#JHMChat Transcript
Healthcare social media transcript of the #JHMChat hashtag.
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See #JHMChat Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Journal of Hospital Medicine @JHospMedicine Greetings, I am @WrayCharles your moderator for tonight's joint #JHMChat #Nephjc chat! Please introduce yourself |
 | Society of Hospital Medicine @SocietyHospMed #JHMChat on cost of #AKI starts NOW! Join the chat w/ @JHospMedicine @WrayCharles @kidney_boy, then claim #CME: https://t.co/IUNse3MqeX https://t.co/ayqyhazCCl |
 | Nikhil Shah MBBS DNB(IM, Neph)🇨🇦 @dr_nikhilshah RT @SHMLive: #JHMChat on cost of #AKI starts NOW! Join the chat w/ @JHospMedicine @WrayCharles @kidney_boy, then claim #CME: https://t.co/IUNse3MqeX https://t.co/ayqyhazCCl |
 | Nephrology Journal Club @NephJC I am Joel Topf, not your moderator for tonight's #jhmchat |
 | Swapnil Hiremath @hswapnil@bsky.social @hswapnil Swapnil Hiremath, nephrologist from @OttawaRenal #NephJC cofounder No CoI #JHMchat https://t.co/hPTTCzb3nS |
 | Matthew Sparks, MD @Nephro_Sparks Matt Sparks, Nephrologist APD @DukeKidney no COI #JHMChat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil Hope to see author @Samuel_A_Silver - lot of questions lined up 🤔 #JHMchat |
 | Michelle Brooks, MD, SFHM @michellebr00ks Hello - I'm Michelle Brooks, academic hospitalist at VCU Health in Richmond, VA. Tonight's #JHMchat is being fueled by tamiflu and mucinex |
 | Tony Breu @tony_breu @JHospMedicine @WrayCharles Tony Breu, here from VA Boston #jhmchat |
 | Jay Koyner @jaykoyner jay koyner - nephrologist from uchicago - COI - i do AKI research #jhmchat |
| Nephrology Journal Club @NephJC hey Matt, hey Swap, thanks for joining #jhmchat |
| Nikhil Shah MBBS DNB(IM, Neph)🇨🇦 @dr_nikhilshah Nikhil Shah, Nephrologist and Home Dialysis fellow, Edmonton, Canada. Inaugural #NSMC intern #nephjc. No COI. #jhmchat |
 | Michelle Rheault @rheault_m RT @SHMLive: #JHMChat on cost of #AKI starts NOW! Join the chat w/ @JHospMedicine @WrayCharles @kidney_boy, then claim #CME: https://t.co/IUNse3MqeX https://t.co/ayqyhazCCl |
 | Silvi Shah, MD, MS @silvishah Silvi Shah transplant nephrologist Cincinnati no Coi #JHMChat |
 | Edgar V. Lerma 🇵🇭 @edgarvlermamd Edgar Lerma, Chicago-based Nephrologist #JHMChat https://t.co/YIt3J4Gxkl |
| Nephrology Journal Club @NephJC Jay! AKI researcher and content expert. I bet he's spent a few million on AKI therapy #jhmchat |
 | Scherly Leon, MD @SLeonMD Scherly Leon, nephrologist in NYC. Inaugural #NSMC intern #nephjc No COI #jhmchat |
 | Gates Colbert, MD @DoctorGates Dallas based Nephrologist. Texas A&M Faculty. NSMC Class of 2017. #AKI #jhmchat |
 | Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD Gary Singer small town nephrologist #JHMChat |
 | Ben Humphreys @HumphreysLab Ben Humphreys, physician-scientist and passionate about AKI #nephjc #JHMchat |
| Nephrology Journal Club @NephJC Hello Silvi, Edgar and Nikhil. The whole crew is here! #jhmchat |
 | Arvind Canchi (Conjeevaram)🇮🇳 @arvindcanchi Arvind Canchi, Nephrologist, Good Morning from Bangalore, #JHMchat |
 | Samuel Silver 🇨🇦🇮🇱 @drsamsilver Sam Silver, nephrologist, research fellow, lead author on tonight's paper #jhmchat |
 | Pravir @Proximal_Baxi Pravir Baxi, Chicago-based Nephrologist, Rush University Medical Center #jhmchat |
| Nephrology Journal Club @NephJC Welcome Gates Colbert, brand new #NSMC Intern! #jhmchat |
| Michelle Rheault @rheault_m @SHMLive #JHMChat Hi! Michelle Rheault Ped Neph University of MN. Don't forget the little beans. COI in bio. |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil Awesome, author in house! RT @Samuel_A_Silver: Sam Silver, nephrologist, research fellow, lead author on tonight's paper #jhmchat |
 | Amit Pahwa @Pahwa Amit Pahwa representing @Hopkins_GIM @HopkinsMedicine @Hopkins_DOM_HVC @hvpaa current subinternship director, HVC course 4 med stud #jhmchat |
| Nephrology Journal Club @NephJC @Samuel_A_Silver Lead author in the house! #jhmchat |
| Matthew Sparks, MD @Nephro_Sparks @NephRodby #jhmchat tonight |
 | Malvinder Parmar @wittykidney A nephtwitron with interests beyond nephrology. No COI. #jhmchat https://t.co/CTi2vGqjjX |
 | Helen Currier 🌻 @hxcurrier RT @NephJC: Some thoughts on Table 2 for tonight's #JHMChat https://t.co/H7M0seBkeG |
 | Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD Hector Madariaga. Nephrologist from Patriots Nation. #jhmchat |
 | Rebecca Jaffe, MD @RJmdphilly Rebecca Jaffe academic hospitalist in balmy PA. Not nephrologist and pardon any misplaced tweets re Sen Toomey #JHMChat |
| Journal of Hospital Medicine @JHospMedicine FYI. 4 topics tonight! Don't forget to tag your tweets with #JHMChat. T1 up in a moment… |
| Nephrology Journal Club @NephJC An embarrassment of riches! Hello Michelle, Pravir, Amit and Malvinder! #jhmchat |
 | Kenar Jhaveri @kdjhaveri RT @hswapnil: Awesome, author in house! RT @Samuel_A_Silver: Awesome, author in house! RT @Samuel_A_Silver: Sam Silver, nephrologist, research fellow, lead author on tonight's paper #jhmchat |
 | Vinny Arora MD MAPP @FutureDocs Hi Vinny Arora hospitalist from u chicago here on #jhmchat - excited to be a participant! |
 | Bea Concepcion @KidneyBea_n Bea Concepcion, transplant nephrologist in Nashville, no COI #jhmchat |
 | High Value Alliance @hvpaa RT @Pahwa: Amit Pahwa representing @Hopkins_GIM @HopkinsMedicine @Hopkins_DOM_HVC @hvpaa current subinternship director, HVC course 4 med stud #jhmchat |
| Journal of Hospital Medicine @JHospMedicine Great turnout tonight! Let's get started... #jhmchat |
 | Raymond Hsu @DrRaymondHsu Hi #JHMChat! Raymond Hsu nephrologist and researcher in SF, CA here #jhmchat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @Samuel_A_Silver: Sam Silver, nephrologist, research fellow, lead author on tonight's paper #jhmchat |
 | Joel M. Topf, MD FACP @kidney_boy @Pahwa remember to add #JHMChat so everyone can see your comment. Too funny. Love the fast and loose rules of e-journalism |
| Nikhil Shah MBBS DNB(IM, Neph)🇨🇦 @dr_nikhilshah Thanks Joel! #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil Bea and Gates: newest #NSMC interns in the chat. Awesome #jhmchat |
 | Nathaniel Reisinger @nephrothaniel Nathaniel Reisinger. Nephrology fellow in Philadelphia and newly minted NSMC Intern. Pleased to be here. #jhmchat |
| Journal of Hospital Medicine @JHospMedicine Want to welcome @kidneyboy and @Samuel_A_Silver as author of "Cost of AKI in Hosp Pt" as our special guests tonight #jhmchat |
| Nephrology Journal Club @NephJC Bing! RT @nephrothaniel: Nathaniel Reisinger. Nephrology fellow in Philadelphia and newly minted NSMC Intern. Pleased to be here. #jhmchat |
| Matthew Sparks, MD @Nephro_Sparks @ShannonMartinMD Hi Shannon. should be a nice chat #JHMChat |
| Jay Koyner @jaykoyner @NephJC - im from @uchicago where we are very aware of #costofcare #jhmchat ask @futuredoc we have saved a few million #jhmchat |
| Journal of Hospital Medicine @JHospMedicine T1: The marker for AKI was high spec/low sens. Are we comfortable with this? How does this affect conclusions of paper? #JHMChat |
| Matthew Sparks, MD @Nephro_Sparks RT @hswapnil: Bea and Gates: Bea and Gates: newest #NSMC interns in the chat. Awesome #jhmchat |
| Nikhil Shah MBBS DNB(IM, Neph)🇨🇦 @dr_nikhilshah Nephrologists and NSMC rocking this chat! Welcome to all #NSMC interns. #jhmchat |
| Amit Pahwa @Pahwa @JHospMedicine only because you are moderating @WrayCharles #jhmchat |
| Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: FYI. 4 topics tonight! Don't forget to tag your tweets with #JHMChat. T1 up in a moment… |
| Nephrology Journal Club @NephJC Not to be pedantic, but it's @Kidney_boy MT @JHospMedicine: Want to welcome @kidneyboy and @Samuel_A_Silver lead author #jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @hswapnil: Bea and Gates: Bea and Gates: newest #NSMC interns in the chat. Awesome #jhmchat |
| Matthew Sparks, MD @Nephro_Sparks @FutureDocs Hi Vinny. Have been looking forward to this one #JHMChat |
| Society of Hospital Medicine @SocietyHospMed T1 is LIVE! Join us now discussing cost of #AKI! #JHMChat https://t.co/DlJ9dm2VBY |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil T1: very specific = included more severe AKI. Cost of mild AKI might be different (mostly lower) can't generalize #jhmchat |
| Scherly Leon, MD @SLeonMD RT @SHMLive: T1 is LIVE! Join us now discussing cost of #AKI! #JHMChat https://t.co/DlJ9dm2VBY |
| Matthew Sparks, MD @Nephro_Sparks @jaykoyner Hi Jay #jhmchat |
| Nephrology Journal Club @NephJC @jaykoyner @NephJC @UChicago @Futuredoc I remember those ICUs. We spent money like drunken sailors! #jhmchat |
| Journal of Hospital Medicine @JHospMedicine Glad you could join us, Nathaniel! https://t.co/Tian6QNaGJ |
| Tony Breu @tony_breu @hswapnil But total cost to healthcare system is likely underestimated (even if per patient is overestimated). #jhmchat |
| Vinny Arora MD MAPP @FutureDocs @Nephro_Sparks thx for coming #jhmchat and great to see #nephjc community @kidney_boy too ! |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephJC @kidney_boy @JHospMedicine (off topic: Story of Margaret Atwood and Joel: https://t.co/FONrEaJviU) #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil Hmm Maybe MT @tony_breu: But total cost to healthcare system is likely underestimated (even if per patient is overestimated). #jhmchat |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd Kidney Attack from @JAMA_current by @kellumja @BellomoRinaldo @croncoIRRIV #Nephpearls #JHMChat https://t.co/KOh8RIphMb https://t.co/yUyyOlm7g0 |
| Vinny Arora MD MAPP @FutureDocs RT @jaykoyner: @NephJC - im from @uchicago where we are very aware of #costofcare #jhmchat ask @futuredoc we have saved a few million #jhmchat |
| Nephrology Journal Club @NephJC T1: except when Chertow looked using Cr, a more sensitive marker he got higher adj cost: $4,886 for Cr up by 0.3 mg/dl #jhmchat |
| Jay Koyner @jaykoyner @NephJC @Futuredocs - those were different times - now we spend money on VADs and ECMO and spare the renal u/s and urine eos #jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @tony_breu: @hswapnil But total cost to healthcare system is likely underestimated (even if per patient is overestimated). #jhmchat |
| Malvinder Parmar @wittykidney @SHMLive not sure, these were billing codes used on data from 2012, there is high likelihood of errors in such codes #JHMChat |
| Matthew Sparks, MD @Nephro_Sparks RT @jaykoyner: those were different times - now we spend money on VADs and ECMO and spare the renal u/s and urine eos #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @jaykoyner: @NephJC @Futuredocs - those were different times - now we spend money on VADs and ECMO and spare the renal u/s and urine eos #jhmchat |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd The AKI Effect #Nephpearls #JHMChat https://t.co/w7UIF1Ap27 https://t.co/g0bfCE3h4m |
