#JHMChat Transcript
Healthcare social media transcript of the #JHMChat hashtag.
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See #JHMChat Influencers/Analytics.
Profile | Tweet |
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Liz Neporent @Lizzyfit #JHMChat @kidney_boy - this ONE TIME I forgot my hashtag. geesh. :-( :-) | |
Amy Nadel @amynadel RT @SHMLive: @MedscapeStudent Looking forward to having our @Medscape friends join us for #JHMChat! Thanks for spreading the word. | |
Journal of Hospital Medicine @JHospMedicine Hi everyone @FutureDocs here for tonights #jhmchat (fixed hashtag) - please introduce yourself! | |
J. Brian Byrd Lab @thebyrdlab @kidney_boy Thanks! Let's do this! #JHMChat | |
Nikhil Shah MBBS DNB(IM, Neph)🇨🇦 @dr_nikhilshah RT @Medscape: Medscape is joining the #JHMChat, 'Things we docs do for no reason' tweet chat. STARTING NOW. Join the convo: Medscape is joining the #JHMChat, 'Things we docs do for no reason' tweet chat. STARTING NOW. Join the convo: https://t.co/Snw8Zbthix | |
Celine Goetz, MD FACP MRCP(London) @celinegoetzmd #JHMChat Hi everyone - @celinegoetzmd from Mount Sinai in NYC. Love the topic! | |
Amit Pahwa @Pahwa amit pahwa, hospitalist, @Hopkins_GIM @hopkinsmedicine first author on paper #jhmchat | |
ABIM Foundation @ABIMFoundation RT @Medscape: Medscape is joining the #JHMChat, 'Things we docs do for no reason' tweet chat. STARTING NOW. Join the convo: Medscape is joining the #JHMChat, 'Things we docs do for no reason' tweet chat. STARTING NOW. Join the convo: https://t.co/Snw8Zbthix | |
Society of Hospital Medicine @SocietyHospMed And away we go! Join the #JHMChat convo now to discuss #ThingsWeDoForNoReason. https://t.co/xkAhXtusTn | |
ABIM Foundation @ABIMFoundation RT @FutureDocs: Follow @jhospmedicine for the next hour where I will be moderating #JHMchat on #thingswedofornoreason #choosingwisely | |
Suneel Udani @CaptainKidney79 #JHMChat. Hello, Suneel Udani clinical nephrologist in Chicago | |
Liz Neporent @Lizzyfit https://t.co/mPWdRF1dgJ is also joining the choosing wisely chat. #JHMChat. | |
Medscape @Medscape https://t.co/lNWHF2GEqN is also joining the choosing wisely chat. #JHMChat. | |
Nikhil Shah MBBS DNB(IM, Neph)🇨🇦 @dr_nikhilshah RT @Pahwa: amit pahwa, hospitalist, @Hopkins_GIM @hopkinsmedicine first author on paper #jhmchat | |
Vinny Arora MD MAPP @FutureDocs Looks like there are some #teamFena out there - look forward to the dialogue with @Pahwa and others! #JHMChat | |
Joel M. Topf, MD FACP @kidney_boy Joel Topf, salt whisperer, er nephrologist from Detroit. No COI #jhmchat | |
J. Brian Byrd Lab @thebyrdlab Brian Byrd, Ann Arbor, scientist, cardiologist, hypertension nerd. #JHMChat | |
Medscape @Medscape Not sure why Tweet deck wants to convert #Medscape to a bitly but we're here. #JHMChat | |
Swapnil Hiremath @hswapnil@bsky.social @hswapnil Swapnil Hiremath, nephrologist @OttawaHospital #NephJC co-founder no CoI (though tell students *all* the FENa exceptions) #JHMchat | |
Nikhil Shah MBBS DNB(IM, Neph)🇨🇦 @dr_nikhilshah Nikhil Shah, nephrologist, home dialysis fellow, University of Alberta. #jhmchat | |
Journal of Hospital Medicine @JHospMedicine @Medscape welcome! #jhmchat | |
Malvinder Parmar @wittykidney #JHMChat Malvinder Parmar nephrologist, no COI | |
Daniel Wolfson @WolfsonD #choosingwisely @ABIMFoundation following #JHMChat https://t.co/7wkr0kRDTX | |
Chris Moriates, MD @ChrisMoriates Chris Moriates, hospitalist @UCSFDHM . Member of @CostsofCare team. And series editor for @JAMAInternalMed #teachablemoments. #jhmchat | |
Medscape @Medscape #JHMchat Happy to be chatting about this important topic. | |
Journal of Hospital Medicine @JHospMedicine For tonight's #JHMChat will discuss getting FeNa and FUrea in Acute Kidney Injury with @Pahwa - paper https://t.co/2MNXkZ4a4D | |
Harry (Hyung Jin) Cho, MD @HarryChoMD #JHMChat Harry Cho, hospitalist from @MountSinaiNYC | |
Journal of Hospital Medicine @JHospMedicine T1 up in a moment...#JHMChat | |
Scented Bychkov @ScentedBychkov RT thebyrdlab: Brian Byrd, Ann Arbor, scientist, cardiologist, hypertension nerd. #JHMChat,https://t.co/JqisEQ313n | |
Ñick van Terheyden, MD -Dr Ñiçk 🇺🇸🇬🇧🇮🇪🇳🇬🌍 @drnic1 RT @FutureDocs: Looks like there are some #teamFena out there - look forward to the dialogue with @Pahwa and others! #JHMChat | |
Amy Nadel @amynadel @amynadel joining #jhmchat from @Medscape too | |
Wisit C @wisit661 Wisit Cheungpasitporn, Neph fellow from Rochester, MN. ☃ cold never bothers me #jhmchat | |
Belimumab Lupus @benlysta RT @JHospMedicine: T1 up in a moment...#JHMChat | |
Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: For tonight's #JHMChat will discuss getting FeNa and FUrea in Acute Kidney Injury with @Pahwa - paper https://t.co/2MNXkZ4a4D | |
Journal of Hospital Medicine @JHospMedicine T1 #JHMChat- Do you order FeNa and FeUrea in differentiating AKI? Why or why not? | |
Andrew Auerbach @ADAuerbachMD Welcoming everyone to the #JHMChat starting...Now! Why is the FeNa something we do for no reason? #choosingwisely @SHMLive | |
Kakashei sensei @ketamaniac RT @MedscapePeds: Medscape is joining the #JHMChat, 'Things we docs do for no reason' tweet chat. STARTING NOW. Join the convo: Medscape is joining the #JHMChat, 'Things we docs do for no reason' tweet chat. STARTING NOW. Join the convo: https://t.co/vryiTA7imJ | |
Society of Hospital Medicine @SocietyHospMed Get ready for the first #JHMChat question of the night! Thanks for joining this important conversation. https://t.co/dVQmR7O3aR | |
Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: T1 #JHMChat- Do you order FeNa and FeUrea in differentiating AKI? Why or why not? | |
Vinny Arora MD MAPP @FutureDocs Live on #jhmchat now - bring it! https://t.co/n3dPYBt7py | |
J. Brian Byrd Lab @thebyrdlab @JHospMedicine My residents do this reflexively. Value often seems non-obvious to me. #JHMChat | |
Joel M. Topf, MD FACP @kidney_boy T1 in order to truly "be the Kidney"I like to know the FENa in appropriate cases. Never in contrast or rhabdo. FEUrea often in CHF #jhmchat | |
Amit Pahwa @Pahwa @jhospmedicine No surprise here - I actually don’t & @HopkinsMedicine residents have been less and less #jhmchat | |
Wisit C @wisit661 @JHospMedicine I do check FeNa in the setting of AKI, but only in 1) oliguric AKI and 2) no diuretic use. #TeamFeNa #JHMChat | |
Journal of Hospital Medicine @JHospMedicine @ltummalapalli thanks for joining #jhmchat! | |
Joel M. Topf, MD FACP @kidney_boy T1 and I never order it for no reason. That is just foolish #jhmchat | |
Malvinder Parmar @wittykidney #JHMChat Yes FeNa with the understanding that all tests has limitations and ordering is one thing 1/2 | |
Swapnil Hiremath @hswapnil@bsky.social @hswapnil T1: my residents/fellows usually order b4 I see. I just tell them why it's not very useful (cardiorenal, hepatorenal, CIN etc) #JHMchat | |
Matthew Sparks, MD @Nephro_Sparks Matt Sparks, Duke Nephrology APD no COI #jhmchat | |
Amit Pahwa @Pahwa RT @thebyrdlab: @JHospMedicine My residents do this reflexively. Value often seems non-obvious to me. #JHMChat | |
