#NephJC Transcript

Healthcare social media transcript of the #NephJC hashtag.
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See #NephJC Influencers/Analytics.

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Martin Wilkie @wilkiemart
It's important to consider competing risks - age, comorbidity & frailty, dialysate exposure, RRFn #nephJC https://t.co/B0Jpsyi0hE
Martin Wilkie @wilkiemart
Falling osmotic conductance is an important warning sign of significant membrane change - loss of the 60 min Dialysate sodium dip #nephjc
soda_troubles,https://med-mastodon.com/@haysam @set_fortess
RT @edgarvlermamd: Encapsulating Peritoneal Sclerosis Position Paper ๐Ÿ“ 2017 from @ISPD1 @PDIconnect #NephJC #Nephpearls ๐Ÿ‘‰๐Ÿผ https://t.co/FClbx82U4P https://t.co/17DFNTc1nB
soda_troubles,https://med-mastodon.com/@haysam @set_fortess
RT @NephJC: Need high suspicion of EPS. Intermittent progression. Anyone picked up early before bowel obstruction? #NephJC https://t.co/5gY0nFFPj8
Talk Sheffield @talk_sheffield
RT @renalpages:
Martin Wilkie @wilkiemart
Tweeting #nephjc already https://t.co/bUsFJnaQiX
Sarah Russo @RenalRusso
RT @edgarvlermamd: Encapsulating Peritoneal Sclerosis Position Paper ๐Ÿ“ 2017 from @ISPD1 @PDIconnect #NephJC #Nephpearls ๐Ÿ‘‰๐Ÿผ https://t.co/FClbx82U4P https://t.co/17DFNTc1nB
Kenar Jhaveri @kdjhaveri
RT @SuzanneNorby: Highly recommend! @ShaneBobart @Hishamneph @khaledshawwa @SorkkoT #nephjc https://t.co/ZklKm6cOCl
Ana Maria Matias @AMCMA6
RT @NephRodby: I tell my Fellows if a patient has been on PD for more than a couple years, anything funny is a clue for EPS until proven otherwise #nephjc
Daniel Coyne @DrDanMO
RT @NephJC: If you haven't already, sign up for our newsletter https://t.co/5aumn8ImwF Once a week, news, events and summaries #NephJC
Swapnil Hiremath @hswapnil@bsky.social @hswapnil
@toates_19 @wilkiemart @EdwinaB23513542 @renalpages And authors @markrlambie @hurstnellibert too #NephJC
Sarah Russo @RenalRusso
RT @ISPDVancouver: To be discussed on #nephjc in 2h: To be discussed on #nephjc in 2h: Length of Time on Peritoneal Dialysis and Encapsulating Peritoneal Sclerosis... https://t.co/QddoOzFN4r
Peritoneal Dialysis International Journal @PDI_Journal
Join the European edition of #NephJC tonight at 8 pm BST where the @ISPD1 Position paper for EPS will be discussed. https://t.co/0RM26Ap48D
Peritoneal Dialysis International Journal @PDI_Journal
Great turnout! Looking forward to the European Edition tonight! https://t.co/oVjFsQL2Je
Nephrology Journal Club @NephJC
RT @PDIconnect: Join the European edition of #NephJC tonight at 8 pm BST where the @ISPD1 Position paper for EPS will be discussed. https://t.co/0RM26Ap48D
Sibel Gokcay Bek @sibgokcay
RT @PDIconnect: Join the European edition of #NephJC tonight at 8 pm BST where the @ISPD1 Position paper for EPS will be discussed. https://t.co/0RM26Ap48D
Swapnil Hiremath @hswapnil@bsky.social @hswapnil
RT @KidneyCathy: Do you talk to patients about EPS? #nephjc
Swapnil Hiremath @hswapnil@bsky.social @hswapnil
RT @NephJC: See @JoanneBargman hilarious views on biomarkers (via @brownpa79 at #CSN17) #NephJC https://t.co/vBVjkCeTDs
Bea Concepcion @KidneyBea_n
RT @NephRodby: I tell my Fellows if a patient has been on PD for more than a couple years, anything funny is a clue for EPS until proven otherwise #nephjc
Arvind Canchi (Conjeevaram)๐Ÿ‡ฎ๐Ÿ‡ณ @arvindcanchi
RT @rheault_m: PD proteomics to predict Encapsulating peritoneal sclerosis #NephJC https://t.co/OcQf3lJ3We https://t.co/QIxty70OXr
soda_troubles,https://med-mastodon.com/@haysam @set_fortess
RT @rheault_m: PD proteomics to predict Encapsulating peritoneal sclerosis #NephJC https://t.co/OcQf3lJ3We https://t.co/QIxty70OXr
