Ryan Town

Giving the kids a kiss goodbye before work this morning:

3: "Daddy please kiss me on my head and not on my mouth. My nose is runny and I don't want to make you runny."

Kid's already got a better grasp on germ theory than our HHS Secretary 😬

Dialysis modality and mortality of the Contemporary Infant and Neonatal Dialysis (COINED) Cohort: a Pediatric Nephrology Research Consortium (PNRC) study

Recent technologic advances in neonatal dialysis have changed current dialysis practices. Read this Original Article on dialysis modality & mortality of the Contemporary Infant and Neonatal Dialysis (COINED) Cohort. Open Access
link.springer.com/article/10.1...

Congratulations! 👏🏽 Well deserved!

Ages 2-4 are just the best 😂

3: "Daddy, my bandaid is puh-po!"

Me: "Oh, it's PURR-ple? That's great!"

3: "Actually I can hay it very well. You don't need to teach me."

Well, at least I had already updated my immunization related smartphrases from "...per CDC guidelines" to "...per AAP guidelines" so I don't have to do that all over again

I find it surprisingly unsettling to hear my sweet little toddler say the word "Knife!!" while he is brandishing a butter knife. Maybe it's the alarming level of enthusiasm? 👼🏼🔪

Surprisingly controversial statement in the year of our lord 2026

I'm tired boss

We hate it. It's bad.

New out today:

Antiproteinuric Effect of Sparsentan in Patients with Genetic-Associated FSGS Enrolled in the DUPLEX Trial

Genetic FSGS CAN be treated. journals.lww.com/cjasn/abstra...

a close up of a man 's face with his eyes closed . ALT: a close up of a man 's face with his eyes closed .

Me, playing with 1 in the living room:

3, in the kitchen helping make dinner: "I love you daddy but I'm busy. You know I would love to come and play with you but I can't right now."

Have the tables turned? 🤔

3 holds his hands like this after eating, ironically looks like he's just done a sterile scrub and is avoiding contamination 👐🏽

Tell me that you love me, yeah 🎶

🚨 Black Friday Sale on all nephrology visits! One day only!

* 99217 included FREE with any 99215
* 90947 for the price of a 90945
* 36415 FREE with ANY visit

( Televisits not included. Not available in all areas. See store, er, office for details. )

BREAKING: CDC website now recommends giving babies whole grapes, hotdogs cut into circles. FDA advises that all household cleaning agents be left in unlocked kitchen cabinets at floor level. HHS secretary states previous guidance "created generation of soft men."

Uninsured, actually

@askrenal.bsky.social How does the pricing of genetic testing in Mexico compare to the US? E.g., for Renasight or something comparable, or for individual genes.

If a patient is about to move out of the US, would they be better off $$ wise getting genetic testing done now or waiting until they move?

It appears their mad food scientists are already very hard at work

They recently changed our grab and go meals to a new company that is not afraid of a little sodium.

I wasn't going to say anything but this wrap is 1.2% sodium by weight. Do we have to draw the line somewhere?

205 g wrap, 450 calories, 2460 mg sodium

Found this monstrosity in the physicians lounge today 😳🧂

UnitedHealth paid AARP $9 billion to sell branded health coverage The disclosure sheds more light on a partnership dating to the 1990s.

UnitedHealth paid AARP $9 billion to sell Medicare products

www.axios.com/2025/10/10/u...

"Critics have questioned whether there's a conflict in AARP lobbying on Medicare issues while it collects large sums from firms selling to Medicare patients."

Well, I can answer that one for you. 🙄

Be like Matt. Shoot us a dime so we can keep the #FOAMed flowing

We were delighted to find out we had a mature peach tree in our yard after we moved in. Third summer in and I'm getting the hang of things. Luckily a bunch of my neighbors love peaches!

Collagen IV in Gould syndrome and Alport syndrome Nature Reviews Nephrology - In this Review, the authors focus on the role of collagen IV in Gould syndrome and Alport syndrome. They discuss the molecular and phenotypic similarities and...

Thrilled to have this finally published! If you are interested in learning about the collagen IV diseases Gould syndrome and Alport syndrome, add this to your reading list. www.nature.com/articles/s41...

Hasn't been tried for amlodipine as far as I know, at least not in any formal study. Mechanism for CCB not as well understood as with phenytoin (even though that is far from complete). Still interesting, and might be worth trying in someone if unable to discontinue amlodipine for whatever reason.

A giant pile of rhubarb leaves

Oxalosis, anyone?

(All from one rhubarb plant btw)

Things We Do for No Reason™: Avoiding intravenous iodinated contrast material in patients with acute kidney injury or chronic kidney disease Click on the article title to read more.

This was a fun article to work on. Hope you enjoy it.

Things We Do for No Reason™: Avoiding IV iodinated contrast material in patients with acute kidney injury or chronic kidney disease Journal of Hospital Medicine
shmpublications.onlinelibrary.wiley.com/doi/10.1002/...

Patient and Healthcare Provider Perspectives on Showering for Patients With Hemodialysis Central Venous Catheters: A Survey Study

bit.ly/3BV51WQ #OpenAccess

#VisualAbstract

Navigating the Challenges of IgA Nephropathy and IgA Vasculitis Nephritis in Children Written by: Henny Adriani PuspitasariIntroduction:IgA nephropathy (IgAN) and IgA vasculitis nephritis (IgAVN) are kidney diseases that can significantly impact children's health. While they share some...

For all my little beans out there, don’t forget to read the latest recommendations on IgAN and IgAVN by @mdabdulqader83.bsky.social on @kireports.bsky.social

www.kireportscommunity.org/post/navigat...

@davidsas.bsky.social