#NephJC Transcript
Healthcare social media transcript of the #NephJC hashtag.
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See #NephJC Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Nephrology Journal Club @NephJC Pruritus Systematic Review #VisualAbstract https://t.co/NQAcfo9U9t |
 | Joel M. Topf, MD FACP @kidney_boy RT @NephJC: Pruritus Systematic Review #VisualAbstract https://t.co/NQAcfo9U9t |
 | Penn Kidney @PennKidney RT @NephJC: Pruritus Systematic Review #VisualAbstract https://t.co/NQAcfo9U9t |
 | mohammad alsawah @mohammadalsawah RT @NephJC: Pruritus Systematic Review #VisualAbstract https://t.co/NQAcfo9U9t |
 | Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 My manuscript: "Innovation in Chronic #Kidneydisease: The Need for the Patient Voice" has been accepted by @PatientJournal for pub. #nephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 Thank you @ApplHealthEcon + @PatientJournal for the opportunity to have the patient voice heard about #KidneyDisease #nephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 What about the wasted lives on #dialysis + premature death? Good grief! #nephJC https://t.co/CcIOa6rra5 |
 | Annabel Biruete ๐ฒ๐ฝ @anniebelch RT @NephJC: Pruritus Systematic Review #VisualAbstract https://t.co/NQAcfo9U9t |
 | Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: Pruritus Systematic Review #VisualAbstract https://t.co/NQAcfo9U9t |
 | Gates Colbert, MD @DoctorGates Almost #NephJC time to discuss Uremic Pruritus. Ready to do the Twitter take over. |
 | Nathaniel Reisinger @nephrothaniel RT @DoctorGates: Almost #NephJC time to discuss Uremic Pruritus. Ready to do the Twitter take over. |
 | Cathy Quinlan @CathyQuinlan.bsky.social @KidneyCathy Cathy Quinlan. Paed neph in Melbourne. Not important enough for COI. Currently by the pool #nephjc https://t.co/gkRRzBZxPF |
| Nephrology Journal Club @NephJC 15 Minute warning for the next #NephJC at 9pm EST. |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @DoctorGates: Almost #NephJC time to discuss Uremic Pruritus. Ready to do the Twitter take over. |
 | Andrew M. Ibrahim MD, MSc (He/Him) @AndrewMIbrahim RT @kidney_boy: #VisualAbstract Release candidate 2 for today's #NephJC on itching. 8pm BST and 9pm EST. https://t.co/jjJIUppVzQ |
| Nephrology Journal Club @NephJC 5 minutes. In the meantime check out this great #VisualAbstract #nephjc https://t.co/ngV6TNPKjh https://t.co/XVfdkU5oW6 |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: 5 minutes. In the meantime check out this great #VisualAbstract #nephjc https://t.co/ngV6TNPKjh https://t.co/XVfdkU5oW6 |
 | Jim Myers @kidneystories RT @gratefull080504: Here is the #storify on the #ckd staging discussion on #nephJC Last night @FionaCLoud @nkf @KidneyPatients @kidneystories @ASNKidney https://t.co/hNJHZm2g1x |
| Annabel Biruete ๐ฒ๐ฝ @anniebelch RT @NephJC: 5 minutes. In the meantime check out this great #VisualAbstract #nephjc https://t.co/ngV6TNPKjh https://t.co/XVfdkU5oW6 |
| Nephrology Journal Club @NephJC ATTENTION โฐ: It's 9:00 EST, time to scratch that itch to join #NephJC in North America #nephjc https://t.co/mm2S9BM0Of |
| Joel M. Topf, MD FACP @kidney_boy Waiting to pick up the daughter from dance class. Just board itching my head. #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: ATTENTION โฐ: ATTENTION โฐ: It's 9:00 EST, time to scratch that itch to join #NephJC in North America #nephjc https://t.co/mm2S9BM0Of |
