#NephJC Transcript
Healthcare social media transcript of the #NephJC hashtag.
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See #NephJC Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @kidney_boy: It’s 9 PM Tuesday. Welcome to this emergency edition of #NephJC on COVID19 and the kidney |
 | Eleanor Lederer @EleanorLederer #NephJC Hi guys |
 | Edgar V. Lerma 🇵🇭 @edgarvlermamd Edgar Lerma, Chicago-based Nephrologist #NephJC #StPatricksDay ☘️ #CoronaKidney #COVID19 Photo Credit: Barry Butler Photography 📸 https://t.co/eWMVI6KFon https://t.co/a3wV0XMmMf |
 | Nephrology Journal Club @NephJC It’s 9 PM Tuesday. Welcome to this emergency edition of #NephJC on COVID19 and the kidney (this time from the right account) |
| Nephrology Journal Club @NephJC My name is Joel Topf @kidney_boy, #NephJC co-founder and currently not in quarantine. Along with Matt Sparks @Nephro_Sparks we will be tonight's Journal Club Host! |
 | Sophia Ambruso @sophia_kidney Sophia Ambruso, nephrologist Denver, CO, no COI #NephJC |
 | Niru Ramkumar @niruramkumar Hello everyone ! First day of working from home due to #COVID2019 Hope we can find an effective treatment /vaccine soon #NephJC |
 | Kassem Safa @kassem_safa Hi all from Boston. @kassem_safa #NephJC |
 | Amanda Grandinetti, MPH @AGrandinettiMPH RT @Nephro_Sparks: looking forward to chatting with @AlanKliger @SilberjRogosin warm welcome to both of them to #NephTwitter We look forward to the conversation #NephJC chat on #COVID19 https://t.co/CEbURIBau1 |
 | Brian Stotter, MD @StotterMD Brian Stotter, peds nephrologist at @WUSTLmed and @STLChildrens, no COI. Nice to have a virtual chat that doesn’t require Zoom or Webex #NephJC |
 | Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD Gary Singer small town nephrologist is STL no COI #NephJC |
 | Alan Kliger @AlanKliger @EleanorLederer Hi Eleanor! #NephJC |
| Nephrology Journal Club @NephJC Tonight #NephJC are partnering with @ASNkidney and they have delivered two of the top brass from Nephrologists Transforming Dialysis Safety (NTDS) Drs Kliger @AlanKliger & Silberzweig @SilberjRogosin |
 | Anuja Java, MD (she/her) @anuja_java @kdjhaveri Hi Kenar, how are you? Looking forward to this discussion. #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @EleanorLederer Hey we have X-POtASN royalty in the house! Welcome to #NephJC |
 | Samuel Holland 💉💉💉💉 🦥 @SEdwardHolland RT @kidney_boy: It’s 9 PM Tuesday. Welcome to this emergency edition of #NephJC on COVID19 and the kidney |
 | Verner Venegas @Vernisartan Hello everybody! Verner, form Mexico. No COI #NephJC |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd Edgar Lerma, Chicago-based Nephrologist #NephJC #AskASN #StPatricksDay ☘️ #CoronaKidney #COVID19 Photo Credit: Barry Butler Photography 📸 https://t.co/eWMVI6KFon https://t.co/pFtqzGsL6e |
| Nephrology Journal Club @NephJC I know Kliger and Silberzweig are high powered professors of medicine, but dont be intimaidated, they are on our turf and they don't know a retweet from a hashtag. Be kind. #NephJC |
 | Kevin R. Regner, MD, MS, FASN @RegnerKR_Neph Kevin Regner, Nephrologist @MCW_Nephrology. No COI. #NephJC |
| Nephrology Journal Club @NephJC Even if you are just lurking, please introduce yourself! #NephJC |
 | Samira Farouk, MD, MSCR @ssfarouk Samira, transplant nephrologist @ISMMSKidney #NephJC |
 | Matthew Sparks, MD @Nephro_Sparks Hi This is Matt Sparks. Reporting for Duty. Co-hosting with @kidney_boy I'm ardent supporter of science and truth seeking to make the best decisions for our patients thanks @ASNKidney and @AlanKliger @SilberjRogosin for joining today #NephJC on #COVID19 no COI |
 | Sayee Sundar @ssrasm Hello all #nephjc Sayee, interventional nephrology fellow, Wisconsin. Just here to learn about this evolving topic |
| Matthew Sparks, MD @Nephro_Sparks @ssrasm Hi Sayee #NephJC |
| Alan Kliger @AlanKliger @NephJC Right! #NephJC |
 | Dr Tathagata Bose @tbosex67 RT @hswapnil: The #NephJC #COVIDACE2 page updated with @AHAScience and @ERAEDTA and Spanish Society of HT statements thanks @jordy_bc for the quick updates https://t.co/vwnT0YMkQw https://t.co/ADfMYmamyg |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @ssrasm Welcome to #NephJC Sayee |
 | Matthew Sinclair, MD, MHS @mattysincs Hi everyone, Matt Sinclair, 2nd year Duke nephrology fellow, looking forward to tonight's chat #NephJC |
| Amanda Grandinetti, MPH @AGrandinettiMPH Amanda Grandinetti, research methodologist from Chicago. In full quarantine bc of kidney transplant. COI goldfinch bio and AstraZeneca. #NephJC |
 | Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 @hswapnil @OttawaHospital @rolandbastphoto Many thanks @hswapnil to you + others for providing this much needed service #nephJC |
 | L. Parker Gregg @LParkerGregg1 Hi all, Parker Gregg, nephrologist in Dallas. Looking forward to catching up on the latest. Have been busy arranging for telehealth clinic appointments. #NephJC |
| Nephrology Journal Club @NephJC Hey Sophie.Hey Yuvaram Hey Niru! Hey Kassam Thanks for coming to #NephJC |
 | Deidra Crews, MD, ScM, FASN, MACP @DrDeidraCrews Nephrologist and epidemiologist @hopkinsneph #NephJC |
 | Nikhil Shah MBBS DNB(IM, Neph)🇨🇦 @dr_nikhilshah #nephjc Nikhil Shah , Nephrologist @UAlbertaNeph , No COI. With @SkepticalTweetR live for the first time. Edmonton, Canada |
 | Robert Pauly @SkepticalTweetR #nephjc Rob Pauly, Nephrologist at University of Alberta, twitter virgin |
 | Lisandro Montalvo, MD 🇵🇷 @drlmontalvo Saludos! #NephJC, Nephrologist San Juan, PR. No COI. |
 | James Novak, MD PhD FACP FASN FNKF @JamesNovakNeph James Novak @HFNephrology TPD and NMSC intern 2018. No COI. #NephJC |
 | Kartik Kalra MD,FNKF,FASN @kkalra_22 Hello !! Kartik Kalra @kkalra_22 , no COI. #nephjc #COVID19 @NephJC |
 | Tiffany Caza @Tiff_Caza Happening now!! |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @derifkin Welcome to #NephJC Dena! |
| Nephrology Journal Club @NephJC Brian, Gary and Eleanor, my Favorite! #NephJC 's cup runneth over! |
 | 〽️ichael Heung @keepingitrenal Mike Heung from @UMichKidney, no COI. #NephJC |
| Amanda Grandinetti, MPH @AGrandinettiMPH Unsure of how much I’ll be able to participate but definitely want to see this discussion #NephJC |
| Anuja Java, MD (she/her) @anuja_java Hi, Anuja Java from Washington U St. Louis. Hope everyone’s staying well. #NephJC |
 | Mario Funes, MD @MarioFunesMD Hello all, Mario Funes, PGY3 IM in New Jersey. Congratulations to all who matched. Future @StanfordNeph fellow. No COI. #NephJC |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd The Novel Coronavirus 2019 Epidemic and Kidneys ca. 2020 “Postulated” mechanisms: 👉🏼 Sepsis leading to cytokine storm syndrome 👉🏼 Direct cellular injury due to the virus #COVID19 #CoronaKidney #NephJC #AskASN 👉🏼 https://t.co/SdcBnRASAj https://t.co/AoRvrBSmb7 |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @SkepticalTweetR Hey Rob! Home dialysis FTW here, right? #NephJC |
 | 𝙼𝚊𝚝𝚝 𝙻𝚞𝚝𝚑𝚎𝚛 @DrJMLuther Matt Luther- hypertension specialist, nephrologist @VUMChealth just getting in now #NephJC |
| Nephrology Journal Club @NephJC OMG I think everyone is here! #NephJC |
 | Dhwanil Patel @iheartkidneys Dhwanil, nephrology fellow. #socialdistancing #NephJC |
 | Gates Colbert, MD @DoctorGates Dallas Nephrologist - here for the #NephJC chat on #COVID19 . The viral damage is real, and we are actively working to contain the spread and heal the infected. The https://t.co/Zg4pgLXNb3 resources are top notch. |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @drlmontalvo Welcome to #NephJC |
 | Michelle Starr MD MPH @mcstarr1 Michelle Star, peds nephrology @IUPedsKidney. Here to learn from the experts - lots of questions today during #telemed visits, excited to hear the expert's thoughts. No COI. #NephJC |
 | Shina_Menon @menonshina @NephJC Hi, this is shina, #pedneph from Seattle. Haven't seen any kidney involvement with #COVID2019 yet. Lurking and hoping to learn what to do #nephjc |
 | Perinola21 @perinola21 @Nephro_Sparks @AlanKliger @SilberjRogosin #NephJC |
 | Jennie Lin 👩🏻⚕️🧬 @jenniejlin Jennie Lin, attending nephrologist and physician-scientist at Northwestern. Cheering on everyone on the front lines. Calvin has some thoughts about #COVID19. No COI. #NephJC https://t.co/qMknN1zid8 |
 | Juan Carlos Q Velez @VelezNephHepato JCV from @OchsnerNephro checking in #NephJC |
 | Nathaniel Reisinger @nephrothaniel Nathaniel nephrologist #nephjc perpetual lurker no coi |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @bealelab @NephJC Welcome to #NephJC Dr Beale |
 | Aisha Shaikh @aishaikh Hi, Aisha from NYC #NephJC |
 | Tejas Desai, MD MBA @nephondemand Tejas Desai here #nephjc |
 | Michael Aragon @DrMikeAMD Hi all! Looking forward to the discussion #NephJC |
 | Krishna K Agrawal, MBBS,MD,DM,FACP,DFID @agrawalkris Hi this is Krishna #nsmc2020 intern #NephJC no COI to declare |
 | Jay Koyner @jaykoyner hi @jaykoyner here nephrologist @uofcneph here to learn #nephjc |
 | Chris Ives @CaliKidneyqueen #NephJC Long time since I've been here. Hope I can recall how to do it! |
 | Alex Meraz @NephroGuy Alex from Mexico no COI. Waiting for COVIDGEDDON #COVID19 #NEPHJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @perinola21 @Nephro_Sparks @AlanKliger @SilberjRogosin Welcome to #NephJC! |
 | Natasha N. Dave @NatashaNDave Hi everyone, I’m Natasha Davé a nephrologist from @BCMKidneyHealth looking forward to this chat! #NephJC |
 | Vicki Ivancevic @VIvancevic Vicki Ivancevic, transplant patient #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 @Nephro_Sparks @hswapnil @OttawaHospital @rolandbastphoto Hi Matt Thank you + everyone for your efforts at educating the community on #COVOD19 Very much appreciate the leadership #nephJC |
 | Ap @critcaredoc13 RT @edgarvlermamd: The Novel Coronavirus 2019 Epidemic and Kidneys ca. 2020 “Postulated” mechanisms: 👉🏼 Sepsis leading to cytokine storm syndrome 👉🏼 Direct cellular injury due to the virus #COVID19 #CoronaKidney #NephJC #AskASN 👉🏼 https://t.co/SdcBnRASAj https://t.co/AoRvrBSmb7 |
 | Lili Chan @LilCh4n Hi, Lili Chan from Mount Sinai in NYC #NephJC |
 | Edward (Ted) Clark MD MSc @edclark75 Hi all. Ted Clark, nephrologist with the honour of working with @hswapnil in Canada’s capital city. #NephJC |
 | Sayna Norouzi, MD, FASN @SaynaNorouzi Hi this is Sayna; nephrology fellow @bcmhouston. No COI. Oncall tonight. 📟 #nephjc |
 | Sundar Swaminathan @swaminathaniisc This is Sundar Swaminathan transplant nephrologist and physician scientist studying iron homeostasis in kidney injury #NephJC |
| Nephrology Journal Club @NephJC Okay remember to disclose COI. So if you are on Team Virus we need to know that. I am firmly on #TeamSurvivalofHumanity. #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @CaliKidneyqueen Great to see you back #NephJC |
 | Beje Thomas @bthomas215 Looking forward to the chat! #nephjc |
 | Dan Sturgill @DanielSturgill7 Dan Sturgill @MCW_Nephrology no COI #nephjc |
 | Bilal @bilalksheikh Hello all, Bilal Khalid, Nephrology fellow at UNC; #NephJC #SocialDistancing |
| Nephrology Journal Club @NephJC @edclark75 @hswapnil condolences #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @edclark75 Whoah! Glad you made it buddy! #NephJC |
| Samira Farouk, MD, MSCR @ssfarouk Challenging times - reassuring to see such a massive turnout #NephJC #COVID19 |
| Nephrology Journal Club @NephJC Patient in the house! She was there for #NephMadness One #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @sundarswaminat4 Welcome to #NephJC Sundar! |
| Robert Pauly @SkepticalTweetR @hswapnil #nephjc Right you are... Interested to see if there will be an increase in interest |
 | John Lee @john__r__lee Hi everyone from NYC. Looking forward to the discussion. #nephjc |
 | Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD Hector Madariaga. No COI. Thank you Matt, Swap and others for making this unique blog. Such a nephrology pearl #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: Okay remember to disclose COI. So if you are on Team Virus we need to know that. I am firmly on #TeamSurvivalofHumanity. #NephJC |
 | Diana Mahbod, MD, CPE, FASN, FNKF @DiMiRenalMD Hi! Diana here, Nephrologist in Dallas. So thankful for #MedTwitter and especially #NephJC for the community and updates during these crazy times. But also need to take a break from #COVID19 and embrace #NephMadness! |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @DanielSturgill7 @MCW_Nephrology Welcome to #NephJC |
 | Medicina de Impacto @MD_Impacto RT @VIvancevic: Vicki Ivancevic, transplant patient #NephJC |
| Nephrology Journal Club @NephJC @nephondemand welcome Tejas, sorry to miss your RPA talk. #NephJC |
 | BeanQueen Gaddy @AnnaGaddy 🙌🏻🙌🏻🙌🏻Anna Gaddy, neph fellow @IUKidney here to lurk at my first #NephJC |
| Tiffany Caza @Tiff_Caza @NephJC Hey everyone 👋. I'm Tiff Caza, a kidney pathologist and #NSMC member (go countercurrents!). Looking forward to learning more of this important topic tonight. No COI. Happy St. Patrick's Day! #NephJC https://t.co/ambeyOc5Fz |
| Deidra Crews, MD, ScM, FASN, MACP @DrDeidraCrews Forgot to mention, No COI. Looking forward to learning more about #COVID19 tonight #NephJC |
 | J Byron Lu @JByronLuMD @Nephro_Sparks @kidney_boy @ASNKidney @AlanKliger @SilberjRogosin Byron. Hospitalist in Philly area. Just creepin'. #nephjc |
| Eleanor Lederer @EleanorLederer What do we know about host risk factors #NephJC |
 | Ayub Akbari @akbari_ayub Ayub akbari from Ottawa just lurking #NephJC |
 | ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @NephJC #Nephjc Christos Argyropoulos, University of New Mexico COI: awaiting #COVID19 test results day 1 |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @john__r__lee Welcome to #NephJC John |
| Annise Chung @uhneese Hi, Annise from Ohio. Intermittent lurking while I put my son to bed. #NephJC |
 | Suneel Udani @CaptainKidney79 Community neph in metro Chicago. Dialysis patients in our area exposed/infected with #COVID2019 #NephJC. No COI. Here to lurk and learn |
| Nephrology Journal Club @NephJC Remember to add #NephJC to every tweet you want to be part of the discussion and recorded in the journal club archive. |
| Diana Mahbod, MD, CPE, FASN, FNKF @DiMiRenalMD RT @ASNKidney: We'll see you tonight. #NephJC https://t.co/JZU17iKpzB |
| Nephrology Journal Club @NephJC #NephJC is a great way to build your personal learning network, so hit that follow button early and often! |
| Perinola21 @perinola21 @NephJC Hi, this is Alejandra from Argentina. Nephrologist. Hoping to learn from the best! #nephJC |
 | Alex Chang, MD, FASN, FAHA @alexchangmd Alex Chang, nephrologist/clinical researcher in central PA, now impacted by #COVID19 grateful for shared wisdom of colleagues around the world #NephJC |
 | Aravind Cherukuri PhD MRCP (UK) @AravindCheruku1 #nephjc Hi this is Aravind from Pitt. No COI. Will be lurking around. |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd Epidemia del Nuevo Coronavirus 2019 y los Riñones ca. 2020 Mecanismos “Propuestos:” 👉🏼 Sepsis que conduce al sindrome de tormenta de citoquinas 👉🏼 Lesion celular directa debido al virus #NephJC #AskASN #COVID19 #CoronaKidney 👉🏼 https://t.co/SdcBnRASAj https://t.co/s0HIzaEjHy |
| Matthew Sparks, MD @Nephro_Sparks having such a strong community helps in times like this. I am humbled to see the outpouring of selfless giving to help others. #NephJC #NephTwitter |
| Dhwanil Patel @iheartkidneys @hswapnil @OttawaHospital @rolandbastphoto Fancy picture #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @JByronLuMD @Nephro_Sparks @kidney_boy @ASNKidney @AlanKliger @SilberjRogosin We want some funny cartoons from you Byron #NephJC |
 | Arvind Canchi (Conjeevaram)🇮🇳 @arvindcanchi @NephJC This is Arvind Canchi, Nephrologist from Bangalore. Looking to learn. #nephjc Those of you interested in a real life experience in managing #COVID19, Here is a webinar - Speaker: @caioqualunque Panelist: @vjha126 Moderator: @arvindcanchi 🖌 Register: https://t.co/52TijEPYCt https://t.co/5gGeZNguSh |
| Alex Meraz @NephroGuy RT @edgarvlermamd: Epidemia del Nuevo Coronavirus 2019 y los Riñones ca. 2020 Mecanismos “Propuestos:” 👉🏼 Sepsis que conduce al sindrome de tormenta de citoquinas 👉🏼 Lesion celular directa debido al virus #NephJC #AskASN #COVID19 #CoronaKidney 👉🏼 https://t.co/SdcBnRASAj https://t.co/s0HIzaEjHy |
| Nephrology Journal Club @NephJC Tonight in #NephJC we are talking about the only thing anyone is talking about, #COVID19. But tonight it COVID and the Kidney |
 | Alexis Sloan @sloan_alexis Hi All, Alexis Sloan from @MiamiNephrology #nephjc |
| Kassem Safa @kassem_safa No COI. #NephJC |
| Nephrology Journal Club @NephJC Things are getting ugly, US infections last thursday were 1200, yesterday they were 3700 and today 6400. #NephJC #Exponential |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @ChristosArgyrop @NephJC The guy! Everyone follow this guy Right now you are looking like a prophet #NephJC |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD RT @arvindcanchi: @NephJC This is Arvind Canchi, Nephrologist from Bangalore. Looking to learn. #nephjc Those of you interested in a real life experience in managing #COVID19, Here is a webinar - Speaker: @caioqualunque Panelist: @vjha126 Moderator: @arvindcanchi 🖌 Register: https://t.co/52TijEPYCt https://t.co/5gGeZNguSh |
| Alex Meraz @NephroGuy RT @arvindcanchi: @NephJC This is Arvind Canchi, Nephrologist from Bangalore. Looking to learn. #nephjc Those of you interested in a real life experience in managing #COVID19, Here is a webinar - Speaker: @caioqualunque Panelist: @vjha126 Moderator: @arvindcanchi 🖌 Register: https://t.co/52TijEPYCt https://t.co/5gGeZNguSh |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @uhneese Welcome to #NephJC |
| Nephrology Journal Club @NephJC #NephJC's article for tonight is "The novel coronavirus 2019 epidemic and kidneys" by Saraladevi Naicker, Chih-Wei Yang, Shang-Jyh Hwang, Bi-Cheng Liu, Jiang-Hua Chen, Vivekanand Jha https://t.co/ArRMVyiVq4 |
 | Manuel Gonzalez MD @drGnephro Manny Gonzalez Transplant Nephrologist @UAMSNeph @uamshealth no COI looking forward for #NephJC tonight |
| Samira Farouk, MD, MSCR @ssfarouk RT @NephJC: Things are getting ugly, US infections last thursday were 1200, yesterday they were 3700 and today 6400. #NephJC #Exponential |
| Niru Ramkumar @niruramkumar RT @arvindcanchi: @NephJC This is Arvind Canchi, Nephrologist from Bangalore. Looking to learn. #nephjc Those of you interested in a real life experience in managing #COVID19, Here is a webinar - Speaker: @caioqualunque Panelist: @vjha126 Moderator: @arvindcanchi 🖌 Register: https://t.co/52TijEPYCt https://t.co/5gGeZNguSh |
 | susan kjos @suziekjos #NephJC Hi this is Susan Kjos. Kidney transplant recipient. |
 | Kiri Bagley @KiriBagley Hi all, Ped Neph fellow @UNCKidney #NephJC |
| Alan Kliger @AlanKliger @kassem_safa Het Kasem\#NephJC |
 | Jeffrey Silberzweig @SilberjRogosin @EleanorLederer I don't think a great deal is known about host risk factors. I have heard some thought that a depressed immune system may lead to a less vigorous reaction if infected but those with suppressed immunity seem to have worse outcomes so unsure #nephjc |
 | Flor Alvarado @FlorAlvaradoMD Hi all! Flor here, fellow from Johns Hopkins. No COI #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @Nephro_Sparks: having such a strong community helps in times like this. I am humbled to see the outpouring of selfless giving to help others. #NephJC #NephTwitter |
 | Anitha Vijayan @VijayanMD Anitha Vijayan from WashU #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @arvindcanchi: @NephJC This is Arvind Canchi, Nephrologist from Bangalore. Looking to learn. #nephjc Those of you interested in a real life experience in managing #COVID19, Here is a webinar - Speaker: @caioqualunque Panelist: @vjha126 Moderator: @arvindcanchi 🖌 Register: https://t.co/52TijEPYCt https://t.co/5gGeZNguSh |
| Nephrology Journal Club @NephJC Thanks @Kidney_Int and @ISNkidneycare for making it free for download. They are doing it right! #NephForward #NephJC |
| Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD @NephJC it was another regular day, we will be talking about #Brady… #Nephjc |
 | Bea Concepcion @KidneyBea_n Bea Concepcion, Tx Neph @VUMCKidney, no COI #NephJC |
 | Zach Kribs @zkribs1 Zach Kribs, Senior Government Affairs Specialist with .@ASNKidney - I work on all things to do with Congress and am interested to learn if there are any ways the legislature can ensure optimal care for kidney patients in the context of #COVID-19 #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: #NephJC's article for tonight is "The novel coronavirus 2019 epidemic and kidneys" by Saraladevi Naicker, Chih-Wei Yang, Shang-Jyh Hwang, Bi-Cheng Liu, Jiang-Hua Chen, Vivekanand Jha https://t.co/ArRMVyiVq4 |
| J Byron Lu @JByronLuMD @hswapnil @Nephro_Sparks @kidney_boy @ASNKidney @AlanKliger @SilberjRogosin Literally recording with this shiny ass new mike—but got briefly interupted by real estate drama. Will be done by tonight! #nephjc |
 | Anna L. Morris @WDTnow RT @DoctorGates: Dallas Nephrologist - here for the #NephJC chat on #COVID19 . The viral damage is real, and we are actively working to contain the spread and heal the infected. The https://t.co/Zg4pgLXNb3 resources are top notch. |
| Gates Colbert, MD @DoctorGates @NephJC Ability to test is a large part of this. Hard to know true numbers. US broad testing is just ramping up. The cases will GROW #NephJC |
| Nephrology Journal Club @NephJC How do we know @Kidney_Int rushed this through to publication? Well the PDF still has an "uncorrected proof" water mark and markers for reviewer and editor comments that haven't been resolved. We applaud KI in getting this out so fast! #NephJC https://t.co/GU3nmKbRzJ |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @suziekjos Hi Susan! Stay well #NephJC |
| Amanda Grandinetti, MPH @AGrandinettiMPH RT @NephJC: Things are getting ugly, US infections last thursday were 1200, yesterday they were 3700 and today 6400. #NephJC #Exponential |
| Mario Funes, MD @MarioFunesMD @NephJC It will continue to be exponential as more get infected and testing increases. #NephJC |
| Alex Meraz @NephroGuy @NephJC Surpassing Italy already? #NephJC @scoca1 |
| Arvind Canchi (Conjeevaram)🇮🇳 @arvindcanchi RT @edgarvlermamd: Epidemia del Nuevo Coronavirus 2019 y los Riñones ca. 2020 Mecanismos “Propuestos:” 👉🏼 Sepsis que conduce al sindrome de tormenta de citoquinas 👉🏼 Lesion celular directa debido al virus #NephJC #AskASN #COVID19 #CoronaKidney 👉🏼 https://t.co/SdcBnRASAj https://t.co/s0HIzaEjHy |
| Jeffrey Silberzweig @SilberjRogosin @ChristosArgyrop @NephJC There is great anxiety. Have faith and stay well! #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @FlorAlvaradoMD Hi Flor! Welcome to #NephJC |
| Suneel Udani @CaptainKidney79 @NephJC Weren’t the numbers there for a while and we are finally testing so we are seeing what they are? Are these really NEW infections? #nephjc |
 | Harish Seethapathy @BetterCallSeeth Harish, Renal Fellow @MGHKidneys, no COI #NephJC |
 | Arturo Aleman @ElArturoAleman RT @arvindcanchi: @NephJC This is Arvind Canchi, Nephrologist from Bangalore. Looking to learn. #nephjc Those of you interested in a real life experience in managing #COVID19, Here is a webinar - Speaker: @caioqualunque Panelist: @vjha126 Moderator: @arvindcanchi 🖌 Register: https://t.co/52TijEPYCt https://t.co/5gGeZNguSh |
 | Daniel Edmonston @DanEdmonston Hi everyone. Nephrologist from @DukeKidney. I’ll be mostly lurking but excited to join. #NephJC |
 | Eric Weinhandl @eric_weinhandl Eric Weinhandl, epi and biostats, @FMCNAnews and @UMNews. Co-conspirator with @ChristosArgyrop more often than not. #NephJC |
| Samuel Holland 💉💉💉💉 🦥 @SEdwardHolland RT @Nephro_Sparks: Hi This is Matt Sparks. Reporting for Duty. Co-hosting with @kidney_boy I'm ardent supporter of science and truth seeking to make the best decisions for our patients thanks @ASNKidney and @AlanKliger @SilberjRogosin for joining today #NephJC on #COVID19 no COI |
 | Anubha Mutneja @AnubhaMutneja Anubha Mutneja from WashU. No COI #NephJC |
| Nephrology Journal Club @NephJC As way of a summary the #NephJC workgroup created a #COVID19 resource page which covers the major aspects of COVID and the Kidney or we like to call it Covidney! Anyone? Okay maybe not. Check it out: https://t.co/zXV4WA7s7A |
| Kassem Safa @kassem_safa @AlanKliger Forgot to disclose, I was @AlanKliger ‘s intern 12 years ago #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 @NephJC @Kidney_Int @ISNkidneycare Yes they are! #NephJC |
| Mario Funes, MD @MarioFunesMD RT @NephJC: As way of a summary the #NephJC workgroup created a #COVID19 resource page which covers the major aspects of COVID and the Kidney or we like to call it Covidney! Anyone? Okay maybe not. Check it out: https://t.co/zXV4WA7s7A |
| Nephrology Journal Club @NephJC "Tonight's #NephJC will covering five topics: #T0: Are you seeing COVID19 infections where you work? #T1: What are you changing and how are you adapting hemodialysis for the pandemic #T2: What do we know about COVID19 and AKI and CRRT" |
| Brian Stotter, MD @StotterMD @CaptainKidney79 @NephJC Do we know how long the testing remains positive after clinical infection resolves? #NephJC |
 | Eileen Ciccia, MD @EileenCiccia Hi, this is Eileen Ciccia, pediatric nephrologist at @STLChildrens and @WUSTLmed, no COI. First time (attempting!) to follow #NephJC live! #myfirstTweet |
| Jeffrey Silberzweig @SilberjRogosin @Nephro_Sparks @kidney_boy @ASNKidney @AlanKliger Happy to be here. Looking forward to some great discussion #nephjc |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD RT @NephJC: As way of a summary the #NephJC workgroup created a #COVID19 resource page which covers the major aspects of COVID and the Kidney or we like to call it Covidney! Anyone? Okay maybe not. Check it out: https://t.co/zXV4WA7s7A |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: How do we know @Kidney_Int rushed this through to publication? Well the PDF still has an "uncorrected proof" water mark and markers for reviewer and editor comments that haven't been resolved. We applaud KI in getting this out so fast! #NephJC https://t.co/GU3nmKbRzJ |
 | American Society of Nephrology @ASNKidney @zkribs1 Good to see you here! ;) #NephJC |
| Arvind Canchi (Conjeevaram)🇮🇳 @arvindcanchi RT @NephJC: How do we know @Kidney_Int rushed this through to publication? Well the PDF still has an "uncorrected proof" water mark and markers for reviewer and editor comments that haven't been resolved. We applaud KI in getting this out so fast! #NephJC https://t.co/GU3nmKbRzJ |
| J Byron Lu @JByronLuMD @Nephro_Sparks @hswapnil @kidney_boy @ASNKidney @AlanKliger @SilberjRogosin I made some color choices that then had some real wacky implications downstream (coronavirus gets characterized as having illicit desires) #nephjc |
