iiinova — where your digital self keeps evolving

Reposted by Vivek Bhalla, MD, FASN, FAHA

American Journal of Kidney Diseases @ajkd.bsky.social · 28/07/2026

Hemophagocytic Lymphohistiocytosis and Fibroblast Growth Factor 23 (FGF23)–Induced Hypophosphatemia bit.ly/4yLHsIr @grahamabra.bsky.social @bhallaresearch.bsky.social @mcaccia.bsky.social

Serum phosphate (red dots) and ferritin trends over the 2 hospitalizations for HLH and after discharge with corresponding levels of intact and c-terminal FGF23 during the HLH exacerbation after chimeric antigen receptor T-cell therapy. Dosages of supplements are reported in Fig S2. Note that phosphorus content of parenteral and enteral nutrition and phosphate-containing replacement fluids through continuous kidney replacement therapy (during the episode of acute kidney injury) are not tabulated. Abbreviations: HLH, hemophagocytic lymphohistiocytosis; HSCT, hematopoietic stem cell transplantation; LD CT, lymphodepleting chemotherapy; RRT, renal replacement therapy.

011

Reposted by Vivek Bhalla, MD, FASN, FAHA

Taylor Mitchell Brown @tmitchellbrown.bsky.social · 10/07/2026

Scientists just found rare ancient DNA evidence that resolves a 500-year-old murder mystery. Rather than poison, the Grand Duke Francesco de Medici likely died of malaria. His bones help reveal how the deadly parasite once ravaged Italy. #Archaeology #aDNA 🏺🧪 New at @science.org

science.org

Ancient DNA solves Medici murder mystery

Malaria, not poisoning, killed a prominent 16th century duke

34715

Reposted by Vivek Bhalla, MD, FASN, FAHA

Josh Leisring @joshleisring.bsky.social · 17/04/2026

Great case highlighting utility of metanephrines with AVS in a patient with PA and hypercortisolism (MACS). Traditional AVS uses the aldo:cortisol ratio which is confounded if an adenoma co-secretes cortisol. tinyurl.com/yvhwpt75 @bhallaresearch.bsky.social Always check 1mg DST in PA+adenoma!

tinyurl.com

Hypercortisolism: A Prevalent and Complicating Factor in Primary Aldosteronism | Hypertension

031

Reposted by Vivek Bhalla, MD, FASN, FAHA

Sarah Sanghavi @sarahsanghavi.bsky.social · 09/02/2026

Urine microalbumin getting Super Bowl star treatment with Sofia Vergara and Octavia Spencer.

1115

Vivek Bhalla, MD, FASN, FAHA @bhallaresearch.bsky.social · 25/01/2026

I would simply like to add my name to the chorus of folks who are struggling with this new NIH biosketch format. As both a grant writer to the NIH and a grant reviewer for the NIH, I have tried to see potential merits of this, but 1/2

121

Reposted by Vivek Bhalla, MD, FASN, FAHA

Vivek Bhalla, MD, FASN, FAHA @bhallaresearch.bsky.social · 25/09/2025

We are thrilled to announce that we have generously received funding for a one-year hypertension fellowship, and we are recruiting now for a candidate to start fellowship July 1, 2026 . med.stanford.edu/hypertension/e… -Jehan Zahid Bahrainwala HTN Fellowship Program Director

med.stanford.edu

0158

Reposted by Vivek Bhalla, MD, FASN, FAHA

Vivek Bhalla, MD, FASN, FAHA @bhallaresearch.bsky.social · 05/11/2025

Ahead of #KidneyWk25, we are recruiting a hypertension fellow to the Stanford Hypertension Center for July 2026. Please come find me at ASN. med.stanford.edu/nephrology/e...

med.stanford.edu

Hypertension Fellowship

076

Vivek Bhalla, MD, FASN, FAHA @bhallaresearch.bsky.social · 05/11/2025

Ahead of #KidneyWk25, we are recruiting a hypertension fellow to the Stanford Hypertension Center for July 2026. Please come find me at ASN. med.stanford.edu/nephrology/e...

