#NephJC Transcript
Healthcare social media transcript of the #NephJC hashtag.
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See #NephJC Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Nephrology Journal Club @NephJC And it’s 9 pm #NephJC #NephJCBookClub |
| Nephrology Journal Club @NephJC Welcome to our 2018 Summer Book Club! #NephJC |
| Nephrology Journal Club @NephJC I’m Diana Mina @DiMiRenalMD, recent graduate of @UCSFNephrology, “in between jobs right now” #NephJC |
| Nephrology Journal Club @NephJC Coming at you from Plano, Texas and @NBLUniv #NBLUniv #NephJC |
| Nephrology Journal Club @NephJC We have lots of fellows at #NBLUniv who are just learning about the Nephro Twitterverse and amazing resources like #NephJC so please support them when you can! |
| Nephrology Journal Club @NephJC Tonight we discuss Siddhartha Mukherjee’s book: The Laws of Medicine, Field Notes from an Uncertain Science #NephJC |
| Nephrology Journal Club @NephJC We recommend you use native client in browser or Tweetdeck. Tchat will truncate tweets at 140 #NephJC |
| Nephrology Journal Club @NephJC Please introduce yourself & declare any COIs #NephJC |
 | Mya Htwe Nge @mhtwenge Hello, mya from mm, #NSMC intern Ready for book club #NephJC |
 | Joel M. Topf, MD FACP @kidney_boy Awesome to combine #nephJC and #NLBUniv! Joel Topf, nephrologist and co-founder of #NephJC. No relevant COI tonight. |
 | Brian Stotter, MD @StotterMD Brian Stotter, nephrology fellow at Boston Children’s and #NSMC intern. No COI. Looking forward to the 2018 #nephJC #NephJCBookClub discussion! |
| Joel M. Topf, MD FACP @kidney_boy Hey Brian, too bad we missed each other in CO. #NephJC |
| Nephrology Journal Club @NephJC Don’t forget the hashtag #NephJC |
| Mya Htwe Nge @mhtwenge @NephJC #nephjc hi |
| Nephrology Journal Club @NephJC Here’s a link to all of the #NephJC blog posts https://t.co/HvntqG8HRS |
 | Michelle Rheault @rheault_m @nephjc Michelle Rheault, Ped Neph at UMN. Will be late as on my way home from my anniversary dinner (14 years!) #Nephjc |
 | Beje Thomas @bthomas215 Beje Thomas, no COI, NSMC intern, transplant nephrologist at Georgetown (wish I was with you guys at @NBLU #nephjc |
 | Scherly Leon, MD @SLeonMD Hi! Scherly Leon, nephrologist and now #preventive medicine resident. No COI. Love the #nephjc #NBLU crossover. |
| Joel M. Topf, MD FACP @kidney_boy @rheault_m @NephJC Congratulations! #NephJC |
| Scherly Leon, MD @SLeonMD @rheault_m @NephJC Happy Anniversary! #nephjc |
 | Michelle Starr MD MPH @mcstarr1 Michelle from Seattle, peds neph fellow and #NSMC intern. No COI. Did my homework and everything! Looking forward to discussing - was a great book! #nephjc #SummerBookClub |
 | Deidra Crews, MD, ScM, FASN, MACP @DrDeidraCrews Hi there. I’m a nephrologist @hopkinsneph #NephJC |
| Joel M. Topf, MD FACP @kidney_boy @SLeonMD Hi Scherly, great intro to Law 1. Some of your best writing yet! #nephJC |
 | Mario Funes, MD @MarioFunesMD Mario Funes. PGY2 IM. New Brunswick, NJ. Future nephrologist. No COI. #NephJC |
 | Annabel Biruete 🇲🇽 @anniebelch Hi everybody! Annabel Biruete, Postdoc at @IUMedSchool. Excited to join tonight, really liked the book #NephJC |
 | Matthew Sparks, MD @Nephro_Sparks Matt Sparks here. Just running back to the hotel from the mixer. #NBLUniv APD at @DukeKidney no COi #NephJC |
| Joel M. Topf, MD FACP @kidney_boy @DrDeidraCrews @hopkinsneph Deidra! Thanks for joining us! #NephJC |
 | Edgar V. Lerma 🇵🇭 @edgarvlermamd Edgar Lerma, Chicago-based Nephrologist #NephJC #NephJCBookClub 📚 https://t.co/z1Syx73pOs |
| Nephrology Journal Club @NephJC Let’s discuss the book by chapter #NephJC |
| Nephrology Journal Club @NephJC Let’s start with T0 for the introduction #NephJC |
| Nephrology Journal Club @NephJC Read @kidney_boy’s commentary here: https://t.co/4JL9n5koAx #NephJC |
| Joel M. Topf, MD FACP @kidney_boy Hey Edgar, thanks for coming! #NephJC |