soda_troubles,https://med-mastodon.com/@haysam @set_fortess
RT @RupeeMaj: @caioqualunque @NephJC #nephjc https://t.co/xlgXjwceHW
soda_troubles,https://med-mastodon.com/@haysam @set_fortess
RT @edgarvlermamd: @ISPD1 @PDIconnect You know you're a #Nephrologist when you see this and you think of Encapsulated Peritoneal Sclerosis EPS #NephJC https://t.co/4anDEO26pD
soda_troubles,https://med-mastodon.com/@haysam @set_fortess
RT @edgarvlermamd: @ISPD1 @PDIconnect Encapsulated Peritoneal Sclerosis EPS #Nephpearls #NephJC ๐Ÿ‘‰๐Ÿผ https://t.co/mUwG5Yhhr3 https://t.co/4G2xuIe2xA
Alex Meraz @NephroGuy
RT @DoctorGates: The ISPD guidelines offered many worries but few solutions. Beware!! PD > 5 yrs, HD with cath, bacteremia risk, Endocard ris, etc #NephJC
Nephrology Journal Club @NephJC
30mins until #nephjc discusses EPS-time to read the summary https://t.co/d99J5cMaZ3 @CharlieTomson @caioqualunque @logiebear111 @wilkiemart
Nephrology Journal Club @NephJC
Will I be debating EPS guidelines with myself or will @taylorswift13 show up again? #nephjc
Swapnil Hiremath @hswapnil@bsky.social @hswapnil
@NephJC @taylorswift13 Hope authors show up: ping @markrlambie @hurstnellibert #nephjc
Nephrology Journal Club @NephJC
Will @DrMattGB @iamdoctord @Roxytonin @KoechKM @EdoardoMelilli @paulphel @PDIconnect @KanyeOfficiaI @Errantnephron & @EdKingdon be joining? https://t.co/Q4CTJsJjL6
Martin Wilkie @wilkiemart
Diagnosis requires listening to the at risk patients with non specific symptoms - there is no reliable screening tool #nephjc
Nephrology Journal Club @NephJC
2mins till we start on EPS - load of time to read the summary and pretend you read the whole thing #nephjc https://t.co/d99J5cMaZ3
Swapnil Hiremath @hswapnil@bsky.social @hswapnil
RT @wilkiemart: Diagnosis requires listening to the at risk patients with non specific symptoms - there is no reliable screening tool #nephjc
Martin Wilkie @wilkiemart
Is the recommendation around the use of neutral pH solutions over stated in this guideline? #nephjc
Nephrology Journal Club @NephJC
It's 8pm BST welcome to this week's #NephJC
Ivy Melgarejo @IvyM808
Hi! Ivy Melgarejo, medical resident from HI. Here to learn about EPS. No COI #nephjc
Nephrology Journal Club @NephJC
Please introduce yourself and declare clearly any COIs #NephJC #nephjc
Nephrology Journal Club @NephJC
@IvyM808 Hi Ivy, where is HI? #nephjc
Swapnil Hiremath @hswapnil@bsky.social @hswapnil
Swapnil Hiremath, nephrologist from @uOttawaMed Mostly lurking today. No CoI #NephJC https://t.co/h8bp4VKrlg
Rob Peel๐Ÿณ๏ธโ€๐ŸŒˆ๐Ÿ’™๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿด๓ ง๓ ข๓ ณ๓ ฃ๓ ด๓ ฟ @rabpeel
Rob, @nhshrenal PD enthusiast former understudy to G Woodrow- no COI #nephjc
Nephrology Journal Club @NephJC
I'm Tom, @toates_19. Nephrologist. London. I will be hosting this edition of #NephJC. No COIs. Not a PD specialist if I'm honest #NephJC
Florian Buchkremer @swissnephro
Florian Buchkremer, no COI, no personal experience with EPS #NephJC
Paul Phelan @paulphel
Paul Phelan, Edinburgh. Don't look after PD patients regularly anymore so mostly lurking/learning tonight. No COI #nephjc
Sharica Brookins, MD, FASN @DrBrookinsMD
#nephjc sharica, recent vandy bean team grad. No coi.
Nephrology Journal Club @NephJC
@Errantnephron Hi Omar #nephjc
Nephrology Journal Club @NephJC
@drpaddymark Hi Paddy #nephjc
Daniel Schwartz, MD @drdschwartzmd
Daniel Schwartz, Nephrologist, @ISPDVancouver co-chair no COI #NephJC
Nephrology Journal Club @NephJC
@paulphel Salve Paul #nephjc
Nephrology Journal Club @NephJC
@SBrookinsMD Hello Sharica #nephjc
Sharica Brookins, MD, FASN @DrBrookinsMD
#nephjc saw 1 case last year.
