Share this page!

Joel M. Topf, MD FACP Profile picture
Twitter logo
19 Jul, 5 tweets, 2 min read
Next up Isaac Teitelbaum on Delivering High Quality Peritoneal Dialysis: What Really Matters? #AspenKidney
Teitelbaum measures Kt/V and then ignores it. He starts by focusing on the poor quality of V in the equation. 95% CI will range Kt/V from 1.44 to 1.94 (and that is using bioimpedence) #AspenKidney
If you use anthropomorphic formulas (which we all do) will be off ±20% Think Kt/V ranging from 1.44 to 2.06 #AspenKidney
New guidance is to look at and listen to your patients while ignoring the Kt/V #AspenKidney
Teitelbaum’s guide to high quality PD (based on observational data) #AspenKidney

• • •

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
19 Jul
Next up Mats Wahlstrom on The Next Generation of Dialysis. Former CEO of Fresenius and Gambro. #AspenKidney
We are seeing a major investment in home therapies. Credits government initiatives. We are currently at 2% home hemo and 10% PD. #AspenKidney
He credits NextStage as putting home hemo back on the map. Small. Portable. Easy to use. Online dialysat4e production. Major driver of success: Capturing commercial payers! #AspenKidney
Read 16 tweets
Joel M. Topf, MD FACP Profile picture
19 Jul
Next up is @kamkalantar again, this time on nutritional management of CKD. #AspenKidney
#AspenKidney Preservative management of CKD: life sustaining conservative management, delay dialysis by pharmacological and modifying diet and lifestyle.
He says even though we closed the book (MDRD study) on low protein diet 30 years ago we are reopening the book.

low protein 0.6 to 0.8 g/kg
Very low protein diet 0.3 g/kg

#AspenKidney
Read 8 tweets
Joel M. Topf, MD FACP Profile picture
19 Jul
Next up at #AspenKidney is Jessica Kendrick fellowship PD to talk about CKD and Acid-Base Disorders
Metabolic acidosis, defined as HCO3 < 22, is found in 20% of stage 4 CKD. #AspenKidney
Ammonia is responsible for most of the renal adaption to metabolic acidosis. Requires proximal tubule function. Becomes problematic as GFR falls below 45. #AspenKidney
Read 6 tweets
Joel M. Topf, MD FACP Profile picture
19 Jul
Kicking off the 47th Annual Course on Renal Disease and Electrolyte Disorders (I am declaring the hashtag to be #AspenKidney) is @kamkalantar with a talk on incremental dialysis.
Recognizing that we are 2 years away from 50 year mark from @dick_nixon expanding chronic dialysis to all Americans. 50 Years! Wow. #AspenKidney
Starting dialysis is marked by high mortality, high cost. #AspenKidney
Read 9 tweets
Joel M. Topf, MD FACP Profile picture
27 Jun
There is more AKI after arterial contrast but I wonder if it is the contrast or something else. A thread
In Matrix randomizing patients to femoral or radial caths resulted less CIN/CAN with radial approach. No difference in contrast.
Primary publication: thelancet.com/journals/lance…
Follow-up publication focused on AKI: sciencedirect.com/science/articl…
Here are some visual abstracts for Matrix
Read 7 tweets
Joel M. Topf, MD FACP Profile picture
16 Mar
So this is the first push back I have seen on the movement to standardize and simplify the language we use in nephrology
As a blogger, I always want more words for everything. I want to luxuriate in as many ways to say kidney as possible. If Eskimos have 50 ways to say snow (and it's over 50), nephrologists should have at least a dozen ways to say kidney.

readable.com/blog/do-inuits…
But what I want is separate from the question of what should we do.

For a long time nephrology projected an aura of mastery. We understood the chemistry of the body better than any other doctor. We jelously hoarded that knowledge behind walls of complexity.
Read 7 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 emails when @kidney_boy has new unrolls!

Check out other threads from @kidney_boy!

Read all threads by @kidney_boy

:(