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Joseph Flynn, MD

@jostflynnmd.bsky.social
2.9K followers 1.2K following 222 posts

Professor of Pediatrics, University of Washington and Nephrologist at Seattle Children's/Editor-in-Chief @ped-neph.bsky.social/ PGY-40 / 🏳️‍🌈

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Joseph Flynn, MD @jostflynnmd.bsky.social · 04/10/2026
Posterior reversible encephalopathy syndrome (PRES) in children – a summary of 20 years of tertiary neurology centre experience www.frontiersin.org/journals/neu...
frontiersin.org
Frontiers | Posterior reversible encephalopathy syndrome (PRES) in children – a summary of 20 years of tertiary neurology centre experience
ObjectivePosterior reversible encephalopathy syndrome (PRES) is a clinico-radiological syndrome characterised by seizures, hypertension, visual disturbances ...
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Joseph Flynn, MD @jostflynnmd.bsky.social · 04/10/2026
Is there an interaction between hypertension and proteinuria in pediatric chronic kidney disease progression? Evidence from the SP-CKD-Kids cohort @ped-neph.bsky.social link.springer.com/article/10.1...
link.springer.com
Is there an interaction between hypertension and proteinuria in pediatric chronic kidney disease progression? Evidence from the SP-CKD-Kids cohort - Pediatric Nephrology
Background Hypertension and proteinuria are established risk factors for chronic kidney disease (CKD) progression in children. Given their pathophysiological interrelationship, whether their coexisten...
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Reposted by Joseph Flynn, MD
American Journal of Hypertension @amjhypertension.bsky.social · 02/10/2026
#HotOffThePress Extra-Large Blood Pressure Cuff Need and Cost Burden in United States Adults with Hypertension academic.oup.com/ajh/advance-...
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Reposted by Joseph Flynn, MD
American Journal of Hypertension @amjhypertension.bsky.social · 03/10/2026
Nocturnal Blood Pressure Dipping in Adults: A Comparison Between Cuffless and Ambulatory Blood Pressure Monitoring academic.oup.com/ajh/advance-... #HotOffThePress
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Joseph Flynn, MD @jostflynnmd.bsky.social · 27/09/2026
I was a Literature major in college- no wonder I'm now a journal editor!
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Joseph Flynn, MD @jostflynnmd.bsky.social · 27/09/2026
Left ventricular remodeling by cardiac magnetic resonance in children with advanced chronic kidney disease: an analysis of the Chronic Kidney Disease in Children Study link.springer.com/article/10.1... #nephsky @ped-neph.bsky.social
link.springer.com
Left ventricular remodeling by cardiac magnetic resonance in children with advanced chronic kidney disease: an analysis of the Chronic Kidney Disease in Children (CKiD) study - Pediatric Nephrology
Background Children with advanced chronic kidney disease (CKD) have a high burden of cardiovascular disease (CVD). Left ventricular hypertrophy (LVH) and abnormal myocardial strain are prevalent in CK...
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Joseph Flynn, MD @jostflynnmd.bsky.social · 27/09/2026
IPNA clinical practice recommendations for the management of aHUS and secondary TMA in children @ped-neph.bsky.social #nephsky link.springer.com/article/10.1...
link.springer.com
IPNA clinical practice recommendations for the management of aHUS and secondary TMA in children - Pediatric Nephrology
Background Atypical hemolytic uremic syndrome (aHUS) is a rare form of thrombotic microangiopathy (TMA) caused by complement-mediated injury of the vascular endothelium. We present Clinical Practice R...
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Reposted by Joseph Flynn, MD
Nephrology Journal Club @nephjc.bsky.social · 08/09/2026
#NephJC runs on community magic ✨ We choose to stay free and independent and give back to our community for 12yrs 🩵 If our blogs, podcasts, or visuals have helped you, your donation keeps us going - and might get you into the coolest #KidneyWk party www.nephjc.com/news/2026/9/...
nephjc.com
NephJC 2026 Fall Pledge Drive — NephJC
Help keep NephJC a vital, original, and unbiased source of medical education.
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Thanh Neville, MD, MSHS @thanh-neville.bsky.social · 17/09/2026
LOL
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Joseph Flynn, MD @jostflynnmd.bsky.social · 02/09/2026
So true, so true!
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Joseph Flynn, MD @jostflynnmd.bsky.social · 20/08/2026
You'll never catch me reviewing for them!
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JonZoidberg @jonzoidberg.xyz · 20/08/2026
Rosie has been filling in for Jimmy Kimmel and unlike fascism and measles, I've missed her!
