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Joseph Flynn, MD

@jostflynnmd.bsky.social

Professor of Pediatrics, University of Washington and Nephrologist at Seattle Children's/Editor-in-Chief @ped-neph.bsky.social/ PGY-39 / πŸ³οΈβ€πŸŒˆ

2,816 Followers  |  1,199 Following  |  181 Posts  |  Joined: 24.10.2023
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Posts by Joseph Flynn, MD (@jostflynnmd.bsky.social)

graphical abstract

graphical abstract

Hypertension Rounds: Familial Hyperaldosteronism Type IV in a Mother-Daughter Pair

academic.oup.com/ajh/article/...

07.03.2026 15:15 β€” πŸ‘ 5    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0
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Clinical course of proteinuria due to cubilin variants: a large multicenter pediatric cohort - Pediatric Nephrology Introduction We aimed to evaluate the clinical and genetic characteristics and clinical course of children with persistent proteinuria associated with CUBN variants. Methods Forty-eight children with ...

Clinical course of proteinuria due to cubilin variants: a large multicenter pediatric cohort
@ped-neph.bsky.social
link.springer.com/article/10.1...

06.03.2026 20:34 β€” πŸ‘ 9    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0
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U.S. sub sinks Iranian warship off Sri Lanka, killing 87 and expanding war zone A U.S. submarine sank an Iranian warship off the southern coast of Sri Lanka, killing dozens of sailors and dramatically widening Washington's pursuit of the Iranian navy.

A US submarine sinking a lonely, dinky Iranian surface ship an ocean away from the theater of the main conflictβ€”and 9000
miles from North Americaβ€”makes it pretty clear the US is fighting a general war, without the declaration required by the Constitution. www.reuters.com/world/asia-p...

04.03.2026 17:40 β€” πŸ‘ 13501    πŸ” 4975    πŸ’¬ 543    πŸ“Œ 295
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Casey Means and the Deathly Kakistocracy The Surgeon General cannot be a failed physician

open.substack.com/pub/absurdly...

04.03.2026 17:01 β€” πŸ‘ 39    πŸ” 16    πŸ’¬ 0    πŸ“Œ 2

This is so sad...and scary too
#pedsky

04.03.2026 18:47 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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This National Kidney Month, we highlight the importance of understanding how and why kidney disease develops. Through research and collaboration, we work to generate knowledge that helps inform better care today and in the future, especially for pediatric patients.

04.03.2026 17:35 β€” πŸ‘ 3    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
American Heart Association Journals

Association of Perinatal HIV Exposure and HIV Disease Severity With BP in Youth.
#Hypertension #pedsky
www.ahajournals.org/doi/10.1161/...

04.03.2026 18:42 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Adverse effects of health plan prior authorization on clinical effectiveness and patient outcomes: A systematic review Prior authorization requirements by health insurance plans have become a barrier to healthcare delivery in the United States in terms of clinical efficiency, patient and provider experience. Surveyed ...

Prior auths harms patients.

Murphy et al.'s (2025) systematic review found prior authorization delays are linked to worsened symptoms, delayed treatment, preventable hospitalizations, & poorer outcomes, raising concerns about its impact on care.

www.amjmed.com/article/S000...

#nursesky #medsky

04.03.2026 18:17 β€” πŸ‘ 8    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0

Agree. Two neurons, one synapse. Prescribe.

04.03.2026 18:33 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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A medical journal says the case reports it has published for 25 years are, in fact, fiction A Canadian journal has issued corrections on 138 case reports it published over the last 25 years to add a disclaimer: The cases described are fictional. Paediatrics & Child Health, the journal…

This story is nuts

The journal β€˜Pediatrics and Child health’ has been published an article type, for case reports, that are made up and fictional without having any clear notice 😱

retractionwatch.com/2026/03/03/c...

04.03.2026 02:06 β€” πŸ‘ 245    πŸ” 105    πŸ’¬ 9    πŸ“Œ 38

"Nuts" is one word, "appaling" is another....

04.03.2026 18:32 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Pharmacology win of the month?!

Patient with persistently low magnesium despite oral and IV magnesium.

Started empagliflozin 9 days ago.

Today?

Normal magnesium πŸŽ‰πŸŽ‰πŸŽ‰

Flozination FTW.

26.02.2026 19:23 β€” πŸ‘ 11    πŸ” 1    πŸ’¬ 4    πŸ“Œ 0

Many Pediatric programs routinely have pharmacy add phos to the CRRT solutions. There are concerns of errors though- and at my previous and current program we switched to commercial solutions after a sodium phos shortage. pharmacy prefers this- personnel to add phos more expensive than solutions!

27.02.2026 16:05 β€” πŸ‘ 5    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
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Child weight status and high blood pressure from 6 to 12 years of age: results from the PREDI cohort study
#hypertension #pedsky #nephsky @ped-neph.bsky.social @bloodpressure.bsky.social journals.lww.com/bpmonitoring...

28.02.2026 20:47 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Risk Factor Modifications Quantified For Extending Life-Years Free of CVD, Death - American College of Cardiology

One of the most significant modifications that middle-aged patients can take to prevent #CVD is lowering arterial #hypertension, according to research presented during a Featured Clinical Research Session at #ACC25.

