iiinova — where your digital self keeps evolving

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Edgar V. Lerma 🇵🇭 @edgarvlermamd.medsky.network · 04/05/2026

Consensus Recommendation: Real World Insights on Attitudes and Treatment of Hyperkalemia ca. 2026 from @renalphysicians.bsky.social @garysinger.bsky.social #Nephpearls #NephSky 👉 pubmed.ncbi.nlm.nih.gov/42069178/ 👉 www.theisn.org/initiatives/...

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Reposted by Gary Singer

Brian Rifkin @brianrifkin.bsky.social · 13/04/2026

RPA isn’t like other nephrology conferences. Happening this week in Atlanta GA April 16-19, let’s get down to business. Come learn more at RPA26 Space with me, @garysinger.bsky.social @annagaddy.bsky.social #NephSky

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annagaddy.bsky.social @annagaddy.bsky.social · 21/01/2026

Tell us why YOU pay attention to public policy or what you wish you knew! My 2026 resolution is to better educate myself about healthcare policy. @robertblaser.bsky.social @garysinger.bsky.social

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Gary Singer @garysinger.bsky.social · 30/12/2025

Important article demonstrating cardiorenal collaboration @erinmichos.bsky.social and David Cherney @glaucomflecken.bsky.social who says cardiology and nephrology can’t work together?

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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 · 12/09/2025

One of my favorite places ❤️ 🇨🇦

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Gary Singer @garysinger.bsky.social · 31/08/2025

How’s everyone using CAC scores? Saw a 55 yo woman taken off statin by functional medicine physician bc CAC score was 14. Thoughts? @drmarthagulati.bsky.social @daniellebelardomd.bsky.social @aspcardio.bsky.social @spjuraschek.bsky.social @erinmichos.bsky.social

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Gary Singer @garysinger.bsky.social · 31/08/2025

“No medical reason to give newborns Hep B vaccine if mother is not infected.” Verdict: False. “All mothers who deliver in a hospital are tested.” Verdict: False. “This ‘scientist’s’ fetish for vaccines not supported by the data.” Verdict: False, misleading, or unsupported.

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American Journal of Kidney Diseases @ajkd.bsky.social · 28/08/2025

Transition of Care of Kidney Recipients from Transplant Centers to Referring Nephrologists: Report from the American Society of Transplantation Controversies Conference bit.ly/Anand25SR

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Gary Singer @garysinger.bsky.social · 20/08/2025

Gary Singer - nephrologist in St. Louis lurking tonight #NephJC Book Club

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

I recently posted a question about relapsing MCD on @asnkidney.bsky.social Communities community.asn-online.org/home The discussion by Drs. Glassock, Radhakrishnan, Rodby, Aledan and others was extremely valuable and informative. It also proved that AI will never replace smart nephrologists!

community.asn-online.org

Home - ASN Community

The site home page

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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 · 26/07/2025

🌎 to @unicode.org : Please introduce a kidney emoji so we don’t have to use 🫘 600-700 million ppl have kidney disease globally and kidney dysfunction is the 7th leading risk factor for global mortality. This emoji request seems a bit more important than Bigfoot. blog.unicode.org/2025/07/say-...

blog.unicode.org

🥳 Say Hello to the New Emoji Coming in Unicode 17.0 This Fall! ✨

From 🥹 to 🦖 to 🎸, emoji have become the world's favorite way to say anything—without saying a word. Whether you're texting your best frie...

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Gary Singer @garysinger.bsky.social · 28/05/2025

@ashleygwinter.bsky.social love reading the 🤡 responses to your last post on Twitter/X. Hope your husband is doing well - as well as you and your baby.

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Gary Singer @garysinger.bsky.social · 24/04/2025

Now we just need a current and common sense set of hypertension guidelines in the US. ACC/AHA guidelines came out 8 years ago and I still see patients prescribed clonidine and hydralazine (and nitrates!) for BP control 🤦🏻‍♂️

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Adonia Calhoun Groom @acg24.bsky.social · 06/04/2025

It’s a wrap!! RPA 2025 Annual Meeting was one for the books. Thanks to everyone who attended. Looking forward to 2026 in Atlanta!! #rpa2025

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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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Charlotte Dixon, MBA @chardixon.medsky.social · 05/04/2025

Puppy Play Time- perhaps the best #RPA25 event ever! Thank you @katiekwonmd.bsky.social. @titus.house.gov stopped by to play as well before speaking at the RPA PAC event. @renalphysicians.bsky.social @garysinger.bsky.social

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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

Eye opening presentation by @realdocspeaks (X) on the need for PBM reform. www.ftc.gov/reports/phar... Another reason to join @renalphysicians.bsky.social , advocate and donate to the RPA PAC. #RPA2025 #RPA25

ftc.gov

Pharmacy Benefit Managers: The Powerful Middlemen Inflating Drug Costs and Squeezing Main Street Pharmacies

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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 · 03/04/2025

If you’re a nephrologist or a Nephrology APP who takes care of patients, you need to be here. “If you’re not at the table, you’re probably on the menu” @renalphysicians.bsky.social @robertblaser.bsky.social #RPA25 #RPA2025

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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 · 14/02/2025

A heart doc said, “Love’s quite grand!” But the nephro replied, “Understand— If your filters should fail, Your romance turns pale, So let’s keep both working as planned!” Happy Valentine’s Day! ❤️ #NephSky #CardioSky

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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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Reposted by Gary Singer

Edgar V. Lerma 🇵🇭 @edgarvlermamd.medsky.network · 22/01/2025

A deep learning model to predict serum K levels from 12-lead ECGs & single-lead smartwatch data ca. 2024 from @jaccjournals.bsky.social #Nephpearls #Cardiorenal #NephSky Tagging @garysinger.bsky.social 👉 pubmed.ncbi.nlm.nih.gov/39387744/

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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 · 08/01/2025

80 yo man with T2DM s/p kidney transplant SCr 1.1-1.2 mg/dL. Abn echo. Cor angio - 3v heavily calcified CAD. Normal EF. Cardiologist recommended high risk PCI. Why not CABG? #CardioSky #MedSky

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Nephrology Journal Club @nephjc.bsky.social · 07/01/2025

7/10 Chat consensus? 1️⃣Keep Calm and Keep adding RASi in ur patients 2️⃣Individualise, since we don't have individual level data on adverse effects 3️⃣What about RA(A)S blockade in kidney failure? Looking forward to more evidence in 2025 ! @garysinger.bsky.social @hswapnil.bsky.social

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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 · 24/12/2024

In this season of miracles and joy, may the light of the menorah 🕎 and the magic of the Christmas tree 🌲 bring happiness 😊 and love ❤️ to your home. Now what movie should I stream tonight? #HappyHanukkah #MerryChristmas

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annagaddy.bsky.social @annagaddy.bsky.social · 20/12/2024

Extremely excited to give the Lew Diamond Lecture to -and learn from- this incredible group. Let me know if you’re coming to Las Vegas!🎲🎆@renalphysicians.bsky.social #RPA2025

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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 · 20/12/2024

IR nearly 100% of the time. L I remember doing all sorts of bedside procedures as an intern in 1987 - LP, IV, paracentesis, thoracentesis, etc. We learned a lot by doing - “see one, do one, teach one.” #MedSky

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

Agree 💯 The @nytimes.com is no longer “the paper of record”.

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

Great job! Merry Happy holidays! 😊

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

One topic we haven’t discussed is the use (or non-use) of RAASi in patients with ESKD. Thoughts? #NephJC

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