Rosie O'Donnell:
'I'm re-famous... all thanks to President Oompa J. Loompa, who is watching us this evening from inside a catering cart. You know, I couldn't

have done it without you, sweetie.

You brought me back - just like you did with fascism and the measles.'
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Reposted by Joseph Flynn, MD
Seattle Children’s @seattlechildrens.org · 20/08/2026
Get tips for reinforcing positive behavior, boosting brain development through outdoor play, staying safe in sports, and preparing for the school year, plus the latest news from Seattle Children’s. Read the full edition here: bit.ly/4xLV4lF
A stack of books and colored pencils against a chalkboard background. Text on the image reads: "Summer Brain Boosts, Inspiring Stories and Back-to-School Readiness. Learn how summer play supports healthy development, get expert advice for managing back-to-school worries, explore new ways to help kids understand health conditions, and celebrate Aria’s extraordinary journey. Healthy Tides July 2026 Edition." A circular logo at the top says, "Parent Trusted Since 1907.A child smiling outdoors. Text reads: "Summer Outdoor Play Helps Build Kids’ Brains." Dr. Pooja Tandon discusses the benefits. Another section titled "Sports Safety" shows a child sitting on grass with a soccer ball. Text mentions preventing sports injuries and supporting young athletes.A person in a doctor's coat holds a comic book titled "Professor Nimbal," with text describing Dr. David Suskind's approach to explaining GI conditions using comics. Another section shows a person with a guide dog, Aria, describing their promising future after neuroblastoma treatment, highlighting karaoke, clinical trials, and world-renowned care.The image features two sections. The top section shows a person sitting on a sofa, praising a child in a room with a wooden toy box. The text reads: "Practicing Effective Praise: Boost your child or teen’s confidence and reinforce positive behavior with specific, timely and sincere praise." The bottom section depicts a close-up of a person's hands holding another's, with the text: "Pediatric Inpatient Care in Olympia: Seattle Children’s provides pediatric inpatient care at Providence St. Peter Hospital in Olympia, giving families in the South Sound access to expert hospital care close to home."
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Sarah Sanghavi @sarahsanghavi.bsky.social · 20/08/2026
Important research letter demonstrating falsely elevated bicarbonate values when LDH is > 2000. #medsky #nephsky www.ajkd.org/article/S027...
ajkd.org
Influence of Lactate Dehydrogenase on the Measurement of Blood Bicarbonate
Serum or plasma bicarbonate results are often the first step in assessing for an acid-base disorder. Bicarbonate levels can either be estimated by measuring “total CO2,” which includes bicarbonate and...
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Reposted by Joseph Flynn, MD
JonZoidberg @jonzoidberg.xyz · 20/08/2026
Maybe it's time to demand more from a US Senator than changing your name to that of your dead brother's. thehill.com/homenews/cam...
thehill.com
Darline Graham on debate question stumble: ‘I’m not a politician’
Sen. Darline Graham (R-S.C.) on Wednesday defended her stumble earlier this week on a national security question during a primary runoff debate, saying she was simply being “honest” about her lack …
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Joseph Flynn, MD @jostflynnmd.bsky.social · 20/08/2026
This is perfect! open.substack.com/pub/workchro...
open.substack.com
(comic) The courage to question
Comics about work. Made with love and lots of coffee.
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Jen Rubin @jenrubin.bsky.social · 18/08/2026
unconscionable call substantial, serious allegations of spousal and child abuse made against a congressman a “private family matter.” Lawler, who has peddled himself as a moderate while lining up behind MAGA extremist policies, hit new low in self-debasement open.substack.com/pub/contrari...
open.substack.com
Words & Phrases
The Max Miller scandal is not ‘private’
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Thomas [DARK MODE], DO @tom.medsky.social · 18/08/2026
I hate to be a catastrophist but last year the COVID vaccine received FDA approval on 8/27/25 and the shots became available about 2 weeks later. We are still waiting for this year's formula. However... IT WOULD BE NICE TO BE ABLE TO GET ONE BEFORE SCHOOL STARTS!
NREVSS dashboard graph for covid represented by red dots connected by lines showing a late summer increase in test positivity in both augist 2025 and again in august 2026. The 2026 rise is not as dramatic and is circled in blue.
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🦋Dr. Natalia🕊🌻🪬 @solnatamd.medsky.social · 18/08/2026
Finally, it is said what should've been said long time ago! This woman is one powerful force behind the early destruction of public health. For years, she has promoted conspiracy theories, unproven therapies, & quacks who made fortunes on unproven, at best unhelpful, but often harmful treatments.
respectfulinsolence.com
Oprah tries (unsuccessfully) to distance herself from Dr. Oz and Dr. Phil
Oprah paved the way for MAHA, promoting quackery and making Dr. Phil and Dr. Oz celebrities. Now, she's trying to distance herself from them.