Joel M. Topf, MD FACP @kidney_boy Wide right! #jhmchat | |
Suneel Udani @CaptainKidney79 #JHMChat. Not compare. I use combo urine:plasma creatinine ratio, urine Na v urine K, FENA, FEUrea for complete renal blood flow picture | |
Journal of Hospital Medicine @JHospMedicine RT @pahwa: @JHospMedicine No surprise here - I actually don’t & @HopkinsMedicine residents have been less and less #jhmchat | |
Vinny Arora MD MAPP @FutureDocs RT @pahwa: @JHospMedicine No surprise here - I actually don’t & @HopkinsMedicine residents have been less and less #jhmchat | |
Joel M. Topf, MD FACP @kidney_boy +1 RT @wittykidney: #JHMChat Yes FeNa with the understanding that all tests has limitations and ordering is one thing 1/2 #jhmchat | |
Amit Pahwa @Pahwa @thebyrdlab i agree by the time they get the calculation the Cr has already changed with whatever they decide to do #jhmchat | |
Matthew Sparks, MD @Nephro_Sparks T1: my residents/fellows usually order b4 I see. I just tell them why it's not very useful (cardiorenal, hepatorenal, CIN ) #JHMchat agreed | |
Malvinder Parmar @wittykidney #JHMChat 2/2 but when actually the test is done, that is urine collected or sent is completely a different thing & that I think limits it | |
Amit Pahwa @Pahwa @wisit661 well you have a reason and the article does lay out its utility in that population #jhmchat | |
Journal of Hospital Medicine @JHospMedicine RT @thebyrdlab: @JHospMedicine My residents do this reflexively. Value often seems non-obvious to me. #JHMChat | |
J. Brian Byrd Lab @thebyrdlab @hswapnil +1 #JHMChat | |
Journal of Hospital Medicine @JHospMedicine RT @Nephro_Sparks: T1: T1: my residents/fellows usually order b4 I see. I just tell them why it's not very useful (cardiorenal, hepatorenal, CIN ) #JHMchat agreed | |
Journal of Hospital Medicine @JHospMedicine RT @Pahwa: @thebyrdlab i agree by the time they get the calculation the Cr has already changed with whatever they decide to do #jhmchat | |
Journal of Hospital Medicine @JHospMedicine RT @kidney_boy: +1 RT @wittykidney: +1 RT @wittykidney: #JHMChat Yes FeNa with the understanding that all tests has limitations and ordering is one thing 1/2 #jhmchat | |
ABIM Foundation @ABIMFoundation RT @WolfsonD: #choosingwisely @ABIMFoundation following #JHMChat https://t.co/7wkr0kRDTX | |
Amit Pahwa @Pahwa @nephro_sparks someone read the article before coming to class #jhmchat | |
Belimumab Lupus @benlysta RT @JHospMedicine: T1 #JHMChat- Do you order FeNa and FeUrea in differentiating AKI? Why or why not? | |
Belimumab Lupus @benlysta RT @Pahwa: @thebyrdlab i agree by the time they get the calculation the Cr has already changed with whatever they decide to do #jhmchat | |
Society of Hospital Medicine @SocietyHospMed Hope you can join #JHMChat w/ @JHospMedicine NOW on FeNa and FUrea in acute kidney injury. Remember to use the hashtag to participate! | |
ABIM Foundation @ABIMFoundation RT @SHMLive: Get ready for the first #JHMChat question of the night! Thanks for joining this important conversation. https://t.co/dVQmR7O3aR | |
Joel M. Topf, MD FACP @kidney_boy Where's @nephondemand? I thought he was coming? #jhmchat | |
Journal of Hospital Medicine @JHospMedicine Special question for @pahwa, can you tell us the impetus of this article? why is this important? #JHMChat | |
Vinny Arora MD MAPP @FutureDocs Special question for @pahwa, can you tell us the impetus of this article? why is this important? #JHMChat | |
Joel M. Topf, MD FACP @kidney_boy Clemson looks better than MSU #jhmchat | |
Journal of Hospital Medicine @JHospMedicine RT @SHMLive: Hope you can join #JHMChat w/ @JHospMedicine NOW on FeNa and FUrea in acute kidney injury. Remember to use the hashtag to participate! | |
Medical Board Reform @MedBoardReform RT @JHospMedicine: Special question for @pahwa, can you tell us the impetus of this article? why is this important? #JHMChat | |
Malvinder Parmar @wittykidney #JHMChat in your centre where it is ordered, is this done on the same day. Many places you can get CT/MRI on same day that urine tests | |
Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: Special question for @pahwa, can you tell us the impetus of this article? why is this important? #JHMChat | |
Daniel Wolfson @WolfsonD RT @FutureDocs: Special question for @pahwa, can you tell us the impetus of this article? why is this important? #JHMChat | |
Vinny Arora MD MAPP @FutureDocs Twitter journal club is "flipped classroom in action"! @pahwa @nephrosparks #jhmchat #Meded | |
Costs of Care @CostsofCare RT @SHMLive: Get ready for the first #JHMChat question of the night! Thanks for joining this important conversation. https://t.co/dVQmR7O3aR | |
Adriana Bello @adrianabello RT @JHospMedicine: please join us tonight 9p ET for #JHMChat as we discuss Things We Do For No Reason "Urinary Fractional Excretion... https://t.co/H0iJM8eSYX | |
Amit Pahwa @Pahwa @futuredocs started as @doclennyf series #thingswedofornoreason @SHMLive meetings - saw it & said i do do this without thinking #jhmchat | |
Adriana Bello @adrianabello RT @hswapnil: #JHMChat tonight at 9 pm. See primer from PBF @kidney_boy w/ clear explanation of FENa, TGF and more https://t.co/uqf0a5dnXX | |
Kelly Burdge, MD, FASN @practicalkidney #jhmchat I teach that Fena is like d dimer- helpful if low, indeterminate if not. Kelly Burdge, boston, no COI | |
Adriana Bello @adrianabello RT @kidney_boy: Some of my thoughts on FENa before tonight's #jhmchat https://t.co/xUbo4PHbOM | |
Pat Rich @pat_health #jhmchat #bcsm and #bioethx chat all at same the same time on Monday. What is this madness? It's Monday. | |
Journal of Hospital Medicine @JHospMedicine @kidney_boy @nephondemand do want to say thank to our nephrology colleagues for joining #jhmchat to weigh in! | |
Journal of Hospital Medicine @JHospMedicine RT @FutureDocs: Twitter journal club is "flipped classroom in action"! @pahwa @nephrosparks #jhmchat #Meded | |
Society of Hospital Medicine @SocietyHospMed RT @FutureDocs: Twitter journal club is "flipped classroom in action"! @pahwa @nephrosparks #jhmchat #Meded | |
Journal of Hospital Medicine @JHospMedicine RT @Pahwa: @futuredocs started as @doclennyf series #thingswedofornoreason @SHMLive meetings - saw it & said i do do this without thinking #jhmchat | |
Johns Hopkins GIM @Hopkins_GIM RT @Pahwa: amit pahwa, hospitalist, @Hopkins_GIM @hopkinsmedicine first author on paper #jhmchat | |
Amit Pahwa @Pahwa RT @KB927: #jhmchat I teach that Fena is like d dimer- helpful if low, indeterminate if not. Kelly Burdge, boston, no COI | |
Nikhil Shah MBBS DNB(IM, Neph)🇨🇦 @dr_nikhilshah RT @JHospMedicine: @kidney_boy @nephondemand do want to say thank to our nephrology colleagues for joining #jhmchat to weigh in! | |
Journal of Hospital Medicine @JHospMedicine Great discussion lets keep it going...T2 up in a moment...#JHMChat | |
Joel M. Topf, MD FACP @kidney_boy Is there any test that should be #thingswedofornoreason ? Seems like a low bar. No reason, = no value. #jhmchat | |
Medical Board Reform @MedBoardReform RT @JHospMedicine: Great discussion lets keep it going...T2 up in a moment...#JHMChat | |
