Kevin J. Fowler Principal The Voice of the Patient

If there was ever an argument why the treatment of #kidneydisease must move upstream, look at 5 year survival on #hemodialysis + how it compares to cancer + other diseases Thanks @Kidney_Kula + @4_kidney for sharing cc @soledadobrien @PostRowland @KHNews @LizSzabo @NYTHealth

@brithume Absolutely pathetic, Brit.

Quote: "Mueller’s family didn’t deserve the president’s grave dancing. None of Trump’s many enemies do. But Trump also didn’t deserve Russiagate. Nearly a decade after that phony scandal, our republic is still trying to recover." thefp.com/p/robert-muell…

@MichaelSteele @realDonaldTrump Amen.

.@realDonaldTrump you are a vile disgusting man. Petty and pathetic, you are a hypocrite who reeks of weakness and insecurities with no moral core. Regardless of the politics, the American people should be embarrassed and ashamed for ever having entrusted you with leadership. God rest Robert Mueller.

@brithume You got that right.

This is the kind of stuff Trump does that makes people not just oppose him but hate him. There was no need to say anything.

Upstream detection and intervention are the building blocks to bring about systemic change, and moving away from incentivizing kidney failure.

@eric_weinhandl I could not agree with more!

To be honest, our elected officials need to focus on that topic more. I may be enamored with home dialysis because improving that therapy is my mission, but from a public policy standpoint, the highest goal is to prevent advanced CKD. I walked away from that hearing thinking there were some missed opportunities to hammer that point.

Interesting hearing in Congress today, Some folks in the House are really enamored with home dialysis. Me too!

@DianeRavitch @CrazyVibes_1 I completely agree with you.

@CrazyVibes_1 We don't deserve dogs. They are better than most humans. Faithful, loyal, patient, dedicated.

On the morning of September 11, 2001, Michael Hingson was at his desk on the 78th floor of the North Tower of the World Trade Center. Blind since birth, he had long relied on guide dogs to live independently. That morning, his partner was Roselle, a yellow Labrador he had been working with since 1999. She lay quietly under his desk as he prepared for the day, unaware that within minutes, her calmness would save a life. At 8:46 AM, American Airlines Flight 11 struck the tower just ten floors above Michael. The building shuddered violently, glass shattered, papers flew, and people screamed. Michael could feel the vibrations and hear the chaos, but he could not see it. His coworker David Frank urged him to evacuate immediately. Michael called for Roselle. In that moment of terror, she emerged from under the desk, stretched, and looked at him expectantly. Calm and steady, she waited for his command. Michael grabbed her harness, and together with David, they began their descent through Stairwell B. Smoke seeped in, the air grew thick, and stairwells were crowded with panicked people, yet Roselle never wavered. Step by step, she guided Michael down 1,463 stairs, her training and temperament carrying him safely past chaos that no guide dog could ever have fully prepared for. Around the 50th floor, the South Tower collapsed. Debris rained down, dust filled the stairwell, and panic threatened to overwhelm the crowd. Still, Roselle remained calm, focused entirely on her handler. The journey took about an hour, and when they finally emerged onto the street, the scene was apocalyptic. Michael could hear the destruction, smell smoke and dust, and feel the shockwaves, but Roselle guided him steadily away from danger. They eventually took shelter in a subway entrance and later walked miles home to New Jersey, crossing bridges and navigating streets closed to the public. Throughout it all, Roselle remained composed, finally resting only when she reached home, exhausted but unharmed. Roselle had not performed superhuman feats. She simply did what she was trained to do: remain calm, focus on her handler, and navigate hazards step by step. On that day, her professionalism and unwavering loyalty saved Michael’s life. She became an emblem of quiet heroism, receiving numerous awards including the American Kennel Club’s Ace Award and Guide Dog of the Year. She passed away in 2011, but her story endures as a testament to courage, training, and the profound bond between humans and animals. Some heroes wear badges, some uniforms, and some wear harnesses, guiding their humans through literal and unimaginable darkness. On 9/11, Roselle was that hero.

@twaniimals Very cute

"The Camp of the Saints worldview simply assumes that immigrants can't contribute to society, to civilization. They can only destroy it...It's entered the GOP mainstream, and reshaped conservative ideology." liberalcurrents.com/the-great-repl…

@LaBeets50 @realBlagojevich @Bencjacobs And a moron.

@realBlagojevich @Bencjacobs Blago will go down in history as a Felon.

That’s me with Ed Martin yesterday at the Department of Justice. After initially feeling some PTSD for being in that building, I settled in. Ed Martin is doing great service for our country working to reform the misdeeds of the Obama-Biden era Weaponized DOJ.

@ASavageNation Spot on.

HANNITY interviewing NETANYAHU! Looked like a dumb hi-school drop-out kissing his long lost father's ass! Sickening! Turned more Americans against the war!

@Puppieslover I have done it several times.

Would you ?

@nicksortor I hope not.

🔥 President Trump catered McDONALD’s for Team USA at the White House today, bringing in STACKS of double cheeseburgers 🤣 All while patriotic songs BLASTED in the background There’ll NEVER be another President like Trump 😂

@eric_weinhandl Eric, can you provide some context to your statement?

Make the point, in economic terms, that a kidney transplant is not quite a “cure.” cc: @gratefull080504

Fascinating study of Canadian data. Transplantation and Employment Earnings in Kidney Transplant Recipients jamanetwork.com/journals/jaman…

@jkbjournalist @gtconway3d Thank @jkbjournalist for your tireless work.

Prince Andrew's Arrest Never in a million years did I fathom this when I resurrected the Epstein story in 2018. open.substack.com/pub/jkbjournal…

@BishopBarron You are a disgrace.

A recent statement by Representative Alexandria Ocasio-Cortez illuminates the Marxist ideology which continues to take hold of American politicians. Here are my thoughts.

@NickAdamsinUSA Thanks Nick for a great laugh!!

Donald Trump is the spiritual father of our country. We would be lost without his strong moral and biblical leadership!

@Scaramucci And Eric Holder.

Having watched now the testimony of Attorney General Bondi: Her screeds were ridiculous and indefensible and her what-aboutism was also nonsensical and of course she’s covering up for Donald Trump, but why wasn’t Garland on top of this?

@SnazzyLabs Moronic .

I knew Pam Bondi was dumb but I didn’t know she was *that* dumb.

@loookcloser @jkbjournalist Moronic to be exact.

@jkbjournalist the fact that she has to read all this from her talking points is next level batshittery

The stock market is doing so good -- so that means what exactly? We should forget about justice?