| Nephrology Journal Club @NephJC Iโm Gates Colbert, MD @DoctorGates and I'm ready to get this chat rolling. I have no conflicts, but I do use a moisturizer PRN #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil Swapnil Hiremath, nephrologist from @OttawaHospital Not sure how to treat pruritis No other CoI #nephjc https://t.co/yRfkeyEA7N |
| Nephrology Journal Club @NephJC Please introduce yourself and declare any conflicts of interest #Nephjc |
| Annabel Biruete ๐ฒ๐ฝ @anniebelch Annabel Biruete, dietetic intern @BSUHealth and #NSMC intern, no COI #NephJC |
| Nephrology Journal Club @NephJC @hswapnil @OttawaHospital @jpeltzer @ottawacity Hey Swap - welcome as always! #nephjc |
| Nephrology Journal Club @NephJC Remember to add #NephJC to every tweet you want to be part of the discussion and part of the recorded journal club. |
| Nephrology Journal Club @NephJC @anniebelch @BSUHealth Annabel - a #NSMC all start. #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephJC @DoctorGates Nice summary Gates: https://t.co/HBbT2qSEew More than #280 :-) #envy #NephJC |
| Nephrology Journal Club @NephJC #NephJC recommends using https://t.co/SEeRXFHE9J or TChat.io to follow the chat. See a how to guide here: https://t.co/5jPXTxjUUZ |
| Nephrology Journal Club @NephJC RT @hswapnil: @NephJC @DoctorGates Nice summary Gates: @NephJC @DoctorGates Nice summary Gates: https://t.co/HBbT2qSEew More than #280 :-) #envy #NephJC |
| Nephrology Journal Club @NephJC Remember to sign up for the NephJC once a week (or less) newsletter and follow us on twitter. #NephJC https://t.co/5aumn8ImwF |
| Joel M. Topf, MD FACP @kidney_boy I am PI on a uremic pruritus study. Not sure how to spell pruritis. #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil Hope one of the authors can make it: @blakelerner @NavTangri or @paulkomenda #NephJC |
| Joel M. Topf, MD FACP @kidney_boy Do we have a topic zero? #nephjc |
| Nephrology Journal Club @NephJC @kidney_boy Are you allowed to disclose your intervention? #NephJC |
 | Navdeep Tangri @NavTangri @hswapnil @blakelerner @paulkomenda I'm here, def for some of the discussion #nephjc |
| Navdeep Tangri @NavTangri #NephJC No COI |
| Nephrology Journal Club @NephJC @NavTangri @hswapnil @blakelerner @paulkomenda Welcome Navdeep! Glad you could make it twice today #NephJC |
 | Roger Rodby @NephRodby Roger Rodby, no COI, all itching puns used up already #NephJC |
| Joel M. Topf, MD FACP @kidney_boy Nice. 2 Authors in the House! #nephjc |
| Nephrology Journal Club @NephJC TO: What are your patients telling your about their itching symptoms? #nephjc |
| Joel M. Topf, MD FACP @kidney_boy Her Roger, where did you guys go to dinner last night? Are there any good restaurants in Chicago? #nephjc |
| Nephrology Journal Club @NephJC @NephRodby Welcome back Roger! #NephJC |
| Joel M. Topf, MD FACP @kidney_boy T0: itโs like gays in the military, donโt ask donโt tell. Very rarely do they bring it up. #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil T0: itching is a terrible nuisance for patients. Very common complaint. Hard to fix #NephJC |
 | Hector Madariaga, MD FASN ๐ฒ๐ฝ @HecmagsMD Hello, everyone. Hector Madariaga. No COI. From #patriotsnation Iโll be lurking today. #babyduty #nephjc |
| Nephrology Journal Club @NephJC A direct link to the article can be found HERE: https://t.co/YymzJGGLRg #nephjc |
 | Tariq Shafi @DrTariqShafi Tariq Shafi. No COI #nephjc |
| Roger Rodby @NephRodby @kidney_boy https://t.co/MXRSXtWVo6 #nephJc |
 | Matthew Sparks, MD @Nephro_Sparks Matt Sparks @DukeKidney in and out tonight Family in town. Concerned about my excessive tweeting #NephJC |
