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Dr. Suman Behera

@drsumanbehera.bsky.social
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Dr. Suman Behera @drsumanbehera.bsky.social · 01/07/2025
🗞Here is our editorial on advanced language models like ChaGPT's implications on patients' understanding of complex medical conditions like glomerular diseases. kidney.pub/KN1706-12 #kidneynews @dakidneydoc.bsky.social @asnpublications.bsky.social @kdjhaveri.bsky.social #chatGPT #glomerulardisease
kidney.pub
Revolutionizing Patient Education: Using ChatGPT to Improve Knowledge of Treatments for Glomerular Diseases
"Revolutionizing Patient Education: Using ChatGPT to Improve Knowledge of Treatments for Glomerular Diseases" published on 06 Jun 2025 by American Society of Nephrology.
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ISNkidneycare @theisn.org · 30/06/2025
𝗜𝗦𝗡 𝗩𝗜𝗗𝗘𝗢 𝗔𝗕𝗦𝗧𝗥𝗔𝗖𝗧 𝗦𝗘𝗥𝗜𝗘𝗦: APOL1 genotype and HIV infection: 20 year outcomes for CKD, CVD and hypertension. 2025 from @kireports.bsky.social‬ www.kireports.org/ar... #VideoAbstract by ‪@drsumanbehera.bsky.social‬ & @dakidneydoc.bsky.social‬
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Dr. Suman Behera @drsumanbehera.bsky.social · 31/05/2025
🚭#WHO created #WorldNoTobaccoDay (WNTD) in '87 to draw global attention 2 #tobacco epidemic -preventable death & disease caused by it 🌏2025 WNTD campaign:“Unmasking the Appeal: Exposing Industry Tactics on Tobacco & Nicotine Products” #TobaccoExposed 👩‍🏫 🚬 bskytorial by @deniiseam.bsky.social
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 31/05/2025
No more NIDDK or NHLBI, combined into one institute www.hhs.gov/sites/defaul... h/t @jbrianbyrd.bsky.social #MedSky
NIH reorganization
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Dr. Suman Behera @drsumanbehera.bsky.social · 25/04/2025
Hypoelectrolytemia. Low K, Mg Ca, Na and P. Did you have to use more than the conservative measures for management?
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Srikanth Bathini @dakidneydoc.bsky.social · 25/04/2025
A glimpse at the causes of an Acquired Bartter Defect too! #ECNeph @myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @kajareeg.bsky.social @theisn.org @nephroseeker.medsky.social
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Srikanth Bathini @dakidneydoc.bsky.social · 25/04/2025
👉 In vitro studies suggest that colonic Maxi – K channels are upregulated 👉 These are the same channels upregulated in CKD, enhancing gut excretion of potassium 👉 In ESRD, the colonic excretion of Potassium is 3-fold that of normal individuals #ECNeph @myadla.bsky.social @dramiliflores.bsky.social
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Dr. Suman Behera @drsumanbehera.bsky.social · 25/04/2025
Very interesting! I had couple of patients that got diagnosed as Ogilvie syndrome.
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Dr. Suman Behera @drsumanbehera.bsky.social · 25/04/2025
Sounds like pseudoobstruction... seen in patients with Ogilvie syndrome. Can also cause severe electrolyte dysfunction. But quite rare.. mostly diagnosed by GI before the nephrologists get to see them
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Dr. Suman Behera @drsumanbehera.bsky.social · 25/04/2025
Joining late to this party of electrolyte chaos. Suman Behera from Toronto.
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 03/04/2025
After sparsentan, another ERA gets accelerated approval on the basis of albuminuria while GFR slope data is being collected www.novartis.com/us-en/news/m... @nejm.org paper here www.nejm.org/doi/full/10.... #NephSky
novartis.com
Novartis receives FDA accelerated approval for Vanrafia® (atrasentan), the first and only selective endothelin A receptor antagonist for proteinuria reduction in primary IgA nephropathy (IgAN)
Vanrafia can be seamlessly added to supportive care in IgAN and used as a foundational therapy with no requirement for a REMS (Risk Evaluation Mitigation Strategy) program1 Phase III data showed Vanra...
