Martin Windpessl

@PWoywodt See you there!

A massive group effort: 30 centers from 15 countries. A big thank you to all collaborators and the constructive review by @JASN_News! Please join @GaucklerP's presentation next Thursday during Kidney Week!

@cseidl2 Wird in Norman Lewis‘ Naples 1944 beeindruckend geschildert

Neapel stabil 🩸, oder, wie Katja Ebstein seinerzeit gesungen hat: "Wunder gibt es immer wieder, heute oder morgen können sie gescheh'n..."

@PulmCrit Agree! The combo 0.9 saline & furosemide is very effective in rapidly lowering K (and physiology is beautiful, including increased distal Na delivery and activation of big K channels (FIKS: flow-induced kalium secretion)

I continue to be surprised by the low level of enthusiasm for diuretics in the tx of hyperkalemia. patients with OK kidneys will usually excrete loads of K when treated with agressive diuretics plus IV fluid. this is fundamental, esp in rural setting where HD is delayed (#1/2)

@cavanaugh_do @hswapnil @NephRodby All in line with this rather old image from Johnson/Feehally (5. ed) (n=11; 3/7 bed rest, same food…), isn‘t it?

@Ferchu_Ortiz @amjtransplant @helantera @EdoardoMelilli @CKJsocial @ESOTtransplant Agree, very relevant paper!

Somehow discouraging: even waiting for a transplant for 5 years after first melanoma, the risk of invasive melanoma after is huge. I wonder if new cancer treatments could change the outcome. @amjtransplant @helantera @EdoardoMelilli @CKJsocial @ESOTtransplant

@VelezNephHepato @OSUWexMed Likewise: Both are components of the PLASMIC score, so plt > 30 and creatinine > 2 would reduce the score by 1 point each

Important slide that illustrates that a pt with MAHA with 40K PLT and sCr 5.0, the chance of being TTP is extremely extremely low and aHUS is the most likely diagnosis, and thus eculizumab should be considered early. Talk by Samir Parikh @OSUWexMed #NKFClinicals

Here is a general overview over the program! Please feel free to reach out if you have questions

@AKronbichler @NEJM As acknowledged by the authors, 1 year FU perhaps not long enough to detect benefits of this approach?

Have you seen this publication in @NEJM? Interventions which aimed to optimise blood pressure, HbA1C and lipid management did not reduce hospitalisation rate; notably, only 2% were on SGLT2i at that time (July 16-June 19). An important piece ...

@sara___helena @IJMS_MDPI Gratuliere!

We just published an article about the evolutionary history of RAAS and give an overview of RAAS interfering medications☺️ Renin–Angiotensin–Aldosterone System: From History to Practice of a Secular Topic mdpi.com/2740510 #mdpiijms via @IJMS_MDPI

Please join us in Salzburg (Mozart city) for the 2nd Austrian Mayo Clinic Meeting. A spectacular line-up of speakers will come together to talk about diverse topics of relevance for nephrologists and hematologists (and rheumatologists). Many highlights! mayoclinic.congressinfo.eu/program/

@sara___helena @oegnephro Thank you and all involved for making this happen! @AntMarlies @Christo46109236 @MarcusSaemann and others!

Happy #WorldKidneyDay 🎉 worldkidneyday.org/events/nieren-… So excited to finally share the @oegnephro nieren.app with everyone😊

@jfdwolff @NEJMEvidence This retrospective study triggered a reply worth reading: Sterns RH, et al. Treatment Guidelines for Hyponatremia: Stay the Course. Clin J Am Soc Nephrol. 2023 Jun 28;19(1):129–35. doi: 10.2215/CJN.0000000000000244. Epub ahead of print. PMID: 37379081; PMCID: PMC10843202.

Just came across this interesting study from @NEJMEvidence. Overcorrection of #hyponatraemia is common, and osmotic demyelination syndrome is rare. The majority of ODS occurred in people whose sodium was managed appropriately! #hyponatremia evidence.nejm.org/doi/full/10.10…

@AKronbichler @smirioglu @BrixSilke @JASN_News @hjanders_hans Diagnosis: Mixed cryoglobulinemia 2 to Sjögren

@AKronbichler @smirioglu @BrixSilke @JASN_News @hjanders_hans Thanks Andreas. Not an expert but from recent experience I would like to urge every nephrologist to liaise with your local lab technicians who know all about it and will happily advise you and can provide images of cryoprecipitates like this:

📓 The ERA Manual (era-online.org/era-neph-manua…) summarise relevant topics in nephrology, pivotal for training purposes. @smirioglu and I had the pleasure to write about "systemic disease and acute GN" and finished it in the beginning of last year. Please find some key aspects below:

@Sandeepchennadi @ArgaizR @NephroP @kidney_boy @msiuba @PulmCrit @IM_Crit_ @nickmmark Joannidis M, Klein SJ, Ostermann M. 10 myths about frusemide. Intensive Care Med. 2019 Apr;45(4):545-548. doi: 10.1007/s00134-018-5502-4. Epub 2019 Jan 14. PMID: 30643933.

Is lasix nephrotoxic? I say no...but so many people come at with this. I'm like, its just a diuretic. What say you? @ArgaizR @NephroP @kidney_boy @msiuba @PulmCrit @IM_Crit_ @nickmmark Thanks for any replies.

@AKronbichler Frohe Weihnachten Andreas (und gut gemacht, Julia!)

Merry Christmas to all! 24th is the main holiday in Austria! I was forced to wear the sweater by my dear colleague Dr Kerschbaum! Frohe Weihnachten! amazing hospital views never disappoint!

@DrJennyBee @hswapnil Brussels Champagne (Vandergheynst F, Gankam Kengne F, Decaux G. Vasopressin Antagonists. N Engl J Med. 2015 Sep 3;373(10):980-1. doi: 10.1056/NEJMc1508385. PMID: 26332562.)

#NephTwitter Tell me your secrets for increasing serum sodium in SIADH when you live in a low income area and salt tabs aren’t cutting it! *UreNa is $30 for 8 15g packets *UreaAide is $48 for 30 15g scoops. *Urea tabs (UreaAide) is $65 for the equivalent of 30 15g packs.

Please join us at what promises to be a great 2 days of Glomerular Disease Education at the RSM rsm.ac.uk/events/nephrol… @ERAkidney @ISNkidneycare @ISGDtweets @ScottishRenal @IPNA_PedNeph @GlomCon @kidneydoc101 Costs next to nothing and welcomes virtual attendees

@AKronbichler Jack Nicholson comes to my mind

Mitigating aggression in Philadelphia #KidneyWk! ‘Precision medicine’