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Edgar V. Lerma 🇵🇭 Profile picture
@edgarvlermamd
Oct 19, 2019 • 18 tweets • 16 min read • Read on X
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#UCLAPDSymposium 2019
@DrAnjayRastogi @JoanneBargman Image
Opening remarks given by #UCLAPDSymposium 2019 Course Chair @DrAnjayRastogi Image
Dr Mark Shapiro talking about the story of dialysis being a story of public policy and reimbursement
#UCLAPDSymposium 2019 ImageImage
Thanks to @nephondemand for this #VisualAbstract summarizing the #AdvancingAmericanKidneyHealth Executive Order
#UCLAPDSymposium 2019 Image
SHAPIRO: Most nephrologists would choose Home 🏡 Therapies for themselves
#UCLAPDSymposium 2019 ImageImageImageImage
SHAPIRO: Home 🏡 Dialysis growth is already starting to happen
#UCLAPDSymposium 2019 ImageImage
SHAPIRO: What are the real patient related barriers to Home 🏡 Dialysis?
#UCLAPDSymposium 2019 ImageImage
Dr Todd Penner recognizing his mentor Dr John Crabtree
#UCLAPDSymposium 2019 #mentorship Image
Potential candidates for Laparoscopic implantation of PD catheters:
📌 Obese
📌 History of complex surgeries, e.g., stomas
📌 Inability to tolerate general anesthesia
#UCLAPDSymposium 2019 ImageImage
Dr Anjali Saxena talking about PD prescription, management and PET
👉🏼 Modalities
#UCLAPDSymposium 2019 #Nephpearls ImageImageImageImage
Short dwell times are useful for small molecule clearance

Longer dwell times are needed for larger molecule clearance

Those with RRF can have dry days/ nights

Those w/o RRF need at least 1 long dwell/ day to clear larger solutes

#UCLAPDSymposium 2019 #Nephpearls Image
.@JoanneBargman talking about PD Patient Candidacy: Myths vs Truths
#UCLAPDSymposium 2019 Image
SAXENA: PD related peritonitis algorithms
#UCLAPDSymposium 2019 #Nephpearls
👉🏼 pdiconnect.com/content/36/5/4… ImageImageImageImage
SAXENA: Initial PD prescription
#UCLAPDSymposium 2019
#Nephpearls Image
SAXENA: Using the Peritoneal Equilibration Test (PET) as a guideline for PD prescription management
#UCLAPDSymposium 2019
#Nephpearls ImageImageImage
TRUTH 👍🏼 Obesity, an ostomy and previous abdominal surgery are not contraindications for PD

TRUTH 👍🏼 PD may be the preferred therapy for the older patient (especially with home visit program)

#UCLAPDSymposium 2019 #Nephpearls Image
SAXENA: Prognostic value of effluent cell counts in PD related peritonitis
#UCLAPDSymposium 2019
#Nephpearls
👉🏼 cjasn.asnjournals.org/content/clinja… ImageImage
Attending this meeting reminded me of this great post from @AJKDonline @NephRodby @Leslie_Wong222

PD or HD: Which Road Do We Take? #Nephpearls

ajkdblog.org/2018/02/19/pd-…

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More from @edgarvlermamd

Edgar V. Lerma 🇵🇭 Profile picture
Feb 26, 2022
Advancing Evidence-Based Care in Diabetes and CKD
#ISNWCN 🇲🇾 #Nephpearls

👉 kdigo.org/wp-content/upl…
Holistic approach for improving outcomes in patients with Diabetes and CKD
#ISNWCN 🇲🇾 #Nephpearls
Glucose-lowering agents in Type 2 Diabetes (T2D) and CKD: Indications and dose adjustments
#ISNWCN 🇲🇾 #Nephpearls
Read 9 tweets
Edgar V. Lerma 🇵🇭 Profile picture
Feb 26, 2022
.@goKDIGO Glomerular Diseases Guideline: Reflections on a Decade of Progress with @adrianliew8 @ReichHeather @Dr_KeishaGibson
#ISNWCN 🇲🇾 #Nephpearls

