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draashish.bsky.social

@draashish.bsky.social
1.4K followers 175 following 71 posts

Internist, Educator, EBM enthusiast, photography hobbyist. #FOAMed #Medsky #IMSky

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draashish.bsky.social @draashish.bsky.social · 29/04/2026
media.tenor.com
two men are standing next to each other in a dark room .
Alt: two men are standing next to each other in a dark room . Jason Bourne movie GIF
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draashish.bsky.social @draashish.bsky.social · 29/04/2026
media.tenor.com
a man wearing a helmet says " don 't let me leave murph "
Alt: a man wearing a helmet says " don 't let me leave murph " Interstellar movie GIF
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The Real Truther @therealtruther.bsky.social · 10/11/2025
Guardian link: www.theguardian.com/lifeandstyle...
theguardian.com
No link between paracetamol in pregnancy and autism or ADHD in children, review finds
Wide-ranging review finds no convincing connection after Trump said women should ‘fight like hell’ to avoid painkiller
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draashish.bsky.social @draashish.bsky.social · 30/10/2025
That's wonderful! Lots of people are not able to afford the DOACs. This would be very helpful!
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josh farkas 💊 @pulmcrit.bsky.social · 29/10/2025
MASSIVE RCT from Kenya showing that steroids reduce mortality in CAP Mortality benefit easier to demonstrate w/ less resources available to salvage pts Should allay the hype that the negative REMAP-CAP steroid RCT received (despite being woefully underpowered) www.nejm.org/doi/pdf/10.1... #EMIMCC
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josh farkas 💊 @pulmcrit.bsky.social · 29/10/2025
The BICAR-ICU-2 trial just dropped! RCT involving IV bicarb in metabolic acidosis among patients with mod-severe AKI Bicarb didn't affect mortality but it reduced the need for dialysis & risk of bacteremia VERY similar conclusions to BICAR-ICU-1 🧵 #1/ jamanetwork.com/journals/jam... #EMIMCC
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draashish.bsky.social @draashish.bsky.social · 17/10/2025
@gradydoctor.bsky.social What an inspiring talk by Dr. Manning at APDIM! #APDIM
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TCTMD @tctmd.bsky.social · 01/09/2025
AQUATIC: More Than 6 Months After PCI, Don’t Use Aspirin With OAC
tctmd.com
AQUATIC: More Than 6 Months After PCI, Don’t Use Aspirin With OAC
AQUATIC: More Than 6 Months After PCI, Don’t Use Aspirin With OAC ccox@crf.org Mon, 09/01/2025 - 06:22 Todd Neale The “antithrombotic sweet spot” means continuing with oral anticoagulation alone in the chronic phase, Renato Lopes says.
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TCTMD @tctmd.bsky.social · 01/09/2025
HI-PRO: Oral Apixaban for 1 Year Protective, Safe in Provoked VTE Patients
tctmd.com
HI-PRO: Oral Apixaban for 1 Year Protective, Safe in Provoked VTE Patients
HI-PRO: Oral Apixaban for 1 Year Protective, Safe in Provoked VTE Patients ccox@crf.org Mon, 09/01/2025 - 06:36 Caitlin E. Cox While the anticoagulant didn’t raise the odds of major bleeding, nonmajor clinically relevant bleeds did trend higher.
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JACC Journals @jaccjournals.bsky.social · 30/08/2025
Ticagrelor wasn’t superior to BID clopidogrel at 1 month post-#PCI, with similar bleeding, but reduced #MACE in the first 2 weeks. bit.ly/46eOmcU #ESCCongress #WCCardio #JACC #CardioSky #MedSky
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Thanh Nha Thai, MD @thaithanhnha.bsky.social · 30/08/2025
Beta-Blockers after Myocardial Infarction without Reduced Ejection Fraction. www.nejm.org/doi/full/10.... @nejm.org @escardio.bsky.social #CardioSky #ESCCongress #WCCardio
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JACC Journals @jaccjournals.bsky.social · 30/08/2025
In patients undergoing #PCI, a personalized #DAPT duration from 3 to 24 months based on a clinical risk score led to a lowered risk of net adverse clinical events than standard care consisting of 12 months of DAPT. bit.ly/47pBB0l #JACC #ESCCongress #WCCardio #CardioSky
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draashish.bsky.social @draashish.bsky.social · 16/08/2025
10K is popular but this study shows; there may not much more gain beyond 7k. Easier to achieve for some folks. Daily steps and health outcomes in adults: a systematic review and dose-response meta-analysis - The Lancet Public Health www.thelancet.com/journals/lan...
thelancet.com
Daily steps and health outcomes in adults: a systematic review and dose-response meta-analysis
Although 10 000 steps per day can still be a viable target for those who are more active, 7000 steps per day is associated with clinically meaningful improvements in health outcomes and might be a mor...
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draashish.bsky.social @draashish.bsky.social · 20/04/2025
🤔 www.huffpost.com/entry/white-...
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draashish.bsky.social @draashish.bsky.social · 31/03/2025
Dang! That's more than my whole year of running! Maybe, I need to pick up running. Could use the endorphin and the endocannabinoids boost.