 | Franklin Loachamin @FranLoachamin RT @JHospMedicine: A GIF Is Worth 3000 Words: New #VisualAbstract for #JHMChat: A GIF Is Worth 3000 Words: New #VisualAbstract for #JHMChat: THIS MONDAY 9p ET! @WrayCharles @kidney_boy #nephjc https://t.co/fJSpk1ZhKO https://t.co/zyRDtcLTHL |
| Jay Koyner @jaykoyner @Nephro_Sparks hey matt - hope all is well and you are ready to get your AKI on - #jhmchat |
| Tony Breu @tony_breu @hswapnil The ICD-9 used allowed for higher paying DRGs (as it allows for CC/MCC) which increases charges to Medicare #jhmchat |
| Malvinder Parmar @wittykidney @JHospMedicine @WrayCharles @kidney_boy adjusted costs & LoS > unadjusted, opposite of fig 2. Is this correct? #JHMChat #NephJC |
| Kenar Jhaveri @kdjhaveri RT @jaykoyner: @NephJC @Futuredocs - those were different times - now we spend money on VADs and ECMO and spare the renal u/s and urine eos #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @tony_breu: @hswapnil The ICD-9 used allowed for higher paying DRGs (as it allows for CC/MCC) which increases charges to Medicare #jhmchat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @edgarvlermamd: The AKI Effect #Nephpearls #JHMChat https://t.co/w7UIF1Ap27 https://t.co/g0bfCE3h4m |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD RT @edgarvlermamd: The AKI Effect #Nephpearls #JHMChat https://t.co/w7UIF1Ap27 https://t.co/g0bfCE3h4m |
| Nephrology Journal Club @NephJC @wittykidney @JHospMedicine @WrayCharles @kidney_boy No. Adjusted costs and LOS were both shorter I thought #jhmchat |
| Vinny Arora MD MAPP @FutureDocs @jaykoyner @NephJC Perhaps it's the kidney intensivists? #jhmchat |
| Journal of Hospital Medicine @JHospMedicine Great point! Begs the question as to why different definitions of AKI used on this study vs. Chertows 2005 study #jhmchat https://t.co/EPrxXWAlYs |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: Want to welcome @kidneyboy and @Samuel_A_Silver as author of "Cost of AKI in Hosp Pt" as our special guests tonight #jhmchat |
| Society of Hospital Medicine @SocietyHospMed RT @NephJC: T1: except when Chertow looked using Cr, a more sensitive marker he got higher adj cost: T1: except when Chertow looked using Cr, a more sensitive marker he got higher adj cost: $4,886 for Cr up by 0.3 mg/dl #jhmchat |
| Nephrology Journal Club @NephJC I don't understand this. Can someone explain? MT @tony_breu: ICD-9 used allowed for higher paying DRGs... #jhmchat |
 | Pablo Garcia @PabloGarciaMD #jhmchat Pablo Garcia. NSMC class of 2017. New Brunswick, NJ no CoI |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd Association between AKI severity and survival, mortality, length of stay, increase in care, readmission #JHMChat https://t.co/Q2CprT8r0k https://t.co/Rdt6omBHi7 |
| Matthew Sparks, MD @Nephro_Sparks RT @PabloGarciaMD: #jhmchat Pablo Garcia. NSMC class of 2017. New Brunswick, NJ no CoI |
| Nephrology Journal Club @NephJC Hey Pablo! RT @PabloGarciaMD: #jhmchat Pablo Garcia. NSMC class of 2017. New Brunswick, NJ no CoI |
| Jay Koyner @jaykoyner @FutureDocs @NephJC oh thats me vinny ICU neph - plenty of $$$ on CRRT but have tried to cut back on UNneccessary tests #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephJC @wittykidney @JHospMedicine @WrayCharles @kidney_boy yup, adjusted << unadjusted #JHMchat (not sure, hope to learn more tonight_) https://t.co/Fw0crKOGX9 |
| Malvinder Parmar @wittykidney @NephJC @JHospMedicine @WrayCharles @kidney_boy but the visual abstract tells otherwise, that's what I wanted to point out #JHMChat |
| Samuel Silver 🇨🇦🇮🇱 @drsamsilver adjusted models all produced lower estimates than unadjusted models #jhmchat https://t.co/QYFUDLVrEs |
| Arvind Canchi (Conjeevaram)🇮🇳 @arvindcanchi #jhmchat https://t.co/ZxozSnI1gF |
| Journal of Hospital Medicine @JHospMedicine For those of you just joining us, we're discussing @Samuel_A_Silver's article on AKI & Costs #JHMChat with the #NephJC crowd https://t.co/9RhopxZ81k |
| Tony Breu @tony_breu @NephJC Adding “Acute kidney failure” to a primary diagnosis increases the Medicare payment for the primary diagnosis). #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @Samuel_A_Silver how was that? (maybe its a different topic coming up, let's not jump the gun!) #jhmchat |
| Journal of Hospital Medicine @JHospMedicine For those of you just joining us, we're discussing @Samuel_A_Silver's article on AKI & Costs #JHMChat with the... https://t.co/iiFYoIRIPo |
 | 𝙼𝚊𝚝𝚝 𝙻𝚞𝚝𝚑𝚎𝚛 @DrJMLuther RT @hswapnil: @NephJC @kidney_boy @JHospMedicine (off topic: Story of Margaret Atwood and Joel: @NephJC @kidney_boy @JHospMedicine (off topic: Story of Margaret Atwood and Joel: https://t.co/FONrEaJviU) #jhmchat |
| Matthew Sparks, MD @Nephro_Sparks RT @JHospMedicine: For those of you just joining us, we're discussing @Samuel_A_Silver's article on AKI & Costs #JHMChat with the #NephJC crowd https://t.co/9RhopxZ81k |
| Vinny Arora MD MAPP @FutureDocs @jaykoyner @NephJC lol I know ;) just kidding #jhmchat |
| Gates Colbert, MD @DoctorGates #AKI unfortunately is too often ignored in the hospital. Most don't pay attention until the LAB Creatinine is RED, has a ! or H. #jhmchat |
| Kenar Jhaveri @kdjhaveri @edgarvlermamd have u used the nephrocheck in practice? #jhmchat |
| Society of Hospital Medicine @SocietyHospMed It's not to late to join the #JHMChat conversation! https://t.co/c1QiDJ8y8B |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil BTW, welcome also to Pablo and Nate, two more #NSMC interns! #jhmchat |
| Joel M. Topf, MD FACP @kidney_boy RT @tony_breu: @NephJC Adding “Acute kidney failure” to a primary diagnosis increases the Medicare payment for the primary diagnosis). #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @JHospMedicine: T1: T1: The marker for AKI was high spec/low sens. Are we comfortable with this? How does this affect conclusions of paper? #JHMChat |
| Amit Pahwa @Pahwa @tony_breu @NephJC love the healthcare payment chat here #jhmchat |
| Society of Hospital Medicine @SocietyHospMed Be sure to tag #JHMChat in all of your tweets so they can be indexed and seen by other participants! |
| Kenar Jhaveri @kdjhaveri RT @edgarvlermamd: Kidney Attack from @JAMA_current by @kellumja @BellomoRinaldo @croncoIRRIV #Nephpearls #JHMChat https://t.co/KOh8RIphMb https://t.co/yUyyOlm7g0 |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @tony_breu: @NephJC Adding “Acute kidney failure” to a primary diagnosis increases the Medicare payment for the primary diagnosis). #jhmchat |
| Helen Currier 🌻 @hxcurrier RT @JHospMedicine: For those of you just joining us, we're discussing @Samuel_A_Silver's article on AKI & Costs #JHMChat with the #NephJC crowd https://t.co/9RhopxZ81k |
| Nephrology Journal Club @NephJC @tony_breu do you think this biases the results? Do you think there is over coding because of this? #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @DoctorGates: #AKI unfortunately is too often ignored in the hospital. Most don't pay attention until the LAB Creatinine is RED, has a ! or H. #jhmchat |
| Vinny Arora MD MAPP @FutureDocs @tony_breu @NephJC oh those coding queries for "renal failure" #jhmchat |
| Journal of Hospital Medicine @JHospMedicine Great point, Gates! The unfortunate side effect of practicing categorical medicine in a continuous world #jhmchat https://t.co/iDkrZ6dyt4 |
| Michelle Rheault @rheault_m RT @DoctorGates: #AKI unfortunately is too often ignored in the hospital. Most don't pay attention until the LAB Creatinine is RED, has a ! or H. #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @DoctorGates indeed, so less sensitive, more specific. #jhmchat |
| Matthew Sparks, MD @Nephro_Sparks @NephJC @tony_breu can't fake the AKI with HD @kidney_boy #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @DoctorGates: #AKI unfortunately is too often ignored in the hospital. Most don't pay attention until the LAB Creatinine is RED, has a ! or H. #jhmchat |
| Scherly Leon, MD @SLeonMD RT @JHospMedicine: For those of you just joining us, we're discussing @Samuel_A_Silver's article on AKI & Costs #JHMChat with the #NephJC crowd https://t.co/9RhopxZ81k |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD @DoctorGates late renal consult = increased cost and LOS #jhmchat |
| Amit Pahwa @Pahwa @NephJC @tony_breu there is not overcodin which is illegal but more people being specific to get the dollars #JHMchat |
| Tony Breu @tony_breu @NephJC Not necessarily overcoding. It may be accurate, but it’s also going to up the reimbursement when “AKI from ATN” is listed #jhmchat |
| Journal of Hospital Medicine @JHospMedicine 3 more topics to go! We'll be announcing T2 shortly #JHMChat |
| Samuel Silver 🇨🇦🇮🇱 @drsamsilver sorry @hswapnil first journal chat...maybe got a little excited! #jhmchat |
 | Roger Rodby @NephRodby Roger Rodby, Chicago Rush, back from Chat room limbo #jhmchat |
| Jay Koyner @jaykoyner RT @GarySingerMD: @DoctorGates late renal consult = increased cost and LOS #jhmchat |
 | miguel villagra @drvillagra Love this interactive journal club #JHMChat |
| Matthew Sparks, MD @Nephro_Sparks @DoctorGates but recall @methodsmanmd 's AKI alert paper. No help #JHMChat |
| Michelle Brooks, MD, SFHM @michellebr00ks @FutureDocs - and now the stages of AKI! #JHMchat |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd AKI: Is early detection cost-effective⁉ #JHMChat #Nephpearls https://t.co/k0oIH2dHRC https://t.co/CHqSXdmAOO |
| Nephrology Journal Club @NephJC @Nephro_Sparks @NephJC @tony_breu The AKI-D dx was highly sensitive and Specific. The AKI was sold as specific not sensitive. #jhmchat |
| Malvinder Parmar @wittykidney @NephJC @tony_breu hospitals often over code and recommend MDs to do so #JHMchat |
| Raymond Hsu @DrRaymondHsu T1 authors excluded upfront thoe concurrent ESRD codes, likely strengthening "true" AKI & AKI-D cases #jhmchat |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd Improving AKI outcomes from @JAMA_current by @kellumja @BellomoRinaldo @croncoIRRIV #Nephpearls #JHMChat https://t.co/KOh8RIphMb https://t.co/Vb3Ds9SSch |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd AKI Biomarkers vs the Urinalysis: Have We Found the Kidney Troponin? #Nephpearls #JHMChat https://t.co/zwwy5rLCtO via @AJKDonline |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil Good point! @DrRaymondHsu: T1 authors excluded upfront thoe concurrent ESRD codes, likely strengthening "true" AKI & AKI-D cases #jhmchat |
 | PRN Pain @DrCockyMD RT @DoctorGates: #AKI unfortunately is too often ignored in the hospital. Most don't pay attention until the LAB Creatinine is RED, has a ! or H. #jhmchat |
| Scherly Leon, MD @SLeonMD RT @edgarvlermamd: AKI Biomarkers vs the Urinalysis: AKI Biomarkers vs the Urinalysis: Have We Found the Kidney Troponin? #Nephpearls #JHMChat https://t.co/zwwy5rLCtO via @AJKDonline |