| Nephrology Journal Club @NephJC Uremic pruritus is unique in that it does not exhibit a lesion prior to the itching sensation. #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @kidney_boy Ha! You are epitomizing this: https://t.co/YMuK5NNBQo from @DOPPS & @heartofengland #NephJC |
| Joel M. Topf, MD FACP @kidney_boy @Nephro_Sparks we all are concerned Matt, this isnโt #NephJC. Itโs an intervention. Everyone tell Matt how his tweeting affects them #nephjc |
| Navdeep Tangri @NavTangri @hswapnil Our cold climate doesn't help either. Everyone is dry and itchy here in the winter #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @DrTariqShafi Welcome to #NephJC Dr Shafi! |
| Roger Rodby @NephRodby Uremic pruritus is one of those things that Significantly impacts QOL. #NephJC |
| Joel M. Topf, MD FACP @kidney_boy RT @NephJC: Uremic pruritus is unique in that it does not exhibit a lesion prior to the itching sensation. #nephjc |
| Nephrology Journal Club @NephJC T1: What intervention do you find the most helpful to relieve the itching? Any homemade remedies from patients? #nephjc |
| Matthew Sparks, MD @Nephro_Sparks @docpro89 Hi Anthony. Glad u got itch to join #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephJC Indeed! And late manifestations terrible https://t.co/5AC0bAkd97 #NephJC https://t.co/4XtqE3Y8M8 |
| Tariq Shafi @DrTariqShafi How do you define uremic pruritus? ESKD requiring dialysis+ itching? #NephJC |
| Roger Rodby @NephRodby I see Uremic Pruritus as one those poorly understood uremic symptoms that indicates just how poor RRT is. #NephJC |
| Navdeep Tangri @NavTangri @NephRodby imo this and post dialysis exhaustion are the top two complaints #nephjc |
| Matthew Sparks, MD @Nephro_Sparks RT @NavTangri: @NephRodby imo this and post dialysis exhaustion are the top two complaints #nephjc |
| Joel M. Topf, MD FACP @kidney_boy #NephJC https://t.co/JF1b6E0Ao5 |
| Nephrology Journal Club @NephJC RT @DrTariqShafi: How do you define uremic pruritus? ESKD requiring dialysis+ itching? #NephJC |
| Navdeep Tangri @NavTangri @NephJC Very few, based on this paper, I use gaba second line, after emollients and general advise on shower, Pat dry etc #nephjc |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 @anniebelch @PatientJournal Hopefully in 2-3 weeks I will be able to share via twitter #nephJC |
 | Dr. Carlos Orantes ๐ธ๐ป @nefrorantes RT @NephJC: 5 minutes. In the meantime check out this great #VisualAbstract #nephjc https://t.co/ngV6TNPKjh https://t.co/XVfdkU5oW6 |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil T1: suggest lots of moisturing cream; avoid drying soaps; try cocktail of menthol/camphor for soothing effect. Then gabapentin #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NavTangri: @NephRodby imo this and post dialysis exhaustion are the top two complaints #nephjc |
| Nephrology Journal Club @NephJC RT @NavTangri: @NephJC Very few, based on this paper, I use gaba second line, after emollients and general advise on shower, Pat dry etc #nephjc |
| Nephrology Journal Club @NephJC RT @hswapnil: T1: T1: suggest lots of moisturing cream; avoid drying soaps; try cocktail of menthol/camphor for soothing effect. Then gabapentin #nephjc |
| Navdeep Tangri @NavTangri @DrTariqShafi Yes, but for me it has to be in absence of other diagnosis such as eczema #nephjc |
| Joel M. Topf, MD FACP @kidney_boy My plan of attack is exactly like @NavTangri, moisturize then gabapentin. Titrate up the Neurontin to coma then back it off a notch #nephjc |