med.stanford.edu

Hypertension Fellowship

076

Vivek Bhalla, MD, FASN, FAHA @bhallaresearch.bsky.social · 25/09/2025

med.stanford.edu

0158

Reposted by Vivek Bhalla, MD, FASN, FAHA

grahamabra.bsky.social @grahamabra.bsky.social · 05/09/2025

A famous nephrologist getting ready to go see the most famous guy who plays a nephrologist @glaucomflecken.bsky.social @stanforddeptmed.bsky.social Grand Rounds!

1134

Reposted by Vivek Bhalla, MD, FASN, FAHA

Adina Turcu @adinaturcu.bsky.social · 28/08/2025

#ENDO2026 Welcomes Your Ideas | Our annual meeting will take place in Chicago, IL, June 13–16, and I’m inviting YOU to shape the program💡Submit your symposium proposal or session suggestion by Tuesday, September 2: bit.ly/4flCMjl #endocrinology @TheEndoSociety

bit.ly

ENDO 2026 Session Submissions

ENDO wouldn’t be possible without the insight and expertise of the Endocrine community. Your ideas are essential to building a dynamic, forward-thinking program that reflects the full breadth of our f...

055

Reposted by Vivek Bhalla, MD, FASN, FAHA

David Ho @davidho.bsky.social · 30/07/2025

Motherfucking wind farms…

11234703617596

Vivek Bhalla, MD, FASN, FAHA @bhallaresearch.bsky.social · 24/07/2025

Dr. Alessia Fornoni @alessiafornoni.bsky.social University of Miami describing her journey as a physician scientist, mentor, and drug developer- from a small town in northern Italy to her many roles today

040

Vivek Bhalla, MD, FASN, FAHA @bhallaresearch.bsky.social · 24/07/2025

Drs. Prabir Roy-Chaudry @asnkidney.bsky.social president of the ASN, @uncchapelhill.bsky.social as well as Drs. Rasheed Gbadegesin @dukepress.bsky.social and Emmanuel Opara @wakeforest.bsky.social kicking off the KUH R25 symposium @dknet.org at UNC chapel hill today

130

Reposted by Vivek Bhalla, MD, FASN, FAHA

NEJM.org @nejm.org · 21/06/2025

Presented at the #ADASciSessions: Zimislecel is an allogeneic stem cell–derived islet-cell therapy. This phase 1–2 study supports the hypothesis that zimislecel can restore physiologic islet function and thus treat persons with type 1 diabetes. Full study results: nej.md/3ZGupbv

nej.md

Stem Cell–Derived, Fully Differentiated Islets for Type 1 Diabetes | NEJM

Zimislecel is an allogeneic stem cell–derived islet-cell therapy. Data on the safety and efficacy of zimislecel in persons with type 1 diabetes are needed. We conducted a phase 1–2 study of zimisle...

13510

Reposted by Vivek Bhalla, MD, FASN, FAHA

Stanford Department of Medicine @stanforddeptmed.bsky.social · 16/06/2025

Congratulations to the #StanDOM recipients of the 2025 Stanford Medicine Awards, who were recognized for their outstanding contributions to medical education & leadership during the June 14 @stanfordmedicine.bsky.social graduation.

031

Reposted by Vivek Bhalla, MD, FASN, FAHA

euanashley @euanashley.bsky.social · 14/06/2025

Atul Butte died yesterday. The world lost a giant. A big bear of a man. With a huge smile. With love for everyone. With energy that could power a room. I loved everything about Atul. I loved how he was always happy. I loved how excited he was about science and helping people.

1419458

Reposted by Vivek Bhalla, MD, FASN, FAHA

Raider @iwillnotbesilenced.bsky.social · 08/06/2025

I don't care if these monstrous ICE raids are a "federal operation". This is authoritarian violence, plain and simple.

