/tags/KidneyDocs" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>KidneyDocs</span></a> and <a href="https://qoto.org/tags/KidneyResearchers" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>KidneyResearchers</span></a></p><p>Consider submitting your <a href="https://qoto.org/tags/KidneyResearch" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>KidneyResearch</span></a> to <a href="https://qoto.org/tags/CJKHD" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>CJKHD</span></a> (Canadian Journal of Kidney Health &amp; Disease) </p><p>We have a policy of supportive review. Here's the piece we wrote about the central role of kindness in peer-review</p><p>journals.sagepub.com/doi/full/…</p><p>We aren't here on Mastodon yet but working on it. @CanJKHD at the other place.</p><p><a href="https://qoto.org/tags/KidneyKindness" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>KidneyKindness</span></a> <a href="https://qoto.org/tags/Kidney" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Kidney</span></a> <a href="https://qoto.org/tags/KidneyVerse" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>KidneyVerse</span></a> <a href="https://qoto.org/tags/AskRenal" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>AskRenal</span></a></p>
Joshua Schwimmer, MD<p>I haven&#39;t found a calculator for the new EKFC eGFRcr-cys equation online, so I created a Google spreadsheet: <a href="https://docs.google.com/spreadsheets/d/13up6cndWFe8CVlZ8sWc50TPYzBFsLdbSOlv1SseBSdo/edit?usp=sharing" target="_blank" rel="nofollow noopener noreferrer" translate="no"><span class="invisible">https://</span><span class="ellipsis">docs.google.com/spreadsheets/d</span><span class="invisible">/13up6cndWFe8CVlZ8sWc50TPYzBFsLdbSOlv1SseBSdo/edit?usp=sharing</span></a> Comments/corrections welcome. Reference: <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2203769" target="_blank" rel="nofollow noopener noreferrer" translate="no"><span class="invisible">https://www.</span><span class="ellipsis">nejm.org/doi/full/10.1056/NEJM</span><span class="invisible">oa2203769</span></a> <a href="https://med-mastodon.com/tags/askrenal" class="mention hashtag" rel="tag">#<span>askrenal</span></a></p>
Pranav<p>Q about tolvaptan use for ADPKD in the setting of concomitant carbamazepine ( CYP3A4 Inducer). <br>Would it drop levels such that the drug isn't useful? Additional monitoring needed? <a href="https://toot.community/tags/askrenal" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>askrenal</span></a> @askrenal@twitter.com</p>
BavariaNephro<p>Pt w/ kidney transplant &gt;20y. <br />Post vac ATCMR, creat &gt;3 mg/dl, proteinurie 2-3g/d. <br />Hypertension, anemia. <br />Ultrasound shows regular intrarenal and tx-artery flow, but MRI shows “stenosis”. </p><p>What next? <a href="https://med-mastodon.com/tags/transplant" class="mention hashtag" rel="tag">#<span>transplant</span></a> <a href="https://med-mastodon.com/tags/askrenal" class="mention hashtag" rel="tag">#<span>askrenal</span></a> <a href="https://med-mastodon.com/tags/nephrology" class="mention hashtag" rel="tag">#<span>nephrology</span></a></p>
Catherine Clase<p>It's taken me a while to figure out how to write an <a href="https://qoto.org/tags/Introduction" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Introduction</span></a>. Here goes:</p><p>I’d appreciate a boost to help meet like-minded here.</p><p>I’m a professor of medicine at McMaster University <a href="https://qoto.org/tags/MacDeptMed" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MacDeptMed</span></a>, <a href="https://qoto.org/tags/McMasterU" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>McMasterU</span></a></p><p>Clinically, I work as a <a href="https://qoto.org/tags/KidneyDoctor" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>KidneyDoctor</span></a> (<a href="https://qoto.org/tags/Nephrology" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Nephrology</span></a>) </p><p>I’m an associate member of <a href="https://qoto.org/tags/HEI" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>HEI</span></a> (<a href="https://qoto.org/tags/Epidemiology" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Epidemiology</span></a>) at <a href="https://qoto.org/tags/McMasterU" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>McMasterU</span></a></p><p>I’m a member of the Centre of Excellence in Protective Equipment and Materials (<a href="https://qoto.org/tags/PPE" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>PPE</span></a>, <a href="https://qoto.org/tags/N95" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>N95</span></a>, <a href="https://qoto.org/tags/CEPEM" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>CEPEM</span></a>) at <a href="https://qoto.org/tags/McMasterU" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>McMasterU</span></a></p><p>My <a href="https://qoto.org/tags/ClinicalResearch" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>ClinicalResearch</span></a> is in <a href="https://qoto.org/tags/KidneyDisease" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>KidneyDisease</span></a> <a href="https://qoto.org/tags/KidneyEpi" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>KidneyEpi</span></a> (<a href="https://qoto.org/tags/CKD" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>CKD</span></a>, <a href="https://qoto.org/tags/Potassium" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Potassium</span></a>, <a href="https://qoto.org/tags/CKDProgression" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>CKDProgression</span></a>) and <a href="https://qoto.org/tags/Masks" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Masks</span></a></p><p>I’m editor-in-chief of <a href="https://qoto.org/tags/CJKHD" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>CJKHD</span></a> (@CanJKHD on the birdsite, not here yet) an <a href="https://qoto.org/tags/OpenAccess" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>OpenAccess</span></a> kidney journal with <a href="https://qoto.org/tags/PublishingPolicy" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>PublishingPolicy</span></a>:</p><p><a href="https://qoto.org/tags/SupportiveReview" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>SupportiveReview</span></a> (<a href="https://qoto.org/tags/Kindness" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Kindness</span></a>, <a href="https://qoto.org/tags/KidneyKindness" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>KidneyKindness</span></a>) <a href="https://journals.sagepub.com/doi/full/10.1177/20543581221080327" rel="nofollow