| Matthew Sparks, MD @Nephro_Sparks Found her @DiMiRenalMD #NephJC https://t.co/l58pyFlUkD |
| Nephrology Journal Club @NephJC T0 - “I had never expected medicine to be such a lawless, uncertain world.” Do you agree with this? #NephJC |
 | Angel Cesar Ortiz @AngelCesarOrtiz Angel Ortiz, Neph fellow from Mexico. Chief resident @nefrocmnlr and #NSMC Intern 2018. Interesting activity today in #NephJc. No COI. #NephJCBookClub |
| Scherly Leon, MD @SLeonMD @Nephro_Sparks @DiMiRenalMD dedication! #nephjc |
| Beje Thomas @bthomas215 It is called the practice of medicine for a reason I believe #nephjc |
| Brian Stotter, MD @StotterMD T0: We “practice” medicine, never master it. #nephJC #NephJCBookClub |
 | Pablo Garcia @PabloGarciaMD Pablo Garcia. Neph fellow @StanfordNeph No CoI. Just lurking tonight...taking care of some consults #nephJC |
| Deidra Crews, MD, ScM, FASN, MACP @DrDeidraCrews No COI, forgot that part— but I should disclose that, as is often the case for my ‘live’ book club, I did not read the book but I am here for the fun :) #NephJC |
| Scherly Leon, MD @SLeonMD @NephJC taxes and death they say are certain. #nephjc |
| Michelle Rheault @rheault_m @Nephro_Sparks @DiMiRenalMD Wow! #nephjc in the lobby on a laptop? I need dead silence and at least 3 screens when I host. Mad props. |
| Joel M. Topf, MD FACP @kidney_boy T0: I think the premed curricula and the first two years of classroom time make medicine seem to be pretty exact. The Lawlessness is pretty unsettling at first. #NephJC |
| Beje Thomas @bthomas215 We optimize what we can and try to bring it to a data driven decision albeit with our biases, though there is a beauty to that #nephjc |
| Joel M. Topf, MD FACP @kidney_boy Waiter, can we get another glass of wine. #NephJC |
| Scherly Leon, MD @SLeonMD @rheault_m @Nephro_Sparks @DiMiRenalMD never hosted on your cellphone? She is one talented nephrologist. #nephjc |
| Beje Thomas @bthomas215 That’s my co-intern:) #nephjc |
| Nephrology Journal Club @NephJC T0 - “My medical education had taught me plenty of facts, but little about the spaces that lived between facts.” How do you deal with this? How do we get better? #NephJC |
| Brian Stotter, MD @StotterMD @kidney_boy That’s because most of the classroom material is largely the underpinnings of the field (anatomy & physiology, etc). Less likely to change. #nephJC |
 | Ralph Atkinson MD @rcamd @kidney_boy #NephJC RCA here. No COI. We used to say the pt didn’t read the textbook. |
| Joel M. Topf, MD FACP @kidney_boy T0: My first patient (Hi Mr F) had lobar pneumonia and started to get better with abx and I was unsure if he was just getting better or getting better from my treat,meant. I wanted a control group so I could KNOW. #NephJC |
| Matthew Sparks, MD @Nephro_Sparks ok. ready to go. hi to everyone #NephJC |
| Scherly Leon, MD @SLeonMD @kidney_boy All I can say #twitterverse is that my #nephjc tribe is better than yours! Love all around. |
 | Paul A Welling,@PAWellingMD@med-mastodon.com @PAWellingMD #nephjc joining in, no coi |
| Michelle Rheault @rheault_m @kidney_boy T0: one of the hardest things to grade residents on is "tolerance of ambiguity". Definitely a learned skill. #nephjc |
| Scherly Leon, MD @SLeonMD @rcamd @kidney_boy Do they ever? #nephjc |
| Nephrology Journal Club @NephJC #NephJC |
| Nephrology Journal Club @NephJC Good to have @Nephro_Sparks sitting across from me 😁 #NephJC https://t.co/npjpF0f4Wl |
| Annabel Biruete 🇲🇽 @anniebelch T0: I think this is highly applicable to other disciplines as well. I feel like in Nutrition and Dietetics they teach you a lot by the book, almost as if everything is black or white, but you quickly realize that you need to be OK with all the shades in between and adapt #NephJC |
| Matthew Sparks, MD @Nephro_Sparks @PAWellingMD Hi Paul #nephjc |
| Scherly Leon, MD @SLeonMD @NephJC @Nephro_Sparks now I am jealous! #nephjc |