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 02/04/2025
We check renin in all patients refd to the Ottawa hypertension clinic (also 24 hour urine for Na & K) Renin phenotyping is useful - see data from @anandvaidya17.bsky.social in @ahajournals.bsky.social below
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 30/03/2025
And sema for DM + PAD as well from #ACC25 in @thelancet.bsky.social www.thelancet.com/journals/lan... Glipination helps you walk 🚶🏽🚶🏻‍♀️🚶🏻‍♂️further
Figure 2Figure 3
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Dr. Suman Behera @drsumanbehera.bsky.social · 30/03/2025
Happy to be able to share. Looking forward to learning from others as well.
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
Thank you for engaging.
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
Adios amigos. until later! Thanks..
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
Did he have any worsening in kidney function after NET diagnosis? There are several other factors contributing to this as we discussed earlier.. keen to know more.
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
Yes. scan had evidence of NET with mets to the liver. none to the kidneys though!
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
#ECNeph #ISNEducation How hv your experiences & outcomes been in CgA nephropathy (Chromogranin A nephropathy/tubulopathy)? Would be great to hear about your patient outcomes. Add comments @myadla.bsky.social‬ @drpriyajohn.bsky.social @dilushiwijay.bsky.social @theisn.org @arvindcanchi.bsky.social
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
#ECNeph What have your experiences been like? What was your treatment approach? #ISNEducation #MedEd #Nephrology @myadla.bsky.social‬ @drpriyajohn.bsky.social @dilushiwijay.bsky.social @theisn.org @arvindcanchi.bsky.social
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
#ECNeph #ISNEducation #CgA Limited documentation/publications 💉 For our patient, treating underlying NET improved kidney function 🔁Others have tried PLEX without much success 💊 Usually confused w/chemo or Rx toxicity😵‍💫 #Nephrology @myadla.bsky.social‬ @dilushiwijay.bsky.social @theisn.org
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
Have any of you encounter Chromogranin A (CgA) Nephropathy/Tubulopathy? Not sure how to add a poll on BSKY!🤔 #ECNeph #ISNEducation #MedEd #Nephrology @myadla.bsky.social @drpriyajohn.bsky.social @drmarthagulati.bsky.social @dilushiwijay.bsky.social l @theisn.org @arvindcanchi.bsky.social
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
#ECNeph #ISNEducation 🚨 When can CgA give false positive results? ⚔️ Liver/kidney/heart failure, HTN, inflammatory ds like RA and IBD #MedEd #Nephrology @myadla.bsky.social‬ @drpriyajohn.bsky.social @dilushiwijay.bsky.social @theisn.org @arvindcanchi.bsky.social
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
@arvindcanchi.bsky.social thanks to you for creating this space!
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
#ECNeph #ISNEducation ✏️#CgA = #TumourMarker 📬 CgA positive ➡️ several #Neuroendocrine tumours #MedEd #Nephrology @myadla.bsky.social‬ @drpriyajohn.bsky.social @dilushiwijay.bsky.social @theisn.org @arvindcanchi.bsky.social
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
🗜️What is #ChromograninA ? ☠️HOW DOES IT ACT? ➡️ cytokines, degranulation, apoptosis... Lots of inflammatory processes⚡️ #ECNeph #ISNEducation #MedEd #Nephrology @myadla.bsky.social‬ @drpriyajohn.bsky.social @dilushiwijay.bsky.social @theisn.org @arvindcanchi.bsky.social
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
#ECNeph #ISNEducation ⚡️🔬 What else can cause Eosinophilic Intracytoplsmic Tubular inclusions/granules: 💪Rhabdomyolysis, 🦹malignancies, 😮‍💨chronic inflammation 👾Paneth cell like granules - ccRCC 🌸 HES @myadla.bsky.social‬ @drpriyajohn.bsky.social @theisn.org @arvindcanchi.bsky.social
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
#ECNeph #ISNEducation 🔬 Eosinophilic Intracytoplasmic tubular inclusions/granules are also seen in: Light chain proximal tubulopathy, MM, Drug induced Fanconi synd. #MedEd #Nephrology @myadla.bsky.social‬ @drpriyajohn.bsky.social @dilushiwijay.bsky.social @theisn.org @arvindcanchi.bsky.social
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
#ECNeph #CgATubulopathy #CgANephropathy ➡️ Acute Tubular Injury. 🗜️#chromograninA expands/swells and collects within #ProximalTubules 🏗️ #CgA forms intraluminal #tubular #casts @myadla.bsky.social‬ @drpriyajohn.bsky.social @dilushiwijay.bsky.social @theisn.org @arvindcanchi.bsky.social
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
pubmed.ncbi.nlm.nih.gov/36100605/ The FLC ratio is normal for that level of kidney function.. also has a h/o MGUS. #ECNeph
pubmed.ncbi.nlm.nih.gov
Defining new reference intervals for serum free light chains in individuals with chronic kidney disease: Results of the iStopMM study - PubMed
Serum free light chain (FLC) concentration is greatly affected by kidney function. Using a large prospective population-based cohort, we aimed to establish a reference interval for FLCs in persons wit...