noopener noreferrer" target="_blank"><span class="invisible">https://</span><span class="ellipsis">journals.sagepub.com/doi/full/</span><span class="invisible">10.1177/20543581221080327</span></a><br><a href="https://theconversation.com/peer-review-can-this-critical-step-in-the-publication-of-science-research-be-kinder-182142" rel="nofollow noopener noreferrer" target="_blank"><span class="invisible">https://</span><span class="ellipsis">theconversation.com/peer-revie</span><span class="invisible">w-can-this-critical-step-in-the-publication-of-science-research-be-kinder-182142</span></a> </p><p><a href="https://qoto.org/tags/PortableReview" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>PortableReview</span></a> (was your hard work rejected by a journal with IF&gt;=4? Submit clean, redline, point-by-point response-to-reviews, and tell us which journal and undertake that you responded to all reviews received)<br><a href="https://us.sagepub.com/en-us/nam/canadian-journal-of-kidney-health-and-disease/journal202590#aims-and-scope" rel="nofollow noopener noreferrer" target="_blank"><span class="invisible">https://</span><span class="ellipsis">us.sagepub.com/en-us/nam/canad</span><span class="invisible">ian-journal-of-kidney-health-and-disease/journal202590#aims-and-scope</span></a></p><p>I’m editor-in-chief of <a href="https://maskevidence.org/" rel="nofollow noopener noreferrer" target="_blank"><span class="invisible">https://</span><span class="">maskevidence.org/</span><span class="invisible"></span></a> which curates evidence on <a href="https://qoto.org/tags/BetterMasks" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>BetterMasks</span></a> and <a href="https://qoto.org/tags/MasksWork" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MasksWork</span></a></p><p>For the pandemic, we need <a href="https://qoto.org/tags/SystemsApproaches" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>SystemsApproaches</span></a> because <a href="https://qoto.org/tags/CovidIsAirborne" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>CovidIsAirborne</span></a> and <a href="https://qoto.org/tags/CovidIsNotOver" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>CovidIsNotOver</span></a>. <a href="https://qoto.org/tags/DoAllTheThings" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>DoAllTheThings</span></a> <a href="https://qoto.org/tags/ventilation" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>ventilation</span></a> <a href="https://qoto.org/tags/filtration" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>filtration</span></a> <a href="https://qoto.org/tags/PaidSickDays" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>PaidSickDays</span></a> <a href="https://qoto.org/tags/BringBackMasks" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>BringBackMasks</span></a> <a href="https://qoto.org/tags/WearAMask" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>WearAMask</span></a> <a href="https://qoto.org/tags/MasksSaveLives" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MasksSaveLives</span></a> <a href="https://qoto.org/tags/MaskeAuf" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MaskeAuf</span></a> <a href="https://qoto.org/tags/MaskUp" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MaskUp</span></a> <a href="https://qoto.org/tags/MaskMandate" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MaskMandate</span></a> <a href="https://qoto.org/tags/MaskMandateNow" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MaskMandateNow</span></a> <a href="https://qoto.org/tags/CovidLong" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>CovidLong</span></a> <a href="https://qoto.org/tags/LongCovid" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>LongCovid</span></a></p><p>I’d like to see <a href="https://qoto.org/tags/KidneyVerse" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>KidneyVerse</span></a> as the tag to find others with interest in <a href="https://qoto.org/tags/KidneyHealth" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>KidneyHealth</span></a> and <a href="https://qoto.org/tags/KidneyDisease" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>KidneyDisease</span></a>. <a href="https://qoto.org/tags/AskKidney" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>AskKidney</span></a> <a href="https://qoto.org/tags/AskRenal" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>AskRenal</span></a> </p><p>Also trying to be <a href="https://qoto.org/tags/LGBTQ" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>LGBTQ</span></a> <a href="https://qoto.org/tags/LGBTQ2" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>LGBTQ2</span></a> ally, working on <a href="https://qoto.org/tags/EDI" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>EDI</span></a> <a href="https://qoto.org/tags/equity" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>equity</span></a> <a href="https://qoto.org/tags/diversity" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>diversity</span></a> <a href="https://qoto.org/tags/inclusion" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>inclusion</span></a>, interested in <a href="https://qoto.org/tags/SocialJustice" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>SocialJustice</span></a> <a href="https://qoto.org/tags/UrbanPlanning" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>UrbanPlanning</span></a>. </p><p>Treaty 3|Dish with One Spoon, Turtle Island; Hamilton ON Canada. She/her</p>
Pranav<p><a href="https://toot.community/tags/NephTwitter" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>NephTwitter</span></a> does anyone send a templated 'dialysis discharge' to outpatient HD units summarizing hospital treatments when HD patients are admitted? Ex. weight change, access issues, anticoagulation, antibiotics? <a href="https://toot.community/tags/askrenal" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>askrenal</span></a></p>
Yudisthra<p>Any role for CAR-T in C3GN? <a href="https://med-mastodon.com/tags/AskRenal" class="mention hashtag" rel="tag">#<span>AskRenal</span></a> <span class="h-card" translate="no"><a href="https://med-mastodon.com/@Askrenal" class="u-url mention">@<span>Askrenal</span></a></span></p>
dr_nikhilshah<p>Well, made the jump but still on the fence!</p><p>Setting up my <a href="https://med-mastodon.com/tags/tooter" class="mention hashtag" rel="tag">#<span>tooter</span></a> now. </p><p>Next to make <a href="https://med-mastodon.com/tags/askrenal" class="mention hashtag" rel="tag">#<span>askrenal</span></a> work here!</p>