 | Dominique Tomacruz, MD @DTomacruzMD @NephJC Hi everyone, Dominique from the Philippines, #NSMC intern. NO COI. It’s Day 3 of community quarantine over here. #nephjc |
| Alan Kliger @AlanKliger @kassem_safa Hi! #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: As way of a summary the #NephJC workgroup created a #COVID19 resource page which covers the major aspects of COVID and the Kidney or we like to call it Covidney! Anyone? Okay maybe not. Check it out: https://t.co/zXV4WA7s7A |
| Nephrology Journal Club @NephJC "Tonight's #NephJC will covering five topics: #T3: COVID19 and Kidnet Transplant. What should you do? What are you doing? #T4: The ACEi and ARB conundrum. What do we know? What should we do?" |
| Alex Meraz @NephroGuy RT @NephJC: How do we know @Kidney_Int rushed this through to publication? Well the PDF still has an "uncorrected proof" water mark and markers for reviewer and editor comments that haven't been resolved. We applaud KI in getting this out so fast! #NephJC https://t.co/GU3nmKbRzJ |
| Nephrology Journal Club @NephJC #NephJC Topic Zero: Are you seeing #COVID19 at your hospital? |
| Matthew Sparks, MD @Nephro_Sparks @sastrut @NephJC this is a good question and seems like maybe 2-3 weeks #NephJC but I am not a expert on this. We are all preparing |
| Anuja Java, MD (she/her) @anuja_java @zkribs1 @ASNKidney Thank you for being here today! #nephjc |
| Eric Weinhandl @eric_weinhandl @SkepticalTweetR @hswapnil Welcome! Home dialysis FTW. #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 #NephJC Are there any transplant IDs joining us tonight? |
| Dr Tathagata Bose @tbosex67 Tathagata Bose, Lucknow, India... no coi.. Lurking #NephJC |
| Amanda Grandinetti, MPH @AGrandinettiMPH RT @NephJC: "Tonight's #NephJC will covering five topics: #T0: Are you seeing COVID19 infections where you work? #T1: What are you changing and how are you adapting hemodialysis for the pandemic #T2: What do we know about COVID19 and AKI and CRRT" |
| Aisha Shaikh @aishaikh @NephJC yes #nephjc |
| Jennie Lin 👩🏻⚕️🧬 @jenniejlin @ansakhuja @MarioFunesMD @NephJC Now it’s in every state #nephJC |
| Nephrology Journal Club @NephJC "#NephJC Topic Zero: What is surprising you so far? What have you learned? What do you wish you did differently 10- days ago? 30 days ago?" |
| Jeffrey Silberzweig @SilberjRogosin @CaptainKidney79 @NephJC I think that is correct. Much of the increase in numbers of confirmed infections is due to the marked increase in the number of tests being done. #nephjc |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd If you’re getting asked about the connection between #COVID19 and ACE-I/ ARBs you should check out this great resource for #CoronaKidney #NephJC #AskASN 👉🏼 https://t.co/f7uJ9VB9Yg https://t.co/uTac1C0OX7 |
 | WUSTL Pediatric Nephrology @WashU_PedsNeph RT @EileenCiccia: Hi, this is Eileen Ciccia, pediatric nephrologist at @STLChildrens and @WUSTLmed, no COI. First time (attempting!) to follow #NephJC live! #myfirstTweet |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephJC We will be updating this as fast as we can But depend on the community to pass on important information/corrections as well #NephJC |
 | Krishna Penmatsa @krishnadoctor1 Hi All..Krishna Penmatsa from Vizag,India. No COI #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: "Tonight's #NephJC will covering five topics: #T0: Are you seeing COVID19 infections where you work? #T1: What are you changing and how are you adapting hemodialysis for the pandemic #T2: What do we know about COVID19 and AKI and CRRT" |
| James Novak, MD PhD FACP FASN FNKF @JamesNovakNeph @NephJC Sure, now that we're testing. Many new screening procedures for patients, visitors, and staff. Things are moving quickly. #NephJC |
| Alan Kliger @AlanKliger @StotterMD @CaptainKidney79 @NephJC Not clear. The nuclear acid testing shows live virus and also viral particles that don't transmit disease #NephJC |
 | Impeach Clarence Thomas @pgydrunk This MF about be spittin’ #COVID19 #FOAMed #NephJC |
 | Get Vaccinated 💉💉💉😷 Wear The Mask😷 @JackieVhmedic RT @arvindcanchi: @NephJC This is Arvind Canchi, Nephrologist from Bangalore. Looking to learn. #nephjc Those of you interested in a real life experience in managing #COVID19, Here is a webinar - Speaker: @caioqualunque Panelist: @vjha126 Moderator: @arvindcanchi 🖌 Register: https://t.co/52TijEPYCt https://t.co/5gGeZNguSh |
 | Eric Au @ericau @NephJC Hi Eric nephrologist from Sydney. No COI. #nephjc |
| Dhwanil Patel @iheartkidneys 197,126 #COVID19 as of now - from @JohnsHopkins COVID resource center! Great tool. #NephJC https://t.co/GZqLeNze5R |
| Zach Kribs @zkribs1 @ASNKidney I promise this isn't me tweeting at myself!😂 #NephJC |
| susan kjos @suziekjos @HecmagsMD Hello #NephJC |
| Anuja Java, MD (she/her) @anuja_java RT @NephJC: "Tonight's #NephJC will covering five topics: #T0: Are you seeing COVID19 infections where you work? #T1: What are you changing and how are you adapting hemodialysis for the pandemic #T2: What do we know about COVID19 and AKI and CRRT" |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD @NephJC Not seeing yet but major issue here is inadequate testing #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @EileenCiccia @STLChildrens @WUSTLmed Welcome Eileen! Hope you like it enough to stay #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @CaptainKidney79 @NephJC Also hard to assess severity as a function of the number of infections since the majority of those being tested are being tested because of severe clinical symptoms #nephjc |
| Mario Funes, MD @MarioFunesMD @NephJC Yes, although minimizing resident exposure. Once it's a suspected case or it's confirmed, we stop seeing. #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 @edgarvlermamd Thank you @edgarvlermamd ! #nephJC |
| 𝙼𝚊𝚝𝚝 𝙻𝚞𝚝𝚑𝚎𝚛 @DrJMLuther @Nephro_Sparks @sastrut @NephJC If we stop spreading it #NephJC |
 | 𝐉𝐨𝐬𝐞𝐩𝐡 𝐅𝐥𝐲𝐧𝐧, 𝐌𝐃 @drjosflynn Joseph Flynn here, Peds Neph, no COI #nephjc |
| Gates Colbert, MD @DoctorGates @Nephro_Sparks @sastrut @NephJC Dr Faucia said 3/17 that the peak is 2-3 weeks away. Active spread and testing will contribute. The problem is the long incubation period. Likely you know someone who is infected without symptoms yet. #NephJC |
| Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD @zkribs1 @ASNKidney Yes. Let’s start with the basics for now. More N95 masks and other PPE! #NephJC |
| Samira Farouk, MD, MSCR @ssfarouk RT @SilberjRogosin: @CaptainKidney79 @NephJC Also hard to assess severity as a function of the number of infections since the majority of those being tested are being tested because of severe clinical symptoms #nephjc |
| Alan Kliger @AlanKliger @NephJC Beginning of asymptote. We'll see if social distancing has any effect #NephJC |
| Nephrology Journal Club @NephJC @pgydrunk follow the hashtag #NephJC not the person |
 | Natalie McCall @_NatalieMcCall Natalie McCall, VUMC. Happy to be here. No COI. #nephJC |
| Jeffrey Silberzweig @SilberjRogosin @sastrut @NephJC NY Gov Andrew Cuomo estimated 45 days earlier today #nephjc |
| 〽️ichael Heung @keepingitrenal T0. Yup, #COVID19 is here in MI and we have cases in our hospital. #NephJC |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD @NephJC Testing testing testing ... #NephJC |
| Suneel Udani @CaptainKidney79 @NephJC #nephjc clinical judgement is not enough to discern who may have this and who does not. Much more varied presentation than i expected |
| Amanda Grandinetti, MPH @AGrandinettiMPH RT @iheartkidneys: 197,126 #COVID19 as of now - from @JohnsHopkins COVID resource center! Great tool. #NephJC https://t.co/GZqLeNze5R |
 | Furqan Raja @Furqi Joining in #NephJC . Want to give a shout out to @RPANephrology for being one of the first organizations to clarify guidelines re: telehealth in this difficult time. |
| Nathaniel Reisinger @nephrothaniel RT @NephJC: As way of a summary the #NephJC workgroup created a #COVID19 resource page which covers the major aspects of COVID and the Kidney or we like to call it Covidney! Anyone? Okay maybe not. Check it out: https://t.co/zXV4WA7s7A |
| Nephrology Journal Club @NephJC @JamesNovakNeph Fellow should me the line to get into Henry Ford today, Looked like a mess. #NephJC |
 | Nim Goraya MD FASN @GorayaNim Hi Nim Goraya from @bswhealth #NephJC No COI |
 | M Suleman Ajmal @MSulemanAjmal1 Suleman Ajmal from Houston. #nephjc |
 | Larissa Krüger @nephron_andon @NephJC Hi everyone Larissa here from BIDMC trying to learn more and get some comfort from our shared experience during these difficult times #NephJC |
| Nephrology Journal Club @NephJC RT @hswapnil: @NephJC We will be updating this as fast as we can But depend on the community to pass on important information/corrections as well #NephJC |
 | Ben Humphreys @HumphreysLab Ben Humphreys from @WUNephrology no relevant COI #NephJC |
| Juan Carlos Q Velez @VelezNephHepato @NephJC #NephJC We are seeing cases at Ochsner. We dialyzed 3 confirmed COVID19 pts today. In their rooms, all CRRT. nothing different than a standard vented ICU pt so far. The more challenging adaptations for us so far have been with outpatient ESRD |
| Eric Au @ericau RT @arvindcanchi: @NephJC This is Arvind Canchi, Nephrologist from Bangalore. Looking to learn. #nephjc Those of you interested in a real life experience in managing #COVID19, Here is a webinar - Speaker: @caioqualunque Panelist: @vjha126 Moderator: @arvindcanchi 🖌 Register: https://t.co/52TijEPYCt https://t.co/5gGeZNguSh |
 | Kenar Jhaveri @kdjhaveri @StotterMD @CaptainKidney79 @NephJC Not sure. How low does the PCR pick up in terms of load? #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil We have 13 in Ottawa, 1 hospitalized Bracing for the storm in a week or two Hope #CancelEverythingNow which has happened will work #nephjc |
| Matthew Sparks, MD @Nephro_Sparks @bealelab @sastrut @NephJC thanks for sharing #NephJC |
| Dhwanil Patel @iheartkidneys @DrJMLuther @Nephro_Sparks @sastrut @NephJC Key is to minimize the R0. #NephJC |
| Alan Kliger @AlanKliger @bealelab @Nephro_Sparks @sastrut @NephJC Yes - - yikes #NephJC |
| Jennie Lin 👩🏻⚕️🧬 @jenniejlin @SilberjRogosin @CaptainKidney79 @NephJC Do we have a sense from Korea how many adults test positive but remain completely asymptomatic? #nephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @bealelab: |
 | Zainab Obaidi @zainabo87 Hi, soon to be nephrologist. Happy to be here #NephJC |
| Aisha Shaikh @aishaikh @DoctorGates @Nephro_Sparks @sastrut @NephJC The peak will depend on how well we implement and follow social distancing...which btw may not work well once the disease is too widespread #NephJC |
| Gates Colbert, MD @DoctorGates @iheartkidneys @JohnsHopkins I think this website/image will be the logo for 2020. Great way to visibly take it all in #COVID19 #NephJC |
| Samira Farouk, MD, MSCR @ssfarouk T0: Yes, we have COVID infection in our ICUs (NYC) #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @NephJC I think there are COVID19 infections in most hospitals today. Hemodialysis centers are being asked to manage patients with COVID19 by separating all patients by at least six feet and using full PPE for staff caring for those patients. If numbers are sufficient, cohort #nephjc |
 | Jefferson L. Triozzi, M.D. @nepherson @NephJC Jefferson PGY-3 internal medicine resident Baylor College of Medicine, Houston, TX no COI #NephJC #TeamSurvivalofHumanity |
 | Crystal Renee @mspetty83 RT @iheartkidneys: 197,126 #COVID19 as of now - from @JohnsHopkins COVID resource center! Great tool. #NephJC https://t.co/GZqLeNze5R |
| Suneel Udani @CaptainKidney79 @NephJC We truly do not have enough PPE to isolate everyone which is a big problem. Hard to understand why this cannot be ramped hope in the US #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 @CaptainKidney79 @NephJC Hi Dr. Udani! #NephJC |
| Eric Weinhandl @eric_weinhandl @Nephro_Sparks @sastrut @NephJC I see that at least 1.4 million people voted in the FL primary today, so hard to buy only 3 weeks. #NephJC |
| susan kjos @suziekjos @DoctorGates @Nephro_Sparks @sastrut @NephJC That is scary to think we know someone infected right now #NephJC |
 | Jefferson Peeples @NephroPeeps Jefferson Peeples, nephrology fellow at UNC. Lurking and learning #NephJC |
| Natasha N. Dave @NatashaNDave @NephJC @kidney_boy @Nephro_Sparks Wow talk about the two biggest #NephTwitter influencers! Thanks for tackling this topic #NephJC @Nephro_Sparks @kidney_boy |
| James Novak, MD PhD FACP FASN FNKF @JamesNovakNeph @HecmagsMD @zkribs1 @ASNKidney Are N95 masks necessary for routine clinical care? SARS-CoV2 is spread by droplets, so many protocols call for surgical masks only. #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @VelezNephHepato @NephJC Confirmed = chronic HD patients or COVID-19 with AKI? #NephJC |
 | Chirag Parikh @KidneydrChirag #NephJC Chirag Parikh from Johns Hopkins University. No relevant COI |
 | Swasti Chaturvedi @SwastiThinks RT @NephJC: "Tonight's #NephJC will covering five topics: #T0: Are you seeing COVID19 infections where you work? #T1: What are you changing and how are you adapting hemodialysis for the pandemic #T2: What do we know about COVID19 and AKI and CRRT" |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 @GarySingerMD @NephJC Hi Gary! #NephJC |
| Amanda Grandinetti, MPH @AGrandinettiMPH RT @VelezNephHepato: @NephJC #NephJC We are seeing cases at Ochsner. We dialyzed 3 confirmed COVID19 pts today. In their rooms, all CRRT. nothing different than a standard vented ICU pt so far. The more challenging adaptations for us so far have been with outpatient ESRD |
| Jeffrey Silberzweig @SilberjRogosin @NephJC CRRT has no greater risk or benefit that I am aware of; it alters staffing ratios so that may be an important factor in choosing vs intermittent HD #nephjc |
| 𝐉𝐨𝐬𝐞𝐩𝐡 𝐅𝐥𝐲𝐧𝐧, 𝐌𝐃 @drjosflynn @SilberjRogosin @CaptainKidney79 @NephJC Yes, good point. This also likely explains the supposed low number of pediatric cases - they may not get that symptomatic, so don't get tested. #nephjc |
| Krishna Penmatsa @krishnadoctor1 @NephJC Not Yet.. #NephJC |
| Nikhil Shah MBBS DNB(IM, Neph)🇨🇦 @dr_nikhilshah @SilberjRogosin @NephJC Are you using separate units for #COVID19 patients on dialysis or just individual isolation? #NephJC @SkepticalTweetR |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD @Furqi @RPANephrology https://t.co/pOynJ9uANx @RPANephrology #telehealth #NephJC |
| Furqan Raja @Furqi #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @ansakhuja @MarioFunesMD @NephJC All 50 states now have documented cases #nephjc |
 | Jen Pluznick @jenpluznick Hi, Jen Pluznick from Hopkins, basic scientist with a closed lab, lurker on #NephJC |
| Alan Kliger @AlanKliger @SilberjRogosin @NephJC Well, advice is to first see if there is a private room in the center with a door. If its must be dialyzed together with non-infected ones, do end of the line or corner position and 6 feet separation #NephJC |
 | Pranav Garimella @pranavgarimella Pranav Garimella @ucsdnephrology No COI, #NephJC |
 | J. Brian Byrd Lab @thebyrdlab J. Brian Byrd, physician-scientist (hypertension nerd), lurking nervously with T=99.6 #NephJC |
| Kevin R. Regner, MD, MS, FASN @RegnerKR_Neph T0: Yes. Using CRRT as we usually would in the context of multi organ failure. #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @eric_weinhandl @Nephro_Sparks @sastrut @NephJC Ugh Florida #NephJC |
| Matthew Sparks, MD @Nephro_Sparks @GarySingerMD @Furqi @RPANephrology @kidney_boy is this on #NephJC |
| Kenar Jhaveri @kdjhaveri @NephJC Tons !! #NephJC NY is getting hit hard |
| Harish Seethapathy @BetterCallSeeth @NephJC People are not taking this seriously yet. Pictures of crowded areas from Palm beach, south Boston and downtown SF etc. are disappointing. But hopefully change is coming, with so many strong responsible advocates. Perhaps not soon enough #NephJC |
| Arvind Canchi (Conjeevaram)🇮🇳 @arvindcanchi @NephJC Not yet seeing #COVID19 cases in the hospital. Expecting to. In India, testing numbers are inadequate I suspect, leading to the spuriously low numbers of cases reported till now. #nephjc https://t.co/qDlvRGRbxD https://t.co/yofWfe2yzX |
| Alex Meraz @NephroGuy @JamesNovakNeph @HecmagsMD @zkribs1 @ASNKidney We are using normal surgical masks in Ontario and N95 for aerosols producing procedures #NephJC |
| Nephrology Journal Club @NephJC @sastrut peaks will be local, Washington will peak before Iowa. I think we will be seeing lots of different epicenters of disease, some handling it well, others not so well. #NephJC |
| Verner Venegas @Vernisartan RT @iheartkidneys: 197,126 #COVID19 as of now - from @JohnsHopkins COVID resource center! Great tool. #NephJC https://t.co/GZqLeNze5R |
| 𝐉𝐨𝐬𝐞𝐩𝐡 𝐅𝐥𝐲𝐧𝐧, 𝐌𝐃 @drjosflynn RT @Furqi: Joining in #NephJC . Want to give a shout out to @RPANephrology for being one of the first organizations to clarify guidelines re: telehealth in this difficult time. |
| Samira Farouk, MD, MSCR @ssfarouk @JamesNovakNeph @HecmagsMD @zkribs1 @ASNKidney No - droplet protection surgical mask only. These can be reused until wet or soiled. N95 for aerosolizing procedures, or those deemed high risk by proceduralists. #NephJC |
| Gates Colbert, MD @DoctorGates @dr_nikhilshah @SilberjRogosin @NephJC @SkepticalTweetR Several centers are considering designating #COVID19 dialysis units. Depending on the infected numbers. For now my units are using PPE on all patients and Physicians/HCP at facility to limit spread. #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @KidneydrChirag Hey Chirag! Welcome to #NephJC |
| susan kjos @suziekjos @Nephro_Sparks @DoctorGates @sastrut @NephJC Today is my second day working from home. Big changes #NephJC |
| James Novak, MD PhD FACP FASN FNKF @JamesNovakNeph @NephJC First day of mass screenings; the hospital promises things will be smoother tomorrow. But I was at home taking a vacation day to watch my son (no school for the next month) while my wife was in clinic. #NephJC |
| Anuja Java, MD (she/her) @anuja_java @DoctorGates @Nephro_Sparks @sastrut @NephJC What’s got me concerned is that our local health dept has put out a document saying that suspected and positive cases can return back to community if more than 7 days since initial symptoms and if more than 3 days since symptom resolution. These might still be carriers? #nephJC |
| Eric Weinhandl @eric_weinhandl Check it out. #NephJC |
| Kenar Jhaveri @kdjhaveri @VelezNephHepato @NephJC Lot of clotting issues in ours @danielwross4 #NephJC |
| Suneel Udani @CaptainKidney79 T0. If it hadn’t already, this will highlights the danger and absolute unacceptable nature of our factory style large dialysis clinics. #NephJC |
| James Novak, MD PhD FACP FASN FNKF @JamesNovakNeph @NephroGuy @HecmagsMD @zkribs1 @ASNKidney Same with us. #NephJC |
| Alan Kliger @AlanKliger @CaptainKidney79 @NephJC Raises question of PPE conservation - who really needs masks? Gowns? If no infections in unit at all - asymptomatic staff and its don't need either #NephJC |
| 〽️ichael Heung @keepingitrenal #T1: We’re fortunate to have an inpt 32-bed negative pressure unit to isolate #COVID19 pts (+ -and r/o). Hope it’s enough. But outpt HD is another matter. Not great iso options but working on it. #NephJC |
| Nephrology Journal Club @NephJC #NephJC topic One: What are you changing and how are you adapting hemodialysis for the pandemic? |
| Michelle Starr MD MPH @mcstarr1 @drjosflynn @SilberjRogosin @CaptainKidney79 @NephJC I suspect that the pediatric asymptomatic or mild symptomatic COVID patients are likely just spreading to others/adults around them, who then become asymptomatic! Especially given the concern for fecal-oral spread, and longer (up to 21 days) of shedding.... #nephjc |
 | Cesar Hernandez-Arroyo, MD FASDIN FASN🇵🇷 @NephroGnome ¡¡Hola a todos!! (Hi all!!) First timer over here.... 2nd year Nephro Fellow @OchsnerNephro and soon-to-be interventional neph fellow @uw_nephrology ...no CoI... #nephjc #COVID #TeamSurvivor |
| Samuel Holland 💉💉💉💉 🦥 @SEdwardHolland RT @NephJC: Tonight in #NephJC we are talking about the only thing anyone is talking about, #COVID19. But tonight it COVID and the Kidney |
| Ben Humphreys @HumphreysLab RT @ssfarouk: @JamesNovakNeph @HecmagsMD @zkribs1 @ASNKidney No - droplet protection surgical mask only. These can be reused until wet or soiled. N95 for aerosolizing procedures, or those deemed high risk by proceduralists. #NephJC |
| Samira Farouk, MD, MSCR @ssfarouk @anuja_java @DoctorGates @Nephro_Sparks @sastrut @NephJC What does it mean to "return back to community"? Aren't we all trying to social distance? #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @anuja_java @DoctorGates @Nephro_Sparks @sastrut @NephJC I think it is like other viral infections; once symptoms resolve, risk of transmission decreases #nephjc |
 | Robert Blaser @RobertBlaser1 @Nephro_Sparks Matt, here is this, I saw the #NephJC thread. |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 @anuja_java @DoctorGates @Nephro_Sparks @sastrut @NephJC What was the rationale behind this decision? #nephJC |
| Nephrology Journal Club @NephJC Time to move on to hemodialysis. Topic One #NephJC |
| Verner Venegas @Vernisartan @iheartkidneys @JohnsHopkins Now we have pts. in poor countries, that is going to be a big big big problem. #NephJC |
| Brian Stotter, MD @StotterMD RT @mcstarr1: @drjosflynn @SilberjRogosin @CaptainKidney79 @NephJC I suspect that the pediatric asymptomatic or mild symptomatic COVID patients are likely just spreading to others/adults around them, who then become asymptomatic! Especially given the concern for fecal-oral spread, and longer (up to 21 days) of shedding.... #nephjc |
| Kenar Jhaveri @kdjhaveri @Nephro_Sparks @NephJC I think NY is in route to Italy over entire US #NephJC |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd Read @RPANephrology’s guidance to nephrologists regarding provision of telehealth services to Medicare beneficiaries based on CMS guidance issued on March 17 #NephJC #AskASN #CoronaKidney 👉🏼 https://t.co/HkkJSDLCWN https://t.co/6Of69eeazN |
 | Meera N. Harhay, MD MSCE @MeeraHarhay Meera Harhay, transplant nephrologist in Philadelphia. No COI. #NephJC |
| ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop RT @NephJC: Things are getting ugly, US infections last thursday were 1200, yesterday they were 3700 and today 6400. #NephJC #Exponential |
| Perinola21 @perinola21 @NephJC #NephJC dialysis unit 0 cases until now. |
| Nikhil Shah MBBS DNB(IM, Neph)🇨🇦 @dr_nikhilshah @NephroGuy @JamesNovakNeph @HecmagsMD @zkribs1 @ASNKidney Same here! #NephJC N95 masks ran out temporarily for renewed in fit testing !! #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @DoctorGates @dr_nikhilshah @SilberjRogosin @NephJC @SkepticalTweetR We have designated unit *only * for suspected COVID-19 right now; capacity 36 patients at @ottawarenal But may not be tenable if we get a surge #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @kdjhaveri @VelezNephHepato @NephJC @danielwross4 Is it because of hypovolemia or something else? #nephjc |
| 𝙼𝚊𝚝𝚝 𝙻𝚞𝚝𝚑𝚎𝚛 @DrJMLuther Yes we are starting to see cases, some in hospital now. Here is the situation in TN @VUMCKidney #NephJC https://t.co/EwM2uyTnFp |
| Aisha Shaikh @aishaikh @anuja_java @DoctorGates @Nephro_Sparks @sastrut @NephJC Unfortunately this will have to be a balancing act , otherwise we won't have many healthcare providers left to work. Tough situation to say the least... #NephJC |
| Nephrology Journal Club @NephJC @RobertBlaser1 @RPANephrology I did a number of Telehealth visits today. Knocking down clinic traffic where I can. #NephJC #flatteningthecurve |
| 𝐉𝐨𝐬𝐞𝐩𝐡 𝐅𝐥𝐲𝐧𝐧, 𝐌𝐃 @drjosflynn Yes, likely true. #children are known to be good 'spreaders' of viruses... |
| Juan Carlos Q Velez @VelezNephHepato Out ICU teams are asking us not to go into the rooms to minimize contact and spare PPE. We are assessing pts as usual but “examining” em thru the window. Wondering about billing legal issues. I wonder if anybody had discussions with coders or hospital admin #NephJC |
| Arvind Canchi (Conjeevaram)🇮🇳 @arvindcanchi @NephJC Currently no changes. Looking at seeing up an isolation dialysis room. #nephjc |
| Alan Kliger @AlanKliger @dr_nikhilshah @NephroGuy @JamesNovakNeph @HecmagsMD @zkribs1 @ASNKidney CDC is no longer suggesting N95s for COVID-19. Surgical masks OK #NephJC |
| JonathanArmentiTC @ArmentiTc RT @ssfarouk: @JamesNovakNeph @HecmagsMD @zkribs1 @ASNKidney No - droplet protection surgical mask only. These can be reused until wet or soiled. N95 for aerosolizing procedures, or those deemed high risk by proceduralists. #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @keepingitrenal Probably can't achieve complete isolation. Need to use PPE appropriately #nephjc |
| Kenar Jhaveri @kdjhaveri @SilberjRogosin @VelezNephHepato @NephJC @danielwross4 Not sure. #NephJC |
| Chirag Parikh @KidneydrChirag #nephjc we have 6 admitted cases at JHU as of today |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @DoctorGates @dr_nikhilshah @SilberjRogosin @NephJC @SkepticalTweetR @OttawaRenal We basically converted our home dialysis unit with 6 separate rooms for training into a COVID-19 unit My colleague Brendan McCormick’s ingenuity #NephJC |
 | Franklin Loachamin @FranLoachamin RT @NephJC: @RobertBlaser1 @RPANephrology I did a number of Telehealth visits today. Knocking down clinic traffic where I can. #NephJC #flatteningthecurve |
| J. Brian Byrd Lab @thebyrdlab RT @NephJC: @RobertBlaser1 @RPANephrology I did a number of Telehealth visits today. Knocking down clinic traffic where I can. #NephJC #flatteningthecurve |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD @ssfarouk @JamesNovakNeph @HecmagsMD @zkribs1 @ASNKidney Strictly speaking masks need to be changed when seeing different patients in the hospital. Not being done in HD clinics #NephJC |
| Brian Stotter, MD @StotterMD @NephJC @RobertBlaser1 @RPANephrology Our telehealth wouldn’t be fully operational until next month, until then we’re being asked to make clinical judgments who is urgent enough to be seen in the next 8 weeks and who can wait #NephJC |
| Jennie Lin 👩🏻⚕️🧬 @jenniejlin @NephJC Thoughts on screening everyone? HD patients usually have atypical presentations of diseases (this can include sepsis), and they have high cardiovascular disease risk. #nephJC |
| Juan Carlos Q Velez @VelezNephHepato @hswapnil @NephJC 2 AKIs and 1 ESRD, all 3 ARDS ages 50-65 #NephJC |
| Niru Ramkumar @niruramkumar @LTummalapalli @NephroGuy @StotterMD @CaptainKidney79 @NephJC Nasopharyngeal swab can be negative at 7 days in non-severe COVID-19 based on👇this case report #NephJC https://t.co/JQOO6MIZhy |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @AlanKliger: @SilberjRogosin @NephJC Well, advice is to first see if there is a private room in the center with a door. If its must be dialyzed together with non-infected ones, do end of the line or corner position and 6 feet separation #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 #NephJC Can anyone comment on what is being done to reduce #COVOD19 risks for healthcare providers? #nephJC To me this seems to be a huge gap |