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
😶‍🌫️ 🫣 What's happening!.. #ECNeph #ISNEducation #MedEd #Nephrology @myadla.bsky.social‬ @drpriyajohn.bsky.social @dilushiwijay.bsky.social @theisn.org @arvindcanchi.bsky.social
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
GI tract (intestine)
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
It is widely available here in Canada.. I have seen it being ordered relatively easily by Indian colleagues in oncology as well. How about other places?
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
How about Neuroendocrine Tumour/neoplasm (NET) of Kidneys? 🦓 Rare, but possible! 👩‍🔬Evaluation w/ urinary–HIAA, Serum ChromograninA and Imaging = assess suspected NETs #ECNeph #ISNEducation #Nephrology @myadla.bsky.social‬ @drpriyajohn.bsky.social @dilushiwijay.bsky.social @theisn.org
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ISNkidneycare @theisn.org · 28/03/2025
3a/n #ECNeph @drsumanbehera.bsky.social @myadla.bsky.social @theisn.org DYK What are the kidney abnormalities after ileostomy ? Who are at risk for AKI Our Patient underwent Rt hemicolectomy.Ilesotomy done Wonder whether its high output Ileostomy leading to PRA Lets check
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
increased volume and electrolyte losses from increased ileostomy output!
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
😂
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
#ECNeph You're right he has been using Pantoprazole 🥸... PPI induced AIN perhaps? #MedEd #Nephrology @myadla.bsky.social‬ @drpriyajohn.bsky.social @divyaveerssneph.bsky.social @dilushiwijay.bsky.social @acidosistubular.bsky.social
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
@myadla.bsky.social Officially my first interactive session on bsky. Loving it already!. Thanks.
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
welcome
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
welcome
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
🦄 Welcome to the March #ECNeph session! Looking forward to an interactive case discussion & learning! #MedEd #Nephrology @myadla.bsky.social‬ @drpriyajohn.bsky.social @divyaveerssneph.bsky.social @dilushiwijay.bsky.social @acidosistubular.bsky.social @theisn.org @arvindcanchi.bsky.social
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
Gorgeous photo...
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
Helllloooooo....
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myadla.bsky.social @myadla.bsky.social · 26/03/2025
Hey Folks ! An exciting discussion #ECNeph Dont forget to join us! on X (27th March) on BS on 28th March Lets learn together ! @divyaveerssneph.bsky.social @dilushiwijay.bsky.social @acidosistubular.bsky.social @saiachi1.bsky.social @kajareeg.bsky.social @drsumanbehera.bsky.social
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Dr. Suman Behera @drsumanbehera.bsky.social · 24/03/2025
These are informative visual aids for understanding #Podocytopathies, it's triggers and pathophysiology.🔬 Thanks for sharing @Tiff_Caza x.com/Tiff_Caza/stat…
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Dr. Suman Behera @drsumanbehera.bsky.social · 23/03/2025
🚰Access to clean water is a privilege often taken for granted! 🫧Clean water plays a crucial role in kidney health & disease prevention. 🤝"Let’s work towards #SDG6: water & sanitation for all by 2030!" #WKD #WorldWaterDay #KidneyHealthMatters @RajuJDas @UN @WHO x.com/worldkidneyday…
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Dr. Suman Behera @drsumanbehera.bsky.social · 22/03/2025
🎉Definitely a hooray dance for #C3G 💊What is an oral agent inhibiting the alternative complement pathway.. selectively targeting the underlying cause of C3G? #iptacopan 💪🏻 APPEAR-C3G - a pivotal phase 3 study x.com/anuja_java/sta…
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ISNkidneycare @theisn.org · 28/02/2025
🚨 #Tweetorial Alert! 🚨 🔬 Rare Kidney Diseases: Unmasking the Zebras in Nephrology! 🦓💡 Join me, Dr. Mythri Shankar, @nephromythri.bsky.social as we explore fascinating, rare kidney diseases—because not every kidney case is a horse! 🏇 Stay tuned! 🧵👇 #NephTwitter #RareKidneyDiseases #MedEd
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