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Elba Medina

@elbaonelida.bsky.social
1.1K followers 4K following 28 posts

Nephrologist in Mexico, HGM, #NSMC intership 2024 #NephSky #MedSky #LatinSky #HMSky #Kidneydisease #sunrise #NephJC

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Reposted by Elba Medina
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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kireports.bsky.social @kireports.bsky.social · 09/09/2026
1/ 🚨Tweetorial Alert🚨 Hey #NephSky! Welcome to a 🆕 #skeetorial brought to you by @KIReports @ISNkidneycare. Please also check out www.kireportscommunity.org educational #blogposts. FOLLOW US!
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kireports.bsky.social @kireports.bsky.social · 02/09/2026
1/ Hey #NephTwitter! Welcome to a 🆕 #tweetorial #xtorial brought to you by @KIReports
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NephMadness @nephmadness.bsky.social · 28/04/2026
Thanks to the #NephMadness #VisualAbstract creators led by Krithika Mohan: @renzpasilan.bsky.social @edgarvlermamd.bsky.social Sophia Ambruso @nephroseeker.medsky.social @corinateodosiu.bsky.social Kajaree Giri @deniiseam.bsky.social PS Vali @elbaonelida.bsky.social @husamjz.bsky.social
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kireports.bsky.social @kireports.bsky.social · 14/04/2026
4/ In a field built on inference, can a transdermal signal bring us close to real GFR than the biochemical surrogates we’ve trusted for decades? Dorshow et al. Accuracy of Point-of-Care Transdermal GFR Methodology 🔗 www.kireports.org/article/S246... 🖼️by @elbaonelida.bsky.social #NephSky
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kireports.bsky.social @kireports.bsky.social · 16/04/2026
1/20 Hello everyone, welcome to www.kireportscommunity.org #Nephsky #Medsky Welcome to a #skytorial brought to you by @KIReports
kireportscommunity.org
Kidney Education | KI Reports Community
KI Reports Community is the blog page affiliated with KI Reports and the ISN, representing a less restricted space where a variety of content is presented, including expert commentaries, article summa...
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Jonathan Slater @jonathanslater.bsky.social · 28/03/2026
Goodnight Blue Sky
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Richard Baker @bakerart.bsky.social · 21/02/2026
Shawls, pastel (one of my old May Week theme drawings) #Cambridge #mayball #pastel
Pastel sketch of ladies assembling to attend a May Ball
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Richard Baker @bakerart.bsky.social · 11/03/2026
Pastel still life, including a nice vase bought in a shop attached to an auction house, some ranunculus flowers, alstroemeria and an iris. The dried items on the right came from a bag of pot pourri. This was probably sold at a Cambridge Drawing Society exhibition. #pastel #flowers
Pastel still life with some ranunculus flowers, alstroemeria and an iris in a vase with some bits of pot pourri
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Richard Baker @bakerart.bsky.social · 15/03/2026
Under the lamp, another Cambridge May Week doodle, watercolour and Indian ink. #Cambridge #watercolour #mayweek
Watercolour showing an evening scene in Trinity Lane, Cambridge
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Nephrology Journal Club @nephjc.bsky.social · 31/01/2026
To say it took a while is an understatement, because #NephJC has been around for 11 years (and still counting)... 🥁 We opened an Instagram account, so if you're around, can follow and interact 👣💞 #NephSky #Medsky
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ISNkidneycare @theisn.org · 16/01/2026
📣 WCN’26 Social Media Team Kickoff Meeting We’re delighted to welcome our new team members 🙌🏼 Meet the people behind the content: 🔗 theisn.org/wcn/media/so... #ISNWCN
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ISNkidneycare @theisn.org · 13/01/2026
🔬 Stay on top of the evidence At #ISNWCN, the HIT & LBCT sessions spotlight the clinical trials that matter most for patient care, from late-breaking results to ongoing studies. “As a community, this helps us stay on top of the evidence base,” says Adeera Levin. Read more: lite.spr.ly/6003OtWX
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ISNkidneycare @theisn.org · 12/01/2026
Meet the #ISNWCN Social Media Team! 🎉 A group of health pros bringing you live updates from WCN'26 in Yokohama, 🇯🇵, with scientific session coverage, quizzes, interviews, visual abstracts, workshops & more! Get ready for engaging content! lite.spr.ly/6008OsHw
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kireports.bsky.social @kireports.bsky.social · 14/01/2026
#Dapagliflozin in CKD Patients with #Fabry Disease #VisualAbstract by Elba Medina www.kireports.org/article/S2468-024…
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Nephrology Journal Club @nephjc.bsky.social · 03/01/2026
It's 2026!🎉 We will be counting down the Top Ten Nephrology Stories of 2025 on 1/6/26 at 9 pm EST. Join us on TWITTER (it will always be Twitter to us). Come on by #NephJC faithful for a lively discussion! You picked & we're count'em down. www.nephjc.com/news/2025/1/3/top-stories-in-nephrology-2025
nephjc.com
Top Stories in Nephrology 2025 — NephJC
2025 was rich in successful stories. Here are the top 10 that impressed our audience.