| Anuja Java, MD (she/her) @anuja_java @ssfarouk @JamesNovakNeph @HecmagsMD @zkribs1 @ASNKidney Read today that it could be airborne too. I’ll find the reference to attach here. #NephJC |
| Franklin Loachamin @FranLoachamin RT @VelezNephHepato: Out ICU teams are asking us not to go into the rooms to minimize contact and spare PPE. We are assessing pts as usual but “examining” em thru the window. Wondering about billing legal issues. I wonder if anybody had discussions with coders or hospital admin #NephJC |
 | Anand Ramadorai @beansdoc_DO Hi Everyone #NephJC ! Anand here, Nephrology Fellow, from @uw_nephrology. No COI |
 | Dr Priti MD,FASN🇮🇳 (प्रिति) @priti899 Hello everyone 👋.this is Priti #nsmc2020 #COVID2019 #Nephjc. No COI to declare |
| Natasha N. Dave @NatashaNDave @NephJC Topic Zero: Not yet - but I feel like its coming! I'm doing a Medicine Rotation this week so I'll be on the lookout. #NephJC |
| Kenar Jhaveri @kdjhaveri @VelezNephHepato Same here #NephJC No touch visits and keeping team members safe |
| Jeffrey Silberzweig @SilberjRogosin @hswapnil @DoctorGates @dr_nikhilshah @NephJC @SkepticalTweetR @OttawaRenal Great idea! If there's space, that's an ideal solution #nephjc |
| Zach Kribs @zkribs1 RT @AlanKliger: @dr_nikhilshah @NephroGuy @JamesNovakNeph @HecmagsMD @zkribs1 @ASNKidney CDC is no longer suggesting N95s for COVID-19. Surgical masks OK #NephJC |
| Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD @jenniejlin @SilberjRogosin @CaptainKidney79 @NephJC Were these asymptomatic patients? #NephJC I don’t know the source of this graph https://t.co/JwnO5JBS1s |
| Nephrology Journal Club @NephJC Clever #NephJC |
 | Charbel C Khoury @Charbel_Khoury Charbel Khoury WashU sorry for the delay #nephjc |
| Arvind Canchi (Conjeevaram)🇮🇳 @arvindcanchi RT @SilberjRogosin: @NephJC I think there are COVID19 infections in most hospitals today. Hemodialysis centers are being asked to manage patients with COVID19 by separating all patients by at least six feet and using full PPE for staff caring for those patients. If numbers are sufficient, cohort #nephjc |
| Alan Kliger @AlanKliger @priti899 Hi Priti #NephJC |
| Nephrology Journal Club @NephJC "#NephJC Watched the @ASNKidney webinar on this. Slides here: https://t.co/ecmUy4o6s8 Recorded video here: https://t.co/rEndRdLxjw" |
| Samira Farouk, MD, MSCR @ssfarouk Can you please share again T0 - 4? Tweets zooming by @NephJC #NephJC |
| ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @dr_nikhilshah @NephroGuy @JamesNovakNeph @HecmagsMD @zkribs1 @ASNKidney N95 masks can be reused ; pick one of the 5 protocols for reuse #Nephjc https://t.co/NTys8Eckny You can even microwave them !!! |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 @anuja_java @ssfarouk @JamesNovakNeph @HecmagsMD @zkribs1 @ASNKidney I read the same thing too #NephJC |
| James Novak, MD PhD FACP FASN FNKF @JamesNovakNeph @VelezNephHepato @NephJC Yes, outpatient dialysis, with large rooms housing 12-18 patients each, is the weakest link. Persons under investigation (PUI) are currently dialyzed at the end of the day or in a corner if no isolation room. Suboptimal. #NephJC |
| Juan Carlos Q Velez @VelezNephHepato @EleanorLederer @NephJC A lot. We are trying to get testing kits at each HD location. FMC has not succeeded. Anybody has a recommendation about it? #NephJC |
| 𝐉𝐨𝐬𝐞𝐩𝐡 𝐅𝐥𝐲𝐧𝐧, 𝐌𝐃 @drjosflynn @StotterMD @NephJC @RobertBlaser1 @RPANephrology We were asked to do that in one day. @seattlechildren #NephJC |
| Alex Chang, MD, FASN, FAHA @alexchangmd RT @VelezNephHepato: Out ICU teams are asking us not to go into the rooms to minimize contact and spare PPE. We are assessing pts as usual but “examining” em thru the window. Wondering about billing legal issues. I wonder if anybody had discussions with coders or hospital admin #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @VelezNephHepato @NephJC Ugh Hope things work out #NephJC |
| Dr Priti MD,FASN🇮🇳 (प्रिति) @priti899 RT @NephJC: "#NephJC Watched the @ASNKidney webinar on this. Slides here: "#NephJC Watched the @ASNKidney webinar on this. Slides here: https://t.co/ecmUy4o6s8 Recorded video here: https://t.co/rEndRdLxjw" |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @niruramkumar: @LTummalapalli @NephroGuy @StotterMD @CaptainKidney79 @NephJC Nasopharyngeal swab can be negative at 7 days in non-severe COVID-19 based on👇this case report #NephJC https://t.co/JQOO6MIZhy |
| Jeffrey Silberzweig @SilberjRogosin @gratefull080504 Hard to do. Use of PPE is the key. Increased use of telemedicine with Medicare rules issued today will go a long way #nephjc |
| Amanda Grandinetti, MPH @AGrandinettiMPH RT @niruramkumar: @LTummalapalli @NephroGuy @StotterMD @CaptainKidney79 @NephJC Nasopharyngeal swab can be negative at 7 days in non-severe COVID-19 based on👇this case report #NephJC https://t.co/JQOO6MIZhy |
| Alex Meraz @NephroGuy @ChristosArgyrop @dr_nikhilshah @JamesNovakNeph @HecmagsMD @zkribs1 @ASNKidney I knew that from out experience with the pandemic influenza 2009 #NephJC |
| Michelle Starr MD MPH @mcstarr1 @RobertBlaser1 @RPANephrology Was so happy to be able to use Telehealth at @IUPedsKidney @IUMedSchool as of today - smooth system, worked to improve patient access and keep them out of clinic. Families loved it, and able to do way more than I thought. Was outstanding! #nephjc |
| Dominique Tomacruz, MD @DTomacruzMD @VelezNephHepato This happens in our institution too so we can control the use of PPEs #nephjc |
| Jennie Lin 👩🏻⚕️🧬 @jenniejlin @HecmagsMD @SilberjRogosin @CaptainKidney79 @NephJC Not sure! @hswapnil? #NephJC |
| Jay Koyner @jaykoyner @pranavgarimella @NephJC we have a similar set up up and rolling @pranavgarimella - for the known positive cases #NephJC |
| Franklin Loachamin @FranLoachamin Público hospital in Quito Ecuador , no cases still #NephJC |
| Nikhil Shah MBBS DNB(IM, Neph)🇨🇦 @dr_nikhilshah @AlanKliger @NephroGuy @JamesNovakNeph @HecmagsMD @zkribs1 @ASNKidney #NephJC - Absolutely. We are using surgical masks with eye protection! It just so happened that people realized they never had their N95 fit testing done and woke up!! Wonder why?? #COVID19 |
| Natasha N. Dave @NatashaNDave @NephJC @RobertBlaser1 @RPANephrology The @VAHouston is encouraging providers to use their Telehealth platform called VA Video Connect or VVC. I've been using it for the past week - its like FaceTiming with your patients. A great way to reduce foot traffic. #NephJC |
| Perinola21 @perinola21 @NephJC #nephJC triage/ ready to run protocol/ isolation. But no cases until now. From Patagonia, Argentina |
| Jeffrey Silberzweig @SilberjRogosin @LTummalapalli @VelezNephHepato True. Minimum contact appropriate for patient care is helpful to maintain a healthy workforce #nephjc @CornellNephrology |
| Krishna Penmatsa @krishnadoctor1 Is there a possibility of second infection after recovery from first? Has it been reported? Pray not #NephJC #covid19 |
| Nephrology Journal Club @NephJC This is huge! #NephJC |
| Niru Ramkumar @niruramkumar RT @arvindcanchi: @NephJC Not yet seeing #COVID19 cases in the hospital. Expecting to. In India, testing numbers are inadequate I suspect, leading to the spuriously low numbers of cases reported till now. #nephjc https://t.co/qDlvRGRbxD https://t.co/yofWfe2yzX |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd Coronavirus Epidemic and Extracorporeal Therapies in Intensive Care: si vis pacem para bellum ca. 2020 from @croncoIRRIV #Nephpearls #CoronaKidney #NephJC #AskASN 👉🏼 https://t.co/tsyNvT1RUj https://t.co/IutvrTfX6X |
| Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD @ChristosArgyrop @JamesNovakNeph @zkribs1 @ASNKidney Yes. I know what the CDC recommends but that’s not what worked in China. Look at the differences. Happy to share this presentation. #Nephjc https://t.co/HuQmvEGM3b |
| Franklin Loachamin @FranLoachamin Franklin Loachamin, Quito , Ped neph No COI #NephJC |
| Cesar Hernandez-Arroyo, MD FASDIN FASN🇵🇷 @NephroGnome Any experience/cases with COVID19 and unexplained proteinuria? #NephJC |
| Juan Carlos Q Velez @VelezNephHepato @kdjhaveri I see. Are you changing the way you bill by not touching pts? #NephJC we are documenting observation exam and adding a sentence of deferred exam due to #COVID19 pandemic. We shouldn’t be penalized for doing the right thing |
| Kenar Jhaveri @kdjhaveri @EleanorLederer @NephJC Yes. Heard we are running out soon #nephjc reusing N95 and cover them with a surgical mask and then clean the N95 |
| Chirag Parikh @KidneydrChirag #nephjc T1- we are opening a new shift at one of the outpatient dialysis centers for patients who are COVID-19 positive and for patients who are are discharged from the hospital |
 | ASN Advocacy @ASNAdvocacy @ASNKidney is asking the federal government to prioritize access to kits for dialysis patients - as well as transplant candidates and donors #NephJC |
| James Novak, MD PhD FACP FASN FNKF @JamesNovakNeph @krishnadoctor1 It has been reported in a few patients in China. #NephJC |
| nhi @NhiTanUW Nhi Tan, 2nd year fellow at UWashington. Any experience with compassionate use remdesivir and any know kidney side effects? #NephJC |
| Charbel C Khoury @Charbel_Khoury RT @ASNAdvocacy: @ASNKidney is asking the federal government to prioritize access to kits for dialysis patients - as well as transplant candidates and donors #NephJC |
| Franklin Loachamin @FranLoachamin RT @edgarvlermamd: Read @RPANephrology’s guidance to nephrologists regarding provision of telehealth services to Medicare beneficiaries based on CMS guidance issued on March 17 #NephJC #AskASN #CoronaKidney 👉🏼 https://t.co/HkkJSDLCWN https://t.co/6Of69eeazN |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD @SilberjRogosin @gratefull080504 https://t.co/RTNZ7pHTMW @CMSGov #NephJC |
 | Roberto Gutiérrez @DrRobertoGuti RT @edgarvlermamd: The Novel Coronavirus 2019 Epidemic and Kidneys ca. 2020 “Postulated” mechanisms: 👉🏼 Sepsis leading to cytokine storm syndrome 👉🏼 Direct cellular injury due to the virus #COVID19 #CoronaKidney #NephJC #AskASN 👉🏼 https://t.co/SdcBnRASAj https://t.co/AoRvrBSmb7 |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @jenniejlin @HecmagsMD @SilberjRogosin @CaptainKidney79 @NephJC Not sure either But if South Korea: either asymptomatic or mild symptoms They did a great job with testing and isolating #NephJC |
| Juan Carlos Q Velez @VelezNephHepato @Furqi @RPANephrology Do you have a link please? #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @KidneydrChirag Critical to preserve all PPE especially masks. Need to preserve for those with COVID or high suspicion only #nephjc |
| 𝐉𝐨𝐬𝐞𝐩𝐡 𝐅𝐥𝐲𝐧𝐧, 𝐌𝐃 @drjosflynn RT @AlanKliger: @dr_nikhilshah @NephroGuy @JamesNovakNeph @HecmagsMD @zkribs1 @ASNKidney CDC is no longer suggesting N95s for COVID-19. Surgical masks OK #NephJC |
| Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD @GarySingerMD @NephJC Early testing!!!!! #NephJC |
| Zach Kribs @zkribs1 @anuja_java @ssfarouk @JamesNovakNeph @HecmagsMD @ASNKidney It seems like PPE is a prime area for "medium-term" innovation. Obvi. we need to get frontline workers necessary PPE yesterday, but have heard of need for: -N-95 masks that don't need fittest -anti-fog face shields #NephJC .@ASNAdvocacy |
| Aisha Shaikh @aishaikh @NatashaNDave @NephJC @RobertBlaser1 @RPANephrology @VAHouston We have been using video connect at the VA too but a lot of my patients don't have an iOS device and some cannot access/handle their emails which is a pre-requisite for video connect appointments #NephJC |
| ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @CWPedNephMD P95 filter the exact same stuff as N95, they are just more difficult to breath through. The designation N,P,R has to do with the resistance to oil particles #Nephjc, while the number gives the filtration efficiency |
| Amanda Grandinetti, MPH @AGrandinettiMPH RT @NephJC: This is huge! #NephJC |
| Nephrology Journal Club @NephJC Adaption Innovation Creativity #NephJC |
| Nikhil Shah MBBS DNB(IM, Neph)🇨🇦 @dr_nikhilshah @NephJC #NephJC Screening questionnaire, isolating them if symptoms, testing. Minimizing contact and maintaining distance, but it can be challenging. Good time to encourage home dialysis!!!!! CC @ChrisChanUHN @SkepticalTweetR @PD_Perls |
 | Klemens Meyer @KlemensMeyer In the Boston area, although testing is becoming available, swabs and transport media are in such short supply that BI-Lahey, one of the big systems, tonight announced they’re no longer testing for influenza and testing for #COVID19 only patients sick enough for admission. |
| Verner Venegas @Vernisartan @SilberjRogosin @NephJC today we now that the virus can survive suspended in air, should we continue or supporting this approach? #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @VelezNephHepato: @kdjhaveri I see. Are you changing the way you bill by not touching pts? #NephJC we are documenting observation exam and adding a sentence of deferred exam due to #COVID19 pandemic. We shouldn’t be penalized for doing the right thing |
| Nephrology Journal Club @NephJC Dialysdis patients cannot shelter in place. They need to be tested #NephJC |
 | 🧩Pascale Lane MD @PHLane RT @NephJC: This is huge! #NephJC |
| Kenar Jhaveri @kdjhaveri @VelezNephHepato Same here. Thats what most will do #NephJC but we have to take it case by case and in some NON icu cases, this might not be possible as we may need to be in the room. |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @KidneydrChirag: #nephjc T1- we are opening a new shift at one of the outpatient dialysis centers for patients who are COVID-19 positive and for patients who are are discharged from the hospital |
| Kevin R. Regner, MD, MS, FASN @RegnerKR_Neph @VelezNephHepato @kdjhaveri This is our approach as well. #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @ASNAdvocacy: @ASNKidney is asking the federal government to prioritize access to kits for dialysis patients - as well as transplant candidates and donors #NephJC |
| Natasha N. Dave @NatashaNDave @derifkin @StotterMD @NephJC @RobertBlaser1 @RPANephrology This is great news! #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @NephJC Great idea! ASN is asking for waiver of certification requirements to facilitate. #nephjc |
| Amanda Grandinetti, MPH @AGrandinettiMPH RT @ASNAdvocacy: @ASNKidney is asking the federal government to prioritize access to kits for dialysis patients - as well as transplant candidates and donors #NephJC |
 | Chris White @Stent4U Today, we don't worry about billing, worry about keeping our health care team safe and providing excellent care to our patients. |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @SilberjRogosin: @KidneydrChirag Critical to preserve all PPE especially masks. Need to preserve for those with COVID or high suspicion only #nephjc |
| Nephrology Journal Club @NephJC Great question #NephJC |
| Anuja Java, MD (she/her) @anuja_java @gratefull080504 @DoctorGates @Nephro_Sparks @sastrut @NephJC My husband is a private internist with his own office practice. One of his staff has had potential exposure, testing pending. She has been released to go back to work based on the criteria I mention. The basis is that risk of transmission with asymptomatic pts is low. #nephjc |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD @dr_nikhilshah @AlanKliger @NephroGuy @JamesNovakNeph @HecmagsMD @zkribs1 @ASNKidney Don’t forget to shave #NephJC #COVID19 https://t.co/ntdftug7pV |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @ChristosArgyrop: @CWPedNephMD P95 filter the exact same stuff as N95, they are just more difficult to breath through. The designation N,P,R has to do with the resistance to oil particles #Nephjc, while the number gives the filtration efficiency |
| ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @HecmagsMD @JamesNovakNeph @zkribs1 @ASNKidney This is from Xihong Lin's powerpoint right ? She made it public a few days ago #NEphjc |
| 🧩Pascale Lane MD @PHLane RT @VelezNephHepato: @kdjhaveri I see. Are you changing the way you bill by not touching pts? #NephJC we are documenting observation exam and adding a sentence of deferred exam due to #COVID19 pandemic. We shouldn’t be penalized for doing the right thing |
| Eric Au @ericau @kdjhaveri @EleanorLederer @NephJC How do we clean them? Are they still effective after cleaning? #nephjc |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 @SilberjRogosin Jeff I will be advocating within the patient community to embrace #telemedicine It serves everyone's interests I welcome feedback from the #nephJC community if my logic is sound Happy to help you Jeff on increasing utilization #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @dr_nikhilshah @NephJC @ChrisChanUHN @SkepticalTweetR @PD_Perls ASN asking for waivers for home patients to come in center for routine QAPI testing to reduce risk #nephjc |
| Anuja Java, MD (she/her) @anuja_java WHO considers 'airborne precautions' for medical staff after study shows coronavirus can survive in air https://t.co/IzO1zga7QO. #NephJC |
| 〽️ichael Heung @keepingitrenal Conveniently we opened a new dialysis center recently that is not at capacity, so working on opening a dedicated #COVID19 shift if needed. #NephJC |
| Aravind Cherukuri PhD MRCP (UK) @AravindCheruku1 This is a crucial bit of information @kkalra_22 @ripudamanmunjal @PITTRenal @siddverma96 @drnawras1986 |
| Nathaniel Reisinger @nephrothaniel RT @ChristosArgyrop: @CWPedNephMD P95 filter the exact same stuff as N95, they are just more difficult to breath through. The designation N,P,R has to do with the resistance to oil particles #Nephjc, while the number gives the filtration efficiency |
| Jennie Lin 👩🏻⚕️🧬 @jenniejlin @SilberjRogosin @KidneydrChirag Speaking of which, @NUFeinbergMed students are trying to coordinate collection of masks for healthcare workers and reagents for testing. If in Chicago, please help. #NephJC https://t.co/48Z47Sq6rK |
| Charbel C Khoury @Charbel_Khoury @KidneydrChirag Unfortunately we couldn't arrange for that due to transportation issues, and distances between units #NephJC |
| Shina_Menon @menonshina @CWPedNephMD We have been using CAPRs (and saving and reusing the face shields) #NephJC |
| Kenar Jhaveri @kdjhaveri @SilberjRogosin @NephJC We might be using a denovo new unit for all covid19 positive #NephJC |
| JonathanArmentiTC @ArmentiTc RT @NephJC: This is huge! #NephJC |
| Amanda Grandinetti, MPH @AGrandinettiMPH RT @NephJC: Great question #NephJC |
| Matthew Sparks, MD @Nephro_Sparks #NephJC I might need to do a separate #ACE2 chat in the late night |
| James Novak, MD PhD FACP FASN FNKF @JamesNovakNeph @NephJC We've tried to "cohort" PUI under one consult team, but I'm concerned about more of us getting quarantined with increasing exposure, leaving fewer of us on the battlefield. #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @keepingitrenal Outstanding plan! #nephjc |
| Zach Kribs @zkribs1 RT @SilberjRogosin: @NephJC Great idea! ASN is asking for waiver of certification requirements to facilitate. #nephjc |
| Suneel Udani @CaptainKidney79 RT @gratefull080504: @SilberjRogosin Jeff I will be advocating within the patient community to embrace #telemedicine It serves everyone's interests I welcome feedback from the #nephJC community if my logic is sound Happy to help you Jeff on increasing utilization #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @ansakhuja @jenniejlin @HecmagsMD @SilberjRogosin @CaptainKidney79 @NephJC Lots of cases I find this website faster than WHO or Hopkins TBH https://t.co/Yxk8awARPa #NephJC |
| Alan Kliger @AlanKliger @keepingitrenal Many are looking t do same - with old hospitals not in use, old units, will need wavers. ASN working on that #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @kdjhaveri @NephJC Great! Hopefully NYS DOH cooperates with opening quickly #nephjc |
| ASN Advocacy @ASNAdvocacy RT @gratefull080504: @SilberjRogosin Jeff I will be advocating within the patient community to embrace #telemedicine It serves everyone's interests I welcome feedback from the #nephJC community if my logic is sound Happy to help you Jeff on increasing utilization #NephJC |
| Aravind Cherukuri PhD MRCP (UK) @AravindCheruku1 Another equally important peice of info for us @PITTRenal |
| Aisha Shaikh @aishaikh @keepingitrenal how will you assign dialysis staff to that unit....looking for suggestions and ideas #NephJC |
| Kenar Jhaveri @kdjhaveri @ericau @EleanorLederer @NephJC Do we have a choice ? I think our ER docs, hospitalists, ICU docs and anesthesia need them more than us #NephJC |
| Harish Seethapathy @BetterCallSeeth @NephJC Supply issues or best practice? Reports of many healthcare personnel being infected. Staffing issues will hit us hard soon. #NephJC |
| Klemens Meyer @KlemensMeyer This is what they did in China. But is it what made the difference? |
| Charbel C Khoury @Charbel_Khoury And are at high risk of exacerbating community spread to vulnerable population on ride shares #nephjc #Covidformd |
 | Mark F. Sasse @SasseMark RT @VelezNephHepato: Out ICU teams are asking us not to go into the rooms to minimize contact and spare PPE. We are assessing pts as usual but “examining” em thru the window. Wondering about billing legal issues. I wonder if anybody had discussions with coders or hospital admin #NephJC |
| Arvind Canchi (Conjeevaram)🇮🇳 @arvindcanchi RT @hswapnil: @ansakhuja @jenniejlin @HecmagsMD @SilberjRogosin @CaptainKidney79 @NephJC Lots of cases I find this website faster than WHO or Hopkins TBH https://t.co/Yxk8awARPa #NephJC |
| Robert Pauly @SkepticalTweetR @hswapnil @DoctorGates @dr_nikhilshah @SilberjRogosin @NephJC @OttawaRenal #nephjc The only thing to consider is that even our home patients may need to come back to the home HD training unit for respite when they are unwell or their support person is unwell - have to be careful to still be able to support those patients too |
| Sayna Norouzi, MD, FASN @SaynaNorouzi @Furqi @VelezNephHepato @RPANephrology Yes please. It would be very helpful #nephjc |
| Samira Farouk, MD, MSCR @ssfarouk Did not see this WHO considering airborne precautions as of yesterday/today? #NephJC #COVID19 |
| Matthew Sparks, MD @Nephro_Sparks great idea. #Covid19 #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @Yuv90 @ASNAdvocacy @ASNKidney As testing expands, we will be able to test any patient with ? symptoms or exposure; for now, we need to document clinical suspicion #nephjc |
| Nephrology Journal Club @NephJC RT @BetterCallSeeth: @NephJC Supply issues or best practice? Reports of many healthcare personnel being infected. Staffing issues will hit us hard soon. #NephJC |
| ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop RT @Charbel_Khoury: And are at high risk of exacerbating community spread to vulnerable population on ride shares #nephjc #Covidformd |
| Juan Carlos Q Velez @VelezNephHepato @RobertBlaser1 @RPANephrology Much appreciated. #NephJC |
| Eleanor Lederer @EleanorLederer @krishnadoctor1 I have not heard about any superinfections but the story about the Chinese nurse who died after starting to get better mskes you wonder #NephJC |
| Chirag Parikh @KidneydrChirag #NephJC T1: We are also limiting nephrology COVID-19 consults to one consult team (we have 3 teams) for the time being. This way the exposure to the providers is minimized. There is a risk of provider shortage if multiple providers get exposed/or test positive. |
| Mario Funes, MD @MarioFunesMD RT @keepingitrenal: Conveniently we opened a new dialysis center recently that is not at capacity, so working on opening a dedicated #COVID19 shift if needed. #NephJC |
 | Outset Medical @OutsetMedical Appreciate the timeliness of this #NephJC chat, @ASNKidney @kidney_boy @Nephro_Sparks. We've rushed to put together a #COVID19 focused webinar, this Thurs. 1-2pm EST, on how #TabloDialysis may help hospitals contain coronavirus & manage through the crisis. https://t.co/F8sDv0RAJY |
| 𝐉𝐨𝐬𝐞𝐩𝐡 𝐅𝐥𝐲𝐧𝐧, 𝐌𝐃 @drjosflynn @Nephro_Sparks Agree, thats a bit of a separate topic #nephjc |
| Shina_Menon @menonshina @jaykoyner @pranavgarimella @NephJC We split our patients, RN and providers into 2 groups- so they don't cross contaminate. being a peds unit, our fear is more from the staff getting sick and not having adequate pediatric dialysis nurses to run the unit #NephJC |
| Ben Humphreys @HumphreysLab Anyone considering COVID line team? What about temp lines, and not involving fellows? #NephJC |
| Jay Koyner @jaykoyner @SilberjRogosin @keepingitrenal agreed - we have an relatively new unit and determining the feasibiltiy of doing the same - #NephJC |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD @AlanKliger @keepingitrenal Fortunately we have some smaller clinics only with MWF shifts. Using TTS for #COVID19 #NephJC |
| Arvind Canchi (Conjeevaram)🇮🇳 @arvindcanchi @hswapnil @ansakhuja @jenniejlin @HecmagsMD @SilberjRogosin @CaptainKidney79 @NephJC Are you seeing cases in the ICU yourself @hswapnil? #nephjc |
 | Eida Sharif @dyTiaAurinH RT @keepingitrenal: Conveniently we opened a new dialysis center recently that is not at capacity, so working on opening a dedicated #COVID19 shift if needed. #NephJC |
| Tiffany Caza @Tiff_Caza RT @arvindcanchi: @NephJC This is Arvind Canchi, Nephrologist from Bangalore. Looking to learn. #nephjc Those of you interested in a real life experience in managing #COVID19, Here is a webinar - Speaker: @caioqualunque Panelist: @vjha126 Moderator: @arvindcanchi 🖌 Register: https://t.co/52TijEPYCt https://t.co/5gGeZNguSh |
| Matthew Sparks, MD @Nephro_Sparks @ssfarouk whoa!! did not see this as well #NephJC |
| Kenar Jhaveri @kdjhaveri @KidneydrChirag Isnt that a burnout risk #NephJC |
| Klemens Meyer @KlemensMeyer And yet patients and staff without symptoms all want to be masked. |
 | Iván Mogollón @IMogolln RT @edgarvlermamd: Coronavirus Epidemic and Extracorporeal Therapies in Intensive Care: Coronavirus Epidemic and Extracorporeal Therapies in Intensive Care: si vis pacem para bellum ca. 2020 from @croncoIRRIV #Nephpearls #CoronaKidney #NephJC #AskASN 👉🏼 https://t.co/tsyNvT1RUj https://t.co/IutvrTfX6X |
| Franklin Loachamin @FranLoachamin RT @iheartkidneys: 197,126 #COVID19 as of now - from @JohnsHopkins COVID resource center! Great tool. #NephJC https://t.co/GZqLeNze5R |
| Alan Kliger @AlanKliger @CaptainKidney79 @NephJC Well... testing its with symptoms. Likely missing MANY early or asymptomatic #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 #nephJC To me I have my marching orders I will focus on advancing #telemedicine within the patient community It also promotes #patientengagement I am here if people need help |
