Gates Colbert, MD FASN

A highlight of the conference was the session on August 3rd, “Understanding Post-Transplant Surveillance Through Patient Eyes.” This educational session explored transplant monitoring from the patient perspective, featuring insights from renal professionals and patients.

Enjoyed working with @kidneyfund.bsky.social and @nateragenetics to hear the patient voice and perspective on transplant monitoring at WTC. Awesome panel including Daniel with a 9yr going strong pediatric transplant 💪🏻

I remember reading the SDN doom and gloom when I was a Fellow. Except now it’s hard to even hire anybody. I think every single group in DFW is hiring. And we have at least 250 MD Nephs in DFW.

But the struggles are real in getting the $ rewards for the hard work & over and above care we provide.

I’m getting Cr and Cystatin levels regularly in CKD clinic. Especially if I think the Cr is unreliable. Cystatin levels have made a difference in getting some clarity on a diagnosis. #NephJC

Zero.

Nephs have shown that since at least the pandemic (sglt2 era) we are slow turtles. Time to turn those turtles into winning the race. 🏁🏁🏁🔝 #NephJC

Start the race with two. Jump into the third enthusiastically. Tip toe into the 4th. Adding a 5th ET in 2026? Si. Out your non performers. Cross fingers for the months to come for good outcomes and stability. #NephJC

Dallas nephrologist joining #NephJC. enthusiastic user of SGT2I, MRA, and a growing prescriber of GLP 1. Let’s build those pillars of CKD!

I don’t think people are Rx spironolactone either. Just HF Drs and the the HTN believers (👍). All talk, no action on most MRA “hype”. #NephJC

Clinicians and High Profile Nephs love talking about nsMRA, but they arent actually prescribing it. A pillar of CKD that is still being constructed. #NephJC

Checking in tonight for #NephJC. Welcome new Fellows and Interns

Fully agree. I always preach that a foley catheter must be inserted before a quinton catheter. Patients do not need foleys for months and months, but we have to know urine output on a precision basis to provide the best care.

#NephJC was all over this when published. Early adopters keeping watch and good critiques in the summary

Yes I’m sure the Nephrologists will be shown as the compassionate physicians and providers that we strive to be every day. 😐

Wish Edarbychlor wasn’t a bajillion dollars as a generic. Great option for patients

More evidence to not have a fluid war with the other specialties? Just give volume and avoid LR if HypoNa. And LR safe in HyperK

I still feel like MMF dosing is based on clinicians discretion of “what the patient will tolerate”. The opposite of precision medicine #NephJC

EGFR drop is pretty impressively. But all the data doesn’t lead to a straight answer. Glad to have some though on these classes that we use so much. #Confidence

Are you all focused on X or Bluesky ? Or trying to swim fast in both #era25

The combo eGFR loss must be the bigger driver of HyperK risk , rather than the benefits of sglt2i kaliuresis. #Confidence

The non responders and non tolerators (yes made that up) to MRA class deserve another option. ASIs might be that new advancement. #NephJC

If the -drostats work and are safe, they should be allowed to be combined with whatever the patients respond. No shame in using a CCB + ASI, or ARB + ASI (etc.), to lower BP if that is the effective and best tolerated regimen. #NephJC

I'm shocked! Adherence up and diet likely improved from pre enrollment (heavy sarcasm)

Not covered well by insurance for the efforts. And the machines come back broken and worn out quickly. Home monitoring with log submission is much more common in non severe cases #NephJC

I wish they would have allowed ALL CKD G3 patients to be enrolled. #NephJC

Very reasonable inclusion. I can assume they were hoping the 3rd agent would be the Loru and hit that 3 drug requirement for resistant HTN. #NephJC

Is there any advice to keep up with live posts? Besides just hitting the refresh button on your browser? #NephJC

Joining #NephJC from Dallas. Excited to talk about MRA and the next gen with ASIs. COI: Bayer Consultant

The question remains how to aggressively treat MVI alone #NephJC