#NephJC Transcript
Healthcare social media transcript of the #NephJC hashtag.
โ ().
See #NephJC Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Nephrology Journal Club @NephJC #NephJC on the ISPD Position Paper on Encapsulating Peritoneal Sclerosis. July 11 a... - https://t.co/NJ2ew4q6Wg |
 | Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: #NephJC on the ISPD Position Paper on Encapsulating Peritoneal Sclerosis. July 11 a... - https://t.co/NJ2ew4q6Wg |
 | Peritoneal Dialysis International Journal @PDI_Journal Join the discussion about @ISPD1 Position Paper on EPS tonight at 9pm EST w/ @NephJC! Find out how to join here: https://t.co/xOVNfMg9As https://t.co/x0Zu0Vva06 |
 | Multimed Inc @MultimedInc RT @PDIconnect: Join the discussion about @ISPD1 Position Paper on EPS tonight at 9pm EST w/ @NephJC! Find out how to join here: https://t.co/xOVNfMg9As https://t.co/x0Zu0Vva06 |
 | soda_troubles,https://med-mastodon.com/@haysam @set_fortess A prospective, proteomics study identified EPS in peritoneal effluent #nephjc https://t.co/JUnvtvoBxf |
| Nephrology Journal Club @NephJC RT @PDIconnect: Join the discussion about @ISPD1 Position Paper on EPS tonight at 9pm EST w/ @NephJC! Find out how to join here: https://t.co/xOVNfMg9As https://t.co/x0Zu0Vva06 |
| Nephrology Journal Club @NephJC #NephJC chat tonight Join @ISPD1 & @ISPDVancouver tonight at 9 Summary: https://t.co/d99J5cMaZ3 Full text: https://t.co/25FySV6lSj |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: #NephJC chat tonight Join @ISPD1 & @ISPDVancouver tonight at 9 Summary: https://t.co/d99J5cMaZ3 Full text: https://t.co/25FySV6lSj |
 | Awais Nauman @awais_nauman RT @rheault_m: Encapsulating peritoneal sclerosis occurs in children on PD too! Prevalence 1.5% from European registry data #NephJC https://t.co/XocBmOTwN6 https://t.co/z1HC7zBY0p |
 | Florian Buchkremer @swissnephro ๐ฌBloody peritoneal dialysate. Always fascinated by how little blood colors the whole bag! https://t.co/Kd769TLoKq #nephpearls #NephJC https://t.co/ictXaAy4ni |
 | Nikhil Shah MBBS DNB(IM, Neph)๐จ๐ฆ @dr_nikhilshah RT @NephJC: #NephJC chat tonight Join @ISPD1 & @ISPDVancouver tonight at 9 Summary: https://t.co/d99J5cMaZ3 Full text: https://t.co/25FySV6lSj |
| Nikhil Shah MBBS DNB(IM, Neph)๐จ๐ฆ @dr_nikhilshah RT @PDIconnect: Join the discussion about @ISPD1 Position Paper on EPS tonight at 9pm EST w/ @NephJC! Find out how to join here: https://t.co/xOVNfMg9As https://t.co/x0Zu0Vva06 |
 | Michelle Rheault @rheault_m PD proteomics to predict Encapsulating peritoneal sclerosis #NephJC https://t.co/OcQf3lJ3We https://t.co/QIxty70OXr |
 | ISPD 2018 Vancouver @ISPDVancouver RT @PDIconnect: Join the discussion about @ISPD1 Position Paper on EPS tonight at 9pm EST w/ @NephJC! Find out how to join here: https://t.co/xOVNfMg9As https://t.co/x0Zu0Vva06 |
| ISPD 2018 Vancouver @ISPDVancouver To be discussed on #nephjc in 2h: Length of Time on Peritoneal Dialysis and Encapsulating Peritoneal Sclerosis... https://t.co/QddoOzFN4r |
 | Nephrology Now @nephrologynow 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 |
 | Robert Hickey @ESRDguy 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 |
| Nikhil Shah MBBS DNB(IM, Neph)๐จ๐ฆ @dr_nikhilshah 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 |
 | gub70725 @gub70725 RT @rheault_m: PD proteomics to predict Encapsulating peritoneal sclerosis #NephJC https://t.co/OcQf3lJ3We https://t.co/QIxty70OXr |
| Nephrology Journal Club @NephJC 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 |
| Nephrology Journal Club @NephJC RT @rheault_m: PD proteomics to predict Encapsulating peritoneal sclerosis #NephJC https://t.co/OcQf3lJ3We https://t.co/QIxty70OXr |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil 60 minutes for #NephJC - not too late to read the paper - or the summary: https://t.co/vixPzroyt6 |
| Nephrology Journal Club @NephJC RT @hswapnil: 60 minutes for #NephJC - not too late to read the paper - or the summary: 60 minutes for #NephJC - not too late to read the paper - or the summary: https://t.co/vixPzroyt6 |
 | Hector Madariaga, MD FASN ๐ฒ๐ฝ @HecmagsMD RT @hswapnil: 60 minutes for #NephJC - not too late to read the paper - or the summary: 60 minutes for #NephJC - not too late to read the paper - or the summary: https://t.co/vixPzroyt6 |
| Nephrology Journal Club @NephJC Predicting EPS: biomarkers, membrane function not very useful (nb: @JoanneBargman is an author, so not surprising) #NephJC |
| Nephrology Journal Club @NephJC just over 10 minutes to go - anyone here? #nephjc |
 | Daniel Schwartz, MD @drdschwartzmd Excited for #nephjc and so pleased to have it co-hosted by @ISPDVancouver Hope to see a great turnout from the PD community |
| ISPD 2018 Vancouver @ISPDVancouver RT @drdschwartzmd: Excited for #nephjc and so pleased to have it co-hosted by @ISPDVancouver Hope to see a great turnout from the PD community |
| Nephrology Journal Club @NephJC RT @drdschwartzmd: Excited for #nephjc and so pleased to have it co-hosted by @ISPDVancouver Hope to see a great turnout from the PD community |
| ISPD 2018 Vancouver @ISPDVancouver ISPD Vancouver 2018 is so excited to be co-hosting #nephjc session on this important topic https://t.co/NCazULQL2M |
| Nephrology Journal Club @NephJC RT @ISPDVancouver: ISPD Vancouver 2018 is so excited to be co-hosting #nephjc session on this important topic https://t.co/NCazULQL2M |
 | QxMD | Your Personalized Medical Journal @QxMD #nephjc attendees who use Read by @QxMD can get paper with this link https://t.co/x4LKcNrT1z |
| Nephrology Journal Club @NephJC RT @QxMD: #nephjc attendees who use Read by @QxMD can get paper with this link https://t.co/x4LKcNrT1z |
 | Matthew Sparks, MD @Nephro_Sparks Matt Sparks, @DukeKidney APD, no COI, in and out tonight #nephjc |
| Nephrology Journal Club @NephJC It's 9 pm! Welcome to the PD edition of #NephJC Your moderator tonight is Swap @hswapnil |
| Nephrology Journal Club @NephJC Please introduce yourself & declare any CoI (conflicts of interest) Even if you are lurking, wave ๐ #NephJC |
 | Brian Stotter, MD @StotterMD Brian Stotter, fellow at Boston Childrenโs, no COI #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil Swapnil Hiremath, nephrologist from @OttawaHospital @ottawarenal #NephJC cofounder. No CoI https://t.co/gJiNiqO0yy |
 | Poyan Mehr @poyanmehr RT @ISPDVancouver: ISPD Vancouver 2018 is so excited to be co-hosting #nephjc session on this important topic https://t.co/NCazULQL2M |
| Nephrology Journal Club @NephJC Big Thanks to @ISPDVancouver & @drdschwartzmd for setting up, & cohosting tonight + @wilkiemart @ISPD1 & @PDIconnect for support #NephJC |