| Joel M. Topf, MD FACP @kidney_boy RT @JHospMedicine: Great point, Gates! The unfortunate side effect of practicing categorical medicine in a continuous world #jhmchat https://t.co/iDkrZ6dyt4 |
| PRN Pain @DrCockyMD RT @JHospMedicine: A GIF Is Worth 3000 Words: New #VisualAbstract for #JHMChat: A GIF Is Worth 3000 Words: New #VisualAbstract for #JHMChat: THIS MONDAY 9p ET! @WrayCharles @kidney_boy #nephjc https://t.co/fJSpk1ZhKO https://t.co/zyRDtcLTHL |
| Journal of Hospital Medicine @JHospMedicine RT @DrRaymondHsu: T1 authors excluded upfront thoe concurrent ESRD codes, likely strengthening "true" AKI & AKI-D cases #jhmchat |
| Jay Koyner @jaykoyner @arvindcanchi @Nephro_Sparks - that doesnt stop folks from sending it (non-neph) #jhmchat - and lab wont remove it from orders |
 | Daniel Wolfson @WolfsonD #JHMChat Glad to join this session. @SHMLive @ABIMFoundation #choosingwisely |
| Vinny Arora MD MAPP @FutureDocs Coding query PTSD #jhmchat https://t.co/b977wG7Ne7 |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd Potential role for novel biomarkers in AKI #Nephpearls #JHMChat https://t.co/k0oIH2dHRC https://t.co/3yR9aT5PjQ |
| Roger Rodby @NephRodby LOS increased 3 days, cost only $7900? you can't get a tylenol for for $3900, what am I missing? #jhmchat |
| Rebecca Jaffe, MD @RJmdphilly I'll like anything from @methodsmanmd :) https://t.co/ia8QYh31u1 |
| Raymond Hsu @DrRaymondHsu In our prior study found ~30% AKI-D had ESRD code also, though some may be true AKI-D --> ESRD. not possible to tease out with data #jhmchat |
| Journal of Hospital Medicine @JHospMedicine Glad to have you, Daniel! Great conversation going right now! https://t.co/tB9gst05hE |
| Malvinder Parmar @wittykidney @DrRaymondHsu but pts with AKI had higher % of CKD and other comorbidities that will result in AKI #JHMchat |
 | Aelaf Worku @DrAelaf Agreed. The effort by clinicians to trend against baseline renal failure function is too inconsistent https://t.co/9T0I1d3Gvc |
| Samuel Silver 🇨🇦🇮🇱 @drsamsilver good validation studies on AKI codes to support their use #jhmchat https://t.co/9ZE3wp12Lr |
| Journal of Hospital Medicine @JHospMedicine T2: Urban Teaching hospitals are noted 2 be more expensive than other locales. Thoughts? Real finding or confounding? #JHMChat #jhmchat |
 | Anna Burgner MD MEHP @anna_burgner Hey! This is Anna Burgner, Vanderbilt Nephrologist with No COI. Sorry I'm late! #jhmchat |
| Kenar Jhaveri @kdjhaveri @DoctorGates #jhmchat totally agree. sometimes we get too late and crt had doubled from 0.4 to 0.8 and then 1.2 ( still not RED) |
| Tony Breu @tony_breu @NephRodby Payment based on DRG (for Medicare), not fee for service. #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @JHospMedicine: T2: T2: Urban Teaching hospitals are noted 2 be more expensive than other locales. Thoughts? Real finding or confounding? #JHMChat #jhmchat |
| Matthew Sparks, MD @Nephro_Sparks RT @RJmdphilly: I'll like anything from @methodsmanmd :) https://t.co/ia8QYh31u1 |
| Kenar Jhaveri @kdjhaveri RT @edgarvlermamd: Potential role for novel biomarkers in AKI #Nephpearls #JHMChat https://t.co/k0oIH2dHRC https://t.co/3yR9aT5PjQ |
| Nephrology Journal Club @NephJC @NephRodby that's nothing compared to the $800 saving from having a GI Bleed🤔 #jhmchat |
| Matthew Sparks, MD @Nephro_Sparks explain that please! RT @NephJC: @NephRodby that's nothing compared to the $800 saving from having a GI Bleed🤔 #jhmchat |
| Kenar Jhaveri @kdjhaveri @NephJC @NephRodby What is the cost of "calling a nephrologist" ;) #jhmchat |
| Vinny Arora MD MAPP @FutureDocs We did cover that in a previous #jhmchat with @Pahwa ! #choosingwisely https://t.co/Z50KbzXTCk |
| Michelle Brooks, MD, SFHM @michellebr00ks seriously - and it's about $1/ml of NS, so those 3 L of IVF you got are going to run you about $3000. #JHMChat https://t.co/frCawNTIhZ |
| Nephrology Journal Club @NephJC Hey Anna, thanks for making it. The author is about to tell us how we can save money by causing GI bleeds and cardiac arrests #jhmchat |
| Malvinder Parmar @wittykidney @JHospMedicine confounding with regards to hospital size, underlying comorbidities #JHMchat |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD @DrRaymondHsu can you use @USRDS data set to tease out? #jhmchat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @JHospMedicine: T2: T2: Urban Teaching hospitals are noted 2 be more expensive than other locales. Thoughts? Real finding or confounding? #JHMChat #jhmchat |
| Samuel Silver 🇨🇦🇮🇱 @drsamsilver @nephrodby those were mean costs attributed to AKI; not total costs #jhmchat |
| Matthew Sparks, MD @Nephro_Sparks @kdjhaveri @DoctorGates again cue the @methodsmanmd paper. In the surgical wards actually needed more HD #jhmchat |
| Rebecca Jaffe, MD @RJmdphilly RT @JHospMedicine: T2: T2: Urban Teaching hospitals are noted 2 be more expensive than other locales. Thoughts? Real finding or confounding? #JHMChat #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @JHospMedicine Shocking. See supp T3. Suspect missing residual confounding (or teaching hosp waste money?) #JHMchat https://t.co/hLdX1k9G80 |
| Gates Colbert, MD @DoctorGates @DrRaymondHsu I feel like almost no one recodes the diagnosis if AKI -> dialysis or AKI -> CKD. #EMRHasselFactor #jhmchat |
| Scherly Leon, MD @SLeonMD @michellebr00ks ridiculous! #jhmchat |
| Aelaf Worku @DrAelaf Agreed. While case mix is a challenge in the former, they also get compensated with a Lin enhanced DRG for being a teaching Hosp #jhmchat https://t.co/VX3DhpfT3l |
| Raymond Hsu @DrRaymondHsu @GarySingerMD @DrRaymondHsu yes if linkable, but this national data is has no identifier #jhmchat |
| Michelle Brooks, MD, SFHM @michellebr00ks I'm not surprised that GI bleeds are cheaper - no heparin prophylaxis, NPO, IV PPI - orders are easy as a hospitalist. #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @Samuel_A_Silver @NephRodby so AKI pt with GI bleed = 860$ cheaper than without GI bleed? Why would that be?? #jhmchat |
| Malvinder Parmar @wittykidney @NephJC arrests don't resuscitate will save money, GI bleed, not clear if let them bleed #JHMchat |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: T2: T2: Urban Teaching hospitals are noted 2 be more expensive than other locales. Thoughts? Real finding or confounding? #JHMChat #jhmchat |
| Nephrology Journal Club @NephJC @hswapnil @JHospMedicine Interns always order everything. Get in trouble for not getting a test, rarely for ordering unnecessaries #jhmchat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @hswapnil: @JHospMedicine Shocking. See supp T3. Suspect missing residual confounding (or teaching hosp waste money?) #JHMchat https://t.co/hLdX1k9G80 |
| Journal of Hospital Medicine @JHospMedicine Teaching hospitals love their zebras and fancy work-ups...? https://t.co/dVLcx9MKw1 |
| Matthew Sparks, MD @Nephro_Sparks @michellebr00ks no scopy for GI bleedy? #jhmchat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @wittykidney: @JHospMedicine confounding with regards to hospital size, underlying comorbidities #JHMchat |
| Nephrology Journal Club @NephJC @michellebr00ks but there is the pesky EGD/C-scope. Not Free💰 #jhmchat |
| Raymond Hsu @DrRaymondHsu @DoctorGates @DrRaymondHsu there is a lot of re-labelling of AKI-D to ESRD to facilitate discharge #jhmchat |
| Jay Koyner @jaykoyner @hswapnil @Samuel_A_Silver @NephRodby i b/c the GI bleed explains the AKI and is readily managed vs other sources which R complex? #jhmchat |
| Amit Pahwa @Pahwa @NephJC @hswapnil You can change the culture - medical students notice too - https://t.co/NhK7BUT0vT #JHMChat |
 | Irsk Anderson @ijanders1 @NephJC @michellebr00ks cost of blood products? #jhmchat |
| Samuel Silver 🇨🇦🇮🇱 @drsamsilver agree with @hswapnil lots of residual confounding, but Fischer et al found same thing in their study re: $$$ academic hospital #jhmchat |
| Joel M. Topf, MD FACP @kidney_boy RT @Pahwa: @NephJC @hswapnil You can change the culture - medical students notice too - https://t.co/NhK7BUT0vT #JHMChat |
| Amit Pahwa @Pahwa @DrRaymondHsu @DoctorGates although medicare now pays for AKI-D!!!! #JHMChat |
| Matthew Sparks, MD @Nephro_Sparks This is truth (but changing now) #JHMChat Coding Changes with Policy https://t.co/cfPvmDaXiX |
| Journal of Hospital Medicine @JHospMedicine #JHMChat had a discussion about this a few months back. Residents under lots of pressure to order tests https://t.co/cuXCX6MWSW |
| Michelle Brooks, MD, SFHM @michellebr00ks True! I'm blaming the tamiflu for all my mistakes tonight. #JHMChat Or are GI docs charging less for EGD/scope than nephrologists for HD? https://t.co/ljspKM788r |
| Society of Hospital Medicine @SocietyHospMed #JHMChat T2 is live, join us in discussing cost of #AKI https://t.co/RBrKecUKk0 |
| Journal of Hospital Medicine @JHospMedicine RT @Samuel_A_Silver: agree with @hswapnil lots of residual confounding, but Fischer et al found same thing in their study re: agree with @hswapnil lots of residual confounding, but Fischer et al found same thing in their study re: $$$ academic hospital #jhmchat |
| Raymond Hsu @DrRaymondHsu Yup, interesting to see if ESRD incidence decreases substantially this year #jhmchat |
| Malvinder Parmar @wittykidney @michellebr00ks system won't save money, hospitals might - start PPI, send pt home, do scope on out-patient basis & get extra $ #JHMchat |
| Gates Colbert, MD @DoctorGates @NephJC @hswapnil @JHospMedicine Correct. Residents can hide unnecessary NEG tests by conveniently not mentioning them in rounds #jhmchat |
| Irsk Anderson @ijanders1 Sorry. Irsk Anderson. @UChicagoMed Late to conversation. Kids with gastro! Ugh! #jhmchat https://t.co/UESFDAuwiq |
| Vinny Arora MD MAPP @FutureDocs . @ValueVictoria will share research at @SHMLive on Inc costs in teaching hosp @ChrisMoriates @sumantranji #jhmchat (not Aki) https://t.co/QGQZMQUWaU |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: T2: T2: Urban Teaching hospitals are noted 2 be more expensive than other locales. Thoughts? Real finding or confounding? #JHMChat #jhmchat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @FutureDocs: . @ValueVictoria will share research at @SHMLive on Inc costs in teaching hosp @ChrisMoriates @sumantranji #jhmchat (not Aki) https://t.co/QGQZMQUWaU |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil Maybe patients who have CPR/GI bleed = more likely to die, so save money? Possible @samuel_A_silver ? or too cynical? #jhmchat |
| Rebecca Jaffe, MD @RJmdphilly @Nephro_Sparks @michellebr00ks AKI in GIB is $ saver cause GI less likely to scope #jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @FutureDocs: . @ValueVictoria will share research at @SHMLive on Inc costs in teaching hosp @ChrisMoriates @sumantranji #jhmchat (not Aki) https://t.co/QGQZMQUWaU |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @Samuel_A_Silver: agree with @hswapnil lots of residual confounding, but Fischer et al found same thing in their study re: agree with @hswapnil lots of residual confounding, but Fischer et al found same thing in their study re: $$$ academic hospital #jhmchat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @wittykidney: @michellebr00ks system won't save money, hospitals might - start PPI, send pt home, do scope on out-patient basis & get extra $ #JHMchat |
