iiinova — where your digital self keeps evolving

Ryan Town @kidneywiki.bsky.social · 29/08/2026

Partial lunar eclipse last night was pretty sweet

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Ryan Town @kidneywiki.bsky.social · 11/06/2026

Slowly building my succulent collection at the office

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Ryan Town @kidneywiki.bsky.social · 03/06/2026

Just the one birthday cookie for me, thank you! 😋

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Ryan Town @kidneywiki.bsky.social · 28/05/2026

Props to @asnkidney.bsky.social for having #KidneyWk in a more civilized location this year As an added bonus, I'll be able to WALK to the convention center 🤯

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Ryan Town @kidneywiki.bsky.social · 07/05/2026

Good crossword clue today! 😈 kidney.wiki

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Ryan Town @kidneywiki.bsky.social · 07/05/2026

Remember when social media wasn't *completely* ruined yet? It felt fragile at the time. Turns out it was.

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

Affordable 💵 SGLT2 inhibitor 💊 Thanks 🙏 for this @mcuban.bsky.social @costplusdrugs.com HT @kidneyboy.bsky.social for highlighting this #NephSky

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Ryan Town @kidneywiki.bsky.social · 27/04/2026

Starting today, kidney.wiki now features a daily medical crossword challenge! Solve one new clue every weekday for free, or unlock the entire puzzle now by supporting our mission to keep pediatric nephrology education accessible

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Ryan Town @kidneywiki.bsky.social · 27/04/2026

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Ryan Town @kidneywiki.bsky.social · 17/04/2026

📣 New from kidney.wiki: pediatric blood pressure calculator Quick link: kidney.wiki/bp • Calculate BP thresholds, percentiles and classify BP • One-click copy interpretation • Hold shift+click to copy BP thresholds or percentiles • Optional height-age comparisons for extreme statures >+/- 2 SDS

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Ryan Town @kidneywiki.bsky.social · 17/04/2026

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Ryan Town @kidneywiki.bsky.social · 03/04/2026

3: Are you stayin home today, daddy? Yeah buddy, it's Saturday so I get to stay home with you today 3: Can you stay home for ever and ever? 🥺

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Nephrology Journal Club @nephjc.bsky.social · 03/04/2026

🚨 #NephJC short 🩳from @kidneyboy.bsky.social The PUSH trial! 😉Can a wink, a nudge & a push encourage kidney stone formers to drink more fluid to prevent recurrence 🪨? (Hint: have 💦 behavioral trials worked in CHF or PCKD?) #NephSky #MedSky www.nephjc.com/news/2026/4/2/nephjc-short-the-push-trial

nephjc.com

NephJC Short: The Push Trial — NephJC

Water, water everywhere. Can a wink, a nudge and a push increase water intake to decrease kidney stone formation?

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Ryan Town @kidneywiki.bsky.social · 27/03/2026

"Alright time to go poop in the potty!" 3: That's ok. I'll just poop when I'm napping." "But if you go poop in the potty just two more times you'll get to have that awesome new car toy you wanted!" 3: "Oh, I already have so many toys. You can give it to someone else." ...what?! He's impervious!

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Ryan Town @kidneywiki.bsky.social · 17/03/2026

Is it just me or have the #pedneph locums people have been OUT OF CONTROL the last couple weeks?

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Ryan Town @kidneywiki.bsky.social · 10/02/2026

Giving the kids a kiss goodbye before work this morning: 3: "Daddy please kiss me on my head and not on my mouth. My nose is runny and I don't want to make you runny." Kid's already got a better grasp on germ theory than our HHS Secretary 😬

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IPNA Pediatric Nephrology @ped-neph.bsky.social · 14/01/2026

Recent technologic advances in neonatal dialysis have changed current dialysis practices. Read this Original Article on dialysis modality & mortality of the Contemporary Infant and Neonatal Dialysis (COINED) Cohort. Open Access link.springer.com/article/10.1...

Dialysis modality and mortality of the Contemporary Infant and Neonatal Dialysis (COINED) Cohort: a Pediatric Nephrology Research Consortium (PNRC) study

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Ryan Town @kidneywiki.bsky.social · 09/01/2026

Ages 2-4 are just the best 😂 3: "Daddy, my bandaid is puh-po!" Me: "Oh, it's PURR-ple? That's great!" 3: "Actually I can hay it very well. You don't need to teach me."