Amit Pahwa @Pahwa @kb927 looking at the article you can see the test characteristics worsen when indeterminate included (Diskin) #JHMChat | |
Liz Neporent @Lizzyfit RT @kidney_boy: Is there any test that should be #thingswedofornoreason ? Seems like a low bar. No reason, = no value. #jhmchat | |
Malvinder Parmar @wittykidney #JHMChat on the same note, you don't need ultrasound in most of AKIs, but often r done to so called rule out obstruction | |
ABIM Foundation @ABIMFoundation RT @FutureDocs: Twitter journal club is "flipped classroom in action"! @pahwa @nephrosparks #jhmchat #Meded | |
J. Brian Byrd Lab @thebyrdlab OK, nephrology consultation: @kidney_boy, how should I think of #FeNa as relates to heart failure? Or should I? #FeNa or @FeNo? #JHMChat | |
Journal of Hospital Medicine @JHospMedicine RT @wittykidney: #JHMChat on the same note, you don't need ultrasound in most of AKIs, but often r done to so called rule out obstruction | |
Joel M. Topf, MD FACP @kidney_boy @wittykidney treatment of obstruction is not dialysis. U/S rarely positive but changes treatment when it is. #jhmchat | |
Amit Pahwa @Pahwa @kidney_boy I will tell you that my coauthor Sperati (nephrologist) feels the title can be dichotomous #JHMchat | |
Swapnil Hiremath @hswapnil@bsky.social @hswapnil T1: and if confirmed, this from @drseanbagshaw https://t.co/Ce3JzynCKU kills FENa for ICU patients #JHMChat https://t.co/OTrrLOFIMz | |
Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD RT @wittykidney: #JHMChat on the same note, you don't need ultrasound in most of AKIs, but often r done to so called rule out obstruction | |
Journal of Hospital Medicine @JHospMedicine @pat_health sorry we did look at when there were the fewest chats! #jhmchat #tweetchatoverload | |
Society of Hospital Medicine @SocietyHospMed Get ready! #JHMChat is live! https://t.co/R3FUVzqnQU | |
Joel M. Topf, MD FACP @kidney_boy Proof that nurse giving the diuretic? RT @thebyrdlab: how should I think of #FeNa as relates to heart failure? #FeNa or @FeNo? #JHMChat | |
Scented Bychkov @ScentedBychkov RT ScentedBychkov: RT thebyrdlab: Brian Byrd, Ann Arbor, scientist, cardiologist, hypertension nerd. #JHMChat,https://t.co/7EGVDT7WeD | |
Amit Pahwa @Pahwa @wittykidney Very true, didn’t address here but did on our student modules on AKI https://t.co/FBndjZbfLq mess if want to test #jhmchat | |
Journal of Hospital Medicine @JHospMedicine T2 #JHMChat Given the evidence in @pahwa article, are you ready to stop ordering FeNA and FUrea in workup of AKI? why or why not? | |
Joel M. Topf, MD FACP @kidney_boy @JHospMedicine @pat_health as long as you don't conflict with #NephJC #jhmchat | |
Tecfidera @dalbavancin RT @JHospMedicine: T2 #JHMChat Given the evidence in @pahwa article, are you ready to stop ordering FeNA and FUrea in workup of AKI? why or why not? | |
Journal of Hospital Medicine @JHospMedicine RT @kidney_boy: @JHospMedicine @pat_health as long as you don't conflict with #NephJC #jhmchat | |
Kelly Burdge, MD, FASN @practicalkidney #jhmchat low urine Na tells you two things: 1. Tubules are working & 2. They are Na avid. It does not tell you why. | |
Society of Hospital Medicine @SocietyHospMed Join the #JHMChat now - let your voice be heard! https://t.co/YiPtbzG6if | |
Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD @Wisit661 @JHospMedicine Hey friend, would you get FeNA in non-oliguria, too? #jhmchat | |
Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: T2 #JHMChat Given the evidence in @pahwa article, are you ready to stop ordering FeNA and FUrea in workup of AKI? why or why not? | |
Joel M. Topf, MD FACP @kidney_boy I would argue this can be useful information RT @KB927: #jhmchat low urine Na tells you Tubules are working & They are Na avid | |
Amit Pahwa @Pahwa RT @KB927: #jhmchat low urine Na tells you two things: #jhmchat low urine Na tells you two things: 1. Tubules are working & 2. They are Na avid. It does not tell you why. | |
Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD RT @kidney_boy: I would argue this can be useful information RT @KB927: I would argue this can be useful information RT @KB927: #jhmchat low urine Na tells you Tubules are working & They are Na avid | |
Daniel Wolfson @WolfsonD #JHMChat Is there significant costs or downstream costs? Why is a value vs quality discussion? Help me out here., | |
Joel M. Topf, MD FACP @kidney_boy takes a marginal test and makes it bad MT @HekmagsMD: @Wisit661 @JHospMedicine Hey friend, would you get FeNA in non-oliguria, too? #jhmchat | |
Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @KB927: #jhmchat low urine Na tells you two things: #jhmchat low urine Na tells you two things: 1. Tubules are working & 2. They are Na avid. It does not tell you why. | |
Journal of Hospital Medicine @JHospMedicine RT @kidney_boy: takes a marginal test and makes it bad MT @HekmagsMD: takes a marginal test and makes it bad MT @HekmagsMD: @Wisit661 @JHospMedicine Hey friend, would you get FeNA in non-oliguria, too? #jhmchat | |
Celine Goetz, MD FACP MRCP(London) @celinegoetzmd RT @wittykidney: #JHMChat on the same note, you don't need ultrasound in most of AKIs, but often r done to so called rule out obstruction | |
Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @kidney_boy: takes a marginal test and makes it bad MT @HekmagsMD: takes a marginal test and makes it bad MT @HekmagsMD: @Wisit661 @JHospMedicine Hey friend, would you get FeNA in non-oliguria, too? #jhmchat | |
Swapnil Hiremath @hswapnil@bsky.social @hswapnil T2: so do FENa only in select patients, not reflexly in all AKI? #JHMChat https://t.co/UyPmDF8tEw | |
Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD RT @kidney_boy: takes a marginal test and makes it bad MT @HekmagsMD: takes a marginal test and makes it bad MT @HekmagsMD: @Wisit661 @JHospMedicine Hey friend, would you get FeNA in non-oliguria, too? #jhmchat | |
Matthew Sparks, MD @Nephro_Sparks RT @FutureDocs: Twitter journal club is "flipped classroom in action"! @pahwa @nephrosparks #jhmchat #Meded | |
Amit Pahwa @Pahwa @wolfsond according to article we would save very little Medicare reimburses about $7 for each indices. Goal is to think b4 order #jhmchat | |
Ibrutinib Hu @ibrutinib RT @JHospMedicine: T1 #JHMChat- Do you order FeNa and FeUrea in differentiating AKI? Why or why not? | |
Journal of Hospital Medicine @JHospMedicine Q from Tweetchat: Great question from @wolfsonD for #JHMChat tonight-- @pahwa any ideas? https://t.co/dn438adlVz | |
Journal of Hospital Medicine @JHospMedicine RT @WolfsonD: #JHMChat Is there significant costs or downstream costs? Why is a value vs quality discussion? Help me out here., | |
@MissouriDIFP Reform @cyramza RT @SHMLive: Get ready! #JHMChat is live! https://t.co/R3FUVzqnQU | |
@MissouriDIFP Reform @cyramza RT @JHospMedicine: T2 #JHMChat Given the evidence in @pahwa article, are you ready to stop ordering FeNA and FUrea in workup of AKI? why or why not? | |