 | Les @LBEBEN Could this be a predrome to calciphylaxis? One seems linked to the other; perhaps suggesting a dire prognosis. https://t.co/qSfMCJyAZN |
| Navdeep Tangri @NavTangri @DrTariqShafi Also it's usually generalized and without a rash #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NavTangri @NephRodby Are ranked even in the @song_initiative priorities right? #NephJC https://t.co/PnCsm7BeSG |
| Nephrology Journal Club @NephJC T2: Lets look at METHODS. This was a collection of RCTs. Do you think the studies selected are appropriate? #nephjc https://t.co/xanK1SfELI |
| Annabel Biruete ๐ฒ๐ฝ @anniebelch RT @hswapnil: @NavTangri @NephRodby Are ranked even in the @song_initiative priorities right? #NephJC https://t.co/PnCsm7BeSG |
| Tariq Shafi @DrTariqShafi @NavTangri Great systematic review. Very important to highlight this problem #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @docpro89 Lurk & learn: always a good plan. Welcome to #NephJC |
| Cathy Quinlan @CathyQuinlan.bsky.social @KidneyCathy Exactly my approach. Emollients tend to work well for my pop - parents more likely to apply well??? #nephjc https://t.co/t871YydppG |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: T2: T2: Lets look at METHODS. This was a collection of RCTs. Do you think the studies selected are appropriate? #nephjc https://t.co/xanK1SfELI |
| Matthew Sparks, MD @Nephro_Sparks RT @hswapnil: @NavTangri @NephRodby Are ranked even in the @song_initiative priorities right? #NephJC https://t.co/PnCsm7BeSG |
| Nephrology Journal Club @NephJC RT @DrTariqShafi: @NavTangri Great systematic review. Very important to highlight this problem #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil T2: Curious about measures of outcomes. So many excluded & still so heterogenous. Any thoughts @NavTangri & @paulkomenda ? #nephjc |
| Joel M. Topf, MD FACP @kidney_boy Seeing the pathetic state of data for a problem that is so important for patients was embarrassing. As if cardiology ignored angina. #nephjc |
| Matthew Sparks, MD @Nephro_Sparks Be careful with gabapentin #nephjc https://t.co/HV01fak7O7 |
| Roger Rodby @NephRodby Anything that goes away with transplantation speaks volumes for etiology. Any data on hemodiafiltration (my new HD holy grail) #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @kidney_boy: Seeing the pathetic state of data for a problem that is so important for patients was embarrassing. As if cardiology ignored angina. #nephjc |
 | Michelle Rheault @rheault_m @NephJC Michelle here late and lurking. COI: haven't read the article. #NephJC |
| Gates Colbert, MD @DoctorGates @Nephro_Sparks Gabapentin in ESRD = ๐ด๐ด๐ด๐ด #NephJC |
| Tariq Shafi @DrTariqShafi Need to investigate the causes of pruritus #nephjc |
| Navdeep Tangri @NavTangri #NephJC Outcomes were very difficult here, so many scales, we wanted to be as inclusive as possible without jeopardizing quality |
| Roger Rodby @NephRodby I think I saw Pruritus data was associated with death, indicating poor clearance for something more important #nephjc |
| Annabel Biruete ๐ฒ๐ฝ @anniebelch @Nephro_Sparks I have no clue about this, but how do pts do with gabapentin and the already high prevalence of fatigue? #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @rheault_m @NephJC Just see this #visualabstract ;-) #NephJC https://t.co/9i8qD9VjW3 |
| Nephrology Journal Club @NephJC @rheault_m Don't worry Michelle, your personal experience is probably equal N as most of the trials #smalldata #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NavTangri: #NephJC Outcomes were very difficult here, so many scales, we wanted to be as inclusive as possible without jeopardizing quality |