| Daniel Schwartz, MD @drdschwartzmd Daniel Schwartz, PD nephrologist, ISPD 2018 co-chair, no COI #NephJC |
| Michelle Rheault @rheault_m @NephJC Michelle Rheault, Ped Neph at UMN. Love PD. COI in bio. #nephjc |
| Matthew Sparks, MD @Nephro_Sparks Yeah, the PD community really brings it. #nephjc |
| Nephrology Journal Club @NephJC Hey Matt, Brian! And thanks again Daniel for helping & cohosting tonight! #nephjc |
| Poyan Mehr @poyanmehr Ali Poyan Mehr from Boston. No COI. #nephjc |
 | Bea Concepcion @KidneyBea_n Hello, Bea Concepcion, Nashville TN, No COI, #NSMC 2017 intern #nephjc |
| Matthew Sparks, MD @Nephro_Sparks @SemInDial hmmm Roger taking at 3 account... dangerous #nephjc |
| Matthew Sparks, MD @Nephro_Sparks @KidneyBea_n Hi Bea #nephjc |
| Nephrology Journal Club @NephJC Bea - representing NSMC & there was @kidneycathy around too? #nephjc |
 | Pablo Garcia @PabloGarciaMD Pablo Garcia. New Brunswick, NJ. 2017 NSMC Intern No CoI #nephjc |
| Matthew Sparks, MD @Nephro_Sparks @rheault_m Hi Michelle. had a nice discussion today about 80ml volumes in PD for peds #nephjc |
| Matthew Sparks, MD @Nephro_Sparks @PabloGarciaMD Hi Pablo #nephjc |
| Matthew Sparks, MD @Nephro_Sparks @poyanmehr Hi Ali, hope you are well #nephjc |
| Nephrology Journal Club @NephJC Hi Michelle (head started on tweets), Pablo (NSMC), Ali and Seminars in Dialysis Asst Editor, @NephRodby #nephjc |
 | Arvind Canchi (Conjeevaram)๐ฎ๐ณ @arvindcanchi Arvind Canchi, Nephrologist from Bangalore. Good Morning All. No COI. Doing more acute PD these days than CAPD. #nephjc |
 | Cathy Quinlan @CathyQuinlan.bsky.social @KidneyCathy Paed neph, clinician researcher, clinical lead for PD @RCHMelbourne excited for #nephjc today as paper plays to my bias! no COI |
| Matthew Sparks, MD @Nephro_Sparks @drdschwartzmd Hi Daniel #nephjc |
| Michelle Rheault @rheault_m @Nephro_Sparks I think my lowest starting fill volume has been 20ml. #nephJC |
| Matthew Sparks, MD @Nephro_Sparks @StotterMD Brian... thanks for joining #nephjc |
| Matthew Sparks, MD @Nephro_Sparks wow RT @rheault_m: @Nephro_Sparks I think my lowest starting fill volume has been 20ml. #nephJC |
| Matthew Sparks, MD @Nephro_Sparks @KidneyCathy @RCHMelbourne Hi Cathy. hope you are well #nephjc |
| Nephrology Journal Club @NephJC @arvindcanchi morning Arvind! 7:30 am in Bengaluru? And 11 am in Melbourne per @KidneyCathy! #nephjc |
| Nephrology Journal Club @NephJC @S_brimble welcome Scott...looking forward to say #Socttdisagrees ;-) #nephjc |
| Matthew Sparks, MD @Nephro_Sparks @arvindcanchi Hi Arvind. #nephjc |
| Nephrology Journal Club @NephJC We will be discussing this @PDIconnect @ISPD1 Position Statement https://t.co/25FySV6lSj tonight at #NephJC #openaccess |
 | Roger Rodby @NephRodby Back as me #nephjc |
| Cathy Quinlan @CathyQuinlan.bsky.social @KidneyCathy @Nephro_Sparks @RCHMelbourne Doing well. Annual leave today so no pesky clinical work getting in the way of #nephjc |
| Matthew Sparks, MD @Nephro_Sparks @NephRodby ahh. the old/new Roger is back #nephjc |
| Nephrology Journal Club @NephJC @NephRodby that avatar needs updating though.... #nephjc |
 | Suzanne Norby @SuzanneNorby Hello, Suzanne Norby from Mayo in Rochester, MN #NephJC |
| Michelle Rheault @rheault_m RT @NephJC: We will be discussing this @PDIconnect @ISPD1 Position Statement https://t.co/25FySV6lSj tonight at #NephJC #openaccess |
| Matthew Sparks, MD @Nephro_Sparks yes RT @KidneyCathy: @Nephro_Sparks @RCHMelbourne Doing well. Annual leave today so no pesky clinical work getting in the way of #nephjc |
| Nephrology Journal Club @NephJC Check out the really excellent #NephJC summary from @dr_nikhilshah https://t.co/d99J5cMaZ3 with original graphics |
| Nikhil Shah MBBS DNB(IM, Neph)๐จ๐ฆ @dr_nikhilshah Hey @nephJC Nikhil Shah Nephrologist at @Ualberta COI - Love PD! #nephjc |
 | Edgar V. Lerma ๐ต๐ญ @edgarvlermamd Edgar Lerma, Chicago-based Nephrologist #NephJC ๐จ https://t.co/n8UTCDmT9s |
| Bea Concepcion @KidneyBea_n @NephRodby taught me everything I know about PD #nephjc |
| Matthew Sparks, MD @Nephro_Sparks @SuzanneNorby Hi Suzanne. How is your July? #nephjc |
| ISPD 2018 Vancouver @ISPDVancouver RT @drdschwartzmd: Excited for #nephjc and so pleased to have it co-hosted by @ISPDVancouver Hope to see a great turnout from the PD community |
| Nephrology Journal Club @NephJC @dr_nikhilshah @UAlberta Nice to see you Nikhil! Great summary #NephJC |
| Nephrology Journal Club @NephJC Also read a very personal & practical patient experience piece written for #NephJC by @suziekjos https://t.co/QXqMfxInn4 |
| Matthew Sparks, MD @Nephro_Sparks @edgarvlermamd Edgar will you be in DC tomorrow night? #nephjc |
| ISPD 2018 Vancouver @ISPDVancouver RT @NephJC: Check out the really excellent #NephJC summary from @dr_nikhilshah https://t.co/d99J5cMaZ3 with original graphics |
| Suzanne Norby @SuzanneNorby @Nephro_Sparks Excellent, thanks. How are things with you? #nephjc |
| Nikhil Shah MBBS DNB(IM, Neph)๐จ๐ฆ @dr_nikhilshah @NephJC @dr_nikhilshah @UAlberta My pleasure. Thank you. #nephjc |
| Matthew Sparks, MD @Nephro_Sparks must read RT @NephJC: Also read a very personal & practical patient experience piece written by @suziekjos https://t.co/danKveodGL #nephjc |
| Nephrology Journal Club @NephJC hey Suzanne, Hector and Edgar! welcome back #nephjc |
| Matthew Sparks, MD @Nephro_Sparks @SuzanneNorby Loving July. best time of the year. #nephjc |
| Nephrology Journal Club @NephJC For tonight, EPS = encapsulating peritoneal sclerosis aka the Cocoon. #NephJC https://t.co/uLCpWnIjZK |
| ISPD 2018 Vancouver @ISPDVancouver RT @NephJC: Also read a very personal & practical patient experience piece written for #NephJC by @suziekjos https://t.co/QXqMfxInn4 |
 | Jose Loaiza @jaleNefro RT @NephJC: Also read a very personal & practical patient experience piece written for #NephJC by @suziekjos https://t.co/QXqMfxInn4 |
| Nephrology Journal Club @NephJC A T0 warm up: Have you seen a patient(s) with EPS? Was it while on PD, or later (eg post transplant)? #NephJC |
| Edgar V. Lerma ๐ต๐ญ @edgarvlermamd @Nephro_Sparks Arriving at 10pm ๐ฌ ... #NephJC |
| Roger Rodby @NephRodby I have seen maybe 4 cases, one died after two surgeries, was AWFUL disease and death, others caught early #nephjc |
| Roger Rodby @NephRodby One post transplant, two on PD, caught early and survived. #nephjc |
| Nikhil Shah MBBS DNB(IM, Neph)๐จ๐ฆ @dr_nikhilshah @NephJC Seen 1 - Was on PD >5 years, but also know severals who have been on PD >5 years without problems. #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil T0: seen many EPS @OttawaRenal @HomeDialysisTOH On PD, more nowadays post transplant as steroid doses lowered #anecdata #NephJC |