202136193238

Reposted by Vivek Bhalla, MD, FASN, FAHA

Prof Liz Lightstone @kidneydoc101.bsky.social · 23/05/2025

Congratulations to all who advocated and thank you to all those who supported!! 🎉🎉🎉🎉🎉 @WHO.int @ISN.org #Guatamala @CharuMalik.bsky.social Ifeoma Ulasi Magda Machalska @UKKidney.org @kidneycareuk.org @KidneyResearch.org #kidneyhealthforall #WHA78

092

Reposted by Vivek Bhalla, MD, FASN, FAHA

Stefan Marciniak @profmarciniak.bsky.social · 04/05/2025

The Dutch are responsible for many wonderful things, but are any as great as the stroopwafel and coffee combo? 🇳🇱☕️🧇 Zosia is very jealous

1381

Reposted by Vivek Bhalla, MD, FASN, FAHA

NEJM.org @nejm.org · 23/04/2025

In the Advance-HTN phase 2b trial of the aldosterone synthase inhibitor lorundrostat in participants with uncontrolled hypertension, lorundrostat was associated with greater reductions in blood pressure than placebo. Full trial results: nej.md/4ipbCIf #MedSky #CardioSky

A graph showing the least-squares mean changes from baseline (randomization) in the 24-hour average ambulatory systolic blood pressure at 12 weeks.

1149

Reposted by Vivek Bhalla, MD, FASN, FAHA

Nature @nature.com · 22/04/2025

Kidney disease should be recognised on WHO's priority list of non-communicable diseases, alongside cancer, cardiovascular disease, and diabetes go.nature.com/4lLJ5iY

go.nature.com

Kidney disease is a worldwide killer. Treat it that way

The international community has a golden opportunity to start reining in the escalating, mostly ignored global burden of chronic kidney disease.

25821

Reposted by Vivek Bhalla, MD, FASN, FAHA

Jordy Cohen @jordybc.bsky.social · 23/04/2025

Aaand it’s official, we have a new antihypertensive class!!!! 🎉🍾🎊 I like this RCT design in particular because it was open to both uncontrolled not-yet-resistant AND resistant hypertensive patients, opening to door to prescribe it as an earlier line agent www.nejm.org/doi/full/10....

nejm.org

Lorundrostat Efficacy and Safety in Patients with Uncontrolled Hypertension | NEJM

Aldosterone dysregulation contributes to hypertension. Lorundrostat is an aldosterone synthase inhibitor, but data on its efficacy and safety in patients with hypertension are limited. In this mult...

44515

Reposted by Vivek Bhalla, MD, FASN, FAHA

Shoa Clarke @shoaclarke.bsky.social · 22/04/2025

The Women's Health Initiative is one of the most impactful studies in US history. It's been ongoing since the '90s, continually providing new insights, and NIH is cutting funding. Regional Centers are being closed. The Clinical Coordinating Center is now in limbo. For what? Utterly asinine... 🤬

141

Reposted by Vivek Bhalla, MD, FASN, FAHA

Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 13/04/2025

Finally making the news www.ctvnews.ca/health/artic... I wonder how many of us have switched to HCTZ versus indapamide Interesting natural experiment in the works #Hypertension #DrugShortage

ctvnews.ca

Canada lists blood pressure medication on drug shortages site

Canada has listed two brands of the high blood pressure medication Chlorthalidone on its drug shortages site.

1114

Reposted by Vivek Bhalla, MD, FASN, FAHA

Matthew Sparks @nephrosparks.bsky.social · 14/04/2025

ATTN All. Need some money for your EDU project?? Win $2,000 for your project The Role of the Kidney in Cardiovascular Disease Educational Tools Contest Sponsored by the SCILL Committee of the AHA Council on the Kidney in Cardiovascular Disease professional.heart.org/en/professio...

