Anitha Vijayan MD

😂

I totally forgot to join #nephjc yesterday - I wanted to join just to say I detest phos binders and their sole purpose is to torture the patient so a lab number can improve. Plus major under recognized and under reported side effect like colonic ulcers and GI bleeding

Will add this to the things that would not have made my bingo card - My daughter said recently watched a podcast where Travis Scott said his childhood goal was to be a nephrologist!!
Google did the rest 👇
Really want to know who this cool nephrologist uncle was :-)

hiphopdx.com/news/travis-...

Big Beautiful Bill is Downright Ugly for Kidney Patients Tune in for the latest research and perspectives on kidney health from NKF.

The so-called ‘Big Beautiful Bill’ that passed the Senate today is a giant leap backward for people living with kidney disease. NKF urges Congress to reject these harmful provisions. www.kidney.org/press-room/b...

Unbelievable that this is happening …just sad
I know lot of people die in India because they can’t afford to pay for dialysis. They do PRN dialysis based on symptoms and how much money they have. Can see the same thing happening here now 🥲🥲

My exact thoughts!!

Its frustrating that this story is almost a second thought in the cbs segment. Shooter (3rd yr resident) had a list of nephrologists he was targeting! @asnkidney.bsky.social and @nkf-professionals.bsky.social need to condemn this in the strongest possible terms

In the shooting of an Indiana kidney doctor, fresh echoes of the UnitedHealthcare murder and the specter of vigilante violence Long-running questions about kidney dialysis don’t justify shooting, prosecutor says

Florida man (medical resident) shoots an….Indiana Nephrologist?

This story seems nuts www.cbsnews.com/dialysis/

h/t @vijayanmd.bsky.social @grahamabra.bsky.social

#NephSky

Use of Artificial Intelligence in Scientific Writing. The Danger of Trying Too Hard to Please The author describes his experience using several artificial intelligence programs to assist in the process of editing or preparing manuscripts for publication. While the programs were very useful to...

Hilarious (and sobering) essay on the use of AI in medical research & manuscript writing

Read the whole thing!

John Daugirdas has been on the cutting edge of tech in meded before #MedEd was thing

onlinelibrary.wiley.com/doi/10.1111/...

#MedSky #NephSky

So well written!! Love the nuance and humor. Adding Grok response was the icing!

splash slide

This week at the Ottawa #NephGR

we have @vijayanmd.bsky.social from Intermountain Health on outpatient dialysis after AKI

#NephSky

Academic calendar ottawa

The June calendar for Ottawa Nephrology

Featuring talks from @vijayanmd.bsky.social @aisha-shaikh.bsky.social and more!

#NephSky

Cuff sizes of 42 home-based devices from 13 manufacturers on the US BP Validated Device Listing and comparison with the American Heart Association (AHA) recommendations. Devices from the same manufacturer with similar cuff size options and terminologies were grouped together and sequential numbers were used to indicate each device. *Omron 12 devices: HEM-9200T, BP7000, BP7250 HEM-7311, BP7200 HEM-7311, BP7100 HEM-7311, BP5450 HEM-7311, BP5350 HEM-7311, BP7450 HEM-7320, BP7350 HEM-7320, BP5100 HEM-7311, BP5250 HEM-7320, BP7900-HEM7311. **Transtek standard size (22–32 cm) fully overlaps with the ranges for its large (22–42 cm) and XL (22–45 cm) sizes.

Very nice catch!

And word descriptions (small/regular/large) are quite meaningless across manufacturers - see from @amjhypertension.bsky.social academic.oup.com/ajh/article/...

I’ll nitpick:-) Cuff too small/tight?

Lorundrostat Efficacy and Safety in Patients with Uncontrolled Hypertension | NEJM Aldosterone dysregulation contributes to hypertension. Lorundrostat is an aldosterone synthase inhibitor, but data on its efficacy and safety in patients with hypertension are limited. In this mult...

Aaand it’s official, we have a new antihypertensive class!!!! 🎉🍾🎊

I like this RCT design in particular because it was open to both uncontrolled not-yet-resistant AND resistant hypertensive patients, opening to door to prescribe it as an earlier line agent

www.nejm.org/doi/full/10....

Oof Foo GIF ALT: Oof Foo GIF

😂 Waiting for response from @hswapnil.medsky.social with 🍿

Great job hosting and breaking down the stats! #NephJC

a man in a blue shirt and tie is sitting at a desk with a computer . ALT: a man in a blue shirt and tie is sitting at a desk with a computer .

#NephJC

a woman says " we live in a different " while wearing a polka dot shirt ALT: a woman says " we live in a different " while wearing a polka dot shirt

But…very low SGLT2i/GLP1 use in this study, so we are living in a different world.
Plus we don’t stop either of those meds in CKD/CKD5 not on dialysis #NephJC

Yes I use de-indexed #NephJC

Any data to support this hypothesis? #NephJC

So if I’ve a pt with eGFR of 25 on metformin GLP1 agonist and Dapa and HbA1C is 5.9 - should I not stop metformin to at least avoid polypharmacy? #NephJC

Great study and great analysis of the paper! So what’s the lowest GFR we should stop metformin? #NephJC

Is kale associated with mala? 😂 NephJC

Association data-
Patients were sicker so metformin was stopped?? #NephJC

Clarifying my comment.

AKI with underlying CKD #NephJC

Yes
Seen too many pts coming in with severe MALA when they had little reserve
I tend to stop with GfR in the 20s #NephJC

Anitha Vijayan from Intermountain Health Salt Lake City
First time on #nephJC in #bluesky
No COI - Except Love-hate relationship with metformin.

Honored to attend my good friend’s and outstanding clinical researcher’s Dr Kathleen Liu’s Shaul Massry endowed lecture at #NKFClinicals
Sepsis associated AKI

The @akdhjournal.bsky.social Post-hospital AKI care issue is out! #NKFClinicals
Huge thanks to Dr Thakar for the invite! Enjoyed working with J Neyra @sarahsanghavi.bsky.social M Heung, C Hsu SSilver I McCoy and many others! Also 🙏🙏 for 3 compelling patient voices!
www.akdh.org/issue/S2949-...