Joel M. Topf, MD FACP @kidney_boy like all tests RT @hswapnil: T2: so do FENa only in select patients, not reflexly in all AKI? #JHMChat https://t.co/ixiFNc75EL | |
Medical Board Reform @MedBoardReform RT @SHMLive: Get ready! #JHMChat is live! https://t.co/R3FUVzqnQU | |
Medical Board Reform @MedBoardReform RT @JHospMedicine: T2 #JHMChat Given the evidence in @pahwa article, are you ready to stop ordering FeNA and FUrea in workup of AKI? why or why not? | |
Medical Board Reform @MedBoardReform RT @kidney_boy: @JHospMedicine @pat_health as long as you don't conflict with #NephJC #jhmchat | |
Journal of Hospital Medicine @JHospMedicine Q from Tweetchat: Great question from @wolfsonD for #JHMChat tonight-- @pahwa any ideas? https://t.co/dn438adlVz https://t.co/8gjkkEA5ar | |
Malvinder Parmar @wittykidney @Pahwa @WolfsonD that goal, "think b4 u order" should be applicable to all tests #jhmchat | |
Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: Q from Tweetchat: Q from Tweetchat: Great question from @wolfsonD for #JHMChat tonight-- @pahwa any ideas? https://t.co/dn438adlVz https://t.co/8gjkkEA5ar | |
Journal of Hospital Medicine @JHospMedicine RT @kidney_boy: like all tests RT @hswapnil: T2: like all tests RT @hswapnil: T2: so do FENa only in select patients, not reflexly in all AKI? #JHMChat https://t.co/ixiFNc75EL | |
Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @kidney_boy: like all tests RT @hswapnil: T2: like all tests RT @hswapnil: T2: so do FENa only in select patients, not reflexly in all AKI? #JHMChat https://t.co/ixiFNc75EL | |
Amit Pahwa @Pahwa @jhospmedicine @wolfsond value is always quality/price. while price is low quality of test for all those with AKI is marginal #jhmchat | |
Harry (Hyung Jin) Cho, MD @HarryChoMD @Pahwa @wolfsond #JHMChat the issue is urine lytes are just reflexive initial testing that’s been taught in our schools | |
Journal of Hospital Medicine @JHospMedicine RT @Pahwa: @wolfsond according to article we would save very little Medicare reimburses about $7 for each indices. Goal is to think b4 order #jhmchat | |
Liz Neporent @Lizzyfit RT @wittykidney: @Pahwa @WolfsonD that goal, "think b4 u order" should be applicable to all tests #jhmchat | |
Journal of Hospital Medicine @JHospMedicine RT @Pahwa: @jhospmedicine @wolfsond value is always quality/price. while price is low quality of test for all those with AKI is marginal #jhmchat | |
Journal of Hospital Medicine @JHospMedicine RT @Pahwa: @jhospmedicine @wolfsond value is always quality/price. while price is low quality of test for all those with AKI is marginal #jhmchat | |
Journal of Hospital Medicine @JHospMedicine RT @Pahwa: @jhospmedicine @wolfsond value is always quality/price. while price is low quality of test for all those with AKI is marginal #jhmchat | |
Journal of Hospital Medicine @JHospMedicine RT @HyungChoMD: @Pahwa @wolfsond #JHMChat the issue is urine lytes are just reflexive initial testing that’s been taught in our schools | |
Journal of Hospital Medicine @JHospMedicine RT @wittykidney: @Pahwa @WolfsonD that goal, "think b4 u order" should be applicable to all tests #jhmchat | |
Matthew Sparks, MD @Nephro_Sparks RT @kidney_boy: like all tests RT @hswapnil: T2: like all tests RT @hswapnil: T2: so do FENa only in select patients, not reflexly in all AKI? #JHMChat https://t.co/ixiFNc75EL | |
Suneel Udani @CaptainKidney79 Do we always know a priori when it will be helpful? #JHMChat https://t.co/oN5xBJB7ha | |
Tecfidera @dalbavancin RT @HyungChoMD: @Pahwa @wolfsond #JHMChat the issue is urine lytes are just reflexive initial testing that’s been taught in our schools | |
Tecfidera @dalbavancin RT @HyungChoMD: @Pahwa @wolfsond #JHMChat the issue is urine lytes are just reflexive initial testing that’s been taught in our schools | |
Amit Pahwa @Pahwa @hyungchomd @wolfsond we @hopkinsMedicine are changing with r IM clerkship - check out our modules - gave 2 ur clerkship director #jhmchat | |
Zaire Ebolavirus @dasabuvir RT @WolfsonD: #JHMChat Is there significant costs or downstream costs? Why is a value vs quality discussion? Help me out here., | |
Joel M. Topf, MD FACP @kidney_boy @CaptainKidney79 What does the FENa do in AIN? #JHMChat | |
Matthew Sparks, MD @Nephro_Sparks @Pahwa @HyungChoMD @WolfsonD @HopkinsMedicine they should change based on new information #jhmchat | |
Amit Pahwa @Pahwa @captainkidney79 no but that is what we need to teach the future of medicine #jhmchat | |
Vinny Arora MD MAPP @FutureDocs RT @Pahwa: @hyungchomd @wolfsond we @hopkinsMedicine are changing with r IM clerkship - check out our modules - gave 2 ur clerkship director #jhmchat | |
Vinny Arora MD MAPP @FutureDocs RT @HyungChoMD: @Pahwa @wolfsond #JHMChat the issue is urine lytes are just reflexive initial testing that’s been taught in our schools | |
J. Brian Byrd Lab @thebyrdlab @kidney_boy Do you at times order the Fe Urea in a heart failure patient who is being diuresed? #JHMChat | |
Kelly Burdge, MD, FASN @practicalkidney #jhmchat T2: helpful for CRS, helpful if multiple insults , but you have to look at the patient 1st, not order 1st. | |
Vinny Arora MD MAPP @FutureDocs . @HyungChoMD @Pahwa @WolfsonD the reflexivity of lab ordering is a serious problem #JHMChat | |
Malvinder Parmar @wittykidney @HyungChoMD @Pahwa @WolfsonD agree that "knee-jerk medicine" should be avoided & test should be done if & when strongly indicated #JHMChat | |
Suneel Udani @CaptainKidney79 @kidney_boy I find high FENA highlights tubular dysfunction can suggest AIN #JHMChat | |
Amit Pahwa @Pahwa RT @KB927: #jhmchat T2: #jhmchat T2: helpful for CRS, helpful if multiple insults , but you have to look at the patient 1st, not order 1st. | |
Amit Pahwa @Pahwa RT @wittykidney: @HyungChoMD @Pahwa @WolfsonD agree that "knee-jerk medicine" should be avoided & test should be done if & when strongly indicated #JHMChat | |
Amit Pahwa @Pahwa RT @FutureDocs: . @HyungChoMD @Pahwa @WolfsonD the reflexivity of lab ordering is a serious problem #JHMChat | |
Harry (Hyung Jin) Cho, MD @HarryChoMD RT @FutureDocs: . @HyungChoMD @Pahwa @WolfsonD the reflexivity of lab ordering is a serious problem #JHMChat | |
Journal of Hospital Medicine @JHospMedicine Great dialogue! Learning a ton....Just a heads up that we will be introducing T3 in a moment...#JHMChat | |
Liz Neporent @Lizzyfit RT @JHospMedicine: Great dialogue! Learning a ton....Just a heads up that we will be introducing T3 in a moment...#JHMChat | |
Journal of Hospital Medicine @JHospMedicine RT @wittykidney: @HyungChoMD @Pahwa @WolfsonD agree that "knee-jerk medicine" should be avoided & test should be done if & when strongly indicated #JHMChat | |
Society of Hospital Medicine @SocietyHospMed RT @FutureDocs: . @HyungChoMD @Pahwa @WolfsonD the reflexivity of lab ordering is a serious problem #JHMChat | |
Joel M. Topf, MD FACP @kidney_boy Sometimes helpful RT @thebyrdlab: @kidney_boy Do you at times order the Fe Urea in a heart failure patient who is being diuresed? #JHMChat | |
ABIM Foundation @ABIMFoundation RT @SHMLive: Get ready! #JHMChat is live! https://t.co/R3FUVzqnQU | |