| Matthew Sparks, MD @Nephro_Sparks this happens RT @DoctorGates: Residents can hide unnecessary NEG tests by conveniently not mentioning them in rounds #jhmchat |
| Roger Rodby @NephRodby Dialysis cheap, scope not? #jhmchat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @RJmdphilly: @Nephro_Sparks @michellebr00ks AKI in GIB is $ saver cause GI less likely to scope #jhmchat |
| Amit Pahwa @Pahwa @FutureDocs @arvindcanchi - read about it here - https://t.co/d2nJq0ksHO #JHMChat |
| Nephrology Journal Club @NephJC Why was COPD and CHF not included in Table 2. Very common hospital admissions. Surprised not to find them. #jhmchat |
| Scherly Leon, MD @SLeonMD @kdjhaveri @DoctorGates no #alternativefacts detected. #jhmchat |
| Irsk Anderson @ijanders1 @hswapnil @Samuel_A_Silver likely very true even if morbid :) #jhmchat |
| Journal of Hospital Medicine @JHospMedicine Glad to have you, Irsk! #jhmchat https://t.co/0eJFNmHskL |
| Raymond Hsu @DrRaymondHsu @Samuel_A_Silver is the negative cost associated with GI bleed due to adjusting away by the transfusion procedure? collinear? #jhmchat |
| Matthew Sparks, MD @Nephro_Sparks @RJmdphilly never seen that. GI not deterred by AKI to scope. #jhmchat |
| Nephrology Journal Club @NephJC Bing Bing Bing. We have a winner RT @RJmdphilly: @Nephro_Sparks @michellebr00ks AKI in GIB is $ saver cause GI less likely to scope #jhmchat |
| Kenar Jhaveri @kdjhaveri @DrRaymondHsu @DoctorGates Some hospitals have an "outpatient" bed for some of those AKI-D patients as they can come outpatients #jhmchat |
| Irsk Anderson @ijanders1 @Nephro_Sparks @DoctorGates until attending lurking in EHR:) #jhmchat |
| Irsk Anderson @ijanders1 RT @Pahwa: @FutureDocs @arvindcanchi - read about it here - https://t.co/d2nJq0ksHO #JHMChat |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd @Samuel_A_Silver @hswapnil Just to be clear residual confounding is N🚫T the same as #alternatefacts ‼ #JHMChat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @NephJC: Bing Bing Bing. We have a winner RT @RJmdphilly: Bing Bing Bing. We have a winner RT @RJmdphilly: @Nephro_Sparks @michellebr00ks AKI in GIB is $ saver cause GI less likely to scope #jhmchat |
| Matthew Sparks, MD @Nephro_Sparks @kdjhaveri @DrRaymondHsu @DoctorGates not anymore #PolicyChange #jhmchat |
| Rebecca Jaffe, MD @RJmdphilly @Nephro_Sparks tongue in cheek. Depends on anesthesia. #jhmchat |
| Nephrology Journal Club @NephJC See a smart comment? Punch the follow button. Improve your personal learning network! #jhmchat |
| Nathaniel Reisinger @nephrothaniel @NephJC #jhmchat Mentioned in the Discussion section. Were not able to assess severity. |
| Vinny Arora MD MAPP @FutureDocs RT @DoctorGates: @NephJC @hswapnil @JHospMedicine Correct. Residents can hide unnecessary NEG tests by conveniently not mentioning them in rounds #jhmchat |
| Jay Koyner @jaykoyner @Nephro_Sparks @RJmdphilly agreed Matt- GI will scope with AKI - the other day tried to scope patient while getting IHD.... #jhmchat |
| Gates Colbert, MD @DoctorGates @Nephro_Sparks No Resident blurts out PET-CT was negative! on the "tummy ache" chief complaint :) #jhmchat |
| Matthew Sparks, MD @Nephro_Sparks RT @jaykoyner: @Nephro_Sparks @RJmdphilly agreed Matt- GI will scope with AKI - the other day tried to scope patient while getting IHD.... #jhmchat |
| Samuel Silver 🇨🇦🇮🇱 @drsamsilver GI bleed low likely from case mix and residual confouding; low LOS also #jhmchat |
| Nephrology Journal Club @NephJC @Nephro_Sparks @RJmdphilly disagree, see "will scope as outpatient" lots in medically complex pts (i.e. AKI) #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @NephJC: Bing Bing Bing. We have a winner RT @RJmdphilly: Bing Bing Bing. We have a winner RT @RJmdphilly: @Nephro_Sparks @michellebr00ks AKI in GIB is $ saver cause GI less likely to scope #jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @NephJC: See a smart comment? Punch the follow button. Improve your personal learning network! #jhmchat |
| Society of Hospital Medicine @SocietyHospMed Claim your #CME after tonight's #JHMChat here: https://t.co/hhCBLWa26a Eval is open til 11PM EST! |
| Joel M. Topf, MD FACP @kidney_boy RT @Samuel_A_Silver: GI bleed low likely from case mix and residual confouding; low LOS also #jhmchat |
| Journal of Hospital Medicine @JHospMedicine Couple more minutes until T3 is up…#JHMChat |
| Scherly Leon, MD @SLeonMD RT @SHMLive: Claim your #CME after tonight's #JHMChat here: Claim your #CME after tonight's #JHMChat here: https://t.co/hhCBLWa26a Eval is open til 11PM EST! |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil also, Hospitals in New England most expensive! #JHMChat Unlike @Atul_Gawande stories https://t.co/LczTXHwvKL https://t.co/MUwQG510Ej |
| Matthew Sparks, MD @Nephro_Sparks @NephJC that's too bad. Have not seen that happen in AKI for me #jhmchat |
| Irsk Anderson @ijanders1 @jaykoyner @Nephro_Sparks @RJmdphilly that is plain awesome! #jhmchat go @UChicagoMed |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: See a smart comment? Punch the follow button. Improve your personal learning network! #jhmchat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @NephJC: Why was COPD and CHF not included in Table 2. Very common hospital admissions. Surprised not to find them. #jhmchat |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD RT @DoctorGates: @Nephro_Sparks No Resident blurts out PET-CT was negative! on the "tummy ache" chief complaint :) #jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @SHMLive: Claim your #CME after tonight's #JHMChat here: Claim your #CME after tonight's #JHMChat here: https://t.co/hhCBLWa26a Eval is open til 11PM EST! |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @Samuel_A_Silver: GI bleed low likely from case mix and residual confouding; low LOS also #jhmchat |
| Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: Couple more minutes until T3 is up…#JHMChat |
| Society of Hospital Medicine @SocietyHospMed RT @NephJC: See a smart comment? Punch the follow button. Improve your personal learning network! #jhmchat |
 | HofNorthwell Kidney @HofstraKidney Do you think our workup is expensive for #AKI? #jhmchat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @DoctorGates: @NephJC @hswapnil @JHospMedicine Correct. Residents can hide unnecessary NEG tests by conveniently not mentioning them in rounds #jhmchat |
| Pablo Garcia @PabloGarciaMD RT @NephJC: See a smart comment? Punch the follow button. Improve your personal learning network! #jhmchat |
| Daniel Wolfson @WolfsonD #jhmchat Why is there no discuss of shared decision making w hemodialysis? @JHospMedicine @SHMLive @FutureDocs |
| HofNorthwell Kidney @HofstraKidney Do all patients need renal sonograms? #jhmchat |
| Matthew Sparks, MD @Nephro_Sparks don't think it is workup. it is LOS other complications RT @HofstraKidney: Do you think our workup is expensive for #AKI? #jhmchat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @Samuel_A_Silver: GI bleed low likely from case mix and residual confouding; low LOS also #jhmchat |
| Jay Koyner @jaykoyner @HofstraKidney great point - no they dont - but often happen like knee jerk - just like echos.... #jhmchat |
| Matthew Sparks, MD @Nephro_Sparks @WolfsonD shared decision making for HD is routine IMO #jhmchat |
| Roger Rodby @NephRodby @HofstraKidney great ?, Hmm, USound often waste of time, urine lytes often waste of time (don't shoot me) #jhmchat |
| Arvind Canchi (Conjeevaram)🇮🇳 @arvindcanchi @NephJC Your costs r driven by the way you code/how insurance charges applied. Trust hosps here charge per material & costs not ⬆️ #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @WolfsonD: #jhmchat Why is there no discuss of shared decision making w hemodialysis? @JHospMedicine @SHMLive @FutureDocs |
| Samuel Silver 🇨🇦🇮🇱 @drsamsilver May explains higher costs in @gchertow original study...from Boston #jhmchat https://t.co/y8UfjLLNo8 |
| Journal of Hospital Medicine @JHospMedicine T3: How is this new cost/LOS information going to change the way you think about AKI in hospitalized patients? #JHMChat |
| HofNorthwell Kidney @HofstraKidney @jaykoyner Adds cost and the time to get results- especially weekend stays? #jhmchat |
| Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD RT @NephRodby: @HofstraKidney great ?, Hmm, USound often waste of time, urine lytes often waste of time (don't shoot me) #jhmchat |
| HofNorthwell Kidney @HofstraKidney RT @WolfsonD: #jhmchat Why is there no discuss of shared decision making w hemodialysis? @JHospMedicine @SHMLive @FutureDocs |
| Malvinder Parmar @wittykidney @HofstraKidney No, No, No! #JHMchat |
| Bea Concepcion @KidneyBea_n it's expensive to watch the creatinine in-house. pts need quick nephro outpatient f/u for earlier d/c #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @JHospMedicine: T3: T3: How is this new cost/LOS information going to change the way you think about AKI in hospitalized patients? #JHMChat |
| Journal of Hospital Medicine @JHospMedicine LOS and/or subsequent procedures... https://t.co/Wy70ATISOV |
| HofNorthwell Kidney @HofstraKidney @NephRodby FENA was best studied in oliguric white men, not sure if FENA is validated in non oliguric AKI and AKI on CKD #jhmchat |
| Michelle Rheault @rheault_m @JHospMedicine Research focused on prevention of AKI will be important for cost control for the entire healthcare system. #JHMChat |
| Matthew Sparks, MD @Nephro_Sparks True AKI on Friday cost more than Mon RT @HofstraKidney: Adds cost and the time to get results- especially weekend stays? #jhmchat |
 | John Pickering, Skrymaster, 43.6S 172.6E @kiwiskiNZ @NephJC @Nephro_Sparks @tony_breu Surely it is a combination of spec v sen that is important. If sen too low what’s the point? #jhmchat |
| Irsk Anderson @ijanders1 @jaykoyner @HofstraKidney &b4 attending rounds, & def b4 nephro consult #jhmchat |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD @Nephro_Sparks @HofstraKidney agree that cost of AKI due to LOS complications procedures #jhmchat |
| Nephrology Journal Club @NephJC We need an AKI pathway and clear signals for discharge. Some thoughts here: https://t.co/H7M0seBkeG #jhmchat |
| HofNorthwell Kidney @HofstraKidney RT @Nephro_Sparks: True AKI on Friday cost more than Mon RT @HofstraKidney: True AKI on Friday cost more than Mon RT @HofstraKidney: Adds cost and the time to get results- especially weekend stays? #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil T3: not really sure. AKI is expensive: hope greater research efforts on AKI, esp prevention, if possible? #jhmchat |
