Asha Rangapppa @asharangappa.bsky.social
& Glenn Kirschner @glennkirschner.bsky.social
Trump Vindictively Goes After One Of His Longtime Enemies www.youtube.com/watch?v=EslD...
& Glenn Kirschner @glennkirschner.bsky.social
Trump Vindictively Goes After One Of His Longtime Enemies www.youtube.com/watch?v=EslD...
Trump Vindictively Goes After One Of His Longtime Enemies
YouTube video by Glenn Kirschner
www.youtube.com
August 31, 2025 at 9:39 PM
Asha Rangapppa @asharangappa.bsky.social
& Glenn Kirschner @glennkirschner.bsky.social
Trump Vindictively Goes After One Of His Longtime Enemies www.youtube.com/watch?v=EslD...
& Glenn Kirschner @glennkirschner.bsky.social
Trump Vindictively Goes After One Of His Longtime Enemies www.youtube.com/watch?v=EslD...
AKI in cirrhosis is not always HRS. Here a case of a or who presents with BP 156/97 mmHg, urine Na 34, and these findings in the #UrinarySediment: acanthocytes, RBC casts, WBC casts. Suspecting ESLD-associated IgA nephropathy
May 22, 2025 at 2:48 AM
AKI in cirrhosis is not always HRS. Here a case of a or who presents with BP 156/97 mmHg, urine Na 34, and these findings in the #UrinarySediment: acanthocytes, RBC casts, WBC casts. Suspecting ESLD-associated IgA nephropathy
Qu'avez vous pensé de cette interview ?
➡️ https://l.ouest-france.fr/eSLD
➡️ https://l.ouest-france.fr/eSLD
May 13, 2025 at 9:32 PM
Qu'avez vous pensé de cette interview ?
➡️ https://l.ouest-france.fr/eSLD
➡️ https://l.ouest-france.fr/eSLD
I'm 95% sure he is getting close to ESLD. His color is concerning.
November 5, 2024 at 4:21 AM
I'm 95% sure he is getting close to ESLD. His color is concerning.
I am not saying that Shitler has ESLD specifically, but I am saying that I know what a failing liver looks like. Dude is rotting alive.
October 18, 2025 at 3:52 PM
I am not saying that Shitler has ESLD specifically, but I am saying that I know what a failing liver looks like. Dude is rotting alive.
1/ 7th Day of Pharmacy Advent
Let’s talk about anticoagulation in cirrhosis – a nuanced topic where balance is critical. Pts w/ ESLD face unique challenges d/t unpredictable pro- and anticoagulant changes. Let's dive deeper 👇
#medsky #pharmsky #GPsky #HMsky #emimcc #nursesky
Let’s talk about anticoagulation in cirrhosis – a nuanced topic where balance is critical. Pts w/ ESLD face unique challenges d/t unpredictable pro- and anticoagulant changes. Let's dive deeper 👇
#medsky #pharmsky #GPsky #HMsky #emimcc #nursesky
December 7, 2024 at 7:44 PM
" We identify a directional bias toward erring on the side of least drama (ESLD).
► ESLD is an internal pressure arising from norms of objectivity, restraint, etc.
► ESLD may cause scientists to underpredict or downplay future climate changes."
www.sciencedirect.com/science/arti...
► ESLD is an internal pressure arising from norms of objectivity, restraint, etc.
► ESLD may cause scientists to underpredict or downplay future climate changes."
www.sciencedirect.com/science/arti...
Climate change prediction: Erring on the side of least drama?
Over the past two decades, skeptics of the reality and significance of anthropogenic climate change have frequently accused climate scientists of “ala…
www.sciencedirect.com
July 3, 2025 at 12:36 PM
" We identify a directional bias toward erring on the side of least drama (ESLD).
► ESLD is an internal pressure arising from norms of objectivity, restraint, etc.
► ESLD may cause scientists to underpredict or downplay future climate changes."
www.sciencedirect.com/science/arti...
► ESLD is an internal pressure arising from norms of objectivity, restraint, etc.