| Nephrology Journal Club @NephJC RT @rheault_m: @kidney_boy T0: @kidney_boy T0: one of the hardest things to grade residents on is "tolerance of ambiguity". Definitely a learned skill. #nephjc |
 | Natasha N. Dave @NatashaNDave @NephJC Natasha Dave, no COI - excited for this chat! #NephJC |
 | HHolder_CNS @HHolder_CNS RT @AdvDialysis: Sudden cardiac death is common in the dialysis patient population and addressing the high incidence of arrhythmias should be of paramount concern. #cardiology #Nephrology #ESRD #nephjc #nephforward https://t.co/dAmauSQb9E |
| Matthew Sparks, MD @Nephro_Sparks @NatashaNDave Hey Natasha. we miss you at #NBLUniv #nephjc |
| Nephrology Journal Club @NephJC Great discussion! Let’s move on to Law 1 #NephJC |
| Mario Funes, MD @MarioFunesMD We only get taught one side of the story.. treat GI bleed. Treat MI. But how to treat someone with MI and GI bleed? It's more complex than what we read in the books. #nephjc |
| Nephrology Journal Club @NephJC Check out @SLeonMD’s commentary on Law 1 here: https://t.co/VQ496PFHBj #NephJC |
| Nephrology Journal Club @NephJC And hot off the press, Kidney_Boy’s commentary on Law 1: https://t.co/GkSNhFZGiE #NephJC |
| Nephrology Journal Club @NephJC T1 - “Once the probability tips over a certain point, you order a confirmatory test, and then you read the test in the context of prior probability.” Is that how we actually practice, for example with a suspected GN? #NephJC |
| Nephrology Journal Club @NephJC T1b - Or do we just order a “GN panel” of sorts and say it’s because some of the tests take a long time to result? #NephJC |
| Matthew Sparks, MD @Nephro_Sparks T1b an idea is to stats on have how frequent a test is positive. if you dip below a certain point. you have to take a primer #nephjc |
| Scherly Leon, MD @SLeonMD @NephJC did I miss T1a? #nephjc |
| Nephrology Journal Club @NephJC T1a was - “Once the probability tips over a certain point, you order a confirmatory test, and then you read the test in the context of prior probability.” Is that how we actually practice, for example with a suspected GN? #NephJC |
| Joel M. Topf, MD FACP @kidney_boy We have few GN tests that are diagnostic, short of a biopsy so, the tests just build the case for a kidney biopsy, no? #NephJC |
| Nephrology Journal Club @NephJC T1c - "If patients are screened w/o any prior knowledge (intuition) about their risks, then the false-positive or false-negative rates can confound any attempt at diagnosis."Thoughts? Reminds me of all the times I've asked for something that I don't know how to interpret #NephJC |
| Scherly Leon, MD @SLeonMD @NephJC my fault, was not using @TweetDeck #nephJC |
| Matthew Sparks, MD @Nephro_Sparks I think so. you need to have a pretest prob. but problem comes in outliers. the ANCA with no hematuria. Membranous with diabetes #nephjc |
| Joel M. Topf, MD FACP @kidney_boy A great example of where we use pre-test probability is interpreting hyperkalemia. Normal renal function, healthy guy. K comes back 8. Everyone is thinking lab error/hemolysis. Repeat the test. #NephJC |
| Nephrology Journal Club @NephJC Are there other examples in nephrology where intuition is key, and ordering a weak test can make things more confusing? #NephJC |
| Mario Funes, MD @MarioFunesMD T1C like my PD says "it's all about pre test test probability" positive Troponin in 20 year old likely false positive. A lot different in a 50 year old. #nephjc |
| Matthew Sparks, MD @Nephro_Sparks going to a seasoned colleague is a must. better than the catchall, diagnostic web o tests #nephjc |
| Nephrology Journal Club @NephJC Let’s discuss chapter 2 #NephJC |
| Nephrology Journal Club @NephJC Read @KidneyCathy’s commentary on Law 2 here: https://t.co/5jKt2mI5UB #NephJC |
| Nephrology Journal Club @NephJC And rheault_m’s commentary on Law 2 here: https://t.co/mTq7Oc7ubZ #NephJC |
| Matthew Sparks, MD @Nephro_Sparks @NephJC ANA #nephjc |
| Nephrology Journal Club @NephJC T2: How do you deal with “outliers” when you see them? Dismiss, or investigate further? #NephJC |