| Samuel Silver 🇨🇦🇮🇱 @drsamsilver @WolfsonD makes a great point we had an abstract at ASN that suggests palliative care may be under utilized for AKI @jaykoyner mod #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @Samuel_A_Silver: May explains higher costs in @gchertow original study...from Boston #jhmchat https://t.co/y8UfjLLNo8 |
| Roger Rodby @NephRodby @tulunsokit @JHospMedicine Another protocol? Shoot me. #jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @rheault_m: @JHospMedicine Research focused on prevention of AKI will be important for cost control for the entire healthcare system. #JHMChat |
| Vinny Arora MD MAPP @FutureDocs Wonder if this has something to do w culture or availability of nephrology? #jhmchat https://t.co/Hzvs3tWBSp |
| Gates Colbert, MD @DoctorGates @HofstraKidney Almost all organ disfunction get an imaging test. Many R compelled to get the "kidney version" even if not helpful #jhmchat |
| Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: T3: T3: How is this new cost/LOS information going to change the way you think about AKI in hospitalized patients? #JHMChat |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd Natural history of AKI from @croncoIRRIV #JHMChat https://t.co/CRSDmQdSPw https://t.co/FnAiFHmVEc |
| Pravir @Proximal_Baxi RT @DoctorGates: @HofstraKidney Almost all organ disfunction get an imaging test. Many R compelled to get the "kidney version" even if not helpful #jhmchat |
| Amit Pahwa @Pahwa T3 - tough - comes down to do they cost more because we do more or because they need more inpatient care #jhmchat |
| Malvinder Parmar @wittykidney @JHospMedicine The issues is the underlying problems, those who had AKI had higher rates of co-mobidities, nothing else #JHMChat |
| Scherly Leon, MD @SLeonMD RT @edgarvlermamd: Natural history of AKI from @croncoIRRIV #JHMChat https://t.co/CRSDmQdSPw https://t.co/FnAiFHmVEc |
| Nephrology Journal Club @NephJC I can give a liter of saline in a few hours a FENa takes 24 hours. Gives the same in info and the former may be therapeutic. #jhmchat |
| HofNorthwell Kidney @HofstraKidney Original FENA study https://t.co/l5akauWZIw #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil T3: Also, some of this bugs me (eg CPR = less length of stay, cheaper). Sometimes more = more, ie money well spent, appropriate? #JHMChat https://t.co/PdDJ7cGq7h |
| Michelle Brooks, MD, SFHM @michellebr00ks T3:I think this was my biggest question - how to we recognize/prevent/treat? As far as I know, not much prevention/treatment avail #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: #JHMChat had a discussion about this a few months back. Residents under lots of pressure to order tests https://t.co/cuXCX6MWSW |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD RT @Samuel_A_Silver: @WolfsonD makes a great point we had an abstract at ASN that suggests palliative care may be under utilized for AKI @jaykoyner mod #jhmchat |
| Gates Colbert, MD @DoctorGates @KidneyBea_n Sadly the data shows you are more likely to see a CARDS than a NEPH at discharge if you have #AKI #jhmchat |
| Joel M. Topf, MD FACP @kidney_boy RT @DoctorGates: @HofstraKidney Almost all organ disfunction get an imaging test. Many R compelled to get the "kidney version" even if not helpful #jhmchat |
| Pravir @Proximal_Baxi Routinely, the renal ultrasound has been ordered and resulted well before we are consulted #jhmchat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @DoctorGates: @HofstraKidney Almost all organ disfunction get an imaging test. Many R compelled to get the "kidney version" even if not helpful #jhmchat |
| Journal of Hospital Medicine @JHospMedicine Would you get rid of anything in particular in this pathway @NephJC? FeNA, Renal US? #jhmchat https://t.co/AzP4rFL9yC |
| Matthew Sparks, MD @Nephro_Sparks unless Friday RT @Proximal_Baxi: Routinely, the renal ultrasound has been ordered and resulted well before we are consulted #jhmchat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @Samuel_A_Silver: @WolfsonD makes a great point we had an abstract at ASN that suggests palliative care may be under utilized for AKI @jaykoyner mod #jhmchat |
| Samuel Silver 🇨🇦🇮🇱 @drsamsilver nephro or PCP f/u as outpatient after AKI #lostintransition #jhmchat https://t.co/j1IO8ALHw8 |
| Nephrology Journal Club @NephJC I always U/S. Missing an obstruction is not tolerable. Treatment of obstruction is not dialysis. #jhmchat |
| Rebecca Jaffe, MD @RJmdphilly RT @KidneyBea_n: it's expensive to watch the creatinine in-house. pts need quick nephro outpatient f/u for earlier d/c #jhmchat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @NephJC: We need an AKI pathway and clear signals for discharge. Some thoughts here: We need an AKI pathway and clear signals for discharge. Some thoughts here: https://t.co/H7M0seBkeG #jhmchat |
| Amit Pahwa @Pahwa @hswapnil this one may be hard. as our inpatients get sicker i think we are going to have a lot of issues with organ damage #jhmchat |
| Nephrology Journal Club @NephJC @Samuel_A_Silver nephrology's. Always. Need to discuss future risk of CKD. #jhmchat |
| Scherly Leon, MD @SLeonMD RT @NephJC: I always U/S. Missing an obstruction is not tolerable. Treatment of obstruction is not dialysis. #jhmchat |
| Matthew Sparks, MD @Nephro_Sparks @NephJC why not post void residual. Or US by nephron #jhmchat |
| Nathaniel Reisinger @nephrothaniel RT @NephJC: I always U/S. Missing an obstruction is not tolerable. Treatment of obstruction is not dialysis. #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @DoctorGates @KidneyBea_n that's another @samuel_a_silver paper: https://t.co/hVjcvIhgsN w/ @drRonWald et al #jhmchat |
| Journal of Hospital Medicine @JHospMedicine @tulunsokit Can you elaborate or provide a ref for those not familiar, Tulun? #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: I always U/S. Missing an obstruction is not tolerable. Treatment of obstruction is not dialysis. #jhmchat |
| Raymond Hsu @DrRaymondHsu high cost of AKI is driven (acutely) by sepsis and (co-morbidity) by CKD which is likely undercoded (insensitive) #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil Exactly. So less cost = not always better RT @tulunsokit: @hswapnil does CPR imply a shorter LOS if unsuccessful? #jhmchat |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD Expect AKI-D cost and LOS to fall now that @CMSGov covers outpt RRT for AKI #JHMChat |
| Nephrology Journal Club @NephJC @Nephro_Sparks @NephJC post-void only gets lower obstruction. #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @DrRaymondHsu: high cost of AKI is driven (acutely) by sepsis and (co-morbidity) by CKD which is likely undercoded (insensitive) #jhmchat |
| Bea Concepcion @KidneyBea_n RT @hswapnil: @DoctorGates @KidneyBea_n that's another @samuel_a_silver paper: @DoctorGates @KidneyBea_n that's another @samuel_a_silver paper: https://t.co/hVjcvIhgsN w/ @drRonWald et al #jhmchat |
| Matthew Sparks, MD @Nephro_Sparks this is BIG!!! RT @GarySingerMD: Expect AKI-D cost and LOS to fall now that @CMSGov covers outpt RRT for AKI #JHMChat |
| HofNorthwell Kidney @HofstraKidney RT @Nephro_Sparks: this is BIG!!! RT @GarySingerMD: this is BIG!!! RT @GarySingerMD: Expect AKI-D cost and LOS to fall now that @CMSGov covers outpt RRT for AKI #JHMChat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @Samuel_A_Silver: nephro or PCP f/u as outpatient after AKI #lostintransition #jhmchat https://t.co/j1IO8ALHw8 |
| Matthew Sparks, MD @Nephro_Sparks RT @DrRaymondHsu: high cost of AKI is driven (acutely) by sepsis and (co-morbidity) by CKD which is likely undercoded (insensitive) #jhmchat |
| Amit Pahwa @Pahwa @tulunsokit @JHospMedicine Sometimes protocols and order sets can make us do more #JHMchat |
| Nephrology Journal Club @NephJC TOTN? RT @GarySingerMD: Expect AKI-D cost and LOS to fall now that @CMSGov covers outpt RRT for AKI #JHMChat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil QFT MT @Pahwa: this one may be hard. as our inpatients get sicker i think we are going to have a lot of issues with organ damage #jhmchat |
| Roger Rodby @NephRodby @tulunsokit @JHospMedicine can you explain SCAMP for me? I assume not a large shrimp? #jhmchat |
| Malvinder Parmar @wittykidney @michellebr00ks this study shows that pts with higher comorbidities are at risk for AKI, so mainstay is to control those, but ... #JHMChat |
| Society of Hospital Medicine @SocietyHospMed Don't forget! You can claim #CME after #JHMChat by clicking this link: https://t.co/obP9Fel9kZ |
| Bea Concepcion @KidneyBea_n RT @DrRaymondHsu: high cost of AKI is driven (acutely) by sepsis and (co-morbidity) by CKD which is likely undercoded (insensitive) #jhmchat |
| Vinny Arora MD MAPP @FutureDocs #jhmchat great post gonna share this w @MedChiefs for our residents if @jaykoyner agrees;) https://t.co/bEAUnK6v4E |
| Samuel Silver 🇨🇦🇮🇱 @drsamsilver UK inquiry showed 30% AKI preventable and in 50% care/trmt could have been improved #jhmchat |
| Rebecca Jaffe, MD @RJmdphilly @NephJC I like "signals for discharge." How many kept in house for extra days just watching labs when o/w stable? Waste of time #JHMchat |
| HofNorthwell Kidney @HofstraKidney @Nephro_Sparks @NephJC totally Point of care US is the most useful here just done by nephrologist #jhmchat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @Nephro_Sparks: this is BIG!!! RT @GarySingerMD: this is BIG!!! RT @GarySingerMD: Expect AKI-D cost and LOS to fall now that @CMSGov covers outpt RRT for AKI #JHMChat |
| Jay Koyner @jaykoyner @Nephro_Sparks @GarySingerMD @CMSGov true except we still have units pushing back about taking these folks - #jhmchat - but eventually yes |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @GarySingerMD: Expect AKI-D cost and LOS to fall now that @CMSGov covers outpt RRT for AKI #JHMChat |
| Malvinder Parmar @wittykidney @Pahwa @tulunsokit @JHospMedicine Often, not sometimes. Most have the habit of checking all the check boxes #JHMChat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @FutureDocs: #jhmchat great post gonna share this w @MedChiefs for our residents if @jaykoyner agrees;) https://t.co/bEAUnK6v4E |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd AKI: There is an inverse relationship between each dip ⬇️ and cost 💵 #JHMChat https://t.co/sbK8oLyXdF |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephRodby @tulunsokit @JHospMedicine This 2cjasn paper https://t.co/ZsJ3qMd2Tk (not sure I buy evidence behind it though...) #jhmchat |
| HofNorthwell Kidney @HofstraKidney @jaykoyner @Nephro_Sparks @GarySingerMD @CMSGov No fistula= no entry into outpatient unit #jhmchat |
| Daniel Wolfson @WolfsonD #jhmchat Amazing SDM is routine - perhaps it depends on what you think are the attributes of shared decision making @ChrisMoriates https://t.co/CO8pkHh9hH |
