pconnelly.bsky.social
Consultant Endocrinologist - Glasgow
Interested in sex steroids, pituitary disease and mineral metabolism.
14 posts
77 followers
145 following
Getting Started
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Nothing more endocrine than pondering over something so long that it doesn't matter any more! Well done!
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I take it you are taking more time over your D&E application???
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The advances in hypopara management keep coming!
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I really wish I could! That would be some paper. I haven't seen any convincing data either way. I worry a RCT would be impossible.
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Can you provide a plot with mortality directly attributable to hyponatraemia?
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The slow-correcting heart failure patient will have higher mortality and a longer inpatient stay compared to the rapid-correcting patient with alcohol dependence and suppressed AVP. Their risks of ODS are not equivalent.
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The omission of hypertonic saline strategies or hyponatraemia aetiologies limits it's utility. Not planning on changing my practice based on this paper having seen ODS first hand in rapid correctors.
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Only a single dose was administered - could a further dose at 6 months and/or BTM monitoring have mitigated the BMD loss?