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Nephropeeps

@jpeeples.bsky.social

Christian. Husband. Dad. Friend. Literature Enthusiast. Former heavy metal guitarist/vocalist. Nephrologist in NC. Opinions are my own.

349 Followers  |  402 Following  |  103 Posts  |  Joined: 01.12.2024  |  2.095

Latest posts by jpeeples.bsky.social on Bluesky

Our education system just doesn’t cater to that sort of goal.

And beyond that, we don’t really create spaces outside of school for kids to sit down and enjoy a book.

We are more likely to fall into the societal push to remain busy, busy, busy.

13.12.2025 13:35 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Culture.fun

A lot of opinions here…. Guess I’ll throw mine in there.

Education is systematically goal oriented. Reading an entire book is counter culture. It’s generally written with intent of being enjoyed and requires you to slow down.

I don’t see it as teachers fault or parents fault or whatever….

13.12.2025 13:33 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Bet it’s awesome but haven’t been brave enough to commit

13.12.2025 13:27 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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a man in a hawaiian shirt is sitting on a couch and saying i 'm pretty good with this ALT: a man in a hawaiian shirt is sitting on a couch and saying i 'm pretty good with this

You know how I know we are bad at evaluating volume status?

Because we say someone’s euvolemic then dialyze off 8 liters in 2 days and cure their hypertension.

04.11.2025 01:06 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Or participate in a forum like NephJC or listen to the the podcast.

Carry what you learned with you as you tackle more papers.

I’ve certainly learned a lot about critical appraisal from the NephJC podcast!

28.08.2025 11:17 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

I agree with you for sure.

What do you think about reading the editorial (if there is one) after you have read the paper?

For those learning to read papers outside of an academic environment I suggest reading the editorial after to see what you missed or didn’t know to look for.

28.08.2025 11:16 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

@phoebebridgers1.bsky.social ?

23.08.2025 23:26 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

…..alkaline water?? Whyyyyy

23.08.2025 22:46 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Try and get generic vyvanse @mcuban.bsky.social ! Would be amazing.

23.08.2025 14:24 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Loss with 1 goal at 90’ and 1 in extra time.

Different roster same wrexham

09.08.2025 13:38 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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homer simpson from the simpsons is standing in a grassy field and says oops . ALT: homer simpson from the simpsons is standing in a grassy field and says oops .

Them:…. 5000 meq of potassium?

Me:

28.07.2025 22:36 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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a man in a suit and tie has his hands on his head and the words for the love of god written below him ALT: a man in a suit and tie has his hands on his head and the words for the love of god written below him
19.07.2025 21:10 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Post image

Me on the phone with the ER because radiology is recommending avoidance of contrast on a septic ESRD patient because he only started dialysis 2 months ago:

β€œI am literally looking at a poster on my wall that says β€˜Just give the contrast’”

@glaucomflecken.bsky.social

16.07.2025 14:52 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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a woman is eating a taco with a red ribbon on it . ALT: a woman is eating a taco with a red ribbon on it .

Crunch wrap

15.07.2025 14:03 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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a man and a woman are sitting next to each other and the man says okay yeah that makes perfect sense . ALT: a man and a woman are sitting next to each other and the man says okay yeah that makes perfect sense .
14.07.2025 20:43 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

$15,080 at 40hrs/week with no vacation and before taxes

$13,594 after taxes (in NC for example)

And don’t think about taking time off

14.07.2025 13:26 β€” πŸ‘ 6    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Agreed. It’s also me being glib about my perspective as a privileged physician

For me, I can’t imagine eating that much processed meat (or meat in general).

For many Americans the only food they have access to and know how to prepare is processed meats and other ultra processed foods.

06.07.2025 10:59 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

One hot dog a day seems like a whole lot of hot dogs

05.07.2025 23:47 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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There is no safe amount of processed meat to eat, according to new research Experts reveal why even small amounts of processed meat can increase disease risks.

β€œThe data showed that people who ate as little as one hot dog a day when it comes to processed meats had an 11% greater risk of type 2 diabetes and a 7% increased risk of colorectal cancer than those who didn't eat any.β€œ

ketv.com/article/no-s...

05.07.2025 23:36 β€” πŸ‘ 0    πŸ” 1    πŸ’¬ 0    πŸ“Œ 1
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Messy Masterpiece Worthwhile Β· Carry on Kid Β· Song Β· 2013

β€œSon your my song. Let’s hear something beautiful.”

open.spotify.com/track/16d5Lb...

04.07.2025 15:29 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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a woman in a blue and white striped shirt says please pretend to be nice ALT: a woman in a blue and white striped shirt says please pretend to be nice
30.06.2025 23:55 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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How measles, whooping cough and worse could roar back on RFK Jr.'s watch With anti-vaccine activist Robert F. Kennedy Jr. in charge of the nation's biggest health agency, it wouldn't take much tampering to enable vaccine-preventable diseases to make a comeback.

RFK Jr saying vaccines alter your immune system permanently.

Please please please no one tell this poor man what contracting any of these illnesses can do to your immune system.

www.npr.org/sections/sho...

14.06.2025 14:01 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Live Mas Outs

09.06.2025 16:03 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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three women sitting on a bed with the words a tale as old as time ALT: three women sitting on a bed with the words a tale as old as time
08.06.2025 01:44 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Not really. People with chronic conditions often choose to not have CPR performed because it often delays the inevitable and can prolong suffering while increasing trauma around their death.

07.06.2025 19:22 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Yes Mr LizardFish. Yes indeed.

I can’t get past the paywall but based on the comments what a joke.

We discuss this with patients all the time and many demand it. Whether that is good or bad is situationally dependent and not for me (or the New Yorker) to decide
www.newyorker.com/news/the-wee...

07.06.2025 14:27 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

And that’s the art of medicine

03.06.2025 18:01 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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a woman with #schittscreek written on the bottom of her face ALT: a woman with #schittscreek written on the bottom of her face

Some people just have bacteria in their pee and that’s okay

03.06.2025 16:58 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Whats an ass hare?

26.05.2025 13:39 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Labs within physiological possibilities

24.05.2025 20:38 β€” πŸ‘ 5    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

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