SamP

Thank you for sharing this anecdote sir. I can imagine it being a challenging and exhilarating experience to expand the possibilities in nephrology back then.

True sir.
What do you mean by jugaad in dialysis vascaths? Can you please elaborate

Remember Pharma does the same on social media

Watch out for those disclosures (and we should all be more explicit about them)

Looking forward to this session at the World Congress of Nephrology 2025 #ISNWCN in New Delhi. Not just chairing this session but getting to meet up again with my #meded friends from all over the world. @hswapnil.bsky.social @nephroseeker.bsky.social @nephdivya.bsky.social
@theisn.org #nephsky

The Nobel Prize in Physiology or Medicine 1960 The Nobel Prize in Physiology or Medicine 1960 was awarded jointly to Sir Frank Macfarlane Burnet and Peter Brian Medawar "for discovery of acquired immunological tolerance"

Peter Medawar’s historic Nobel peace prize lecture - laying foundation for modern tx.
“Immunological tolerance” may be described as a state of indifference or non-reactivity towards a substance that would normally be expected to excite an immunological response.
www.nobelprize.org/prizes/medic...

Thankyou @AJKDonline for the opportunity to share my story “In a Few Words” @AJKDblog and providing a platform to advocate for kidney community in generating solutions to alleviate care giver fatigue for patients with ESRD.
@ajkd.bsky.social @nkf-professionals.bsky.social

A super Sherlock Holmes and John Watson act by @kidneyboy.bsky.social and Dr. Roger Rodby, that had the house under a spell ! 🔍
#ApexPathshala Mumbai

An “Elementary” masterclass on fluid and electrolytes like none other 👏🏻

@akforg.bsky.social @prakashshirodkar.bsky.social

Diagnosis algorithm in at risk adults (➕ family history) for autosomal dominant polycystic kidney disease from
@gokdigo.bsky.social Public Review Draft of Clinical Practice Guideline for Evaluation, Management, & Treatment of ADPKD ca. 2023
#Nephpearls #NephSky

👉 kdigo.org/guidelines/a...

Roger Rodby and Joel Topf dressed as Watson and Holmes at the AKF Pathshala

Hyponatremia? Whodunit?

Let’s have the detectives on the scene to figure out the mystery!

Team #RodbyTopf at the @akforg.bsky.social Apex Pathshala

@kidneyboy.bsky.social

With ACCORD driving the relaxation of BP targets in JNC8 it is kind of tragic how much misery was unleashed by that study. #NephJC

- Renal Denervation not recommended if eGFR < 40 ( No studies done).

In pregnancy - BP > 160/110 is now emergency (previously it was > 170/110).

- Don't use beta blocker or alpha blocker in > 85 yrs, unless necessary.

- Check for orthostatic hypotension -
1. Before starting antihypertensives
2. Before escalation of antihypertensives.

- In left sided cardiac valve diseases - prefer RAASi.

- Start antihypertensives for anyone with BP > 140/90 (irrespective of CVD risk, lifestyle changes).

- Target SBP 120 to 129, also target DBP 70-79 mmHg.

- For young (< 40 yrs) -
If obese - Evaluate OSA,
For non-obese - Evaluation for secondary HTN.

- Consider adding a potassium based salt - if the individual has high daily sodium intake. ( In non ckd).

- If CVD risk is high (>10% at 10 yrs) - Start medications if Sbp >130/80 (after 3 months of lifestyle changes).

ESC HTN 2024 highlights - Salient points:

- Screening for primary aldosteronism by renin and aldosterone measurements should be considered in all adults with confirmed
hypertension (BP ≥ 140/90 mmHg).

Difference b/w ”actual” and ”standard” HCO3 in indicates that the resp component (pCO2) is contributing to acid-base status.
An element of resp acidosis is indicated if actual HCO3
– is higher than std HCO3
An element of resp alkalosis is indicated if actual HCO3
– is lower than std HCO3.

Std Vs Actual HCo3.
Std HCO3 is considered a more accurate measure of the metabolic (non-resp) component than actual HCO3
bc the standardization process aims to eliminate any effect of the resp component on HCO3.

Pickering Syndrome: An Overlooked Renovascular Cause of Recurrent Heart Failure | Journal of the American Heart Association

Pickering Syndrome - is a clinical conundrum comprising HTN, flash pulmonary edema, and bilateral renal artery stenosis.

www.ahajournals.org/doi/10.1161/...