Hector Madariaga, MD FASN 🇲🇽

1/10
Last #NephJC we discussed the ORIGIN 3 trial which investigated the use of Atacicept in IgAN #TenPostNephJC
Read the article 👇
www.nejm.org/doi/10....

New Trump EO increases fee from $1,000 to $100,000 per year for H1B visas?? Aimed at tech companies hiring cheaper trained people.
However, this is going to be extremely disruptive to residency training programs and hospitals. Hope someone clues him in.

Comments in the NYT are also very interesting. One that caught my attention mentioned that current system is biased in favor of procuring organs in patients who are declared DCD. The cost of having no one prematurely referred for organ donation would be eliminating cadaveric donations altogether.

The NYT piece is a very sensational article & not well balanced. I believe it has caused more harm than good. I don’t blame people for criticizing the OPTN and OPOs—given all the issues you’ve mentioned, they deserve it—but the current system, albeit not perfect, works in 99% of cases. Should be 💯

A response to the NYT article about organ donation, from Tom Mone, a former President and Chief Executive Officer of the OneLegacy OPO
sidandt.org/tom-mones-re...

Kidney transplant in patients with C3 glomerulopathy

academic.oup.com/ckj/article/...

My birthday wishlist… 🔥

I recently attended the Student National Medical Association’s AMEC 2025 conference,where we engaged w/med students/residents to promote the field of nephrology,mentoring opportunities, educational programs & health policy initiatives. It was a pleasure to work with the ASN staff

Oh wow… this has rarely been my practice but very interesting! #NephJC

T1f: #NephJC
3-Year Survival Outcomes

Pts who continued metformin ≥6 months after reaching CKD stage 4 demonstrated significantly higher survival (70.3%; 95% CI, 67.9–72.8) compared to those who discontinued early (63.4%; 95% CI, 60.5–66.5)

💡6.9 percentage-point difference (95% CI, 3.2–10.6)

a small black dog is sitting in front of a fireplace in a living room ALT: a small black dog is sitting in front of a fireplace in a living room

Not sure if relevant but I love Scottish terriers… #NephJC

a person is holding a sword with the words perfectly balanced as all things should be ALT: a person is holding a sword with the words perfectly balanced as all things should be

What if CKD-EPI GFR of 35 mL/min and MDRD GFR of 25 mL/min ?
Take average?
Add GFRcys of 30 mL/min…

#NephJC

I use metformin in kidney transplant recipients as a first line agent in post-transplant diabetes when eGFR >30 😬

Then a flozin. Then a GLP-1 RA
All good 👍

#NephJC

Worried About the Stock Market? Here's Warren Buffett's Investing Advice for Getting Through It. Around 62% of U.S. investors are pessimistic about the next six months, according to an April 2025 survey from the American Association of Individual Investors -- the highest figure since March 2009. ...

Worried About the Stock Market? Here's Warren Buffett's Investing Advice for Getting Through It.

Checking some Greek art at the Museum of Fine Arts in Boston, when suddenly…. Mr Bean?!

Sebastian’s Story: A Kidney Transplant and a Second Chance at Life Sebastian is back to doing what he loves thanks to his sister’s lifesaving kidney donation.

Sebastian’s Story: A Kidney Transplant and a Second Chance at Life

How much milk foam is too much?

Diabetic Kidney Disease (DKD) ca. 2025 from @elsevierconnect.bsky.social @annagaddy.bsky.social @hecmagsmd.bsky.social @doctorgates.bsky.social
#Nephpearls #NephSky

👉 pubmed.ncbi.nlm.nih.gov/39753456/

Today, I had the honor of participating in this amazing panel to talk about organ donation, particularly those barriers that affect the Hispanic community. It was a privilege to listen to my co-panelists share their stories about their journeys with organ donation

And don’t hold Flozins before TAVI

The American Society of Transplantation (AST) stands in support of their members who face immigration challenges 🙌

Subcutaneous Ofatumumab in Recurrent Focal Segmental Glomerulosclerosis Post Kidney Transplantation

academic.oup.com/ckj/advance-...

What is deep vein thrombosis and why do so many athletes like Damian Lillard get blood clots? Milwaukee Bucks guard Damian Lillard is likely out indefinitely because of deep vein thrombosis in his right calf.

So, what’s up with the all those blood clots found in NBA players.
Is it the NSAIDs mostly?

apnews.com/article/bloo...

First time watching the ISU World Skating Champsionship in Boston, MA. Here’s the new champ: Alysa Liu 🇺🇸
#Figureskating #Worldfigure

Reports: Red Bull to replace Lawson with Tsunoda Red Bull have made the decision to replace Liam Lawson with Japanese driver Yuki Tsunoda, according to multiple reports on Tuesday.

Fixed the headline!

Red Bull to replace Liam #Slowson 🐢 with Yuki Tsunoda - reports - via
@ESPN

Thanks, Sarah. All good; just getting used to the new way of life and social media! How you’re doing well! 👋

Trends in Sex Disparities in Access to Kidney Transplantation: A Nationwide US Cohort Study

While disparities in waitlisting have decreased over time, significant inequities persist, particularly among older women and those with diabetes

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

Who is in this study, anyway? Guidelines for a useful Table 1 Epidemiologic and clinical research papers often describe the study sample in the first table. If well-executed, this “Table 1” can illuminate potential threats to internal and external validity. Howe...

According to people knowing more than I on the topic, p values cannot be used to measure confounding in exposed and non-exposed cohorts—even in observational studies
#NephJC

pmc.ncbi.nlm.nih.gov/articles/PMC...

a man in a suit and tie is looking at something ALT: a man in a suit and tie is looking at something

"⬆️ Higher K+ levels (3.6 vs. 3.5 mEq/L)"

Is that high?! #NephJC

a purple and yellow dragon with sunglasses on ALT: a purple and yellow dragon with sunglasses on

#NephJC