Nephgirlsketches
@nephgirlsketch.bsky.social
Program Director and Section Head, Chong Hua Hospital Adult Nephrology
Urine Microscopy and POCUS enthusiast
Mom of 2
Dabs in medical illustration, art and photography
Urine Microscopy and POCUS enthusiast
Mom of 2
Dabs in medical illustration, art and photography
Reposted by Nephgirlsketches
Reposted by Nephgirlsketches
I don’t love this…
Patiromer enabled spironolactone use on top of other elements of GDMT but showed worse clinical outcomes
A larger trial powered for CV events seems needed
www.sciencedirect.com/science/arti...
Patiromer enabled spironolactone use on top of other elements of GDMT but showed worse clinical outcomes
A larger trial powered for CV events seems needed
www.sciencedirect.com/science/arti...
Sodium Zirconium Cyclosilicate for Management of Hyperkalemia During Spironolactone Optimization in Patients With Heart Failure
Mineralocorticoid receptor antagonists (MRA) improve outcomes in patients with heart failure and reduced ejection fraction (HFrEF) but are underused i…
www.sciencedirect.com
February 12, 2025 at 1:09 AM
I don’t love this…
Patiromer enabled spironolactone use on top of other elements of GDMT but showed worse clinical outcomes
A larger trial powered for CV events seems needed
www.sciencedirect.com/science/arti...
Patiromer enabled spironolactone use on top of other elements of GDMT but showed worse clinical outcomes
A larger trial powered for CV events seems needed
www.sciencedirect.com/science/arti...
Reposted by Nephgirlsketches
Happy Father's Day 🖤
June 21, 2026 at 7:08 AM
Happy Father's Day 🖤
Breeding Astrophage
#iykyk
#iykyk
Opened in 2016, is the largest in the world, and does not look like the AI slop: en.wikipedia.org/wiki/Ouarzaz....
Ouarzazate Solar Power Station - Wikipedia
en.wikipedia.org
April 19, 2026 at 3:34 AM
Breeding Astrophage
#iykyk
#iykyk
April 18, 2026 at 12:59 PM
Reposted by Nephgirlsketches
Truly remarkable how many people have told the Pope, in some way or another, to "shut up and dribble." Or corrected him on the Bible, despite their thin education on theology. Or told him to stay out of US affairs, despite him being a US citizen. The hubris is amazing.
April 15, 2026 at 3:38 PM
Truly remarkable how many people have told the Pope, in some way or another, to "shut up and dribble." Or corrected him on the Bible, despite their thin education on theology. Or told him to stay out of US affairs, despite him being a US citizen. The hubris is amazing.
Reposted by Nephgirlsketches
Denmark didn’t “transition” its grid—it replaced it.
~15% → 92% renewable electricity in 25 years.
Wind did the heavy lifting. Solar is scaling. Interconnection balanced. Flexibility solved variability.
Wind built it. Solar is scaling. Fossil lost it.
This IS system replacement. ⚡#Bettrification
~15% → 92% renewable electricity in 25 years.
Wind did the heavy lifting. Solar is scaling. Interconnection balanced. Flexibility solved variability.
Wind built it. Solar is scaling. Fossil lost it.
This IS system replacement. ⚡#Bettrification
April 10, 2026 at 4:00 AM
Denmark didn’t “transition” its grid—it replaced it.
~15% → 92% renewable electricity in 25 years.
Wind did the heavy lifting. Solar is scaling. Interconnection balanced. Flexibility solved variability.
Wind built it. Solar is scaling. Fossil lost it.
This IS system replacement. ⚡#Bettrification
~15% → 92% renewable electricity in 25 years.
Wind did the heavy lifting. Solar is scaling. Interconnection balanced. Flexibility solved variability.
Wind built it. Solar is scaling. Fossil lost it.
This IS system replacement. ⚡#Bettrification
Reposted by Nephgirlsketches
“What is Grace doing, question?”
“I’m having a moment.”
That’s exactly how I felt, watching Project Hail Mary.
10/10. Amaze, amaze, amaze.
“I’m having a moment.”
That’s exactly how I felt, watching Project Hail Mary.
10/10. Amaze, amaze, amaze.
April 4, 2026 at 3:50 PM
“What is Grace doing, question?”
“I’m having a moment.”
That’s exactly how I felt, watching Project Hail Mary.
10/10. Amaze, amaze, amaze.
“I’m having a moment.”
That’s exactly how I felt, watching Project Hail Mary.
10/10. Amaze, amaze, amaze.