► ESLD may cause scientists to underpredict or downplay future climate changes."
www.sciencedirect.com/science/arti...
I didn't really have a choice (ended up in the hospital with cirrhosis/ESLD--FOREVER GRATEFUL THOUGH).
I always really admire the people who consciously made that initial decision. CONGRATULATIONS !! 4 years for me on January 6th...
I always really admire the people who consciously made that initial decision. CONGRATULATIONS !! 4 years for me on January 6th...
January 3, 2025 at 8:56 PM
I didn't really have a choice (ended up in the hospital with cirrhosis/ESLD--FOREVER GRATEFUL THOUGH).
I always really admire the people who consciously made that initial decision. CONGRATULATIONS !! 4 years for me on January 6th...
I always really admire the people who consciously made that initial decision. CONGRATULATIONS !! 4 years for me on January 6th...
I genuinely hope you write a medical book some day. I won't think of my ESLD patients the same way.
September 26, 2023 at 12:54 PM
I genuinely hope you write a medical book some day. I won't think of my ESLD patients the same way.
ESLD - Erring on the Side of Least Drama.
www.sciencedirect.com/science/arti...
www.sciencedirect.com/science/arti...
April 20, 2025 at 10:33 AM
ESLD - Erring on the Side of Least Drama.
www.sciencedirect.com/science/arti...
www.sciencedirect.com/science/arti...
Day 20 of Pharmacy Advent:
Let’s continue from our chat about anticoagulation in ESLD—today we’ll focus on warfarin in ESRD.
What are some considerations for warfarin use in dialysis patients? Is it completely safe? Let’s dive in! 👇
#medsky #pharmsky #nephrosky #hemesky #MedEd
Let’s continue from our chat about anticoagulation in ESLD—today we’ll focus on warfarin in ESRD.
What are some considerations for warfarin use in dialysis patients? Is it completely safe? Let’s dive in! 👇
#medsky #pharmsky #nephrosky #hemesky #MedEd
December 20, 2024 at 9:53 PM
Day 20 of Pharmacy Advent:
Let’s continue from our chat about anticoagulation in ESLD—today we’ll focus on warfarin in ESRD.
What are some considerations for warfarin use in dialysis patients? Is it completely safe? Let’s dive in! 👇
#medsky #pharmsky #nephrosky #hemesky #MedEd
Let’s continue from our chat about anticoagulation in ESLD—today we’ll focus on warfarin in ESRD.
What are some considerations for warfarin use in dialysis patients? Is it completely safe? Let’s dive in! 👇
#medsky #pharmsky #nephrosky #hemesky #MedEd
At least I will be in the top 4 AprifiFridays videos this month. I mean, I am no Esld.
June 7, 2025 at 7:14 PM
At least I will be in the top 4 AprifiFridays videos this month. I mean, I am no Esld.
12/ TLDR (1/2): ↑INR in ESLD reflects clotting factor deficits but ignores anticoagulant factor deficiencies (eg protein C&S). This leads to misleading focus on bleeding risk, overlooking prothrombotic state & risks like PVT. #medsky #pharmsky #GPsky #HMsky #emimcc #nursesky
December 7, 2024 at 7:44 PM
#IdBoardReview 60 M ESLD, aortic regurgitation, hx of prosthetic aortic valve, recent pneumonia s/p abx, previous hx cdiff currently on probiotics presents w/ new onset heart failure, fever, Blood culture gram-positive rod with vancomycin resistance. Diagnosis? #medEd #idmedEd #IDsky
January 31, 2026 at 1:17 AM
#IdBoardReview 60 M ESLD, aortic regurgitation, hx of prosthetic aortic valve, recent pneumonia s/p abx, previous hx cdiff currently on probiotics presents w/ new onset heart failure, fever, Blood culture gram-positive rod with vancomycin resistance. Diagnosis? #medEd #idmedEd #IDsky
13/ TLDR (2/2): LMWH is preferred anticoagulant for ESLD d/t safety/efficacy data. Warfarin unreliable (baseline INR variability) & DOACs have limited evidence, w/ caution advised in mod/severe liver dysfxn. Pt preferences & shared decision-making are key #medsky #pharmsky #GPsky #HMsky #emimcc
a man in a suit is pointing at a pile of m & ms
ALT: a man in a suit is pointing at a pile of m & ms
media.tenor.com
December 7, 2024 at 7:44 PM
So about those swollen ankles ... I have a parent with liver disease and very swollen ankles. While I in no way claim that trump has ESLD as edema of the lower legs and feet can come from *many* things, I am learning that that level of edema is very concerning indeed, and means something sus IS up.