| Nephrology Journal Club @NephJC RT @NephRodby: I have seen maybe 4 cases, one died after two surgeries, was AWFUL disease and death, others caught early #nephjc |
| Suzanne Norby @SuzanneNorby RT @NephJC: For tonight, EPS = encapsulating peritoneal sclerosis aka the Cocoon. #NephJC https://t.co/uLCpWnIjZK |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: A T0 warm up: Have you seen a patient(s) with EPS? Was it while on PD, or later (eg post transplant)? #NephJC |
| Daniel Schwartz, MD @drdschwartzmd @NephJC Most of the (devastating) cases we've seen have been after transition from PD to HD, often diagnosis not considered right away #nephjc |
| Nephrology Journal Club @NephJC RT @drdschwartzmd: @NephJC Most of the (devastating) cases we've seen have been after transition from PD to HD, often diagnosis not considered right away #nephjc |
| Nephrology Journal Club @NephJC #NephJC https://t.co/FM3u3LMXxU |
| Edgar V. Lerma ๐ต๐ญ @edgarvlermamd Encapsulating Peritoneal Sclerosis Position Paper ๐ 2017 from @ISPD1 @PDIconnect #NephJC #Nephpearls ๐๐ผ https://t.co/FClbx82U4P https://t.co/17DFNTc1nB |
| Michelle Rheault @rheault_m @NephJC T0: Haven't seen it, but thankfully very rare to have a kid on PD for >5 years due to relatively quick transplant #nephJC |
| Suzanne Norby @SuzanneNorby @NephJC Just 2, fortunately. One very severe. #nephjc |
| Bea Concepcion @KidneyBea_n I have seen 2 cases post transplant in the last 4 years #nephjc |
| Nephrology Journal Club @NephJC T0 part 2: what was the outcome? The g/l mentions 50% mortality based on https://t.co/0wiVgGj8yj & https://t.co/M3I1s4wnM1 #NephJC |
| Arvind Canchi (Conjeevaram)๐ฎ๐ณ @arvindcanchi Seen one. 8 yrs on PD. Have a query - is there any data on acute PD causing EPS? #nephjc |
| Matthew Sparks, MD @Nephro_Sparks saw 1 as fellow. none since #nephjc |
| Nephrology Journal Club @NephJC from the responses so far, 50% mortality does not seem extreemly inaccurate? #nephjc |
| Arvind Canchi (Conjeevaram)๐ฎ๐ณ @arvindcanchi RT @edgarvlermamd: Encapsulating Peritoneal Sclerosis Position Paper ๐ 2017 from @ISPD1 @PDIconnect #NephJC #Nephpearls ๐๐ผ https://t.co/FClbx82U4P https://t.co/17DFNTc1nB |
 | Nando J @jc_gonzal RT @edgarvlermamd: Edgar Lerma, Chicago-based Nephrologist #NephJC ๐จ https://t.co/n8UTCDmT9s |
| Nephrology Journal Club @NephJC @arvindcanchi nothing mentioned, but should be highly unlikely as time on PD most imp risk factor #nephjc |
| Nephrology Journal Club @NephJC @arvindcanchi nothing mentioned, but should be highly unlikely as time on PD most imp risk factor #nephjc |
| Daniel Schwartz, MD @drdschwartzmd We've seen everything from long hospital stay, NG tube, empiric steroids/tamoxifen and slow recovery... #NephJC |
| Nephrology Journal Club @NephJC RT @drdschwartzmd: We've seen everything from long hospital stay, NG tube, empiric steroids/tamoxifen and slow recovery... #NephJC |
| Nephrology Journal Club @NephJC T0 follow up Are PD patients followed up at same centre where pts get Hemo and/or transplant? Or are these separate programs? #NephJC |
| Daniel Schwartz, MD @drdschwartzmd ...to severe bowel obstruction +/- perf'd viscus - taken to OR, open and closed due to no surgical options #NephJC |
| Roger Rodby @NephRodby in 1, bloody PD fluid (male) peritonoscopy https://t.co/3UNj3klCDF #gated #nephjc |
| Nephrology Journal Club @NephJC #NephJC https://t.co/XvaY7O2UOZ |
| Nephrology Journal Club @NephJC RT @drdschwartzmd: ...to severe bowel obstruction +/- perf'd viscus - taken to OR, open and closed due to no surgical options #NephJC |
| Nephrology Journal Club @NephJC could the variation in cases seen (higher in Canada?) be due to ascertainment bias? More on that later #nephjc |
| Nikhil Shah MBBS DNB(IM, Neph)๐จ๐ฆ @dr_nikhilshah @NephJC Same center and almost the same nephrologists. Fairly decent size programs - 350+ PD pts for a single center. #nephjc |
| Nephrology Journal Club @NephJC @jale999MI Don't forget the #NephJC hashtag! |
| Nephrology Journal Club @NephJC Ok - lets discuss the paper itself starting with methods #nephjc |
| Nephrology Journal Club @NephJC The big name PD expert authors incl: @EdwinaB23513542 @JoanneBargman @markrlambie @hurstnellibert & others #NephJC https://t.co/xkxyxhjSs8 |
| Nephrology Journal Club @NephJC T1: note authors disclosures, appropriately stated #NephJC https://t.co/J6gp14Fzz0 |
| Nikhil Shah MBBS DNB(IM, Neph)๐จ๐ฆ @dr_nikhilshah Problem with - "Have you seen a case" is the diagnosis may not be "proven" but more often "suspected". #nephjc |
| Nephrology Journal Club @NephJC Background: since risk of EPS increases with time, one opinion to switch patients after 5 years or so #NephJC Anyone do that here? |
| Jose Loaiza @jaleNefro @NephJC Ok #NephJC |
| Nephrology Journal Club @NephJC #NephJC https://t.co/FfvHKS694i |
| Nephrology Journal Club @NephJC RT @dr_nikhilshah: Problem with - "Have you seen a case" is the diagnosis may not be "proven" but more often "suspected". #nephjc |
| Nephrology Journal Club @NephJC @jale999MI @NephJC great - and welcome to NephJC Jose! #nephjc |
| Arvind Canchi (Conjeevaram)๐ฎ๐ณ @arvindcanchi Better make it a #NephAVATAR. Ha! #nephjc https://t.co/Qiyd7jgGgG |
| Daniel Schwartz, MD @drdschwartzmd @dr_nikhilshah @NephJC Our center 300+ PD pts - over last decade seen likely >1500 patients - thankfully only rare cases of EPS - but each hard to forget #NephJC |
| Roger Rodby @NephRodby The problem with 'proven" is that to wait until proven - it is too advanced to reverse #nephjc |
| Nephrology Journal Club @NephJC RT @drdschwartzmd: @dr_nikhilshah @NephJC Our center 300+ PD pts - over last decade seen likely >1500 patients - thankfully only rare cases of EPS - but each hard to forget #NephJC |
| Edgar V. Lerma ๐ต๐ญ @edgarvlermamd This is a MUST KNOW for anyone involved with PDโผ๏ธ "The eyes do not see, what the mind dies not know..." #NephJC https://t.co/IGexGM0egw |
| Matthew Sparks, MD @Nephro_Sparks yup RT @NephRodby: The problem with 'proven" is that to wait until proven - it is too advanced to reverse #nephjc |
| Edgar V. Lerma ๐ต๐ญ @edgarvlermamd This is a MUST KNOW for anyone involved with PDโผ๏ธ "The eyes do not see, what the mind does not know..." #NephJC https://t.co/IGexGM0egw |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephJC Locally, Brendan McCormick seems to think so, for younger patients #NephJC |
| Roger Rodby @NephRodby This is not a all or nothing disease, it is stages, it is progressive, cocooning = death #nephjc |
