Discover and read the best of Twitter Threads about #nephmadness

Most recents (11)

I’ve been working on my #medtwitter elevator pitch. Mostly because lately I seem to have lots of fleeting conversations about it.

And I know I’m not alone.

Here's what I find:

Some are sold but nervous.
Some are intrigued but don’t get it.

And a lot are precontemplative.
I think it’s because it can seem like all #medtwitter users look the same.

Them: “I would get on Twitter but I’m not a social media person.”
Me: “Twitter is different! Even if you don’t do social media!”
Them: 😐“Nah. Can’t see it.”


Them: ✌️🏾

Elevator ride over.
But I’ve been thinking about the many different #medtwitter identities there are. Most can find a fit nestled somewhere in 1 or a few of them.

What works for each person depends on a few things:

Who you are
What you hope to get from it
What’s going on in your life

Read 22 tweets
Quick thread on the recent Dutch KOMPAS trial in @JAMAInternalMed… 1/
@JAMAInternalMed Thanks to @brzoskos for tagging me when this came out last week
TL;DR version: doing nothing is fine when you are doing CT scans in peeps with GFR > 30
Isn’t this similar to AMACING? Yes and No, See thread: 2/
KOMPAS was a non-inferiority RCT, funded by the Achmea Healthcare Foundation
Compared 250 mL of 1.4% sodium bicarbonate administered in a 1-hour infusion before CT vs doing *nothing* 3/
Read 32 tweets
#NephMadness water bottle in action in the North Cascades
another action shot of #NephMadness Swag
hang'in with the wildflowers
Read 4 tweets
Very nice review on contrast associated (not contrast induced) AKI in @NEJM…
Written by stalwarts in the field
Gated, but definitely worth a read 1/
But I will have minor quibbles of course!
Here’s what they say on pathogenesis
With references from the 1990s! The era of high osmolar contrast media 🙄
Why not use this?… from @jclinicalinvest 2017? 2/
At least the pathophysiology image is better looking than @VijayanMD favorite one 😅
Read 16 tweets
Hanging with @melhoenig About to learn about Adrenal Physiology from @AnandVaidya17 at @harvardmed (two #NephMadness veterans)
Starts with a very Canadian video of a moose licking a truck. Does the moose have Addison disease? (hey Michelle, @AnandVaidya17 calls it Addison's)
Now Wyoming big horn sheep licking cars. He suspects that this is normal behavior of animals that live in an environment without much sodium.
Read 20 tweets
Here is my attempt at organizing the massive number of replies to my request for physicians on Twitter to follow for my #MPLSVAGrandRounds talk “Social Media in Medicine”
Here is the original thread, which has lists of people in just about every specialty you could think of, and quickly went beyond my ability to organize.
When going through these lists, @Doctor_V reminded me this important point:
Read 27 tweets
In this #tweetorial of #FluidWars

We will try to expose the physiological irrationality of Normal Saline (NS).
IV FLUIDS are ubiquitous. They’re the most common inpatient intervention. The most used solution in the world is Ab-Normal Saline.

#HospitalistRegion #Nephmadness
IV fluids bypass the gut, sometimes overrule the kidney and reach into our precious body fluids. Mixing and changing their physical chemical properties alike the administered fluid.

Fluids should be considered drugs and prescribed for specific indications, doses, targets.
A long time ago..
A junior doctor asks the attending:
What type of fluid would you choose on this patient, Saline or Ringer’s?
▪️A: I’ll take the usual, Saline.
Does it really matter? They are both crystalloids with salt, right?
Read 16 tweets
1.Nephmadness tweetorial ahead!

So now that #Nephmadness is here, it’s time for a #tweetorial to convince you why you should be voting for genetic C3 glomerulopathy (C3G) not only to beat acquired causes of C3G, but to make a run for the championship.
Firstly, what percentage of C3G is thought to be due to an underlying genetic predisposition?
3.Those of you who have chosen 20% are correct! The remainder are due to acquired causes (more on this below). Before we start, it’s important to have a quick overview of C3G. C3G comprises two diseases, dense deposit disease (DDD) and C3 glomerulonephritis (C3GN).
Read 27 tweets
-@NephJC continues to grow @hswapnil @kidney_boy and now with 3 chats.... North America, Europe, Asia

-More online resources for learning @Neph_Sim @landmark_neph This month in nephrology

-@GlomCon hitting its stride @d_r_waguespack @poyanmehr @Proximal_Baxi
-@Maximal_Change keeps @AJKDonline Blog fresh and exciting. #NephMadness continues

-58 programs and growing Twitter…

-@KIDNEYcon continues to grow with help from online community @NephroRock

-collaborations and friendships continue
Read 10 tweets
1/ Thread: This morning I gave Dept of Medicine #GrandRounds @OHSUSOM @OHSUNews. In #medtwitter’s spirit of sharing & learning, here is my first #Tweetorial summarizing highlights & crediting #hcsm’s incredible contributors & source material
2/ 4 months ago EBM & cardiology expert Dr. Milton Packer published a blog post detailing how he found Twitter uninformative and emotion/opinion driven
Is this the reality of #medtwitter??…
3/ #SoMe is digitally based mediums that helps us
60% of physicians say their most popular activity on #hcsm = Following what colleagues are sharing and discussing
Channel the “look at me” negative stereotype of #SoMe into “look at THIS” learning etc...
Read 28 tweets
This looks to be fun look at renal research around the world. I made my picks the way I make my picks at a horse track - I went by the titles. I expect as with #nephmadness as the results come in I'll learn why my picks were wrong and then more about the research that advances.
@RSNhope @ihatedialysis @KidneyPatients @DialysisAtHome @hdunews this is a new social media "game" that pits various renal research studies from around the world against each other in a World Cup style competition. This is a fun
gateway to the world of renal research
We with CKD should familiarize ourselves with the language of research and what is now being worked on so that as opportunities arise to engage we will be prepared to contribute #kidneyresearch #dialysis #kidney
Read 3 tweets

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