Cristina Popa Profile picture
Nov 7, 2022 12 tweets 10 min read Read on X
🧵1/ A nephrologist's retrospective
🤔This is the result!
Among talented, dedicated people I was nominated, I somehow won. I felt humble and shocked... So unreal, trying to understand why my name is there
#NephjCkidneys #NSMC

nephjc.com/news/2022/11/5… Image
2/ 🧵Here it starts, in Jan 2022:
Hi, my name is Cristina, and I'm a🇷🇴nephrologist, too shy to stand out in a crowd, lost after finishing my residency. Teaching, the idea of continuing my Phd made me keep my head above the water
Too busy with life, constantly seeking
3/ I got over myself and made courage to pursue the thought I had a few months before -> #NSMC
After waiting impatiently, I got my answer through this mail ✨ Image
4/ 😊I got in! And after that, I constantly felt behind with everything. I've missed being in the right Slack pod group for a few days, took a while not to confuse days because time zone difference. Just imagine I landed in the middle of organizing the next #NehJC
5/ Naive me, since all the tasks were distributed, I offered to host chat 1. And found out I need a script. Didn't know the same script worked on both chats, so my pod had 2 scripts😅
@hswapnil was so nice and encouraging #NephJC Image
6/ Making the script, I probably drove @jamiekwillows crazy writing Acetaminophen capitalized all over.😀 He is too nice and patiently corrected it with many other things. He constantly pushed me to get out of my thinking pattern and comfort zone #NephJC Image
7/ And the first #NephJC chat host went so well for the inexperienced me, mainly due to mentors and colleagues. Here is a sample of a great supporting team
@_MoIbrahim @drpriyajohn

Even if it felt scary& overwhelmed, I continued to volunteer. Loved the rush!♥️ Image
8/ Continued with the podcast rotation, being so left-handed, maybe more than before. I was scared of saying stupid things and be recorded.

@bthomas215, @kidney_boy made a great job encouraging me! And my pod colleagues were my safety net.
+ @drpriyajohn Image
9/ The visual abstract rotation was fun. I could enjoy it because I had a head start making my first VA during #Nephjc guided by @brian_rifkin when I did all the mistakes possible, even twice. 😅

🔥Great mentors, feedback, and teamwork. And there I met @sophia_kidney (TBD) Image
10/ Now on the blog & tweetorial rotation! Working with the awesome team at our endless capstone project.
I've told you so many things about them but never introduced them in this 🧵
⭐️Here they are! @drpriyajohn @DrMoIbrahim

🚀#nsmcpodchallenge coming soon Image
11/ After a short recap of my #NSMC journey, I realize I only grew to become worthy of #NephJCkidneys award because of the people I've met.
⭐️Here is my pod #SGLT3, and whichever of them would've deserved to win
12/ I will ponder more on the question why me because it's never me.
Until I find my answer, I'll enjoy the newly rediscovered nephrology enthusiasm, great #SGLT3 camaraderie, and the vibrant community @NSMCInternship introduced to me

Graciously (overwhelmed), yours . . .

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More from @NephroSeeker

Oct 24
ne of the last few presentations of today's comes from @VelezNephHepato, of course on hepato-nephrology in acute settings #KidneyWk

⏩Starting with an interesting case O hard to define hepato-renal syndrome type 1 Image
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2/ / Did you know that in 2024, the definition of HRS type 1 was updated? #KidneyWk

What's new, or more comprehensively defined about diagnostics?

❗️Absence of strong evidence for an alternative explanation as the primary cause of AKI

pubmed.ncbi.nlm.nih.gov/38527522/Image
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3/ Some phenotypic elements supported HRS diagnosis #KidneyWk 👇 Image
Read 8 tweets
Oct 23
1/ There is some beauty and fascination in doing CRRT… yeah, the philosophy and physiology of it..
#KidneyWk Image
Image
2/ but less palpable evidence in favor of CRRT, as shown by RENAL study and IVOIRE study #KidneyWk Image
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3/ yes, the trials have some limitations. The main discussions being on the possible not correct dose

Yet,@goKDIGO doesnt precisely recommend CRRT over intermitent methods #KidneyWk Image
Read 8 tweets
Nov 3, 2023
🧵intriguing enough, no? Thiazides in dialysis

How many of us do we use them?
#KidneyWk Image
2/ here is what the guideline say 👇
🛑 mainly, no thiazides under eGFR of 30 ml/min
#kidneywk Image
3/ This open-label, cross-over trial (n=26), CKD G3 or GA both treatments stimulated
renin/aldosterone; but diuretics did more
#KidneyWk

pubmed.ncbi.nlm.nih.gov/31996411/

Image
Image
Read 10 tweets
Nov 3, 2023
Drug Dosing in Kidney
Diseases and Dialysis: Factors That Affect Drug Clearance

By Linda Awdishu

@hswapnil moderating

#kidneywk
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2/ Drug pharmacokinetics can be influenced by
👉absorbtion
👉distribution
👉elimination
👉 protein binding

#kidneywk

ajkd.org/article/S0272-…
Image
4/ Interestingly, uremia can determine down-regulation of CYP enzymes, with not seemingly hepatic alteration
#kidneywk

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Read 9 tweets

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