| Nephrology Journal Club @NephJC @BetterCallSeeth I hope recommendations are not being made based on what's available. @ChristosArgyrop and @HecmagsMD thinks N95 inadequate #NephJC https://t.co/QPWVIej3Ek |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @SkepticalTweetR: @hswapnil @DoctorGates @dr_nikhilshah @SilberjRogosin @NephJC @OttawaRenal #nephjc The only thing to consider is that even our home patients may need to come back to the home HD training unit for respite when they are unwell or their support person is unwell - have to be careful to still be able to support those patients too |
| Nephrology Journal Club @NephJC The UK @RenalAssoc highlighted 3 imp Qs https://t.co/V5K9pFBcEI : Priority testing for HD patients (can't self isolate); cohorting inf/non-inf patients & transport solutions #NephJC |
| Anuja Java, MD (she/her) @anuja_java Discussion also ongoing about potential use of chloroquine/hydroxychloroquine as prophylaxis for potential exposures/health care professional ? #NephJC @Nephro_Sparks, I saw Jeff comment on this too? |
| Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD @krishnadoctor1 Possibly. A few cases have been reported (don’t have a source) from what a read, although many MDs think that initially they were false positives… so who knows. #NephJC |
| Dhwanil Patel @iheartkidneys What precautions do you use for #COVID19? #NephJC |
| Ben Humphreys @HumphreysLab @kdjhaveri @KidneydrChirag We talked about this today also #NephJC |
| ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop RT @gratefull080504: #nephJC To me I have my marching orders I will focus on advancing #telemedicine within the patient community It also promotes #patientengagement I am here if people need help |
 | ilse @ilselucia RT @NephJC: This is huge! #NephJC |
| Kenar Jhaveri @kdjhaveri @pranavgarimella @VelezNephHepato Totally agree especially if the ICU is doing a full body #POCUS #NephJC |
| Matthew Sparks, MD @Nephro_Sparks @HumphreysLab Seems like a #COVID neph consult service is a great idea #NephJC |
| Natasha N. Dave @NatashaNDave @aishaikh @NephJC @RobertBlaser1 @RPANephrology @VAHouston You can use VVC with any smart phone (its a lot easier without an iOS device because then they don't need to download the app). You are right its better for tech savvy patients. But I was able to navigate with plenty of caregivers and a 74 year old the other day! #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @gratefull080504 Telemedicine and home dialysis are best in this crisis especially #nephjc |
| 〽️ichael Heung @keepingitrenal @aishaikh Will rely on volunteers initially. Have been pleasantly surprised with our inpt experience: more volunteers (MD+RN) than we’ve needed so far. Hoping this stays the case. #NephJC |
| Samira Farouk, MD, MSCR @ssfarouk @EleanorLederer @krishnadoctor1 https://t.co/IcYCef252h Very scary - delayed cytokine storm in a young patient #NephJC #COVID19 @nytimes |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @SkepticalTweetR @DoctorGates @dr_nikhilshah @SilberjRogosin @NephJC @OttawaRenal Exactly We have been doing a lot of telehealth & even home visits with home dialysis so hopefully will cope #NephJC |
| Kenar Jhaveri @kdjhaveri RT @anuja_java: Discussion also ongoing about potential use of chloroquine/hydroxychloroquine as prophylaxis for potential exposures/health care professional ? #NephJC @Nephro_Sparks, I saw Jeff comment on this too? |
| Brian Stotter, MD @StotterMD @anuja_java @Nephro_Sparks I’ll just have a gin & tonic #NephJC |
 | Jeff Perl @PD_Perls RT @SilberjRogosin: @dr_nikhilshah @NephJC @ChrisChanUHN @SkepticalTweetR @PD_Perls ASN asking for waivers for home patients to come in center for routine QAPI testing to reduce risk #nephjc |
| Juan Carlos Q Velez @VelezNephHepato @kdjhaveri Indeed. #NephJC |
 | Girish Nadkarni @girish_nadkarni RT @gratefull080504: #nephJC To me I have my marching orders I will focus on advancing #telemedicine within the patient community It also promotes #patientengagement I am here if people need help |
| Dan Sturgill @DanielSturgill7 RT @NephJC: The UK @RenalAssoc highlighted 3 imp Qs https://t.co/V5K9pFBcEI : The UK @RenalAssoc highlighted 3 imp Qs https://t.co/V5K9pFBcEI : Priority testing for HD patients (can't self isolate); cohorting inf/non-inf patients & transport solutions #NephJC |
| Nikhil Shah MBBS DNB(IM, Neph)🇨🇦 @dr_nikhilshah @VelezNephHepato @kdjhaveri #NephJC Very different billing scenarios here in Canada, but there was immediate guidance for help with billing in these "no touch" scenarios. |
| Franklin Loachamin @FranLoachamin RT @HecmagsMD: @ChristosArgyrop @JamesNovakNeph @zkribs1 @ASNKidney Yes. I know what the CDC recommends but that’s not what worked in China. Look at the differences. Happy to share this presentation. #Nephjc https://t.co/HuQmvEGM3b |
| Alan Kliger @AlanKliger @StotterMD @anuja_java @Nephro_Sparks Does Gin kill virus? #NephJC |
| Samuel Holland 💉💉💉💉 🦥 @SEdwardHolland RT @Nephro_Sparks: #NephJC I might need to do a separate #ACE2 chat in the late night |
| Franklin Loachamin @FranLoachamin RT @NephJC: @BetterCallSeeth I hope recommendations are not being made based on what's available. @ChristosArgyrop and @HecmagsMD thinks N95 inadequate #NephJC https://t.co/QPWVIej3Ek |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD Has anyone had problems with #ESKD patients in nursing homes or SNF not being allowed to leave their facility? #NephJC |
| Nephrology Journal Club @NephJC How do you run a unit when half your staff is in quarantine? #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @keepingitrenal @aishaikh Always incredibly rewarding to see people rise to the need. Incredibly proud of my colleagues #nephjc |
| Jennie Lin 👩🏻⚕️🧬 @jenniejlin @HumphreysLab @NU_Nephrology is doing this. Also reminds me of when Ebola hit the U.S. on the East Coast. At Penn, Ebola patients were going to be attending-only. #NephJC |
| Eleanor Lederer @EleanorLederer @anuja_java It's hard to think that it does NOT survive in air droplets in view of the contagion #NephJC |
| Zach Kribs @zkribs1 What are pre-reqs? Is there tech that can be utilized that normally doesn't fit regulations? .@ASNAdvocacy |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @arvindcanchi @ansakhuja @jenniejlin @HecmagsMD @SilberjRogosin @CaptainKidney79 @NephJC Not yet Only 1 hospitalized Ask me in a few days 😐 Coming storm per @DFisman one of the smartest modellers I know #NephJC |
| Brian Stotter, MD @StotterMD @AlanKliger @anuja_java @Nephro_Sparks Tonic water has quinine #NephJC |
 | Jim Myers @kidneystories RT @gratefull080504: #nephJC To me I have my marching orders I will focus on advancing #telemedicine within the patient community It also promotes #patientengagement I am here if people need help |
| Jeffrey Silberzweig @SilberjRogosin @dr_nikhilshah @VelezNephHepato @kdjhaveri We need governments to share best practices like we do #nephjc |
| Zach Kribs @zkribs1 RT @SilberjRogosin: @keepingitrenal @aishaikh Always incredibly rewarding to see people rise to the need. Incredibly proud of my colleagues #nephjc |
| Nikhil Shah MBBS DNB(IM, Neph)🇨🇦 @dr_nikhilshah #NephJC |
| Harish Seethapathy @BetterCallSeeth @CWPedNephMD @Yuv90 Wrong information. They have a dedicated 'care center', 10 beds on a floor, can expand to 20. But definitely not the entire hospital #NephJC |
| 𝐉𝐨𝐬𝐞𝐩𝐡 𝐅𝐥𝐲𝐧𝐧, 𝐌𝐃 @drjosflynn RT @HecmagsMD: @ChristosArgyrop @JamesNovakNeph @zkribs1 @ASNKidney Yes. I know what the CDC recommends but that’s not what worked in China. Look at the differences. Happy to share this presentation. #Nephjc https://t.co/HuQmvEGM3b |
| Girish Nadkarni @girish_nadkarni Girish Nadkarni physician and scientist lurking for now #nephJC |
| Anitha Vijayan @VijayanMD @Nephro_Sparks @HumphreysLab Attending only #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @SilberjRogosin @Yuv90 @ASNAdvocacy @ASNKidney I think travel is meaningless in most cities now? Community spread Would push for test anyone with symptoms #NephJC |
| ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @Nephro_Sparks @HumphreysLab It makes sense to NOT involve our fellows (or any trainees for that matter) in #COVID19 consults #Nephjc to reduce use of PPE and also risk to healthcare workers |
| Furqan Raja @Furqi University of Minnesota has a drug trial for post exposure prophylaxis. Enrollment is via email. Covid19@umn.edu. #NephJC |
 | Joel M. Topf, MD FACP @kidney_boy @AlanKliger @StotterMD @anuja_java @Nephro_Sparks Sometimes you don't want the truth, just the drink. #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @Charbel_Khoury: And are at high risk of exacerbating community spread to vulnerable population on ride shares #nephjc #Covidformd |
| Alex Meraz @NephroGuy @WaliNuri @AlanKliger @dr_nikhilshah @JamesNovakNeph @HecmagsMD @zkribs1 @ASNKidney That doesn’t make sense #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 #NephJC If the goal is to preserve our health system and our health care providers we have to make this shift immediately. The patient community has to pick up their game |
| Ben Humphreys @HumphreysLab @NephJC Need to cohort infected patients onto third shift, and also combine them from your own geographically disparate units if at all possible #NephJC |
| Kenar Jhaveri @kdjhaveri @KidneydrChirag Also i would get all of us ready to be doing NON Nephro work incase things get worse #NephJC for sake of our non renal colleagues. Especially if we tend like Italy |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd .@RPANephrology’s guidance to nephrologists regarding provision of services/ billing for patients in isolation #NephJC #AskASN #CoronaKidney 👉🏼 https://t.co/HkkJSDLCWN https://t.co/6aRc9o0LuL |
| Jennie Lin 👩🏻⚕️🧬 @jenniejlin @HumphreysLab @NU_Nephrology And I mean COVID only consult team. Not sure who’s throwing in the line. #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @GarySingerMD: Has anyone had problems with #ESKD patients in nursing homes or SNF not being allowed to leave their facility? #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @derifkin Need to pace it. We are looking at weeks of this outbreak and we are can't exhaust our staff now! #nephjc |
 | Siddharth Verma @siddverma96 RT @NephJC: This is huge! #NephJC |
| Krishna K Agrawal, MBBS,MD,DM,FACP,DFID @agrawalkris Feeeling that what is going to happen to us. Nothing done here. People coming, going. No concept in our HD. Really bad. Will definitely talk today. Thank you @NephJC #NephJC how are you managing HD in india @priti899 |
| ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop RT @hswapnil: @SilberjRogosin @Yuv90 @ASNAdvocacy @ASNKidney I think travel is meaningless in most cities now? Community spread Would push for test anyone with symptoms #NephJC |
| Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD Go Carney! #NephJC |
| 𝙼𝚊𝚝𝚝 𝙻𝚞𝚝𝚑𝚎𝚛 @DrJMLuther RT @Furqi: University of Minnesota has a drug trial for post exposure prophylaxis. Enrollment is via email. Covid19@umn.edu. #NephJC |
| Nephrology Journal Club @NephJC RT @HecmagsMD: Go Carney! #NephJC |
| Gates Colbert, MD @DoctorGates @StotterMD @AlanKliger @anuja_java @Nephro_Sparks Just ask @TWhittier_RUSH if he suggests more quinine in the population (TMA risk). #NephJC |
| Alex Meraz @NephroGuy @nephrothaniel @AlanKliger @dr_nikhilshah @JamesNovakNeph @HecmagsMD @zkribs1 @ASNKidney Yes absolutely #nephjc https://t.co/vk7dpGHuCq |
| Kenar Jhaveri @kdjhaveri RT @HumphreysLab: @NephJC Need to cohort infected patients onto third shift, and also combine them from your own geographically disparate units if at all possible #NephJC |
| Jefferson L. Triozzi, M.D. @nepherson @NatashaNDave @derifkin @StotterMD @NephJC @RobertBlaser1 @RPANephrology Silver lining: we should have been expanding telehealth for more patients all along? #NephJC |
| John Lee @john__r__lee RT @anuja_java: WHO considers 'airborne precautions' for medical staff after study shows coronavirus can survive in air https://t.co/IzO1zga7QO. #NephJC |
| Samira Farouk, MD, MSCR @ssfarouk RT @SilberjRogosin: @derifkin Need to pace it. We are looking at weeks of this outbreak and we are can't exhaust our staff now! #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @ChristosArgyrop: @Nephro_Sparks @HumphreysLab It makes sense to NOT involve our fellows (or any trainees for that matter) in #COVID19 consults #Nephjc to reduce use of PPE and also risk to healthcare workers |
| Nikhil Shah MBBS DNB(IM, Neph)🇨🇦 @dr_nikhilshah @SilberjRogosin @VelezNephHepato @kdjhaveri You could not be more right!! #WeAreInThisTogether #NephJC |
| Krishna K Agrawal, MBBS,MD,DM,FACP,DFID @agrawalkris @GarySingerMD @dr_nikhilshah @AlanKliger @NephroGuy @JamesNovakNeph @HecmagsMD @zkribs1 @ASNKidney Thank you for sharing. Our interns are fond of beard. #NephJC |
| Klemens Meyer @KlemensMeyer We should be advocating with all governments for priority testing. |
| Kenar Jhaveri @kdjhaveri RT @dr_nikhilshah: @SilberjRogosin @VelezNephHepato @kdjhaveri You could not be more right!! #WeAreInThisTogether #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @HumphreysLab: @NephJC Need to cohort infected patients onto third shift, and also combine them from your own geographically disparate units if at all possible #NephJC |
| Alex Meraz @NephroGuy RT @edgarvlermamd: .@RPANephrology’s guidance to nephrologists regarding provision of services/ billing for patients in isolation #NephJC #AskASN #CoronaKidney 👉🏼 https://t.co/HkkJSDLCWN https://t.co/6aRc9o0LuL |
| Niru Ramkumar @niruramkumar RT @HecmagsMD: @ChristosArgyrop @JamesNovakNeph @zkribs1 @ASNKidney Yes. I know what the CDC recommends but that’s not what worked in China. Look at the differences. Happy to share this presentation. #Nephjc https://t.co/HuQmvEGM3b |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @kdjhaveri: @KidneydrChirag Also i would get all of us ready to be doing NON Nephro work incase things get worse #NephJC for sake of our non renal colleagues. Especially if we tend like Italy |
| Alex Meraz @NephroGuy RT @kdjhaveri: @KidneydrChirag Also i would get all of us ready to be doing NON Nephro work incase things get worse #NephJC for sake of our non renal colleagues. Especially if we tend like Italy |
| Nephrology Journal Club @NephJC Emphasize to your powers that be that HD patients can't self-isolate, they can infect staff and other patients: they *need* to be tested as priority if symptoms #NephJC |
 | Ajai Rajabalan @Euvolemia @NephJC #NephJC Ajai Rajabalan, second year renal fellow @EmoryNephrology No COI. just lurking |
| Eleanor Lederer @EleanorLederer #NephJC Have we heard how dialysis patients feel? Kevin, glad you are on board tonight. |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @SilberjRogosin: @derifkin Need to pace it. We are looking at weeks of this outbreak and we are can't exhaust our staff now! #nephjc |
| Verner Venegas @Vernisartan @KidneydrChirag After discharge are we sure they are not contagious anymore? or should we consider a 2nd or 3rd shift #NephJC |
| Nephrology Journal Club @NephJC What do you do with suspected COVID19 patients? Get them tested; Cohort them together in a separate unit if setup; dialyse in isolation room, or last shift of day? #NephJC |
| 〽️ichael Heung @keepingitrenal @jenniejlin @HumphreysLab @NU_Nephrology Yes, it is our policy that exposure to #COVID19 pts will be attending-only. Which means that right now our COVID Neph-ICU service is... just me 😳 #NephJC |
| Robert Pauly @SkepticalTweetR @hswapnil @DoctorGates @dr_nikhilshah @SilberjRogosin @NephJC @OttawaRenal #nephjc Us too... Also consider ensuring that PD training isn't being held up... that would back up conventional HD units which would be counterproductive! Need to convince surgical colleagues that PD cath placement is an "essential service" rather than elective @dr_nikhilshah |
| Jay Koyner @jaykoyner @kdjhaveri @KidneydrChirag time to brush up on vent management adn general tents of critical care for those that dont focus on it when dialyzing in the ICU #nephcritcare #nephJC |
| Brian Stotter, MD @StotterMD @TRIOZZIJL @NatashaNDave @derifkin @NephJC @RobertBlaser1 @RPANephrology In our center where many of our patients live 2+ hours away and have transportation issues, it’s something I’m definitely going to pushing for more once this is over #NephJC |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD @bilalksheikh Either way it’s a problem #NephJC |
| Nephrology Journal Club @NephJC Some advice from Dr Cozzolino (Milan) PDF link https://t.co/veN4vMJ7gU #NephJC |
| Anuja Java, MD (she/her) @anuja_java @Furqi I believe they are also conducting a trial looking at ACEI/ARB use #NephJC |
| Nephrology Journal Club @NephJC These are 2 reports of HD patients with COVID19 https://t.co/fFFMWLSlm7 & https://t.co/ZvnNfk6QSl #NephJC |
 | Neeraj Inamdar @nainamdar RT @HumphreysLab: @NephJC Need to cohort infected patients onto third shift, and also combine them from your own geographically disparate units if at all possible #NephJC |
| Dominique Tomacruz, MD @DTomacruzMD RT @HumphreysLab: @NephJC Need to cohort infected patients onto third shift, and also combine them from your own geographically disparate units if at all possible #NephJC |
 | Les @LBEBEN Finally some hope for we in the trenches. |
 | devika nair md msci @devimol @kdjhaveri @KidneydrChirag yes, this is key, need to have non-trainee staff available to serve on medicine wards, etc should need arise #NephJC |
| Alex Chang, MD, FASN, FAHA @alexchangmd @kdjhaveri @KidneydrChirag 💯 Agree. We should be ready to support ER/Hospitalist’s/ICU staff #NephJC |
| 𝐉𝐨𝐬𝐞𝐩𝐡 𝐅𝐥𝐲𝐧𝐧, 𝐌𝐃 @drjosflynn @kdjhaveri @KidneydrChirag We just got asked to plan for this today.. #nephjc @seattlechildren |
| Matthew Sparks, MD @Nephro_Sparks we also see the importance of research. I almost moved on from studying the renin angiotensin system after many grand reviews said we knew everything about it already. Welp...... they were wrong #NephJC |
| Nephrology Journal Club @NephJC I want to move on to Topic 2. #nephJC Topic 2: Acute Kidney Injury. Table of AKI incidence |
| Alan Kliger @AlanKliger @Vernisartan @KidneydrChirag Awaiting more information on how to assure contagion is over. Current nucleic acid tests do not #NephJC |
| Michelle Starr MD MPH @mcstarr1 @TRIOZZIJL @NatashaNDave @derifkin @StotterMD @NephJC @RobertBlaser1 @RPANephrology Absolutely! #nephjc |
| Nephrology Journal Club @NephJC #NephJC T2 Kidney involvement is common. Cheng et al https://t.co/zLA1LKq00D found 44% had proteinuria and hematuria and 26.7% had hematuria on admission. The prevalence of elevated Cr and BUN were 15.5% and 14.1%, respectively #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @SilberjRogosin @derifkin Indeed In China they did 4 hour nursing shifts (albeit in ICU with COVID-19 patients) see via @ogi_gajic #NephJC https://t.co/6WULhnlt7z |
| James Novak, MD PhD FACP FASN FNKF @JamesNovakNeph @TRIOZZIJL @NatashaNDave @derifkin @StotterMD @NephJC @RobertBlaser1 @RPANephrology It's happening quickly now. CMS is prioritizing reimbursement and we're accelerating e-visits and telemedicine. #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @ansakhuja @derifkin We have to remain optimistic. We will get through this with collaboration, support and care for ourselves and one another #nephjc |
| Samira Farouk, MD, MSCR @ssfarouk .@Nephro_Sparks your bat signal has been turned on #NephJC |
| Brian Stotter, MD @StotterMD @drjosflynn @kdjhaveri @KidneydrChirag @seattlechildren Same. What are they prescribing for ear infections these days? #NephJC |
| Eleanor Lederer @EleanorLederer @ssfarouk @krishnadoctor1 @nytimes #NephJC Made me sick reading this. Both very young and healthy. Why did one die? |
| Amanda Grandinetti, MPH @AGrandinettiMPH Curious what guidance is being given to transplant patients. I’m hearing different guidance from all over the US #NephJC |
| Arvind Canchi (Conjeevaram)🇮🇳 @arvindcanchi RT @NephJC: #NephJC T2 Kidney involvement is common. Cheng et al https://t.co/zLA1LKq00D found 44% had proteinuria and hematuria and 26.7% had hematuria on admission. The prevalence of elevated Cr and BUN were 15.5% and 14.1%, respectively #NephJC |
| Jennie Lin 👩🏻⚕️🧬 @jenniejlin @keepingitrenal @HumphreysLab @NU_Nephrology Didn’t Jack Ma donate a whole bunch of PPE to the U.S.? Or did customs block it? #NephJC |
 | MogulAzam MogulCoin @MogulAzam RT @anuja_java: Discussion also ongoing about potential use of chloroquine/hydroxychloroquine as prophylaxis for potential exposures/health care professional ? #NephJC @Nephro_Sparks, I saw Jeff comment on this too? |
| 🧩Pascale Lane MD @PHLane RT @NephJC: Emphasize to your powers that be that HD patients can't self-isolate, they can infect staff and other patients: Emphasize to your powers that be that HD patients can't self-isolate, they can infect staff and other patients: they *need* to be tested as priority if symptoms #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @SkepticalTweetR: @hswapnil @DoctorGates @dr_nikhilshah @SilberjRogosin @NephJC @OttawaRenal #nephjc Us too... Also consider ensuring that PD training isn't being held up... that would back up conventional HD units which would be counterproductive! Need to convince surgical colleagues that PD cath placement is an "essential service" rather than elective @dr_nikhilshah |
| Anitha Vijayan @VijayanMD @NephJC Our Plan is to cohort suspected patients and do HD 1:1 or use NxStage to do prolonged treatment to reduce staff exposure. #NephJC |
| Kenar Jhaveri @kdjhaveri @DrLiver @KidneydrChirag Most of renal is numbers and volume and can be assessed by chart only in my opinion in crisis mode #NephJC |
| ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @NephJC @BetterCallSeeth @HecmagsMD #Nephjc I follow the data ; and the data from Wuhan in general and dialysis clinic in that area in particular suggest full PPE. Similar to the Ebola PPE - otherwise the Nephrology RN and MD shortage will be exacerbated , and there will be fewer participants on Tuesdays https://t.co/J7KVPFtXCL |
| Alex Meraz @NephroGuy @ChristosArgyrop @Nephro_Sparks @HumphreysLab I see the point but senior fellows and young are attendings (we) should be the first line of defense since we have better prognosis. #NephJC |
| Klemens Meyer @KlemensMeyer Also advocate for access to testing for in-center HD patients: “fragile population in a congregate setting” may be a useful catchphrase |
| Amanda Grandinetti, MPH @AGrandinettiMPH RT @NephJC: These are 2 reports of HD patients with COVID19 https://t.co/fFFMWLSlm7 & https://t.co/ZvnNfk6QSl #NephJC |
| Ben Humphreys @HumphreysLab Bravo! |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 #NephJC My suggestion to @ASN @AST_info et al is to integrate the conversation about patients + the providers they depend upon. I hate to say it but many people are not understanding the larger issues. My message is very clear patients + HCPs=1 |
| Dominique Tomacruz, MD @DTomacruzMD RT @NephJC: Emphasize to your powers that be that HD patients can't self-isolate, they can infect staff and other patients: Emphasize to your powers that be that HD patients can't self-isolate, they can infect staff and other patients: they *need* to be tested as priority if symptoms #NephJC |
| Tiffany Caza @Tiff_Caza RT @NephJC: #NephJC T2 Kidney involvement is common. Cheng et al https://t.co/zLA1LKq00D found 44% had proteinuria and hematuria and 26.7% had hematuria on admission. The prevalence of elevated Cr and BUN were 15.5% and 14.1%, respectively #NephJC |
| Eleanor Lederer @EleanorLederer @hswapnil @arvindcanchi @ansakhuja @jenniejlin @HecmagsMD @SilberjRogosin @CaptainKidney79 @NephJC @DFisman #NephJC Would love to see that model |
| Jeffrey Silberzweig @SilberjRogosin @StotterMD @TRIOZZIJL @NatashaNDave @derifkin @NephJC @RobertBlaser1 @RPANephrology ASN is leading the way. More collaborators provide stronger voice. Patient groups and providers also support telemedicine #nephjc |
| Nephrology Journal Club @NephJC @ChristosArgyrop @BetterCallSeeth @HecmagsMD That's right guys, do it for the #NephJC chats |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @SkepticalTweetR @DoctorGates @dr_nikhilshah @SilberjRogosin @NephJC @OttawaRenal Indeed: though elective surgeries cancelled - we are trying to keep PD catheter insertions (Not sure how I feel about AVF surgeries being vital though 😏) #NephJC |
| Matthew Sparks, MD @Nephro_Sparks @anuja_java @Furqi yes. It is an ARB losartan... inpatient and outpatient in #COVID19 https://t.co/A07lxC1CdR https://t.co/btNCC5lnPh #NephJC |
| Anuja Java, MD (she/her) @anuja_java RT @SkepticalTweetR: @hswapnil @DoctorGates @dr_nikhilshah @SilberjRogosin @NephJC @OttawaRenal #nephjc Us too... Also consider ensuring that PD training isn't being held up... that would back up conventional HD units which would be counterproductive! Need to convince surgical colleagues that PD cath placement is an "essential service" rather than elective @dr_nikhilshah |
| 𝐉𝐨𝐬𝐞𝐩𝐡 𝐅𝐥𝐲𝐧𝐧, 𝐌𝐃 @drjosflynn @anuja_java @Furqi Definitely need data on that! #nephjc |
| ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @NephroGuy @Nephro_Sparks @HumphreysLab No need to involve the fellows at all - we still have to see all patients anyways. Why expose the fellows? #Nephjc |
| Niru Ramkumar @niruramkumar RT @NephJC: These are 2 reports of HD patients with COVID19 https://t.co/fFFMWLSlm7 & https://t.co/ZvnNfk6QSl #NephJC |
| Charbel C Khoury @Charbel_Khoury @NephJC and we have the evidence for it from the Chinese HD experience that testing patients and staff at multiple instances is the way to go https://t.co/289aphYxYA #NephJC |
| Nikhil Shah MBBS DNB(IM, Neph)🇨🇦 @dr_nikhilshah RT @SkepticalTweetR: @hswapnil @DoctorGates @dr_nikhilshah @SilberjRogosin @NephJC @OttawaRenal #nephjc Us too... Also consider ensuring that PD training isn't being held up... that would back up conventional HD units which would be counterproductive! Need to convince surgical colleagues that PD cath placement is an "essential service" rather than elective @dr_nikhilshah |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: These are 2 reports of HD patients with COVID19 https://t.co/fFFMWLSlm7 & https://t.co/ZvnNfk6QSl #NephJC |
 | spiros arampatzis @neph_Spiros What about join forces with another units and transfer patient and personal, shorten dialysis time, dedicated COVID shifts , MD should learn how to operate the HDmachines and perform the AV punctuation |
| BeanQueen Gaddy @AnnaGaddy #NephJC hematuria, really? I don't suppose anyone has been biopsied yet..... |
| Eleanor Lederer @EleanorLederer @VijayanMD @Nephro_Sparks @HumphreysLab #NephJC Here too. |
| devika nair md msci @devimol @AGrandinettiMPH amanda, what is the guidance you have received? #NephJC |
| Nephrology Journal Club @NephJC #NephJC T2 Not surprisingly AKI was an independent risk factor for mortality in both Cheng et al and in Li et al https://t.co/Crgvgxwq9E https://t.co/qnWVfmNMLL |
