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Jyoti Baharani

@renalpages

May 10, 2022 • 5 tweets • 4 min read • Read on X

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@ImprovePd

#improvePD #pdlive - looking at various aspects of PD care @ImprovePd

Developing a prognostic model for patients on #PD #PDlive

Existing models over or under estimated mortality

Methods for the study to develop a #prognostic model #pdlive - adding items to conventional data points improves sensitivity

How individual items affect outcomes and prognosis in #PD #pdlive

Further modification to the model #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