@drpjj.bsky.social
Nephrology Fellow | Husband | Father in-not in that order. Always learning and will never quit.
I can’t believe the IDSA had to write this.
www.idsociety.org/public-healt...
Roger's cheat sheet that converts Hydrogen concentration to pH
The classic ABG "map"
![[H+] = 24 x pCO2/[HCO3-]](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:igrv2fjkj2zov2ab5bgdw4lm/bafkreihrbjjpdeyko42ltzzgnhb2eyzxeswxdtux3gz5bcoeozv6o6tequ@jpeg)
[H+] = 24 x pCO2/[HCO3-]
The Channelers in their bowling shirts
Channel Your Enthusiasm, Chapter 17 of Burton Rose Clinical Physiology of Acid-Base and Electrolyte Disorders is out!
An hour and a half of "Introduction to Simple and Mixed Acid-Base Disorders!"
www.rosebook.club/episodes/202...
Hey 2026 Neph fellows- it’s not too late to apply to our #NBLU conference! Don’t let this opportunity pass you by!!! Register today!
27.02.2025 20:25 — 👍 2 🔁 1 💬 0 📌 0
Would your center accept a deceased donor kidney from a woman with X-Linked Alport Syndrome?
Dual Kidney Transplant From a Donor With #Alport Syndrome in a Genotypically Normal Recipient journals.lww.com/transplantat...
Figure 1 Hemodialysis in the Lecture Hall of the Department of Medicine Giessen, Germany, 1926. Georg Haas (right) is shown at the bedside of a uremic patient, operating a T-shaped tube that functions as an air bubble and clot trap. His assistant, Georg Balser (center), observes the operation of the artificial kidney, while the nurse August Trinkaus stands near the window (right). The blood purification procedure was made possible with the support of surgeon Fritz von der Hütten, who performed the vascular connection between the radial artery and the cubital vein.
Hemodialysis before Kolff
A century ago, George Haas and colleagues performed dialysis in Giessen in 11 uremic patients - though unlike Kolff, these all died
More here www.kireports.org/article/S246... in @kireports.bsky.social
This then begs the question if more “hands on deck” will solve that problem or will it require less patients per nephrologists (assuming higher acuity) with more interactions.
08.01.2025 16:03 — 👍 0 🔁 0 💬 0 📌 0“If nephrologists remain focused on dialysis rounds and defer the implementation of new therapies on primary care physicians and cardiologists, they will find themselves on the outside of the new care models and clinics.”
Exceptionally true, especially for GLP-1s requiring titration over time.
How We Treat ANCA-Associated #Vasculitis: A Focus on the Maintenance Therapy
#nephsky
www.mdpi.com/2077-0383/14...
RESEARCH LETTER
Home Dialysis Prediction Using Artificial Intelligence
https://buff.ly/3PkDKA5
palliative care training has revolutionized how I communicate with families, how I deliver difficult news, how I assess family’s goals of care to guide/align management, how I doctor
don’t need fellowship level training to practice primary pall care; lots of options to enhance skill set
Second a vote for Hyperspace.
19.12.2024 14:05 — 👍 1 🔁 0 💬 0 📌 0
The former VP of comms at @cignahealthcare.bsky.social on why he quit his job a few years ago
NYT, gift link: www.nytimes.com/2024/12/18/o...
Vibrio are just E. coli in Comic Sans
17.12.2024 15:07 — 👍 93 🔁 16 💬 1 📌 0
Thank you all for recognizing this important work
FULL credit to #LearnerPI Dr. Carol Vincent: This was 💯her study as her master's thesis while a fellow here at Wake Forest
She is now a faculty member with us
www.ahajournals.org/doi/10.1161/...
I’ve been chewing on the idea that AI will replace/supplant physicians like the engine replaced horses. Currently we are using the engine to make the horses faster but it’s clunky and there is a limit as horses have a maximum output. I think medicine is headed for a big change.
11.12.2024 15:18 — 👍 0 🔁 0 💬 0 📌 0Interesting idea on how to lower costs of healthcare. The idea that physicians (or hospitals) are sub-prime lenders is interesting as physicians will care for patients regardless of the reimbursement. The kicker is insurance won’t pay and the goal posts keep changing and patient/physician suffer.
11.12.2024 13:46 — 👍 0 🔁 0 💬 0 📌 0
podcasts.apple.com/us/podcast/b...
This is quite a brief review on the start of using database to help with diagnosis. Great framing.
endorse
01.12.2024 14:54 — 👍 6 🔁 2 💬 2 📌 0
Who has it better than us!
30.11.2024 20:31 — 👍 15 🔁 4 💬 1 📌 0
Acute Rejection.
30.11.2024 12:41 — 👍 21 🔁 3 💬 0 📌 1
In GPA after inductn, use of low-dose prednisone (5 mg/day) prevents more disease relapses over 6 mths than being fully off prednisone. The benefit of low-dose pred (5 mg/day) to prevent minor flares is seen only among pts treated with a non-rituximab-based regimen acrabstracts.org/abstract/a-m...
30.11.2024 02:16 — 👍 3 🔁 2 💬 0 📌 1Combination induction immunosuppression with rituximab, cyclophosphamide, and prednisone for fibrillary glomerulonephritis
#nephsky
www.kireports.org/article/S246...
I really like the last line: “Keep learning, and keep an open mind. The worst enemy of a good researcher is arrogance.”
Props to the author.
Hello #cardiosky #medsky ! Newbie here. Happy to report I am going to make nerd humor my entire Bluesky personality. I am specializing in research and statistics memes. It’s likely that 99% of them will not be funny so feel free to laugh with or at me. Nerd humor is the best humor 🤓😂
23.11.2024 19:45 — 👍 149 🔁 25 💬 8 📌 4
📖 KI #ISNFridaySelection: "Effects of dialysate K concentration of 3.0mEq/l with sodium zirconium cyclosilicate on dialysis-free days vs dialysate K concentration of 2.0mEq/l alone on rates of cardiac arrhythmias in HD pts w/hyperkalemia", presented @ #KidneyWk: www.kidney-internati... #NephSky
15.11.2024 06:00 — 👍 24 🔁 12 💬 2 📌 2
