##NephSky
Since Swifties have moved en masse, I’d like to re-present one of my favorite threads 😍

Inspired by beautiful #urinemicroscopy pictures posted elsewhere... I present to you
⭐️Taylor Swift as #urinarysediment 🔬⭐️ findings...

1/ Bilirubin pigmented RTEC (renal epithelial cell cast)
🧵 #NephSky #MedSky
November 14, 2024 at 1:54 AM
New #Medsky feeds have just been released:

Internal Medicine Feed, #IMSky bsky.app/profile/did:...
Cardiology Feed, #CardioSky bsky.app/profile/did:...
GI Feed, #GastroSky bsky.app/profile/did:...
Surgery Feed, #SurgSky bsky.app/profile/did:...
Nephrology Feed, #NephSky bsky.app/profile/did:...
November 12, 2024 at 6:11 PM
Daughter (16) gets it - and wants to be a nephrologist! 🫘

#NephSky
#MedSky
November 28, 2024 at 3:21 AM
one cause of hypernatremia in ICU = recovery from AKI!

[1] urea *accumulates* while kidney is failing…

[2] kidney recovers➡️ clearance of accumulated urea obligates the excretion of H2O

(similar to using oral urea to tx hypoNa)

so hypernatremia can be a sign of renal recovery 🤯

#EMIMCC #nephsky
November 16, 2024 at 4:57 PM
The 2024 USRDS report is out (a few weeks ago actually)

usrds-adr.niddk.nih.gov/2024

It’s a treasure trove of data for nephrology nerds, aka all of #NephSky

So, short 🧶 on ESRD incidence/prevalence
Annual Data Report | USRDS
Unites States Renal Data System Annual Data Report
usrds-adr.niddk.nih.gov
November 17, 2024 at 1:37 AM
I think it's still early enough to do the greatest hits, so here's an updated version for 2024.

Sorry if I satirized your life's work. Original by @xkcd.com.
#Nephsky
November 13, 2024 at 4:24 PM
A glorious walk today, albeit a slightly freezing day in Kenilworth. ❄️❄️❄️ #academicsky #cardiosky #nephsky #Warwickshire #saturday #countrylife #womeninSTEM
January 11, 2025 at 8:32 PM
For patients with SIADH #NephSky
January 25, 2025 at 4:02 PM
🆕 #ACR24 | Updated Guidelines for Lupus Nephritis Treatment & Management 🫘

Highlights 🔶
• Critical role of renal biopsy
• Differences for treatment by LN Class
• Adjunctive Rx w/ HCQ & RAASi
• GC pulse ⇢ *moderate/low* dose PDN

#Lupus #NephSky #RheumSky #Rheumatology #MedSky
November 18, 2024 at 11:37 PM
Yes! Amazing work @jmteakell.bsky.social Now how do we scale this throughout the US? #NephSky
January 26, 2025 at 6:24 PM
A simple #NephTwitter #NephSky starter pack

go.bsky.app/H4td28C

still room to add more - reply with anyone I have missed
November 8, 2024 at 3:37 PM
There you have it: BEDMED published in @jama.com

jamanetwork.com/journals/jam...

h/t @drjmluther.bsky.social

No difference in bedtime versus morning BP meds - as expected

#NephSky #Hypertension
1/
May 12, 2025 at 9:46 PM
So wonderful to see so many friends on #CardioSky #MedSky #NephSky & thank you for welcoming me & following - joy! 🙏
November 24, 2024 at 8:44 AM
Slidedeck from an internal presentation on diabetic kidney disease 👇

Nephrologist's take on the effect and impact of SGLT-2 inhibitors, GLP-1 RAs and ns-MRA on #Kidney Disease in people with #diabetes #flozin #sglt2i #MRA #GLP1RA
#MedEd #MedSky #NephSky

www.slideshare.net/slideshow/ne...
November 11, 2024 at 2:07 PM
1/15-Migrating w/updated publications

Meet Hilda. I was one of her doctors. When she died, she left 2 sons behind. My grief about her situation brought anger and then determination.

A #skeetorial on outcomes, advocacy, and policy in dialysis access for undocumented immigrants.
#MedSky #NephSky
November 10, 2024 at 6:14 PM
Bluesky is relatively tiny vs other platforms, surpassing 20M users yesterday, but it looks like the healthcare community is hitting critical mass and starting to boom
Looks like the 'Sky' hashtags are catching on #MedSky #NephSky #EMSky #PharmSky #IDSky #PedsSky #OncSky

www.npr.org/2024/11/19/g...
November 20, 2024 at 3:08 PM
Sometimes, when on call, I get consults for labs signaling a lower-than-normal creatinine.... If 2 am when this happens, I tend to be dismissive

However, here is a nice overview of ⬇️ creatinine causes

#NephSky #MedSky

🔗 karger.com/bpu/article/...
November 14, 2024 at 2:00 AM
The Grinch who stole Chr…eatinine Clearance 🎄 #NephSky
November 15, 2024 at 11:01 PM
Just posting some great #Nephsky references here:

UW Nephrology Grand Rounds:
www.youtube.com/@universityo...

University of Ottawa Nephrology Grand Rounds:
www.youtube.com/@ottawanephr...

Rush University Biopsy Conference:
www.youtube.com/@rumc-biopyc...

Nephropocus
nephropocus.com
University of Washington Division of Nephrology
Welcome to the UW Division of Nephrology! We work hard to improve the lives of people with kidney disease. The University of Washington is passionate about all things related to health and disease pre...
www.youtube.com
November 10, 2024 at 5:02 PM
December 20, 2024 at 8:50 PM
Ugh
This is a nephrologist
(And an NSMC internship grad)

#NephSky #MedSky
March 15, 2025 at 4:06 AM
Sunday morning #NephSky update

The 3rd Nephrology pack is full, finished off with a flourish: the nicest nephrologist: @melhoenig.bsky.social 🥰

Now on to the 4th pack: go.bsky.app/YeuH82

3rd pack: go.bsky.app/2yLiYN4
2nd pack go.bsky.app/N27Kzri
1st pack: go.bsky.app/H4td28C

Reply/DM to add
November 17, 2024 at 4:02 PM
Infectious disease specialists keeping it social on #Bluesky - #IDSky getting some serious use over here!

#MedSky #pedsky #cardiosky #cansky #obgynsky #immunosky #episky #nephsky
May 8, 2025 at 10:28 AM
I encourage #nephsky folks to read the ASN Kidney Health Guidance on Obesity in CKD. ASN encourages nephs to understand tools available to help adults with obesity and CKD safely lose weight - hope its helpful journals.lww.com/jasn/fulltex...
accompanying podcast www.asn-online.org/media/podcas...
November 10, 2024 at 3:03 AM