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Nephrology Journal Club @nephjc.bsky.social · 03/01/2026
Did we (meaning "you" of course, because you voted) get them right? Is there something missing or is the order wrong? #NephJC #TopTenStories2025 Come discuss with an international cadre of nephrologists & other interested parties on 1/6/26 at 9 pm EST on #Twitter
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Nephrology Journal Club @nephjc.bsky.social · 08/01/2026
✨It's that time of the year again, to nominate the most deserving people in our community for #NephJCKidneys award 👇Here's a reminder of previous winners #Nephsky 📌You can nominate worthy individuals/ initiatives by using the hashtag or by using the form www.nephjc.com/news/2026/1/...
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Melvin Chan @mchanmd.bsky.social · 18/12/2025
The future of nephrology
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kireports.bsky.social @kireports.bsky.social · 18/12/2025
22/🎥Functional imaging studies have enhanced our understanding of physiology & pathology. 📸 However, most techniques are limited by variability in platforms, protocols, and image analysis. Standardization is crucial to unlock their full potential!🤳
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Elba Medina @elbaonelida.bsky.social · 18/12/2025
“Nuestras cicatrices nos hacen saber que nuestro pasado fue real” Jane Austen
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kireports.bsky.social @kireports.bsky.social · 18/12/2025
10/ Evaluating tubular function through dynamic physiological stress tests is essential for a comprehensive understanding of kidney function. e.g the furosemide stress test assesses renal tubular integrity.
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kireports.bsky.social @kireports.bsky.social · 18/12/2025
5/ Read the executive summary and watch the meeting video for more information. 🔥🔥Start with the majors' key research questions🔥🔥
https://www.kireportscommunity.org/post/towards-new-ways-of-assessing-kidney-function-where-to-look-to-improve
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Daniel Batlle, MD @daniel-batlle.bsky.social · 29/09/2025
Congratulations to Leo Riella and team reporting physiology aspects from the first porcine kidney transplanted to a human. Happy to have contributed findings on pig renin and the renin-angiotensin system. @natcomms.nature.com @nu-nephrology.bsky.social @nufeinbergmed.bsky.social rdcu.be/eIyQt
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Daniel Batlle, MD @daniel-batlle.bsky.social · 16/10/2025
Thanks to @asnpublications.bsky.social for highlighting our feature on a new syndrome of renal tubular alkalosis! www.kidneynews.org/view/journal... @nu-nephrology.bsky.social @nufeinbergmed.bsky.social
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Elba Medina @elbaonelida.bsky.social · 18/12/2025
Do we continue to measure kidney function with tools from the last century? The workshop for Kidney Function Assessment of @NIDDKgov proposes a revolution: Go beyond Creatinine & eGFR! 💥Check out this blog & Skytorial !🧵👇 @kireports.bsky.social 👇👇👇👇👇👇 www.kireportscommunity.org/post/towards...
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kireports.bsky.social @kireports.bsky.social · 18/12/2025
1/Hey #NephTwitter! Welcome to a 🆕 #Skytorial brought to you by @kireports.bsky.social @isnkidneycare.bsky.social Our author is @elbaonelida.bsky.social nephrologist at Hospital General de Mexico 🇲🇽 @hgm_nefrologia. Please also check out www.kireportscommunity.org educational #blogposts. FOLLOW US!
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Nephrology Journal Club @nephjc.bsky.social · 15/12/2025
The LIBERATE-D VA by @sejalplakhani.bsky.social Should we break the pattern of thrice weekly dialysis in AKI-D? #NephJC #NephSky www.nephjc.com/news/liberateva
nephjc.com
LIBERATE-D: The Visual Abstract — NephJC
In patients with dialysis-dependent acute kidney injury, a conservative dialysis strategy was evaluated in the LIBERATE-D trial. Could less be more? Join the discussion in #NephJC, but first, check ou...