Amit Pahwa @Pahwa @captainkidney79 @kidney_boy or high salt load? #jhmchat #snackingonchipsfornationalchampionship | |
Matthew Sparks, MD @Nephro_Sparks RT @kidney_boy: Sometimes helpful RT @thebyrdlab: Sometimes helpful RT @thebyrdlab: @kidney_boy Do you at times order the Fe Urea in a heart failure patient who is being diuresed? #JHMChat | |
Journal of Hospital Medicine @JHospMedicine "you have to look at the patient 1st, not order 1st." - heard on #JHMChat https://t.co/pPDj9i6RiK | |
Joel M. Topf, MD FACP @kidney_boy Anybody else see this? RT @CaptainKidney79: @kidney_boy I find high FENA highlights tubular dysfunction can suggest AIN #JHMChat | |
Wisit C @wisit661 @HekmagsMD @JHospMedicine I do not. I think it is inaccurate in non-oliguric setting. #JHMChat Good to see you join the discussion, buddy! | |
Society of Hospital Medicine @SocietyHospMed Don't miss out on translating #hospitalmedicine #research into practice w/ #JHMChat happening now - join in! https://t.co/TqtzXeGPsE | |
Tom @MATom_MD RT @hswapnil: T2: T2: so do FENa only in select patients, not reflexly in all AKI? #JHMChat https://t.co/UyPmDF8tEw | |
Society of Hospital Medicine @SocietyHospMed Do you agree? There's still time to join in the #JHMChat discussion! https://t.co/XXIFg4F5zI | |
Joel M. Topf, MD FACP @kidney_boy The article says the FENa can be helpful in HRS. In my experience FENa always low in cirrhosis regardless of ATN, pre renal or HRS #jhmchat | |
Scented Bychkov @ScentedBychkov RT ScentedBychkov: RT ScentedBychkov: RT thebyrdlab: Brian Byrd, Ann Arbor, scientist, cardiologist, hypertension nerd. #JHMChat,http://ift… | |
Journal of Hospital Medicine @JHospMedicine T3 now LIVE: #JHMChat - What is the most effective way to translate these findings into practice & improve workup of AKI? | |
Zaire Ebolavirus @dasabuvir RT @JHospMedicine: T3 now LIVE: T3 now LIVE: #JHMChat - What is the most effective way to translate these findings into practice & improve workup of AKI? | |
ABIM Foundation @ABIMFoundation RT @JHospMedicine: T3 now LIVE: T3 now LIVE: #JHMChat - What is the most effective way to translate these findings into practice & improve workup of AKI? | |
J. Brian Byrd Lab @thebyrdlab @kidney_boy Seems right--aldosterone is sky high typically. #JHMChat | |
Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: T3 now LIVE: T3 now LIVE: #JHMChat - What is the most effective way to translate these findings into practice & improve workup of AKI? | |
Matthew Sparks, MD @Nephro_Sparks @JHospMedicine T3: I think we need to do a better job on describing appropriate use FeNa #jhmchat | |
Amit Pahwa @Pahwa @jhospmedicine T3 is what @kb927 said look at the patient 1st#JHMChat | |
Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: T3 now LIVE: T3 now LIVE: #JHMChat - What is the most effective way to translate these findings into practice & improve workup of AKI? | |
Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: "you have to look at the patient 1st, not order 1st." - heard on #JHMChat https://t.co/pPDj9i6RiK | |
Vinny Arora MD MAPP @FutureDocs RT @wittykidney: @HyungChoMD @Pahwa @WolfsonD agree that "knee-jerk medicine" should be avoided & test should be done if & when strongly indicated #JHMChat | |
Vinny Arora MD MAPP @FutureDocs RT @Nephro_Sparks: @JHospMedicine T3: @JHospMedicine T3: I think we need to do a better job on describing appropriate use FeNa #jhmchat | |
Swapnil Hiremath @hswapnil@bsky.social @hswapnil Agree. Found that strange Sodium avid state #JHMChat https://t.co/Bi5j2arFQD | |
Tejas Desai, MD MBA @nephondemand NOD Analytics of #JHMChat : Top tweeters thus far @JHospMedicine @SHMLive @Pahwa @FutureDocs @ABIMFoundation https://t.co/G3U47qHk1x | |
J. Brian Byrd Lab @thebyrdlab @Nephro_Sparks @JHospMedicine I'm certainly interested in that question #JHMChat | |
High Blood Pressure? @tenaciousmeded RT @JHospMedicine: Great dialogue! Learning a ton....Just a heads up that we will be introducing T3 in a moment...#JHMChat | |
High Blood Pressure? @tenaciousmeded RT @JHospMedicine: "you have to look at the patient 1st, not order 1st." - heard on #JHMChat https://t.co/pPDj9i6RiK | |
Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD RT @kidney_boy: The article says the FENa can be helpful in HRS. In my experience FENa always low in cirrhosis regardless of ATN, pre renal or HRS #jhmchat | |
Amit Pahwa @Pahwa RT @Nephro_Sparks: @JHospMedicine T3: @JHospMedicine T3: I think we need to do a better job on describing appropriate use FeNa #jhmchat | |
Matthew Sparks, MD @Nephro_Sparks @kidney_boy occasionally if FeNa high in cirrhosis, suggest ATN though. and this is helpful #jhmchat | |
Medscape @Medscape What we can add to this convo... a study on the difficulties to managing AKI - https://t.co/2lID1q0OO3 #JHMChat | |
Journal of Hospital Medicine @JHospMedicine thx for the data for #JHMChat! https://t.co/5fcI5kf2ag | |
Amit Pahwa @Pahwa @kidney_boy I agree with you but we did not mean to say helpful but part of diagnostic criteria #JHMChat | |
Matthew Sparks, MD @Nephro_Sparks @nephondemand Hey Tejas. hope you are doing well. #jhmchat | |
ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @JHospMedicine #JHMChat Ultimately FeNa is used to justify a fluid challenge vs no fluid challange. Why not fluid challenge directly? | |
Journal of Hospital Medicine @JHospMedicine @Nephro_Sparks how to disseminate/teach this info? #JHMChat | |
Matthew Sparks, MD @Nephro_Sparks @JHospMedicine @Nephro_Sparks We have been preaching it on SM for years now. in the halls and anyone who will listen #jhmchat | |
Amit Pahwa @Pahwa Thanks@Medscape #jhmchat https://t.co/XMKPBSXlao | |
Journal of Hospital Medicine @JHospMedicine RT @Wisit661: @HekmagsMD @JHospMedicine I do not. I think it is inaccurate in non-oliguric setting. #JHMChat Good to see you join the discussion, buddy! | |
Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @ChristosArgyrop: @JHospMedicine #JHMChat Ultimately FeNa is used to justify a fluid challenge vs no fluid challange. Why not fluid challenge directly? | |
Marty Muntz 🟧 @mmteacherdoc RT @FutureDocs: . @HyungChoMD @Pahwa @WolfsonD the reflexivity of lab ordering is a serious problem #JHMChat | |
Journal of Hospital Medicine @JHospMedicine RT @Nephro_Sparks: @JHospMedicine @Nephro_Sparks We have been preaching it on SM for years now. in the halls and anyone who will listen #jhmchat | |
Joel M. Topf, MD FACP @kidney_boy @Pahwa that makes more sense #jhmchat | |
Amit Pahwa @Pahwa @christosargyrop @jhospmedicine 100% agree. that was the gold standard in the original Espinel group of 17 to validate indices #jhmchat | |
Society of Hospital Medicine @SocietyHospMed RT @Medscape: What we can add to this convo... a study on the difficulties to managing AKI - https://t.co/2lID1q0OO3 #JHMChat | |
ABIM Foundation @ABIMFoundation RT @nephondemand: NOD Analytics of #JHMChat : NOD Analytics of #JHMChat : Top tweeters thus far @JHospMedicine @SHMLive @Pahwa @FutureDocs @ABIMFoundation https://t.co/G3U47qHk1x | |