Reposted by Nephgirlsketches
Reposted by Nephgirlsketches
Kidney Biopsies Challenge Diabetic Nephropathy Diagnoses in CKD www.hcplive.com/view/kidney-...
Kidney Biopsies Challenge Diabetic Nephropathy Diagnoses in CKD, With Christine Limonte, MD | HCPLive
Data from 39 kidney biopsies may challenge longterm beliefs about diabetic nephropathy in CKD.
www.hcplive.com
March 19, 2026 at 4:27 AM
Kidney Biopsies Challenge Diabetic Nephropathy Diagnoses in CKD www.hcplive.com/view/kidney-...
March 19, 2026 at 4:34 AM
March 17, 2026 at 1:02 AM
Reposted by Nephgirlsketches
What is the actual risk of vasculitis with hydralazine aka #HydrANCAzine?
Ottawa colleagues say ~ 20% higher risk vs RASi but overall very low absolute risk
jamanetwork.com/journals/jam... in JNO
Ottawa colleagues say ~ 20% higher risk vs RASi but overall very low absolute risk
jamanetwork.com/journals/jam... in JNO
March 16, 2026 at 11:10 PM
What is the actual risk of vasculitis with hydralazine aka #HydrANCAzine?
Ottawa colleagues say ~ 20% higher risk vs RASi but overall very low absolute risk
jamanetwork.com/journals/jam... in JNO
Ottawa colleagues say ~ 20% higher risk vs RASi but overall very low absolute risk
jamanetwork.com/journals/jam... in JNO
Reposted by Nephgirlsketches
FIND CKD meets primary outcome (GFR slope) in n ~ 1500 with proteinuric non-diabetic CKD
Bayer press release:
www.bayer.com/media/en-us/...
BL data + design paper pubmed.ncbi.nlm.nih.gov/38858818/ in NDT
H/T Brendon Neuen on LinkedIn (!)
Bayer press release:
www.bayer.com/media/en-us/...
BL data + design paper pubmed.ncbi.nlm.nih.gov/38858818/ in NDT
H/T Brendon Neuen on LinkedIn (!)
March 16, 2026 at 11:43 AM
FIND CKD meets primary outcome (GFR slope) in n ~ 1500 with proteinuric non-diabetic CKD
Bayer press release:
www.bayer.com/media/en-us/...
BL data + design paper pubmed.ncbi.nlm.nih.gov/38858818/ in NDT
H/T Brendon Neuen on LinkedIn (!)
Bayer press release:
www.bayer.com/media/en-us/...
BL data + design paper pubmed.ncbi.nlm.nih.gov/38858818/ in NDT
H/T Brendon Neuen on LinkedIn (!)
Reposted by Nephgirlsketches
FIRST WOMAN TO EVER WIN BEST CINEMATOGRAPHY. FIRST BLACK PERSON TO WIN BEST CINEMATOGRAPHY. FIRST FILIPINA TO WIN BEST CINEMATOGRAPHY. ACADEMY AWARD WINNER AUTUMN DURALD ARKAPAW.
March 16, 2026 at 1:51 AM
FIRST WOMAN TO EVER WIN BEST CINEMATOGRAPHY. FIRST BLACK PERSON TO WIN BEST CINEMATOGRAPHY. FIRST FILIPINA TO WIN BEST CINEMATOGRAPHY. ACADEMY AWARD WINNER AUTUMN DURALD ARKAPAW.
“The kidneys make the stuff of philosophy itself.” ♥️ Thank you @msocomd.bsky.social
March 11, 2026 at 9:34 AM
“The kidneys make the stuff of philosophy itself.” ♥️ Thank you @msocomd.bsky.social
Reposted by Nephgirlsketches
Finally, FINEONE shows Finerenone
reduces albuminuria in T1DM
www.nejm.org/doi/full/10....
@nejm.org #NephSKy
reduces albuminuria in T1DM
www.nejm.org/doi/full/10....
@nejm.org #NephSKy
March 5, 2026 at 12:02 AM
Finally, FINEONE shows Finerenone
reduces albuminuria in T1DM
www.nejm.org/doi/full/10....
@nejm.org #NephSKy
reduces albuminuria in T1DM
www.nejm.org/doi/full/10....
@nejm.org #NephSKy
Reposted by Nephgirlsketches
In closed-door briefings with U.S. congressional staff, Trump administration officials have acknowledged that there was no intelligence suggesting Iran planned to attack American forces first, sources say.