| Arvind Canchi (Conjeevaram)๐ฎ๐ณ @arvindcanchi @NephJC Never switched a Pt prophylactically no. #nephjc |
| Daniel Schwartz, MD @drdschwartzmd @NephJC We don't routinely switch patients at 5 years but do discuss risk as get close #NephJC |
| Nephrology Journal Club @NephJC RT @NephRodby: The problem with 'proven" is that to wait until proven - it is too advanced to reverse #nephjc |
| Nephrology Journal Club @NephJC RT @drdschwartzmd: @NephJC We don't routinely switch patients at 5 years but do discuss risk as get close #NephJC |
| Poyan Mehr @poyanmehr RT @NephRodby: The problem with 'proven" is that to wait until proven - it is too advanced to reverse #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 |
| ISPD 2018 Vancouver @ISPDVancouver RT @NephRodby: The problem with 'proven" is that to wait until proven - it is too advanced to reverse #nephjc |
| Nephrology Journal Club @NephJC T1: methods - this paper seems written like a consensus statement. No details of literature review, assessment of data GRADE etc #NephJC |
| Nikhil Shah MBBS DNB(IM, Neph)๐จ๐ฆ @dr_nikhilshah We do not switch but get antsy when an longer vintage patient starts having issues! Always r/o compliance before labelling EPS! #nephjc |
| Poyan Mehr @poyanmehr @drdschwartzmd @dr_nikhilshah @NephJC How many out of the 1500? #NephJC |
| Roger Rodby @NephRodby My first patient, that had it in its worst form,and died, had all "risk factors" UF failure and long time on PD #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephJC The lack of any details about how this was written/decided is a bit disconcerting...#NephJC |
| Nephrology Journal Club @NephJC RT @dr_nikhilshah: We do not switch but get antsy when an longer vintage patient starts having issues! Always r/o compliance before labelling EPS! #nephjc |
| Roger Rodby @NephRodby He required all 4.25% PD, but volume was managed, kept worrying but he looked fine, then developed intestinal obstruction #nephjc |
| Nephrology Journal Club @NephJC @NephRodby so given what you are saying - would you switch (or consider) after 5 years or so of PD? #nephjc |
| Daniel Schwartz, MD @drdschwartzmd @poyanmehr @dr_nikhilshah @NephJC Unfortunately, don't keep a local registry but by mental recall <10 #NephJC |
| Suzanne Norby @SuzanneNorby I was a bit confused as well. Wondered if I missed an appendix with the details. #nephjc https://t.co/XrlBVZlMAr |
| Nephrology Journal Club @NephJC RT @SuzanneNorby: I was a bit confused as well. Wondered if I missed an appendix with the details. #nephjc https://t.co/XrlBVZlMAr |
| Nephrology Journal Club @NephJC @SuzanneNorby maybe can get some of the authors to comment tomorrow (UK/EU chat) #nephjc |
| Roger Rodby @NephRodby @NephJC I kept thinking I was playing with fire but he looked fine. But others do fine. I have not stopped prophylactically #nephjc |
| Nephrology Journal Club @NephJC @drdschwartzmd @poyanmehr @dr_nikhilshah that segues nicely to T2: epidemiology #nephjc |
| Jose Loaiza @jaleNefro @NephJC In some countries like mine, there is little access to HD, The patients are in better conditions in PD #NephJC |
| Daniel Schwartz, MD @drdschwartzmd @hswapnil @NephJC Any concern the product of a consensus statement can be driven by strongest voice in the room? #NephJC |
| Nephrology Journal Club @NephJC T2: So let's move on to the position st. itself. Epidemiology - all over the place as @dr_nikhilshah shows #NephJC https://t.co/dbw9zwXoJy |
| Nephrology Journal Club @NephJC (From table 1) Incidence: 0.7-13.6 per 1000 patient years Prevalence: 0.4-8.9% Wiiiiiide range #NephJC https://t.co/tr0mSoDmxA |
| Matthew Sparks, MD @Nephro_Sparks RT @NephJC: T2: T2: So let's move on to the position st. itself. Epidemiology - all over the place as @dr_nikhilshah shows #NephJC https://t.co/dbw9zwXoJy |
| Michelle Rheault @rheault_m RT @drdschwartzmd: @hswapnil @NephJC Any concern the product of a consensus statement can be driven by strongest voice in the room? #NephJC |
| Nephrology Journal Club @NephJC @jale999MI @NephJC indeed - excellent point. Need to weigh the alternatives carefully #nephjc |
| Roger Rodby @NephRodby most statistics in paper had 10-20 fold differences in about everything reported across centers #nephjc |
| Nephrology Journal Club @NephJC RT @drdschwartzmd: @hswapnil @NephJC Any concern the product of a consensus statement can be driven by strongest voice in the room? #NephJC |
| Nephrology Journal Club @NephJC RT @NephJC: (From table 1) Incidence: 0.7-13.6 per 1000 patient years Prevalence: 0.4-8.9% Wiiiiiide range #NephJC https://t.co/tr0mSoDmxA |
| Edgar V. Lerma ๐ต๐ญ @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 |
| Nephrology Journal Club @NephJC QFT. Well put @NephRodby: most statistics in paper had 10-20 fold differences in about everything reported across centers #nephjc |
| Roger Rodby @NephRodby hard to determine anything epidemiologically when it varies that much #nephjc |
| Nephrology Journal Club @NephJC Why do you think this varies so much? - differing practices in PD - diagnosis missed/ascertainment bias - competing events (death) #NephJC |
| Roger Rodby @NephRodby My gut tells me diagnosis is a matter of index of suspicion, and not only calling it when it becomes cocooning #nephjc |
| Nephrology Journal Club @NephJC RT @NephRodby: My gut tells me diagnosis is a matter of index of suspicion, and not only calling it when it becomes cocooning #nephjc |
| Nephrology Journal Club @NephJC Need high suspicion of EPS. Intermittent progression. Anyone picked up early before bowel obstruction? #NephJC https://t.co/5gY0nFFPj8 |
 | Gates Colbert, MD @DoctorGates Dallas Nephrologist. #NSMC2017 Late to the Peritoneal Party. #NephJC |
| Nephrology Journal Club @NephJC (NB: Rodby is one step ahead of my tweet to come. Uncanny how sometimes we do think alike) #nephjc |
| Poyan Mehr @poyanmehr @dr_nikhilshah @drdschwartzmd @NephJC @MarkCourtney10 rates are so magnificently higher than nephrogenic systemic fibrosis in CKD4 and it's impossible for me to get rads do MRI in CKD4 #NephJC |
| Nephrology Journal Club @NephJC @DoctorGates hey Gates - welcome! nice to see you #nephjc |
| Roger Rodby @NephRodby Yes two by asymptomatic bloody PD fluid, peritoneum beefy red and bleeding, so not sclerosis, but believe early stage #nephjc |
| Edgar V. Lerma ๐ต๐ญ @edgarvlermamd @drdschwartzmd @hswapnil @NephJC Isn't that the definition of "Expert Opinionโ๏ธ" #NephJC https://t.co/Ma3CGdvYu0 |
| Nikhil Shah MBBS DNB(IM, Neph)๐จ๐ฆ @dr_nikhilshah the big elephant in the room - Are there enough cases to have a "Guideline" published? lots of #anecdata #nephjc |