 | Sarah Melville @sarahkmels shoot, shoot, shoot, sorry am so late :( read the book & was looking fwd to this chat then sh*t got the better of me on the clock :( #nephJC #NephJCBookClub |
| Matthew Sparks, MD @Nephro_Sparks RT @NephJC: Read @KidneyCathy’s commentary on Law 2 here: Read @KidneyCathy’s commentary on Law 2 here: https://t.co/5jKt2mI5UB #NephJC |
| Matthew Sparks, MD @Nephro_Sparks I feel like nephrology is ensuring outliers get caught #nephjc |
| Nephrology Journal Club @NephJC T2: Great examples from rheault_m about pediatric nephrology and studying outliers to discover genetic mutations #NephJC |
| Michelle Rheault @rheault_m @NephJC I don't know if it qualifies as a "weak test" but genetic testing for steroid resistant FSGS often more confusing in the end. Results often with VUS ¯\_(ツ)_/¯ #NephJC |
 | Timothy Yau @Maximal_Change @kidney_boy Agree. But then we need to introduce the lawlessness into their foundational training so they aren’t as jolted in clinical life #nephjc |
| Joel M. Topf, MD FACP @kidney_boy This was the chapter that I found so interesting. I had always ignored single patient responders. I had never thought of the value of outliers. Fascinating. #NephJC |
| Sarah Melville @sarahkmels RT @kidney_boy: This was the chapter that I found so interesting. I had always ignored single patient responders. I had never thought of the value of outliers. Fascinating. #NephJC |
| Natasha N. Dave @NatashaNDave @NephJC A2: I look at the outlier in context of the patient. How much of this outlier is contributing to the underlying process? Then am I going to do anything about it? #NephJc |
| Timothy Yau @Maximal_Change Tim yay from @WUNephrology, no COI. Sorry I’m late. Read the book and really enjoyed it, nice easy read but lots to think about. #nephjc |
| Matthew Sparks, MD @Nephro_Sparks This was an outlier I saw in fellows clinic "Turned into this "COL4A3/COL4A4 variants may be mistaken for familial focal segmental glomerulosclerosis" @AndrewFMalone turned into this https://t.co/69EelnWvby #nephjc |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd The Laws of Medicine by @DrSidMukherjee #NephJC #NephJCBookClub https://t.co/U2JZJDNshn |
| Natasha N. Dave @NatashaNDave @Maximal_Change @kidney_boy The Wild West of Nephrology? #NephJc |
 | Samaya @TarSamMD RT @NephJC: Check out @SLeonMD’s commentary on Law 1 here: Check out @SLeonMD’s commentary on Law 1 here: https://t.co/VQ496PFHBj #NephJC |
| Nephrology Journal Club @NephJC Something that goes back to the introduction... “We tend to forget that much of modern medicine is in fact surprisingly modern.” So many examples in nephro! Dialysis, transplant, Anti-PLA2R, Lupus Nephritis, APOL1. What else? Seems like everything. #NephJC |
| Joel M. Topf, MD FACP @kidney_boy A great place to look for outliers is GN clinic. A few IgA patients respond to MMF, we should investigate them. Or the lupus pt that responds to rituximab. Lots of possibilities. #NephJC |
| Nephrology Journal Club @NephJC RT @kidney_boy: A great place to look for outliers is GN clinic. A few IgA patients respond to MMF, we should investigate them. Or the lupus pt that responds to rituximab. Lots of possibilities. #NephJC |
| Matthew Sparks, MD @Nephro_Sparks Have the pleasure of colleagues doing great work in genetics. Tell them about a patient/family and they actually look into it. @GentzonHallMD #NephJC |
 | Kamran Boka, MD @Boka_MD 1920s throwbacks are usually cool #nephjc |
| Sarah Melville @sarahkmels Where is Dr. @DrSidMukherjee ? He should know that this is the most popular journal club in the twitterverse #nephJC #NephJCBookClub |
| Brian Stotter, MD @StotterMD @NephJC I’d argue, despite first reports 40+ years ago, steroids for nephrotic syndrome in children is modern #nephJC |
| Natasha N. Dave @NatashaNDave @Nephro_Sparks @NephJC At our institution high false positive rate of ANCA #NephJC |