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Joe Allen @joeallenjoe.bsky.social · 12/03/2025
In fiscal year 2024, the report found, NIH awarded more than $36.9 billion to researchers, supporting more than 408,000 jobs and generating over $94.5 billion in new economic activity nationwide. news.harvard.edu/gazette/stor...
news.harvard.edu
NIH funding delivers exponential economic returns — Harvard Gazette
Report finds all 50 states reap gains in patient health, job creation, research resources, business development.
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Eric Topol @erictopol.bsky.social · 10/03/2025
99% of new medicines developed by the pharmaceutical industry depend on NIH research jamanetwork.com/journals/jam...
jamanetwork.com
Comparison of Research Spending on New Drug Approvals by the NIH vs the Pharmaceutical Industry
This cross-sectional study examines National Institutes of Health and pharmaceutical industry investments in recent drug approvals.
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Rex Chapman @rexchapman.bsky.social · 12/03/2025
Rep John Larson - Connecticut:
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draashish.bsky.social @draashish.bsky.social · 12/03/2025
IDSA-"There have been no deaths shown to be related to the MMR vaccine in healthy people. There have been rare cases of deaths from vaccine side effects among children who are immune compromised, which is why it is recommended that they don’t get the vaccine."#IDsky www.idsociety.org/public-healt...
idsociety.org
Measles Vaccination: Know the Facts
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Ryan Marino, MD @ryanmarino.bsky.social · 08/03/2025
Remembering a lot of people saying stuff like “I don’t agree with RFK Jr. on everything but at least he’s going to do something about the food that’s making us sick”
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draashish.bsky.social @draashish.bsky.social · 09/03/2025
Saw a surprising semi-heated debate,on ✓ing Fe panel in a pt w/ ↑MCV anemia (PMH:↓Thyroid,HFrEF, Congestive hepatopathy). Sm against ✓ing 2° ↑MCV~103.Rest in favor as ↓Fe can be present on an ↑MCV too.Thoughts? @shematologist.medsky.social @hannahrabrams.bsky.social @amarkelkar.bsky.social #Hemesky
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draashish.bsky.social @draashish.bsky.social · 03/03/2025
Just a reminder for people who say things like; "old days", "natural ways in the past", "previous generations..", etc. www.statista.com/statistics/1...
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draashish.bsky.social @draashish.bsky.social · 03/03/2025
Vaccines...
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Joel Topf @kidneyboy.bsky.social · 02/03/2025
It is a full fledge assault on medical research. Turning off funding, canceling grants, and disabling the tools we use. It is a complete dismantling of the infrastructure.
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Anna Bower @annabower.bsky.social · 24/02/2025
JUDGE COLLEEN KOLLAR-KOTELLY: Is there an administrator of DOGE at the present time? GOVERNMENT COUNSEL: I don’t know the answer to that
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Karen Hao @karenhao.bsky.social · 21/02/2025
Government funds account for more than *half* the R&D budget that US universities spend each year—in 2023, that was $60B out of $109B. The gov also does a lot of its own research at national labs like Oak Ridge & Los Alamos and agencies like NOAA and DoD. What are the returns on that investment? 3/
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Science Friday @scifri.bsky.social · 21/02/2025
In a small trial, nearly half of pancreatic cancer patients who received an mRNA vaccine had no signs of relapse after three years. Dr. Vinod Balachandran from @mskcancercenter.bsky.social joins us to discuss the results and what they could mean for cancer treatment.
buff.ly
A Vaccine For Pancreatic Cancer Continues To Show Promise
In a small trial, nearly half of pancreatic cancer patients who received an mRNA vaccine for the disease had no relapse three years later.
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Shematologist, MD @shematologist.medsky.social · 21/02/2025
Just a reminder that the HPV vaccine literally PREVENTS CANCER and the series can be started as early as 9 years of age.
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draashish.bsky.social @draashish.bsky.social · 18/02/2025
It seems inpatient physicians/Hospitalists should own or at least initiate the discussion on EOS for IE. ↓ LOS, ↓ cost, ↑Pt comfort, ↓ burden on Pt/caregivers after DC (less home IV infusions etc), easier DC disposition; all of which falls in their realm #medsky #IDsky
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draashish.bsky.social @draashish.bsky.social · 11/02/2025
youtu.be/P1re1D6Nz58?...
youtu.be
Zakaria warns there’s a real cost to Trump’s head-spinning moves
YouTube video by CNN
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Nephrology Journal Club @nephjc.bsky.social · 10/02/2025
Think primary aldosteronism means hypertension, hypokalemia and metabolic alkalosis...think again. Can undercover hyperaldosteronism be a key to CKD?🔎 #NephJC chat 2/11/25 at 9pm EST #NephSky www.nephjc.com/news/primary...
nephjc.com
Undercover Aldosterone — NephJC
This week, we will discuss the origins of primary hyperaldosteronism in normotensive patients. Could this undetected anomaly be the cause of idiopathic hypertension and CKD?
