Alexander Kirsch

No better than HDF

#Nephsky this hints at a mechanism of euglycemic DKA/why you see glucagon secretion with flozins.

@hswapnil.medsky.social @littlebiggloms.bsky.social @kidneyboy.bsky.social

Sometimes the most challenging cases seem to pop up on Friday when you’re on your own. We tried to collect some helpful points when dealing with these cases. @nephroneu.bsky.social @kathrineller.bsky.social @odlerb.bsky.social @ckj-era.bsky.social

Call me old fashioned, call me out of touch, call me elitist, but I believe if you consult me for an acute kidney injury in a patient, then that patient should actually have an acute kidney injury. That’s just what I believe.

Nothing wrong with dual blockade, but usually rather add an MRA to get the proteinuria down.

Don’t know about that… even less data on efficacy for stroke prevention, lots of bleeds, and sometimes significant problems with extensive vascular calcification during transplant surgery. At least in Austria the wait for KTx will sometimes be years.

For some reason the fact that the filtrate is flowing from right to left in this figure irritates me.

I put this in a presentation - and apparently - wrongly attributed it to Ron Wald. (Also happy what we used to have 2 years ago is back!) #Nephsky