| Navdeep Tangri @NavTangri @DoctorGates @Nephro_Sparks so, our experience is not that bad, we start at a 100, and have hardly anyone over 300 #nephjc |
| Joel M. Topf, MD FACP @kidney_boy @NephRodby Yes there is a nice section of the manuscript which addressed this #NephJC https://t.co/aIW4S08vAl |
| Nephrology Journal Club @NephJC The Table 1 is LOOOONG nicely pointing out the 44 trials. Here is the link: https://t.co/Yy5i7rp7eR #nephjc |
| Navdeep Tangri @NavTangri @anniebelch @Nephro_Sparks It doesn't seem to worsen it meaningfully, we almost always dose hs, and on occasion remove a sleeping aid and replace w gaba #nephjc |
| Nephrology Journal Club @NephJC RT @kidney_boy: @NephRodby Yes there is a nice section of the manuscript which addressed this #NephJC https://t.co/aIW4S08vAl |
| Tariq Shafi @DrTariqShafi "subjective symptom such as pruritus, in which the pathophysiology is not completely understood" Exactly right #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @DrTariqShafi: "subjective symptom such as pruritus, in which the pathophysiology is not completely understood" Exactly right #nephjc |
| Roger Rodby @NephRodby @Nephro_Sparks is the gabapentin side effect police chief. Rightly so, VERY BAD DRUG when too much in ESRD, cannot stress enough #nephjc |
| Tariq Shafi @DrTariqShafi "Large, simple, rigorous, multiarm RCTs of promising therapies are urgently needed" Yes, but how can you treat without knowing cause #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephJC And article is free, #openaccess FTW! @paulphel blog on @AJKDonline also a nice read: https://t.co/QPN1p6B1jU. #NephJC |
| Nephrology Journal Club @NephJC Reminder of the positive interventions: cromolyn sodium, oral zinc, broadband UV-B light, high-flux HD, high-permeability HD. 1/2 #nephjc |
 | Poyan Mehr @poyanmehr RT @NephRodby: @Nephro_Sparks is the gabapentin side effect police chief. Rightly so, VERY BAD DRUG when too much in ESRD, cannot stress enough #nephjc |
| Matthew Sparks, MD @Nephro_Sparks And this is what introduced me to @NephRodby #nephmadness #nephjc https://t.co/lhsHwyqviH |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @paulkomenda @DrTariqShafi Any idea what the putative biomarkers might be? #NephJc |
| Roger Rodby @NephRodby HD patients can have other skin disorders, https://t.co/EEnJ8AmFLK Does anyone send the pt to derm? #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: Reminder of the positive interventions: Reminder of the positive interventions: cromolyn sodium, oral zinc, broadband UV-B light, high-flux HD, high-permeability HD. 1/2 #nephjc |
| Nephrology Journal Club @NephJC 2/2 montelukast, nalfurafine HCL,cholestyramine thalidomide, GLA-crm,capsaicin, pramoxine lotion, โChinese herbalโ crm, acupressure. #nephjc |
| Nephrology Journal Club @NephJC RT @NephRodby: HD patients can have other skin disorders, https://t.co/EEnJ8AmFLK Does anyone send the pt to derm? #nephjc |
 | Dr Anastasia Mihailidou FAHA FCSANZ FESC @AnastasiaSMihai RT @NephRodby: HD patients can have other skin disorders, https://t.co/EEnJ8AmFLK Does anyone send the pt to derm? #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: 2/2 montelukast, nalfurafine HCL,cholestyramine thalidomide, GLA-crm,capsaicin, pramoxine lotion, โChinese herbalโ crm, acupressure. #nephjc |
| Roger Rodby @NephRodby RT @Nephro_Sparks: And this is what introduced me to @NephRodby #nephmadness #nephjc https://t.co/lhsHwyqviH |
