Share this page!

Joel M. Topf, MD FACP Profile picture
Twitter logo
22 Oct, 4 tweets, 2 min read
AKI in COVID? Nothing fancy, mostly just ATN #KidneyWk Image
Hold the presses, though a number of cases of collapsing glomerulopathy. Patients often (always?) with 2 risk alleles for APOL1
See #KidneyWk Image
6 for 6 with 2 risk alleles for APOL1 #KidneyWk Image

• • •

Missing some Tweet in this thread? You can try to force a refresh
　

Keep Current with Joel M. Topf, MD FACP

Joel M. Topf, MD FACP Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @kidney_boy

Joel M. Topf, MD FACP Profile picture
23 Oct
Great talk by @jordy_bc on obesity and CKD. It is not all obesity glomerulopathy #KidneyWk Image
Obesity paradox alive and well in ESRD #KidneyWk @kamkalantar Image
Possible mechanisms #KidneyWk Image
Read 7 tweets
Joel M. Topf, MD FACP Profile picture
5 Oct
Patient with advancing CKD, currently stage 4. Labs show HCO3 19 on the last two lab draws. Anion gap 13. What do you do?
So the current thinking is that correcting metabolic acidosis (CO2 < 22) slows the progression of CKD. This has been shown in RCTs with oral sodium bicarbonate (placebo controlled):

kidney-international.org/article/S0085-…
And again (against usual care)

jasn.asnjournals.org/content/20/9/2…
Read 11 tweets
Joel M. Topf, MD FACP Profile picture
18 Sep
How not to write a letter of recommendation for nephrology fellowship Image
How to write a letter of recommendation for nephrology fellowship:

1. know your audience. Offer to write letters to programs where you know key people. When I read letters from people I know it moves the needle. Otherwise not so much.
2. Be honest. Don't lie and exaggerate the skills of an applicant. We received a letter with glowing praise for a fellow who turned out to be less than stellar. I no longer trust that program's LOR. In this game it is one strike and you are out.
Read 7 tweets
Joel M. Topf, MD FACP Profile picture
12 Sep
1/ This is like the Bat Signal for me... #Tweetorial #Hyponatremia #LoudlyForThePeopleAtTheBackOfTheRoom
2/ The first question in hyponatremia is...

👏Is👏the👏patient👏seizing?👏

If you have a patient with cerebral edema from acute hyponatremia you need to 3% Saline first and ask questions later.
3/ If patients have hyponatremia and have severe symptoms it is 150 ml of 3% then recheck the sodium and give another 150 ml of 3% (I'm using the European guidelines) eje.bioscientifica.com/view/journals/…
Read 20 tweets
Joel M. Topf, MD FACP Profile picture
25 Aug
How do the #NephJC pros follow a twitter chat?

They use Tweetdeck.com
When you launch Tweetdeck for the first time you will need to add a search column. Press the “+” and select the magnifying glass.
Then add “#NephJC” into the search field.
Read 5 tweets
Joel M. Topf, MD FACP Profile picture
5 Aug
Inker's lecture is really interesting. Learning lots. Image
removing race and replacing it with height and weight results in a lot of excess bias in both black and white subjects Image
cystatin c is no panacea in this discussion (if you care about an unbiased and accurate test) Image
Read 13 tweets

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!

Like this author's thread?

Get email notifications when new thread is out from this Author!

Check out other threads from this Author!

Read all threads by @kidney_boy