Nephrology Journal Club @NephJC
@drdschwartzmd @ISPDVancouver Hi Daniel #nephjc
Nephrology Journal Club @NephJC
@swissnephro Hi Florian #nephjc
Nephrology Journal Club @NephJC
@rabpeel @NHSHRenal Hi Rob we need @mancunianmedic so you and he can share stories about George's #nephjc
Nephrology Journal Club @NephJC
We recommend using tchat.io or https://t.co/rFoH4MVMzu. They filter out everything but the hashtag and add #NephJC to every tweet #nephjc
Nephrology Journal Club @NephJC
#nephjc https://t.co/4MOg2FxuHn
Nephrology Journal Club @NephJC
Please add #NephJC to each tweet (even replies!) so you can be part of the community
Paul Phelan @paulphel
Although i used to know a little about EPS, described our experience (n=11) as an SpR (time=risk;no shocker) #nephjc https://t.co/6pyvaEI5O9 https://t.co/guyHVFuvU3
Swapnil Hiremath @hswapnil@bsky.social @hswapnil
Hi Helen @hurstnellibert - there is an author in the house! #nephjc
Nephrology Journal Club @NephJC
@drbstewart Hi Ben #nephjc
Nephrology Journal Club @NephJC
Even if you are just lurking say hello to us with a hashtag so we can shout you out #nephjc
Nephrology Journal Club @NephJC
Wow! There's no controlling you lot tonight! #nephjc
Rob Peel๐Ÿณ๏ธโ€๐ŸŒˆ๐Ÿ’™๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿด๓ ง๓ ข๓ ณ๓ ฃ๓ ด๓ ฟ @rabpeel
@NephJC @rabpeel @NHSHRenal @mancunianmedic and @butnhs too #nephjc
Nephrology Journal Club @NephJC
Thanks to @ISPDVancouver & @drdschwartzmd for setting up + @wilkiemart @ISPD1 & @PDIconnect for support #nephjc
Nephrology Journal Club @NephJC
Hi Helen thanks so much for coming, please try and put #nephjc in your tweets otherwise people will miss them! https://t.co/YxtYLCfdfa
Mark Lambie @markrlambie
Hi, from Stoke. COI co-author. #nephjc
Martin Wilkie @wilkiemart
Agreed https://t.co/vwn5o4tYlX
Nephrology Journal Club @NephJC
@markrlambie Hi Mark. Thanks so much for joining us on #nephjc
Nephrology Journal Club @NephJC
We will be discussing thisย @PDIconnectย @ISPD1ย Position Statement on EPSย https://t.co/25FySV6lSjย tonight #NephJC
Garima Aggarwal @gag_aggarwal
RT @NephJC: Even if you are just lurking say hello to us with a hashtag so we can shout you out #nephjc
Peritoneal Dialysis International Journal @PDI_Journal
Looking forward to another great discussion! #nephjc
Peritoneal Dialysis International Journal @PDI_Journal
Join the Discussion! https://t.co/I4PDLcIsTE
Nephrology Journal Club @NephJC
Summary from @dr_nikhilshah here https://t.co/d99J5cMaZ3 has original graphics &is a punchy read that I'd reccomend using for jr drs #NephJC
Nephrology Journal Club @NephJC
@SyedObaidAmin1 Hello Sir #nephjc
Nephrology Journal Club @NephJC
Also huge thanks to @suziekjos who supplied us with this personal patient experience cc @kidneycareuk https://t.co/QXqMfxInn4 #NephJC
Peritoneal Dialysis International Journal @PDI_Journal
Thankfully a number of recent studies show a reduction in the incidence of EPS - probably through management of risk factors #nephjc https://t.co/ckZyDf9BFw
Nephrology Journal Club @NephJC
Argh! My @Ocado driver has come early when I am trying to chair this! #nephjc
Mark Lambie @markrlambie
@paulphel Need to be careful with KM estimator. Biased to overestimate risk with strong competing risk. #nephjc
Nephrology Journal Club @NephJC
@unicipa Hi Zoran #nephjc
Jive Cambridge @jivecambridge
RT @drbstewart:
Rob Peel๐Ÿณ๏ธโ€๐ŸŒˆ๐Ÿ’™๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿด๓ ง๓ ข๓ ณ๓ ฃ๓ ด๓ ฟ @rabpeel
@NephJC @Ocado first world problems #nephjc
Nephrology Journal Club @NephJC
OK start with some personal experience - T0: have you seen EPS? If so, whilst on PD or after change to HD or Tx? #NephJC
Rob Peel๐Ÿณ๏ธโ€๐ŸŒˆ๐Ÿ’™๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿด๓ ง๓ ข๓ ณ๓ ฃ๓ ด๓ ฟ @rabpeel
T0 yes both on and after switch #nephjc
soda_troubles,https://med-mastodon.com/@haysam @set_fortess
RT @Errantnephron:
Swapnil Hiremath @hswapnil@bsky.social @hswapnil
Another author in the house: MT @markrlambie: Need to be careful with KM estimator. #nephjc
Martin Wilkie @wilkiemart
We saw several cases in the 90s and noughties - thankfully it is extremely rare now in our practice - however it remains a concern #nephjc https://t.co/IULim3Km1b
Paul Phelan @paulphel
T0 seen a few as a trainee after switch in modality (1 to HD due to UF failure & 2 post transplant) #nephjc
Nephrology Journal Club @NephJC
PD specialists @wilkiemart @markrlambie - are you seeing fewer cases? #nephjc
Nephrology Journal Club @NephJC
RT @wilkiemart: We saw several cases in the 90s and noughties - thankfully it is extremely rare now in our practice - however it remains a concern #nephjc https://t.co/IULim3Km1b
Garima Aggarwal @gag_aggarwal
@NephJC #nephjc Seeing one right now,10yrs on PD,non classical thickened membrane on Ct, admitted with suspected bowel obstruction, lost 10kgs/mnth
Nephrology Journal Club @NephJC
RT @unicipa:
Peritoneal Dialysis International Journal @PDI_Journal
Can you explain a bit more @markrlambie https://t.co/jyu20h5snk
Nephrology Journal Club @NephJC
T0 part 2: what are the outcomes? The g/l mentions 50% mortality based on https://t.co/0wiVgGj8yj & https://t.co/M3I1s4wnM1 #nephjc
Rob Peel๐Ÿณ๏ธโ€๐ŸŒˆ๐Ÿ’™๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿด๓ ง๓ ข๓ ณ๓ ฃ๓ ด๓ ฟ @rabpeel
@NephJC @wilkiemart @markrlambie we have seen fewer over recent years- could it be fixing leaky tanks in Dublin?? #nephjc
Paul Phelan @paulphel
Absolutely. The few survivors remaining at the end of analysis (>8 years) all developed EPS #nephjc https://t.co/1fPBXtOMst
Mark Lambie @markrlambie
@toates_19 @drpaddymark PD-CRAFT collecting almost national data on EPS currently. Strong impression falling EPS rate certainly less than report Scotland. #NephJC
Nephrology Journal Club @NephJC
@PDIconnect @markrlambie Agree - #nephjc for all nephros so KM estimator might need a bit of explaining
Nephrology Journal Club @NephJC
@PDIconnect @markrlambie Ah I see it was in reply to a Kaplan-Meier #nephjc
Nephrology Journal Club @NephJC
Ok - lets discuss the paper itself starting with methods #NephJC
Martin Wilkie @wilkiemart
Possibly - but mostly much less dialysis exposure - glucose, time & poss infection #NephJC https://t.co/STFAGp34Sf
Rob Peel๐Ÿณ๏ธโ€๐ŸŒˆ๐Ÿ’™๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿด๓ ง๓ ข๓ ณ๓ ฃ๓ ด๓ ฟ @rabpeel
RT @hurstnellibert:
Nephrology Journal Club @NephJC
Background: since risk of EPS increases with time, one opinion to switch patients after 5 years or soย #NephJCย Anyone do that here? #NephJC
Peritoneal Dialysis International Journal @PDI_Journal
Normally guidelines would use grade? @markrlambie #nephjc https://t.co/NF6RIYJ9xE
Rob Peel๐Ÿณ๏ธโ€๐ŸŒˆ๐Ÿ’™๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿด๓ ง๓ ข๓ ณ๓ ฃ๓ ด๓ ฟ @rabpeel
@NephJC most of my patients would refuse if they got to 5 years- and could blame them with our geography #nephjc
Mark Lambie @markrlambie
@wilkiemart 1/2 Current work in Stoke - suggests period effect on solute transport i.e. effect of time on PD prob changes from 90's to now. #NephJC
Nephrology Journal Club @NephJC
@PDIconnect @markrlambie Agree, T1: methods paper seems written like a consensus statement. No details of literature review, assessment of data GRADE etc #NephJC
Nephrology Journal Club @NephJC
RT @rabpeel: @NephJC most of my patients would refuse if they got to 5 years- and could blame them with our geography #nephjc
Mark Lambie @markrlambie
@wilkiemart 2/2 @rabpeel 's leaky tank might have something in it... #NephJC
Nephrology Journal Club @NephJC
@rabpeel on which note, is there any Australian data? #nephjc
Nephrology Journal Club @NephJC
T1: Methods 3 aims: - review epidemiology - determine risk factors - consensus on length of time it is safe to remain on PD #NephJC