| Poyan Mehr @poyanmehr Hi folks. Late and lurking. Take goodcare of CKD so you have less of this in ESRD. Haha just joking @S_brimble @hswapnil #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil BTW. If anyone thinks itching is a minor symptom, read this from @Atul_Gawande https://t.co/JOojCrpvmH (long read) #nephjc |
| Michelle Rheault @rheault_m @NephRodby I send more patients to derm for hair loss on dialysis than I do for itching. #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil Or this patient commentary from @suziekjos https://t.co/tZ009oSlhS #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil Or just see this videos from the @heartofengland & @HughRayner https://t.co/86AxUBnoaT #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil #NephJC Excellent thought.. https://t.co/V7cu6WtkFJ |
| Roger Rodby @NephRodby When I talk to residents re inadequacy of RRT even when we think OK, I refer to Pruritus, restless leg, pericardial dx, Ascites etc #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephRodby These adequacy definitions (+ BP, volume, QoL) way more sensible than Kt/V or urea kinetics #NephJC |
| Nephrology Journal Club @NephJC T3: Risk-of-bias assessment. How do you feel about bias in this subjective complaint given our data driven specialty? #nephjc https://t.co/KL0McLK1RE |
 | Gail Rae-Garwood @Slowitdownckd RT @kidney_boy: Seeing the pathetic state of data for a problem that is so important for patients was embarrassing. As if cardiology ignored angina. #nephjc |
| Nephrology Journal Club @NephJC RT @hswapnil: Or just see this videos from the @heartofengland & @HughRayner https://t.co/86AxUBnoaT #NephJC |
| Joel M. Topf, MD FACP @kidney_boy just got home #nephjc |
| Roger Rodby @NephRodby @hswapnil Anything BUT KT/V IMO. #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @paulkomenda @Atul_Gawande Ouch! But true #NephJC |
| Matthew Sparks, MD @Nephro_Sparks RT @NephRodby: @Nephro_Sparks is the gabapentin side effect police chief. Rightly so, VERY BAD DRUG when too much in ESRD, cannot stress enough #nephjc |
| Matthew Sparks, MD @Nephro_Sparks @NephRodby and baclofen #NephJC #StopBaclofenInESKD |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @paulkomenda Good Q! Should ask @RitaSSuri #NephJC |
| Navdeep Tangri @NavTangri RT @Nephro_Sparks: @NephRodby and baclofen #NephJC #StopBaclofenInESKD |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: T3: T3: Risk-of-bias assessment. How do you feel about bias in this subjective complaint given our data driven specialty? #nephjc https://t.co/KL0McLK1RE |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephJC Unavoidable, I would say. Hard to blind, subjective and poorly defined outcome measures #NephJC |
| Roger Rodby @NephRodby @Nephro_Sparks Saw a REAL BAD Beclofen neurotoxicity this week, took days to get better, neuro was worthless, diagnosis by Hx. #nephjc |
| Nephrology Journal Club @NephJC RT @hswapnil: @NephJC Unavoidable, I would say. Hard to blind, subjective and poorly defined outcome measures #NephJC |
| Joel M. Topf, MD FACP @kidney_boy Kappa -mu opioid activation imbalance is promising. I like mechanisms that get way from the same old thing (ITS NOT PHOS or PTH!) #nephjc |
| Matthew Sparks, MD @Nephro_Sparks RT @NephRodby: @Nephro_Sparks Saw a REAL BAD Beclofen neurotoxicity this week, took days to get better, neuro was worthless, diagnosis by Hx. #nephjc |
| Joel M. Topf, MD FACP @kidney_boy Link on opioid hypothesis: https://t.co/1lpMcCVLny #nephjc |
| Matthew Sparks, MD @Nephro_Sparks I'll just leave this right here... baclofen.. crazy cousin of gabapentin https://t.co/EkaJRjpmJZ #nephjc |
