B. Wagner, M.D. šŸ‡ŗšŸ‡ø Profile picture
šŸ’‰Medical science cannot revoke its responsibility for complications that occur from the use of gadolinium-based contrast agents. There are undiscovered factors
Dec 15, 2022 ā€¢ 7 tweets ā€¢ 4 min read
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#gadolinium #patientsafety #NephTwitter
May 5, 2020 ā€¢ 4 tweets ā€¢ 9 min read
We advise clinicians to do the following to improve patient safety:

1) Limit the volume of administered gadolinium-based contrast agents when used
kidney360.asnjournals.org/content/early/ā€¦

#gadolinium
ā˜¢ļø#radiology
#nephrology
šŸ„#patientsafety
#risk #management
#medical #ethics
#FOAMed 2) increase patient education, incorporate informed consent and shared decision making when GBCA administration occurs;

kidney360.asnjournals.org/content/early/ā€¦

#gadolinium
ā˜¢ļø#radiology
#nephrology
šŸ„#patientsafety
#risk #management
#medical #ethics
#FOAMed
Jan 23, 2020 ā€¢ 16 tweets ā€¢ 7 min read
Now: ā€œDialyzing the Undocumented: Driving Policy with Dataā€
by Dr. Lilia Cervantes, M.D.
Denver Health Medical Center and the University of Colorado Anschutz Medical Group
@Cervantes_Lily1 University of New Mexico Health Science Center Department of Medicine Grand Rounds ā€œPatients sometimes consumed foods [knowingly] high in potassium,ā€ in order to gain admission ā€” @Cervantes_Lily1 University of New Mexico Health Science Center Department of Medicine Grand Rounds
Oct 5, 2019 ā€¢ 4 tweets ā€¢ 5 min read
ā€œAround 2012 or 2013, researchers identified evidence that gadolinium retention was connected to illness in patients with normal kidney function.ā€ scholar.google.com/scholar_case?cā€¦ ā€œIn September 2017, after the FDA voted to add concerns about gadolinium retention on warning labels, [gadolinium-based contrast agent] manufacturers, including Defendants, issued a new joint warning to patients with normal kidney function.ā€ scholar.google.com/scholar_case?cā€¦
Jun 9, 2019 ā€¢ 4 tweets ā€¢ 4 min read
ā€œ[T]he American College of Radiology have categorized the various ligands into different safety classes ... despite being grounded in purely observational data,ā€ physiology.org/doi/full/10.11ā€¦
#gadolinium ā˜ ļø #patientsafety #radiology #Nephrology The ā€œAmerican College of Radiology] Committee on Drugs and Contrast Media considers the risk of [ā€˜nephrogenicā€™ systemic fibrosis] among patients exposed to standard or lower than standard doses of group II [gadolinium-based contrast agents] is ... possibly nonexistent...ā€
May 13, 2019 ā€¢ 11 tweets ā€¢ 16 min read
ā€œGadolinium-based contrast agents: Stimulators of myeloid-induced renal fibrosis and major metabolic disruptors,ā€œ is now in pressā€”sciencedirect.com/science/articlā€¦

#gadolinium
#neurology šŸ§ 
#radiology ā˜¢ļø
#patientsafety
#publichealth
#toxicology
#dermatology
#nephrology ā€œGadolinium-based contrast agents are not biologically inert,ā€ sciencedirect.com/science/articlā€¦

#gadolinium
#neurology šŸ§ 
#radiology ā˜¢ļø
#patientsafety
#publichealth
#toxicology
#dermatology
#nephrology
#rheumatology
Apr 30, 2019 ā€¢ 4 tweets ā€¢ 5 min read
ā€œ[I]t is known that during those at least 6 weeks [after exposure to gadolinium-based contrast agent] equilibrium has not been reached and [gadolinium] can be measured for all [gadolinium-based contrast agents] in tissue,ā€ fda.gov/downloads/Adviā€¦

#gadolinium
šŸ§ 
ā˜¢ļø ā€œIt is important to note that the exact mechanism and in particular other co-factors that are likely needed to trigger [ā€˜nephrogenicā€™ systemic fibrosis] are still unknown,ā€ fda.gov/downloads/Adviā€¦

#gadolinium
#neurology šŸ§ 
#radiology ā˜¢ļø
#patientsafety
#publichealth
Apr 28, 2019 ā€¢ 4 tweets ā€¢ 7 min read
ā€œGadolinium is a rare earth element. It is a toxic heavy metal,ā€ foodphoenix.blogspot.com/2019/04/literaā€¦

#gadolinium
#neurology šŸ§ 
#radiology ā˜¢ļø
#patientsafety
#publichealth
#toxicology
#dermatology
#nephrology
#rheumatology ā€œNotably, in recently published rodent studies, complete clearance of the brain took up to 6 months after injection of a large amount ofā€ gadolinium-based contrast agents. journals.lww.com/investigativerā€¦ @HrsQuiet
#gadolinium
#neurology šŸ§ 
#radiology ā˜¢ļø
#patientsafety
#publichealth
Apr 19, 2019 ā€¢ 7 tweets ā€¢ 5 min read
ā€œA conspicuous knowledge gap now exists aboutā€ the safety of gadolinium-based contrast agentsā€”Dr. Stephen Brown, Harvard Medical School, in
The Need for National Guidance Around Informed Consent About GBCA Safety
tandfonline.com/doi/abs/10.108ā€¦
#gadolinium #radiology #patientsafety ā€œThe research protocol under discussion highlights where the [National Institutes of Health] Roadmap around [gadolinium-based contrast agents] falls short,ā€ because informed consent about gadolinium deposition could be left outā€”Dr. Stephen Brown
tandfonline.com/doi/abs/10.108ā€¦
Apr 16, 2019 ā€¢ 14 tweets ā€¢ 25 min read
ā€œDespite significant differences in the thermodynamic stability between non-ionic Omniscan and ionic Magnevist, the [#gadolinium ā˜ ļø] concentrations were about the same in the brain,ā€ nibib.nih.gov/sites/default/ā€¦
#radiology ā˜¢ļø #patientsafety #publichealth #neurology šŸ§  #dermatology ā€œChronic symptoms attributed to [gadolinium-based contrast agent] exposure:ā€ paresthesias, dysesthesias, clouded mentation, skin discoloration, skin changes, skin thickening, bone pain, bone/joint pain, muscle spasms, arthralgia, muscular weaknessā€”nibib.nih.gov/sites/default/ā€¦