iiinova — where your digital self keeps evolving

Jade Teakell, MD @jmteakell.bsky.social · 17/12/2025

👋 Jade Teakell, academic nephrologist in Houston @utkidney.bsky.social Running late. Looking forward to a great chat. #NephJC No COI.

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Jade Teakell, MD @jmteakell.bsky.social · 06/12/2025

Warhammer Horror Audiobook Collection, Vol 1 ✍️ David Annandale, Peter Fehervari 🎙 Dugald Bruce-Lockhart, Christopher Kent, John Banks #Warhammer40K #BlackLibrary

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Jade Teakell, MD @jmteakell.bsky.social · 30/11/2025

Don’t forget to log donations at hcwvshunger.org/how-to-donate/ #HCWvsHunger #UrineItToWinIt @hcwvshunger.bsky.social

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Jade Teakell, MD @jmteakell.bsky.social · 30/11/2025

Donating to Houston Food Bank for #HCWvsHunger !! 🥘🍰🍊🍍🥚🥥🧀🥔🍇🌽 #UrineItToWinIt 💪 #NephSky

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

Keep Calm & Carry On Inhibiting RAS 👑 #Kidneywk #Nephjc 👉 www.nephjc.com/news/stopacei 👉 www.nephjc.com/news/aceing-...

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

Stopping RASi should be the last resort. #Kidneywk

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

Our new best friends help to maintain our old best friends. RASi 🤝 SGLT2i 🤝 GLP1ra #Kidneywk #Flozinate

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

Fruits & vegetables 🍊🥑🥦are ⭐️NOT⭐️ the problem. ❌Myth: restricting dietary K is useful to prevent hyperkalemia ❌Myth: Avoid fruits/veg - the main source of dietary K+ #Kidneywk

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

Dietary potassium can be good for you. AND there is little to no correlation btwn dietary K intake & serum K level (even in pts w/ CKD). #Kidneywk

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

A call to action 🚨📢 Let’s keep patients on health-improving & life-saving therapy #Kidneywk

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

HyperK-related RASi discontinuation or down-titration was a/w higher risk of cardiorenal events vs maintained or up-titrated RASi. And when RASi gets held, we’re not good at restarting them. #Kidneywk

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

Our concern is safety, hyperK can be dangerous. But is stopping RAS really safe… not really. #Kidneywk

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

I’m asking this to trainees in the CKD clinic every single time. Wait, why was this patient’s ACEi/ARB stopped?!? 🧐 #Kidneywk

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

What happens when we stop ACEi/ARBs?? Nothing good… #Kidneywk

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

RAS blockade is protective Decrease CV events Decrease CKD progression Decrease HF hospitalization Etc etc #Kidneywk And the effect is maintained even with low eGFR!

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

We’ve all taken care of this patient. #Kidneywk

Case Presentation
• A 55-year-old male patient is followed for HFrEF and CKD stage IIIbA3. Other medical issues include obesity, hypertension, hyperlipidemia, and type 2 diabetes mellitus.
• He is prescribed metformin, dapagliflozin 10 mg, losartan 100 mg, rosuvastatin 10 mg, and carvedilol 6.25 twice daily. Spironolactone 25 mg was recently introduced as part of GDMT.
• Updated metabolic panel now shows hyperkalemia at 5.8 mEq/L with a slight creatinine "bump". He was advised to stop the spironolactone and restrict his potassium intake...
• Familiar story?

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

Next up Dr. Ali Mehdi is going to help us navigate hyperkalemia risk in those with CKD+HF on RAS blockade #kidneywk @asnkidney.bsky.social

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

Check out the poster presentation by UT nephrology fellow Dr. Briggs Welch! #Kidneywk @utkidney.bsky.social

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

Mechanism of hypokalemia in metabolic acidosis. #kidneywk

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

Differentiating hypokalemia Is the kidney helping or hurting…? #Kidneywk

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

Dr. Biff Palmer discussing “No More TTKG: What’s a nephrology professional to do?” Congrats, Dr. Palmer, on receipt of the ASN 2025 #kidneywk Robert G. Narins Award 🥇

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

Check out Dr. Jaya Kala’s poster on establishing Onco-Nephrology care in a safety-net healthcare system. #kidneywk @utkidney.bsky.social @jayakala.bsky.social

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

Love to see that ASN #kidneywk is a gathering of minds from across the globe! Houston ppl put a pin in, we’re getting stomped by Dallas 🙄

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

Limits of resilience Be mindful of toxic positivity #Kidneywk

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

System level / institutional support Is critical for individual resilience A pizza party or a 15m yoga session is not fixing anything… #kidneywk

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

Increasing complexity of problems > rugged individual Resourced >> Rugged 🤨 #Kidneywk

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

Resilience at Work & at Home: maintaining our capacity to cope during times of change & challenge Dr. Michael Ungar #Kidneywk

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

Novel targeted approach to acute pain. #Kidneywk

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

Drug development successes with treatments for #CysticFibrosis and #SickleCellDisease! Let’s take on similar approaches to kidney disease! #Kidneywk

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

Challenges in drug development parallel nephrology’s challenges. Could we take a targeted approach like oncology (eg imatinib)? Or dedicated focus like ART? #Kidneywk