iiinova — where your digital self keeps evolving

David Sas @davidsas.bsky.social · 21/03/2026

Being corrected by you so brutally is going on my CV. Also, I will continue to teach my medical students and residents that "nauseous means to make others nauseated."

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David Sas @davidsas.bsky.social · 21/03/2026

@bcdreyer.social Are you surprised that Dan Brown (nor his editor) doesn't know that this should be "nauseated" rather than "nauseous?"

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David Sas @davidsas.bsky.social · 20/03/2026

My biggest problem with this study from the start was that symptomatic stone passage was the primary outcome instead of stone burden. Stone passage, while obviously important to patients, is a rather arbitrary event and doesn't correlate with disease severity/stone risk.

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David Sas @davidsas.bsky.social · 22/11/2025

Yes, but no more idiotic than "pre-heat the oven." You're heating the oven.

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David Sas @davidsas.bsky.social · 08/11/2025

I really need to talk to someone who was at that session.

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David Sas @davidsas.bsky.social · 27/10/2025

I'm super proud of this work detailing the results of genetic testing in hundreds of kidney stone formers. We identified genetic causes for stones in 34% of those tested (47% if < 16 y.o.). So thankful for such great collaborators & patients! journals.lww.com/cjasn/fullte... #nephrology #mayoclinic

journals.lww.com

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David Sas @davidsas.bsky.social · 20/09/2025

Actually, horseshoe kidney is not usually a problem. We monitor a few things, but rarely clinically significant.

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David Sas @davidsas.bsky.social · 31/07/2025

That one on the right has a specific gravity of 1.002.

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David Sas @davidsas.bsky.social · 31/07/2025

I love it when I realize I hit send on an email in which I type-o'd "my" to "me" and I sound Cockney, e.g. "Let me discuss it with me team."

media.tenor.com

a man wearing a hat is holding a trumpet and adjusting his hat .

ALT: a man wearing a hat is holding a trumpet and adjusting his hat .

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David Sas @davidsas.bsky.social · 28/05/2025

He's "enchanted" by science the way a toddler is "enchanted" by bubbles. Except he's also angry at the bubbles because he can't understand how they float and are so round.

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David Sas @davidsas.bsky.social · 22/05/2025

Hot take: Academics are just an isoform of social media influencer. Publications are clicks and citations are likes. H-index = clout.

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David Sas @davidsas.bsky.social · 22/03/2025

Happy Match Day, and thanks to @jbcarmody for continuing to do this thorough and important analysis!

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David Sas @davidsas.bsky.social · 20/03/2025

You know why I love a hepatectomy? It always de-livers! I just made that up and am amused with myself. But also appropriately disappointed.

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Reposted by David Sas

JAMA @jama.com · 05/02/2025

From JAMA Cardiology: South African regulations limiting sodium in processed foods were associated with reductions in sodium consumption and blood pressure among rural adults aged 40 years or older. ja.ma/4hMWyUW #CardioSky

Figure 2. Sodium Content on Packaging in a Basket of Food Products in the Agincourt-Bushbuckridge by Wave and Legislative Target

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David Sas @davidsas.bsky.social · 02/02/2025

Pt (w/ permission) showing # of nights @ Ronald McDonald House paid for so far at this amazing fund raiser co-chaired by my beautiful wife, Samantha. Looking for a worthwhile charity? #RonaldMcDonaldHouse provides wonderful services for peds pts & is a valuable partner with Mayo Clinic Children's.

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David Sas @davidsas.bsky.social · 01/02/2025

Dr. Poland has directly stated that the interpretation that RFK Jr. is taking is incorrect and due not reflect the scientific conclusions of his work.

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David Sas @davidsas.bsky.social · 31/01/2025

Dang. Still no gif feature. The caption is "nobody knows."

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David Sas @davidsas.bsky.social · 31/01/2025

Update on ALA treatment for cystinuria reveals we have a long way to go before nephrologists will be satisfied with evidence that it is effective and safe. Also, no one has supplied a viable mechanism of action. #rock2015

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David Sas @davidsas.bsky.social · 31/01/2025

#ROCK2025 is the hangtag, I'm being told.

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David Sas @davidsas.bsky.social · 31/01/2025

"Let's take a walk through the nephron and focus on calcium" is how kidney stone nephrologists say, "I love you." @R.O.C.K. Society Annual Meeting 2025

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David Sas @davidsas.bsky.social · 15/01/2025

I love this thread because it illustrates the niche expertise hidden all around us.

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David Sas @davidsas.bsky.social · 14/01/2025

In Raiders of the Lost Ark, the infamous snake pit full of "asps" is really full of boa constrictors, Burmese pythons, and maybe a reticulated python. At least they threw in one cobra! (But also, what the heck were those snakes eating and drinking in that pit over the centuries???)

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Reposted by David Sas

David S. Goldfarb MD @weddellite.bsky.social · 06/01/2025

Kids getting kidney stones! @davidsas.bsky.social and Greg Tasian ("it's NOT just white, middle-aged men") @nyunephro.bsky.social www.msn.com/en-gb/health...

msn.com

MSN

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David Sas @davidsas.bsky.social · 30/12/2024

"I seems you tried to cram 40 minutes worth of content into this 20 minute talk. Do you blame poor preparation or poor preparation?"