I expected a tyrant with an iron fist, not a clown with a spray tan and swollen ankles.
August 17, 2025 at 7:02 PM
So about those swollen ankles ... I have a parent with liver disease and very swollen ankles. While I in no way claim that trump has ESLD as edema of the lower legs and feet can come from *many* things, I am learning that that level of edema is very concerning indeed, and means something sus IS up.
14/ Some food for thought.
What’s been your go-to strategy for anticoagulation in ESLD?
Any pearls or patient-centered approaches you’ve found effective? 💬
What’s been your go-to strategy for anticoagulation in ESLD?
Any pearls or patient-centered approaches you’ve found effective? 💬
December 7, 2024 at 7:44 PM
14/ Some food for thought.
What’s been your go-to strategy for anticoagulation in ESLD?
Any pearls or patient-centered approaches you’ve found effective? 💬
What’s been your go-to strategy for anticoagulation in ESLD?
Any pearls or patient-centered approaches you’ve found effective? 💬
I think he's in liver failure. There is a comorbidity called hepatic encephalopathy which is easily mistaken for dementia, and he looks jaundiced around his eyes occasionally. The prognosis for someone in ESLD isn't good-it leads to multi-organ failure. I just discussed this with my dad's liver doc.
October 28, 2025 at 4:16 PM
I think he's in liver failure. There is a comorbidity called hepatic encephalopathy which is easily mistaken for dementia, and he looks jaundiced around his eyes occasionally. The prognosis for someone in ESLD isn't good-it leads to multi-organ failure. I just discussed this with my dad's liver doc.
Gotcha, I was worried there was some azith data I wasn't aware of for ESLD. Our GI group doesn't tend to use erythro prior to scopes, so I almost forgot about that benefit. Thanks.
February 1, 2025 at 1:47 AM
Gotcha, I was worried there was some azith data I wasn't aware of for ESLD. Our GI group doesn't tend to use erythro prior to scopes, so I almost forgot about that benefit. Thanks.
Every picture tells a story, 🍩?
#californiagurl #oregonstuck #pdxtohollywood #kimikitsch #ESLD #vegan4life
#californiagurl #oregonstuck #pdxtohollywood #kimikitsch #ESLD #vegan4life
August 21, 2025 at 4:14 PM
Every picture tells a story, 🍩?
#californiagurl #oregonstuck #pdxtohollywood #kimikitsch #ESLD #vegan4life
#californiagurl #oregonstuck #pdxtohollywood #kimikitsch #ESLD #vegan4life
“But I don’t see my brain shrink” 🧠 Cool story bro! Can’t see liver cirrosis due to HepC but it still happens! www.hepatitis.va.gov/hcv/backgrou...
May 7, 2025 at 4:05 AM
“But I don’t see my brain shrink” 🧠 Cool story bro! Can’t see liver cirrosis due to HepC but it still happens! www.hepatitis.va.gov/hcv/backgrou...
In a preclinical study, our experts identified a promising approach to treat and possibly prevent #ParenteralNutrition-associated cholestasis in young patients with intestinal failure who need long-term intravenous nutrition. #LiverySky #ESLD
Can We Stop Parenteral Nutrition-Associated Cholestasis?
A potential therapeutic target for this serious liver disease.
www.childrenscolorado.org
February 11, 2025 at 4:09 PM
In a preclinical study, our experts identified a promising approach to treat and possibly prevent #ParenteralNutrition-associated cholestasis in young patients with intestinal failure who need long-term intravenous nutrition. #LiverySky #ESLD