Read the journal scan to learn more! πŸ‘‡ bit.ly/4iZzPFO

#CardioSky #MedSky

30.03.2025 22:47 β€” πŸ‘ 11    πŸ” 6    πŸ’¬ 0    πŸ“Œ 0
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How Ten Publishers Retract Research Retractions are the primary mechanism for correcting the scholarly record, yet publishers differ markedly in how they use them. We present a bibliometric analysis of 46,087 retractions across 10 major...

In which we learn @acm.org is exceptionally bad at retracting articles that need retracting:

arxiv.org/abs/2602.191...

24.02.2026 12:54 β€” πŸ‘ 10    πŸ” 7    πŸ’¬ 1    πŸ“Œ 0
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Study: Hypertension Increasing Among Children And Teens Hypertension is a growing concern among children and adolescents, driven by sedentary lifestyles and processed food consumption. Early detection and intervention are crucial to prevent long-term cardi...

Hypertension Increasing Among Children And Teens
seattlemedium.com/pediatric-hy...

25.02.2026 18:11 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
Drs. Ian de Boer, John Stivelman, Mike Kelly, Matt Rivara, and Kleber Fertrin presented at the EPO 40th Anniversary event.

Drs. Ian de Boer, John Stivelman, Mike Kelly, Matt Rivara, and Kleber Fertrin presented at the EPO 40th Anniversary event.

"40th Anniv of EPO Clinical Trials in Seattle" - by Drs. Ian de Boer (Nephrology), John Stivelman (emeritus), Michael Kelly (emeritus), Matt Rivara (Nephrology), & Kleber Fertrin (Hematology & Oncology). #anemia #dialysis #renal #CKD @uwmedicine.bsky.social
Video: kri.washington.edu/news/40th-an...

03.02.2026 00:06 β€” πŸ‘ 5    πŸ” 2    πŸ’¬ 1    πŸ“Œ 0

This was a truly excellent presentation

14.02.2026 19:06 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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Q&A: How to initiate conservative kidney management conversations A behavioral nudging tool may help nephrologists jumpstart conversations about conservative kidney management, according to study data published in Kidney360. The idea for the tool arose from a panel...

Susan P. Y. Wong, MD, MS, @uwnephrology.bsky.social and colleagues explored how #nephrologists can start a conservative #kidney management conversation with a behavioral nudging tool. @uwmedicine.bsky.social #nephsky

www.healio.com/news/nephrol...

13.02.2026 20:08 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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2025 AHA/ACC BP Guidelines 🩺
New analysis explores how the 2025 AHA/ACC hypertension guidelines affect when and how BP-lowering meds are started and intensified among US adults.
πŸ‘‰ https://ow.ly/gAjf50YfoVZ

#Hypertension #Guidelines #CardioHealth #CardioSky #MedSky

13.02.2026 22:20 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
Validate User

#WeekendReads from the Advance Article section

❀️ Cardiovascular and Kidney Events Associated with Visit-to-Visit Blood Pressure Variability among Young Adults with Hypertension

academic.oup.com/ajh/advance-...

14.02.2026 11:00 β€” πŸ‘ 1    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
A visual representation of the ORIGIN 3 trial, in which researchers assessed the efficacy and safety of atacicept in patients with IgA nephropathy.

A visual representation of the ORIGIN 3 trial, in which researchers assessed the efficacy and safety of atacicept in patients with IgA nephropathy.

ORIGIN 3 trial: In at least half of patients, IgA nephropathy progresses to kidney failure or death within 10 to 20 years after diagnosis. The investigational drug atacicept might offer a new treatment option. Research findings are summarized in a new Quick Take video. nej.md/3OfUv1W

#MedSky

14.02.2026 17:03 β€” πŸ‘ 14    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0
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Public Policy: How to Get Involved | Docwire News Anna Gaddy, Miriam Godwin, and Lauren drew discuss the National Kidney Foundation's approach to advocacy and ways for healthcare professionals to get involved.

In the final segment of their conversation, @annagaddy.bsky.social chats with Miriam Godwin and Lauren Drew of @kidney.org about NKF’s multiprong approach to advocacy and ways for healthcare professionals to get involved. #nephrology #healthpolicy www.docwirenews.com/post/public-...

14.02.2026 18:00 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
halftime show

halftime show

what a shot

09.02.2026 01:38 β€” πŸ‘ 20031    πŸ” 3461    πŸ’¬ 96    πŸ“Œ 137

Who or what is Apretude?

13.02.2026 03:30 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

So true! @ped-neph.bsky.social

12.02.2026 16:02 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Practical approach to evaluate and manage hypertension in youth: an International Society of Hypertension position paper
#pesky #hypertension
journals.lww.com/jhypertensio...

12.02.2026 14:42 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Jayapal: To the survivors in the room, if you are willing, please stand. And if you are willing, please raise your hands. If you have still not been able to meet with this DOJ. Please note for the record that every single survivor has raised their hand.

11.02.2026 15:45 β€” πŸ‘ 28978    πŸ” 10302    πŸ’¬ 1068    πŸ“Œ 624
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Multidisciplinary neonatal acute kidney injury provider perceptions and practice patterns @ped-neph.bsky.social
rdcu.be/e3xU1

11.02.2026 20:59 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 1