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Harish Seethapathy Profile picture
Harish Seethapathy
@BetterCallSeeth
Nephrologist @MGHkidneys | #Onconephrology | @GlomCon #Fellowship | #ASON
Oct 25, 2023 • 13 tweets • 5 min read
🚀Na over-correction (Na📈) as THE (only) cause of ODS/CPM: An absurd over-simplification.

Since 1980s, Na📈 has been portrayed as the main cause of CPM (so far as now the terms ODS and CPM are used synonymously).

However, finding the truth (if it exists) is more complicated.

🧵..
1/ 1959 saw the very first report of CPM in literature by Adams

Prominent words = ‘Alcoholic’ & ‘Malnourished’

In these 4 cases, 2 had Na<120 (per later report). Na📈 unknown.

2/ Image