| Roger Rodby @NephRodby @kidney_boy I still hear my pts being told it is their PO4, Agree NOT PO4, PO4 just a marker for some other middle molecule IMO. #nephjc |
| Navdeep Tangri @NavTangri @Nephro_Sparks I'll def concur on the baclofen, but our clinical experience as biased as that can be is not the same for gaba #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil This one looks sorta interesting https://t.co/j4I4qfLHXp (my grandma's favourite remedy for everything!) #nephjc |
| Annabel Biruete ๐ฒ๐ฝ @anniebelch @NephRodby @kidney_boy I'm definitely learning today, I thought it was PO4 ๐ #NephJC |
| Joel M. Topf, MD FACP @kidney_boy @hswapnil @NephJC why is it hard to blind if the drug or wave length is placebo-able? #nephjc |
| Annabel Biruete ๐ฒ๐ฝ @anniebelch @NephRodby @kidney_boy Or a possible explanation #NephJC |
| Nephrology Journal Club @NephJC RT @kidney_boy: Link on opioid hypothesis: Link on opioid hypothesis: https://t.co/1lpMcCVLny #nephjc |
| Annabel Biruete ๐ฒ๐ฝ @anniebelch @hswapnil Or omega 3 FA as pts may have deficiency, showing as dry/flaky skin #nephJC |
| Matthew Sparks, MD @Nephro_Sparks @hswapnil Swap if this was true... no itching at all in India #Tumeric #CuresAll #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @kidney_boy @NephJC Hard, not impossible. Creams/ointments have smell, texture for example..#NephJC |
| Matthew Sparks, MD @Nephro_Sparks he @NephRodby ... do you teach how to Rx itching in fellowship curriculum ... or is it bedside teaching for that one? curious #nephjc |
| Gates Colbert, MD @DoctorGates If DM โก๏ธ Neuropathy โก๏ธ Gabapentin, then why does Uremic Pruritis affect 46% of HD Pts? This is the treatment of โchoiceโ. #NephJC |
| Annabel Biruete ๐ฒ๐ฝ @anniebelch RT @DoctorGates: If DM โก๏ธ Neuropathy โก๏ธ Gabapentin, then why does Uremic Pruritis affect 46% of HD Pts? This is the treatment of โchoiceโ. #NephJC |
| Roger Rodby @NephRodby @Nephro_Sparks not sure it is formally addressed in Curriculum #RushRenalDoesntRule #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @anniebelch Ah, is that a sign of deficiency? Didn't know...#nephjc |
| Matthew Sparks, MD @Nephro_Sparks @NephRodby don't worry... this is not taught in ours either. #NeedToCover #NephJC |
| Matthew Sparks, MD @Nephro_Sparks where did Gates go @NephJC #nephjc |
| Roger Rodby @NephRodby @Nephro_Sparks Although my Fellows get no shortage of my feelings on HD inadequacy and middle molecules and HDF and Tx-ation #nephjc |
| Nephrology Journal Club @NephJC Time is almost up! Final thoughts on #uremicpruritus ? #NephJC |
| Michelle Rheault @rheault_m @NephJC Well, if I've learned one thing tonight, it's that I need to ask my patients about itching. #RaisingAwareness #NephJC |
| Matthew Sparks, MD @Nephro_Sparks we have to do better with this. more studies needed.... def a huge gap #nephjc |
| Michelle Rheault @rheault_m @NephRodby @Nephro_Sparks I want to round with @NephRodby! #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil Will use gabapentin with a bit more confidence & care Need more data! #DreamRCTs #NephJC |
| Nephrology Journal Club @NephJC RT @rheault_m: @NephJC Well, if I've learned one thing tonight, it's that I need to ask my patients about itching. #RaisingAwareness #NephJC |
 | Tommy Brothers @tdbrothers @kidney_boy & this 2016 meta-analysis from my institution (by 2 classmates!) supports nalfurafine / k-opioid agonism https://t.co/zenxmtfvOz #nephjc |