Rob Peel๐Ÿณ๏ธโ€๐ŸŒˆ๐Ÿ’™๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿด๓ ง๓ ข๓ ณ๓ ฃ๓ ด๓ ฟ @rabpeel
@NephJC @rabpeel low rates in ANZ data and Japan #nephjc
Mark Lambie @markrlambie
@NephJC @PDIconnect It's not a guideline - too much money required for that, @ISPD is not so rich... Important to have something so 'position statement' #NephJC
Nephrology Journal Club @NephJC
T2: So let's move on to the position st. itself. Epidemiology difficult stuff as shown here #NephJC https://t.co/7fGqumIZn6
Timothy Yau @Maximal_Change
@NephJC @WUNephrology Sorry forgot the #NephJC
Nephrology Journal Club @NephJC
@Maximal_Change @WUNephrology Tim! Hello to you in the Lou! #nephjc
Mark Lambie @markrlambie
@NephJC @rabpeel Unpublished (but ref'd in statement) work shows 8x increase risk in Scotland compared with @ANZDATARegistry #NephJC
Peritoneal Dialysis International Journal @PDI_Journal
From an expert panel https://t.co/JWtrp2ip4A
Nephrology Journal Club @NephJC
@markrlambie @PDIconnect @iSPD Interesting - what is the main cost in guideline formation? #nephjc
ab153 @im453
@NephJC Iain Moore. Middlesbrough. Lurking. Known a couple of EPS cases. We'd not let anyone continue to 5yrs; generally accepted in NE #nephjc
Nephrology Journal Club @NephJC
RT @markrlambie: @NephJC @rabpeel Unpublished (but ref'd in statement) work shows 8x increase risk in Scotland compared with @ANZDATARegistry #NephJC
Nephrology Journal Club @NephJC
RT @hurstnellibert:
Nathaniel Reisinger @nephrothaniel
#nephjc
Rob Peel๐Ÿณ๏ธโ€๐ŸŒˆ๐Ÿ’™๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿด๓ ง๓ ข๓ ณ๓ ฃ๓ ด๓ ฟ @rabpeel
@markrlambie @wilkiemart many authors have big COI with Baxter! #nephjc
Nephrology Journal Club @NephJC
T2: 1 problem with EPS; estimates vary so widely. Incidence 0.7/13.6/100pt/yrs Prevalence 0.4-8.9%... #NephJC https://t.co/WxeftVazYB
Martin Wilkie @wilkiemart
Is there a clue why ? #NephJC https://t.co/xxlzwoaTes
Nephrology Journal Club @NephJC
@drpaddymark @markrlambie @rabpeel @ANZDATARegistry pointing the finger at Paddy here #nephjc
Swapnil Hiremath @hswapnil@bsky.social @hswapnil
RT @markrlambie: @NephJC @rabpeel Unpublished (but ref'd in statement) work shows 8x increase risk in Scotland compared with @ANZDATARegistry #NephJC
Timothy Yau @Maximal_Change
@NephJC @WUNephrology Dying here in the heat #nephjc https://t.co/WryInvoL17
Rob Peel๐Ÿณ๏ธโ€๐ŸŒˆ๐Ÿ’™๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿด๓ ง๓ ข๓ ณ๓ ฃ๓ ด๓ ฟ @rabpeel
@NephJC @drpaddymark @markrlambie @rabpeel @ANZDATARegistry harsh - we had our share in Inverness #nephjc
Swapnil Hiremath @hswapnil@bsky.social @hswapnil
RT @markrlambie: @wilkiemart 1/2 Current work in Stoke - suggests period effect on solute transport i.e. effect of time on PD prob changes from 90's to now. #NephJC
Mark Lambie @markrlambie
@NephJC @PDIconnect @iSPD Getting people together, usually at exotic location, plus major time commitment. See international renal guideline group as e.g.! #NephJC
Nephrology Journal Club @NephJC
@Maximal_Change @WUNephrology How are the @Cardinals doing this year? #nephjc dislikes the @Cardinals
Martin Wilkie @wilkiemart
True - small field - difficult to avoid - the whole community needs to tackle eps - industry & HCPs #NephJC https://t.co/SLrxNlICQv
Nephrology Journal Club @NephJC
T2:most stats in paper hv 10-20x differncs in everything reported across centres. Can you think epidemiologically with that variatn? #NephJC
Simon Davies @simonsingingdoc
@wilkiemart under and over recognition must be part of it. #NephJC
Martin Wilkie @wilkiemart
Case ascertainment is an issue #nephjc https://t.co/26ba8ShlxS
Mark Lambie @markrlambie
@wilkiemart Possibly: ascertainment bias, higher index of suspicion in Scotland, but differences in manufacturing still a possible explanation. #NephJC
Rob Peel๐Ÿณ๏ธโ€๐ŸŒˆ๐Ÿ’™๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿด๓ ง๓ ข๓ ณ๓ ฃ๓ ด๓ ฟ @rabpeel