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Nephrology Journal Club @nephjc.bsky.social · 15/12/2025
Join us for the last #NephJC of 2025, 12/16/25 at 9pm EST!🥳 How soon should we withhold dialysis in AKI? We're discussing the LIBERATE-D trial #NephSky This one might just change your mind 🧠🧠 Blog by @msocomd.bsky.social and @sejalplakhani.bsky.social www.nephjc.com/news/liberated-aki
nephjc.com
Dialyze Less, Recover More? AKI’s Chance to Get LIBERATE-D — NephJC
This week, we will discuss whether less is more when it comes to discontinuing dialysis in patients with AKI and a chance to recover.
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Nephrology Journal Club @nephjc.bsky.social · 15/12/2025
Gracias! @dramiliflores.bsky.social #NephSky LIBERATE-D: El Resumen Visual — #NephJC www.nephjc.com/news/2025/12/14/liberate-d-el-resumen-visual
nephjc.com
LIBERATE-D: El Resumen Visual — NephJC
En pacientes con lesión renal aguda en diálisis, se evaluó si una estrategia más conservadora impacta en la recuperación renal. ¿Será que menos es más? Únete a la discusión del ensayo clínico LIBERATE...
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Nephrology Journal Club @nephjc.bsky.social · 04/12/2025
🆕 #NephJCshort by @brianrifkin.bsky.social RETREAT-FRAIL- pragmatic RCT: is less BP medication worse in octogenarians? www.nephjc.com/news/hyperte...
nephjc.com
NephJC Shorts: Hypertension and The Extreme Elderly — NephJC
The NephJC shorts version of the Hypertension medication step-down in a nursing home population from NEJM
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kireports.bsky.social @kireports.bsky.social · 03/12/2025
Kidney Tertiary #LymphoidTissues and Poor #Immunosuppressive Response in #IgANephropathy #IgAN #VisualAbstract by Elba Medina www.kireports.org/article/S2468-024…
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Nephrology Journal Club @nephjc.bsky.social · 25/11/2025
#NephJCshort on BICAR-ICU2 #Medsky #Nephsky ✍️ By @nephroseeker.medsky.social 🎭 Bicarbonate makes the picture look cleaner: better pH, more time. But beneath the smoother numbers, the patient hasn't changed. It's the same story, just told in softer colors www.nephjc.com/news/2025/10...
nephjc.com
Dialysis deferred, logic recycled: BICAR ICU2 — NephJC
NephJC short on BICAR-ICU2
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Nephrology Journal Club @nephjc.bsky.social · 19/11/2025
T3f: #NephJC Whether dual inhibition APRIL/BAFF offers a longer-term advantage over APRIL-selective therapy remains a key question that only eGFR slope data will answer. APRIL-selective therapy also prevents its action at other receptors (BCMA). Do you think either has the advantage?
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Nephrology Journal Club @nephjc.bsky.social · 19/11/2025
T3d: #NephJC In VISIONARY, APRIL-selective B-cell inhibition ⬇️proteinuria & IgA-related biomarkers, confirming APRIL’s key pathogenic role. In ORIGIN-3, atacicept’s BAFF + APRIL blockade targets earlier B-cell checkpoints, dismantling both the production & maintenance of aberrant IgA response.
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Nephrology Journal Club @nephjc.bsky.social · 19/11/2025
T3c: #NephJC The emerging evidence from APRIL/BAFF–axis trials (including VISIONARY (sibeprenlimab) & ORIGIN-3 (atacicept)) highlight how central this pathway is to the mechanisms of IgAN.
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Nephrology Journal Club @nephjc.bsky.social · 19/11/2025
T2c: #NephJC 1° Endpoint At week 36- 🗓️ 📉Atacicept: 24-hour urinary protein-to-creatinine ratio decreased by 45.7% 🔻Placebo: 24-hour urinary protein-to-creatinine ratio decreased by 6.8%
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Nephrology Journal Club @nephjc.bsky.social · 19/11/2025
T0h: #NephJC Although both BAFF and APRIL are responsible for B-cell proliferation, survival/maturation, and class switching they affect different stages of B cell maturation. www.kidneynews.org/v...
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Nephrology Journal Club @nephjc.bsky.social · 19/11/2025
T0i: #NephJC Mechanistic lead-in came from the JANUS ph2 study (N=16): 👉 dose-dependent reductions in IgA, IgG, IgM, and Gd-IgA1 by week 24 👉maintained through week 72 👍 concurrent proteinuria improvement and preserved eGFR pubmed.ncbi.nlm.nih....