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Joseph Flynn, MD @jostflynnmd.bsky.social · 18/08/2026
The Use of Ambulatory Blood Pressure Monitoring in Pediatric Heart Transplant Recipients #hypertension #pedsky onlinelibrary.wiley.com/doi/10.1111/...
onlinelibrary.wiley.com
The Use of Ambulatory Blood Pressure Monitoring in Pediatric Heart Transplant Recipients
ABPM identified important hypertension phenotypes in pediatric heart transplant recipients. White coat hypertension was common among those with elevated clinic blood pressures and often progressed to...
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Joseph Flynn, MD @jostflynnmd.bsky.social · 13/08/2026
Cruise ship off the Spanish coast.
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RogerWagnerMDPhD @rogerwagnermdphd.bsky.social · 13/08/2026
“The main course on our flight today is chicken.”
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Betty C. Jung @bettycjung.bsky.social · 13/08/2026
WHO says Trump’s latest vaccine policy order is misguided @washingtonpost.com The White House's order attempting to overhaul the vaccine schedule could subject children to more needles and more disease risk, world health leaders say.
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Joseph Flynn, MD @jostflynnmd.bsky.social · 13/08/2026
Clinical performance and microstructural assessment of hemodialysis catheters for children on maintenance dialysis @ped-neph.bsky.social #nephsky #dialysis link.springer.com/article/10.1...
link.springer.com
Clinical performance and microstructural assessment of hemodialysis catheters for children on maintenance dialysis - Pediatric Nephrology
Background Central venous catheters (CVCs) are the most common vascular access for pediatric hemodialysis (HD), despite frequent complications. We assessed outcomes of commonly used CVCs in children o...
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Reposted by Joseph Flynn, MD
aspneph.bsky.social @aspneph.bsky.social · 07/08/2026
Correlation Between Ambulatory Blood Pressure Monitoring and Target Organ Damage in Children #openaccess #nephsky
buff.ly
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aspneph.bsky.social @aspneph.bsky.social · 10/08/2026
Linear growth in pediatric kidney transplant recipients link.springer.com/article/10.1...
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Reposted by Joseph Flynn, MD
aspneph.bsky.social @aspneph.bsky.social · 10/08/2026
Anti-rituximab antibodies: implications for clinical outcomes and safety in pediatric idiopathic nephrotic syndrome link.springer.com/article/10.1...
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Joseph Flynn, MD @jostflynnmd.bsky.social · 13/08/2026
Sounds like you had a most excellent vacation!
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Joseph Flynn, MD @jostflynnmd.bsky.social · 13/08/2026
Experienced totality!
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McCovey Chronicles @mccoveychronicles.bsky.social · 25/06/2026
If you're not watching the game, this one's for you.
mccoveychronicles.com
Weak
After a career defined by toughness, Buster Posey has reversed course drastically
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Reposted by Joseph Flynn, MD
Work Chronicles @workchronicles.bsky.social · 17/02/2026
(comic) Data vs. Intuition
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Joseph Flynn, MD @jostflynnmd.bsky.social · 03/08/2026
So sorry about that! At UW promotion time is guaranteed raise time.
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Joseph Flynn, MD @jostflynnmd.bsky.social · 03/08/2026
Congratulations - long overdue, I'm sure!
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Joseph Flynn, MD @jostflynnmd.bsky.social · 03/08/2026
He's always brilliant
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Joseph Flynn, MD @jostflynnmd.bsky.social · 03/08/2026
Check out the September issue of @ped-neph.bsky.social - 57 articles! link.springer.com/journal/467/...
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Joseph Flynn, MD @jostflynnmd.bsky.social · 03/08/2026
Comparison of KDIGO and nRIFLE criteria for acute kidney injury in neonates with hypoxic–ischemic encephalopathy @ped-neph.bsky.social #nephsky link.springer.com/article/10.1...
link.springer.com
Comparison of KDIGO and nRIFLE criteria for acute kidney injury in neonates with hypoxic–ischemic encephalopathy - Pediatric Nephrology
Background Acute kidney injury (AKI) is a common complication in neonates with hypoxic–ischemic encephalopathy (HIE), however, its diagnosis remains challenging due to the unique physiology of the neo...
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Joseph Flynn, MD @jostflynnmd.bsky.social · 03/08/2026
Outrageous!
