hswapnil.medsky.social
Nephrologist = kidney doctor
MD, MPH
University of Ottawa/Ottawa Hospital šØš¦
Unceded territory of the Anishinaaben Algonquin nation
He/Him/His
No PhRMA conflict
#NephJC co-creator, @FreelyFiltered.bsky.social pod panelist
#MedSky #NephSky #SkyNeph
2,417 posts
5,219 followers
2,999 following
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Iām glad these head to head studies are being done, but it still doesnāt change my mind to start with MMF over tac. Better tolerated overall and results almost as good. #NephJC
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I agree - if strong justification (eg HFrEF or proteinuria (as in your case) I donāt think itās ever too late
Take a deep breath to watch the creatinine bump and carry on
RENAL LIFECYCLES coming soon to justify that approach we hope www.nephjc.com/news/master-...
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Just needed a hat to complete the Magritte š
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Iām no expert but everything Iāve seen is that these electronic messages nudges etc donāt seem to work. Itās like the EMR messages you get at times - they happen too often and people tend to not notice ? Things are often more complex than they seem maybe.
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RASi use tops out at between 50 to 60% because of side effects, so this number is already max. People have not gotten the memo that sglt2i is for all ckd, not just dkd, and this number will not change with nudges but with med edu
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Plausibly a methodological issue, patients were identified based on CKD diagnosis codes in the National Patient Register. In Denmark, CKD codes are predominantly recorded in patients followed in outpatient clinics at nephrology departments i.e. patients already receiving specialized nephrology care
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We do this a lot in our post-AKI rehab program. Nudges donāt work unless the sender is known or invests their own time in convincing the receiver. It takes a one-on-one discussion and even then not 100%. Thatās why we fill in the gaps with an AKI medical director prescribing GFMT independently.
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Another Ottawa/Doug Ford scandal that has received little attention:
ottawacitizen.com/news/local-n...
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Previous coverage by @egpayne.bsky.social
ottawacitizen.com/news/local-n...
ottawacitizen.com/news/local-n...
It was Renfrew Randyās Realm
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Exactly
The ERA (which does not have a Bluesky account) decided in their wisdom, like old sclerotic organizations, to concentrate on X.
Thatās all - peeps from India and bots are still there, apart from Nazis and trolls
Any comments @nephroseeker.medsky.social ?
#ERA25
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Many of these OPOs are horrible
See oversightdemocrats.house.gov/sites/evo-su...
Spending organ donation money on wine trips, NHL and NFL season tickets
And more here www.pulmccm.org/p/transplant...
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BTW, this was the previous SR from @lastwalsh.bsky.social and co. in @ajkd.bsky.social
pubmed.ncbi.nlm.nih.gov/27265777/
as they took pains to point out with the additional analyses - they were quite considered about the underlying bias in those RCTs published until then
#ERA25
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I think @lonniepyne.bsky.social is involved in that - hope it gets published with ACHIEVE and ALCHEMIST soon - we can cover in #NephJC then!
#ERA25
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Is it? More RTs or conversation?
I went to check and didnāt see much TBH - maybe I am missing it!
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Lose weight ->improve BP #Flow #era25
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Nice summary slide for y'all #era25