Satish Balan

@theliverdoc Seat belts are the worst approach to preventing deaths in car accidents, by the same token

This you, quack?

@SayaliBThakare @kdjhaveri @Alexgr23 @kotharijatin @Apsn_eph @jsnorjp @thtrm @brammahin @anushreeshirali @Glomkeeper Didn't understand any of that but must have been a delightful book. Have read a few of the brilliant detective fiction of Keigo Higashino as well as the wonderful and remarkable Kafka on the shore by Murakami. Must sample more Japanese

As a chronicle of this ongoing exhibition, this little book describes the evolution to kosenga, kaika-e & shin-hanga Driven by Japan’s modernisation🚂 in the Meiji period 🎎, through artists & their artwork depicting the dizzying changes to the society “From Kiyochika to Hasui”

#ISNWCN 🇯🇵 📍The Yurindo Isezakicho bookstore 🗺️Yokohama Made a quick trip to this 117-year old, 6-storey treasure house of books & stationery, that’s withstood earthquakes, WWII & the test of time! And this is where I found a perfect souvenir! “A World Only Yurindo Knows” 📚

😎🤯Autoantibody-triggered podocyte membrane budding drives autoimmune kidney disease: ⁦@CellCellPress⁩ cell.com/cell/fulltext/…

@KidneyKolumns @aiims_newdelhi @FAIMS_AIIMS @dr_sourabha @iamnephrologist @MayuriTrivedi80 @drshyambansal @Nair_Sanj @happiedoc @BeheraVineet @isn_india @arvindcanchi That link seems broken. This may be the correct one isn-india.org/isn-newsletter…

How to deal with TMA in pediatric age group?👶 - What differentials to think of ❓ - When to go with eculizumab?💉 Prof Aditi Sinha & Prof Arvind Bagga from @aiims_newdelhi give an overview of Pediatric TMA Download here for full text isn-india.org/wp-content/upl…

@arkanalabs Anti nephrin antibodies?

This image is from a biopsy of a young female who presented with proteinuria during pregnancy. Routine immunofluorescence was negative. What is this stain and what is your diagnosis? #DiagnoseThis #nephx #pathx #renal #kidneypath

@arkanalabs Are the figures labelled correctly?

What does acute tubular injury (ATI) look like in a kidney biopsy? For comparison, Fig. 1 shows a biopsy with a normal appearing tubulointerstitium. The tubules show a back-to-back configuration, and the proximal tubular PAS-positive brush borders are easily identified. In contrast, Fig. 2 shows a biopsy from a patient with acute tubular injury in which there is prominent luminal ectasia and loss of brush border PAS staining. Other features seen in acute tubular injury include tubular epithelial cell vacuolization, nucleolar enlargement, and mitotic activity. #TeachingPoints #kidneypath #renal #nephx #pathx

@isn_india @arvindcanchi @vjha126 @Isncon25 @drshyambansal @Narayansgpgims @VijayKher8 @VinBhargava @raja_1980 @manirath @drmanishasahay @AnandhUrmila @JasmineNephro Congratulations to @vjha126 . Truly deserved and a legend of our times

Congratulations to Prof Vivekanand Jha @vjha126 on being awarded the JCM Shastry Oration for the year 2025. He will deliver the Oration at the 54th Annual Conference of the Indian Society of Nephrology #ISNCON25 to be held in #Lucknow in December 2025. Register NOW for the Conference.

@KSusztak @theNAMedicine @PennMedicine I have been following your work on twitter and it has been nothing short of amazing. Congratulations

I am deeply honored to be elected to the @theNAMedicine From modest beginnings to this moment, I am profoundly grateful to my mentors, colleagues, trainees, and the incredible team in my lab — and to @PennMedicine and for their unwavering support in advancing precision nephrology. And to my family for their patience, endless love and support.

🚨 Day 1 Highlight – #ISNCON2025 🚨 Join us at SGPGIMS, Lucknow on 18 Dec 2025 for the Transplant Immunology Workshop — a power-packed morning exploring cutting-edge topics from HLA typing to post-transplant immune monitoring! 👨‍🏫 Moderators: Dr Narayan Prasad & Dr Satish Balan 📍 Venue: Convention Centre, SGPGIMS ⏰ 8:45 AM onwards #Nephrology #TransplantImmunology #ISNIndia #ISNCON25

@nephromythri @GlomCon Lovely snap. But beware of falling coconuts

Day 1 of the Core conference #GlomConHawaii @GlomCon

@anuja_java Unfortunately for us in India no access to available therapies. Even despite the orphan drug policy

Behind every aHUS diagnosis is a family fighting fear, hope, and uncertainty. On #aHUSAwareness Day, we honor their strength and push for timely diagnosis, greater access to care and brighter tomorrows!! #RareDisease #aHUSWarriors

@dakidneydoc @Sandyrvsdav Season 1 wasn't dark enough? May be too dark for me

@Sandyrvsdav Season 2 gets darker.. Hold on!