| Kamran Boka, MD @Boka_MD Hello 👋🏼 from @McGovernPulmCC. Kamran Boka here attending of #PulmCrit and NSMC. No COI. On call so I'll be spectating with random comments #ellusiveEllipticalMars #nephJC #NephJCBookClub |
| Joel M. Topf, MD FACP @kidney_boy @NephJC If you go back to the 50s and 60s, nephrotic syndrome was a diagnosis, not just a symptom. Only when we realized that kids responded to prednisone and adults didn’t did we begin to dig deeeper. #NephJC |
| Timothy Yau @Maximal_Change This was the whole concept behind Rick Liftons work at Yale when he identified outliers of blood pressure. This led to the discovery of the mutations behind Liddles, Gellers, and other diseases that bring confusion to fellows all over #nephJC |
 | Chi Chu @cdchu @LTummalapalli I think hard in practice. You can know how much chest pain in ED is MI, statistically, but chances are you know way more about your patient than just that -- info that drastically affects pretest prob, to the point where your intuition may outperform the statistic #nephjc |
| Natasha N. Dave @NatashaNDave @Nephro_Sparks Yes, Nephrology can also use that outlier to paint a different picture! #NephJC |
| Timothy Yau @Maximal_Change @NephJC @kidney_boy Howdy! Good to be back. Have missed a few of these this summer #nephjc |
| Matthew Sparks, MD @Nephro_Sparks RT @sarahkmels: Where is Dr. @DrSidMukherjee ? He should know that this is the most popular journal club in the twitterverse #nephJC #NephJCBookClub |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd Medicine is traditionally known as an ‘art’, & not an exact ‘science’. Medical images of clinical signs & pathology ... communicated thru ‘metaphors’ ... to make recognition easier in anticipation of the clinical counterpart when encountered ...” #NephJC #NephJCBookClub https://t.co/wzsjobBkQx |
 | ~~~ @DrNamkeen @NephJC I’ve volunteered a bit in refugee camps and so so so much of what we do is data / #’s driven, modern for sure when you dont have access to advanced lab tests 😢 the simplest thing was blood pressure and glucose control #nephjc |
| Joel M. Topf, MD FACP @kidney_boy Super important.Most of us don’t have access to the tools to do deep outlier analysis. #NephJC |
| Samaya @TarSamMD @NephJC sorry I’m late Samaya from Houston BCM no COI. Catching up as fast as I can #NephJC |
| Matthew Sparks, MD @Nephro_Sparks How can we better position our field to study the outlier. @arkanalabs ?#NephJC we need to continue to explore and invest @NIHFunding |
| Kamran Boka, MD @Boka_MD RT @kidney_boy: This was the chapter that I found so interesting. I had always ignored single patient responders. I had never thought of the value of outliers. Fascinating. #NephJC |
| Matthew Sparks, MD @Nephro_Sparks @NatashaNDave @NephJC then my idea would not be feasible #NephJC |
 | CureGN @CureGn @kidney_boy GN clinic is one outlier after the other. These patients are just asking to be studied in detail. It's what we a to do in CureGN. #nephjc |
| Matthew Sparks, MD @Nephro_Sparks family gatherings with @jeffsparks is all about ANCA, ANA, RF and citruliated (sic) stuff #NephJC |
| Joel M. Topf, MD FACP @kidney_boy @NephJC CRP ESR Ferritin #NephJC |
 | Dr_H @AlanHawxbyMD #TransplantSurgeon checking in late. Had a bunch of evals to wrap up and now it’s down time. #Nephjc https://t.co/c0V24UhjzE |
| Timothy Yau @Maximal_Change @Nephro_Sparks @arkanalabs @NIHFunding Taking Joel’s IgA example - would glomerular microdissection and mass spec of the biopsy tissue for the patient that responds be useful and comparing it to those who don’t? #NephJC |
| Kamran Boka, MD @Boka_MD Outliers #FTW #nephJC #NephJCBookClub @Gladwell https://t.co/rplEA7MyaW |
 | Ankit Sakhuja 🇺🇸 @ansakhuja @kidney_boy I would imagine that the studies looking at outliers would most likely be underpowered and hence the inherent difficulty #NephJC |
| Nephrology Journal Club @NephJC Almost time to move on to Law 3 #NephJC |