053

Reposted by Vivek Bhalla, MD, FASN, FAHA

Krzysztof Kiryluk @kirylukk.bsky.social · 31/03/2025

Finally, top scientists speak up against the Trump administration in a letter signed by 2,000 elected members of the National Academies of Sciences, Engineering, and Medicine: "the nation's scientific enterprise is being decimated"; see related NYT coverage here: www.nytimes.com/2025/03/31/s...

023

Reposted by Vivek Bhalla, MD, FASN, FAHA

Anand Vaidya @anandvaidya17.bsky.social · 20/03/2025

Do patients want to be screened for primary aldosteronism: YES How much PA can be identified with a direct-to-patient approach: A LOT Can this approach be implemented nationwide: YES @JeniferBrown www.ahajournals.org/doi/10.1161/...

064

Reposted by Vivek Bhalla, MD, FASN, FAHA

Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 17/03/2025

Ugh Dr Jayme Locke (you may know from the XenoTransplant story) hired from UAB to fix the transplant system (that is abysmally awful if you have followed @sumitmohan.bsky.social ) But she was ‘probabtionary’ so DOGE fired her 🤦🏽‍♂️ @wsj.com story on 🍎 News $wall apple.news/Ans49CVgKQy-... #NephSky

After facing years of bipartisan criticism from Congress, the Department of Health and Human Services late last year hired a transplant surgeon to help implement fixes to the system that regulates organ transplants.
Dr. Jayme Locke, who left her post at the University of Alabama Birmingham for the federal job, was recently fired as a probationary worker. Transplant experts had hoped she would preside over a new era of making improvements instead of just studying them. Dr. Locke declined to comment. HHS didn’t respond to a request for comment.

12616

Reposted by Vivek Bhalla, MD, FASN, FAHA

Atul Gawande @agawande.bsky.social · 13/03/2025

Nothing will kill more children than the ongoing decimation of CDC, NIH, and USAID work to lift vaccine uptake in the US and world. Child survival rose 75% in the last 50 years. Vaccines account for 40% of that. Measles vax alone was 60% of the benefit. www.thelancet.com/journals/lan...

thelancet.com

Contribution of vaccination to improved survival and health: modelling 50 years of the Expanded Programme on Immunization

Since 1974 substantial gains in childhood survival have occurred in every global region. We estimate that EPI has provided the single greatest contribution to improved infant survival over the past 50...

5135111679

Reposted by Vivek Bhalla, MD, FASN, FAHA

UKRO @ukrocharity.bsky.social · 13/03/2025

Happy World Kidney Day! Dr. Zhongwei Li & the synthetic kidney project team are on a roll! The Li Lab has recently developed an organoid model that mimics the human kidney’s collecting duct. Please give $25 to fund life-saving research. ukrocharity.org/donate/ Image Credit: Carrie Zhang/Li Lab

011

Reposted by Vivek Bhalla, MD, FASN, FAHA

ISNkidneycare @theisn.org · 08/03/2025

This #InternationalWomensDay, let’s highlight the impact of kidney disease on women. Women with CKD face challenges in fertility, pregnancy, and postpartum care. With rising cases & limited guidance, building obstetric nephrology expertise is critical. #AccelerateAction #IWD2025 @unwomen.bsky.social

2911

Reposted by Vivek Bhalla, MD, FASN, FAHA

Pranav Garimella @pranavgarimella.bsky.social · 05/03/2025

Happening now, Drs @hswapnil.medsky.social and @jordybc.bsky.social discuss resistant hypertension during day 3 of the @kidneyfund.bsky.social #KidneyActionWeek Fantastic discussion!

053

Reposted by Vivek Bhalla, MD, FASN, FAHA

Samira Musah @stemcellengineer.bsky.social · 20/02/2025

Receiving grant and program cancellation notices from federal & private agencies without clear justification is disheartening, but seeing talented trainees lose job and fellowship opportunities—and their confidence in the system—is devastating. This is not how science and society should be.