Journal of Hospital Medicine @JHospMedicine - @pahwa was definitely making this argument in the @JHospMedicine article #jhmchat https://t.co/JCyPVSgzdC | |
Tejas Desai, MD MBA @nephondemand NOD Analytics of #JHMChat: more detailed Twitter metrics ④ 🔝 tweeters @JHospMedicine @SHMLive @Pahwa @futuredocs https://t.co/V0imstjlxI | |
Matthew Sparks, MD @Nephro_Sparks @ChristosArgyrop @JHospMedicine typically fluid challenge is done at same time IMO #jhmchat | |
Magdeline Carrasco A @Magdeline_CA RT @Medscape: Medscape is joining the #JHMChat, 'Things we docs do for no reason' tweet chat. STARTING NOW. Join the convo: Medscape is joining the #JHMChat, 'Things we docs do for no reason' tweet chat. STARTING NOW. Join the convo: https://t.co/Snw8Zbthix | |
Journal of Hospital Medicine @JHospMedicine thx for the data for #JHMChat! https://t.co/5fcI5kf2ag https://t.co/nLoBby4Gyt | |
Amit Pahwa @Pahwa @adauerbachmd @jhospmedicine get a story - that will help you most of the time without additional diagnostics. #jhmchat | |
Matthew Sparks, MD @Nephro_Sparks Here is our #NephMadness FeNa discussion https://t.co/rNra6bn4tZ #jhmchat | |
ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @Nephro_Sparks @JHospMedicine #JHMChat One may argue (in theory) that dynamic changes of FeNa/FeUr would be more informative #renalPCWP | |
Wisit C @wisit661 @Nephro_Sparks @kidney_boy just had HRS, with low FeNa, turned to high FeNa and urine microscopy showing ATN! So I'm on #TeamFeNa #jhmchat | |
ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @Nephro_Sparks @JHospMedicine #JHMChat If you do it at the same time (also the pattern I've observed) then why bother w FeNa? | |
Amit Pahwa @Pahwa @ADAuerbachMD unfortunately there are too many things distracting us from talking to patients so we order #jhmchat #guilty | |
Journal of Hospital Medicine @JHospMedicine Remember tag T3 #JHMChat - What is the most effective way to translate these findings into practice & improve workup of AKI? | |
Zaire Ebolavirus @dasabuvir RT @JHospMedicine: thx for the data for #JHMChat! https://t.co/5fcI5kf2ag https://t.co/nLoBby4Gyt | |
Tejas Desai, MD MBA @nephondemand @JHospMedicine More #JHMChat data to come in the next few days. | |
Matthew Sparks, MD @Nephro_Sparks @Pahwa @ADAuerbachMD sad to hear that #jhmchat | |
Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: Remember tag T3 #JHMChat - What is the most effective way to translate these findings into practice & improve workup of AKI? | |
Matthew Sparks, MD @Nephro_Sparks it happens #jhmchat just think if they gave them a kidney transpant https://t.co/xASHuHwALV | |
Journal of Hospital Medicine @JHospMedicine @nephondemand Look forward to it - thanks! #JHMChat | |
Journal of Hospital Medicine @JHospMedicine RT @Pahwa: @ADAuerbachMD unfortunately there are too many things distracting us from talking to patients so we order #jhmchat #guilty | |
Journal of Hospital Medicine @JHospMedicine "Get a story" --words to live by for hospitalists #JHMChat https://t.co/x1Ds4MtljZ | |
Joel M. Topf, MD FACP @kidney_boy You can use FENa in CKD, but it is only instructive if it is low, normally will be higher with lower baseline GFRs #jhmchat | |
Matthew Sparks, MD @Nephro_Sparks all physicians really RT @JHospMedicine: "Get a story" --words to live by for hospitalists #JHMChat https://t.co/mC9lxUWe7q | |
Journal of Hospital Medicine @JHospMedicine - @pahwa was definitely making this argument in the @JHospMedicine article #jhmchat https://t.co/JCyPVSgzdC https://t.co/GBdG1Zw8IS | |
Zaire Ebolavirus @dasabuvir RT @Pahwa: @ADAuerbachMD unfortunately there are too many things distracting us from talking to patients so we order #jhmchat #guilty | |
Tecfidera @dalbavancin RT @Pahwa: @ADAuerbachMD unfortunately there are too many things distracting us from talking to patients so we order #jhmchat #guilty | |
Tecfidera @dalbavancin RT @JHospMedicine: - @pahwa was definitely making this argument in the @JHospMedicine article #jhmchat https://t.co/JCyPVSgzdC https://t.co/GBdG1Zw8IS | |
Amit Pahwa @Pahwa @jhospmedicine I agree with @chritosargyrop - don’t order something if it won’t change your management #jhmchat | |
Zaire Ebolavirus @dasabuvir RT @JHospMedicine: - @pahwa was definitely making this argument in the @JHospMedicine article #jhmchat https://t.co/JCyPVSgzdC https://t.co/GBdG1Zw8IS | |
Swapnil Hiremath @hswapnil@bsky.social @hswapnil T3: maybe this, eventually if we all reach it right? #JHMChat https://t.co/a979rtoX4L | |
Journal of Hospital Medicine @JHospMedicine T4 Last question: What is your main take home lesson from this tweetchat? Has it informed the way you will practice/teach? #JHMChat | |
ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @kidney_boy #JHMChat The urine one sends to the lab in cirrhotics is usually vintage variety from hrs ago. So FeNa worthless dt high BL aldo | |
Journal of Hospital Medicine @JHospMedicine RT @Pahwa: @jhospmedicine I agree with @chritosargyrop - don’t order something if it won’t change your management #jhmchat | |
Journal of Hospital Medicine @JHospMedicine RT @Pahwa: @jhospmedicine I agree with @chritosargyrop - don’t order something if it won’t change your management #jhmchat | |
Journal of Hospital Medicine @JHospMedicine RT @Pahwa: @jhospmedicine I agree with @chritosargyrop - don’t order something if it won’t change your management #jhmchat | |
Amit Pahwa @Pahwa @wisit661 @nephro_sparks @kidney_boy be careful with n of 1 or 17. #jhmchat | |
2nd Guess Med Boards @obinutuzumab RT @JHospMedicine: T4 Last question: T4 Last question: What is your main take home lesson from this tweetchat? Has it informed the way you will practice/teach? #JHMChat | |
Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: T4 Last question: T4 Last question: What is your main take home lesson from this tweetchat? Has it informed the way you will practice/teach? #JHMChat | |
avro lancaster @ThomasRenaghan RT @Pahwa: @adauerbachmd @jhospmedicine get a story - that will help you most of the time without additional diagnostics. #jhmchat | |
Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @kidney_boy: You can use FENa in CKD, but it is only instructive if it is low, normally will be higher with lower baseline GFRs #jhmchat | |
Vinny Arora MD MAPP @FutureDocs RT @Pahwa: @wisit661 @nephro_sparks @kidney_boy be careful with n of 1 or 17. #jhmchat | |
Amit Pahwa @Pahwa @ltummalapalli we did address in paper but it requires a lot of training #jhmchat | |
Vinny Arora MD MAPP @FutureDocs RT @hswapnil: T3: T3: maybe this, eventually if we all reach it right? #JHMChat https://t.co/a979rtoX4L | |
ABIM Foundation @ABIMFoundation RT @JHospMedicine: T4 Last question: T4 Last question: What is your main take home lesson from this tweetchat? Has it informed the way you will practice/teach? #JHMChat | |
Vinny Arora MD MAPP @FutureDocs @hswapnil wow that's amazing thx for share #jhmchat | |
ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @hswapnil #JHMChat Cynic 😏 | |
Amit Pahwa @Pahwa @christosargyrop @kidney_boy I agree even the studies “validating” the test could never time it properly #jhmchat | |