T2 you can't bury your head because its difficult- its a dreadful condition #nephjc
Nephrology Journal Club @NephJC
@wilkiemart on which note;is 'fibrous cocoon wrapped around bowel diagnostic' good enough or do we need clear diagnostic criteria? #NephJC
Nephrology Journal Club @NephJC
RT @rabpeel: T2 you can't bury your head because its difficult- its a dreadful condition #nephjc
Swapnil Hiremath @hswapnil@bsky.social @hswapnil
#NephJC Simon Davies is on twitter BTW https://t.co/R1m1yW05rF
Martin Wilkie @wilkiemart
Structural (imaging / Histopath) + functional change e.g. Subacute obstruction #NephJC https://t.co/IYKF1up1VN
Rob Peel๐Ÿณ๏ธโ€๐ŸŒˆ๐Ÿ’™๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿด๓ ง๓ ข๓ ณ๓ ฃ๓ ด๓ ฟ @rabpeel
RT @NephJC: Also huge thanks to @suziekjos who supplied us with this personal patient experience cc @kidneycareuk https://t.co/QXqMfxInn4 #NephJC
Nephrology Journal Club @NephJC
@hurstnellibert so is it time to nail down objective diagnostic criteria? Is this realistic? #nephjc
Peritoneal Dialysis International Journal @PDI_Journal
Absolutely- a nuanced approach required - hence the position document #nephjc https://t.co/K3xfj1nvg6
Nephrology Journal Club @NephJC
Predicting EPS: biomarkers, membrane function not very useful so as @wilkiemart says we are left with structure & function #NephJC
Mark Lambie @markrlambie
@NephJC @PDIconnect @iSPD Plus most guidelines on something so rare would be 2D, not much of a guideline... #NephJC
Nephrology Journal Club @NephJC
@markrlambie @PDIconnect @iSPD very good point #nephjc
Nephrology Journal Club @NephJC
See @JoanneBargman (an author) views on biomarkers (via @brownpa79 at #CSN17) #NephJC https://t.co/vBVjkCeTDs #NephJC
Simon Davies @simonsingingdoc
@wilkiemart ultimately no substitute for direct vision. In favour of pursuing the diagnosis and using experts #NephJC
ab153 @im453
@NephJC @drpaddymark @markrlambie @rabpeel @ANZDATARegistry One assumes the Scottish Neph community just better at diagnosing EPS?! #nephjc
Nephrology Journal Club @NephJC
T3: incidence does seem to be decreasing - does it mirror PD uptake rates? With recent (re-)growth in PD shld we search 4more cases? #NephJC
Mark Lambie @markrlambie
@NephJC @wilkiemart Time on PD and risk of death probably very strong predictors so not much room left for others. Na dipping might help but unproven. #NephJC
Nephrology Journal Club @NephJC
@simonsingingdoc @wilkiemart Should a high index suspicion prompt an early "look see" from specialist surgical centre? #nephjc
Mark Lambie @markrlambie
@im453 @NephJC @drpaddymark @rabpeel @ANZDATARegistry Hard to imagine entirely responsible for 8-fold difference. #NephJC
Rob Peel๐Ÿณ๏ธโ€๐ŸŒˆ๐Ÿ’™๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿด๓ ง๓ ข๓ ณ๓ ฃ๓ ด๓ ฟ @rabpeel
@EdoardoMelilli @NephJC @wilkiemart @m_quero_r @nesirama our PD numbers have fallen but not as much as EPS- but we changed fluids #nephjc
Martin Wilkie @wilkiemart
Submit to @ISPDVancouver ?#nephjc https://t.co/zU35DEAKlr
Nephrology Journal Club @NephJC
#nephjc - excellent point - should we be referring these pts to specialist surgical centres earlier #nephjc https://t.co/yVBq5SPq55
Nephrology Journal Club @NephJC
@markrlambie @im453 @drpaddymark @rabpeel @ANZDATARegistry Enjoyable trash talking #nephjc
Nephrology Journal Club @NephJC
#nephjc https://t.co/0eEISwgq3I
Nephrology Journal Club @NephJC
Ok T4: management - who is doing what? #NephJC
Daniel Schwartz, MD @drdschwartzmd
@NephJC @simonsingingdoc @wilkiemart Important to have high index suspicion and catch early - worth intervention if available #nephjc
Martin Wilkie @wilkiemart
Nutritional support, early referral to tertiary centre for assessment- peritoniectomy; tamoxifen & steroids uncertain #NephJC https://t.co/WvgTTRLx1n
Rob Peel๐Ÿณ๏ธโ€๐ŸŒˆ๐Ÿ’™๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿด๓ ง๓ ข๓ ณ๓ ฃ๓ ด๓ ฟ @rabpeel
