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Jyoti Baharani

@renalpages

May 10, 2022 • 8 tweets • 5 min read • Read on X

Scrolly

Benefits of incremental PD #pdlive - better patient QOL

How do define incremental PD? #pdlive

Current evidence is poor but some exists #pdlive- treatment is different in all though

@ANZDATARegistry

Data from @ANZDATARegistry #pdlive - definition of i cremate PD and who was offered it

Use of incremental PD increased over time #pdlive

Led to less peritonitis #pdlive but it’s only observational

Lower tx to HD and possibly reduction in death #pdlive

So in summary incremental PD may be useful for patients costs etc #pdlive

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More from @renalpages

Jyoti Baharani

@renalpages

Jun 27, 2022

Offering #dialysis to patients with a new diagnosis of #malignancy is always an emotive and complex affair if they present with an #AKI or #renaldysfunction

Sometimes it’s pretty clear - like in the 30 something who presents with a cervical cancer , bilateral hydronephrosis and K of 7- one will usually explain to The patient what’s the issue and buy them time for intervention which buys time for an oncology consult and further mx

Sometimes it’s not -70 plus with metastatic lung cancer and #AKI will likely need dialysis but is that the right thing - often it’s easy saying make the shared decision with the patient - but shock and the acuteness of the situation doesn’t help and true #SDM is seldom easy

Read 10 tweets

Jyoti Baharani

@renalpages

Jun 26, 2022

Speaking to a trainee doctor a few weeks ago who is scarily like me when I was a trainee - we both discussed having been labelled #aggressive at various points as men in the same scenario have been labelled #assertive

I looked up what they mean; aggressive according to the Cambridge English Dictionary is “behaving in an angry and violent way towards another person” & the more positive “assertive” is someone who “behaves confidently and is not frightened to say what they want or believe”.

So why is that women are more likely to be called aggressive rather than assertive ?

Probably as Women are expected to be warmer and more nurturing but they are also expected to demonstrate competence and be tough when they need to, without compromising