Sankar Niranjan

A key message no matter what your specialty is - uncontrolled DM causing ESRD, smoking induced lung cancer or alcoholic cirrhosis. Every trainee in Medicine needs to be honed on to this as a first step to being empathetic ! #nephjc

Green leans into the couplet, "The cure is where the disease is not and the disease is where the cure is not." because that is the whole ball game. #NephJC

This was one of the fascinating pieces of history that I learned from reading this book #nephjc

If anything, TB and Covid have taught us that they cannot be stopped at passport control! #nephjc

Quoting Abraham Verghese from the Covenant “Fiction is the great lie that tells the truth about how the world lives”! #nephjc

The fact that New Mexico got its statehood and WW I start had a TB connection was news to me! #nephjc

The stigmatization part of TB is well known to us but the romanticization was largely unknown to me #nephjc

…and the last sentence in the preceding paragraph was the next one! #nephjc

This shook me more than any other sentence in the book! #nephjc

Having gone to medical school in India, you would never be wrong to state TB as a possibility or in the differential diagnosis of any symptom or sign! #nephjc

“TB doesn’t just flow through the meandering river of injustice. It deepens and broadens it!” What a way to describe health inequity! #nephjc

Read it and thoroughly enjoyed it. Thanks for the recommendation #nephjc
Now sitting and re-living it under a frangipani tree in paradise!

#nephjc wonder why sulfonylureas are never associated with LA although incidence is similar in reduced GFR?

That’s been my experience too #NephJC.
“But my primary doctor said it hurts the kidneys and stopped it” - see a good 30-40% of CKD 3s who are off it due to myth in the medical community!

Is target trial emulation the only way to study Metformin in advanced CKD going forward? #nephjc

#NEPHJC Sankar Niranjan from the sunny Bay Area tuning in! No COI other than the fact I’ve been taking Metformin for 7 years now!

#ISNWCN looking forward to the meeting and excited to meet some of the best minds in the field of nephrology here!

Great to see alternatives. Practical question for those practicing in the US - how much resources will we need to get a prior auth for this? 😅 #NephJC

In talk to residents, they feel it is a lot of hard work (both physical labor and intellectual expenditure) that is not compensated well. The last attendings to leave the hospital are ID and renal 😀 #NephJC

Sankar Niranjan from Menlo Park CA, here to soak it in and learn from the best! Thanks for the migration here #nephjc

My “adding zen to the timeline” picture!