T4 a bit of pred a bit of tamoxifen- avoid the surgeons if at all possible unless specialist and good nutrition and dialysis #nephjc
Nephrology Journal Club @NephJC
T4: if on PD, stop. Switch to HD and take the catheter out. In JPN cath left in and lavaged. Any users? #NephJC
Nephrology Journal Club @NephJC
@wilkiemart Lots of love for Tamoxifen - less harmful than steroids? #nephjc
Nephrology Journal Club @NephJC
#nephjc https://t.co/vfkGBB40ZR
Martin Wilkie @wilkiemart
There may be a role for peritoneal lavage to avoid apposition- again uncertain #nephjc https://t.co/y4SWs1KJzX
Nephrology Journal Club @NephJC
RT @wilkiemart: There may be a role for peritoneal lavage to avoid apposition- again uncertain #nephjc https://t.co/y4SWs1KJzX
Daniel Schwartz, MD @drdschwartzmd
@Errantnephron @NephJC We don't have access to surgical management - helpful to share centres of excellence #nephjc
Rob Peel๐Ÿณ๏ธโ€๐ŸŒˆ๐Ÿ’™๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿด๓ ง๓ ข๓ ณ๓ ฃ๓ ด๓ ฟ @rabpeel
@NephJC never done it but it sounds good- we sent one to Manchester #nephjc
Nephrology Journal Club @NephJC
T4: anyone want to speak up for azathioprine or mTORi? #nephjc @wilkiemart @markrlambie @simonsingingdoc
Nephrology Journal Club @NephJC
@simonsingingdoc @drdschwartzmd @wilkiemart Am I right that Manchester & Cambridge only specialist centres at present in UK? #nephjc
Mark Lambie @markrlambie
@NephJC @wilkiemart Only evidence is case series, which aren't published if outcomes bad, and basic science. #NephJC
Martin Wilkie @wilkiemart
MTORiuncertain also - case reports are inconsistent #nephjc https://t.co/cihQ8XXpQj
Nephrology Journal Club @NephJC
Summary statements are here https://t.co/14GuRnTQ8M #NephJC
ab153 @im453
@simonsingingdoc @NephJC @wilkiemart @markrlambie I second that #nephjc
Nephrology Journal Club @NephJC
Anyone referred a patient for home TPN? #nephjc
Mark Lambie @markrlambie
@simonsingingdoc @NephJC @wilkiemart I'm with @simonsingingdoc , no equivocation there! #NephJC
ab153 @im453
RT @NephJC: #nephjc - excellent point - should we be referring these pts to specialist surgical centres earlier #nephjc https://t.co/yVBq5SPq55
Nephrology Journal Club @NephJC
#nephjc https://t.co/Q6RosF1WR6
Rob Peel๐Ÿณ๏ธโ€๐ŸŒˆ๐Ÿ’™๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿด๓ ง๓ ข๓ ณ๓ ฃ๓ ด๓ ฟ @rabpeel
@NephJC TPN yes but never got home sadly #nephjc
Mark Lambie @markrlambie
@NephJC Have 1 pt several years out, no surgical Rx, occasional exacerbation, still on TPN. #NephJC
Peritoneal Dialysis International Journal @PDI_Journal
We had a case at home - there is a series in PDI of TPN - not home though #nephjc https://t.co/rbsUavnolX
Nephrology Journal Club @NephJC
We are coming to the end...can any of our experts make a comment about relative contributions from diferent solutions? #nephjc
ab153 @im453
@NephJC Unfortunately I guess we'll see more. Have to work harder to pick up early #nephjc
Rob Peel๐Ÿณ๏ธโ€๐ŸŒˆ๐Ÿ’™๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿด๓ ง๓ ข๓ ณ๓ ฃ๓ ด๓ ฟ @rabpeel
@NephJC not if they don't want to be sued! #nephjc
ab153 @im453
RT @NephJC: Summary statements are here https://t.co/14GuRnTQ8M #NephJC
Simon Davies @simonsingingdoc
@NephJC in JPN they have seen fewer cases since ICO was introduced so hard to see this is a cause #NephJC
Nephrology Journal Club @NephJC
@rabpeel ๐Ÿ˜‚ #nephjc
Martin Wilkie @wilkiemart
Thanks #nephjc
Nephrology Journal Club @NephJC
Ok, let's wrap up - rare, don't time limit PD out of fear, but be aware, support nutrition, refer early for surgery #nephjc
Mark Lambie @markrlambie
@simonsingingdoc @NephJC Only personal opinions with insufficient evidence. EPS occurs in pts on standard, biocompatible, Ico, no Ico. #NephJC
Nephrology Journal Club @NephJC
Thanks to @PDIconnect & let's all go to @ISPDVancouver #NephJC
Florian Buchkremer @swissnephro