| Nephrology Journal Club @NephJC @KidneyCathy Tchah tcahah #NephJC |
| Nephrology Journal Club @NephJC RT @poyanmehr: @dr_nikhilshah @drdschwartzmd @NephJC @MarkCourtney10 rates are so magnificently higher than nephrogenic systemic fibrosis in CKD4 and it's impossible for me to get rads do MRI in CKD4 #NephJC |
| Nephrology Journal Club @NephJC Excellent point #NephJC https://t.co/BDBnD6kZ3L |
| Daniel Schwartz, MD @drdschwartzmd @NephJC Never sure if truly picked up early - CT findings can be inconclusive - if highly suspicious, better to be overly cautious #NephJC |
| Nephrology Journal Club @NephJC Authors say 'only fibrous cocoon wrapped around bowel diagnostic' but no clear diagnostic criteria provided #lostopportunity #NephJC |
| Michelle Rheault @rheault_m @NephJC @KidneyCathy I'm pretty sure "Tchah tcahah" is Canadian for don't forget the #NephJC hashtag. |
| Arvind Canchi (Conjeevaram)๐ฎ๐ณ @arvindcanchi RT @poyanmehr: @dr_nikhilshah @drdschwartzmd @NephJC @MarkCourtney10 rates are so magnificently higher than nephrogenic systemic fibrosis in CKD4 and it's impossible for me to get rads do MRI in CKD4 #NephJC |
| Daniel Schwartz, MD @drdschwartzmd @S_brimble @NephJC Centers that abandon PD more easily may see less - but then expose patients to CVCs on HD? #NephJC |
| Nephrology Journal Club @NephJC @NephRodby very interesting - what were the CT findings? #nephjc |
| Roger Rodby @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)๐ฎ๐ณ @arvindcanchi RT @NephJC: Need high suspicion of EPS. Intermittent progression. Anyone picked up early before bowel obstruction? #NephJC https://t.co/5gY0nFFPj8 |
| Nephrology Journal Club @NephJC 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 |
| Nephrology Journal Club @NephJC RT @drdschwartzmd: @S_brimble @NephJC Centers that abandon PD more easily may see less - but then expose patients to CVCs on HD? #NephJC |
| Daniel Schwartz, MD @drdschwartzmd @dr_nikhilshah Is it lack of cases, or lack of high quality data (I guess A contributes to B) #NephJC |
| Edgar V. Lerma ๐ต๐ญ @edgarvlermamd @dr_nikhilshah Guidelines are not written in stones ... or tablets #NephJC https://t.co/UPxNISNPHV |
| Nikhil Shah MBBS DNB(IM, Neph)๐จ๐ฆ @dr_nikhilshah @NephRodby Isnt this an overkill. There are perfectly other more common reasons for things funny! #nephjc |
| Roger Rodby @NephRodby CT unremarkable, so we did peritonoscopy with biopsy and cultures cytology TB etc. Pictures were unreal #nephjc |
| Nephrology Journal Club @NephJC Lots of risk factors for EPS with lots of caveats (I will be repeating myself a lot tonight) #NephJC https://t.co/RGaMvnFuzs |
| Cathy Quinlan @CathyQuinlan.bsky.social @KidneyCathy @S_brimble @drdschwartzmd @rheault_m @hswapnil @NephJC My interactions when trying to set up a PD study taught me that a PD COI is a serious COI - a lot of boundary crossing. #nephjc |
| Daniel Schwartz, MD @drdschwartzmd @NephRodby Agree, need very high index of suspicion #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @drdschwartzmd: @dr_nikhilshah Is it lack of cases, or lack of high quality data (I guess A contributes to B) #NephJC |
| Poyan Mehr @poyanmehr @dr_nikhilshah Perhaps the devastating outcome makes up for the infrequent recurrences. comp. with other rare treatment related events its a lot #NephJC |
| Gates Colbert, MD @DoctorGates The ISPD guidelines offered many worries but few solutions. Beware!! PD > 5 yrs, HD with cath, bacteremia risk, Endocard ris, etc #NephJC |
| Roger Rodby @NephRodby A high index of suspicion for a terminal dz that you may be able to avoid is never overkill #nephjc |
| Michelle Rheault @rheault_m @dr_nikhilshah @NephRodby Not overkill.In medicine, never want to miss the thing that is going to kill your patient.Have to think it #nephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @drdschwartzmd @S_brimble @NephJC What's wrong with CVCs on HD? (Just kidding, but couldn't resist as the resident #CVClover) #NephJC |
| Poyan Mehr @poyanmehr 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 |
| Suzanne Norby @SuzanneNorby @NephJC Beta blocker use, hmmm... #nephjc |
| Nephrology Journal Club @NephJC RT @KidneyCathy: @S_brimble @drdschwartzmd @rheault_m @hswapnil @NephJC My interactions when trying to set up a PD study taught me that a PD COI is a serious COI - a lot of boundary crossing. #nephjc |
| Edgar V. Lerma ๐ต๐ญ @edgarvlermamd @dr_nikhilshah The plural of anecdote is NOT DATAโผ๏ธ #NephJC ๐๐ผ https://t.co/tAAocIFoLF https://t.co/LWy5RZaWkT |
| Nephrology Journal Club @NephJC well said @NephRodby: A high index of suspicion for a terminal dz that you may be able to avoid is never overkill #nephjc |
| Nephrology Journal Club @NephJC RT @DoctorGates: The ISPD guidelines offered many worries but few solutions. Beware!! PD > 5 yrs, HD with cath, bacteremia risk, Endocard ris, etc #NephJC |
| Cathy Quinlan @CathyQuinlan.bsky.social @KidneyCathy Does anyone else think of this when they hear the word cocoon? https://t.co/W4oi7mAbgn #nephjc |
| Nephrology Journal Club @NephJC hmm indeed. Mostly residual confounding yathink? RT @SuzanneNorby: @NephJC Beta blocker use, hmmm... #nephjc |
| Roger Rodby @NephRodby You can't diagnose something if you don't think of it first, Im only saying think of it, decide later if u want to pursue it #nephjc |
| Michelle Rheault @rheault_m RT @NephRodby: You can't diagnose something if you don't think of it first, Im only saying think of it, decide later if u want to pursue it #nephjc |
| Nephrology Journal Club @NephJC Predicting EPS: biomarkers, membrane function not very useful (nb: @JoanneBargman is an author, so not surprising) #NephJC |
| Nikhil Shah MBBS DNB(IM, Neph)๐จ๐ฆ @dr_nikhilshah @NephRodby @drdschwartzmd @dr_nikhilshah Agree but its the two years part I think EPS has not been reported very often #nephjc |
| Nephrology Journal Club @NephJC See @JoanneBargman hilarious views on biomarkers (via @brownpa79 at #CSN17) #NephJC https://t.co/vBVjkCeTDs |
| Gates Colbert, MD @DoctorGates RT @NephJC: hmm indeed. Mostly residual confounding yathink? RT @SuzanneNorby: hmm indeed. Mostly residual confounding yathink? RT @SuzanneNorby: @NephJC Beta blocker use, hmmm... #nephjc |
| Nikhil Shah MBBS DNB(IM, Neph)๐จ๐ฆ @dr_nikhilshah @dr_nikhilshah @NephRodby @drdschwartzmd EPS has not been reported very often before 3 years on PD! #nephjc |
| Matthew Sparks, MD @Nephro_Sparks RT @DoctorGates: The ISPD guidelines offered many worries but few solutions. Beware!! PD > 5 yrs, HD with cath, bacteremia risk, Endocard ris, etc #NephJC |
