David Sas

That one on the right has a specific gravity of 1.002.

a man wearing a hat is holding a trumpet and adjusting his hat . ALT: a man wearing a hat is holding a trumpet and adjusting his hat .

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."

*Dr. Andrews

He's "enchanted" by science the way a toddler is "enchanted" by bubbles. Except he's also angry at the bubbles because he can't understand how they float and are so round.

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

a cartoon of daffy duck with the words " this is preposterous " below him ALT: a cartoon of daffy duck with the words " this is preposterous " below him

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.

Figure 2. Sodium Content on Packaging in a Basket of Food Products in the Agincourt-Bushbuckridge by Wave and Legislative Target

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.

Dr. Poland has directly stated that the interpretation that RFK Jr. is taking is incorrect and due not reflect the scientific conclusions of his work.

Dang. Still no gif feature. The caption is "nobody knows."

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

#ROCK2025 is the hangtag, I'm being told.

"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.

In Raiders of the Lost Ark, the infamous snake pit full of "asps" is really full of boa constrictors, Burmese pythons, and maybe a reticulated python. At least they threw in one cobra! (But also, what the heck were those snakes eating and drinking in that pit over the centuries???)

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...

"I seems you tried to cram 40 minutes worth of content into this 20 minute talk. Do you blame poor preparation or poor preparation?"

(The image was a gif with items disappearing off the calendar. Does Bluesky not support simple gifs?)

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

Teenage boys can't have enough sneakers.

Sweatshirt/hoodie. Nikes. Vikings/Twins/Loons/Wild tickets.

bsky.app/profile/bmj....

@bmj.com

Medicine is difficult—there are no shortcuts

#medsky

Did you tell them you have information ICU, vegetable, animal, AND mineral?

Me: So you'll approve tiopronin, then?

"Peer:" Yes, after all, you are the expert!

Me: That should have been evident 8 months ago when I first prescribed the medication. 2/2

Mine usually go like this:

"Peer:" Dr. Sas, to be honest, before reviewing this patient, I'd never heard of cystinuria (or any of the rare diseases I treat).

Me: So what did you learn about this disease while reviewing?

"Peer:" Oh, I didn't read anything. 1/2

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