davidsas.bsky.social
Pediatric nephrology, genetic kidney stone diseases, trail running, Nordic skiing, photography, smoking just about any kind of animal, history, sports, education. Views are my own.
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Dr. Poland has directly stated that the interpretation that RFK Jr. is taking is incorrect and due not reflect the scientific conclusions of his work.
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Dang. Still no gif feature. The caption is "nobody knows."
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#ROCK2025 is the hangtag, I'm being told.
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In Raiders of the Lost Ark, the infamous snake pit full of "asps" is really full of boa constrictors, Burmese pythons, and maybe a reticulated python. At least they threw in one cobra! (But also, what the heck were those snakes eating and drinking in that pit over the centuries???)
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"I seems you tried to cram 40 minutes worth of content into this 20 minute talk. Do you blame poor preparation or poor preparation?"
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(The image was a gif with items disappearing off the calendar. Does Bluesky not support simple gifs?)
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Teenage boys can't have enough sneakers.
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Sweatshirt/hoodie. Nikes. Vikings/Twins/Loons/Wild tickets.
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Did you tell them you have information ICU, vegetable, animal, AND mineral?
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Me: So you'll approve tiopronin, then?
"Peer:" Yes, after all, you are the expert!
Me: That should have been evident 8 months ago when I first prescribed the medication. 2/2
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Mine usually go like this:
"Peer:" Dr. Sas, to be honest, before reviewing this patient, I'd never heard of cystinuria (or any of the rare diseases I treat).
Me: So what did you learn about this disease while reviewing?
"Peer:" Oh, I didn't read anything. 1/2
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See and my initial thought was that Taylor Swift named her next album "Rheumatologist."
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All of the above is very true. But I would venture to guess you are rounding with a dietitian, not a nutritionist. There's a difference. Anyone with an interest in nutrition can call themselves a nutritionist. But a dietitian (RD) has rigorous and regulated training and credentials.
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Sure but how many of the Xitter ones are Russia bot NPCs?
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Let's be clear about one thing: no one should change their clinical decision-making for the patient in front of them based on a metanalysis of retrospective studies.
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If they do end up helping, it would likely be due to some combination of increased urine volume, increased urine citrate, and/or change in urine pH (again, depending on the stone type we're concerned with). There are plenty of other factors that could contribute, but those are my best guesses. 2/2
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First, I'm not convinced that they reduce risk for stones; more rigorous study is definitely needed before we can say that, especially focusing on specific types of stones because (as you know) each type of stone forms under a specific set of conditions. 1/2
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This is so inside and I love it.
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I'm going with Pantherophis. They're just beautiful creatures, living their non-venomous lives, efficiently constricting vermin.
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I just hope Dr. Goldfarb got the help he needed while he was admitted at Bellevue.
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I once had a journal editor email me on a Friday afternoon to see if I could review a paper, then email me again on Sunday morning, annoyed that I'd not responded yet.
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Have a low threshold to check for low-molecular weight proteinuria in patients with weirdly elevated urine protein but normal serum albumin, especially with the positive family history in males! Sky high urinary retinol binding protein (or beta-2 microglobulin) is the hallmark.
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I was thinking the other day, the kidneys just view the heart as a metronome, and get irritated when the heart provides too much or too little.