Tecfidera @dalbavancin RT @FutureDocs: @hswapnil wow that's amazing thx for share #jhmchat | |
Tecfidera @dalbavancin RT @Pahwa: @wisit661 @nephro_sparks @kidney_boy be careful with n of 1 or 17. #jhmchat | |
Society of Hospital Medicine @SocietyHospMed Jump right in on the last #JHMChat question for this time - don't forget to include the hashtag in your tweets: https://t.co/BnQ6Fl6zC9 | |
Suneel Udani @CaptainKidney79 #JHMChat T3 one simple point FENA = decreased renal blood flow and tubular Na avidity. It does not = volume depletion | |
Matthew Sparks, MD @Nephro_Sparks RT @hswapnil: T3: T3: maybe this, eventually if we all reach it right? #JHMChat https://t.co/a979rtoX4L | |
J. Brian Byrd Lab @thebyrdlab If the patient has had an echo, the data exists there for your review, too. #JHMChat https://t.co/HZFVMLrylO | |
Journal of Hospital Medicine @JHospMedicine RT @SHMLive: Jump right in on the last #JHMChat question for this time - don't forget to include the hashtag in your tweets: Jump right in on the last #JHMChat question for this time - don't forget to include the hashtag in your tweets: https://t.co/BnQ6Fl6zC9 | |
Amit Pahwa @Pahwa T4 writing this taught me that tests should be performed in a the population they were validated in #jhmchat | |
Medical BoardScandal @thebesianveins RT @Pahwa: @wisit661 @nephro_sparks @kidney_boy be careful with n of 1 or 17. #jhmchat | |
Seth Trueger @MDaware RT @hswapnil: T3: T3: maybe this, eventually if we all reach it right? #JHMChat https://t.co/a979rtoX4L | |
Matthew Sparks, MD @Nephro_Sparks @thebyrdlab interesting that the patient with the FeNa also had their 3rd ECHO $$$ #jhmchat | |
Matthew Sparks, MD @Nephro_Sparks RT @Pahwa: T4 writing this taught me that tests should be performed in a the population they were validated in #jhmchat | |
Amit Pahwa @Pahwa RT @CaptainKidney79: #JHMChat T3 one simple point FENA = decreased renal blood flow and tubular Na avidity. It does not = volume depletion | |
Journal of Hospital Medicine @JHospMedicine another one for another day cc @WolfsonD #JHMChat https://t.co/wa5HNtgBMC | |
Journal of Hospital Medicine @JHospMedicine RT @Pahwa: T4 writing this taught me that tests should be performed in a the population they were validated in #jhmchat | |
Journal of Hospital Medicine @JHospMedicine another one for another day cc @WolfsonD #JHMChat https://t.co/wa5HNtgBMC https://t.co/voq2xYgsvY | |
Suneel Udani @CaptainKidney79 #JHMChat T3. Train renal fellow and residents to review urine microscopy and combine what they see with FENA | |
ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @JHospMedicine #JHMChat One may teach the inconvenient truth, but ppl will gravitate towards the textbook/board Q false prophesy | |
Amit Pahwa @Pahwa T4 when we go over evidence in rounds or starting therapy i ask residents to look at the study population in article #EBM #jhmchat | |
Journal of Hospital Medicine @JHospMedicine @Wisit661 @ambrus07 @HekmagsMD be sure to index #JHMChat thanks for joining! | |
José Miguel Bernucci @Pajarobere RT @SHMLive: Do you agree? There's still time to join in the #JHMChat discussion! https://t.co/XXIFg4F5zI | |
Journal of Hospital Medicine @JHospMedicine @Medscape Thanks for sharing and joining us #JHMChat | |
Suneel Udani @CaptainKidney79 #JHMChat T4. Always remind me to ask trainees "why did you order that test?" | |
Journal of Hospital Medicine @JHospMedicine RT @Pahwa: T4 when we go over evidence in rounds or starting therapy i ask residents to look at the study population in article #EBM #jhmchat | |
Matthew Sparks, MD @Nephro_Sparks feel like broken record myself RT @CaptainKidney79: #JHMChat T4. Always remind me to ask trainees "why did you order that test?" | |
Medscape @Medscape Thanks so much for holding this chat. #Interesting #JHMChat | |
Wisit C @wisit661 @Nephro_Sparks @kidney_boy So, we can tell after liver Tx, those with high FeNa may recover kidney function slower than low FeNa #JHMChat | |
Ben Kinnear @Midwest_MedPeds Learning a lot following #JHMChat about FeNa and FUrea https://t.co/pq4J8NzwEC | |
J. Brian Byrd Lab @thebyrdlab RT @Nephro_Sparks: feel like broken record myself RT @CaptainKidney79: feel like broken record myself RT @CaptainKidney79: #JHMChat T4. Always remind me to ask trainees "why did you order that test?" | |
Journal of Hospital Medicine @JHospMedicine RT @CaptainKidney79: #JHMChat T4. Always remind me to ask trainees "why did you order that test?" | |
Amy Nadel @amynadel RT @Medscape: Thanks so much for holding this chat. #Interesting #JHMChat | |
Amit Pahwa @Pahwa @nephro_sparks @captainkidney79 keep doing it eventually there will be change #maninmirror @ChrisMoriates #JHMChat | |
Journal of Hospital Medicine @JHospMedicine RT @Midwest_MedPeds: Learning a lot following #JHMChat about FeNa and FUrea https://t.co/pq4J8NzwEC | |
Andrew Auerbach @ADAuerbachMD Thanks for sharing and leading us #JHMChat @Pahwa @FutureDocs @JHospMedicine @SHMLive @ABIMFoundation | |
Society of Hospital Medicine @SocietyHospMed RT @Midwest_MedPeds: Learning a lot following #JHMChat about FeNa and FUrea https://t.co/pq4J8NzwEC | |
J. Brian Byrd Lab @thebyrdlab Thanks for letting a cardiologist hang out! Remember, the kidneys need us.... #JHMChat | |
Malvinder Parmar @wittykidney @Nephro_Sparks @CaptainKidney79 actually I have a talk titled, "Why did I do that?" #JHMChat for family physicians | |
Society of Hospital Medicine @SocietyHospMed RT @ADAuerbachMD: Thanks for sharing and leading us #JHMChat @Pahwa @FutureDocs @JHospMedicine @SHMLive @ABIMFoundation | |
Journal of Hospital Medicine @JHospMedicine RT @Medscape: Thanks so much for holding this chat. #Interesting #JHMChat | |
Harry (Hyung Jin) Cho, MD @HarryChoMD @JHospMedicine #JHMChat If I ever create an initiative here on urine lytes, I’m calling it “The #FeNa or #FeNo project.” thanks @thebyrdlab | |
Amit Pahwa @Pahwa @adauerbachmd @futuredocs @jhospmedicine @shmlive @abimfoundation Thanks for inviting me. Coffee worked! #jhmchat | |
ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @CaptainKidney79 #JHMChat Notwithstanding the JASN paper from a few yrs ago, ppl tend to overcall ATN on the basis of 1-2 casts in the micro | |
Society of Hospital Medicine @SocietyHospMed Thanks to all who joined #JHMChat & added to a very important convo! @JHospMedicine @FutureDocs @Pahwa @ABIMFoundation @CostsofCare | |
Malvinder Parmar @wittykidney @thebyrdlab if there is no pump, there is no need for filter #JHMChat 😀 | |
Journal of Hospital Medicine @JHospMedicine Thanks everyone for great #JHMChat with a shout out to @pahwa our author & partners @costsofcare @ABIMfoundation and @SHMLive! | |
Tecfidera @dalbavancin RT @JHospMedicine: Thanks everyone for great #JHMChat with a shout out to @pahwa our author & partners @costsofcare @ABIMfoundation and @SHMLive! | |
Amit Pahwa @Pahwa @hyungchomd @jhospmedicine @thebyrdlab yes #FeNo is awesome. I am saying it in rounds next time #JHMChat | |