👉 kdigo.org/wp-content/upl…
IgA Nephropathy: A 1st step is in treating IgA Nephropathy is assessing "prognosis" based on data available at the time of biopsy

@goKDIGO suggest using the "prediction tool" that was derived from the largest & most geographically diverse cohort to date

#ISNWCN 🇲🇾 #Nephpearls
IgA Nephropathy: The @goKDIGO treatment algorithm recommends consideration of use of corticosteroids in patients with "persistent proteinuria >1g/day" if the risk/benefit profile is favorable

📌 A GFR of 30 is considered a threshold for treatment

#ISNWCN 🇲🇾 #Nephpearls
Read 13 tweets
Edgar V. Lerma 🇵🇭 Profile picture
Feb 23, 2022
First clinical-grade porcine 🐖 kidney xenotransplant using a human decedent model ca. 2022 from @amjtransplant #NephJC #Nephpearls

#VisualAbstract by @NamrataYParikh

👉🏼 pubmed.ncbi.nlm.nih.gov/35049121/ Image
Attitudes to Clinical Pig Kidney Xenotransplantation among Medical Providers and Patients ca. 2020 from @ASNKidney360 #Nephpearls

kidney360.asnjournals.org/content/1/7/657 ImageImage
Paving the Path toward Porcine Organs for Transplantation ca. 2017 from @NEJM #NephJC #Nephpearls

nejm.org/doi/full/10.10… ImageImage
Read 4 tweets
Edgar V. Lerma 🇵🇭 Profile picture
Jan 30, 2022
Nephrolithiasis 101: When to order a 24-hour urine collection #Nephpearls

Multiple or metabolically active stones (stones that increase in size/ number w/in a year)

Children

Demographic groups not typically prone to stone formation

Stones other than those containing calcium ImageImage
Interpretation of urine chemistries to identify lithogenic risk factors and assess the contribution of diet to the formation of kidney stones ca. 2016 from @ravineja #Nephpearls

sciencedirect.com/science/articl… Image
Neglected analytes in the 24 hour urine: ammonium and sulfate ca. 2021 from @CO_Neph_Hype @ravineja #Nephpearls

👉 pubmed.ncbi.nlm.nih.gov/34798636/ ImageImageImageImage
Read 4 tweets
Edgar V. Lerma 🇵🇭 Profile picture
Jan 26, 2022
PREDNOS 2: Evaluation of Daily Low-Dose Prednisolone During URTI to Prevent Relapse in Children w/ Relapsing Steroid-Sensitive Nephrotic Syndrome ca, 2022 from @JAMAPediatrics #NephJC #IPNAJC #Nephpearls

#VisualAbstract by @drM_sudha

jamanetwork.com/journals/jamap…
Low-dose versus conventional-dose prednisolone for nephrotic syndrome relapses: a randomized controlled non-inferiority trial ca. 2022 from @Ped_Neph #NephJC #IPNAJC #Nephpearls

#VisualAbstract by @md_abdulqader83

link.springer.com/article/10.100…
PREDNOS: Sixteen-week versus standard eight-week prednisolone therapy for childhood nephrotic syndrome ca. 2019 from @bmj_latest #NephJC #IPNAJC #Nephpearls

#VisualAbstract by @jbda19

pubmed.ncbi.nlm.nih.gov/31156083/
Read 5 tweets
Edgar V. Lerma 🇵🇭 Profile picture
Nov 17, 2021
Clinical Practice Guideline for the Management of Glomerular Diseases ca. 2021 from @goKDIGO #NephJC #Nephpearls
#VisualGraphics by @michaelturk6

Executive Summary pubmed.ncbi.nlm.nih.gov/34556300/
Full Guideline pubmed.ncbi.nlm.nih.gov/34556256/
The spectrum of glomerular diseases from @neilturn #NephJC #Nephpearls

👉 global.oup.com/academic/produ…
Nephrotic range proteinuria does "not always" mean nephrotic syndrome #NephJC #Nephpearls

👉 pubmed.ncbi.nlm.nih.gov/34556256/
Read 4 tweets

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