| Nephrology Journal Club @NephJC Take a look at @bthomas215’s commentary on Law 3 https://t.co/n205UE8cJ7 #NephJC |
 | Abraham E. Gracia R. @Abraham_RMI RT @edgarvlermamd: Medicine is traditionally known as an ‘art’, & not an exact ‘science’. Medical images of clinical signs & pathology ... communicated thru ‘metaphors’ ... to make recognition easier in anticipation of the clinical counterpart when encountered ...” #NephJC #NephJCBookClub https://t.co/wzsjobBkQx |
| Matthew Sparks, MD @Nephro_Sparks n=7 is a robust group for basic science. however all identical twins #nephjc |
| Nephrology Journal Club @NephJC T3a - Doesn’t it seem like the example from Law 3, widespread and unfocused testing of hundreds of genes violates Law 1 on using intuition to estimate pre-test probability? #NephJC |
| Nephrology Journal Club @NephJC T3b - “Until that time, most scientists had examined cancer cells one gene at a time. With the advent of new technologies to examine thousands of genes in parallel” #NephJC |
| Chi Chu @cdchu @LTummalapalli that said stats about prevalence have big role for screening/triage protocols when chest pain+ED is the ONLY thing you know. agree tho that EMR is great place to provide information exactly when+where it's needed #pointofcarelearning #nephjc |
| Paul A Welling,@PAWellingMD@med-mastodon.com @PAWellingMD Resource guides for nephrologists to get in touch with right research genetics groups needed for efficient study of outliers #nephJC |
| Samaya @TarSamMD @NephJC @bthomas215 “ Medicine asks you to make perfect decisions with imperfect information.” So true! #NephJC |
| Matthew Sparks, MD @Nephro_Sparks Human bias is the bane of existence for research and multiple layers need to be placed to minimize... (note cannot go away) #nephjc |
| Matthew Sparks, MD @Nephro_Sparks RT @PAWellingMD: Resource guides for nephrologists to get in touch with right research genetics groups needed for efficient study of outliers #nephJC |
 | WU in STL Nephrology @WUNephrology RT @Nephro_Sparks: This was an outlier I saw in fellows clinic "Turned into this "COL4A3/COL4A4 variants may be mistaken for familial focal segmental glomerulosclerosis" @AndrewFMalone turned into this https://t.co/69EelnWvby #nephjc |
| Nephrology Journal Club @NephJC T3: What kind of biases are we most likely to deal with in nephrology? #NephJC |
| Nephrology Journal Club @NephJC T3: And how can we recognize and try to deal with these biases? #NephJC |
| Angel Cesar Ortiz @AngelCesarOrtiz Good point! #NephJc |
| Matthew Sparks, MD @Nephro_Sparks @NephJC key is to recognize the bias and build in various things to ensure minimized. Key for research and more scrutinized now #nephjc |
| Joel M. Topf, MD FACP @kidney_boy T3: The most visible patients are the sickest patients so I think we over estimate the morbidity of transplant and dialysis. #NephJC |
| Samaya @TarSamMD @NephJC T3 recall bias is huge in our world especially when talking with the patients trying to get better details on lifestyles medications and so on. #NephJC |
| Timothy Yau @Maximal_Change e.g. In day-to-day clinical life, it's easy to hear about a patient with myeloma and AKI and immediately jump to "maybe they have cast nephropathy?" When in fact they might have ATN, hypercalcemia vasoconstriction, infections, volume depletion, or a million other things. #nephJC |
| Matthew Sparks, MD @Nephro_Sparks I am looking at under rubric of research but happens with n=1 patient you see #nephjc |
| Nephrology Journal Club @NephJC RT @Maximal_Change: e.g. In day-to-day clinical life, it's easy to hear about a patient with myeloma and AKI and immediately jump to "maybe they have cast nephropathy?" When in fact they might have ATN, hypercalcemia vasoconstriction, infections, volume depletion, or a million other things. #nephJC |
| Paul A Welling,@PAWellingMD@med-mastodon.com @PAWellingMD #nephJC Good book for medical students to read, but do you have ideas about what stage and context? |