Late night #Wednesday binge watch (Yes, I'm still on season 1!) But getting distracted by the dialysis machine in the background. Need to take off my Nephrologist cap!

@KajareeG @myadla @ISNeducation @ISNkidneycare @drpriyajohn @Dilushiwijay @Ironken6 @shubharthikar @sabine @nihardesai7 Excellent review and practical guidance

9/ 👀Let's look at the scoring criteria 🌟 Reporting and grant disbursement 🎯Don't miss the application deadlines @ISNeducation @ISNkidneycare

🎯1/ Do you want to submit a successful Sister Centers Program application from ISN ? ✅Check out this webinar from #ISNacademy A small 🧵 @ISNkidneycare @ISNeducation

@Dr_Kristin_G @askrenal @GlomCon @manirath @raja_1980 @GlassockJ @SreejithDr Steroids are unavoidable for now. I would suggest 500 methylprednisolone daily *3 and then would start at 40 mg per day. Actual doses would depend on how you feel about this patient. Would aim 2 g MMF as early as possible. IV metpred can reduce oral dosing

@balansatish @askrenal @GlomCon @manirath @raja_1980 @GlassockJ @SreejithDr Just another quick question sir, how do you manage the steroid dosing in such a situation? PS: The patient has done her research and is very concerned about the cosmetic side effects of steroid

30 yr old unmarried female came with vague body-ache, no Edema. UPCR: 12, serum Alb: 4.0, total cholest: 192. Renal biopsy: class V LN. How do you treat? @askrenal @GlomCon @manirath @raja_1980 @GlassockJ @balansatish @SreejithDr

@snamratarao @Dr_Kristin_G @askrenal @GlomCon @manirath @raja_1980 @GlassockJ @SreejithDr The data is sparse. The Chinese multitarget trial had only around 12 percent in Class V. And the voclosporin AURORA series only 14%. But both trials showed faster response, in the entire cohort. I find TAC/CSA helps when MMF alone cannot handle the load

@Dr_Kristin_G @askrenal @GlomCon @manirath @raja_1980 @GlassockJ @balansatish @SreejithDr I wonder what is the experience with regard to time to remission of proteinuria with triple therapy (Tac based) vis a vis MMF/Std ? Do you experience faster remissions?

@nephondemand @Dr_Kristin_G @askrenal @GlomCon @manirath @raja_1980 @GlassockJ @SreejithDr Unmarried means 2 things here - low chance of pregnancy and need to maintain fertility. Avoid CYC as far as possible

@Dr_Kristin_G @askrenal @GlomCon @manirath @raja_1980 @GlassockJ @balansatish @SreejithDr Quick question: do we need to know she is unmarried? Does that fact impact her diagnosis? Not clear on the diagnostic value of that piece of info. Thx.

@Dr_Kristin_G @askrenal @GlomCon @manirath @raja_1980 @GlassockJ @SreejithDr Steroids + MMF + TAC/CSA where dual therapy was not doing great over a period of 3-6 months. Triple therapy upfront sounds great but are we doing overkill? Especially in India. Still feel a sequential approach to triple therapy may be better

@Dr_Kristin_G @askrenal @GlomCon @manirath @raja_1980 @GlassockJ @SreejithDr I would manage with dual therapy steroids+MMF. While the new ACR guidelines do suggest triple therapy - I think based on voclosporin trials - the data for this doesn't exist. But triple therapy may be a good idea - have used where dual therapy inadequate

@snamratarao @arvindcanchi @isn_india @ISNeducation @ECNeph No need for urea when we have Tolvaptan

@arvindcanchi @isn_india @ISNeducation @ECNeph Looks daunting! I haven’t seen higher sir … makes one think that high urea is not as toxic as it’s made out to be! Btw I was recently asking around for oral urea for a case of difficult to treat hyponatremia (vaptan etc) in a patient with stage 2 CKD- any idea how to get it sir?

Time to bring out the record of the blood urea...highest I've seen in my practice! Have you folks seen higher readings?

The 54th Annual Conference of the Indian Society of Nephrology will be held in #Lucknow in December 2025. Registration for the conference is mandatory to be able to register for the Workshops. Registration for workshops is complimentary, however, the seats are limited. Register for the workshops here 👉 isncon2025.com/workshop-regis…