โThe kidneys make the stuff of philosophy itself.โ โฅ๏ธ Thank you @msocomd.bsky.social
โThe kidneys make the stuff of philosophy itself.โ โฅ๏ธ Thank you @msocomd.bsky.social
๐Before we start, a few reminders! Are you new to #NephJC ? Not sure what to do or how this works? Here is a quick rundown, an infographic made by Sinead Stoneman
โฐ90 minutes left until #NephJC chat
Hemoglobin targets have swung widely:
๐ Normalize Hb โ CV harm signal
๐ Conservative targets โ persistent symptoms
Have we found the sweet spot yet?
โฐ2 hours until #NephJC chat
Anemia in CKD has shaped nephrology for decades
ESAs, iron, transfusions, now HIF-PHIs
But one question remains:
๐ Are we treating anemia optimally or cautiously?
#NephSky #MedSky
๐ฉธBlood is thicker than water ๐
Thankfully we thinned out the 2026 KDIGO Anemia Guidelines for you to peruse.
Come discuss what's new.
Tuesday 2/24/26 at 9pm EST on Bluesky!
Summary by @jeyakumarmeyyappan.bsky.social
www.nephjc.com/news/kdigo-anemia
Anemia research in CKD has had so much big fraud stories (which we donโt touch in the #NephJC write up) given the $$$
- the Normal Hct shady analysis from Amgen and PIs that @nejm.org allowed and still stays there
- the Roxadustat p-hacking that brought down Fibrogen and tainted HIF-PHIs
Marc Soco, nephrologist from the Philippines and flozinator, looking forward to the discussion. No COI #NephJC
Pretest and post-test counseling. (A) The components of pretest counseling. (B) The components of post-test counseling. The goals of the counseling session are depicted in rectangular shapes. Questions that the clinicians should ask themselves are depicted in the white clouds. VUS, variants of uncertain significance.
nice (and free) review of genetic testing and counselling in renal disease
journals.lww.com/kidney360/fu...
in @asnpublications.bsky.social #Kidney360
#NephSky #Genetics
Totally agree. But given the signal for reduced hypoK and SCDโฆ tempting to think K might be contributing independently #NephJC
Feels unlikely to be pure coincidence. Potassium may be part of the mechanism, not just a bystander #NephJC
In patients with CV disease, the โnormalโ range may be misleading
Mortality is actually higher at Kโบ 3.5โ4.0 mmol/L
while high-normal levels (4.5โ5.0) are associated with lower mortality ๐ #NephJC
pubmed.ncbi.nlm.nih....
Glad to have you here! Always great to hear from someone whoโs been intentionally targeting higher potassium in practice. Looking forward for some insights #NephJC
Hey everyone! Marc here, joining from the Philippines. No COI #NephJC
๐๐ฅCan pushing Kโบ to the high-normal range reduce ICD shocks and hospitalizations?
๐จ #Visualabstract by @jeyakumarmeyyappan.bsky.social
โฐ #NephJC chat on Jan 27, 9 pm EST
www.nephjc.com/news/2026/1/...
ยฟElevar el Kโบ al rango alto-normal puede reducir las descargas del DAI y las hospitalizaciones?
๐จResumen visual por @jeyakumarmeyyappan.bsky.social
โ๏ธTraducido por @dramiliflores.bsky.social
www.nephjc.com/news/2026/1/...
Oh, the weather outside is frightful ๐ฅถ๐ฅถ
But #NephJC is so delightful,
and since you've no place to go #NephSky...
Come discuss POTCAST: potassium goals and cardiac arrhythmias 1/27/26 at 9pm EST on #Bluesky
Summary by @shelliefravel.bsky.social @salinesolut.bsky.social
www.nephjc.com/news/potcast
It's 2026!๐
We will be counting down the Top Ten Nephrology Stories of 2025 on 1/6/26 at 9 pm EST.
Join us on TWITTER (it will always be Twitter to us).
Come on by #NephJC faithful for a lively discussion! You picked & we're count'em down.
www.nephjc.com/news/2025/1/3/top-stories-in-nephrology-2025
1/10
Last #NephJC we discussed dialysis frequency in AKI-D #TenPostNephJC
We sought to answer an age-old question: Is less is really more? Or less is just simply what it isโฆ.less?
pubmed.ncbi.nlm.nih.gov/41201895/
If hemodynamically stable and non-oliguric, then probably no. Ultimately, we treat the patient, not the numbersโฆ using labs to inform, not dictate, decisions #NephJC
Have you ever โwithheldโ dialysis because the patient looked good despite questionable labs?
Did you feel brave or nervous? ๐
We restrict fluids, potassium, phosphorusโฆ
But what about restricting dialysis itself?
Letโs talk. #NephJC
Hi everyone ! Marc here from the Philippines ๐ต๐ญ sharing this โimprisonmentโ from Jerรณnimos Monastery in Lisbon ๐ต๐น. From historic monasteries to modern trials, letโs LIBERATE-D our thinking. Looking forward to a great discussion! No COI. #NephJC
Gracias! @dramiliflores.bsky.social #NephSky
LIBERATE-D: El Resumen Visual โ #NephJC
www.nephjc.com/news/2025/12/14/liberate-d-el-resumen-visual
www.nephjc.com/news/...
Check out the excellent #NephJC summary by @msocomd.bsky.social and @sejalplakhani.bsky.social
Join us for the last #NephJC of 2025, 12/16/25 at 9pm EST!๐ฅณ
How soon should we withhold dialysis in AKI?
We're discussing the LIBERATE-D trial #NephSky
This one might just change your mind ๐ง ๐ง
Blog by @msocomd.bsky.social and @sejalplakhani.bsky.social
www.nephjc.com/news/liberated-aki
Holy Mackerel! ๐
๐ฆAhoy matey! Could fish oil unlock the mysteries of increased CV mortality in ESRD? ๐ดโโ ๏ธ #NephJC
Join us for a lively trawling trip 12/2/25 ๐ฅ๏ธat 9pm EST
Check out the PISCES VA by @brianrifkin.bsky.social
www.nephjc.com/news/piscesva
1/10
Last #NephJC we discussed the ORIGIN 3 trial which investigated the use of Atacicept in IgAN #TenPostNephJC
Read the article ๐
www.nejm.org/doi/10....
T4d:
Thatโs all partners ๐ค
From here until the end of the year we will be catching up on all the late-breaking and simultaneous publications from #KidneyWk 2025. ๐ฎโ๐จ
Ainโt no party like a #NephJC party!