Very informative chat with a great faculty! Thanks @NephJC @Toates_19 and all! #NephJC
Rob Peel๐Ÿณ๏ธโ€๐ŸŒˆ๐Ÿ’™๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿด๓ ง๓ ข๓ ณ๓ ฃ๓ ด๓ ฟ @rabpeel
Thanks Tom- go put your shopping away now! #nephjc
Peritoneal Dialysis International Journal @PDI_Journal
Thank you for hosting! #nephjc
Nephrology Journal Club @NephJC
If you haven't already, sign up for our newsletter https://t.co/5aumn8ImwF Once a week, news, events and summaries #NephJC
Swapnil Hiremath @hswapnil@bsky.social @hswapnil
RT @rabpeel: T4 a bit of pred a bit of tamoxifen- avoid the surgeons if at all possible unless specialist and good nutrition and dialysis #nephjc
Nephrology Journal Club @NephJC
RT @markrlambie: @simonsingingdoc @NephJC Only personal opinions with insufficient evidence. EPS occurs in pts on standard, biocompatible, Ico, no Ico. #NephJC
Nephrology Journal Club @NephJC
@rabpeel Ice cream has melted by now #nephjc
Rob Peel๐Ÿณ๏ธโ€๐ŸŒˆ๐Ÿ’™๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿด๓ ง๓ ข๓ ณ๓ ฃ๓ ด๓ ฟ @rabpeel
RT @NephJC: @rabpeel ๐Ÿ˜‚ #nephjc
ab153 @im453
RT @NephJC: If you haven't already, sign up for our newsletter https://t.co/5aumn8ImwF Once a week, news, events and summaries #NephJC
ab153 @im453
Excellent session @NephJC thanks! https://t.co/CZAoeVQnOS
Nephrology Journal Club @NephJC
Also, my friends at @ImperialNHS would like me to draw attention to their dialysis course https://t.co/sqXsGXpLrI #nephjc
Nephrology Journal Club @NephJC
Want to thank our guest experts, but this is me @toates_19, signing off #nephjc
Swapnil Hiremath @hswapnil@bsky.social @hswapnil
RT @NephJC: Thanks to @PDIconnect & let's all go to @ISPDVancouver #NephJC
Swapnil Hiremath @hswapnil@bsky.social @hswapnil
RT @markrlambie: @simonsingingdoc @NephJC Only personal opinions with insufficient evidence. EPS occurs in pts on standard, biocompatible, Ico, no Ico. #NephJC
Multimed Inc @MultimedInc
RT @NephJC: Thanks to @PDIconnect & let's all go to @ISPDVancouver #NephJC
Peritoneal Dialysis International Journal @PDI_Journal
RT @NephJC: Thanks to @PDIconnect & let's all go to @ISPDVancouver #NephJC
Timothy Yau @Maximal_Change
@NephJC @WUNephrology @Cardinals Sacrilege to say this here but I don't really like baseball :( #NephJC
Peritoneal Dialysis International Journal @PDI_Journal
RT @NephJC: Also, my friends at @ImperialNHS would like me to draw attention to their dialysis course https://t.co/sqXsGXpLrI #nephjc
Swapnil Hiremath @hswapnil@bsky.social @hswapnil
The EU chat numbers: 271 Tweets. 50 Participants. 632,685 Impressions. More #NephJC ๐Ÿ“Š here https://t.co/uXW5Wo0QJT via @symplur https://t.co/PayiPyU36e
ุฏ. ุนุจุฏุงู„ุฑุญู…ู† ุงู„ุฐูŠุงุจูŠ @DrNephron83
RT @edgarvlermamd: Encapsulating Peritoneal Sclerosis Position Paper ๐Ÿ“ 2017 from @ISPD1 @PDIconnect #NephJC #Nephpearls ๐Ÿ‘‰๐Ÿผ https://t.co/FClbx82U4P https://t.co/17DFNTc1nB
Annadeane Kerr ๐Ÿ‡บ๐Ÿ‡ฆ๐Ÿ‡จ๐Ÿ‡ฆ @CottageBagPiper
RT @hswapnil: Swapnil Hiremath, nephrologist from @uOttawaMed Mostly lurking today. No CoI #NephJC https://t.co/h8bp4VKrlg
M.Hamzaoui @nephrohamzaoui
RT @swissnephro: ๐Ÿ”ฌBloody peritoneal dialysate. Always fascinated by how little blood colors the whole bag! https://t.co/Kd769TLoKq #nephpearls #NephJC https://t.co/ictXaAy4ni
Kevin J. Fowler Principal The Voice of the Patient @gratefull080504
@rheault_m: Agreed and how about #kidneydisease patients? cc @Nephro_Sparks @ASNKidney #nephJC https://t.co/4zucVlj0A2
ISPD 2018 Vancouver @ISPDVancouver
RT @NephJC: Thanks to @PDIconnect & let's all go to @ISPDVancouver #NephJC
ู…ุญุฐูˆู @milardport
RT @NephJC: See @JoanneBargman (an author) views on biomarkers (via @brownpa79 at #CSN17) #NephJC https://t.co/vBVjkCeTDs #NephJC
ู…ุญุฐูˆู @milardport
RT @NephJC: Please add #NephJC to each tweet (even replies!) so you can be part of the community
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