Manan Doshi

@sravya28 Na 190, K 2.9, Cl >150, Serum Osmolality 390, Urine Osmolality 426, Urinary Na 58 were the labs.

@manan_doshi We can’t rely on electrolyte values in abg right ?

The highest Serum Na I have ever seen. This patient presented with altered sensorium and for obvious reasons. He also needed RRT for oliguric renal failure. What would be the target Na in this patient? How do we do RRT in such a scenario? #NephTwitter #AskNeph #AskRenal

@Ramiz19465497 Na 190, K 2.9, Cl >150, Serum Osmolality 390, Urine Osmolality 426, Urinary Na 58

@manan_doshi Serum electrolytes? Never rely on abg electrolyte

Today I introduced The Healthcare Personnel and Healthcare Institutions (Prohibition of Violence and Damage to Property) Bill, 2023 in the LokSabha. On May 10, 2023, Dr Vandana Das, a young doctor driven by a commitment to serve humanity, tragically lost her life at the hands of a patient she was caring for in the emergency room. While recognising that nothing would bring back their only child, I had pledged to her parents that her death would not be in vain. She is not alone: It is currently estimated that 75% of doctors face physical &verbal abuse during their service. No doctor should have to fear for their safety while fulfilling their duty. As promised, I have thus moved a private member’s bill in Parliament to protect medical personnel. It makes acts of violence against healthcare personnel, including paramedical students &workers, administrative staff & ASHA workers, a cognisable and non-bailable offence. It requires speedy investigation and sentencing within a specified time frame & the establishment of designated special courts in every district. If passed, my Bill should be known as the Vandana Das Act, in honour of the brave young medical martyr. @mansukhmandviya

Lots of fun waiting to happen.. For the first time we present a Nephrology Cricket League with #isncon22 All those with a cricketer inside you join in..

Please block your dates for the 52nd Annual Conference of @isn_india #isncon22 at JW Marriot #Pune from 01-04 Dec 2022.. Scientific nephrology feast with great talks by esteemed international & national faculty, Exciting oral papers & posters, and lots more !! @ISNeducation

@JioCinema Has officially ruined world cup viewing experience for Indians with all the hangs, buffering and lags.... #FIFAWorldCup    #QatarWorldCup2022

Need of the hour! Urgent action needed for release of ATG stock @PMOIndia @mansukhmandviya

@fearingforties @myadla @ISNeducation Excellent case and lot of learning ointment today!! Most of all do look for AEC and not E percentage !!! #ECNeph

#ECNeph patient update.. continues to be in hematological remission @myadla @ISNeducation

Are we ignoring cerebellar part @fearingforties #ECNeph

What was cardiac status? @fearingforties #ECNeph

Dr. Manan Doshi from Pune. Always happy to learn along with and from @fearingforties #ECNeph

@Nair_Sanj @fearingforties @NamrataYParikh @arvindcanchi @divyaa24 She was on MMF+Steroids for two months before presentation and biopsy. Planning to start treatment for Pure Class V now that we have the biopsy. Thinking in terms of CNI+Steroids.

@manan_doshi @fearingforties @NamrataYParikh @arvindcanchi @divyaa24 With C1q positivity in IF and nucleosome positive id day yes to Lupus as a diagnosis. How's the response to treatment? pubmed.ncbi.nlm.nih.gov/11892702/#:~:t….

#askrenal #nephjc @fearingforties @NamrataYParikh @arvindcanchi @divyaa24 27yr F, unmarried with nephrotic presentation. Urine alb +3 with microscopic hematuria and serum alb 1.9g/dl. Normal renal functions and proteinuria of 6g per day. No h/o suggestive of lupus except hairfall

@fearingforties @NamrataYParikh @arvindcanchi @divyaa24 Would you term it as Lupus? Treatment i agree would not differ much! Only thing Class V may present with normal complements and absent AntidsDNA... so thinking in that terms!

@manan_doshi @NamrataYParikh @arvindcanchi @divyaa24 Would treat like class V.. triple therapy vs NIH

@NamrataYParikh @fearingforties @arvindcanchi @divyaa24 Anti DsDNa Negative, Normal Complements!! Otherwise no symptoms of Lupus! Also CYC - Young female, unmarried and planning to next few days!

@manan_doshi @fearingforties @arvindcanchi @divyaa24 ANA 4+ sure looks like Lupus. Could it be type V LN? Maybe you could try steroids + cyclophosphamide

Presence of both c3 and c1q positivity in biopsy. Serum Anti Pla2r is negative and complement levels are normal. How would you further evaluate and manage such patient? She has already recieved 2 months of mmf and steroids without any response.

Hiv/Hbsag/HCV neg, Ana +4, anti dsdna neg but anti jo1 and nucleosome positive. Renal biopsy suggestive of membranous nephropathy.

@fearingforties @prashantnephro @srikanthnephro @SreeSI @arvindcanchi @manan_doshi @manirath @VinBhargava Sorry!