| Roger Rodby @NephRodby The apparent decreasing incidence seems to be real, and VERY perplexing, Gotta be a clue there #nephjc |
| Gates Colbert, MD @DoctorGates @NephJC @SuzanneNorby I think confounding as BBlockers are some of the best anti-HTN in ESRD pts #Nephjc |
| Cathy Quinlan @CathyQuinlan.bsky.social @KidneyCathy Do you talk to patients about EPS? #nephjc |
| Michelle Rheault @rheault_m RT @NephJC: See @JoanneBargman hilarious views on biomarkers (via @brownpa79 at #CSN17) #NephJC https://t.co/vBVjkCeTDs |
| Nephrology Journal Club @NephJC but apparent or real? MT @NephRodby: The apparent decreasing incidence seems to be real, and VERY perplexing, Gotta be a clue there #nephjc |
| Nephrology Journal Club @NephJC RT @KidneyCathy: Do you talk to patients about EPS? #nephjc |
| Nephrology Journal Club @NephJC @KidneyCathy Ripley! #NephJC https://t.co/bnZ2z77kBx |
| Nephrology Journal Club @NephJC thats a twitter poll - check her timeline in native client @KidneyCathy: Do you talk to patients about EPS? #nephjc #nephjc |
| Suzanne Norby @SuzanneNorby Agree, great #teachingpoint definitely should be in differential diagnosis along with multiple other things that may be more common #nephjc https://t.co/hAU4TzBOjM |
| Nephrology Journal Club @NephJC Management of EPS: Lot of caveats - so please provide your experience too #NephJC |
| Nephrology Journal Club @NephJC If still on PD: makes sense to stop, switch to Hemo, remove PD catheter. In Japan, PD cath to do lavage done: does anyone here try? #NephJC |
| Nephrology Journal Club @NephJC RT @DoctorGates: @NephJC @SuzanneNorby I think confounding as BBlockers are some of the best anti-HTN in ESRD pts #Nephjc |
| Roger Rodby @NephRodby @KidneyCathy I do not. Huge ethical question, Would need 1400 characters to discuss philosophy how much info is enuf for pts #nephjc |
| Nephrology Journal Club @NephJC Surgery: good experience in Japan & UK at regional centres of expertise - anyone tonight have had patients undergo Sx? #NephJC |
| Nephrology Journal Club @NephJC Nutritional support: yes Steroids, tamoxifen mixed evidence. Why not try, any downside? #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @KidneyCathy: @S_brimble @drdschwartzmd @rheault_m @hswapnil @NephJC My interactions when trying to set up a PD study taught me that a PD COI is a serious COI - a lot of boundary crossing. #nephjc |
 | Syed Shahrul Naz @drshahrul80 RT @edgarvlermamd: @dr_nikhilshah Guidelines are not written in stones ... or tablets #NephJC https://t.co/UPxNISNPHV |
| Arvind Canchi (Conjeevaram)๐ฎ๐ณ @arvindcanchi Need people from Mexico, China, Hong Kong and Singapore to pop in to this journal club and give their views on EPS. #nephjc |
| Jose Loaiza @jaleNefro @NephJC Patients with UF failure usually require, liquid with higher concentration of glucose. Is cause or effect or both #NephJC |
| Daniel Schwartz, MD @drdschwartzmd @NephJC Don't do lavage - hadn't heard of this til read paper - open minded Any sense of quality of evidence? #NephJC |
| Nikhil Shah MBBS DNB(IM, Neph)๐จ๐ฆ @dr_nikhilshah @NephJC With no proven therapy - many would try anything/everything to save patient.Outcome however may be unrelated to intervention #nephjc |
| Roger Rodby @NephRodby I stop PD, give steroids, azathioprine, tamoxifen and pray. prob stop b blockers. #nephjc |
| Gates Colbert, MD @DoctorGates What have you done once EPS is diagnosed to induce remission? AKA: Normal bowel function, pain free, expected survival? #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephJC We increase steroid dose (in transplant recips) also Tamoxifen. #NephJC |
| Nephrology Journal Club @NephJC RT @drdschwartzmd: @NephJC Don't do lavage - hadn't heard of this til read paper - open minded Any sense of quality of evidence? #NephJC |
| Nephrology Journal Club @NephJC RT @dr_nikhilshah: @NephJC With no proven therapy - many would try anything/everything to save patient.Outcome however may be unrelated to intervention #nephjc |
| Nephrology Journal Club @NephJC RT @NephRodby: I stop PD, give steroids, azathioprine, tamoxifen and pray. prob stop b blockers. #nephjc |
| Matthew Sparks, MD @Nephro_Sparks RT @SuzanneNorby: Agree, great #teachingpoint definitely should be in differential diagnosis along with multiple other things that may be more common #nephjc https://t.co/hAU4TzBOjM |
| Daniel Schwartz, MD @drdschwartzmd @hswapnil @NephJC What about surgical management? I'm not aware of any "skilled" centers in Canada (like have in Japan) #NephJC |
| Nephrology Journal Club @NephJC @DoctorGates I think medical therapy works the earlier you diagnose...hence high index of suspicion key #nephjc |
| Nephrology Journal Club @NephJC RT @drdschwartzmd: @hswapnil @NephJC What about surgical management? I'm not aware of any "skilled" centers in Canada (like have in Japan) #NephJC |
| ISPD 2018 Vancouver @ISPDVancouver RT @NephJC: Surgery: Surgery: good experience in Japan & UK at regional centres of expertise - anyone tonight have had patients undergo Sx? #NephJC |
| Cathy Quinlan @CathyQuinlan.bsky.social @KidneyCathy @NephJC Childhood hero! #nephjc |
| Michelle Rheault @rheault_m @drdschwartzmd @NephJC None of the recs were graded in a standard way. (Can argue worth of grading, but I still find it useful) #nephjc |
| Nephrology Journal Club @NephJC @drdschwartzmd exactlym, Japan and UK (https://t.co/7mbl6QPamW) + Europe per @S_brimble #nephjc |
| Nephrology Journal Club @NephJC RT @rheault_m: @drdschwartzmd @NephJC None of the recs were graded in a standard way. (Can argue worth of grading, but I still find it useful) #nephjc |
| Nephrology Journal Club @NephJC Some unpublished ANZDATA + Scottish registry suggests time on PD best predictor #NephJC https://t.co/O5f1fbJ8c8 |
| Nikhil Shah MBBS DNB(IM, Neph)๐จ๐ฆ @dr_nikhilshah Any thoughts on doing an PET every year and monitoring sodium sieving may provide a clue. Caveat doing PET for 300+ pts is no joke! #nephjc |
| Nephrology Journal Club @NephJC So the crux of the issue: should we switch from PD to HD at 3/5 years? The consensus paper says No Agree? #NephJC https://t.co/kzPYwL3NRq |
| Suzanne Norby @SuzanneNorby Does anyone have personal experience using mTOR inhibitors for EPS? #NephJC https://t.co/sGg22587b0 |
| Suzanne Norby @SuzanneNorby RT @rheault_m: @drdschwartzmd @NephJC None of the recs were graded in a standard way. (Can argue worth of grading, but I still find it useful) #nephjc |
| Edgar V. Lerma ๐ต๐ญ @edgarvlermamd @ISPD1 @PDIconnect Encapsulated Peritoneal Sclerosis EPS #Nephpearls #NephJC ๐๐ผ https://t.co/mUwG5Yhhr3 https://t.co/4G2xuIe2xA |