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Nephrology Journal Club @nephjc.bsky.social · 19/11/2025
T0j: #NephJC The ORIGIN phase 2b trial 👥 116 patients with biopsy-proven IgAN and persistent proteinuria despite RASi 💉 Weekly atacicept 150 mg (wk 36) ⬆️ 35% greater UPCR reduction vs placebo ⚙️ a mean eGFR benefit of +5.8 mL/min/1.73 m² pubmed.ncbi.nlm.nih....
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Nephrology Journal Club @nephjc.bsky.social · 19/11/2025
T0k: #NephJC The 96-week extension demonstrated durability: ⬇️proteinuria fell 52% ⬇️Gd-IgA1 dropped 66% ⬇️hematuria declined 75% ⬇️ annualized eGFR slope was −0.6 mL/min/1.73 m² ⚠️Safety: mild injection-site reactions and transient infections pubmed.ncbi.nlm.nih....
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Nephrology Journal Club @nephjc.bsky.social · 19/11/2025
🥁 Drum rolls… The ORIGINal saga in IgAN unfolds. Interim chapter at 36 weeks, curtain rises, but the finale will still remain hidden. Moving on to RESULTS next #NephJC
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Nephrology Journal Club @nephjc.bsky.social · 19/11/2025
T0d: #NephJC 🛑Remission is defined an eGFR decline of ~1 ml/min/1.73 m²/year, closer to physiological rate 📉Vs 2-3 ml per year with only conservative therapy; hopefully, B-cell therapies will further flatten the slope By @brendonneuen.bsky.social &Co pubmed.ncbi.nlm.nih....
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Nephrology Journal Club @nephjc.bsky.social · 19/11/2025
T0a: #NephJC Remember 2021, and the first glomerulonephritis @kdigo.org guidelines for IgAN? Only RASi and steroids were viable treatment options. However, it seems in 2025 we have so many other options, no?
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Nephrology Journal Club @nephjc.bsky.social · 19/11/2025
🎨Beautiful visual abstract by @salinesolut.bsky.social
nephjc.com
ORIGIN-3: The Visual Abstract — NephJC
Atacicept, BAFF/APRIL inhibition in IgAN
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Nephrology Journal Club @nephjc.bsky.social · 18/11/2025
Tonite 11/18/25 on #Bluesky 9pm EST We are discussing ORIGIN3 and atacicept in IgAN. APRIL, BAFF and B-cells, Oh My! (🦁🐯🐻) It's going to be Wicked good. 🧙‍♀️ #NephJC Summary by @notjustdialysis.bsky.social www.nephjc.com/news/atacicept-origin3-gtfb36
nephjc.com
Attacking the Origin of IgAN: ORIGIN3 and Atacicept — NephJC
This week, we will discuss the phase 3 ORIGIN3 trial of atacicept, an APRIL/BAFF inhibitor for use in IgAN.
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kireports.bsky.social @kireports.bsky.social · 13/11/2025
#Empagliflozin and #Ultrafiltration Volume in Patients Undergoing #PeritonealDialysis #VisualAbstract by Elba Medina www.kireports.org/article/S2468-024…
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Nephrology Journal Club @nephjc.bsky.social · 28/10/2025
As nephrologists, we tend to focus on pathways, labs, and outcome curves. For years, IgAN meant familiar drugs and modest gains. Reading new guidelines through a patient’s story is a reminder of why it matters #nephjc Perspective by @jonathanpollack.bsky.social www.nephjc.com/news/2025/10...
nephjc.com
KDIGO IgA Guidelines: A Patient Voice — NephJC
We have a patient perspective on the new IgA Guidelines and what it means to live with IgA in these times.
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Nephrology Journal Club @nephjc.bsky.social · 28/10/2025
IgA nephropathy: The immune twist behind the Kidney decline!! Join us today to learn more on the recent (And first ever disease specific) evidence based KDIGO IgA Nephropathy guidelines. There’s still time to review the highlights before the discussion. #NephJC
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Melvin Chan @mchanmd.bsky.social · 26/10/2025
Great read on ways of measuring renal function. Shout out to @elbaonelida.bsky.social www.kireportscommunity.org/post/towards...
kireportscommunity.org
Towards new ways of assessing kidney function. Where to look to improve?
Written by Elba MedinaReviewed by Brian Rifkin;Sophia AmbrusoToday, current methods for measuring kidney function, due to several critical limitations, need to be reimagined. In the reimagining Kidney...
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