Adam Forster

Clinical outcomes of early fast compared to slow sodium correction rate in adults with severe hypernatremia: A comparative effectiveness study Severe hypernatremia (serum sodium (SNa) ≥ 155 mmol/L) in critical illness is associated with high mortality; however, the optimal correction rate rem…

This is a great study and I’m glad NEJM is highlighting it in their new NEJM Clinician journal however it would have been nice to see the causes of mortality broken down and for some reporting on cerebral edema #nephsky #medsky #nephrology

www.sciencedirect.com/science/arti...

Exercise and Kidney Health: Core Curriculum 2026 Exercise triggers complex effects on kidney physiology that vary with intensity, duration, and environmental conditions. While moderate physical activity improves cardiovascular and renal outcomes, in...

Good read/review

www.ajkd.org/article/S027...

Veronika the cow has a broom, and she knows how to use it (to scratch herself) | CBC Radio Veronika the brown cow's dexterous and graceful tool use upends long-held assumptions about the intelligence of cows, say scientists.

Gary Larson vindicated #TheFarSide

www.cbc.ca/radio/asitha...

Credit to @cmforster.bsky.social for the send

It’s really more of a cortical glomerulus than a medullary structure

Noah Dobson scoring a goal for all of us that share a Jan 7 birthday #GoHabsGo

#StrangerThings sticks the landing, excellent and very satisfying ending

Still the best Wong Kar Wai film

Delivery of Palliative Care in the Last Year of Life to Individuals Receiving Maintenance Dialysis: A Population-Level Cross-Sectional Study Little is known about physician-delivered palliative care and the sociodemographic and clinical factors associated with its utilization for individuals undergoing maintenance dialysis. This study desc...

Extremely important work done with excellent methodology #NephSky

Delivery of Palliative Care in the Last Year of Life to Individuals Receiving Maintenance Dialysis: A Population-Level Cross-Sectional Study - American Journal of Kidney Diseases www.ajkd.org/article/S027...

It’s only panettone if it’s from the panettone region of Italy otherwise it’s just sparkling challah

We did chicken balls and fried wantons, hits every time

Merry Christmas to all who celebrate! And to my fellow Jews enjoy the Chinese food

Extremely pleased to see Eyes Wide Shut, that’s my go-to cheeky answer for best Christmas movie

Silly walks

My husband has put it best: #HeatedRivalry is more than just a show, it’s a catharsis for gay men. Thank you for this Jacob Tierny

Why is John so suspicious of Paul though

Husband truly knows how to buy me Hannukah gifts

Happy hannukah!
May all your lights be bright

I’m not entirely certain why mortality was the primary outcome here, giving bicarb may make the acidosis look better but it’s not really fixing the underlying problem. Would it have made more sense to use the renal outcome as primary instead?

Don’t know what was more exciting this week, passing my nephrology royal college exam or getting on the jumbo tron at the #LondonKnights game

Teddy bear toss at the London knights game

Gotta love the teddy bear toss! #GoKnightsGo #WOO #ldnont

I knew I wanted to be a kidney doctor when I was 17 years old sitting in Ms Paulin’s grade 11 biology class. Today I became a board certified Nephrologist. Dreams really do come true.

“Strong recommendation, Grade B” as well, hard to see how they arrived there

It’s so satisfying to be done holiday shopping this early for the first time in my life

Very interesting, makes sense considering what’s done for inpatients with high risk for arrhythmia

Increasing the Potassium Level in Patients at High Risk for Ventricular Arrhythmias | New England Journal of Medicine www.nejm.org/doi/full/10....

100 percent, couldn’t agree more

I do the same thing. There are so many ways to overcome the (very mild) issues that come up with RAASi use.

A Conservative Dialysis Strategy and Kidney Function Recovery in Dialysis-Requiring Acute Kidney Injury This trial examines whether a conservative dialysis strategy can improve recovery of kidney function for patients with acute kidney injury who require dialysis.

Wow this is amazing #KidneyWk

A Conservative Dialysis Strategy and Kidney Function Recovery in Dialysis-Requiring Acute Kidney Injury url: jamanetwork.com/journals/jam...

Ulysses isn’t a book you read, it’s book that simply is and you may engage with it if you dare.

How I consult on cardiorenal syndrome:

• Bump furosemide from 20 to 60 mg bid IV
• Consider rapid resumption of sacubitril/valsartan and empagliflozin. Let's not treat these life saving medications as nephrotoxins.