Pentagon tells Congress no sign that Iran was going to attack U.S. first
The United States and Israel have launched their most ambitious attacks on Iran in decades, killing Supreme Leader Ayatollah Ali Khamenei and hitting targets across the country.
ebx.sh
March 2, 2026 at 1:34 PM
In closed-door briefings with U.S. congressional staff, Trump administration officials have acknowledged that there was no intelligence suggesting Iran planned to attack American forces first, sources say.
Reposted by Nephgirlsketches
Dubai airport terminal damaged in Iranian rocket strike, four wounded - https://www.middleeasteye.net/live-blog/live-blog-update/dubai-airport-terminal-damaged-iranian-rocket-strike-four-wounded
Dubai airport terminal damaged in Iranian rocket strike, four wounded
<article data-history-node-id="434397" about="https://www.middleeasteye.net/live-blog/live-blog-update/dubai-airport-terminal-damaged-iranian-rocket-strike-four-wounded" class="live-blog-update default clearfix">
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<span class="field field-title">Dubai airport terminal damaged in Iranian rocket strike, four wounded</span>
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<div class="field field-field-text"><article data-scroll-anchor="true" data-testid="conversation-turn-140" data-turn="assistant" data-turn-id="request-69a3101e-04d8-8391-9002-d8e20278c3be-13" dir="auto" tabindex="-1">
<p data-end="245" data-start="95">Emirati authorities have confirmed that Dubai International Airport was struck during Iran’s retaliatory attacks against the United States and Israel.</p>
<p data-end="324" data-start="247">Video circulating online shows visible damage to part of a terminal building.</p>
<p data-end="444" data-start="326">The Government of Dubai Media Office said four airport staff members were injured and are receiving medical treatment.</p>
<p data-end="545" data-is-last-node data-is-only-node data-start="446">Officials described the impact as causing “minor damage” and said the situation has been contained.</p>
<p data-end="622" data-is-last-node data-is-only-node data-start="515">Dubai International is one of the world’s busiest airports and serves as the main hub for Emirates airline.</p>
</article>
<center>
<blockquote class="twitter-tweet">
<p dir="ltr" lang="en">Dubai airport has reportedly been hit in the latest Iranian attack against the UAE <a href="https://t.co/EmAwNxGKEw">pic.twitter.com/EmAwNxGKEw</a></p>
— Michael A. Horowitz (@michaelh992) <a href="https://twitter.com/michaelh992/status/2027854601660121521?ref_src=twsrc%5Etfw">February 28, 2026</a></blockquote>
<script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script></center>
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www.middleeasteye.net
February 28, 2026 at 10:35 PM
Dubai airport terminal damaged in Iranian rocket strike, four wounded - https://www.middleeasteye.net/live-blog/live-blog-update/dubai-airport-terminal-damaged-iranian-rocket-strike-four-wounded
Reposted by Nephgirlsketches
Reposted by Nephgirlsketches
Hypophosphatemia while on RRT in a ventilated patient is bad, from STARRT AKI post hoc analysis www.ajkd.org/article/S027...
No surprise, but Neyra et al don’t cite our simple solution: pubmed.ncbi.nlm.nih.gov/23972063/ - also in AJKD 🤷🏽♂️
No surprise, but Neyra et al don’t cite our simple solution: pubmed.ncbi.nlm.nih.gov/23972063/ - also in AJKD 🤷🏽♂️
Hypophosphatemia During Kidney Replacement Therapy and Ventilator-Free Days: A Post-Hoc Analysis of the STARRT-AKI Trial
Critically ill patients receiving kidney replacement therapy (KRT), especially continuous KRT (CKRT), have a high risk of hypophosphatemia due to extracorporeal losses, which may contribute to muscle…
www.ajkd.org
February 27, 2026 at 11:50 AM
Hypophosphatemia while on RRT in a ventilated patient is bad, from STARRT AKI post hoc analysis www.ajkd.org/article/S027...
No surprise, but Neyra et al don’t cite our simple solution: pubmed.ncbi.nlm.nih.gov/23972063/ - also in AJKD 🤷🏽♂️
No surprise, but Neyra et al don’t cite our simple solution: pubmed.ncbi.nlm.nih.gov/23972063/ - also in AJKD 🤷🏽♂️
Hi SEA Nephrologists! Inviting you to join us in our first GlomCon+PSN collab: Glomerular Disease in the Tropics on April 22 in Manila.
February 13, 2026 at 1:29 AM
Hi SEA Nephrologists! Inviting you to join us in our first GlomCon+PSN collab: Glomerular Disease in the Tropics on April 22 in Manila.
Heartshaped glomerulus
February 10, 2026 at 1:32 PM
Heartshaped glomerulus