| Samaya @TarSamMD @Nephro_Sparks @NephJC Agree recognition is key #NephJC |
| Michelle Rheault @rheault_m @TarSamMD @NephJC T3: Agree. Our memories are only as long as that last patient we treated with rituximab or whatever who didn't respond or had a bad side effect to bias us against using again, even if may be appropriate. #NephJC |
| Joel M. Topf, MD FACP @kidney_boy @PAWellingMD Not sure I understand your question. #nephJC |
| Annabel Biruete 🇲🇽 @anniebelch @TarSamMD @NephJC Recall and desirability bias for sure! #nephJC |
| Timothy Yau @Maximal_Change @PAWellingMD I think it would be impactful even before they have started clerkships. There are great examples that folks without medical background can understand. The benefit to having clinical experience is they can apply these laws to patients they have seen #nephJC |
| Nephrology Journal Club @NephJC T4: The hour is almost coming to a close but did this book make you wonder what the "Laws of Nephrology" would be? #NephJC |
| Nephrology Journal Club @NephJC T4: @kidney_boy suggested “the more your care is driven by arithmetic the less you know your patient” #NephJC |
 | Silvi Shah, MD, MS @silvishah @DrDeidraCrews @hopkinsneph Hi Deidra! Very well written perspective #nephJC |
| Timothy Yau @Maximal_Change @NephJC "Any amount and color of urine is better than no urine at all." #nephjc |
| Nephrology Journal Club @NephJC RT @Maximal_Change: @NephJC "Any amount and color of urine is better than no urine at all." #nephjc |
| Samaya @TarSamMD @NephJC T3 I think being honest about certain bias with our patients is essential and can help improve joint decision making process #NephJC |
| Matthew Sparks, MD @Nephro_Sparks you see outliers all the time. this is what drives us all to understand more #nephjc |
| Timothy Yau @Maximal_Change Except in hypernatremia....#nephjc |
| Angel Cesar Ortiz @AngelCesarOrtiz RT @Maximal_Change: @NephJC "Any amount and color of urine is better than no urine at all." #nephjc |
 | Roger Rodby @NephRodby Yawn, stretch, rub eyes. What did I miss? #nephjc |
| Joel M. Topf, MD FACP @kidney_boy Law of Nephrology: Dialysis is the worst thing, except for the alternative. #NephJC |
| Michelle Rheault @rheault_m @Maximal_Change @NephJC Patients with nephrogenic DI may disagree with you (there's the outlier for you.) #NephJC |
| Matthew Sparks, MD @Nephro_Sparks @kidney_boy @NephRodby seriously Rog... we needed your outlier wisdom #nephjc |
 | 🔴⚫️ Pesh @forzapesh RT @kidney_boy: Law of Nephrology: Law of Nephrology: Dialysis is the worst thing, except for the alternative. #NephJC |
| Samaya @TarSamMD @NephJC T4 I found myself constantly drawing parallels to the Nephrology world and daily practice while reading..but then again I do that often when reading 🙈 #NephJC |
| Michelle Rheault @rheault_m @Nephro_Sparks @kidney_boy @NephRodby @nephrodby IS the outlier. #NephJC |
| Samaya @TarSamMD RT @kidney_boy: Law of Nephrology: Law of Nephrology: Dialysis is the worst thing, except for the alternative. #NephJC |
| Paul A Welling,@PAWellingMD@med-mastodon.com @PAWellingMD A Law: Hypertension associated nephropathy is really an outlier. #NephJC |
| Nephrology Journal Club @NephJC Thanks for participating all (except @NephRodby)! In the last few minutes, any final thoughts? #NephJC |
| Joel M. Topf, MD FACP @kidney_boy @PAWellingMD They should read the book right before going into the clinics. Class: Introduction to clinical medicine. #NephJC |
| Matthew Sparks, MD @Nephro_Sparks no doubt #NephJC |
| Sarah Melville @sarahkmels RT @kidney_boy: @PAWellingMD They should read the book right before going into the clinics. Class: @PAWellingMD They should read the book right before going into the clinics. Class: Introduction to clinical medicine. #NephJC |
| Joel M. Topf, MD FACP @kidney_boy RT @PAWellingMD: A Law: A Law: Hypertension associated nephropathy is really an outlier. #NephJC |
