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Brian Rifkin @brianrifkin.bsky.social · 10h

Agree with @hswapnil.medsky.social , the only way this gets done consistently is “speak with ICU team/nurse” for boluses outside of ordered hourly ultrafiltration.

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Nephrology Journal Club @nephjc.bsky.social · 14/10/2026

1/10 #NephJC #TenPostNephJC. #NephTwitter Patient outcomes are better with transplant vs dialysis. Is this always true? What about high-risk donors (expanded criteria donor-ECD) or recipients (elderly with DM or CVD)? Read the article 👇 link to article on pubmed.ncbi.nlm.nih.gov/42759976/

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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 13/10/2026

Some months ago, we were approached to package a guest issue on hypertension for @akdhjournal.bsky.social @rahulchanchlani.bsky.social & I gathered these great group, it goes live now www.akdh.org/issue/S2949-...

akdh.org

Current Issue Table of Contents: Advances in Kidney Disease and Health

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Nephrology Journal Club @nephjc.bsky.social · 12/10/2026

This week we are looking at a target trial emulation on transplantation. Do older patients benefit from kidney transplant? What if the donation is after: CV death or brain death? What if the donor is a standard (SCD) or extended (ECD) criteria donor? #NephSky #NephJC www.nephjc.com/news/transpl...

nephjc.com

Can Dialysis Outshine Transplant in the Elderly? — NephJC

This week, we will discuss whether decreased donor transplantation improves mortality in all patients. In this target trial emulation standard donor, extended donor, donation after brain death and don...

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Nephrology Journal Club @nephjc.bsky.social · 12/10/2026

Check out the VA by @danyrcal Do older, sicker patients benefit from kidney transplantation? This is a nuanced "it depends" answer that is worthy of discussion. #NephSky #NephJC www.nephjc.com/news/targetva

nephjc.com

TARGET TRIAL: The Visual Abstract — NephJC

Can a deceased donor kidney transplant offer better survival than continuing dialysis in elderly?

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Nephrology Journal Club @nephjc.bsky.social · 09/10/2026

12 years of #NephJC. Countless papers discussed, ideas challenged, and friendships made. 🩵No paywalls. No pharma funding, just a community that believes in free, independent nephrology education. 🌟We need your help to keep it going. Please donate www.nephjc.com/news/2026/9/...

nephjc.com

NephJC 2026 Fall Pledge Drive — NephJC

Help keep NephJC a vital, original, and unbiased source of medical education.

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Brian Rifkin @brianrifkin.bsky.social · 09/10/2026

Being a physician is eternal reigniting optimism paired with pragmatic incessant pessimism

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Pedro Pascal Laughing & Crying

ALT: Pedro Pascal Laughing & Crying

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ASN Publications @asnpublications.bsky.social · 08/10/2026

The October/November issue of Kidney News is now online! This special double issue includes a preview of Kidney Week 2026, plus coverage of: • CKM syndrome • Kidney care data sharing • Kidney health under athletic stress Explore the issue: kidney.pub/1810-01 #ASNKidneyNews @kdjhaveri.bsky.social

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Brian Rifkin @brianrifkin.bsky.social · 09/10/2026

Probably on your next Nephrology LKA…

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Josh Trebach, MD @jtrebach.bsky.social · 08/10/2026

A 5-year-old male presents to the emergency department with inability to move his arms/legs and difficulty breathing. Family reports they found him ingesting these fireworks (see image). What lab do you expect to be abnormal and why? ☠️☠️☠️☠️☠️

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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 08/10/2026

Sodium Zirconium Cyclosilicate: Unexpected Finding in Management of Hyperkalemia - Kidney International Case Reports www.kicasereports.org/article/S311... Images in Nephrology from KICR June issue

Plain CT showing bowels full of radioopaque material - Lokelma aka sodium zirconium cyclosilicate

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Brian Rifkin @brianrifkin.bsky.social · 06/10/2026

New from the Wellness Company, your home CABG surgery kit. Speak with a real doctor while performing your own surgery, saving thousands of dollars.

static.klipy.com

Cooking Man

ALT: Cooking Man

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kireports.bsky.social @kireports.bsky.social · 05/10/2026

1/ 🧵Tweetorial Alert 🧵Hey, #NephTwitter Welcome to a 🆕 #tweetorial #xtorial brought to you by @KIReports

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Nephrology Journal Club @nephjc.bsky.social · 03/10/2026

Can tolvaptan keep up with 3% saline? This within-subject study in healthy volunteers delivered a surprising answer - and a few eyebrow-raising physiology twist. Dive in #NephJC ✍️ by @drsaivani.bsky.social www.nephjc.com/news/tolvapt...

nephjc.com

Raising sodium: can tolvaptan rival 3% hypertonic saline? — NephJC

Testing Tolvaptan versus 3% saline and the rate of rise of serum sodium in healthy volunteers.

