NephroMemes @MemesNephro
Kidneys. Memes. RTs != endorsements, unless they are endorsements. Loop of Henle Joined April 2021-
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Times running out, ☎️ phone a friend and fill out your brackets! #NephMadness @Gila_NephMad @Dove_NoGlut4 @MemesNephro
JHM’S Things We Do For No Reason TM Region with @gamez_ariadna 🐣 and Mario Mendez #NephMadness #NephMadnessParty @MemesNephro @NephMadness
One instant way to improve EMRs would be to allow gifs. Imagine getting a consult for “recommendations” on a resolving AKI, decongesting well, electrolytes are fine: Me in the chart:
Well @MemesNephro beat me to the SOTU meme post…but this one is a winner 🏆#NephMadness @Nephro_Sparks @ssfarouk @tony_breu @FarahDaccueil @DocLennyF ajkdblog.org/2024/03/01/nep…
@AshleyGWinter @brian_rifkin @chungk1031 @MemesNephro 👀 Things We Do for No Reason™: Furosemide-albumin coadministration for diuretic resistance …mpublications.onlinelibrary.wiley.com/doi/full/10.10…
Me helping out on rounds as an M3 during surgery clerkship
All thiazides seem equally efficacious and their long T1/2 make timing of their administration with loop diuretics unnecessary #NephTwitter #MedTwitter @MemesNephro
It do be like that sometimes, @brian_rifkin Funny memes but have to be sure we cover every potential clinical possibility because that’s what matters to a meme account.
Nephrotic range proteinuria with massive edema? We’ve got just the thing…
“CRRT overnight. Renal function appears better with creatinine lower this morning.”
Medicine team refreshing powerchart to see the new K result
Are you ready for the annual VCU M2Renal Memes competition? @VCU_Nephrology, @VCUUrology @MemesNephro "Basolateral Camp" (Instructors' favorite) and "Calcium during Alkalosis", by Fox Clemmer
When everyone else says “AKI improving, creatinine is getting better on CRRT” Me = Coach K
When the lab says they never received the serologic work up and they’re still “in transit”
Joel M. Topf, MD FACP @kidney_boy
62K Followers 4K Following Saying the product of the kidneys is urine is like saying the product of a factory is pollution. Urine is a by-product. The product is homeostasis COI: link👇🏼Jonathan Chávez @JonathanNefro
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1K Followers 587 Following mediocre nephrologist. full-time troll. aspiring retiree. |all tweets are solid medical advice| /join #LouCrew\ chill out this is parodyBrian Rifkin, MD @brian_rifkin
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44K Followers 907 Following We’re fighting to eliminate preventable kidney disease, accelerate innovation, and dismantle structural inequities in kidney care. Join our fight.Well @MemesNephro beat me to the SOTU meme post…but this one is a winner 🏆#NephMadness @Nephro_Sparks @ssfarouk @tony_breu @FarahDaccueil @DocLennyF ajkdblog.org/2024/03/01/nep…
“SIADH is the FSGS of electrolyte disorders” from @VelezNephHepato hear why in Ch 23 @BookBurton, out in 2027
La furosemida intentando entrar al túbulo en el paciente con 60/40 de TA
Me helping out on rounds as an M3 during surgery clerkship
@AnnaGaddy Clase Azul... Academics nephrology is a good gig, you must be working for big pharma
@brian_rifkin @MemesNephro Except when you do… #hepatorenalsyndrome #hypernatremia #hypercalcemia #hyperkalemia And perhaps specific case of DNR/DNI pts in adHF w Pulm edema & hypotension w afib RVR..? lol
@MemesNephro Well played anonymous meme account, well played 😜
@MemesNephro @brian_rifkin Unless you are treating hyperkalemia, hyponatremia or hypocalcemia
@brian_rifkin @MemesNephro Except sometimes in hyperkalemia
@hswapnil @NephRodby @scoca1 @MemesNephro @kidneyphiliac Always a challenge treating patients with nephrotic range protenuria and massive edema. In the era of flozination, wondering 🤔 addition of SGLT2I to a loop and amiloride might be beneficial in achieving better natriuresis ?
@hswapnil @NephRodby @MemesNephro @kidneyphiliac Swap, that study drives me crazy. Way too small (n=9; impossible to detect an effect) Bad comparison (HCTZ vs. amiloride) And the kicker: only 4 participants had high uPl/Cr at baseline How did amiloride have a chance with so little plasminuria in these pts?!?🤬🥶🤯
@MemesNephro @scoca1 @hswapnil @kidneyphiliac I’d just like to say trials regarding diuretics and nephrotic syndrome is like the most neglected part of nephrology, paradoxically.
@scoca1 @MemesNephro @kidneyphiliac I'm not so sure the albumin/lasix combo is nothing. But I need to try amiloride-> block filtered plasmin activated ⬆️ENaC activity in nephrotic syn. I really wish there was a study eg, loop+amiloride v loop+thiazide for edema in nephrotic syndrome. Anything out there controlled?
@scoca1 @hswapnil @MemesNephro @kidneyphiliac Have tried at least a dozen times and haven’t seen anything impressive. And maybe it’s worsening lipids thru pcsk9 ? ncbi.nlm.nih.gov/pmc/articles/P…
@MemesNephro @kidneyphiliac Oh you are so right there! I cringe when I hear people say they are trying “albumin-assisted diuresis”. 🤯🤯🤯 Every single time it’s that the doses of diuretics were not high enough and that’s what it takes to get an effect
@MemesNephro @kidneyphiliac So good in theory, I’m a huge proponent of blocking plasmin activation of ENaC, but (and I hate anecdotes), it has not provided much benefit for my patients clinically - has anyone had much success?