| Nephrology Journal Club @NephJC RT @SuzanneNorby: Does anyone have personal experience using mTOR inhibitors for EPS? #NephJC https://t.co/sGg22587b0 |
| Daniel Schwartz, MD @drdschwartzmd @NephJC @S_brimble Will Canadian Medicare pay for pts to go to center of excellence outside Canada if no local access? Is evidence adequate #NephJC |
| Nephrology Journal Club @NephJC Summary (ungraded) statements Talk about risk of EPS at 3-5 years, don't switch #NephJC https://t.co/14GuRnTQ8M |
| Nephrology Journal Club @NephJC @SuzanneNorby Rodby mentioned Aza. Anyone here uses Sirolimus? #nephjc |
| Daniel Schwartz, MD @drdschwartzmd @NephJC Like any intervention, perhaps we should provide education to patients (limited as it is) and let them decide? #NephJC |
| Roger Rodby @NephRodby OK here I go,I really don't believe you put that decision in patient's hands, we can barely decide, but we have to as doctors. #nephjc |
| Gates Colbert, MD @DoctorGates @NephJC Have you ever told a PD patient they need to switch to HD and get a PC?! Prepare your shield and armor! #Nephjc https://t.co/B4yc9yyUX6 |
| Nephrology Journal Club @NephJC Agree, risks of switching are non-trivial (CVC on HD, patient choice etc) - but risk for younger pt (higher post transplant) maybe? #nephjc |
| Nikhil Shah MBBS DNB(IM, Neph)๐จ๐ฆ @dr_nikhilshah @S_brimble Can someone calculate how many PETs you will have to do to detect 1 case of EPS. Personally I think PET should be done for cause! #nephjc |
| Nephrology Journal Club @NephJC RT @drdschwartzmd: @NephJC @S_brimble Will Canadian Medicare pay for pts to go to center of excellence outside Canada if no local access? Is evidence adequate #NephJC |
| Roger Rodby @NephRodby PET for EPS not sensitive or specific enough anyway right? Especially for a rare disease. #nephjc |
| Daniel Schwartz, MD @drdschwartzmd @NephJC Not terrible to plan & insert AVF, switch to HHD #NephJC At 5 years, we're talking about people who likely don't have access to a tx |
| Cathy Quinlan @CathyQuinlan.bsky.social @KidneyCathy @dr_nikhilshah I think unlikely to be clinically useful for a rare (tho serious) complication. Better to put money to increase donor rates. #nephjc |
| Nephrology Journal Club @NephJC @S_brimble The glucose statements seem like a compromise: #NephJC (knowing @JoanneBargman views...) https://t.co/I1WyqCGu99 |
| Daniel Schwartz, MD @drdschwartzmd @DoctorGates @NephJC Non-urgent switches to HD should be preceded by referral for AVF #NephJC |
| Nephrology Journal Club @NephJC Right. PET, CT scans MT @NephRodby: PET for EPS not sensitive or specific enough anyway right? Especially for a rare disease. #nephjc |
| Nephrology Journal Club @NephJC RT @drdschwartzmd: @NephJC Not terrible to plan & insert AVF, switch to HHD #NephJC At 5 years, we're talking about people who likely don't have access to a tx |
| Daniel Schwartz, MD @drdschwartzmd @KidneyCathy @dr_nikhilshah Or support for donor outreach #NephJC |
| Cathy Quinlan @CathyQuinlan.bsky.social @KidneyCathy @NephRodby I think important for parents of small kids on PD who don't know life without PD and think it's just fine to continue. #nephjc |
 | BUY FOLLOโฉERS :bq @glenniesubera RT @KidneyCathy: @NephRodby I think important for parents of small kids on PD who don't know life without PD and think it's just fine to continue. #nephjc |
| Jose Loaiza @jaleNefro @NephJC Agree the risk in HD #NephJC |
| Nephrology Journal Club @NephJC #NephJC https://t.co/Nmwei9YbBE |
| Nephrology Journal Club @NephJC That was fast - 5 minutes left. Final thoughts? Is this like the usual Nephrology g/l, littered with 2Ds (or ungraded here)! #nephjc |
| Roger Rodby @NephRodby I don't remember seeing bloody PD fluid mentioned once in the paper? #nephjc |
 | Catherine Clase ๐ท๐ @CMClase RT @rheault_m: PD proteomics to predict Encapsulating peritoneal sclerosis #NephJC https://t.co/OcQf3lJ3We https://t.co/QIxty70OXr |
| Daniel Schwartz, MD @drdschwartzmd Shameless plug for @ISPDVancouver in May 2018 EPS will be explored in session Clinical Complications of PD #NephJC |
| Nephrology Journal Club @NephJC RT @drdschwartzmd: Shameless plug for @ISPDVancouver in May 2018 EPS will be explored in session Clinical Complications of PD #NephJC |
| Nephrology Journal Club @NephJC @NephRodby do mention 'bloody ascites' in 'clinical features section (pg 366). But table of dx criteria would have been good IMO #nephjc |
| Roger Rodby @NephRodby This is Twitter, there is nothing shameless when it does to plugging! #nephjc |
| Nikhil Shah MBBS DNB(IM, Neph)๐จ๐ฆ @dr_nikhilshah RT @drdschwartzmd: Shameless plug for @ISPDVancouver in May 2018 EPS will be explored in session Clinical Complications of PD #NephJC |
| Nephrology Journal Club @NephJC Thanks to @ISPDVancouver and @drdschwartz for coordinating and getting Martin, ISPD and PDI on board for tonight #nephjc |
| Daniel Schwartz, MD @drdschwartzmd In general, would like these papers easier to read/scan - long form content is hard - more images/tables/bolded content #NephJC |
| Nephrology Journal Club @NephJC Please follow @ISPDVancouver and register. Visit Vancouver in 2018 for ISPD - what's not to love? #nephjc |
| Nikhil Shah MBBS DNB(IM, Neph)๐จ๐ฆ @dr_nikhilshah Thank you everyone, As always feels great to participate (too infrequent these days unfortunately) #nephjc |
| Roger Rodby @NephRodby Good article, if nothing else it might raise index of suspicion and again...I think that is the key. Catch it early. #nephjc |
| Nephrology Journal Club @NephJC Endorse MT @drdschwartzmd In general, would like these papers easier to read/scan, less long form, more images/tables/bolded content #NephJC |
| Nikhil Shah MBBS DNB(IM, Neph)๐จ๐ฆ @dr_nikhilshah RT @NephRodby: Good article, if nothing else it might raise index of suspicion and again...I think that is the key. Catch it early. #nephjc |
| Nephrology Journal Club @NephJC Come back tomorrow for the European edition of #NephJC 8 pm BST, 12 noon for West Coast folks Authors expected to join |
| ISPD 2018 Vancouver @ISPDVancouver RT @NephJC: Please follow @ISPDVancouver and register. Visit Vancouver in 2018 for ISPD - what's not to love? #nephjc |
| Nephrology Journal Club @NephJC #NephJC https://t.co/8PTYvdZKjZ |
| Roger Rodby @NephRodby RT @NephJC: #NephJC https://t.co/8PTYvdZKjZ |
| Jose Loaiza @jaleNefro RT @NephJC: #NephJC https://t.co/8PTYvdZKjZ |
| 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 |
| Jose Loaiza @jaleNefro RT @NephJC: If you haven't already, sign up for our newsletter https://t.co/5aumn8ImwF Once a week, news, events and summaries #NephJC |