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David Sas @davidsas.bsky.social · 19/12/2024

(The image was a gif with items disappearing off the calendar. Does Bluesky not support simple gifs?)

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David Sas @davidsas.bsky.social · 19/12/2024

The best thing about the end of the year is seeing all the regularly-scheduled meetings get canceled and drop off the calendar.

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David Sas @davidsas.bsky.social · 14/12/2024

Teenage boys can't have enough sneakers.

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David Sas @davidsas.bsky.social · 14/12/2024

Sweatshirt/hoodie. Nikes. Vikings/Twins/Loons/Wild tickets.

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Reposted by David Sas

Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 12/12/2024

bsky.app/profile/bmj.... @bmj.com Medicine is difficult—there are no shortcuts #medsky

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David Sas @davidsas.bsky.social · 09/12/2024

Did you tell them you have information ICU, vegetable, animal, AND mineral?

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David Sas @davidsas.bsky.social · 09/12/2024

Me: So you'll approve tiopronin, then? "Peer:" Yes, after all, you are the expert! Me: That should have been evident 8 months ago when I first prescribed the medication. 2/2

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David Sas @davidsas.bsky.social · 09/12/2024

Mine usually go like this: "Peer:" Dr. Sas, to be honest, before reviewing this patient, I'd never heard of cystinuria (or any of the rare diseases I treat). Me: So what did you learn about this disease while reviewing? "Peer:" Oh, I didn't read anything. 1/2

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Reposted by David Sas

Juan Carlos Q Vélez, MD @juancarlosqvelez.bsky.social · 04/12/2024

1/n sharing a case: Young adult comes in 4 elective ENT procedure. Receives several doses of ketotolac for 3-4 days + empiric vancomycin. Then, labs are checked: Cr 4.0, up from 1.0. UA: neg blood/protein/cells. High suspicion 4 IV NSAID / IV Vanco hemodynamic/tubular insult. Non-oliguric, lytes OK

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Reposted by David Sas

Delthia Ricks @dricks.bsky.social · 03/12/2024

Most hospitals have dropped masking & #SARSCoV2 testing requirements. But after 10 Boston hospitals ended both precautions a surge in hospital-onset viral infections ensued. Just resuming masks—for healthcare workers only—lowered rates of respiratory infections by 33% jamanetwork.com/journals/jam...

jamanetwork.com

Testing and Masking Policies and Hospital-Onset Respiratory Viral Infections

This cohort study examines the ratio between hospital- and community-onset respiratory viral infections at different levels of testing and masking from 2020 to 2024.

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David Sas @davidsas.bsky.social · 29/11/2024

See and my initial thought was that Taylor Swift named her next album "Rheumatologist."

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David Sas @davidsas.bsky.social · 24/11/2024

A perfect 0.01 act play. >chef's kiss<

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David Sas @davidsas.bsky.social · 23/11/2024

I've always assumed that people who drink ethylene glycol do it because they've internally asked themselves, "I wonder what it's like to have primary hyperoxaluria, types 1, 2, or 3?"

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David Sas @davidsas.bsky.social · 20/11/2024

I wish there was an award for who most diligently updates Family History and Social History in Epic.

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David Sas @davidsas.bsky.social · 20/11/2024

All of the above is very true. But I would venture to guess you are rounding with a dietitian, not a nutritionist. There's a difference. Anyone with an interest in nutrition can call themselves a nutritionist. But a dietitian (RD) has rigorous and regulated training and credentials.

media.tenor.com

a rainbow with the words " be more you know " and a star

ALT: a rainbow with the words " be more you know " and a star

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David Sas @davidsas.bsky.social · 19/11/2024

Fun fact: cystinuria was the first of the genetic kidney stone diseases to be characterized. Garrod presented his findings at the 1908 Croonian Lectures in London. Primary hyperoxaluria was the next to be described, and that was in 1925 by Lepoutre.

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David Sas @davidsas.bsky.social · 19/11/2024

Sure but how many of the Xitter ones are Russia bot NPCs?

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David Sas @davidsas.bsky.social · 19/11/2024

Let's be clear about one thing: no one should change their clinical decision-making for the patient in front of them based on a metanalysis of retrospective studies.

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David Sas @davidsas.bsky.social · 17/11/2024

If they do end up helping, it would likely be due to some combination of increased urine volume, increased urine citrate, and/or change in urine pH (again, depending on the stone type we're concerned with). There are plenty of other factors that could contribute, but those are my best guesses. 2/2

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David Sas @davidsas.bsky.social · 17/11/2024

First, I'm not convinced that they reduce risk for stones; more rigorous study is definitely needed before we can say that, especially focusing on specific types of stones because (as you know) each type of stone forms under a specific set of conditions. 1/2

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David Sas @davidsas.bsky.social · 16/11/2024

Says a lot about Tyson that my son is going to watch a Tyson fight with his friends just the way I did in high school.

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