| Journal of Hospital Medicine @JHospMedicine RT @Pahwa: @tulunsokit @JHospMedicine Sometimes protocols and order sets can make us do more #JHMchat |
| Rebecca Jaffe, MD @RJmdphilly RT @Pahwa: T3 - tough - comes down to do they cost more because we do more or because they need more inpatient care #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @Nephro_Sparks: this is BIG!!! RT @GarySingerMD: this is BIG!!! RT @GarySingerMD: Expect AKI-D cost and LOS to fall now that @CMSGov covers outpt RRT for AKI #JHMChat |
| Michelle Brooks, MD, SFHM @michellebr00ks @wittykidney Right - so...specific. I'll get right on that. 😀 #JHMChat. |
| Michelle Rheault @rheault_m RT @RJmdphilly: @NephJC I like "signals for discharge." How many kept in house for extra days just watching labs when o/w stable? Waste of time #JHMchat |
| Amit Pahwa @Pahwa @wittykidney @tulunsokit I guess i was trying to underestimate #JHMChat |
 | Don Campbell born at 312 ppm @dcam31 RT @JHospMedicine: T3: T3: How is this new cost/LOS information going to change the way you think about AKI in hospitalized patients? #JHMChat |
| Samuel Silver 🇨🇦🇮🇱 @drsamsilver Ed siew done some good work here too https://t.co/K0Z467ylNK most patient do not see nephrons after AKI #jhmchat https://t.co/qp9rWnAuRk |
| Matthew Sparks, MD @Nephro_Sparks @WolfsonD not sure I follow. You think Neph's put all on HD regardless of patient preferences #jhmchat |
| Jay Koyner @jaykoyner @HofstraKidney @Nephro_Sparks @GarySingerMD @CMSGov its not quite that bad in chicago - but lost of push back since jan1 #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @WolfsonD @nephro_sparks - what do you mean? HD in AKI far different than HD in ESRD. Are you trolling? #jhmchat |
| Journal of Hospital Medicine @JHospMedicine Final Topic 4 coming up shortly... #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @Nephro_Sparks: @WolfsonD not sure I follow. You think Neph's put all on HD regardless of patient preferences #jhmchat |
| Bea Concepcion @KidneyBea_n RT @Samuel_A_Silver: Ed siew done some good work here too https://t.co/K0Z467ylNK most patient do not see nephrons after AKI #jhmchat https://t.co/qp9rWnAuRk |
| HofNorthwell Kidney @HofstraKidney RT @RJmdphilly: @NephJC I like "signals for discharge." How many kept in house for extra days just watching labs when o/w stable? Waste of time #JHMchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @Samuel_A_Silver: Ed siew done some good work here too https://t.co/K0Z467ylNK most patient do not see nephrons after AKI #jhmchat https://t.co/qp9rWnAuRk |
| Jay Koyner @jaykoyner @FutureDocs @MedChiefs happy to discuss - bigger issue is pathway around work up and when to call neph - not to rush to send home #jhmchat |
| Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: Final Topic 4 coming up shortly... #jhmchat |
| Vinny Arora MD MAPP @FutureDocs Apparently some research shows #EHR makes us do more! To easy to order anything #jhmchat https://t.co/yyiEr92sJ4 |
 | Benji Mathews, MD MBA @MDbenji @michellebr00ks #POCUS in AKI is especially valuable. Assess volume (lungs especially), quick look for hydro & bladder. #JHMchat @SHMLive |
| HofNorthwell Kidney @HofstraKidney RT @Samuel_A_Silver: Ed siew done some good work here too https://t.co/K0Z467ylNK most patient do not see nephrons after AKI #jhmchat https://t.co/qp9rWnAuRk |
| Rebecca Jaffe, MD @RJmdphilly @GarySingerMD @CMSGov one can dream right? #jhmchat |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd @michellebr00ks @wittykidney On improving AKI outcomes #JHMChat https://t.co/KOh8RIphMb https://t.co/e5wNT0ahu5 |
 | Gary Beck Dallaghan 🏳️🌈 @GLBDallaghan RT @FutureDocs: Apparently some research shows #EHR makes us do more! To easy to order anything #jhmchat https://t.co/yyiEr92sJ4 |
| HofNorthwell Kidney @HofstraKidney RT @FutureDocs: #jhmchat great post gonna share this w @MedChiefs for our residents if @jaykoyner agrees;) https://t.co/bEAUnK6v4E |
| John Pickering, Skrymaster, 43.6S 172.6E @kiwiskiNZ @edgarvlermamd this is why I'd like to see studies aimed at rapid measure of renal researve in pts in the ICU #jhmchat |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD @jaykoyner @HofstraKidney @Nephro_Sparks @CMSGov push back from LDO vs other providers? #jhmchat |
| Journal of Hospital Medicine @JHospMedicine T4: How can Hospitalists & Nephrologists work together to prevent and/or treat AKI - so as to avoid these costs? #JHMChat |
| HofNorthwell Kidney @HofstraKidney @FutureDocs agree on making us do more and think less #jhmchat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @benjikmathews: @michellebr00ks #POCUS in AKI is especially valuable. Assess volume (lungs especially), quick look for hydro & bladder. #JHMchat @SHMLive |
| Roger Rodby @NephRodby @benjikmathews @michellebr00ks @SHMLive POCUS, that would be great, you have one in every ICU? #jhmchat |
| Matthew Sparks, MD @Nephro_Sparks RT @benjikmathews: @michellebr00ks #POCUS in AKI is especially valuable. Assess volume (lungs especially), quick look for hydro & bladder. #JHMchat @SHMLive |
| HofNorthwell Kidney @HofstraKidney RT @benjikmathews: @michellebr00ks #POCUS in AKI is especially valuable. Assess volume (lungs especially), quick look for hydro & bladder. #JHMchat @SHMLive |
| Rebecca Jaffe, MD @RJmdphilly @NephJC @Nephro_Sparks but helpful if positive and quick #jhmchat |
| Society of Hospital Medicine @SocietyHospMed T4 is live! https://t.co/B0DUTMRb5g |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil T4: This looks promising https://t.co/Jgddt3wdFE #NephJC @wepaki #jhmchat |
| Samuel Silver 🇨🇦🇮🇱 @drsamsilver NHS doing some great QI with AKI prevention and recognition with care pathways online https://t.co/lRkLQm3yLz @ThinkKidneys #jhmchat |
| Nephrology Journal Club @NephJC We need to pro-actively track nephrotoxic drugs to intervene as Goldstein did in the NINJA study. Only thing shown to work. #jhmchat |
| HofNorthwell Kidney @HofstraKidney @benjikmathews @Nephro_Sparks @michellebr00ks @SHMLive think of #POCUS as your new part of physical exam- not an instrument #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @JHospMedicine: T4: T4: How can Hospitalists & Nephrologists work together to prevent and/or treat AKI - so as to avoid these costs? #JHMChat |
| Rebecca Jaffe, MD @RJmdphilly @Pahwa @tulunsokit @JHospMedicine maybe not if they incorporate outpatient and really mean it? #jhmchat |
| Roger Rodby @NephRodby @JHospMedicine Hospitalists help me a lot, honestly, biggest move to decrease LOS ever, for me #jhmchat |
| Malvinder Parmar @wittykidney @HofstraKidney @FutureDocs shouldn't it be think more & do the most appropriate, thereby less. #JHMChat |
| Michelle Brooks, MD, SFHM @michellebr00ks A https://t.co/5YGhjRtoAq |
| Nathaniel Reisinger @nephrothaniel RT @HofstraKidney: @benjikmathews @Nephro_Sparks @michellebr00ks @SHMLive think of #POCUS as your new part of physical exam- not an instrument #jhmchat |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd T4 AKI: Is early prevention cost-effective⁉ #JHMChat #Nephpearls https://t.co/k0oIH2dHRC https://t.co/mEqwf1vfWc |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD @JHospMedicine early referral, discharge planning and early nephrology follow up #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @wittykidney: @HofstraKidney @FutureDocs shouldn't it be think more & do the most appropriate, thereby less. #JHMChat |
| Journal of Hospital Medicine @JHospMedicine Very cool! The name alone makes it worth a try #jhmchat https://t.co/rKo6x4ts3U |
| Jay Koyner @jaykoyner @FutureDocs @MedChiefs care bundles may improve AKI outcomes - when completed in 24hrs PubMed - NCBI https://t.co/ASMBewnMHI #jhmchat |
| Pravir @Proximal_Baxi RT @hswapnil: T4: T4: This looks promising https://t.co/Jgddt3wdFE #NephJC @wepaki #jhmchat |
| Nephrology Journal Club @NephJC We need to build intelligent protocols and allow for quick follow-up in appropriate patients. #jhmchat |
| Kenar Jhaveri @kdjhaveri https://t.co/Al2EKfBlkL #POCUS changed my practice #jhmchat |
| Bea Concepcion @KidneyBea_n totally agree. RT @GarySingerMD: @JHospMedicine early referral, discharge planning and early nephrology follow up #jhmchat |
| Society of Hospital Medicine @SocietyHospMed RT @NephRodby: @JHospMedicine Hospitalists help me a lot, honestly, biggest move to decrease LOS ever, for me #jhmchat |
| Michelle Rheault @rheault_m @NephJC Not just track nephrotoxic meds in NINJA, intervention to minimize/stop use. @wepaki1964 #JHMChat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @hswapnil @wepaki1964 is the right handle for #NINJA author Stuart Goldstein #jhmchat |
| Samuel Silver 🇨🇦🇮🇱 @drsamsilver simple aki checklist may improve outcomes https://t.co/ctHDC6Rx4g @ThinkKidneys #jhmchat |
| Joel M. Topf, MD FACP @kidney_boy RT @rheault_m: @NephJC Not just track nephrotoxic meds in NINJA, intervention to minimize/stop use. @wepaki1964 #JHMChat |
| Vinny Arora MD MAPP @FutureDocs Great study name #ninja #jhmchat what does it stand for? https://t.co/NcQFhjtM4o |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @Samuel_A_Silver: simple aki checklist may improve outcomes https://t.co/ctHDC6Rx4g @ThinkKidneys #jhmchat |
| Journal of Hospital Medicine @JHospMedicine It's a symbiotic relationship, Roger! But glad to hear we're helping out! #jhmchat https://t.co/5phmD6VErk |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd AKI Biomarkers vs the Urinalysis: Have We Found the Kidney Troponin? #JHMChat #Nephpearls https://t.co/zwwy5rLCtO via @AJKDonline |
| Matthew Sparks, MD @Nephro_Sparks RT @KidneyBea_n: totally agree. RT @GarySingerMD: totally agree. RT @GarySingerMD: @JHospMedicine early referral, discharge planning and early nephrology follow up #jhmchat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @NephJC: We need to pro-actively track nephrotoxic drugs to intervene as Goldstein did in the NINJA study. Only thing shown to work. #jhmchat |
 | Trek Langenhan @TrekBird @NephJC @nmandersonmd @IMtylerbrinkman is FeNa obsolete? A hospitalist teaching favorite. #jhmchat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @hswapnil: T4: T4: This looks promising https://t.co/Jgddt3wdFE #NephJC @wepaki #jhmchat |
| Amit Pahwa @Pahwa t4 - most of hospital charges are from the patient being in a hospital - whatever we can do to treat them outside the hospital #jhmchat |
| Nephrology Journal Club @NephJC NINJA: Nephrotoxic Injury Negated by Just-in-time Action #jhmchat |
| Vinny Arora MD MAPP @FutureDocs @NephJC #nevermind! #jhmchat #ninja https://t.co/BWO892l1pM |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @FutureDocs NINJA: Nephrotoxic Injury Negated by Just-in-time Action #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: T4: T4: How can Hospitalists & Nephrologists work together to prevent and/or treat AKI - so as to avoid these costs? #JHMChat |