| Matthew Sparks, MD @Nephro_Sparks then you get Tapas #NephJC #RenalRushEats https://t.co/YnlwaJyRSq |
| Annabel Biruete ๐ฒ๐ฝ @anniebelch @NephJC The always adequate conclusion: more research is needed... in terms of cause(s) and effective treatments #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil Thanks to the authors @paulkomenda @NavTangri for an excellent & timely study - and joining in the conversation! #NephJC |
| Matthew Sparks, MD @Nephro_Sparks The numbers: 195 Tweets. 31 Participants. September 27th 2017. More #NephJC ๐ here https://t.co/jE4yWfFGG8 via @symplur |
| Joel M. Topf, MD FACP @kidney_boy Nice chat. Thanks everyone. #nephjc |
| Matthew Sparks, MD @Nephro_Sparks thanks to @DoctorGates for hosting #NephJC |
| Nephrology Journal Club @NephJC RT @Nephro_Sparks: The numbers: The numbers: 195 Tweets. 31 Participants. September 27th 2017. More #NephJC ๐ here https://t.co/jE4yWfFGG8 via @symplur |
| Nephrology Journal Club @NephJC RT @hswapnil: Thanks to the authors @paulkomenda @NavTangri for an excellent & timely study - and joining in the conversation! #NephJC |
| Nephrology Journal Club @NephJC Thanks everyone for your input and commitment to helping your patients. @DoctorGates signing off. #nephjc |
| Annabel Biruete ๐ฒ๐ฝ @anniebelch Good night everyone! Good job, @DoctorGates! #NSMC #nephjc |
| Roger Rodby @NephRodby @NephJC @DoctorGates Fun interesting discussion #nephjc |
| Cathy Quinlan @CathyQuinlan.bsky.social @KidneyCathy Thanks everyone. I learned a lot. Good job @hswapnil #nephjc |
 | B. Wagner, M.D. ๐บ๐ธ @Wagner_Nephro RT @NephRodby: @Nephro_Sparks is the gabapentin side effect police chief. Rightly so, VERY BAD DRUG when too much in ESRD, cannot stress enough #nephjc |
 | Arvind Canchi (Conjeevaram)๐ฎ๐ณ @arvindcanchi RT @NephRodby: HD patients can have other skin disorders, https://t.co/EEnJ8AmFLK Does anyone send the pt to derm? #nephjc |
| Arvind Canchi (Conjeevaram)๐ฎ๐ณ @arvindcanchi RT @hswapnil: BTW. If anyone thinks itching is a minor symptom, read this from @Atul_Gawande https://t.co/JOojCrpvmH (long read) #nephjc |
| Arvind Canchi (Conjeevaram)๐ฎ๐ณ @arvindcanchi RT @hswapnil: This one looks sorta interesting https://t.co/j4I4qfLHXp (my grandma's favourite remedy for everything!) #nephjc |
| Arvind Canchi (Conjeevaram)๐ฎ๐ณ @arvindcanchi RT @NephJC: 5 minutes. In the meantime check out this great #VisualAbstract #nephjc https://t.co/ngV6TNPKjh https://t.co/XVfdkU5oW6 |
| Arvind Canchi (Conjeevaram)๐ฎ๐ณ @arvindcanchi RT @kidney_boy: Link on opioid hypothesis: Link on opioid hypothesis: https://t.co/1lpMcCVLny #nephjc |
| Arvind Canchi (Conjeevaram)๐ฎ๐ณ @arvindcanchi RT @hswapnil: @NephJC And article is free, #openaccess FTW! @paulphel blog on @AJKDonline also a nice read: https://t.co/QPN1p6B1jU. #NephJC |
 | Selina Allu @SelinaAllu RT @NephJC: 5 minutes. In the meantime check out this great #VisualAbstract #nephjc https://t.co/ngV6TNPKjh https://t.co/XVfdkU5oW6 |
 | Edgar V. Lerma ๐ต๐ญ @edgarvlermamd Treatment of uremic pruritus: a systematic review #Nephpearls #NephJC #VisualAbstract by @kidney_boy ๐๐ผ https://t.co/mjIxEkkedF https://t.co/Yb27ARK9cC |
| Joel M. Topf, MD FACP @kidney_boy RT @hswapnil: @NephJC And article is free, #openaccess FTW! @paulphel blog on @AJKDonline also a nice read: https://t.co/QPN1p6B1jU. #NephJC |
 | nina juan loa @sabel_205 RT @edgarvlermamd: Treatment of uremic pruritus: Treatment of uremic pruritus: a systematic review #Nephpearls #NephJC #VisualAbstract by @kidney_boy ๐๐ผ https://t.co/mjIxEkkedF https://t.co/Yb27ARK9cC |
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