Joel M. Topf, MD FACP Profile picture
Jun 17, 2020 8 tweets 4 min read Read on X
With apologies to @whole_patients it is another "Volume that Twitter built"
that was the name of @whole_patients introduction (tandfonline.com/doi/full/10.31…) to the theme issue for International Review of Psychiatry on Social Media in 2015.
She invited me and @hswapnil to contribute an article on Twitter Journal Clubs. tandfonline.com/doi/full/10.31…
Also in that issue was Alex Djuricich and @JanineZeeCheng important paper on live tweeting medical meeting. I believe this was the origin of Tweeting the Meeting tandfonline.com/doi/full/10.31…
Last year I was invited to speak at @BrighamWomens Nephrology Department on Social Media and Medical Education. While I was there, Joseph Bonventre invited me to be a guest editor for an issue of Seminars in Nephrology on Social Media.
It is an amazing honor to edit an issue like this. It is a unique opportunity to put a marker down and say "This. Here. Is the state of social media in medicine." Additionally I'm delighted that I got to pay forward what @whole_patients did for us in our 2nd year of #NephJC
My introduction for the issue, sorry nothing as clever as 𝘛𝘩𝘦 𝘷𝘰𝘭𝘶𝘮𝘦 𝘵𝘩𝘢𝘵 𝘛𝘸𝘪𝘵𝘵𝘦𝘳 𝘣𝘶𝘪𝘭𝘵, is here: sciencedirect.com/science/articl…
I was promised that all of the articles will be open access for two months and when that happens I will make another announcement. In the meantime delight in this awesome table of contents! Image

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More from @kidney_boy

Sep 21
Next session started by Rovin to talk about IGAN pathophysiology and the selection of therapeutics

4-hit model
1. formation of IGA galactose deficient
2. formation of autoantibodies against these IgA
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#RKDSummit
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#RKDSummit


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Read 35 tweets
Sep 21
Honored to be invited to second annual Rare Kidney Disease Scientific Summit. Amazing cast of physicians in attendance. #RKDSummit
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Brad Rovin and John Barratt (IGAN king) defend the focus on IgAN and FSGS. Update and recap of the last year. #RKDSummit Image
Agenda look interesting.
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Apr 13
When we published our study <> of ODS and hyponatremia we were pummeled for including people at low risk of ODS because we included Na levels between 120 and 130. They said it is well known "that ODS is incredibly rare/non-existent at those levels." 1/4evidence.nejm.org/doi/10.1056/EV…
Of course one of the reasons it was thought to be incredibly rare was that no one looked for CPM in patients with Na from 120-130. We found a fair number (≤5 of 12). 2/4 Image
Our findings are replicated in a study from Australia. The authors took a different approach to investigating ODS. Instead of starting w/ hyponatremia and working forward to ODS, they started with a dx of ODS and worked backwards
3/4ncbi.nlm.nih.gov/pubmed/35717664
Read 4 tweets
Sep 17, 2023
Gadolinium in dialysis patients.
What's up with that?
#Tweetorial
1/11
Nephrogenic systemic fibrosis (NSF) is an iatrogenic disease that presents with hardening of the skin and other organs. It is often lethal. I treated 5 people with this condition (including one with AKI). Terrible.
2/11 Image
The etiology of NSF was unknown and there were many theories. In 2006, Thomas Grobner published a small case series showing 5 patients developing NSF within weeks of receiving gadolinium contrast for MRI.
3/11pubmed.ncbi.nlm.nih.gov/16431890/
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Aug 12, 2023
I just recently recommended the Renal Physiology book by Bruce Koeppen and Bruce Stanton. I thought it was a good medical student level text book: pbfluids.com/2023/08/ouwb-s…
But I came across this question in Chapter 8 Regulation of Acid Base. It is a straight forward question asking the learner to interpret simple acid-base cases. Image
But the question falls apart when you look at the answer... Image
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Apr 14, 2023
Lab guy from Yale up next Joe El Khoury He is on YouTube. Episode 1 was on pseudohyponatemia
209 subscribers. Clinical Chemistry with Joe El-Khoury Image
Here is the YouTube channel: youtube.com/@ClinChemJoe

https://t.co/LWupt0HWN1 #NKFClinicals
Despite calling it “laboratory error”, a lot of the problem happens long before the sample gets to the lab. #NKFClinicals Image
Read 9 tweets

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