iiinova — where your digital self keeps evolving

Gary Singer @garysinger.bsky.social · 20/09/2025

Also - if you get called about asymptomatic inpatient hypertension, don’t just do something, stand there: www.ahajournals.org/doi/epub/10.... @taraichang.bsky.social @ahajournals.bsky.social #hypertension #hospitalmedicine

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Gary Singer @garysinger.bsky.social · 17/08/2025

Thanks for sharing. So many great recommendations! The devil is in the details, i.e. adoption/implementation. For starters, I suspect very few of the routine lab tests for new diagnosis of HTN are being ordered.

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Gary Singer @garysinger.bsky.social · 05/04/2025

Day 2 of @renalphysicians.bsky.social Annual Meeting kicking off with @robertblaser.bsky.social Director of Public Policy. Legislative priorities include Medicare Part B payment reform, extension of AAPM bonus and living organ donor legislation. #RPA2025

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Gary Singer @garysinger.bsky.social · 04/04/2025

Our fearless leader @kidneydo.bsky.social delivering the @renalphysicians.bsky.social President’s Address focusing on mission, vision and values of this organization. “We are all in this together”. A tough act to follow. #RPA2025 #RPA25

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Gary Singer @garysinger.bsky.social · 04/04/2025

Inspired by this year’s @rpaamy.bsky.social Louis Diamond lecture delivered by @annagaddy.bsky.social “Reclaiming the Joys of Practicing Medicine”. She shared lessons learned on her journey as an altruistic kidney donor and the need to become engaged and to advocate for our profession and patients.

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Gary Singer @garysinger.bsky.social · 04/04/2025

Kicking off the new and improved @renalphysicians.bsky.social Annual Meeting! Kudos to @katiekwonmd.bsky.social and the Education Committee for putting together #RPA2025 #RPA25 attracting record attendance!

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Gary Singer @garysinger.bsky.social · 02/03/2025

Today in one photo 🤦🏻‍♂️

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Gary Singer @garysinger.bsky.social · 03/02/2025

I don’t work for the CDC but he blocks anybody who disagrees with him

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Gary Singer @garysinger.bsky.social · 21/01/2025

Trying to get a sense of who uses this toolkit from @theisn.org @kdigo.org Please comment yes or no (and why). #hyperkalemia #NephSky #MedSky #CardioSky www.theisn.org/initiatives/...

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Gary Singer @garysinger.bsky.social · 06/01/2025

When will alerts become smarter? And why is calcium acetate hazardous to geriatric patients? 🤦🏻‍♂️ #AlertFatigue #MedSky #NephSky

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Gary Singer @garysinger.bsky.social · 20/12/2024

Viva Las Vegas!! 🎲 🃏 🫘 If you want to reclaim the joys of practicing Nephrology, register for @renalphysicians.bsky.social #RPA25 meeting to hear @annagaddy.bsky.social & talks addressing kidney care, public policy and payment. @katiekwonmd.bsky.social @acg24.bsky.social tinyurl.com/4prvhbvb

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Gary Singer @garysinger.bsky.social · 18/12/2024

An opposing view would be to throw caution to the wind and implement GDMT at a more accelerated rate similar to CHF journals.lww.com/cjasn/fullte... @asnkidney.bsky.social #CJASN @brendonneuen.bsky.social #NephJC

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Gary Singer @garysinger.bsky.social · 18/12/2024

Risks of stopping RAASi in advanced CKD jamanetwork.com/journals/jam... @jama.com #NephJC

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Gary Singer @garysinger.bsky.social · 11/12/2024

CVS Caremark #PBM denied coverage for guanfacine - “only covered uses are ADHD/ADD”. Cost for 30-day supply $322.39 vs @goodrx.bsky.social quotes under $6! Thank you @mcuban.bsky.social for trying to address #PBM price inflation.

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Gary Singer @garysinger.bsky.social · 05/12/2024

“21 missed (dialysis) treatments in the last 7d” 😂 😮 But we don’t prescribe thrice daily dialysis and the numbers don’t add up. EHR trust but verify and “GIGO” Time to modify the algorithm 🤦🏻‍♂️ #NephSky #SkyNeph

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Gary Singer @garysinger.bsky.social · 01/12/2024

Donate and gear up to help end #FoodInsecurity #HCWvsHunger #UrineItToWinIt www.nephjc.com/news/2021/12...

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Gary Singer @garysinger.bsky.social · 30/11/2024

Done! Donated to a local food pantry helping families of all religions. Go Team #UrineItToWinIt 🫘🎉🎉 #HCWvsHunger @hcwvshunger.bsky.social @jmteakell.bsky.social #NephSky #SkyNeph

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Gary Singer @garysinger.bsky.social · 28/11/2024

Daughter (16) gets it - and wants to be a nephrologist! 🫘 #NephSky #MedSky

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Gary Singer @garysinger.bsky.social · 23/11/2024

Mine by 16 when she was 8 ❤️ Miro Miro on the mug

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Gary Singer @garysinger.bsky.social · 19/11/2024

Interesting perspective from Milton Packer and Javed Butler in Eur J Heart Fail. onlinelibrary.wiley.com/doi/10.1002/...

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Gary Singer @garysinger.bsky.social · 17/11/2024

IMHO one of the best features of @bsky.app is the ability to filter out the 💩 from both extremes #SelfCare #MentalHealthMatters

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Gary Singer @garysinger.bsky.social · 17/11/2024

Kudos to @katiekwonmd.bsky.social and the @renalphysicians.bsky.social Education Committee for putting together an incredible agenda for the 2025 RPA Annual Meeting. Looking forward to seeing all of you in Vegas! NephSky SkyNeph rpa.users.membersuite.com/events/0ad80...

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Gary Singer @garysinger.bsky.social · 16/11/2024

Channeling @nephjc.bsky.social @freelyfiltered.bsky.social and lowering my glomerular capillary pressure 🫘 NephSky SkyNeph #diastole for my Cardiology friends ❤️

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Gary Singer @garysinger.bsky.social · 16/11/2024

If you see this, please repost with a favourite photo of the sky that you’ve taken recently

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Gary Singer @garysinger.bsky.social · 16/11/2024

Two mugs this morning 🐶 ☕️

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Gary Singer @garysinger.bsky.social · 13/11/2024

Hey NephSky / SkyNeph - Do we need to rethink the process of updating certain guidelines? KDIGO IgAN update reviewed RCTs published through 4/2023, draft available 8/2024, final publication in 2025(?) - and it will be out of date. Kudos to the workgroup for their hard work but …

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Gary Singer @garysinger.bsky.social · 28/01/2024

Second bout of #COVID with flu-like symptoms. Self-quarantined and started #Paxlovid - antigen test negative after 48 hrs (!) and feeling better (fully vaxed and boosted). Planning to complete 5-day course. How long to stay masked / isolated?

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Gary Singer @garysinger.bsky.social · 21/10/2023

Successful bipartisan bicameral Renal Physicians Association Hill Day yesterday. 🔸 remove barriers to living organ donation 🔸 expand kidney related education 🔸 promote value based care and extend AAPM incentives 🔸 provide equitable Medicare reimbursement for physician services

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Gary Singer @garysinger.bsky.social · 04/10/2023

Are we really that surprised that patients develop protein-calorie #malnutrition while hospitalized? We need to address this huge gap in the care of acutely ill patients … … and eliminate the “renal” diet. #nutrition #NutritionMatters