| Brian Stotter, MD @StotterMD @keepingitrenal @jenniejlin @HumphreysLab @NU_Nephrology For your patients needing respiratory support, you using CPAP/BiPAP at all or going straight to intubation if needing more than HFNC due to droplet risk? #NephJC |
| ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @NephJC @BetterCallSeeth @HecmagsMD Priorities #Nephjc |
| ASN Advocacy @ASNAdvocacy @StotterMD @TRIOZZIJL @NatashaNDave @derifkin @NephJC @RobertBlaser1 @RPANephrology Agree w/ all comments - we are already advocating for more telehealth and in partnership with RPA and others will amp up those efforts in light of what we are learning in the COVID-19 era #NephJC |
 | Aakash Shingada, DNB, MRCP(UK), FASN @aakashshingada Hi this is Aakash Shingada from India. Joining late. Have not encountered a single case of #Covid19. But just a matter of time i feel. #NephJC |
| Sayna Norouzi, MD, FASN @SaynaNorouzi @nephrothaniel @PennKidney Do you think we should start these patients on dialysis earlier? #nephjc |
| Samira Farouk, MD, MSCR @ssfarouk @EleanorLederer @krishnadoctor1 @nytimes Same. No idea. #NephJC |
| Nephrology Journal Club @NephJC AKI outcome data from the literature from #NephJC https://t.co/zXV4WA7s7A https://t.co/KXGVJGkaQE |
| Amanda Grandinetti, MPH @AGrandinettiMPH RT @gratefull080504: #NephJC My suggestion to @ASN @AST_info et al is to integrate the conversation about patients + the providers they depend upon. I hate to say it but many people are not understanding the larger issues. My message is very clear patients + HCPs=1 |
| Amanda Grandinetti, MPH @AGrandinettiMPH RT @SilberjRogosin: @StotterMD @TRIOZZIJL @NatashaNDave @derifkin @NephJC @RobertBlaser1 @RPANephrology ASN is leading the way. More collaborators provide stronger voice. Patient groups and providers also support telemedicine #nephjc |
| Klemens Meyer @KlemensMeyer That was the rumor this morning. Now not so clear. |
 | Xiaoyin "Sara" Jiang, MD (She/Her) @Sara_Jiang RT @NephJC: "Tonight's #NephJC will covering five topics: #T0: Are you seeing COVID19 infections where you work? #T1: What are you changing and how are you adapting hemodialysis for the pandemic #T2: What do we know about COVID19 and AKI and CRRT" |
| Alex Meraz @NephroGuy @WaliNuri @AlanKliger @dr_nikhilshah @JamesNovakNeph @HecmagsMD @zkribs1 @ASNKidney Copied form the article. #nephjc https://t.co/3PNR2DnjxG |
| Shina_Menon @menonshina @NephJC Our dialysis director is planning on training for some of us to set up machines and do basic troubleshooting should such a situation arise #NephJC |
 | Nicole D. Riddle, MD, MSHI, FCAP (she/her) @NRiddleMD RT @NephJC: "Tonight's #NephJC will covering five topics: #T0: Are you seeing COVID19 infections where you work? #T1: What are you changing and how are you adapting hemodialysis for the pandemic #T2: What do we know about COVID19 and AKI and CRRT" |
| Natasha N. Dave @NatashaNDave RT @NephJC: AKI outcome data from the literature from #NephJC https://t.co/zXV4WA7s7A https://t.co/KXGVJGkaQE |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephJC I would read Mario's advice (he's from Milan) see below #NephJC https://t.co/i7aquaVT8Q |
| Harish Seethapathy @BetterCallSeeth @HumphreysLab At @MGHKidneys Intensivists are taking over line responsibilities to minimize exposure. We don't have a floor line policy yet. #NephJC |
| Jennie Lin 👩🏻⚕️🧬 @jenniejlin @AnnaGaddy Glom people, hypotheses on why hematuria? #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @Nephro_Sparks: we also see the importance of research. I almost moved on from studying the renin angiotensin system after many grand reviews said we knew everything about it already. Welp...... they were wrong #NephJC |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD @AGrandinettiMPH https://t.co/64wWK2yum5 @AST_info #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @SaynaNorouzi @nephrothaniel @PennKidney In general in AKI, there are not adequate data to support benefits of earlier dialysis; i.e. lower BUN #nephjc |
| Alex Meraz @NephroGuy @HumphreysLab @ChristosArgyrop @Nephro_Sparks I just wanted to help I think. #NephJC |
| Les @LBEBEN Are their PEEP requirements any different from standard vent care? |
| Girish Nadkarni @girish_nadkarni Pertinent to #NephJC |
| Matthew Sparks, MD @Nephro_Sparks @pranavgarimella they thought they were grand #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 #Telemedicine is the way out of this issue in the short term + long term for the nephrology community in my opinion #NephJC |
| Franklin Loachamin @FranLoachamin RT @NephJC: #NephJC T2 Not surprisingly AKI was an independent risk factor for mortality in both Cheng et al and in Li et al https://t.co/Crgvgxwq9E https://t.co/qnWVfmNMLL |
| Outset Medical @OutsetMedical RT @NephJC: The #NephJC team has put together some resources for #COVID19 from the kidney perspective here https://t.co/zXV4WA7s7A We will keep updating it live Keep checking back and share widely #CoronaKidney |
| Niru Ramkumar @niruramkumar @devimol @kdjhaveri @KidneydrChirag Our IM department has put together volunteer physicians and APCs from every division to cover inpatient service, when the need arises #NephJC |
| Nephrology Journal Club @NephJC RT @SilberjRogosin: @SaynaNorouzi @nephrothaniel @PennKidney In general in AKI, there are not adequate data to support benefits of earlier dialysis; i.e. lower BUN #nephjc |
| Alex Chang, MD, FASN, FAHA @alexchangmd RT @ChristosArgyrop: @Nephro_Sparks @HumphreysLab It makes sense to NOT involve our fellows (or any trainees for that matter) in #COVID19 consults #Nephjc to reduce use of PPE and also risk to healthcare workers |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: #NephJC T2 Not surprisingly AKI was an independent risk factor for mortality in both Cheng et al and in Li et al https://t.co/Crgvgxwq9E https://t.co/qnWVfmNMLL |
 | Kerri Cavanaugh @KCavanaugh_MD Joining late...mostly lurking. No COI. @VUMCKidney #nephjc |
 | jeff lebowski @jefflebowski6 RT @ssfarouk: Did not see this WHO considering airborne precautions as of yesterday/today? #NephJC #COVID19 |
| Nephrology Journal Club @NephJC Caveats of those AKI numbers: real questions re: how was AKI coded (likely severe AKI only captured) and denominator only sicker hospitalized patients #NephJC |
| Pranav Garimella @pranavgarimella @SaynaNorouzi @nephrothaniel @PennKidney Is there a physiological reason behind why you would want to do that? #NephJC |
| Juan Carlos Q Velez @VelezNephHepato @NephJC #NephJC #T4 as eloquently described by @Nephro_Sparks and his team, we should do nothing about RASi in #COVID19 pts at this time. Changes in expression of ACE2 by RASi vary among species, among disease states and among organs. Not to mention systemic RASi effects in shock |
| Nephrology Journal Club @NephJC The Guan NEJM paper (1099) probably represents a mix of more generalizable cases with a lower AKI risk number 0.5% https://t.co/DXcOAYL10t #NephJC |
| Jim Myers @kidneystories RT @gratefull080504: #Telemedicine is the way out of this issue in the short term + long term for the nephrology community in my opinion #NephJC |
| 𝙼𝚊𝚝𝚝 𝙻𝚞𝚝𝚑𝚎𝚛 @DrJMLuther @kdjhaveri @KidneydrChirag I suspect Nephrology will be so busy with dialysis that you can't afford to be pullled- will likely need to come from elsewhere. non-medicine specialties even. #NephJC |
| Nephrology Journal Club @NephJC There are isolated Qs on twitter about high CRRT filter clotting from @DanielRoss4 & @SAStrut : has anyone else seen them? #NephJC |
| Niru Ramkumar @niruramkumar RT @Nephro_Sparks: we also see the importance of research. I almost moved on from studying the renin angiotensin system after many grand reviews said we knew everything about it already. Welp...... they were wrong #NephJC |
| Alex Meraz @NephroGuy @kuga11 @WaliNuri @AlanKliger @dr_nikhilshah @JamesNovakNeph @HecmagsMD @zkribs1 @ASNKidney Copiado del artículo. N95 cuando se produzcan aerosoles como en influenza. #NephJC https://t.co/g3RgrHIXN4 |
| ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop RT @VelezNephHepato: @NephJC #NephJC #T4 as eloquently described by @Nephro_Sparks and his team, we should do nothing about RASi in #COVID19 pts at this time. Changes in expression of ACE2 by RASi vary among species, among disease states and among organs. Not to mention systemic RASi effects in shock |
| Dominique Tomacruz, MD @DTomacruzMD Things we learn amidst the current situation: shouldn’t Telehealth for our Filipino patients also be a priority? #NephJC |
| Amanda Grandinetti, MPH @AGrandinettiMPH @devimol I was told I can still go out but not in large groups and my hospital is a certified for pandemics. My public health background says absolutely not! Patients have been seeking guidance from me. Personally I’ve been in complete isolation for ten days #NephJC |
| Natasha N. Dave @NatashaNDave RT @ASNAdvocacy: @StotterMD @TRIOZZIJL @NatashaNDave @derifkin @NephJC @RobertBlaser1 @RPANephrology Agree w/ all comments - we are already advocating for more telehealth and in partnership with RPA and others will amp up those efforts in light of what we are learning in the COVID-19 era #NephJC |
| Dhwanil Patel @iheartkidneys @AnnaGaddy https://t.co/TqZHZaK4n7 They reported on 6 autopsies - most with severe ATN on light microscopy. Only one case with severe lymphocytic infiltration. Not sure why they have hematuria... #NephJC |
| Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD @KlemensMeyer I do not know the details, it’s kinda vague, but here is the official statement: https://t.co/37VO9oO9qp #NephJC |
| Anitha Vijayan @VijayanMD @HumphreysLab @NephroGuy @ChristosArgyrop @Nephro_Sparks young folks may have other co-morbities and other health conditions they may not be willing to share #NephJC |
| Outset Medical @OutsetMedical RT @NephJC: Adaption Innovation Creativity #NephJC |
| Kenar Jhaveri @kdjhaveri @niruramkumar @devimol @KidneydrChirag Yea. Med students can be useful also in this. As many want to help and be part of this war #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @SaynaNorouzi @SilberjRogosin @nephrothaniel @PennKidney why earlier? Would argue for keeping themdry - don't follow sepsis guidelines and fill them up right @pulmcrit? Don't want early CRRT because of voumne overload #NephJC |
| 𝙼𝚊𝚝𝚝 𝙻𝚞𝚝𝚑𝚎𝚛 @DrJMLuther @kdjhaveri @KidneydrChirag also, without a resident (for those academics). #NephJC |
| Jennie Lin 👩🏻⚕️🧬 @jenniejlin @AnnaGaddy Also, is anyone having eye strain keeping up with this 🔥 #NephJC chat? https://t.co/EWcDTEoCRN |
 | Michelle Rheault @rheault_m @NephJC Michelle here late. #NephJC Distracted by #McMillionsHBO. (Seriously have you seen this?? You have to watch.) |
| Aravind Cherukuri PhD MRCP (UK) @AravindCheruku1 RT @NephJC: AKI outcome data from the literature from #NephJC https://t.co/zXV4WA7s7A https://t.co/KXGVJGkaQE |
| Eleanor Lederer @EleanorLederer RT @gratefull080504: #NephJC My suggestion to @ASN @AST_info et al is to integrate the conversation about patients + the providers they depend upon. I hate to say it but many people are not understanding the larger issues. My message is very clear patients + HCPs=1 |
| Matthew Sparks, MD @Nephro_Sparks think about this. This 1 virus!! is doing this!! Please fund research. this is a global issue #NephJC |
| Verner Venegas @Vernisartan RT @anuja_java: Discussion also ongoing about potential use of chloroquine/hydroxychloroquine as prophylaxis for potential exposures/health care professional ? #NephJC @Nephro_Sparks, I saw Jeff comment on this too? |
| Juan Carlos Q Velez @VelezNephHepato @NephJC #NephJC the ACE2 story has been out there since the early 2000s. Interesting to see that no action trials wise until now. Perhaps funding and pharma interest was@modest |
| Les @LBEBEN Makes sense for what's ahead. |
| Klemens Meyer @KlemensMeyer I don’t see that this is any sort of proof. |
| Samira Farouk, MD, MSCR @ssfarouk Is the significantly higher mortality rate in Italy likely driven by age? #NephJC #COVID19 |
| ASN Advocacy @ASNAdvocacy RT @ASNAdvocacy: @StotterMD @TRIOZZIJL @NatashaNDave @derifkin @NephJC @RobertBlaser1 @RPANephrology Agree w/ all comments - we are already advocating for more telehealth and in partnership with RPA and others will amp up those efforts in light of what we are learning in the COVID-19 era #NephJC |
 | Luis Calderon Vera @luiscalderonve RT @NephJC: This is huge! #NephJC |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD @StotterMD @keepingitrenal @jenniejlin @HumphreysLab @NU_Nephrology Consensus statement: Safe Airway Society principles of airway management and tracheal intubation specific to the COVID-19 adult patient group in @theMJA https://t.co/hzFM2nTMBN #NephJC |
| Kenar Jhaveri @kdjhaveri @DrJMLuther @KidneydrChirag Elective Surg cancelled at our place- so intensivists in sicu, cticu could help? #NephJC |
| Nephrology Journal Club @NephJC RT @ssfarouk: Is the significantly higher mortality rate in Italy likely driven by age? #NephJC #COVID19 |
| Dominique Tomacruz, MD @DTomacruzMD RT @VelezNephHepato: @NephJC #NephJC #T4 as eloquently described by @Nephro_Sparks and his team, we should do nothing about RASi in #COVID19 pts at this time. Changes in expression of ACE2 by RASi vary among species, among disease states and among organs. Not to mention systemic RASi effects in shock |
| Jeffrey Silberzweig @SilberjRogosin @kdjhaveri @niruramkumar @devimol @KidneydrChirag Med students may be pulled from clinical rotations to reduce risks of spread. What about pulling in students as they graduate even if before July 1 #nephjc |
| Alex Meraz @NephroGuy RT @iheartkidneys: @AnnaGaddy https://t.co/TqZHZaK4n7 They reported on 6 autopsies - most with severe ATN on light microscopy. Only one case with severe lymphocytic infiltration. Not sure why they have hematuria... #NephJC |
| Bilal @bilalksheikh @NephJC #NephJC #T0 our program has a COVID Neph team consisting of attendings only, for now only one attending is on the team (shout out to Dr Flythe) to limit exposure of fellows/residents to SARS-CoV-2 |
| Brian Stotter, MD @StotterMD @kdjhaveri @DrJMLuther @KidneydrChirag And anesthesia #NephJC |
| Chirag Parikh @KidneydrChirag #nephjc T1: Please confirm Dialysate supply for CVVHD--- if there is a surge of AKI cases, it is not the shortage of machines or nurses but the amount of dialysate available in the pharmacy that can become an issue. This is what we learnt playing out some scenarios. |
| Alex Meraz @NephroGuy RT @NephJC: There are isolated Qs on twitter about high CRRT filter clotting from @DanielRoss4 & @SAStrut : There are isolated Qs on twitter about high CRRT filter clotting from @DanielRoss4 & @SAStrut : has anyone else seen them? #NephJC |
| James Novak, MD PhD FACP FASN FNKF @JamesNovakNeph I'm lucky to work at an institution at the vanguard of this battle. #NephJC |
| Alan Kliger @AlanKliger @bealelab Hard to know - -but I am still optimistic about our capacity. Social isolation here a bit late - - but se'll see if cases look like China or Italy #NephJC |
| Alex Meraz @NephroGuy RT @NephJC: The Guan NEJM paper (1099) probably represents a mix of more generalizable cases with a lower AKI risk number 0.5% https://t.co/DXcOAYL10t #NephJC |
| Eleanor Lederer @EleanorLederer @NephJC #NephJC Agree. Patients with aki fall into every medical high risk group for mortality. |
| Anitha Vijayan @VijayanMD @kdjhaveri @DrJMLuther @KidneydrChirag Yes, all hands on deck #NephJC |
| Charbel C Khoury @Charbel_Khoury RT @KidneydrChirag: #nephjc T1: #nephjc T1: Please confirm Dialysate supply for CVVHD--- if there is a surge of AKI cases, it is not the shortage of machines or nurses but the amount of dialysate available in the pharmacy that can become an issue. This is what we learnt playing out some scenarios. |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @jenniejlin @AnnaGaddy preprints report COVID19 virus in kidney see https://t.co/ngzoHYn6SW #NephJC https://t.co/HiDvDaR6vo |
| Aakash Shingada, DNB, MRCP(UK), FASN @aakashshingada RT @Nephro_Sparks: think about this. This 1 virus!! is doing this!! Please fund research. this is a global issue #NephJC |
| Nephrology Journal Club @NephJC @SilberjRogosin @kdjhaveri @niruramkumar @devimol @KidneydrChirag My medical student was pulled from a clinical rotation. I think it is a mistake. They are doctors, this is where they need to be. #NephJC |
| Alex Meraz @NephroGuy RT @VelezNephHepato: @NephJC #NephJC #T4 as eloquently described by @Nephro_Sparks and his team, we should do nothing about RASi in #COVID19 pts at this time. Changes in expression of ACE2 by RASi vary among species, among disease states and among organs. Not to mention systemic RASi effects in shock |
| 〽️ichael Heung @keepingitrenal @NephJC @danielross4 @sastrut Frequently see high clotting in very inflammatory states, even with our excellent citrate protocol. So wouldn’t be surprising to see this with severe #COVID19 infections. #NephJC |
| Suneel Udani @CaptainKidney79 @AGrandinettiMPH @devimol I have been recommending fairly strict isolation, filling out FMLA to stay away from work for those who cannot work from home. Asking people to delay routine lab testing and visits. #nephjc |
| Mario Funes, MD @MarioFunesMD @ssfarouk Most likely, second country with highest percentage of population over 65 years of age. First is Japan. #NephJC |
| Nikhil Shah MBBS DNB(IM, Neph)🇨🇦 @dr_nikhilshah RT @NephJC: The #NephJC team has put together some resources for #COVID19 from the kidney perspective here https://t.co/zXV4WA7s7A We will keep updating it live Keep checking back and share widely #CoronaKidney |
| Kenar Jhaveri @kdjhaveri RT @iheartkidneys: @AnnaGaddy https://t.co/TqZHZaK4n7 They reported on 6 autopsies - most with severe ATN on light microscopy. Only one case with severe lymphocytic infiltration. Not sure why they have hematuria... #NephJC |
| Ben Humphreys @HumphreysLab Same with us on Monday. I have heard of hospitals discussing surgeon redeployment if need be, which makes sense |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 @ssfarouk and potentially greater socialization between families and grandparents #nephJC There is an article recently published on the subject I will look for it. |
| Jeffrey Silberzweig @SilberjRogosin @KidneydrChirag Supply chain is a real concern: PPE Home Dialysis Supplies Transplant Meds CVVHD supplies Seems like we're generally OK so far aside from concerns about masks referenced earlier #nephjc |
| Nephrology Journal Club @NephJC RT @keepingitrenal: @NephJC @danielross4 @sastrut Frequently see high clotting in very inflammatory states, even with our excellent citrate protocol. So wouldn’t be surprising to see this with severe #COVID19 infections. #NephJC |
| Krishna Penmatsa @krishnadoctor1 Are we overlooking mobile phones as a mode of transmission of #Covid19 Strong possibility #NephJC |
| Kenar Jhaveri @kdjhaveri RT @NephJC: @SilberjRogosin @kdjhaveri @niruramkumar @devimol @KidneydrChirag My medical student was pulled from a clinical rotation. I think it is a mistake. They are doctors, this is where they need to be. #NephJC |
| Alex Meraz @NephroGuy RT @VelezNephHepato: @NephJC #NephJC We are seeing cases at Ochsner. We dialyzed 3 confirmed COVID19 pts today. In their rooms, all CRRT. nothing different than a standard vented ICU pt so far. The more challenging adaptations for us so far have been with outpatient ESRD |
| Eleanor Lederer @EleanorLederer RT @VelezNephHepato: @NephJC #NephJC #T4 as eloquently described by @Nephro_Sparks and his team, we should do nothing about RASi in #COVID19 pts at this time. Changes in expression of ACE2 by RASi vary among species, among disease states and among organs. Not to mention systemic RASi effects in shock |
 | Andrew Michael South, MD, MS @asouth_neph Thank you @ASPNeph !! cc @ASNKidney @AHAScience #nephjc #PedsHTN @AdvocacyAspn @AspnResearch @KidneyInCVD @Ped_Neph @thePNRC |
| Joel M. Topf, MD FACP @kidney_boy Don't take away my phone! #NephJC |
| Bilal @bilalksheikh Has any place used HCQ in any patients here in US? Thoughts? #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: Caveats of those AKI numbers: real questions re: Caveats of those AKI numbers: real questions re: how was AKI coded (likely severe AKI only captured) and denominator only sicker hospitalized patients #NephJC |
| Alex Chang, MD, FASN, FAHA @alexchangmd Anyone have ideas on rationing inpatient hemodialysis/CRRT if it comes down to it? #NephJC Our bioethicists will be busy...@DNAlawyer |
| 𝐉𝐨𝐬𝐞𝐩𝐡 𝐅𝐥𝐲𝐧𝐧, 𝐌𝐃 @drjosflynn @VelezNephHepato @NephJC Maybe mower numbers - SARS and MERS weren't nearly as widespread. #nephjc |
| Alan Kliger @AlanKliger @krishnadoctor1 CDC recommends surface decontamination fo iphones! #NephJC |
| Kenar Jhaveri @kdjhaveri @DrDeidraCrews @niruramkumar @devimol @KidneydrChirag @HopkinsMedicine Seriously!! This is their calling. Graduate them early #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @VelezNephHepato: @NephJC #NephJC #T4 as eloquently described by @Nephro_Sparks and his team, we should do nothing about RASi in #COVID19 pts at this time. Changes in expression of ACE2 by RASi vary among species, among disease states and among organs. Not to mention systemic RASi effects in shock |
| Eleanor Lederer @EleanorLederer RT @hswapnil: @SaynaNorouzi @SilberjRogosin @nephrothaniel @PennKidney why earlier? Would argue for keeping themdry - don't follow sepsis guidelines and fill them up right @pulmcrit? Don't want early CRRT because of voumne overload #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 @SilberjRogosin @KidneydrChirag I agree Jeff #nephJC |
| Franklin Loachamin @FranLoachamin RT @KidneydrChirag: #nephjc T1: #nephjc T1: Please confirm Dialysate supply for CVVHD--- if there is a surge of AKI cases, it is not the shortage of machines or nurses but the amount of dialysate available in the pharmacy that can become an issue. This is what we learnt playing out some scenarios. |
| 𝐉𝐨𝐬𝐞𝐩𝐡 𝐅𝐥𝐲𝐧𝐧, 𝐌𝐃 @drjosflynn @jenniejlin @AnnaGaddy Yes, and whiplash! #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: There are isolated Qs on twitter about high CRRT filter clotting from @DanielRoss4 & @SAStrut : There are isolated Qs on twitter about high CRRT filter clotting from @DanielRoss4 & @SAStrut : has anyone else seen them? #NephJC |
 | Sami Alasfar, MD, MPH, FASN @SamiAlasfar Sami Alasfar, transplant nephrologist, Hopkins, joining late, no related COI #NephJC |
 | Luis Perez @Lmipz Uofi PhD student here. Little late and been lurking. Just wanted to check in. No COI #NephJC |
| Eleanor Lederer @EleanorLederer RT @Nephro_Sparks: think about this. This 1 virus!! is doing this!! Please fund research. this is a global issue #NephJC |
| Aravind Cherukuri PhD MRCP (UK) @AravindCheruku1 RT @kidney_boy: Don't take away my phone! #NephJC |
| Alan Kliger @AlanKliger @alexchangmd @DNAlawyer Some have discussed PD as an alternative #NephJC |
| Dr Priti MD,FASN🇮🇳 (प्रिति) @priti899 @bealelab @ssfarouk In India, all the patients who died were above 60yrs.#NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephJC @danielross4 @sastrut sen this @VelezNephHepato ? Is Citrate CRRT preferred in this setting? #NephJC |
| American Society of Nephrology @ASNKidney RT @ASNAdvocacy: @StotterMD @TRIOZZIJL @NatashaNDave @derifkin @NephJC @RobertBlaser1 @RPANephrology Agree w/ all comments - we are already advocating for more telehealth and in partnership with RPA and others will amp up those efforts in light of what we are learning in the COVID-19 era #NephJC |
| Franklin Loachamin @FranLoachamin RT @hswapnil: @jenniejlin @AnnaGaddy preprints report COVID19 virus in kidney see https://t.co/ngzoHYn6SW #NephJC https://t.co/HiDvDaR6vo |
| Verner Venegas @Vernisartan RT @NephJC: #NephJC T2 Kidney involvement is common. Cheng et al https://t.co/zLA1LKq00D found 44% had proteinuria and hematuria and 26.7% had hematuria on admission. The prevalence of elevated Cr and BUN were 15.5% and 14.1%, respectively #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @drjosflynn @VelezNephHepato @NephJC Thanks for the positive vibe, Joe Remember Hamilton College! #nephjc |
| Anuja Java, MD (she/her) @anuja_java #nephjc |
| susan kjos @suziekjos @krishnadoctor1 I use my phone soap. Have had for few years #NephJC |
| Krishna Penmatsa @krishnadoctor1 @kidney_boy Most of us would prefer #covid19 to mobile detox #nephjc 🤪 |
| Pranav Garimella @pranavgarimella @KidneydrChirag Echoing @KidneydrChirag Is the issue with IV bicarbonate a thing Of the past? I remember last year when we had to reserve bicarbonate for select patients #NephJC |
| Eric Weinhandl @eric_weinhandl @ssfarouk Likely lost control of #COVID19 in some locales (e.g. Bergamo), thus exhausting inpatient care capacity. Other parts of Italy have had less disastrous outcomes. #NephJC |
| Anitha Vijayan @VijayanMD @NephJC @SilberjRogosin @kdjhaveri @niruramkumar @devimol @KidneydrChirag They’re not doctors yet. They have to be protected. Also other trainees - residents and fellows #NephJC |
| Charbel C Khoury @Charbel_Khoury @kidney_boy Apple Ok'ed using Clorox wipes if you can find them, or can use the ziplock bag method #nephjc |
| Dhwanil Patel @iheartkidneys @AlanKliger @krishnadoctor1 Androids are safe! 😉 #NephJC |
| 𝐉𝐨𝐬𝐞𝐩𝐡 𝐅𝐥𝐲𝐧𝐧, 𝐌𝐃 @drjosflynn @SilberjRogosin @kdjhaveri @niruramkumar @devimol @KidneydrChirag Per the AAMC today, all medical students supposed to be pulled off all clinical rotations #nephjc |
| ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @KlemensMeyer The powerpoint is more informative ; no infections after PPE were adopted https://t.co/gw2EAHad7q Preprint: https://t.co/PvaXqeIGzF Dialysis in Wuhan: https://t.co/oi8tCrM7vu I would err on the side of caution and protect the healthcare workers #NephJC |
| Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD @Vernisartan @KidneydrChirag In this case, a patient with ESKD, pneumonia and #COVID19, was treated accordingly and dialyzed. After 8 days of treatment he tested negative for #COVID19 and discharged. @KidneyMed #NephJC https://t.co/T3gUit0oeb |
| Nephrology Journal Club @NephJC This is a great idea. Keep this in your back pocket for when times get medieval #NephJC |
| Matthew Sparks, MD @Nephro_Sparks This is a fast chat. Anyone can email or DM me with questions about ACE2... ACEi and ARB.. it is a 24/7 (almost) hotline. #NephJC |
| Alex Meraz @NephroGuy @WaliNuri @AlanKliger @dr_nikhilshah @JamesNovakNeph @HecmagsMD @zkribs1 @ASNKidney For procedures aresol-producing procedures. #NephJC https://t.co/WM7vl9d7aF |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @KidneydrChirag: #nephjc T1: #nephjc T1: Please confirm Dialysate supply for CVVHD--- if there is a surge of AKI cases, it is not the shortage of machines or nurses but the amount of dialysate available in the pharmacy that can become an issue. This is what we learnt playing out some scenarios. |
| Anuja Java, MD (she/her) @anuja_java #Nephjc |
| Tiffany Caza @Tiff_Caza @krishnadoctor1 That makes sense. Anything touched several times a day could be a fomite. #NephJC |