| Natasha N. Dave @NatashaNDave @NephJC A4: The Laws of Nephrology for me is to see the patient as a individual. Recognize how the disease/treatment may impact them and be transparent with communicating what their outcome maybe. #NephJC |
| Nephrology Journal Club @NephJC Join @Errantnephron tomorrow at 8 pm GMT for the European discussion #NephJC #NSMC #represent |
| Roger Rodby @NephRodby Such a warm reception from my dear family. Dozed off in chair. #BecomingMyParents #nephjc |
| Nephrology Journal Club @NephJC If you haven’t, please sign up for our weekly newsletter https://t.co/5aumn8ImwF #NephJC |
| Sarah Melville @sarahkmels RT @NephJC: If you haven’t, please sign up for our weekly newsletter https://t.co/5aumn8ImwF #NephJC |
| Matthew Sparks, MD @Nephro_Sparks @NephRodby we love you Rodby #nephjc |
| Joel M. Topf, MD FACP @kidney_boy I think we can all get behind wisdom like this. #NephJC (Its like the Lord’s Prayer of nephrology) |
| Ralph Atkinson MD @rcamd @NephJC @kidney_boy Great job @DiMiRenalMD Really enjoyed the chat #NephJC |
| Mario Funes, MD @MarioFunesMD Great book and great discussion! Thank you everyone! #nephjc |
 | Karthik Ranganna @RangannaKarthik RT @edgarvlermamd: The Laws of Medicine by @DrSidMukherjee #NephJC #NephJCBookClub https://t.co/U2JZJDNshn |
| Samaya @TarSamMD @NephJC @NephRodby Awesome job hosting @DiMiRenalMD #NephJC https://t.co/C9AkiUlCOh |
| Joel M. Topf, MD FACP @kidney_boy @NephRodby “Dozed off” my ass He’s drunk. #NephJC |
| Silvi Shah, MD, MS @silvishah @DiMiRenalMD excellent job! So proud to see you give the talk #nsmc #nephJC |
| Nephrology Journal Club @NephJC Goodnight all! #NephJC |
| Sarah Melville @sarahkmels @Nephro_Sparks @NephRodby where is Dr. @hswapnil though?!?, ;( not a #nephJC chat without him :( |
| Kamran Boka, MD @Boka_MD @NephJC @NephRodby The book should have been narrated by Mukherjee himself @DrSidMukherjee! @kidney_boy @rheault_m @Nephro_Sparks #nephJC #NephJCBookClub |
| Scherly Leon, MD @SLeonMD @NephRodby wondered where you were and thought maybe he is taking a break! #nephjc |
| Kamran Boka, MD @Boka_MD RT @NephJC: Thanks for participating all (except @NephRodby)! In the last few minutes, any final thoughts? #NephJC |
| Sarah Melville @sarahkmels @kidney_boy @Nephro_Sparks @NephRodby @hswapnil ooh, thanks, good for him et al., bad for us #nephJC |
| Matthew Sparks, MD @Nephro_Sparks Thanks @DiMiRenalMD for hosting 👏 #NephJC |
| Mario Funes, MD @MarioFunesMD Goodnight! @Nephro_Sparks thank you! @DiMiRenalMD #nephjc |
| Annabel Biruete 🇲🇽 @anniebelch @NephJC Nice #NephJCBookClub. Great job, @DiMiRenalMD! Good night, everybody! #nephJC |
| Paul A Welling,@PAWellingMD@med-mastodon.com @PAWellingMD RT @Nephro_Sparks: Thanks @DiMiRenalMD for hosting 👏 #NephJC |
 | Andrew Donati @ADonatiMD RT @kidney_boy: Law of Nephrology: Law of Nephrology: Dialysis is the worst thing, except for the alternative. #NephJC |
| Sarah Melville @sarahkmels RT @Boka_MD: @NephJC @NephRodby The book should have been narrated by Mukherjee himself @DrSidMukherjee! @kidney_boy @rheault_m @Nephro_Sparks #nephJC #NephJCBookClub |
 | Franklin Loachamin @FranLoachamin RT @edgarvlermamd: Medicine is traditionally known as an ‘art’, & not an exact ‘science’. Medical images of clinical signs & pathology ... communicated thru ‘metaphors’ ... to make recognition easier in anticipation of the clinical counterpart when encountered ...” #NephJC #NephJCBookClub https://t.co/wzsjobBkQx |
 | Mo Alzubaidi @NephrosisMo RT @Maximal_Change: @NephJC "Any amount and color of urine is better than no urine at all." #nephjc |
 | Mariana Seija @Mari_Seija RT @NephJC: Read @kidney_boy’s commentary here: Read @kidney_boy’s commentary here: https://t.co/4JL9n5koAx #NephJC |
| Roger Rodby @NephRodby @kidney_boy Huh? What? Where am I? What time is it? Hand me the Doritos. #NephJC https://t.co/KdVJp0b35J |
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