| Nikhil Shah MBBS DNB(IM, Neph)๐จ๐ฆ @dr_nikhilshah RT @NephJC: #NephJC https://t.co/8PTYvdZKjZ |
| Nephrology Journal Club @NephJC Here's more on ISPD 2018: https://t.co/UDiOoyOSPJ & register here https://t.co/TyEq1W11ir #nephjc |
| Nephrology Journal Club @NephJC thanks to everyone for joining in. @dr_nikhilshah and @suziekjos for excellent write ups. @ispd1 @wilkiemart @pdiconnect for support #nephjc |
| Roger Rodby @NephRodby RT @SuzanneNorby: Does anyone have personal experience using mTOR inhibitors for EPS? #NephJC https://t.co/sGg22587b0 |
| Suzanne Norby @SuzanneNorby Highly recommend! @ShaneBobart @Hishamneph @khaledshawwa @SorkkoT #nephjc https://t.co/ZklKm6cOCl |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephRodby: OK here I go,I really don't believe you put that decision in patient's hands, we can barely decide, but we have to as doctors. #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: Here's more on ISPD 2018: Here's more on ISPD 2018: https://t.co/UDiOoyOSPJ & register here https://t.co/TyEq1W11ir #nephjc |
 | Garima Aggarwal @gag_aggarwal RT @NephRodby: I stop PD, give steroids, azathioprine, tamoxifen and pray. prob stop b blockers. #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @drdschwartzmd: Shameless plug for @ISPDVancouver in May 2018 EPS will be explored in session Clinical Complications of PD #NephJC |
| Nephrology Journal Club @NephJC 372 Tweets. 44 Participants. 1,086,612 Impressions. More #NephJC ๐ here https://t.co/oU4Ji60BdZ via @symplur https://t.co/H7IuQ7OPCt |
| Daniel Schwartz, MD @drdschwartzmd Maybe we'll see @JoanneBargman at tomorrow's #nephjc re ISPD EPS paper? 3PM Eastern Link to see what's happening: https://t.co/KtX0y3Z2zy |
 | ู
ุญุฐูู @milardport RT @NephJC: @S_brimble welcome Scott...looking forward to say #Socttdisagrees ;-) #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: 372 Tweets. 44 Participants. 1,086,612 Impressions. More #NephJC ๐ here https://t.co/oU4Ji60BdZ via @symplur https://t.co/H7IuQ7OPCt |
 | CSN @CSNSCN RT @drdschwartzmd: Shameless plug for @ISPDVancouver in May 2018 EPS will be explored in session Clinical Complications of PD #NephJC |
| ู
ุญุฐูู @milardport RT @drdschwartzmd: @NephJC Not terrible to plan & insert AVF, switch to HHD #NephJC At 5 years, we're talking about people who likely don't have access to a tx |
 | Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 Must read article by @ArthurCaplan on #livingdonation I agree 100% with his position Thanks @ArthurCaplan! #nephJC @FionaCLoud @kidney_boy https://t.co/prG7IbAU2m |
 | Rakshit Tewari @rakshit1207 RT @jale999MI: @NephJC In some countries like mine, there is little access to HD, The patients are in better conditions in PD #NephJC |
 | patrick brophy @oldGCHPedsChair RT @Nephro_Sparks: @rheault_m Hi Michelle. had a nice discussion today about 80ml volumes in PD for peds #nephjc |
| patrick brophy @oldGCHPedsChair RT @rheault_m: @Nephro_Sparks I think my lowest starting fill volume has been 20ml. #nephJC |
| patrick brophy @oldGCHPedsChair RT @Nephro_Sparks: wow RT @rheault_m: wow RT @rheault_m: @Nephro_Sparks I think my lowest starting fill volume has been 20ml. #nephJC |
| patrick brophy @oldGCHPedsChair RT @rheault_m: @NephJC Michelle Rheault, Ped Neph at UMN. Love PD. COI in bio. #nephjc |
| patrick brophy @oldGCHPedsChair RT @NephJC: Please introduce yourself & declare any CoI (conflicts of interest) Even if you are lurking, wave ๐ #NephJC |
| Roger Rodby @NephRodby All Stars in Nephrology, discussing PD during baseball All Star game. #NephJC https://t.co/4uKBjqQTlc |
 | aHUS Alliance Action @aHUSAllianceAct Thromobotic Microangiopathy #MedEd 24 Aug in #Boston FMI #TMAboston https://t.co/G8EMG4cWRb #aHUS #nephrology #nephjc #hematology #SHUa #TMA https://t.co/x3W0pZJtfa |
 | 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 ๐ 2017 from @ISPD1 @PDIconnect #NephJC #Nephpearls ๐๐ผ 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 ๐ 2017 from @ISPD1 @PDIconnect #NephJC #Nephpearls ๐๐ผ 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)๐ฎ๐ณ @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 ๐๐ผ 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 Peel๐ณ๏ธโ๐๐๐ฌ๐ง๐ด๓ 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 Peel๐ณ๏ธโ๐๐๐ฌ๐ง๐ด๓ 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 Peel๐ณ๏ธโ๐๐๐ฌ๐ง๐ด๓ 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 Peel๐ณ๏ธโ๐๐๐ฌ๐ง๐ด๓ 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 Peel๐ณ๏ธโ๐๐๐ฌ๐ง๐ด๓ 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 Peel๐ณ๏ธโ๐๐๐ฌ๐ง๐ด๓ 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 Peel๐ณ๏ธโ๐๐๐ฌ๐ง๐ด๓ 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 Peel๐ณ๏ธโ๐๐๐ฌ๐ง๐ด๓ 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 Peel๐ณ๏ธโ๐๐๐ฌ๐ง๐ด๓ 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 Peel๐ณ๏ธโ๐๐๐ฌ๐ง๐ด๓ 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 Peel๐ณ๏ธโ๐๐๐ฌ๐ง๐ด๓ 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 Peel๐ณ๏ธโ๐๐๐ฌ๐ง๐ด๓ 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 Peel๐ณ๏ธโ๐๐๐ฌ๐ง๐ด๓ 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 Peel๐ณ๏ธโ๐๐๐ฌ๐ง๐ด๓ 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 Peel๐ณ๏ธโ๐๐๐ฌ๐ง๐ด๓ 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 Peel๐ณ๏ธโ๐๐๐ฌ๐ง๐ด๓ 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 Peel๐ณ๏ธโ๐๐๐ฌ๐ง๐ด๓ 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 ๐ #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 Peel๐ณ๏ธโ๐๐๐ฌ๐ง๐ด๓ 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 Peel๐ณ๏ธโ๐๐๐ฌ๐ง๐ด๓ ง๓ ข๓ ณ๓ ฃ๓ ด๓ ฟ @rabpeel RT @NephJC: @rabpeel ๐ #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 ๐ here https://t.co/uXW5Wo0QJT via @symplur https://t.co/PayiPyU36e |
 | ุฏ. ุนุจุฏุงูุฑุญู
ู ุงูุฐูุงุจู @DrNephron83 RT @edgarvlermamd: Encapsulating Peritoneal Sclerosis Position Paper ๐ 2017 from @ISPD1 @PDIconnect #NephJC #Nephpearls ๐๐ผ https://t.co/FClbx82U4P https://t.co/17DFNTc1nB |
 | Annadeane Kerr ๐บ๐ฆ๐จ๐ฆ @CottageBagPiper RT @hswapnil: Swapnil Hiremath, nephrologist from @uOttawaMed Mostly lurking today. No CoI #NephJC https://t.co/h8bp4VKrlg |
 | M.Hamzaoui @nephrohamzaoui RT @swissnephro: ๐ฌBloody 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 |
| ู
ุญุฐูู @milardport RT @NephJC: See @JoanneBargman (an author) views on biomarkers (via @brownpa79 at #CSN17) #NephJC https://t.co/vBVjkCeTDs #NephJC |
| ู
ุญุฐูู @milardport RT @NephJC: Please add #NephJC to each tweet (even replies!) so you can be part of the community |
#NephJC content from Twitter.