| 𝐉𝐨𝐬𝐞𝐩𝐡 𝐅𝐥𝐲𝐧𝐧, 𝐌𝐃 @drjosflynn @VelezNephHepato @NephJC ...lower numbers.. #nephjc - induced typing mistakes! |
| Flor Alvarado @FlorAlvaradoMD RT @hswapnil: The #NephJC #COVIDACE2 page updated with @AHAScience and @ERAEDTA and Spanish Society of HT statements thanks @jordy_bc for the quick updates https://t.co/vwnT0YMkQw https://t.co/ADfMYmamyg |
| Nephrology Journal Club @NephJC @Nephro_Sparks Fast? I hadn't noticed. #NephJC |
| James Novak, MD PhD FACP FASN FNKF @JamesNovakNeph Did I miss anyone discussing ACEi/ARB discontinuation in #COVID-19 patients? All societies recommending against, but I wouldn't be surprised if some patients self-discontinue. #NephJC |
| Alex Chang, MD, FASN, FAHA @alexchangmd RT @NephJC: This is a great idea. Keep this in your back pocket for when times get medieval #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @KidneydrChirag can switch to SLED/PIRRT if this becomes a crisis? #NephJC |
| Kenar Jhaveri @kdjhaveri @VijayanMD @NephJC @SilberjRogosin @niruramkumar @devimol @KidneydrChirag They can help other ways. #NephJC doesn’t have to be direct patient contact |
| Eleanor Lederer @EleanorLederer @KidneydrChirag #NephJC So what did you guys come up with and does anyone know how to make dialysate from scratch? One of my attendings when I was fellow could |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD @AGrandinettiMPH @AST_info Any #transplant #nephrologists care to address this? #NephJC @ssfarouk |
| 𝙼𝚊𝚝𝚝 𝙻𝚞𝚝𝚑𝚎𝚛 @DrJMLuther @StotterMD @kdjhaveri @KidneydrChirag goes without saying that they will be busy #NephJC |
| Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD RT @Nephro_Sparks: @anuja_java @Furqi yes. It is an ARB losartan... inpatient and outpatient in #COVID19 https://t.co/A07lxC1CdR https://t.co/btNCC5lnPh #NephJC |
| Klemens Meyer @KlemensMeyer I don’t understand: they’re pulled off rotation, now we want to start them early? Why not let them stay & work & learn? I promise you, medical students were not sent home to study in 1918. (No, I wasn’t in medical school then.) |
| Nephrology Journal Club @NephJC this is the last topic, give me 5 minutes. #NephJC |
| Nathaniel Reisinger @nephrothaniel RT @Nephro_Sparks: This is a fast chat. Anyone can email or DM me with questions about ACE2... ACEi and ARB.. it is a 24/7 (almost) hotline. #NephJC |
| Amanda Grandinetti, MPH @AGrandinettiMPH RT @AlanKliger: @krishnadoctor1 CDC recommends surface decontamination fo iphones! #NephJC |
| Nephrology Journal Club @NephJC #NephJC Topic Three: Transplant |
| Samira Farouk, MD, MSCR @ssfarouk @alexchangmd @DNAlawyer Will likely need to consider scaling back to 2 treatments a week #NephJC |
| Michelle Starr MD MPH @mcstarr1 @NephJC @Nephro_Sparks What are you talking about? Boring and slow, totally not going to break the Symplus algorithm #nephjc |
| Jeffrey Silberzweig @SilberjRogosin @EleanorLederer @KidneydrChirag We used to do that - before many of us were practicing but we could pull out the paddles again #nephjc |
| Nephrology Journal Club @NephJC #NephJC Nice info graphic from Riella. P.S. I knew him before he was a dotcom. https://t.co/kwfHdxbsKf https://t.co/p4vxZUBZJH |
| Michelle Rheault @rheault_m @bilalksheikh RCT of HCQ as post exposure prophylaxis for healthcare workers going on now. Consider Enrolling if you are exposed. #nephjc https://t.co/AhmMO91hzs |
| Xiaoyin "Sara" Jiang, MD (She/Her) @Sara_Jiang @NephJC Late lurker, Pathologist @DukePathDept (with no particular interest in kidneys) #NephJC |
| susan kjos @suziekjos @NephJC @Nephro_Sparks Getting dizzy trying to keep up🤪 #NephJC |
 | Cathy Quinlan @CathyQuinlan.bsky.social @KidneyCathy RT @rheault_m: @bilalksheikh RCT of HCQ as post exposure prophylaxis for healthcare workers going on now. Consider Enrolling if you are exposed. #nephjc https://t.co/AhmMO91hzs |
| Jennie Lin 👩🏻⚕️🧬 @jenniejlin @anuja_java Speaking of, what do we know about development of ACE2 over a lifespan? Do we develop more receptors as we age? Do kids have fewer receptors and thus are not symptomatic? #NephJC |
| Matthew Sparks, MD @Nephro_Sparks I recommend this video for all ... from @MedCramVideos great deep dive on the entire ACEi/ARB ACE2 issue #NephJC https://t.co/EFufheHWmD |
| Anitha Vijayan @VijayanMD @hswapnil @NephJC @danielross4 @sastrut @VelezNephHepato Not enough data. It will be difficult and dangerous for non-citrate centers to implement citrate policy quickly. #NephJC |
| Alan Kliger @AlanKliger @SilberjRogosin @EleanorLederer @KidneydrChirag PD!! #NephJC |
| Samira Farouk, MD, MSCR @ssfarouk @GarySingerMD @AGrandinettiMPH @AST_info Re: #kidneytransplant patients - really the same guidance as others. Social distance and hygiene. I think what we are doing that is most helpful is cutting back on routine post-transplant care visits while trying to ensure necessary lab work #NephJC |
| Amanda Grandinetti, MPH @AGrandinettiMPH RT @GarySingerMD: @AGrandinettiMPH @AST_info Any #transplant #nephrologists care to address this? #NephJC @ssfarouk |
| Charbel C Khoury @Charbel_Khoury RT @ChristosArgyrop: @KlemensMeyer The powerpoint is more informative ; no infections after PPE were adopted https://t.co/gw2EAHad7q Preprint: https://t.co/PvaXqeIGzF Dialysis in Wuhan: https://t.co/oi8tCrM7vu I would err on the side of caution and protect the healthcare workers #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @keepingitrenal: @NephJC @danielross4 @sastrut Frequently see high clotting in very inflammatory states, even with our excellent citrate protocol. So wouldn’t be surprising to see this with severe #COVID19 infections. #NephJC |
| Nephrology Journal Club @NephJC This editorial discusses 2 Heart Tx patients with COVID19 Rx with: stopping all IS but steroids and adding IVIG https://t.co/QqupMIvgG9 #NephJC |
| Cathy Quinlan @CathyQuinlan.bsky.social @KidneyCathy RT @NephJC: How do we know @Kidney_Int rushed this through to publication? Well the PDF still has an "uncorrected proof" water mark and markers for reviewer and editor comments that haven't been resolved. We applaud KI in getting this out so fast! #NephJC https://t.co/GU3nmKbRzJ |
| Nephrology Journal Club @NephJC RT @Nephro_Sparks: I recommend this video for all ... from @MedCramVideos great deep dive on the entire ACEi/ARB ACE2 issue #NephJC https://t.co/EFufheHWmD |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD @Charbel_Khoury @kidney_boy https://t.co/owuwz0CyUg #NephJC |
| ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @eric_weinhandl @ssfarouk Anyone who can't get a vent but needs one : dies Gotta keep the *incidence* (I) of cases low, because the mortality will depend on the *prevalence* (P) of severe cases, who need vent for a long time (T). P = I x T if P> number of vents => death #Nephjc |
 | Ken Sutha, MD, PhD @4_kidney Oops I’m late. Peds neph at Stanford. No COI. #nephjc |
| Jay Koyner @jaykoyner @Nephro_Sparks too fast -but learning a lot - thanks for creating this forum - shame it has to be used for this #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @SilberjRogosin: @KidneydrChirag Supply chain is a real concern: PPE Home Dialysis Supplies Transplant Meds CVVHD supplies Seems like we're generally OK so far aside from concerns about masks referenced earlier #nephjc |
| Eric Weinhandl @eric_weinhandl I've already shared this story, but it's mighty illustrative of how much power each one of us has. Patient 31 in South Korea was a "super spreader." #NephJC https://t.co/vxt08oxtif |
| Jeffrey Silberzweig @SilberjRogosin @ssfarouk @GarySingerMD @AGrandinettiMPH @AST_info Important to minimize visits for transplant patients - telemedicine, etc #nephjc |
| JonathanArmentiTC @ArmentiTc RT @ssfarouk: @GarySingerMD @AGrandinettiMPH @AST_info Re: @GarySingerMD @AGrandinettiMPH @AST_info Re: #kidneytransplant patients - really the same guidance as others. Social distance and hygiene. I think what we are doing that is most helpful is cutting back on routine post-transplant care visits while trying to ensure necessary lab work #NephJC |
| Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD @Charbel_Khoury @kidney_boy What is the ziplock bag method? #NephJC |
 | Paul Sufka, MD @psufka RT @Furqi: University of Minnesota has a drug trial for post exposure prophylaxis. Enrollment is via email. Covid19@umn.edu. #NephJC |
| Anuja Java, MD (she/her) @anuja_java RT @ssfarouk: @GarySingerMD @AGrandinettiMPH @AST_info Re: @GarySingerMD @AGrandinettiMPH @AST_info Re: #kidneytransplant patients - really the same guidance as others. Social distance and hygiene. I think what we are doing that is most helpful is cutting back on routine post-transplant care visits while trying to ensure necessary lab work #NephJC |
| Alan Kliger @AlanKliger @ssfarouk @GarySingerMD @AGrandinettiMPH @AST_info Amen #NephJC |
| Krishna K Agrawal, MBBS,MD,DM,FACP,DFID @agrawalkris How are you tackling in center dialysis patients. Ours hd is in critical care area which is crowded and patients wait in the same waiting area. Any special recommendations for them. #NephJC @NephJC |
| Andrew Michael South, MD, MS @asouth_neph @britewerks @KidneyInCVD @AHAScience @BhallaResearch @RangaswJ @Dan_Batlle @HyperAHA @ASNKidney Thank you @britewerks #NephJC Big part of my (our) message that we are adovocating for...much more to come soon! 🔸Ask appropriate questions 🔸Be thoughtful about what data 🔸Think through analysis 🔸Be very thorough on interpretation and then message |
| Eleanor Lederer @EleanorLederer RT @JamesNovakNeph: Did I miss anyone discussing ACEi/ARB discontinuation in #COVID-19 patients? All societies recommending against, but I wouldn't be surprised if some patients self-discontinue. #NephJC |
| Klemens Meyer @KlemensMeyer But CRRT filters are porous. Need to be really careful about quality |
| Charbel C Khoury @Charbel_Khoury @GarySingerMD @kidney_boy I know i tried to buy one but not available #NephJC |
| Verner Venegas @Vernisartan RT @Charbel_Khoury: @kidney_boy Apple Ok'ed using Clorox wipes if you can find them, or can use the ziplock bag method #nephjc |
 | Nelson Zamora R. MD 🇧🇴 @DrZamu13 RT @NephJC: AKI outcome data from the literature from #NephJC https://t.co/zXV4WA7s7A https://t.co/KXGVJGkaQE |
| Aravind Cherukuri PhD MRCP (UK) @AravindCheruku1 RT @NephJC: This editorial discusses 2 Heart Tx patients with COVID19 Rx with: This editorial discusses 2 Heart Tx patients with COVID19 Rx with: stopping all IS but steroids and adding IVIG https://t.co/QqupMIvgG9 #NephJC |
| Cathy Quinlan @CathyQuinlan.bsky.social @KidneyCathy Cathy Quinlan, Melbourne, paeds. Late to chat because of the same planning meetings etc that we are all having. Woah I've missed a lot! #nephjc |
| Flor Alvarado @FlorAlvaradoMD RT @Nephro_Sparks: I recommend this video for all ... from @MedCramVideos great deep dive on the entire ACEi/ARB ACE2 issue #NephJC https://t.co/EFufheHWmD |
| Nelson Zamora R. MD 🇧🇴 @DrZamu13 RT @NephJC: #NephJC T2 Not surprisingly AKI was an independent risk factor for mortality in both Cheng et al and in Li et al https://t.co/Crgvgxwq9E https://t.co/qnWVfmNMLL |
| Anuja Java, MD (she/her) @anuja_java @GarySingerMD @AGrandinettiMPH @AST_info @ssfarouk What are you doing with Pre-transplant evaluations ? #nephJC. |
 | Javier Neyra @javo_neyra @VelezNephHepato @ansakhuja @hswapnil @NephJC #NephJC What type of PPE are you using for PUI cases on CRRT? We are using droplet precautions but when confirmation takes >48h, concerns are being raised to escalate to airborne isolation @ukrenalfellows |
| Jennie Lin 👩🏻⚕️🧬 @jenniejlin @anuja_java @HumphreysLab have you been keeping up with all the #singlecell profiling studies of #COVID19 patients? #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @agrawalkris @NephJC Need to try to create space. Crowding is a recipe for spread. Need to try to isolate positive patients. If not possible, need masks to try to reduce spread #nephjc |
| Brian Stotter, MD @StotterMD @ssfarouk @GarySingerMD @AGrandinettiMPH @AST_info We are postponing transplant clinics, doing lab monitoring remotely #NephJC |
| Robert Pauly @SkepticalTweetR @AlanKliger @alexchangmd @DNAlawyer #nephjc Curious to see if this can be leveraged to facilitate urgent start PD @dr_nikhilshah |
| 𝐉𝐨𝐬𝐞𝐩𝐡 𝐅𝐥𝐲𝐧𝐧, 𝐌𝐃 @drjosflynn @Nephro_Sparks No way to keep up tonight! #nephjc |
| ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @GarySingerMD @Charbel_Khoury @kidney_boy 😍😍😍😍😍😍 #NephJC |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd The Coronavirus Conundrum: ACE2 and Hypertension Edition #NephJC #AskASN #CoronaKidney #COVID19 https://t.co/1vfMGdhSfb |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD @Charbel_Khoury @kidney_boy Got one as a holiday gift last year #Prescient #NephJC |
| James Novak, MD PhD FACP FASN FNKF @JamesNovakNeph @AlanKliger That would make me question his brightness. People should at least substitute another antihypertensive so their BP doesn't skyrocket. #NephJC |
 | Gretchen Brandt @glb2 https://t.co/jTx6rxswhx #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @alexchangmd @DNAlawyer Staffing concerns is a big deal We have a *last resort* plan for doing 2 x week HD for someone with good residual function, for example ANy others have thought for this? #NephJC |
| susan kjos @suziekjos @GarySingerMD @Charbel_Khoury @kidney_boy Have had this for few years. Use it daily #NephJC |
| Amanda Grandinetti, MPH @AGrandinettiMPH 🙌🏼 |
| Eleanor Lederer @EleanorLederer @SilberjRogosin @KidneydrChirag #NephJC Ha ha ha. Now that would be a real test of understanding dialysis! |
| Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD @Nephro_Sparks LOL. Can’t keep up! I have you in speed dial. #NephJC |
 | Djluka Storm @Djluka1 RT @Nephro_Sparks: I recommend this video for all ... from @MedCramVideos great deep dive on the entire ACEi/ARB ACE2 issue #NephJC https://t.co/EFufheHWmD |
| Anitha Vijayan @VijayanMD @agrawalkris @NephJC Separate pods. Last shift of the day. Use isolation rooms If only 1 or 2 cases. #NephJC |
| Anuja Java, MD (she/her) @anuja_java RT @rheault_m: @bilalksheikh RCT of HCQ as post exposure prophylaxis for healthcare workers going on now. Consider Enrolling if you are exposed. #nephjc https://t.co/AhmMO91hzs |
| 〽️ichael Heung @keepingitrenal Re: transplant, had this arise in #COVID19 positive pt today. Guidance from @AST_info suggests that tocilizumab can be used, also may have theoretical benefit to reducing immunosuppression in severe cases. #NephJC |
| Kenar Jhaveri @kdjhaveri RT @ssfarouk: @GarySingerMD @AGrandinettiMPH @AST_info Re: @GarySingerMD @AGrandinettiMPH @AST_info Re: #kidneytransplant patients - really the same guidance as others. Social distance and hygiene. I think what we are doing that is most helpful is cutting back on routine post-transplant care visits while trying to ensure necessary lab work #NephJC |
| spiros arampatzis @neph_Spiros RT @hswapnil: @alexchangmd @DNAlawyer Staffing concerns is a big deal We have a *last resort* plan for doing 2 x week HD for someone with good residual function, for example ANy others have thought for this? #NephJC |
| Sayee Sundar @ssrasm #NephJC hematuria/proteinuria in covid 19 patients - could this possibly underlying iga given ethnicity? Acei/arb usage could also represent a portion of such population as well. @Nephro_Sparks |
| ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @StotterMD @ssfarouk @GarySingerMD @AGrandinettiMPH @AST_info Same here #Nephjc |
| Nephrology Journal Club @NephJC Don't bail out the hotels, Nationalize them. Turn them into #COVID19 hospitals #NephJC |
| Amanda Grandinetti, MPH @AGrandinettiMPH RT @NephJC: This editorial discusses 2 Heart Tx patients with COVID19 Rx with: This editorial discusses 2 Heart Tx patients with COVID19 Rx with: stopping all IS but steroids and adding IVIG https://t.co/QqupMIvgG9 #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 I do have some suggestions based upon my experience 1) I am exercising 30 minutes a day 2) Mediating 3) ordered my transplant meds early 4) journal righting Maintain mental strength #nephjc |
 | Agile World Inc. @agileworldusa RT @zkribs1: @anuja_java @ssfarouk @JamesNovakNeph @HecmagsMD @ASNKidney It seems like PPE is a prime area for "medium-term" innovation. Obvi. we need to get frontline workers necessary PPE yesterday, but have heard of need for: -N-95 masks that don't need fittest -anti-fog face shields #NephJC .@ASNAdvocacy |
 | Ashish Verma @AshuNephro RT @ChristosArgyrop: @KlemensMeyer The powerpoint is more informative ; no infections after PPE were adopted https://t.co/gw2EAHad7q Preprint: https://t.co/PvaXqeIGzF Dialysis in Wuhan: https://t.co/oi8tCrM7vu I would err on the side of caution and protect the healthcare workers #NephJC |
| Eric Weinhandl @eric_weinhandl Anyone noticing more limited public transit options for #dialysis patients? I've wondered if missed treatments may become more frequent. #NephJC |
| Gates Colbert, MD @DoctorGates I think the medical community needs to start brainstorming how to keep the public motived to limit #COVID19 spread in 2 weeks and beyond. Cabin fever, media hype fatigue, etc could curb enthusiasm for flattening the curve. #NephJC https://t.co/kP2PCiYceA |
| Amanda Grandinetti, MPH @AGrandinettiMPH RT @SilberjRogosin: @ssfarouk @GarySingerMD @AGrandinettiMPH @AST_info Important to minimize visits for transplant patients - telemedicine, etc #nephjc |
| Sami Alasfar, MD, MPH, FASN @SamiAlasfar @anuja_java @GarySingerMD @AGrandinettiMPH @AST_info @ssfarouk All canceled for now #NephJC hopefully telemedicine for some |
| Alex Meraz @NephroGuy RT @ssrasm: #NephJC hematuria/proteinuria in covid 19 patients - could this possibly underlying iga given ethnicity? Acei/arb usage could also represent a portion of such population as well. @Nephro_Sparks |
| ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop RT @NephJC: Don't bail out the hotels, Nationalize them. Turn them into #COVID19 hospitals #NephJC |
| Kenar Jhaveri @kdjhaveri @ssfarouk @GarySingerMD @AGrandinettiMPH @AST_info Are we holding new LRRT #NephJC ? @vinaynairdo |
| Alan Kliger @AlanKliger @javo_neyra @VelezNephHepato @ansakhuja @hswapnil @NephJC @ukrenalfellows Sticking with droplet and contact precautions... still seems most likely mode of spread for most pmts #NephJC |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD @Charbel_Khoury @kidney_boy Just noticed ship date (May 8) 😩 #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @SkepticalTweetR @AlanKliger @alexchangmd @DNAlawyer @dr_nikhilshah Need support of hospitals; will be hard to train staff now. We have a successful urgent start program. It has worked great. #nephjc |
| Nikhil Shah MBBS DNB(IM, Neph)🇨🇦 @dr_nikhilshah @SkepticalTweetR @AlanKliger @alexchangmd @DNAlawyer My thoughts exactly, we should talk to the surgeons in advance of this happening! cc @brankobraam #NephJC |
| Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD @Tiff_Caza @krishnadoctor1 I am really training myself to NOT touch my face and it’s very difficult. #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @drjosflynn: @SilberjRogosin @kdjhaveri @niruramkumar @devimol @KidneydrChirag Per the AAMC today, all medical students supposed to be pulled off all clinical rotations #nephjc |
| Nephrology Journal Club @NephJC Drug interactions: Tacrolimus with Lopinavir/Ritnoavir, any others we should know? #NephJC |
| Robert Blaser @RobertBlaser1 This |
| Michelle Rheault @rheault_m @VijayanMD @hswapnil @NephJC @danielross4 @sastrut @VelezNephHepato Agree! Better to do what you know and what you’re good at. Don’t stress out your nurses by implementing a new crrt protocol under these conditions for speculative reasons. #nephjc |
| Alex Meraz @NephroGuy RT @hswapnil: @alexchangmd @DNAlawyer Staffing concerns is a big deal We have a *last resort* plan for doing 2 x week HD for someone with good residual function, for example ANy others have thought for this? #NephJC |
| Kenar Jhaveri @kdjhaveri RT @anuja_java: #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @ChristosArgyrop: @KlemensMeyer The powerpoint is more informative ; no infections after PPE were adopted https://t.co/gw2EAHad7q Preprint: https://t.co/PvaXqeIGzF Dialysis in Wuhan: https://t.co/oi8tCrM7vu I would err on the side of caution and protect the healthcare workers #NephJC |
| Verner Venegas @Vernisartan RT @NephJC: #NephJC Nice info graphic from Riella. P.S. I knew him before he was a dotcom. https://t.co/kwfHdxbsKf https://t.co/p4vxZUBZJH |
| Matthew Sparks, MD @Nephro_Sparks @ssrasm We should be cautious to speculate and await data to substantiate this #NephJC |
| Alex Meraz @NephroGuy RT @edgarvlermamd: The Coronavirus Conundrum: The Coronavirus Conundrum: ACE2 and Hypertension Edition #NephJC #AskASN #CoronaKidney #COVID19 https://t.co/1vfMGdhSfb |
| Krishna Penmatsa @krishnadoctor1 Why can’t we advise a prophylactic dose of chloroquine once we have the symptoms? Does that make sense? Considering chloroquine is easily available in a malaria endemic country like India #NephJC |
| Verner Venegas @Vernisartan RT @rheault_m: @bilalksheikh RCT of HCQ as post exposure prophylaxis for healthcare workers going on now. Consider Enrolling if you are exposed. #nephjc https://t.co/AhmMO91hzs |
| Eleanor Lederer @EleanorLederer @GarySingerMD @Charbel_Khoury @kidney_boy #NephJC Probably sold out |
 | Ankit Sakhuja 🇺🇸 @ansakhuja @Nephro_Sparks Lots. Is the association with #COVID19 real? #NephJC |
 | Poonam Sharma @PoonamSS @kidney_boy #NephJC https://t.co/fp5EFj5MEQ |
| Alan Kliger @AlanKliger @JamesNovakNeph He's following his BP and will talk if it rises #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @hswapnil @alexchangmd @DNAlawyer ASN asking for QAPI waivers. For some patients, makes sense: reduced risk of exposure for them, other patients and staff #nephjc |
 | Boomertarian Norm @BoomertarianN .@petersuderman or @CatoHealth know? |
| ASN Advocacy @ASNAdvocacy Excellent point! ASN is advocating right now to make telemedicine an option for ALL kidney patients (CKD, dialysis anywhere, transplant) an option. #nephJC |
| Zainab Obaidi @zainabo87 RT @Nephro_Sparks: I recommend this video for all ... from @MedCramVideos great deep dive on the entire ACEi/ARB ACE2 issue #NephJC https://t.co/EFufheHWmD |
 | MP 🥼✌🏽👨👩👧🕉️ @mmpearls RT @Nephro_Sparks: I recommend this video for all ... from @MedCramVideos great deep dive on the entire ACEi/ARB ACE2 issue #NephJC https://t.co/EFufheHWmD |
| Dhwanil Patel @iheartkidneys RT @krishnadoctor1: Why can’t we advise a prophylactic dose of chloroquine once we have the symptoms? Does that make sense? Considering chloroquine is easily available in a malaria endemic country like India #NephJC |
 | Peter Nickerson @VDRFHSUM RT @gratefull080504: #Telemedicine is the way out of this issue in the short term + long term for the nephrology community in my opinion #NephJC |
| Gretchen Brandt @glb2 #NephJC |
| Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD @JamesNovakNeph @AlanKliger Like a CCB? (That’s what they mention in the editorial….) #NephJC |
| Chris Ives @CaliKidneyqueen does this really work? |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @Nephro_Sparks @ssrasm In the autopsy series, only ATN was seen apart from one with lymphocytic infiltration #NephJC |
| Anitha Vijayan @VijayanMD @kdjhaveri @NephJC @SilberjRogosin @niruramkumar @devimol @KidneydrChirag .@WUSTLmed WUSTLmed students and others are setting up childcare etc for health care workers #NephJC |
| Nephrology Journal Club @NephJC I'm curious about this too. What do we know about this new fangled drug? #NephJC |
| spiros arampatzis @neph_Spiros Also join forces with another units and transfer patient and personal, shorten dialysis time, dedicated COVID shifts 2xWeek , MDs learn how to operate the HDmachines #NephJC |
| Alex Chang, MD, FASN, FAHA @alexchangmd @hswapnil @DNAlawyer Have much larger concerns on staffing outpatient units. Wonder if dialysis corporations and independent units can work together somehow? #NephJC apologize for my ignorance if this mechanism exists |
 | Brandi Wynne, MS PhD FAHA @brandimwynne @NephJC Hello, I am #WorriedinUtah @UofUNephrology #NephJC |
| Niru Ramkumar @niruramkumar RT @NephJC: AKI outcome data from the literature from #NephJC https://t.co/zXV4WA7s7A https://t.co/KXGVJGkaQE |
| Kenar Jhaveri @kdjhaveri @ssfarouk Yes. Totally @JAMA_current #NephJC https://t.co/c5UdKomipe |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @VijayanMD: @hswapnil @NephJC @danielross4 @sastrut @VelezNephHepato Not enough data. It will be difficult and dangerous for non-citrate centers to implement citrate policy quickly. #NephJC |
| Verner Venegas @Vernisartan @rheault_m @bilalksheikh I will save this one, thanks @rheault_m #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: Drug interactions: Drug interactions: Tacrolimus with Lopinavir/Ritnoavir, any others we should know? #NephJC |
| Kenar Jhaveri @kdjhaveri RT @VijayanMD: @kdjhaveri @NephJC @SilberjRogosin @niruramkumar @devimol @KidneydrChirag .@WUSTLmed WUSTLmed students and others are setting up childcare etc for health care workers #NephJC |
| Sundar Swaminathan @swaminathaniisc RT @rheault_m: @bilalksheikh RCT of HCQ as post exposure prophylaxis for healthcare workers going on now. Consider Enrolling if you are exposed. #nephjc https://t.co/AhmMO91hzs |
| Michelle Starr MD MPH @mcstarr1 @4_kidney Welcome - jump on in and hold on tight - it's quick around here tonight! #NephJC |
| Cesar Hernandez-Arroyo, MD FASDIN FASN🇵🇷 @NephroGnome Any thoughts with treating #COVID19 with Eculizumab to stop complement pathway superactivation? #NephJC https://t.co/lvRvDKzdwR |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @SkepticalTweetR: @AlanKliger @alexchangmd @DNAlawyer #nephjc Curious to see if this can be leveraged to facilitate urgent start PD @dr_nikhilshah |
| Alex Meraz @NephroGuy @javo_neyra @VelezNephHepato @ansakhuja @hswapnil @NephJC @ukrenalfellows No need for airborne unless you are performing aerosol-producing procedures #NephJC |
 | Dinesh S. Thakur @d_s_thakur RT @ChristosArgyrop: @KlemensMeyer The powerpoint is more informative ; no infections after PPE were adopted https://t.co/gw2EAHad7q Preprint: https://t.co/PvaXqeIGzF Dialysis in Wuhan: https://t.co/oi8tCrM7vu I would err on the side of caution and protect the healthcare workers #NephJC |
| Les @LBEBEN Doing nothing about RAS inhibition towards #Covid19 seems a lost opportunity in understanding the impact of an unprecedented viral load. All pharmacologic intervention from any angle seems helpful in the way forward. |
| Agile World Inc. @agileworldusa RT @NephJC: Adaption Innovation Creativity #NephJC |
| Eleanor Lederer @EleanorLederer @eric_weinhandl #NephJC The typhoid mary of covid 19 |
| Sami Alasfar, MD, MPH, FASN @SamiAlasfar Routine follow up transplant clinics are postponed and implementing tele medicine, canceling pre txp Eval, held living donor txp, DDKt only for highly sensitized #NephJC |
