nephrologist & descriptivist. #NSMC | epidemiology | clinical reasoning

San Francisco, CA
Joined July 2010
English gets its adjective endings -al and -ar (as in 'nasal' and 'lunar') from Latin -ālis and -āris. These are really the same ending! Latin used the form -āris to avoid two Ls close together in a word. Hence we find -ar in words with L in the root, like 'solar' and 'vulgar'.
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$$$ A quick point about costs $$$ How much do creatinine and cystatin C cost? There isn’t just one number. A point @eugelin06 has made in the past – cost to whom?
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Proud to be part of the global nephrology community that is United 4 Kidney Health! Join the movement by signing up below. @eugelin06 @muktabaweja @DrRayMD @alejandro_diez_
We're excited to launch #United4KidneyHealth, an awareness-building initiative to educate nephrologists and other #kidneyhealth professionals about the changes and opportunities taking place in #kidneycare. Learn about our 4 key priorities here: kidneyhealth.wpengine.com/
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Chi Chu retweeted
Principles of Kidney Pharmacotherapy for the Nephrologist: Core Curriculum 2021 buff.ly/3rmQNnR (FREE) @CU_Kidney @CUMedicalSchool
Pathophysiology and Therapeutic Approaches to Acute Decompensated Heart Failure ahajournals.org/doi/10.1161/… @jteerlinkmd @EiranGorodeski @JavedButler1 @JJheart_doc @DrNasrien @CircAHA @CircRes
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Origins of Renal Physiology Course: Fellows 2021 renalfellow.org/2021/04/26/o…
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Describe the kidney in 1 sentence: "The only reason there are normal values for the blood is there are NO normal values for the urine" - @kidney_boy Many competing podcasts nowadays but @BookBurton is a can't miss @LeticiaRolonMD
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1/11💧 Urine albumin-to-creatinine ratio (UACR) testing in type 2 diabetes (#T2D) – a brief tutorial 👉 What is it? 👉 Why it’s an important complement to eGFR 💉 testing to identify chronic kidney disease (#CKD) in #T2D COI: #BayerPartner #ItstheKidney ckd-t2d.com – at Jefferson, LA
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Renal grand rounds @UCSFNephrology on cardiorenal syndrome and diuretic resistance by @JGAmatruda @KHRC_research. Citing work by @McCallumMD @TMCNephFellows
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I wrote about Medicine's Machine Learning Problem for @BostonReview. Please check it out: bostonreview.net/science-nat…
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Ok I'm gonna confess I don't have Henderson Hasselbalch memorized even though it's just a rearranged equilibrium expression for H2O+CO2 <=> HCO3- + H+ combined with definition of pH (and conversion of [CO2] to pCO2 for the medical-oriented versions)
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but I know pH 7.4 ([H+] = 10e-7.4), HCO3 24, and pCO2 40 is a valid set of values and that [HCO3][H+] / pCO2 = a constant So if given a new set of values with 1 missing: pH 7.0, pCO2 15, and HCO3 = ? [HCO3?] * 10e-7 / 15 should also = same constant
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So just set the constants = [HCO3] * 10e-7 / 15 = 24*10e-7.4 / 40 [HCO3] = 24 * 10e-7.4 / 40 * 15 / 10e-7 = 3.6 less amenable to mental math, but then doesn't require remembering 6.1 and 0.03 and what's on top in the log...
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💥 Role of Stents in Dialysis Vascular Access - Tweetorial ⚡️Indications for Stent Use ⚡️Recent Clinical Trials of Stents in Dialysis Vascular Access ⚡️Complications associated with Stent Use 1/ @ASDINNews #VascularAccessPearls
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Thanks @hswapnil for posting this & @asouth_neph @LucyStats for co-leading this effort! We wrote this paper out of concern of many quickly performed observational studies asking if ACEIs/ARBs are beneficial/harmful in COVID-19 (+ observational studies in COVID-19 more broadly)
The different biases afflicting the observational studies of ACE2 & COVID-19 From @jordy_bc @asouth_neph & colleagues in @JHypertension journals.lww.com/jhypertensi… With DAGs and more
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Check out the 2020 USRDS ADR: completely new platform, COVID supplement, new patient experience chapter.
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Great engagement on today's webinar on CKD Early Identification, led by Dr. Michael Shlipak. Read the full conference report here: kidney-international.org/art…
Join today the ISN-@goKDIGO webinar (In English): "Chronic Kidney Disease Early Identification and Intervention" with @KHRC_research, moderated by @LTummalapalli. 🕔 5 pm CET. ➡ You still have time to register here: register.gotowebinar.com/reg…
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Must read for the general nephrologist. Take 20 minutes. SGLT2 Inhibition for CKD and Cardiovascular Disease in Type 2 Diabetes: Report of a Scientific Workshop Sponsored by the National Kidney Foundation ajkd.org/article/S0272-6386(… @AJKDonline
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⚡️Moving on to the Salicylate story Why do you prescribe bicarbonate in the setting of S-toxicity? The answer is NOT bcs you want to increase kidney excretion BUT to move S out of the CNS
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