| Nathaniel Reisinger @nephrothaniel RT @kdjhaveri: https://t.co/Al2EKfBlkL #POCUS changed my practice #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @jaykoyner: @FutureDocs @MedChiefs care bundles may improve AKI outcomes - when completed in 24hrs PubMed - NCBI https://t.co/ASMBewnMHI #jhmchat |
| Pravir @Proximal_Baxi @NephJC love the name! #ninja #jhmchat |
| Nathaniel Reisinger @nephrothaniel RT @NephJC: NINJA: NINJA: Nephrotoxic Injury Negated by Just-in-time Action #jhmchat |
| Roger Rodby @NephRodby @TrekBird @NephJC @nmandersonmd @IMtylerbrinkman I need to write a tome on the FENa, rarely helpful really #jhmchat |
| Tony Breu @tony_breu @Pahwa To that end, guidance on when in the Cr trajectory we can “safely” discharge is essential. #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @TrekBird @NephJC @nmandersonmd @IMtylerbrinkman FENa: useful to think of physiology. But many exceptions (CI-AKI, Cardiorenal etc) #jhmchat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @JHospMedicine: It's a symbiotic relationship, Roger! But glad to hear we're helping out! #jhmchat https://t.co/5phmD6VErk |
| Amit Pahwa @Pahwa @TrekBird @NephJC @nmandersonmd @IMtylerbrinkman https://t.co/d2nJq0ksHO #JHMchat |
| Bea Concepcion @KidneyBea_n easier to discharge when someone takes ownership of AKI outpt f/u- would think that should be the neph who saw patient #jhmchat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @hswapnil: @FutureDocs NINJA: @FutureDocs NINJA: Nephrotoxic Injury Negated by Just-in-time Action #jhmchat |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD RT @hswapnil: @TrekBird @NephJC @nmandersonmd @IMtylerbrinkman FENa: @TrekBird @NephJC @nmandersonmd @IMtylerbrinkman FENa: useful to think of physiology. But many exceptions (CI-AKI, Cardiorenal etc) #jhmchat |
| Matthew Sparks, MD @Nephro_Sparks RT @KidneyBea_n: easier to discharge when someone takes ownership of AKI outpt f/u- would think that should be the neph who saw patient #jhmchat |
| Jay Koyner @jaykoyner @hswapnil @TrekBird @NephJC @nmandersonmd @IMtylerbrinkman agreed - but broadly applied with little validation across AKI settings #jhmchat |
| Vinny Arora MD MAPP @FutureDocs T4 nephrologists can teach & empower hospitalists on when and when not to order/consult to improve value #jhmchat #choosingwisely |
| Amit Pahwa @Pahwa @tony_breu Agree it's like BP we all have our internal cutoffs but don't know if that is safe or not #JHMChat |
| Benji Mathews, MD MBA @MDbenji @HofstraKidney Arguably all undifferentiated AKI should have POCUS. Lung + IVC + kidney + bladder All < 2 min. #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @hswapnil: @FutureDocs NINJA: @FutureDocs NINJA: Nephrotoxic Injury Negated by Just-in-time Action #jhmchat |
| Pravir @Proximal_Baxi @tony_breu @Pahwa Delta Cr is something we discuss a ton on rounds in our AKI pts #jhmchat |
| Matthew Sparks, MD @Nephro_Sparks love this RT @KidneyBea_n: take ownership of AKI outpt f/u- would think that should be the neph who saw patient #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @jaykoyner: @hswapnil @TrekBird @NephJC @nmandersonmd @IMtylerbrinkman agreed - but broadly applied with little validation across AKI settings #jhmchat |
| Journal of Hospital Medicine @JHospMedicine No need, Roger. @Pahwa w/a great review https://t.co/Xq1dLTeF2Y #jhmchat https://t.co/Sw9YcGwobl |
| Samuel Silver 🇨🇦🇮🇱 @drsamsilver @jaykoyner beat me to the punch...thought I posted this article first!!! Goof read and open access #jhmchat https://t.co/9SklNJgZSQ |
| Rebecca Jaffe, MD @RJmdphilly @NephRodby @benjikmathews @michellebr00ks @SHMLive and training badly needed #jhmchat |
| Bea Concepcion @KidneyBea_n i know my hospitalist husband always consults the neph who lets him d/c the patient sooner! #jhmchat |
| Matthew Sparks, MD @Nephro_Sparks RT @Samuel_A_Silver: @jaykoyner beat me to the punch...thought I posted this article first!!! Goof read and open access #jhmchat https://t.co/9SklNJgZSQ |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd @kiwiskiNZ Renal functional reserve and renal recovery after AKI #JHMChat #Nephpearls https://t.co/yhEBAPWN7Y https://t.co/6X7L5r2w7d |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD @KidneyBea_n great point - should be standard of care #jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @FutureDocs: T4 nephrologists can teach & empower hospitalists on when and when not to order/consult to improve value #jhmchat #choosingwisely |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @FutureDocs: T4 nephrologists can teach & empower hospitalists on when and when not to order/consult to improve value #jhmchat #choosingwisely |
| Vinny Arora MD MAPP @FutureDocs . @MedChiefs @jaykoyner @jeannemfarnan this has to be a morning report:) #jhmchat https://t.co/y1GgWHoovI |
| Tony Breu @tony_breu @KidneyBea_n With expertise comes comfort #jhmchat |
| HofNorthwell Kidney @HofstraKidney @KidneyBea_n agree! A good follow up plan by nephrology team can help Hospitalist discharge faster #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @kiwiskiNZ: @edgarvlermamd this is why I'd like to see studies aimed at rapid measure of renal researve in pts in the ICU #jhmchat |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD RT @FutureDocs: T4 nephrologists can teach & empower hospitalists on when and when not to order/consult to improve value #jhmchat #choosingwisely |
| Nathaniel Reisinger @nephrothaniel RT @benjikmathews: @HofstraKidney Arguably all undifferentiated AKI should have POCUS. Lung + IVC + kidney + bladder All < 2 min. #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @FutureDocs: T4 nephrologists can teach & empower hospitalists on when and when not to order/consult to improve value #jhmchat #choosingwisely |
| Nephrology Journal Club @NephJC We call that a "Practice builder" MT @KidneyBea_n: my hospitalist husband consults the neph who lets him d/c the patient sooner! #jhmchat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @JHospMedicine: No need, Roger. @Pahwa w/a great review https://t.co/Xq1dLTeF2Y #jhmchat https://t.co/Sw9YcGwobl |
| Jay Koyner @jaykoyner @FutureDocs @MedChiefs @jeannemfarnan let me know I will be there #jhmchat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @HofstraKidney: @KidneyBea_n agree! A good follow up plan by nephrology team can help Hospitalist discharge faster #jhmchat |
| Amit Pahwa @Pahwa @JHospMedicine & @celinegoetzmd @mshshospitalist https://t.co/WrfCX0tKCE #jhmchat |
| Raymond Hsu @DrRaymondHsu nephrologists see a small %of AKI. tough to coordinate follow-up 4all. mild/reversible/fluid responsive AKI may not need neph f/u? #jhmchat |
| Jay Koyner @jaykoyner @Samuel_A_Silver agreed sam - great work by nick selby but for the hospitalists only 25-33% of patients complete bundle #jhmchat |
| Matthew Sparks, MD @Nephro_Sparks RT @DrRaymondHsu: nephrologists see a small %of AKI. tough to coordinate follow-up 4all. mild/reversible/fluid responsive AKI may not need neph f/u? #jhmchat |
| John Pickering, Skrymaster, 43.6S 172.6E @kiwiskiNZ @tony_breu @Pahwa we tried ratio of cr estimated productn rate to short duration cr clearance - may work #jhmchat https://t.co/oQn3U4Yvfj |
| Rebecca Jaffe, MD @RJmdphilly RT @benjikmathews: @HofstraKidney Arguably all undifferentiated AKI should have POCUS. Lung + IVC + kidney + bladder All < 2 min. #jhmchat |
| Journal of Hospital Medicine @JHospMedicine Well, we have about 5 more minutes left in our discussion. Please feel free to give some final thoughts #JHMChat |
| Vinny Arora MD MAPP @FutureDocs Perhaps nephrology could start a #meded campaign around becoming a NINJA to recruit #Medstudents and residents ? #jhmchat @NephJC |
| Samuel Silver 🇨🇦🇮🇱 @drsamsilver only 1 in 10 patients will be seen by nephron within one year...coordination needed #jhmchat https://t.co/4KeczgHufB |
| Bea Concepcion @KidneyBea_n RT @benjikmathews: @HofstraKidney Arguably all undifferentiated AKI should have POCUS. Lung + IVC + kidney + bladder All < 2 min. #jhmchat |
| HofNorthwell Kidney @HofstraKidney @KidneyBea_n a simple follow up appt to check labs and reassure patient and discuss risk factors is a good idea #jhmchat |
| Matthew Sparks, MD @Nephro_Sparks RT @FutureDocs: Perhaps nephrology could start a #meded campaign around becoming a NINJA to recruit #Medstudents and residents ? #jhmchat @NephJC |
| Roger Rodby @NephRodby I'm taking ritalin before the next one of these. I type something and I miss 20 tweets. #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @Samuel_A_Silver: only 1 in 10 patients will be seen by nephron within one year...coordination needed #jhmchat https://t.co/4KeczgHufB |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @FutureDocs: Perhaps nephrology could start a #meded campaign around becoming a NINJA to recruit #Medstudents and residents ? #jhmchat @NephJC |
| Nephrology Journal Club @NephJC @ShannonMartinMD @JHospMedicine We have installed cattle prods in the EMR. Order urine eosinophils and get 10,000 volts⚡️⚡️ #jhmchat |
| Kenar Jhaveri @kdjhaveri RT @FutureDocs: Perhaps nephrology could start a #meded campaign around becoming a NINJA to recruit #Medstudents and residents ? #jhmchat @NephJC |
| Scherly Leon, MD @SLeonMD RT @FutureDocs: Perhaps nephrology could start a #meded campaign around becoming a NINJA to recruit #Medstudents and residents ? #jhmchat @NephJC |
| Rebecca Jaffe, MD @RJmdphilly RT @NephRodby: I'm taking ritalin before the next one of these. I type something and I miss 20 tweets. #jhmchat |
| Jay Koyner @jaykoyner @Samuel_A_Silver if only someone had an AKI follow up clinic??? (i have an underused one....) #jhmchat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @FutureDocs: Perhaps nephrology could start a #meded campaign around becoming a NINJA to recruit #Medstudents and residents ? #jhmchat @NephJC |
 | Furqan Raja @Furqi We have also stopped talking to each other. A simple phone call prior to placing a consult order helps a lot. #📞memaybe #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @tony_breu: @KidneyBea_n With expertise comes comfort #jhmchat |
| Bea Concepcion @KidneyBea_n RT @Samuel_A_Silver: only 1 in 10 patients will be seen by nephron within one year...coordination needed #jhmchat https://t.co/4KeczgHufB |
| Kenar Jhaveri @kdjhaveri @DrRaymondHsu it's doable with a good collaboration w an internist #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @Samuel_A_Silver: @jaykoyner beat me to the punch...thought I posted this article first!!! Goof read and open access #jhmchat https://t.co/9SklNJgZSQ |
| Samuel Silver 🇨🇦🇮🇱 @drsamsilver think what could be down then if completion rate up to 75%!!! #jhmchat https://t.co/Za51q25nwe |
| Kenar Jhaveri @kdjhaveri RT @benjikmathews: @HofstraKidney Arguably all undifferentiated AKI should have POCUS. Lung + IVC + kidney + bladder All < 2 min. #jhmchat |