| Amanda Grandinetti, MPH @AGrandinettiMPH RT @NephJC: Don't bail out the hotels, Nationalize them. Turn them into #COVID19 hospitals #NephJC |
| Dominique Tomacruz, MD @DTomacruzMD @HecmagsMD @Tiff_Caza @krishnadoctor1 Me too 🤦🏻♀️🤦🏻♀️ #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @alexchangmd @hswapnil @DNAlawyer Hard to do. NYC has collaborative emergency response system: North Help which will meet with leaders of all providers to try to share information and resources #nephjc |
| Eleanor Lederer @EleanorLederer RT @SilberjRogosin: @ssfarouk @GarySingerMD @AGrandinettiMPH @AST_info Important to minimize visits for transplant patients - telemedicine, etc #nephjc |
| Alex Meraz @NephroGuy @anuja_java @GarySingerMD @AGrandinettiMPH @AST_info @ssfarouk All transplants canceled in Toronto #NephJC |
| Jennie Lin 👩🏻⚕️🧬 @jenniejlin @HumphreysLab @anuja_java Here’s one https://t.co/qf2xnM2NIq although data not profound #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @eric_weinhandl: Anyone noticing more limited public transit options for #dialysis patients? I've wondered if missed treatments may become more frequent. #NephJC |
| Amanda Grandinetti, MPH @AGrandinettiMPH RT @gratefull080504: I do have some suggestions based upon my experience 1) I am exercising 30 minutes a day 2) Mediating 3) ordered my transplant meds early 4) journal righting Maintain mental strength #nephjc |
| Alex Chang, MD, FASN, FAHA @alexchangmd @krishnadoctor1 Maybe, but should also worry about chloroquine shortages that might occur as a consequence... #NephJC |
| Samira Farouk, MD, MSCR @ssfarouk @EleanorLederer @GarySingerMD @Charbel_Khoury @kidney_boy From @PhoneSoap website... "DUE TO INCREASED DEMAND, THE OPTION TO PREORDER WILL BE AVAILABLE FOR SOME PRODUCTS THAT ARE OUT OF STOCK. ORDER TODAY TO KEEP YOUR PLACE IN LINE." #NephJC #BoilerPlate |
| Alan Kliger @AlanKliger @HecmagsMD @Tiff_Caza @krishnadoctor1 Hopeless. Actually, the value of masks may be more to stop face-touching than to keep droplets out #NephJC |
| Klemens Meyer @KlemensMeyer Watching for this, worrying. And if it does come, they may have to ride with people who are coughing. |
| Alex Meraz @NephroGuy RT @ssfarouk: @GarySingerMD @AGrandinettiMPH @AST_info Re: @GarySingerMD @AGrandinettiMPH @AST_info Re: #kidneytransplant patients - really the same guidance as others. Social distance and hygiene. I think what we are doing that is most helpful is cutting back on routine post-transplant care visits while trying to ensure necessary lab work #NephJC |
| Sayee Sundar @ssrasm @Nephro_Sparks Agreed. #NephJC |
| Alex Meraz @NephroGuy RT @Nephro_Sparks: I recommend this video for all ... from @MedCramVideos great deep dive on the entire ACEi/ARB ACE2 issue #NephJC https://t.co/EFufheHWmD |
| Gretchen Brandt @glb2 #NephJC |
| Tiffany Caza @Tiff_Caza @ssfarouk @NephJC Could it be that they didn't have the lead time the rest of us had to help prepare? #NephJC |
| Nephrology Journal Club @NephJC Okay I promised Matt could talk about ACEi and ARB... #NephJC Topic Four ARB and ACEi and ACE2 and COVID19. I'm going to let Matt take this topic. |
| Anuja Java, MD (she/her) @anuja_java @kdjhaveri @ssfarouk @GarySingerMD @AGrandinettiMPH @AST_info @vinaynairdo Our living transplant on hold. Rescheduling all stable post transplant pts. Pre-transplant Evals are going on though but we’ll be calling pt to screen for risk factors before they come in. At the VA, all clinic visits will be phone visits. #nephjc |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 #NephJC In my opinion there is a need to educate both dialysis + kidney transplant recipients who have not practiced the fundamentals This is a great coaching opportunity on the fundamentals |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @eric_weinhandl Transportation is a big deal What do we do for suspected COVID-19 patients who don’t need admission and don’t drive themselves? Send them by Taxi/Ride-share? Cost? Tell the driver? #NephJC |
| susan kjos @suziekjos @HecmagsMD @Tiff_Caza @krishnadoctor1 Argh. I stare at computer at work. Rub eyes frequently #NephJC |
| Kevin R. Regner, MD, MS, FASN @RegnerKR_Neph @ChristosArgyrop @KlemensMeyer I strongly agree that we should err on the side of caution for healthcare workers. Anybody seeing this level of protection at their institution? #NephJC https://t.co/519Hgwhpp1 |
| Samira Farouk, MD, MSCR @ssfarouk @Tiff_Caza @NephJC It is much higher than China as well #NephJC |
| Nim Goraya MD FASN @GorayaNim I ordered Quercetin and have been using it. Any good data out there #NephJC |
| Sayna Norouzi, MD, FASN @SaynaNorouzi @EleanorLederer How about DM? It is considered a risk factor.#NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: Don't bail out the hotels, Nationalize them. Turn them into #COVID19 hospitals #NephJC |
| Juan Carlos Q Velez @VelezNephHepato @jenniejlin @anuja_java Technically ACE2 is a transmembrane peptidase, signaling upon ligand binding less clear. SARS uses it to get into the cell, but I wouldn’t use the word receptor. Your ? Is great. We know Ang receptors change in development. But don’t know about ACE2 in Kids #NephJC |
| Aakash Shingada, DNB, MRCP(UK), FASN @aakashshingada @AlanKliger @HecmagsMD @Tiff_Caza @krishnadoctor1 I touch my face more when the mask is on.. And it's worse as the exterior of the mask may have collected droplets its difficult! #NephJC |
 | VICTOR SANNA 🇻🇪 🇳🇬 @VICTORSANNA RT @NephJC: This editorial discusses 2 Heart Tx patients with COVID19 Rx with: This editorial discusses 2 Heart Tx patients with COVID19 Rx with: stopping all IS but steroids and adding IVIG https://t.co/QqupMIvgG9 #NephJC |
| Arvind Canchi (Conjeevaram)🇮🇳 @arvindcanchi RT @kdjhaveri: @ssfarouk Yes. Totally @JAMA_current #NephJC https://t.co/c5UdKomipe |
| Eleanor Lederer @EleanorLederer @gratefull080504 #NephJC Keep it together, man |
| ASN Advocacy @ASNAdvocacy Stay tuned on Twitter - @ASNKidney will keep the Twitter community posted as soon as we hear more about QAPI or other temp regulatory relaxations @ASNAdvocacy is discussing with the government |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @Nephro_Sparks: This is a fast chat. Anyone can email or DM me with questions about ACE2... ACEi and ARB.. it is a 24/7 (almost) hotline. #NephJC |
| Nephrology Journal Club @NephJC RT @VelezNephHepato: @jenniejlin @anuja_java Technically ACE2 is a transmembrane peptidase, signaling upon ligand binding less clear. SARS uses it to get into the cell, but I wouldn’t use the word receptor. Your ? Is great. We know Ang receptors change in development. But don’t know about ACE2 in Kids #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @gratefull080504 People are just learning the benefits of hand washing. At the end of this, we need a review of basic principle of hygiene and the like and need to use it to advocate for the changes we've been talking about #nephjc |
| Klemens Meyer @KlemensMeyer I actually found surgical literature questioning effect of masks on surgical infections. Biggest benefit is probably to limit blast from infected person. |
| James Novak, MD PhD FACP FASN FNKF @JamesNovakNeph @NephJC Remdesivir, Ebola drug: https://t.co/iYPxqZCOmM #NephJC |
| Sayna Norouzi, MD, FASN @SaynaNorouzi @EleanorLederer So what happens to staff older than 60 or with chronic issues such as DM, HTN? Should they keep coming to work? #nephjc |
| spiros arampatzis @neph_Spiros No renal transplants also in Switzerland #NephJC |
| Kenar Jhaveri @kdjhaveri RT @MarioFunesMD: @ssfarouk Most likely, second country with highest percentage of population over 65 years of age. First is Japan. #NephJC |
| Ankit Sakhuja 🇺🇸 @ansakhuja @Nephro_Sparks If that association pans out then may be AngII can also have therapeutic implications more than just raising BP #NephJC |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD @AlanKliger @HecmagsMD @Tiff_Caza @krishnadoctor1 #NephJC https://t.co/ltEzz835zN |
| Juan Carlos Q Velez @VelezNephHepato @agrawalkris @NephJC Has anybody been able to allocate testing kits at the HD units? #NephJC #COVID19 |
| Kenar Jhaveri @kdjhaveri RT @ChristosArgyrop: @eric_weinhandl @ssfarouk Anyone who can't get a vent but needs one : @eric_weinhandl @ssfarouk Anyone who can't get a vent but needs one : dies Gotta keep the *incidence* (I) of cases low, because the mortality will depend on the *prevalence* (P) of severe cases, who need vent for a long time (T). P = I x T if P> number of vents => death #Nephjc |
| Robert Pauly @SkepticalTweetR @SilberjRogosin @AlanKliger @alexchangmd @DNAlawyer @dr_nikhilshah #nephjc @dr_nikhilshah Necessity is mother of invention... plus there might be surgeons willing to consider now that elective surgeries are cancelled |
| Jeffrey Silberzweig @SilberjRogosin @hswapnil @eric_weinhandl No easy answer. Cannot reimburse travel. Would love to advise no one to share rides (Uber did away with shared rides today.) but many can't afford it #nephjc |
| Alan Kliger @AlanKliger @RegnerNephAKI @ChristosArgyrop @KlemensMeyer We did this with donning and doffing training - intensive - - for Ebola. I can't imagine how this is practical for pandemic COVID-19 #NephJC |
| Michelle Rheault @rheault_m @cesarfha Eculizumab for everything! If anyone mentions suPAR, I’m out. #nephjc |
| Eleanor Lederer @EleanorLederer @eric_weinhandl #NephJC You are bringing up a great topic. Transportation. Elevators. Vans. Buses. All spread points. |
| Beje Thomas @bthomas215 We will be moving to telehealth for pre and post transplant visits as much as possible #nephjc |
| VICTOR SANNA 🇻🇪 🇳🇬 @VICTORSANNA RT @NephJC: The Guan NEJM paper (1099) probably represents a mix of more generalizable cases with a lower AKI risk number 0.5% https://t.co/DXcOAYL10t #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephroGuy @anuja_java @GarySingerMD @AGrandinettiMPH @AST_info @ssfarouk All over Ontario all Live donor transplants cancelled Most deceased donor as well If highly sensitized, May evaluate on case by case basis is what I am told May change Hard trade-offs #NephJC |
| devika nair md msci @devimol @ASNAdvocacy if we had the resources, that seems like a great idea for many cases... shouldnt we consider all patients living with advanced CKD ‘immunocompromised’? #NephJC |
| Eric Au @ericau @krishnadoctor1 Does it work? #nephjc |
| Aisha Shaikh @aishaikh @hswapnil @eric_weinhandl Inform the driver. CDC has some guidelines on this. The drivers need to wipe down the vehicle with certain wipes. It is a very detailed document. I reviewed it last week with the VA travel office. #NephJC |
| Nephrology Journal Club @NephJC Yup. #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @AlanKliger: @HecmagsMD @Tiff_Caza @krishnadoctor1 Hopeless. Actually, the value of masks may be more to stop face-touching than to keep droplets out #NephJC |
| Alex Meraz @NephroGuy RT @hswapnil: @NephroGuy @anuja_java @GarySingerMD @AGrandinettiMPH @AST_info @ssfarouk All over Ontario all Live donor transplants cancelled Most deceased donor as well If highly sensitized, May evaluate on case by case basis is what I am told May change Hard trade-offs #NephJC |
| Samira Farouk, MD, MSCR @ssfarouk @GarySingerMD @AlanKliger @HecmagsMD @Tiff_Caza @krishnadoctor1 How to stop touching your face #NephJC https://t.co/WE1a1xES9O @nytimes |
| ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @RegnerNephAKI @KlemensMeyer Securing the Tyvek suits is going to be difficult, but one should attempt to approach this standard We do face masks, goggles, head protection, water resistant aprons, double gloves in the hospital for our dialysis staff. #Nephjc |
| susan kjos @suziekjos @gratefull080504 I did PD before transplant. Became proficient at hand washing. #NephJC |
 | Fernanda Arce-Amaré @FerArceAmare @NephJC Fernanda from Mexico City. Just lurking around a reading a lot #NephJC |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD RT @ssfarouk: @GarySingerMD @AlanKliger @HecmagsMD @Tiff_Caza @krishnadoctor1 How to stop touching your face #NephJC https://t.co/WE1a1xES9O @nytimes |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @gratefull080504: #NephJC In my opinion there is a need to educate both dialysis + kidney transplant recipients who have not practiced the fundamentals This is a great coaching opportunity on the fundamentals |
| Jeffrey Silberzweig @SilberjRogosin @VelezNephHepato @agrawalkris @NephJC ASN is advocating for prioritizing testing for patients with kidney disease. Dialysis facilities won't be able to do deep respiratory cultures so we need a simple test they can do #nephjc |
| Eric Weinhandl @eric_weinhandl @EleanorLederer Have wondered about possibility of fecal transmission in dialysis facility restrooms, too. Lots of opportunities for the virus to move around, even with masks on. #NephJC |
| Alex Meraz @NephroGuy @VelezNephHepato @jenniejlin @anuja_java Maybe this will be interesting for you #nephjc @thecurbsiders https://t.co/FszWvWaUID |
| Juan Carlos Q Velez @VelezNephHepato @NephroGuy @javo_neyra @ansakhuja @hswapnil @NephJC @ukrenalfellows We r using Droplet @javo_neyra #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @GorayaNim: I ordered Quercetin and have been using it. Any good data out there #NephJC |
| Anuja Java, MD (she/her) @anuja_java @kdjhaveri @ssfarouk @GarySingerMD @AGrandinettiMPH @AST_info @vinaynairdo I have discussed this with my transplant ID colleagues. Nothing different that I know. #nephjc |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 #NephJC Dr.Kerri Cavanaugh can speak on this subject with authority that generally speaking #kidneydisease patients are not optimally engaged Keep harping upon the fundamentals until you see execution No excuses |
| James Novak, MD PhD FACP FASN FNKF @JamesNovakNeph @gratefull080504 Another suggestion (besides the well-publicized ones) is to stay well-hydrated, as the virus is thought to propagate more in dry air (and airways). #NephJC |
| Amanda Grandinetti, MPH @AGrandinettiMPH RT @SilberjRogosin: @VelezNephHepato @agrawalkris @NephJC ASN is advocating for prioritizing testing for patients with kidney disease. Dialysis facilities won't be able to do deep respiratory cultures so we need a simple test they can do #nephjc |
| Dhwanil Patel @iheartkidneys What about NSAIDs and #COVID19? #NephJC |
| ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop RT @hswapnil: @NephroGuy @anuja_java @GarySingerMD @AGrandinettiMPH @AST_info @ssfarouk All over Ontario all Live donor transplants cancelled Most deceased donor as well If highly sensitized, May evaluate on case by case basis is what I am told May change Hard trade-offs #NephJC |
| Kenar Jhaveri @kdjhaveri @Nephro_Sparks @ansakhuja We should NOT stop. Last thing we want amidst covid, chf admissions #NephJC |
| Zach Kribs @zkribs1 RT @anuja_java: #nephjc |
| Eleanor Lederer @EleanorLederer @ASNAdvocacy #NephJC Yeah but someone has to run the procedures... |
| Alan Kliger @AlanKliger @SaynaNorouzi @EleanorLederer At Yale, staff > 70yo are now being asked to stand down form front line work on the wards I just got relieved of a month on Gen Med #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @suziekjos @gratefull080504 We need you to share your experience with the entire community! Stay well! #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @SaynaNorouzi @EleanorLederer Not yet - not in the published data so much Mostly age #NephJc |
| Klemens Meyer @KlemensMeyer But can anyone afford it except in ICU? And could we even get the stuff? |
| susan kjos @suziekjos @neph_Spiros I am sad for people on the list waiting for the call. #NephJC |
| Kerri Cavanaugh @KCavanaugh_MD @JamesNovakNeph @NephJC Some concerns about possible severe AKi with use in these patients? Anyone have info on that? #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @aishaikh: @hswapnil @eric_weinhandl Inform the driver. CDC has some guidelines on this. The drivers need to wipe down the vehicle with certain wipes. It is a very detailed document. I reviewed it last week with the VA travel office. #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 @JamesNovakNeph Excellent point + learned this experience the hard way #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @eric_weinhandl @EleanorLederer Need frequent cleaning of all surfaces especially rest rooms #nephjc |
| VICTOR SANNA 🇻🇪 🇳🇬 @VICTORSANNA RT @NephJC: AKI outcome data from the literature from #NephJC https://t.co/zXV4WA7s7A https://t.co/KXGVJGkaQE |
| Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD @NephroGuy @javo_neyra @VelezNephHepato @ansakhuja @hswapnil @NephJC @ukrenalfellows Someone posted this link in the chat so I am posting it again. We should reconsider to adopt airborne precautions. #NephJC https://t.co/Bx4g0LOlaa |
| Alex Meraz @NephroGuy @hswapnil @NephJC @danielross4 @sastrut @VelezNephHepato Citrate always preferable, unless sever liver failure #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @SilberjRogosin: @VelezNephHepato @agrawalkris @NephJC ASN is advocating for prioritizing testing for patients with kidney disease. Dialysis facilities won't be able to do deep respiratory cultures so we need a simple test they can do #nephjc |
| VICTOR SANNA 🇻🇪 🇳🇬 @VICTORSANNA RT @NephJC: #NephJC T2 Kidney involvement is common. Cheng et al https://t.co/zLA1LKq00D found 44% had proteinuria and hematuria and 26.7% had hematuria on admission. The prevalence of elevated Cr and BUN were 15.5% and 14.1%, respectively #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil This! #NephJC |
| Kevin R. Regner, MD, MS, FASN @RegnerKR_Neph RT @ChristosArgyrop: @RegnerNephAKI @KlemensMeyer Securing the Tyvek suits is going to be difficult, but one should attempt to approach this standard We do face masks, goggles, head protection, water resistant aprons, double gloves in the hospital for our dialysis staff. #Nephjc |
| VICTOR SANNA 🇻🇪 🇳🇬 @VICTORSANNA RT @NephJC: These are 2 reports of HD patients with COVID19 https://t.co/fFFMWLSlm7 & https://t.co/ZvnNfk6QSl #NephJC |
| Ankit Sakhuja 🇺🇸 @ansakhuja @kdjhaveri @Nephro_Sparks Too early to say and too little data either way but stakes are high #NephJC |
| Eleanor Lederer @EleanorLederer @RegnerNephAKI @ChristosArgyrop @KlemensMeyer #NephJC If you believe it... |
| Bilal @bilalksheikh Should be the standard IMO #NephJC |
| Deidra Crews, MD, ScM, FASN, MACP @DrDeidraCrews @RegnerNephAKI @ChristosArgyrop @KlemensMeyer I saw a patient this past weekend, on airborne precautions, and wore some of this gear (minus the goggles), per instructions from our infection control team #NephJC |
| Kenar Jhaveri @kdjhaveri @VelezNephHepato @NephroGuy @javo_neyra @ansakhuja @hswapnil @NephJC @ukrenalfellows Isnt it a large virus, so droplet should be okay ? #NephJC but @WHO statment confused me today |
| ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @HecmagsMD @NephroGuy @javo_neyra @VelezNephHepato @ansakhuja @hswapnil @NephJC @ukrenalfellows WHO is hedging the bets now that the Chinese data are out #Nephjc The distinction between droplet and airborne is so 1930s |
| Anuja Java, MD (she/her) @anuja_java @VelezNephHepato @jenniejlin Not sure about ACE2 in kids but have read that fecal oral transmission is possible with this virus and kids can be carriers for that #nephJC |
| Sayna Norouzi, MD, FASN @SaynaNorouzi @AlanKliger @EleanorLederer I think all institutions should adopt this policy. 👍 #nephjc |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 @SilberjRogosin @suziekjos Jeff happy to help you or anyone in the #nephJC community |
| Samira Farouk, MD, MSCR @ssfarouk RT @JamesNovakNeph: @gratefull080504 Another suggestion (besides the well-publicized ones) is to stay well-hydrated, as the virus is thought to propagate more in dry air (and airways). #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil #NephJc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @kdjhaveri: @Nephro_Sparks @ansakhuja We should NOT stop. Last thing we want amidst covid, chf admissions #NephJC |
| Andrew Michael South, MD, MS @asouth_neph @Mett4523 @womaninblue @alucarduser @eugenegu @__philipn__ Please talk to your heath care provider and follow ever-growing list of national and international organizations’ recommendations #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @ChristosArgyrop @HecmagsMD @NephroGuy @javo_neyra @VelezNephHepato @ansakhuja @hswapnil @NephJC @ukrenalfellows How completely can we trust Chinese data? CDC says transmission is droplet not airborne #nephjc |
| Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD @ssfarouk @EleanorLederer @GarySingerMD @Charbel_Khoury @kidney_boy @PhoneSoap You can find something similar in Amazon: https://t.co/NRc0KJkzh1 #NephJC |
| Javier Neyra @javo_neyra @NephroGuy @VelezNephHepato @ansakhuja @hswapnil @NephJC @ukrenalfellows The referenced evidence compares surgical masks vs N95 for outpatient Influenza cases. What is clear is that we do not have enough PPE for all PUI cases. Perhaps ICU cohort isolation helps with this #NephJC |
| Harish Seethapathy @BetterCallSeeth @AlanKliger @SaynaNorouzi @EleanorLederer Absolutely the right decision. We need to protect our senior faculty, they are national treasures! #NephJC |
| Ankit Sakhuja 🇺🇸 @ansakhuja @Nephro_Sparks @kdjhaveri Any thoughts on ibuprofen and #COVID19 ? #nephjc |
| Sundar Swaminathan @swaminathaniisc Lymphocyte depleting agents cannot be used and that limits which patients we can safely pursue transplant. #NephJC |
| Alex Meraz @NephroGuy @kdjhaveri @VelezNephHepato @javo_neyra @ansakhuja @hswapnil @NephJC @ukrenalfellows @WHO Only in certain procedures like intubation #NephJC https://t.co/uDIB51CCCl |
| Matthew Sparks, MD @Nephro_Sparks @anuja_java @VelezNephHepato @jenniejlin ACE2 was always one of the most challenging areas to fund in the hypertension world. Welll... things are changing quick. My guess the HTN council will be all ACE2 in a few years #NephJC |
 | Kamol @KamolMU RT @Nephro_Sparks: I recommend this video for all ... from @MedCramVideos great deep dive on the entire ACEi/ARB ACE2 issue #NephJC https://t.co/EFufheHWmD |
| Jennie Lin 👩🏻⚕️🧬 @jenniejlin Rookie mistake of not using #NephJC hashtag when I was finally able to use a non-kale meme when talking to @ChristosArgyrop |
| VICTOR SANNA 🇻🇪 🇳🇬 @VICTORSANNA #NephJC Hi, Víctor Sanna from Valencia-Venezuela. I am late. |
 | Imran Chughtai, PharmD, BCPS @MrChuggy @NephJC Imran Chughtai, ICU pharmacist here, no COI, Cyclosporine⬇️(dose reduce), tolvaptan ❌(don’t use) #NephJC |
| Verner Venegas @Vernisartan RT @hswapnil: @eric_weinhandl Transportation is a big deal What do we do for suspected COVID-19 patients who don’t need admission and don’t drive themselves? Send them by Taxi/Ride-share? Cost? Tell the driver? #NephJC |
| Jeffrey Silberzweig @SilberjRogosin @ansakhuja @Nephro_Sparks @kdjhaveri Limited data argues against it; I prefer acetaminophen for viral infections #nephjc |
| Ken Sutha, MD, PhD @4_kidney @hswapnil @NephroGuy @anuja_java @GarySingerMD @AGrandinettiMPH @AST_info @ssfarouk Toronto lung program Tweeted on hold for two weeks. In addition to infectious risk, they cited not only recipient icu resource use but also donor icu use. Depending on how overwhelmed system is, donor pool may be cut off. at least for Kidney there’s dialysis though #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @suziekjos @neph_Spiros Exactly Tough calls But transplant = OR time, anesthesiologists, post OP ICU bed, staff that are needed elsewhere And higher immunosuppressive & in hospital = higher infection risk #NephJC |
| Aisha Shaikh @aishaikh @SilberjRogosin @VelezNephHepato @agrawalkris @NephJC Agree, at the VA the dialysis nurses are not allowed to obtain the nasopharyngeal swab, so a nephrologist has to do it (we are able to do it as our out-patient unit is located in the hospital). This cannot be done in the free standing HD units #NephJC |
 | Muhammad K. Hayat Syed MD🚭 @MHayatSy Study for trial drug ARB losartan for post #COVIDー19 exposure prophylaxis enroll via email covid19@umn.edu 👇🏻 |
| Alex Meraz @NephroGuy @HecmagsMD @javo_neyra @VelezNephHepato @ansakhuja @hswapnil @NephJC @ukrenalfellows Only in aerosol producing procedures like intubation #nephjc https://t.co/bjj2Gv5pua |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @SilberjRogosin: @eric_weinhandl @EleanorLederer Need frequent cleaning of all surfaces especially rest rooms #nephjc |
| Nephrology Journal Club @NephJC RT @ChristosArgyrop: @eric_weinhandl @ssfarouk Anyone who can't get a vent but needs one : @eric_weinhandl @ssfarouk Anyone who can't get a vent but needs one : dies Gotta keep the *incidence* (I) of cases low, because the mortality will depend on the *prevalence* (P) of severe cases, who need vent for a long time (T). P = I x T if P> number of vents => death #Nephjc |
| Robert Pauly @SkepticalTweetR #nephjc Any program consider providing a cover letter for asymptomatic ESRD patients to miss work if they cannot ensure social distancing or have accommodations at work for that? Same consideration for transplant pts |
| Alex Meraz @NephroGuy RT @VelezNephHepato: @NephroGuy @javo_neyra @ansakhuja @hswapnil @NephJC @ukrenalfellows We r using Droplet @javo_neyra #NephJC |
| Alan Kliger @AlanKliger @javo_neyra @NephroGuy @VelezNephHepato @ansakhuja @hswapnil @NephJC @ukrenalfellows Right. Surgical masks probably just as effective as N95s for this disease #NephJC |
| Nikhil Shah MBBS DNB(IM, Neph)🇨🇦 @dr_nikhilshah RT @SkepticalTweetR: #nephjc Any program consider providing a cover letter for asymptomatic ESRD patients to miss work if they cannot ensure social distancing or have accommodations at work for that? Same consideration for transplant pts |
| Ankit Sakhuja 🇺🇸 @ansakhuja @kdjhaveri @VelezNephHepato @NephroGuy @javo_neyra @hswapnil @NephJC @ukrenalfellows @WHO It’s an evolving field. Question is are we ready to make the wrong decision? IMHO the more conservative the better as long as we have resources #NephJC |
 | patrick brophy @oldGCHPedsChair RT @mcstarr1: Michelle Star, peds nephrology @IUPedsKidney. Here to learn from the experts - lots of questions today during #telemed visits, excited to hear the expert's thoughts. No COI. #NephJC |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD Need to share ACEI/ARB data with non-neph community as many still confused #NephJC https://t.co/rCPBsBAsrJ |
 | Rahul Damania, MD @hyguruprep #COVID19 #pathophysiology: 1. #CoronaVirus has S-protein which interacts with ACE-2 2. Serine-protease acts as co-receptor (rx: camostat mesylate 🛑) 3. ACE ➖& ARBs reduce ACE-2; may have an anti-inflammatory & protective role in #COVID #CoronavirusOutbreak #PedsICU #NephJC https://t.co/AaTUBclyLd |
 | Nissreen Elfadawy MD, MS, FASN, FAST @ElfadawyN @ASNAdvocacy Are these visits covered by insurance ? #NephJC |