Journal of Hospital Medicine @JHospMedicine RT @HyungChoMD: @JHospMedicine #JHMChat If I ever create an initiative here on urine lytes, I’m calling it “The #FeNa or #FeNo project.” thanks @thebyrdlab | |
Journal of Hospital Medicine @JHospMedicine RT @thebyrdlab: Thanks for letting a cardiologist hang out! Remember, the kidneys need us.... #JHMChat | |
Journal of Hospital Medicine @JHospMedicine RT @ADAuerbachMD: Thanks for sharing and leading us #JHMChat @Pahwa @FutureDocs @JHospMedicine @SHMLive @ABIMFoundation | |
J. Brian Byrd Lab @thebyrdlab Truer words have never been Tweeted #JHMChat https://t.co/ab9szsNthk | |
Matthew Sparks, MD @Nephro_Sparks Really interesting chat. Thanks to @pahwa for joining #jhmchat | |
Vinny Arora MD MAPP @FutureDocs RT @ADAuerbachMD: Thanks for sharing and leading us #JHMChat @Pahwa @FutureDocs @JHospMedicine @SHMLive @ABIMFoundation | |
Wisit C @wisit661 @JHospMedicine @Pahwa @CostsofCare @ABIMFoundation @SHMLive Thank you! This is great! 😃👍🏻 #JHMChat | |
Amit Pahwa @Pahwa @christosargyrop @captainkidney79 in the paper we talk a little about how no test is perfect (1/3 changed after biopsy!) #JHMChat | |
Vinny Arora MD MAPP @FutureDocs RT @thebyrdlab: Truer words have never been Tweeted #JHMChat https://t.co/ab9szsNthk | |
Vinny Arora MD MAPP @FutureDocs RT @Pahwa: @hyungchomd @jhospmedicine @thebyrdlab yes #FeNo is awesome. I am saying it in rounds next time #JHMChat | |
Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: Thanks everyone for great #JHMChat with a shout out to @pahwa our author & partners @costsofcare @ABIMfoundation and @SHMLive! | |
Vinny Arora MD MAPP @FutureDocs RT @SHMLive: Thanks to all who joined #JHMChat & added to a very important convo! @JHospMedicine @FutureDocs @Pahwa @ABIMFoundation @CostsofCare | |
Vinny Arora MD MAPP @FutureDocs RT @Pahwa: @adauerbachmd @futuredocs @jhospmedicine @shmlive @abimfoundation Thanks for inviting me. Coffee worked! #jhmchat | |
Medical BoardScandal @thebesianveins RT @thebyrdlab: Truer words have never been Tweeted #JHMChat https://t.co/ab9szsNthk | |
2nd Guess Med Boards @obinutuzumab RT @Pahwa: @hyungchomd @jhospmedicine @thebyrdlab yes #FeNo is awesome. I am saying it in rounds next time #JHMChat | |
Vinny Arora MD MAPP @FutureDocs RT @Pahwa: @nephro_sparks @captainkidney79 keep doing it eventually there will be change #maninmirror @ChrisMoriates #JHMChat | |
Vinny Arora MD MAPP @FutureDocs RT @CaptainKidney79: #JHMChat T4. Always remind me to ask trainees "why did you order that test?" | |
Vinny Arora MD MAPP @FutureDocs RT @Pahwa: @christosargyrop @captainkidney79 in the paper we talk a little about how no test is perfect (1/3 changed after biopsy!) #JHMChat | |
2nd Guess Med Boards @obinutuzumab RT @thebyrdlab: Truer words have never been Tweeted #JHMChat https://t.co/ab9szsNthk | |
Vinny Arora MD MAPP @FutureDocs RT @Nephro_Sparks: Really interesting chat. Thanks to @pahwa for joining #jhmchat | |
State Medical Board @rifapentine RT @CaptainKidney79: #JHMChat T3. Train renal fellow and residents to review urine microscopy and combine what they see with FENA | |
ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @Pahwa @CaptainKidney79 #JHMChat Raising the question that maybe ordering no test is called for and rely on clinical impression+f/u? #cynic | |
Amit Pahwa @Pahwa RT @ChristosArgyrop: @Pahwa @CaptainKidney79 #JHMChat Raising the question that maybe ordering no test is called for and rely on clinical impression+f/u? #cynic | |
Vinny Arora MD MAPP @FutureDocs Thx @pahwa!! Def gonna be more thoughtful about AKI work ups...#JHMChat | |
Amit Pahwa @Pahwa @futuredocs Thank You! #jhmchat | |
Daniel Wolfson @WolfsonD #JHMChat Thank you @ADAuerbachMD @Pahwa @FutureDocs @JHospMedicine @SHMLive | |
Journal of Hospital Medicine @JHospMedicine RT @WolfsonD: #JHMChat Thank you @ADAuerbachMD @Pahwa @FutureDocs @JHospMedicine @SHMLive | |
2nd Guess Med Boards @obinutuzumab RT @FutureDocs: Thx @pahwa!! Def gonna be more thoughtful about AKI work ups...#JHMChat | |
Journal of Hospital Medicine @JHospMedicine @WolfsonD @ADAuerbachMD @Pahwa @FutureDocs @SHMLive Thanks for joining us! #JHMChat | |
Joel M. Topf, MD FACP @kidney_boy Nice chat. Thanks. #jhmchat | |
Zackary Berger @DrZackaryBerger RT @CaptainKidney79: #JHMChat T4. Always remind me to ask trainees "why did you order that test?" | |
ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @Pahwa @CaptainKidney79 #JHMChat FDA is now re-evaluating NGAL so we will end up ordering many more of those w/o knowing what to do with 'em | |
Amit Pahwa @Pahwa @christosargyrop @captainkidney79 Ugh! #jhmchat | |
Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: @WolfsonD @ADAuerbachMD @Pahwa @FutureDocs @SHMLive Thanks for joining us! #JHMChat | |
Jonathan Rottersmith @jrottersmith RT @hswapnil: T3: T3: maybe this, eventually if we all reach it right? #JHMChat https://t.co/a979rtoX4L | |
John P Erwin III MD FACC @HeartOTXHeartMD RT @hswapnil: T3: T3: maybe this, eventually if we all reach it right? #JHMChat https://t.co/a979rtoX4L | |
Vinny Arora MD MAPP @FutureDocs RT @WolfsonD: #JHMChat Thank you @ADAuerbachMD @Pahwa @FutureDocs @JHospMedicine @SHMLive | |
Vinny Arora MD MAPP @FutureDocs RT @Pahwa: T4 when we go over evidence in rounds or starting therapy i ask residents to look at the study population in article #EBM #jhmchat | |
Vinny Arora MD MAPP @FutureDocs RT @Pahwa: T4 writing this taught me that tests should be performed in a the population they were validated in #jhmchat | |
Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: - @pahwa was definitely making this argument in the @JHospMedicine article #jhmchat https://t.co/JCyPVSgzdC https://t.co/GBdG1Zw8IS | |
Vinny Arora MD MAPP @FutureDocs RT @kidney_boy: takes a marginal test and makes it bad MT @HekmagsMD: takes a marginal test and makes it bad MT @HekmagsMD: @Wisit661 @JHospMedicine Hey friend, would you get FeNA in non-oliguria, too? #jhmchat | |
Vinny Arora MD MAPP @FutureDocs RT @wittykidney: #JHMChat on the same note, you don't need ultrasound in most of AKIs, but often r done to so called rule out obstruction | |
Vinny Arora MD MAPP @FutureDocs RT @Nephro_Sparks: T1: T1: my residents/fellows usually order b4 I see. I just tell them why it's not very useful (cardiorenal, hepatorenal, CIN ) #JHMchat agreed | |
Ñick van Terheyden, MD -Dr Ñiçk 🇺🇸🇬🇧🇮🇪🇳🇬🌍 @drnic1 RT @FutureDocs: Thx @pahwa!! Def gonna be more thoughtful about AKI work ups...#JHMChat | |
Amit Pahwa @Pahwa RT @ben_geisler: | |
Matthew Sparks, MD @Nephro_Sparks RT @HyungChoMD: @JHospMedicine #JHMChat If I ever create an initiative here on urine lytes, I’m calling it “The #FeNa or #FeNo project.” thanks @thebyrdlab | |
State Medical Board @rifapentine RT @JHospMedicine: - @pahwa was definitely making this argument in the @JHospMedicine article #jhmchat https://t.co/JCyPVSgzdC https://t.co/GBdG1Zw8IS | |
Society of Hospital Medicine @SocietyHospMed @SHMLive Thanks for joining #JHMChat on Things We Do for No Reason - FeNA in Eval of AKI Check out the convo: https://t.co/ujeGeWwPA5 |
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