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Mehdi Hasan @mehdirhasan.bsky.social · 09/02/2025
For folks who are surprised about, or shocked by, Vance calling on Trump to ignore judges, he’s been saying it for a while but much of our political press wasn’t paying attention:
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draashish.bsky.social @draashish.bsky.social · 01/02/2025
Wow! That's mind boggling!
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draashish.bsky.social @draashish.bsky.social · 28/01/2025
NIH funding, jobs supported, and economic activity supported, for Texas. #medsky #NIH Can look up any state here: www.unitedformedicalresearch.org/nih-in-your-...
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draashish.bsky.social @draashish.bsky.social · 28/01/2025
Trying to find the logic behind this and the freezing of PEPFAR. Will make US population more vulnerable to communicable diseases and more. CDC ordered to stop working with WHO immediately, upending expectations of an extended withdrawal search.app/zhhGuLFMPk1U...
search.app
CDC ordered to stop working with WHO immediately, upending expectations of an extended withdrawal
U.S. public health officials have been told to stop working with the World Health Organization, effective immediately. A U.S. Centers for Disease Control and Prevention official, John Nkengasong, sen...
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draashish.bsky.social @draashish.bsky.social · 26/01/2025
Fantastic, path-breaking research with results! Foot note says, "Supported by grants from the National Heart, Lung, and Blood Institute and a grant from the National Center for Advancing Translational Sciences" Both NHLBI and NCATS are part of the NIH. (Just a reminder why NIH funding is crucial)
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draashish.bsky.social @draashish.bsky.social · 26/01/2025
Great! Sounds like perfect timing, if you see it from TB's POV...*SMH* www.cjonline.com/story/news/p...
cjonline.com
Kansas tuberculosis outbreak is now America's largest in recorded history
Kansas public health officials say the state's ongoing tuberculosis outbreak is the largest since the CDC started reporting TB cases in the 1950s.
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draashish.bsky.social @draashish.bsky.social · 17/01/2025
We emphasize the importance of the pre-rounds. If we do table rounds it cuts down most of the discussion during bedside rounds. Yeah, we still do bedside rounds as a team b'coz d thought is, the exam+pt/family interaction has learning value too. Try our best to be done by noon/early PM.
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draashish.bsky.social @draashish.bsky.social · 08/01/2025
(Adult perspective only)Talking to colleagues who are nephro or ID, working as hospitalists,it boils down to reimbursement & # of hours required at work.Our residents see that too.How much ever we encourage them to pick a specialty based on their love of it,the current pay/work dynamics scare them.
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draashish.bsky.social @draashish.bsky.social · 05/01/2025
This was fantastic! Loved all the inputs. Learned a lot of new things!
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draashish.bsky.social @draashish.bsky.social · 05/01/2025
Sounds like, the HCO3 shift causing hypercapnia is by itself not a significant driver. Hwevr,if the pt has sig underlying 🫁 issues & is prob having a worse day, the hypercapnia cud potentially push them over,which might go unnoticed initially. Though,hard to correlate. Smthing to keep an 👁️ out for.
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draashish.bsky.social @draashish.bsky.social · 03/01/2025
Yeah, She had multiple (3-4) admissions where the resp failure would present in 12-24 hours after HD. On Hx, seemed to progress from the time of HD completion. On a couple of occasions had assoc hyperkalemia and junctional Brady, which was thought to be 2° to acidosis.
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draashish.bsky.social @draashish.bsky.social · 03/01/2025
Oh wow! Those are impressive pCO2 changes. Could most likely affect someone who has sub-optimal respiratory capacity to clear, due to OHS/COPD. Esp if already somewhat compromised due to other reasons.
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draashish.bsky.social @draashish.bsky.social · 03/01/2025
True..we were curious as this was the 3rd post HD episode, requiring admission. PCO2s ranged from 78-60. PH ranged 7.19- 7.26
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draashish.bsky.social @draashish.bsky.social · 03/01/2025
Could it be that, if the pt has significant OHS and/or COPD, the initial rise can persist/worsen due to lethargy induced from hypercapnia?
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draashish.bsky.social @draashish.bsky.social · 03/01/2025
In the case we had, the pt had both COPD and OHS. This was her 3rd admission for post HD respiratory acidosis. In 2 of those she also had hyperkalemia. Which was thought to be from acidosis related shifts.
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draashish.bsky.social @draashish.bsky.social · 03/01/2025
☝🏽This was one of the case reports that we were able to look up. Other was: journal.chestnet.org/article/S001... There was another case report which I can't find now. An article that goes into slightly different but assoc process: karger.com/bpu/article/...
journal.chestnet.org
DEFINE_ME
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draashish.bsky.social @draashish.bsky.social · 02/01/2025
We had a suggestive case and a Q came up.How often do we see acute respiratory acidosis post HD,due to HCO3 shifts, in pts w/ pulm issues?Saw only a few case reports. #nephsky #pulmsky @kidneyboy.bsky.social @grahamabra.bsky.social @pulmcrit.bsky.social @hswapnil.bsky.social @emilyfri.bsky.social
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draashish.bsky.social @draashish.bsky.social · 01/01/2025
The left one, with the blue sky. Gives a nice color contrast.
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