| patrick brophy @oldGCHPedsChair RT @keepingitrenal: Re: Re: transplant, had this arise in #COVID19 positive pt today. Guidance from @AST_info suggests that tocilizumab can be used, also may have theoretical benefit to reducing immunosuppression in severe cases. #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 #NephJC If you are looking for support on telemedince on national level happy to write a position paper on the subject + why it serves everyone's best interests |
| Anuja Java, MD (she/her) @anuja_java RT @HecmagsMD: @ssfarouk @EleanorLederer @GarySingerMD @Charbel_Khoury @kidney_boy @PhoneSoap You can find something similar in Amazon: @ssfarouk @EleanorLederer @GarySingerMD @Charbel_Khoury @kidney_boy @PhoneSoap You can find something similar in Amazon: https://t.co/NRc0KJkzh1 #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @ansakhuja @kdjhaveri @Nephro_Sparks ARB may even be beneficial The science doesn’t support stopping, neither does the data Hopefully more data forthcoming #NephJC |
| Juan Carlos Q Velez @VelezNephHepato @LBEBEN #NephJC There is something to do: target ACE2 directly, not targeting a different molecule (with potentially negative repercussions) hoping to modify the other one. Trust me, I’m all about fast innovation. I’m closely watching news about remdesivir and vaccine development. |
| Andrew Michael South, MD, MS @asouth_neph @__philipn__ @Mett4523 @hellsquire @eugenegu Agree with @__philipn__ = smart Please read the details and follow along on my timeline and at #NephJC https://t.co/7QSNkzs7eL There will be many papers out shortly that explain this... |
| ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @SilberjRogosin @HecmagsMD @NephroGuy @javo_neyra @VelezNephHepato @ansakhuja @hswapnil @NephJC @ukrenalfellows I am sorry but the Ebola story does not make me trust the CDC at this point about PPE. https://t.co/vGKfSC1dmV Why would China lie? They were clearly doing it after some date and managed to protect their staff Always err on the side of healthcare worker safety #Nephjc |
| ASN Advocacy @ASNAdvocacy Thanks @SilberjRogosin - indeed ASN is advocating for priority access dialysis pts+ txp candidates + donors, and for gov to help develop more testing options. Progress seems in the works on testing and we will continue elevating kidney needs + general urgency #NephJC |
| Ajai Rajabalan @Euvolemia #NephJC any data on COVID19 infection in pregnancy and outcomes? any institutions keeping pregnant physicians off work? |
| Alan Kliger @AlanKliger @aishaikh @SilberjRogosin @VelezNephHepato @agrawalkris @NephJC Recommendation is to do it in Air exchange rooms - since it can be aerosol-generating #NephJC |
| Kenar Jhaveri @kdjhaveri RT @ASNAdvocacy: Excellent point! ASN is advocating right now to make telemedicine an option for ALL kidney patients (CKD, dialysis anywhere, transplant) an option. #nephJC |
| Matthew Sparks, MD @Nephro_Sparks thanks to everyone for coming. I am signing off. We have a great community and I am so happy to be a Nephrologist all working to help our patients. Thanks to everyone for all you are doing. #NephJC |
 | Stanley Crittenden, MD, FASN @SCrittendenMD Joining late from the west coast. Mostly lurking. Natl Nephro Med Director for CareMore #NephJC |
| 𝐉𝐨𝐬𝐞𝐩𝐡 𝐅𝐥𝐲𝐧𝐧, 𝐌𝐃 @drjosflynn @MrChuggy @NephJC What is evidence for reduced dose of CsA? #nephjc |
| Jeffrey Silberzweig @SilberjRogosin @ChristosArgyrop @HecmagsMD @NephroGuy @javo_neyra @VelezNephHepato @ansakhuja @hswapnil @NephJC @ukrenalfellows Don't mean to suggest they would lie intentionally; just concerned about completeness of data and thoroughness of vetting it #nephjc |
| Verner Venegas @Vernisartan RT @aishaikh: @hswapnil @eric_weinhandl Inform the driver. CDC has some guidelines on this. The drivers need to wipe down the vehicle with certain wipes. It is a very detailed document. I reviewed it last week with the VA travel office. #NephJC |
 | Carlos Fernandez, PharmD @rojasfec RT @Nephro_Sparks: I recommend this video for all ... from @MedCramVideos great deep dive on the entire ACEi/ARB ACE2 issue #NephJC https://t.co/EFufheHWmD |
 | priya joseph @ayirpelle RT @thebyrdlab: J. Brian Byrd, physician-scientist (hypertension nerd), lurking nervously with T=99.6 #NephJC |
| Gretchen Brandt @glb2 RT @ssfarouk: @GarySingerMD @AlanKliger @HecmagsMD @Tiff_Caza @krishnadoctor1 How to stop touching your face #NephJC https://t.co/WE1a1xES9O @nytimes |
| Klemens Meyer @KlemensMeyer What is such a big deal about doing a nasopharyngeal swab? |
| Nissreen Elfadawy MD, MS, FASN, FAST @ElfadawyN @SilberjRogosin @ansakhuja @Nephro_Sparks @kdjhaveri Reason? #NephJC |
| Andrew Michael South, MD, MS @asouth_neph @saccharino @__philipn__ @eugenegu Please see my posts and #NephJC https://t.co/7QSNkzs7eL @__philipn__ is doing a nice job with curating the data |
| Nephrology Journal Club @NephJC Good questions. Anyone know anything about pregnancy and COVID19 @DrJenGunter #NephJC |
| Samira Farouk, MD, MSCR @ssfarouk RT @hswapnil: @ansakhuja @kdjhaveri @Nephro_Sparks ARB may even be beneficial The science doesn’t support stopping, neither does the data Hopefully more data forthcoming #NephJC |
| Kenar Jhaveri @kdjhaveri RT @Nephro_Sparks: thanks to everyone for coming. I am signing off. We have a great community and I am so happy to be a Nephrologist all working to help our patients. Thanks to everyone for all you are doing. #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 @SCrittendenMD Hi Stanley! #NephJC |
| Michelle Starr MD MPH @mcstarr1 @Nephro_Sparks Thanks for all of your hard work on this and helping to grow the community! #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @GarySingerMD: Need to share ACEI/ARB data with non-neph community as many still confused #NephJC https://t.co/rCPBsBAsrJ |
| Alex Meraz @NephroGuy @ansakhuja @kdjhaveri @VelezNephHepato @javo_neyra @hswapnil @NephJC @ukrenalfellows @WHO N95 = surgical mask regarding influenza. Same for coronavirus. The virus characteristics are the same. #NephJC https://t.co/xuYEpqsayE https://t.co/6zYHq2fkhb |
| Amanda Grandinetti, MPH @AGrandinettiMPH Wow! So much engagement tonight. #NephJC |
| 𝐉𝐨𝐬𝐞𝐩𝐡 𝐅𝐥𝐲𝐧𝐧, 𝐌𝐃 @drjosflynn RT @asouth_neph: @__philipn__ @Mett4523 @hellsquire @eugenegu Agree with @__philipn__ = smart Please read the details and follow along on my timeline and at #NephJC https://t.co/7QSNkzs7eL There will be many papers out shortly that explain this... |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @SkepticalTweetR: #nephjc Any program consider providing a cover letter for asymptomatic ESRD patients to miss work if they cannot ensure social distancing or have accommodations at work for that? Same consideration for transplant pts |
| Tiffany Caza @Tiff_Caza RT @JamesNovakNeph: @gratefull080504 Another suggestion (besides the well-publicized ones) is to stay well-hydrated, as the virus is thought to propagate more in dry air (and airways). #NephJC |
| Anuja Java, MD (she/her) @anuja_java @SkepticalTweetR Yes have done it for a few of my transplant pts #nephJC |
| Matthew Sparks, MD @Nephro_Sparks The #COVID19 @ASNKidney numbers: 1,239 Tweets. 255 Participants. 4,329,409 Impressions. March 17th 2020. More #NephJC 📊 here https://t.co/lwI6PUt6d0 via @symplur |
| Alex Meraz @NephroGuy RT @AlanKliger: @javo_neyra @NephroGuy @VelezNephHepato @ansakhuja @hswapnil @NephJC @ukrenalfellows Right. Surgical masks probably just as effective as N95s for this disease #NephJC |
| Alex Meraz @NephroGuy RT @4_kidney: @hswapnil @NephroGuy @anuja_java @GarySingerMD @AGrandinettiMPH @AST_info @ssfarouk Toronto lung program Tweeted on hold for two weeks. In addition to infectious risk, they cited not only recipient icu resource use but also donor icu use. Depending on how overwhelmed system is, donor pool may be cut off. at least for Kidney there’s dialysis though #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @SkepticalTweetR Ontario has declared an emergency - hasn’t Alberta? Will this still be needed? #NephJC |
| Alan Kliger @AlanKliger @ChristosArgyrop @SilberjRogosin @HecmagsMD @NephroGuy @javo_neyra @VelezNephHepato @ansakhuja @hswapnil @NephJC @ukrenalfellows For what it's worth - I have worked closely with CDC physicians and scientists, and find them honest, trustworthy and always focused on data rather than opinions #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @aishaikh: @SilberjRogosin @VelezNephHepato @agrawalkris @NephJC Agree, at the VA the dialysis nurses are not allowed to obtain the nasopharyngeal swab, so a nephrologist has to do it (we are able to do it as our out-patient unit is located in the hospital). This cannot be done in the free standing HD units #NephJC |
| Kerri Cavanaugh @KCavanaugh_MD @ElfadawyN @ASNAdvocacy We need to be sensitive that our patients still must present to the facility. Even if the physicians are elsewhere. A major cultural shift for how we provide care. #nephjc |
| Gates Colbert, MD @DoctorGates @Euvolemia #NephJC https://t.co/KIVId8Ejt0 |
| Beje Thomas @bthomas215 #nephjc https://t.co/tVOaHZgCAa |
| Eleanor Lederer @EleanorLederer @Nephro_Sparks #NephJC Gotta go, guys. Going to wash my hands and clean my phone. |
| Nissreen Elfadawy MD, MS, FASN, FAST @ElfadawyN @MrChuggy @NephJC Why no Tolvapatan? #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 @Nephro_Sparks Thank you @Nephro_Sparks @hswapnil @kidney_boy et for putting this together #NephJC |
| Kenar Jhaveri @kdjhaveri @Nephro_Sparks Amazing #covidnephrology #NephJC learnt a lot !! All be safe and communicate and share and we can all beat this !! A non human has united the world ! |
 | Matthew D'Costa @matthewdcostaMD RT @NephJC: How do we know @Kidney_Int rushed this through to publication? Well the PDF still has an "uncorrected proof" water mark and markers for reviewer and editor comments that haven't been resolved. We applaud KI in getting this out so fast! #NephJC https://t.co/GU3nmKbRzJ |
| VICTOR SANNA 🇻🇪 🇳🇬 @VICTORSANNA RT @hswapnil: @NephJC I would read Mario's advice (he's from Milan) see below #NephJC https://t.co/i7aquaVT8Q |
| Aisha Shaikh @aishaikh @KlemensMeyer Wish I knew... I have been struggling to get an answer to this question. I mean an HD nurse can cannulate an AVF but cannot stick a swab in the patient's nose?! #NephJC |
| VICTOR SANNA 🇻🇪 🇳🇬 @VICTORSANNA #NephJC Datos de resultado de AKI de la literatura. https://t.co/yn0aK22YG8 |
| Samira Farouk, MD, MSCR @ssfarouk @bthomas215 .@nickmmark #NephJC |
| Sami Alasfar, MD, MPH, FASN @SamiAlasfar Thanks for organizers! #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @sundarswaminat4: Lymphocyte depleting agents cannot be used and that limits which patients we can safely pursue transplant. #NephJC |
| Juan Carlos Q Velez @VelezNephHepato @SilberjRogosin @agrawalkris @NephJC We need to get testing kits at our in-center HD units and get out personnel to watch a video and learn how to do nasal swabs. #NephJC but kits supply/demand ratio is bad nationwide now |
| Nephrology Journal Club @NephJC Thanks everyone for showing up! This has been gangbusters. Remember to sign up for the once-a-week newsletter https://t.co/AFMmezV3yj #NephJC |
| ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @SilberjRogosin @HecmagsMD @NephroGuy @javo_neyra @VelezNephHepato @ansakhuja @hswapnil @NephJC @ukrenalfellows When it comes to safety, #IamWithHim #NephJC If the data mislead &we follow them, we would have spent a few more dollars. If the data are accurate but we don't follow them, we will expose/kill nurses/techs/docs Be like Taleb when outcomes are asymmetric and there is uncertainty https://t.co/QS0m3AeIzV |
| Alan Kliger @AlanKliger @gratefull080504 @Nephro_Sparks @hswapnil @kidney_boy Thanks for this whirlwind 1st experience with Twitter Chat!! #NephJC |
| VICTOR SANNA 🇻🇪 🇳🇬 @VICTORSANNA RT @NephJC: Caveats of those AKI numbers: real questions re: Caveats of those AKI numbers: real questions re: how was AKI coded (likely severe AKI only captured) and denominator only sicker hospitalized patients #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 @kdjhaveri @Nephro_Sparks Well said #nephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @bthomas215: #nephjc https://t.co/tVOaHZgCAa |
| 🧩Pascale Lane MD @PHLane Thanks for filling my evening with some science while I’m on house arrest. #NephJC |
| Nephrology Journal Club @NephJC @AlanKliger @gratefull080504 @Nephro_Sparks @hswapnil @kidney_boy they are not all quite so crazy. @hswapnil is this bigger than #CREDENCE? #NephJC |
| Anuja Java, MD (she/her) @anuja_java RT @kdjhaveri: @Nephro_Sparks Amazing #covidnephrology #NephJC learnt a lot !! All be safe and communicate and share and we can all beat this !! A non human has united the world ! |
| Nikhil Shah MBBS DNB(IM, Neph)🇨🇦 @dr_nikhilshah @hswapnil @SkepticalTweetR Oh yes! We have too here in Alberta. But if these are asymptomatic and cannot work from home? Dont know the right answer. #NephJC |
| 𝐉𝐨𝐬𝐞𝐩𝐡 𝐅𝐥𝐲𝐧𝐧, 𝐌𝐃 @drjosflynn @AlanKliger @gratefull080504 @Nephro_Sparks @hswapnil @kidney_boy This one was a real doozie! Not always like this. #nephjc |
| Klemens Meyer @KlemensMeyer By no means universal practice. Mine was done out in open by staff wearing PPE, surgical masks, face shields, their own shoes, no hats. I think more important to clean doorknobs. |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: Thanks everyone for showing up! This has been gangbusters. Remember to sign up for the once-a-week newsletter https://t.co/AFMmezV3yj #NephJC |
| Kamol @KamolMU RT @NephJC: #NephJC T2 Not surprisingly AKI was an independent risk factor for mortality in both Cheng et al and in Li et al https://t.co/Crgvgxwq9E https://t.co/qnWVfmNMLL |
| Juan Carlos Q Velez @VelezNephHepato RT @SilberjRogosin: @VelezNephHepato @agrawalkris @NephJC ASN is advocating for prioritizing testing for patients with kidney disease. Dialysis facilities won't be able to do deep respiratory cultures so we need a simple test they can do #nephjc |
| Nissreen Elfadawy MD, MS, FASN, FAST @ElfadawyN @SkepticalTweetR Had written few letter for ESRD #NephJC |
| Kenar Jhaveri @kdjhaveri @GlassockJ @ssfarouk @GarySingerMD @AGrandinettiMPH @AST_info @vinaynairdo Yes. ! Agree #NephJC |
| patrick brophy @oldGCHPedsChair RT @menonshina: @jaykoyner @pranavgarimella @NephJC We split our patients, RN and providers into 2 groups- so they don't cross contaminate. being a peds unit, our fear is more from the staff getting sick and not having adequate pediatric dialysis nurses to run the unit #NephJC |
| Anuja Java, MD (she/her) @anuja_java RT @NephJC: Thanks everyone for showing up! This has been gangbusters. Remember to sign up for the once-a-week newsletter https://t.co/AFMmezV3yj #NephJC |
| Kamol @KamolMU RT @NephJC: AKI outcome data from the literature from #NephJC https://t.co/zXV4WA7s7A https://t.co/KXGVJGkaQE |
| Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD Trying to catch up with this #NephJC chat and keep seeing this... #toofast https://t.co/KlnwqPF3dI |
| Verner Venegas @Vernisartan @hswapnil @eric_weinhandl this is a sweet spot for any business woman or man #NephJC COVIDtaxi ...Any takers? |
| Robert Pauly @SkepticalTweetR @hswapnil #nephjc Alberta also declared emergency but it is unclear if this covers that for all work sectors. Imagine the difference between someone working on an assembly line in close quarters with the next person versus someone in an office job where the door can be closed... |
| Beje Thomas @bthomas215 @ssfarouk @nickmmark Agree great infographic by @nickmmark #NephJC |
| Sayna Norouzi, MD, FASN @SaynaNorouzi @Nephro_Sparks @ASNKidney @symplur Amazing! Thank you for the discussion. I think we will need a follow up #nephjc on this topic soon. 👍 |
| Alex Meraz @NephroGuy @ansakhuja @kdjhaveri @VelezNephHepato @javo_neyra @hswapnil @NephJC @ukrenalfellows @WHO Why wouldn’t it be? Every piece of available literature of these viruses says that #nephjc |
| Aisha Shaikh @aishaikh @AlanKliger @SilberjRogosin @VelezNephHepato @agrawalkris @NephJC True, and my understanding is that the air exchanges have to be >12 exchanges per minute #NephJC |
| ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @PHLane #TeamCovid #Nephjc |
| Shina_Menon @menonshina @NephJC Thanks for organizing. This was great! Appreciate all that @Nephro_Sparks @kidney_boy and @hswapnil are doing to keep us informed #COVID19 #NephJC |
| Cesar Hernandez-Arroyo, MD FASDIN FASN🇵🇷 @NephroGnome @Nephro_Sparks Awesome time to pop the cherry participating in these #NephJC feeds...thank you!!! https://t.co/MnVlFTzSbM |
| Joel M. Topf, MD FACP @kidney_boy @aishaikh @KlemensMeyer no one taught me where to stick that swab, 50% chance I would put that q-tip in their ear. #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 @AlanKliger @Nephro_Sparks @hswapnil @kidney_boy Thank you Alan! #NephJC |
| Nikhil Shah MBBS DNB(IM, Neph)🇨🇦 @dr_nikhilshah @HecmagsMD and this is Rob's first #NephJC - but he is enjoying! @SkepticalTweetR |
| Brian Stotter, MD @StotterMD @kidney_boy @aishaikh @KlemensMeyer To quote one of our ID docs on the correct way to do an NP swab: “Go for the brain” #NephJC |
| Robert Pauly @SkepticalTweetR @hswapnil #nephjc plus... entirely unclear what provisions are for a declared "emergency" and whether that is consistent from one province to another |
| Harish Seethapathy @BetterCallSeeth @NephJC @DrJenGunter Wuhan data says no increased risk. Lot of precautionay C-sections may impact outcomes. Thankfully the babies seem to be okay #NephJC |
| Samira Farouk, MD, MSCR @ssfarouk For anyone doing some virtual teaching or conferencing, a #Zoom @zoom_us #tweetorial here: https://t.co/A9A9sm5VzD #NephJC |
| Alan Kliger @AlanKliger @kidney_boy @aishaikh @KlemensMeyer See one, Do one, Teach One.... #NephJC |
| Nissreen Elfadawy MD, MS, FASN, FAST @ElfadawyN RT @NephJC: Thanks everyone for showing up! This has been gangbusters. Remember to sign up for the once-a-week newsletter https://t.co/AFMmezV3yj #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephJC @AlanKliger @gratefull080504 @Nephro_Sparks @kidney_boy Not yet Will have to see what tomorrow brings CREDENCE = 637 participants overall #NephJC |
| Alex Meraz @NephroGuy @ChristosArgyrop @SilberjRogosin @HecmagsMD @javo_neyra @VelezNephHepato @ansakhuja @hswapnil @NephJC @ukrenalfellows The risk with this approach is that N95 may become unavailable for when they are really needed. This is specially true for countries with limited resources. Let’s not spread fear #nephjc. |
 | Nupur Gupta @nupur_nephron @Nephro_Sparks Thanks for curating and excellent work #NephJC |
| Verner Venegas @Vernisartan @EleanorLederer @Nephro_Sparks Don't forget your Ziploc tomorrow #NephJC |
| Beje Thomas @bthomas215 @AlanKliger @gratefull080504 @Nephro_Sparks @hswapnil @kidney_boy It only gets better and better! #NephJC |
| Joel M. Topf, MD FACP @kidney_boy @AlanKliger @aishaikh @KlemensMeyer where does :"look it up in YouTube" fit in that paradigm? #NephJC |
| Eric Au @ericau RT @bthomas215: #nephjc https://t.co/tVOaHZgCAa |
| Klemens Meyer @KlemensMeyer Me neither. Watch one do one teach one. There are several YouTube videos: choose from NEJM, Joint Commission. |
| Aisha Shaikh @aishaikh @kidney_boy @KlemensMeyer As far back in the nose as you can...till the patient literally coughs or sneezes on your face. That's success ...success in obtaining both the nasal swab and COVID19! #NephJC |
| ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @NephroGuy @ansakhuja @kdjhaveri @VelezNephHepato @javo_neyra @hswapnil @NephJC @ukrenalfellows @WHO SARSCoV2 is considered a BSL3 pathogen. Why we downgrade protection for HCW who spend more time in intimate contact with these patients relative to lab techs who just mess with the virus in a vial? #NephJC https://t.co/ZXbwvpTpeO |
| Alan Kliger @AlanKliger @NephroGuy @ChristosArgyrop @SilberjRogosin @HecmagsMD @javo_neyra @VelezNephHepato @ansakhuja @hswapnil @NephJC @ukrenalfellows The US has limited resources in N95s - - I agree with CDC to use surgical masks #NephJC |
| Kamol @KamolMU RT @NephJC: #NephJC T2 Kidney involvement is common. Cheng et al https://t.co/zLA1LKq00D found 44% had proteinuria and hematuria and 26.7% had hematuria on admission. The prevalence of elevated Cr and BUN were 15.5% and 14.1%, respectively #NephJC |
 | Shankar @pingpvs I think the risks of an air travel and the possibility of getting stuck in airports outweighs anything else. If he has insurance, he is better off staying put and practicing social isolation. |
 | John OLADAPO O-LeiNads™ @oladapoj1 @Nephro_Sparks Nice job #NephJC |
| Nissreen Elfadawy MD, MS, FASN, FAST @ElfadawyN It’s 5 past 10 and the discussion is still hot #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 @drjosflynn @AlanKliger @Nephro_Sparks @hswapnil @kidney_boy I agree Dr. Flynn. This was a doozy #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @SkepticalTweetR: @hswapnil #nephjc plus... entirely unclear what provisions are for a declared "emergency" and whether that is consistent from one province to another |
| Klemens Meyer @KlemensMeyer Exactly!! |
| Robert Pauly @SkepticalTweetR @AlanKliger @gratefull080504 @Nephro_Sparks @hswapnil @kidney_boy #nephjc My first time too... Am sitting next to @dr_nikhilshah who is coaching me along. Very fast pace... too fast for me... will take me a couple of hours later to read through the highlights... but fun / interesting experience |
| Alan Kliger @AlanKliger @kidney_boy @aishaikh @KlemensMeyer See one, do one, teach one, youtube one and monetize it #NephJC |
| Kevin R. Regner, MD, MS, FASN @RegnerKR_Neph https://t.co/gOl7T8Fld1 |
| ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @NephroGuy @SilberjRogosin @HecmagsMD @javo_neyra @VelezNephHepato @ansakhuja @hswapnil @NephJC @ukrenalfellows You can reuse N95 ; and sorry the argument is bogus. Use the equipment that is available for the task. Otherwise, you will have more patients among the HCW. This was the mistake made at the beginning in Wuhan and lead to higher death rates #Nephjc |
| Alex Meraz @NephroGuy RT @AlanKliger: @NephroGuy @ChristosArgyrop @SilberjRogosin @HecmagsMD @javo_neyra @VelezNephHepato @ansakhuja @hswapnil @NephJC @ukrenalfellows The US has limited resources in N95s - - I agree with CDC to use surgical masks #NephJC |
| Beje Thomas @bthomas215 @kidney_boy @aishaikh @KlemensMeyer So true! Lol #NephJC |
| VICTOR SANNA 🇻🇪 🇳🇬 @VICTORSANNA #NephJC Thanks again for the invitation. Too bad I was late today for lack of signal. https://t.co/nKam4fsbfA |
| VICTOR SANNA 🇻🇪 🇳🇬 @VICTORSANNA RT @Nephro_Sparks: The #COVID19 @ASNKidney numbers: The #COVID19 @ASNKidney numbers: 1,239 Tweets. 255 Participants. 4,329,409 Impressions. March 17th 2020. More #NephJC 📊 here https://t.co/lwI6PUt6d0 via @symplur |
| Nikhil Shah MBBS DNB(IM, Neph)🇨🇦 @dr_nikhilshah #NephJC This was a wonderful chat!! Thank you @ASNKidney and @NephJC - We are all in this together and it shows. Amazing show of hands and sharing of ideas here today. |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD @drjosflynn @AlanKliger @gratefull080504 @Nephro_Sparks @hswapnil @kidney_boy Probably one of the best #NephJC https://t.co/rI6GQtmcrs |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @aishaikh @eric_weinhandl Can you link to the CDC guidelines? Thanks! #NephJC |
| Andrew Michael South, MD, MS @asouth_neph 🔹Health care providers (esp the heroes on the front lines) 🔹Policy makers 🔹Public Health 🔹Patients/families/advocates Keep asking the questions and doing the work the right way Thank you for what you are doing 😊 #NephJC |
| Nephrology Journal Club @NephJC Thanks everyone, remember we reconvene tomorrow at 9PM GMT and 9 PM IST #NephJC |
| Beje Thomas @bthomas215 Maybe we can have a short follow up in the coming weeks see where we’re at with this crisis #nephjc |
| Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD @Euvolemia Yes, pregnant physicians and anyone who is pregnant in the health care field at this time, should definitely stay at home. This is as per @UpToDate #NephJC https://t.co/7X8fBW495G |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @SilberjRogosin @eric_weinhandl All @Uber ? I thought only pooles rides? https://t.co/zePN7GKNTH #NephJC |
| Javier Neyra @javo_neyra @AlanKliger @NephroGuy @ChristosArgyrop @SilberjRogosin @HecmagsMD @VelezNephHepato @ansakhuja @hswapnil @NephJC @ukrenalfellows Will you consider time of exposure a factor for PPE if confirmation takes longer than 24-48h? #NephJC |
| Nissreen Elfadawy MD, MS, FASN, FAST @ElfadawyN @VICTORSANNA Where is me?! #NephJC |
| Kamol @KamolMU RT @NephJC: The UK @RenalAssoc highlighted 3 imp Qs https://t.co/V5K9pFBcEI : The UK @RenalAssoc highlighted 3 imp Qs https://t.co/V5K9pFBcEI : Priority testing for HD patients (can't self isolate); cohorting inf/non-inf patients & transport solutions #NephJC |
| Bilal @bilalksheikh @NephroPeeps was right that Poor technique might be the reason for poor sensitivity of nasal swab testing seen in some studies #NephJC |
| Nissreen Elfadawy MD, MS, FASN, FAST @ElfadawyN @HecmagsMD @Euvolemia @UpToDate It does not say any no-work recs for pregnant workers #NephJC |
| Andrew Michael South, MD, MS @asouth_neph RT @Nephro_Sparks: I recommend this video for all ... from @MedCramVideos great deep dive on the entire ACEi/ARB ACE2 issue #NephJC https://t.co/EFufheHWmD |
| Franklin Loachamin @FranLoachamin RT @CaptainKidney79: @AGrandinettiMPH @devimol I have been recommending fairly strict isolation, filling out FMLA to stay away from work for those who cannot work from home. Asking people to delay routine lab testing and visits. #nephjc |
| Andrew Michael South, MD, MS @asouth_neph RT @Nephro_Sparks: thanks to everyone for coming. I am signing off. We have a great community and I am so happy to be a Nephrologist all working to help our patients. Thanks to everyone for all you are doing. #NephJC |
| Alex Chang, MD, FASN, FAHA @alexchangmd @ChristosArgyrop @NephroGuy @SilberjRogosin @HecmagsMD @javo_neyra @VelezNephHepato @ansakhuja @hswapnil @NephJC @ukrenalfellows “American industry provided almost two-thirds of all the Allied military equipment produced during the war: 297,000 aircraft, 193,000 artillery pieces, 86,000 tanks and two million army trucks.” Surely the government can ramp up N95 production. https://t.co/nOFy1D8ufx #NephJC |
| Charbel C Khoury @Charbel_Khoury RT @alexchangmd: @ChristosArgyrop @NephroGuy @SilberjRogosin @HecmagsMD @javo_neyra @VelezNephHepato @ansakhuja @hswapnil @NephJC @ukrenalfellows “American industry provided almost two-thirds of all the Allied military equipment produced during the war: 297,000 aircraft, 193,000 artillery pieces, 86,000 tanks and two million army trucks.” Surely the government can ramp up N95 production. https://t.co/nOFy1D8ufx #NephJC |
| Andrew Michael South, MD, MS @asouth_neph @hyguruprep Thank you @hyguruprep stay tuned... #NephJC |
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