| Journal of Hospital Medicine @JHospMedicine For you NINJA novices, courtesy of @NephJC https://t.co/Vzld63WtFD #jhmchat https://t.co/Wra9AXD4kF |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: No need, Roger. @Pahwa w/a great review https://t.co/Xq1dLTeF2Y #jhmchat https://t.co/Sw9YcGwobl |
| Michelle Brooks, MD, SFHM @michellebr00ks CT: not going to have the flu next time, so hopefully will be more involved/engaged! :) #jhmchat |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd Potential role for novel biomarkers in AKI #JHMChat #Nephpearls https://t.co/k0oIH2dHRC https://t.co/ov2jAp9UKf |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephRodby or this? #jhmchat https://t.co/MUoWarmaav |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD We typically have AKI pts repeat labs and follow up with NP in 1 week #jhmchat https://t.co/HZO2xbQEfm |
| Matthew Sparks, MD @Nephro_Sparks send me your AKIs.... i will pack them in my clinic. #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @tony_breu: @Pahwa To that end, guidance on when in the Cr trajectory we can “safely” discharge is essential. #jhmchat |
| Rebecca Jaffe, MD @RJmdphilly Take home 1) admin data is a headache 2) unclear where costs lie 🙁3) care coordination to address LOS and POCUS to dec imaging $s #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @RJmdphilly: Take home 1) admin data is a headache 2) unclear where costs lie 🙁3) care coordination to address LOS and POCUS to dec imaging $s #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @Pahwa: t4 - most of hospital charges are from the patient being in a hospital - whatever we can do to treat them outside the hospital #jhmchat |
| Michelle Rheault @rheault_m @ShannonMartinMD @DrRaymondHsu Important point. We often "sign off" AKI well before discharge and follow up with nephrology is lost #JHMChat |
| Bea Concepcion @KidneyBea_n RT @Nephro_Sparks: send me your AKIs.... i will pack them in my clinic. #jhmchat |
| Samuel Silver 🇨🇦🇮🇱 @drsamsilver this is where I need to be better prepared with a link to our pilot RCT FUSION...early vs no follow-up after AKI #jhmchat https://t.co/WL6C0H1l3o |
| Jay Koyner @jaykoyner @FutureDocs happy to work with you to have @wepaki1964 come to UChicago for a talk - he is an AKI rockstar even if he's viking fan #jhmchat |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil Great chat! thanks to @jhospmedicine and @futuredocs for inviting @kidney_boy and the #NephJC crew #jhmchat |
| Matthew Sparks, MD @Nephro_Sparks true story from primary team. "something bad is about to happen... consult renal" #jhmchat |
| Bea Concepcion @KidneyBea_n We do this too. RT @GarySingerMD: We typically have AKI pts repeat labs and follow up with NP in 1 week #jhmchat https://t.co/FpJAIFN8tC |
| Nathaniel Reisinger @nephrothaniel Surviving fellowship 101 https://t.co/tEN4mCeH04 |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd @michellebr00ks @wittykidney NINJA Protocol #JHMChat #Nephpearls https://t.co/PibNuPzjWV |
| Vinny Arora MD MAPP @FutureDocs This could be name of @SHMLive mentored implementation program for hospitals: NINJA #jhmchat https://t.co/qrYyJJnWpC |
| Nephrology Journal Club @NephJC I'm so proud of the #NephJC community. We changed days, changed hashtags and the nephrons still came out in force! #jhmchat |
| Kenar Jhaveri @kdjhaveri @Nephro_Sparks usually detectives help out in tough times ! #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @NephJC: We need to build intelligent protocols and allow for quick follow-up in appropriate patients. #jhmchat |
| Society of Hospital Medicine @SocietyHospMed RT @hswapnil: Great chat! thanks to @jhospmedicine and @futuredocs for inviting @kidney_boy and the #NephJC crew #jhmchat |
| Scherly Leon, MD @SLeonMD RT @NephJC: I'm so proud of the #NephJC community. We changed days, changed hashtags and the nephrons still came out in force! #jhmchat |
| Matthew Sparks, MD @Nephro_Sparks RT @nephrothaniel: Surviving fellowship 101 https://t.co/tEN4mCeH04 |
| Scherly Leon, MD @SLeonMD RT @hswapnil: Great chat! thanks to @jhospmedicine and @futuredocs for inviting @kidney_boy and the #NephJC crew #jhmchat |
| Furqan Raja @Furqi Along with the clergy. https://t.co/a3gX4n8erP |
| Amit Pahwa @Pahwa @Nephro_Sparks @HopkinsMedicine is not too far! #jhmchat |
| Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD RT @Nephro_Sparks: true story from primary team. "something bad is about to happen... consult renal" #jhmchat |
| Journal of Hospital Medicine @JHospMedicine That's a wrap..Loved having the joint #JHMChat #NephJC chat! Thanks everyone for participating! |
| HofNorthwell Kidney @HofstraKidney RT @NephJC: I'm so proud of the #NephJC community. We changed days, changed hashtags and the nephrons still came out in force! #jhmchat |
| Nephrology Journal Club @NephJC When you need the A-Team! RT @JHospMedicine: That's a wrap..Loved having the joint #JHMChat #NephJC chat! Thanks everyone for participating! |
| Matthew Sparks, MD @Nephro_Sparks this was a great chat. need to partner more ofter. next time join our channel #NephJC #jhmchat |
| Society of Hospital Medicine @SocietyHospMed @hswapnil @JHospMedicine @FutureDocs @kidney_boy thank you all for joining us! #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @hswapnil: Great chat! thanks to @jhospmedicine and @futuredocs for inviting @kidney_boy and the #NephJC crew #jhmchat |
| Samuel Silver 🇨🇦🇮🇱 @drsamsilver thanks all!!! Was great to brainstorm ways to improve AKI care. That was the whole point of our article #jhmchat |
 | Alfred Kim @alhkim This what rheumatology hears: “Crap, something bad happened. Consult #rheum.” Cc @jeffsparks #SparkyPower #PrednisoneToTheRescue https://t.co/ys1am4VkDI |
| Roger Rodby @NephRodby Damn Patriots! #jhmchat |
| Bea Concepcion @KidneyBea_n RT @NephRodby: Damn Patriots! #jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @Samuel_A_Silver: thanks all!!! Was great to brainstorm ways to improve AKI care. That was the whole point of our article #jhmchat |
| Tony Breu @tony_breu @JHospMedicine Thanks @WrayCharles for moderating! #jhmchat |
| Nephrology Journal Club @NephJC Hey what college did that Tom Brady go to? I forget? #jhmchat |
| Journal of Hospital Medicine @JHospMedicine Totally agree, Matt. Give us a time and place #jhmchat https://t.co/rY6dgwKoLT |
| Nephrology Journal Club @NephJC Thanks everyone! Great chat! #jhmchat |
| Kenar Jhaveri @kdjhaveri @Nephro_Sparks just one more thing Before we sign off #stopPPI in patients that don't need it #jhmchat |
| Journal of Hospital Medicine @JHospMedicine Be sure to join #JHMChat again on March 13th 9PM EST when we'll discuss "Attending rounds and Patient Satisfaction" w/@BradMonash #jhmchat |
| Joel M. Topf, MD FACP @kidney_boy RT @kdjhaveri: @Nephro_Sparks just one more thing Before we sign off #stopPPI in patients that don't need it #jhmchat |
| Jay Koyner @jaykoyner RT @kdjhaveri: @Nephro_Sparks just one more thing Before we sign off #stopPPI in patients that don't need it #jhmchat |
| Kenar Jhaveri @kdjhaveri @Nephro_Sparks at my hospital , I am the #ppi police 😜#jhmchat |
| Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: Be sure to join #JHMChat again on March 13th 9PM EST when we'll discuss "Attending rounds and Patient Satisfaction" w/@BradMonash #jhmchat |
| Rebecca Jaffe, MD @RJmdphilly @gretchendiemer @JeffIMchiefs @estewart2099 https://t.co/aN26mIw6Wr |
| HofNorthwell Kidney @HofstraKidney RT @kdjhaveri: @Nephro_Sparks just one more thing Before we sign off #stopPPI in patients that don't need it #jhmchat |
| Benji Mathews, MD MBA @MDbenji #JHMChat Fun to be a part of this. Thanks everyone for the chat! |
| Matthew Sparks, MD @Nephro_Sparks The numbers: 571 Tweets. 64 Participants. More #JHMChat analytics here: https://t.co/zt53eaPJud via @symplur |
| Society of Hospital Medicine @SocietyHospMed Thanks to our partners @ABIMFoundation & @CostsofCare for helping to spread the word and for participating in #JHMChat! |
| Society of Hospital Medicine @SocietyHospMed Thanks to @JHospMedicine @WrayCharles @kidney_boy & the #nephJC community for a great #JHMChat! Claim your #CME: https://t.co/gPcZr7BKFI |
| Joel M. Topf, MD FACP @kidney_boy Big Chat! The numbers: 571 Tweets. 64 Participants. More #JHMChat analytics here: https://t.co/mwEAc8357H via @symplur |
| Journal of Hospital Medicine @JHospMedicine RT @SHMLive: Thanks to @JHospMedicine @WrayCharles @kidney_boy & the #nephJC community for a great #JHMChat! Claim your #CME: Thanks to @JHospMedicine @WrayCharles @kidney_boy & the #nephJC community for a great #JHMChat! Claim your #CME: https://t.co/gPcZr7BKFI |
| Nathaniel Reisinger @nephrothaniel RT @kidney_boy: Big Chat! The numbers: 571 Tweets. 64 Participants. More #JHMChat analytics here: Big Chat! The numbers: 571 Tweets. 64 Participants. More #JHMChat analytics here: https://t.co/mwEAc8357H via @symplur |
 | Dr Sunil Kalmath MD EBIR @DrLighthunter RT @DrRaymondHsu: high cost of AKI is driven (acutely) by sepsis and (co-morbidity) by CKD which is likely undercoded (insensitive) #jhmchat |
| Vinny Arora MD MAPP @FutureDocs Special thx to @WrayCharles for moderating a killer #NINJA @JHospMedicine #jhmchat w @NephJC @kidney_boy @Samuel_A_Silver @SHMLive https://t.co/HuoQoiYL4r |
 | Andrew M. Ibrahim MD, MSc (He/Him) @AndrewMIbrahim RT @FutureDocs: Special thx to @WrayCharles for moderating a killer #NINJA @JHospMedicine #jhmchat w @NephJC @kidney_boy @Samuel_A_Silver @SHMLive https://t.co/HuoQoiYL4r |
 | Jorge Huertas @alfilmal RT @edgarvlermamd: Natural history of AKI from @croncoIRRIV #JHMChat https://t.co/CRSDmQdSPw https://t.co/FnAiFHmVEc |
 | Charlie M. Wray, DO, MS @WrayCharles RT @FutureDocs: Special thx to @WrayCharles for moderating a killer #NINJA @JHospMedicine #jhmchat w @NephJC @kidney_boy @Samuel_A_Silver @SHMLive https://t.co/HuoQoiYL4r |
| Pravir @Proximal_Baxi thanks to everyone, amazing discussion! #jhmchat |
| Vinny Arora MD MAPP @FutureDocs Gladly! #cme for #jhmchat https://t.co/s9oIM4kwAd |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: Be sure to join #JHMChat again on March 13th 9PM EST when we'll discuss "Attending rounds and Patient Satisfaction" w/@BradMonash #jhmchat |
| Vinny Arora MD MAPP @FutureDocs Great one for #Meded community to join @MedEdChat #jhmchat @WrayCharles @SHMLive https://t.co/4c2s4wgDHD |
| Society of Hospital Medicine @SocietyHospMed Mark your calendars! The next #JHMChat is March 13 at 9PM EST w/ @JHospMedicine @FutureDocs & @BradMonash on standardizing rounds! |
| Journal of Hospital Medicine @JHospMedicine RT @FutureDocs: Great one for #Meded community to join @MedEdChat #jhmchat @WrayCharles @SHMLive https://t.co/4c2s4wgDHD |
| Journal of Hospital Medicine @JHospMedicine RT @FutureDocs: Special thx to @WrayCharles for moderating a killer #NINJA @JHospMedicine #jhmchat w @NephJC @kidney_boy @Samuel_A_Silver @SHMLive https://t.co/HuoQoiYL4r |
#JHMChat content from Twitter.