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Nephrology Journal Club @nephjc.bsky.social · 30/09/2026

1/10 #NephJC #TenPosts #NephSly 🫘💊 START your steroids! A question we ask constantly but adult RCT data rarely answers after remission in steroid-sensitive MCD/FSGS, how long should the prednisolone taper actually be? 🧵 www.sciencedirect.com/science/arti...

sciencedirect.com

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Brian Rifkin @brianrifkin.bsky.social · 29/09/2026

So let me get this straight. Trust the science, listen to your physician about your health…unless AI disagrees, and then all bets are off and believe whatever you want.

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Nephrology Journal Club @nephjc.bsky.social · 28/09/2026

Hey #NephJC 👋 Checkout the VA by @divyaveerssneph.bsky.social This week we're looking at steroid weaning strategies in adults with podocytopathies (MCD/FSGS). 💊Steroids: easy to start🟢 but hard to stop 🛑. #NephSky www.nephjc.com/news/starttrial

nephjc.com

START: The Visual Abstract — NephJC

Can steroid tapering be shorter after remission in adults with sensitive podocytopathy?

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Nephrology Journal Club @nephjc.bsky.social · 28/09/2026

El Resumen Visual, gracias @dramiliflores.bsky.social #NephSky #NephJC ¿Cuánto debe durar la reducción gradual de esteroides tras la remisión de una podocitopatía? www.nephjc.com/news/startspanish

nephjc.com

START: El Resumen Visual — NephJC

¿Podemos reducir el uso de esteroides tras la remisión?

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Nephrology Journal Club @nephjc.bsky.social · 28/09/2026

Steroids are useful (and have bad side effects) in patients with podocytopathies. Starting is easy, but stopping can be challenging. Are longer courses of steroids better for longer remissions? How quickly do you taper? 🐇🐢 #NephSky #NephJC www.nephjc.com/news/startsteroidtaper

nephjc.com

Why Can’t I Quit You: Steroid Tapering in Adults with Podocytopathies (START) — NephJC

This week, we will discuss the best schedule for tapering steroids in adult patients with podocytopathies (MCD/FSGS).

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ASN Publications @asnpublications.bsky.social · 17/09/2026

P-CABs may offer a kidney-safe alternative to PPIs for people with CKD. A large study found P-CAB use was associated with a 37% lower risk of kidney replacement therapy initiation compared with PPIs. kidney.pub/KN1809-10 #ASNKidneyNews

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Brian Rifkin @brianrifkin.bsky.social · 16/09/2026

🎤 🎼 An old man Goes missing for weeks He’s in rehab they said No time to speak Mitch returns With barely a wink Wheeled into a van Yeah, the whole thing stinks And isn’t he catatonic Don’t you think A little too catatonic And yeah I really do think

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Brian Rifkin @brianrifkin.bsky.social · 16/09/2026

It is a cat-astrophe. I don’t know why they keep dogging him. This whole line of questioning is certainly a horse of a different color. Ka$h certainly appears squirrelly about the whole issue.

static.klipy.com

Kash Patel's Wide Eyes

ALT: Kash Patel's Wide Eyes

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Nephrology Journal Club @nephjc.bsky.social · 15/09/2026

📣Hey #NephSky We just passed 5000 #NephJC Newsletter subscribers Will you be 5001? Also, we can now be found at LinkedIN. So, if you are tired of "the bad place", but don't want to miss the latest, you can follow us there as well! www.nephjc.com/news/nephjc-on-linkedin

nephjc.com

NephJC on LinkedIn — NephJC

NephJC is now more than twelve years old- and it’s amazing to see how far a simple idea has grown. We started with a handful of nephrologists on Twitter (yeah, we still call it that) choosing a paper ...

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Brian Rifkin @brianrifkin.bsky.social · 15/09/2026

I’m working on a series of postcard watercolor with a theme of “If there was a cat in the White House”🐈

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Nephrology Journal Club @nephjc.bsky.social · 14/09/2026

⏳ Just a bit over one month until #KidneyWk And yes... the legendary #NephJC party is happening again 🎉 🩵Join us, meet the crew, and meet people from across the world 👇Grab your ticket and come be part of the magic www.nephjc.com/news/2026/9/...

nephjc.com

2026 NephJC Night in Denver — NephJC

On FRIDAY night, October 23rd, NephJC will host another legendary NephJC Night during ASN Kidney Week

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Mayor Zohran Kwame Mamdani @mayor.nyc.gov · 11/09/2026

25 years ago, terrorists killed nearly 3,000 people, including 2,753 New Yorkers. As we remember that terrible day, let us also remember the first responders, office workers and strangers who ran toward danger to help each other.

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