0111

Reposted by Vivek Bhalla, MD, FASN, FAHA

Sen. Adam Schiff @schiff.senate.gov · 17/02/2025

Elon Musk is trying to access your personal bank and tax data. The world’s richest man should not and cannot be able to snoop around your personal finances. Period. End of story.

7703009767

Reposted by Vivek Bhalla, MD, FASN, FAHA

Helen Branswell 🇨🇦 @helenbranswell.bsky.social · 14/02/2025

Doing the unthinkable: The deep cuts to the #CDC's workforce today are expected to decimate the Epidemic Intelligence Service, a program that has trained public health rapid responders for decades. Envy of the world. Poof! www.statnews.com/2025/02/14/t...

statnews.com

CDC cuts expected to devastate Epidemic Intelligence Service, a ‘crown jewel’ of public health

Members of the CDC's Epidemic Intelligence Service were warned Friday that many of them were about to be fired

513107364473

Reposted by Vivek Bhalla, MD, FASN, FAHA

Nephrology Journal Club @nephjc.bsky.social · 10/02/2025

Here's the VA by @brianrifkin.bsky.social for our discussion 2/11/25 at 9 pm EST only on #Bluesky #NephSky www.nephjc.com/news/primary...

nephjc.com

Undercover Aldosterone — NephJC

VA for Characterizing the Origins of Primary Aldosteronism

0119

Reposted by Vivek Bhalla, MD, FASN, FAHA

Nephrology Journal Club @nephjc.bsky.social · 10/02/2025

🚨 2/11/25 at 9pm EST only on #Bluesky our next #NephJC. This one should be eye opening for #MedSky & #NephSky so invite your friends. We are discussing the implications of undercover primary hyperaldosteronism in normo-tensive, normo-kalemic pts that may be the cause of CKD in mild/mod HTN.

media.tenor.com

a man wearing a white hat and sunglasses stands behind a black wall

ALT: a man wearing a white hat and sunglasses stands behind a black wall

1159

Reposted by Vivek Bhalla, MD, FASN, FAHA

Mark Cuban @mcuban.bsky.social · 09/02/2025

This is the most relevant article to NIH and research cuts I’ve seen. Imagine if this was today , how many people would be saying “Why are we studying Gila Monsters and their impact on diabetes ? That’s wasted money !” globalnews.ca/news/9793403...

globalnews.ca

How a Canadian scientist and a venomous lizard helped pave the way for Ozempic - National | Globalnews.ca

In 1984, Dr. Daniel Drucker, an endocrinologist from the University of Toronto, discovered a hormone that helped pave the way for popular diabetes drugs such as Ozempic.

11264858612423

Reposted by Vivek Bhalla, MD, FASN, FAHA

Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 08/02/2025

Screening criteria per Endocrine society for PA Contrast with actual screening rates - summarized here pubmed.ncbi.nlm.nih.gov/36965825/ from @ajkd.bsky.social #ISNWCN #NephSky

142

Reposted by Vivek Bhalla, MD, FASN, FAHA

Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 08/02/2025

Last up is @bhallaresearch.bsky.social on PA Appalling screening rates despite similar mortality to breast cancer #ISNWCN #NephSKy

Screening rates for breast cancer (75%) contrasted with PA (2%)

2133

Reposted by Vivek Bhalla, MD, FASN, FAHA

Nephrology Times @nephtimes.bsky.social · 06/02/2025

The World Congress of Nephrology in New Delhi starts today! Keep an eye out at nephtimes.com for our coverage of research highlights. @theisn.org #ISNWCN #WCN25 #nephrology #nephsky #kidney

054

Reposted by Vivek Bhalla, MD, FASN, FAHA

ISNkidneycare @theisn.org · 06/02/2025

Join us for the WCN'25 Welcome Reception—a perfect opportunity to connect, network, and kick off an exciting Congress! 🎉 ⏲️ 6 p.m. - 7:30 p.m. 📍 Exhibition Hall #ISNWCN

011