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Boneafide🇮🇱 @bone00afide.bsky.social · 01/08/2026
If you’re looking for someone to prosecute regarding COVID-19, the only real crime that occurred is that millions of people still died after the vaccine became widely available, nearly all of them unvaccinated, because they believed the lies of the Republican Party. Start there.
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Allison Gill @muellershewrote.com · 31/07/2026
BREAKING: Pirro has dismissed the case against Davey Hearn for vandalizing the reflecting pool, saying that there's no way vandals could have caused the damage.
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 27/07/2026
Ooh @kidneyint.bsky.social goes there Fast www.kidney-international.org/article/S008... Slow www.kidney-international.org/article/S008... Hyponatremia controversies #NephSky
kidney-international.org
Hyponatremia treatment guidelines: a necessary course correction
The optimal treatment of hyponatremia has been debated for >50 years. It is now widely accepted that in severe hyponatremia (<120 mmol/L), the rate of correction should not exceed 8 mmol/L per 24 hour...
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Joseph Flynn, MD @jostflynnmd.bsky.social · 29/07/2026
Ambulatory arterial stiffness index among children and adolescents with chronic kidney disease: a report from the Chronic Kidney Disease in Children Study @ped-neph.bsky.social #hypertension #nephsky link.springer.com/article/10.1...
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No Hate in WA State @nohateinwastate.bsky.social · 21/07/2026
On The View, soccer champ Megan Rapinoe brought attention to the dangers of WA's I-638, the most extreme MAGA measure of its kind in the US. "It's more than just a couple of trans kids being able to participate in youth sports. It's an attack on women." Vote NO on I-638 this November. #NoHateWAState
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 19/07/2026
This is a superb educational episode Everything you wanted to know about C3G with Prof Carla Nester www.nephjc.com/freelyfilter... @freelyfiltered.bsky.social
nephjc.com
FF94 C3 Glomerulopathy with Carla Nester — NephJC
The Valient Trial with Carla Nester
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Joseph Flynn, MD @jostflynnmd.bsky.social · 17/07/2026
Guideline alert! Australian Guideline for the Identification and Management of Hypertension in Children and Adolescents. #hypertension #pedsky onlinelibrary.wiley.com/doi/10.1111/...
onlinelibrary.wiley.com
Australian Guideline for the Identification and Management of Hypertension in Children and Adolescents
Click on the article title to read more.
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American Journal of Hypertension @amjhypertension.bsky.social · 10/07/2026
#HotOffThePress Recently approved in US, Efficacy and Safety of Baxdrostat in the Management of Uncontrolled Hypertension: A Systematic Review and Meta-Analysis academic.oup.com/ajh/advance-...
academic.oup.com
Efficacy and Safety of Baxdrostat in the Management of Uncontrolled Hypertension: A Systematic Review and Meta-Analysis
AbstractBackground. Uncontrolled hypertension remains challenging. This meta-analysis evaluated baxdrostat, a selective aldosterone synthase inhibitor, in
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Joseph Flynn, MD @jostflynnmd.bsky.social · 17/07/2026
Today's views on my hike through the neighborhood #PNW
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International Pediatric Nephrology Association @ipna.bsky.social · 17/07/2026
@jostflynnmd.bsky.social will provide pediatric nephrology trainees and early career clinicians with practical guidance on how to review a manuscript, critically evaluate research papers, and develop confidence in the peer-review process. Join us on Tuesday! us06web.zoom.us/webinar/regi...
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Joseph Flynn, MD @jostflynnmd.bsky.social · 12/07/2026
Hypogammaglobulinemia and B cell repopulation after rituximab in childhood nephrotic syndrome @ped-neph.bsky.social rdcu.be/ftpWJ
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Kidney International @kidneyint.bsky.social · 01/07/2026
Commentary Toward personalized medicine in childhood nephrotic syndrome doi.org/10.1016/j.kint.2026.04.003 Original article: doi.org/10.1016/j.kint.2026.01.026 #NephSky #MedSky #nephroticsyndrome
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Joseph Flynn, MD @jostflynnmd.bsky.social · 29/06/2026
Experiences of adults who underwent peritoneal dialysis in childhood #nephsky @ped-neph.bsky.social link.springer.com/article/10.1...
link.springer.com
Experiences of adults who underwent peritoneal dialysis in childhood: retrospective and qualitative study - Pediatric Nephrology
Background Although there are numerous studies on the parents of children undergoing peritoneal dialysis (PD) treatment, there are only a limited number of studies examining what children undergoing P...
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