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Ryan Town @kidneywiki.bsky.social · 06/01/2026

Well, at least I had already updated my immunization related smartphrases from "...per CDC guidelines" to "...per AAP guidelines" so I don't have to do that all over again

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Michelle Rheault, MD @rheaultm.bsky.social · 23/12/2025

New out today: Antiproteinuric Effect of Sparsentan in Patients with Genetic-Associated FSGS Enrolled in the DUPLEX Trial Genetic FSGS CAN be treated. journals.lww.com/cjasn/abstra...

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Ryan Town @kidneywiki.bsky.social · 20/12/2025

Me, playing with 1 in the living room: 3, in the kitchen helping make dinner: "I love you daddy but I'm busy. You know I would love to come and play with you but I can't right now." Have the tables turned? 🤔

media.tenor.com

a close up of a man 's face with his eyes closed .

ALT: a close up of a man 's face with his eyes closed .

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Ryan Town @kidneywiki.bsky.social · 09/12/2025

3 holds his hands like this after eating, ironically looks like he's just done a sterile scrub and is avoiding contamination 👐🏽

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Ryan Town @kidneywiki.bsky.social · 28/11/2025

🚨 Black Friday Sale on all nephrology visits! One day only! * 99217 included FREE with any 99215 * 90947 for the price of a 90945 * 36415 FREE with ANY visit ( Televisits not included. Not available in all areas. See store, er, office for details. )

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Ryan Town @kidneywiki.bsky.social · 22/11/2025

BREAKING: CDC website now recommends giving babies whole grapes, hotdogs cut into circles. FDA advises that all household cleaning agents be left in unlocked kitchen cabinets at floor level. HHS secretary states previous guidance "created generation of soft men."

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Ryan Town @kidneywiki.bsky.social · 11/11/2025

@askrenal.bsky.social How does the pricing of genetic testing in Mexico compare to the US? E.g., for Renasight or something comparable, or for individual genes. If a patient is about to move out of the US, would they be better off $$ wise getting genetic testing done now or waiting until they move?

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Ryan Town @kidneywiki.bsky.social · 07/11/2025

Found this monstrosity in the physicians lounge today 😳🧂

205 g wrap, 450 calories, 2460 mg sodium

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Ryan Town @kidneywiki.bsky.social · 12/10/2025

UnitedHealth paid AARP $9 billion to sell Medicare products www.axios.com/2025/10/10/u... "Critics have questioned whether there's a conflict in AARP lobbying on Medicare issues while it collects large sums from firms selling to Medicare patients." Well, I can answer that one for you. 🙄

axios.com

UnitedHealth paid AARP $9 billion to sell branded health coverage

The disclosure sheds more light on a partnership dating to the 1990s.

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Nephrology Journal Club @nephjc.bsky.social · 23/09/2025

Be like Matt. Shoot us a dime so we can keep the #FOAMed flowing

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Ryan Town @kidneywiki.bsky.social · 13/08/2025

We were delighted to find out we had a mature peach tree in our yard after we moved in. Third summer in and I'm getting the hang of things. Luckily a bunch of my neighbors love peaches!

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Jeff Miner @jeffminerphd.bsky.social · 31/07/2025

Thrilled to have this finally published! If you are interested in learning about the collagen IV diseases Gould syndrome and Alport syndrome, add this to your reading list. www.nature.com/articles/s41...

nature.com

Collagen IV in Gould syndrome and Alport syndrome

Nature Reviews Nephrology - In this Review, the authors focus on the role of collagen IV in Gould syndrome and Alport syndrome. They discuss the molecular and phenotypic similarities and...

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Ryan Town @kidneywiki.bsky.social · 02/08/2025

Oxalosis, anyone? (All from one rhubarb plant btw)

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Joel Topf @kidneyboy.bsky.social · 02/06/2025

This was a fun article to work on. Hope you enjoy it. Things We Do for No Reason™: Avoiding IV iodinated contrast material in patients with acute kidney injury or chronic kidney disease Journal of Hospital Medicine shmpublications.onlinelibrary.wiley.com/doi/10.1002/...

shmpublications.onlinelibrary.wiley.com

Things We Do for No Reason™: Avoiding intravenous iodinated contrast material in patients with acute kidney injury or chronic kidney disease

Click on the article title to read more.

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American Journal of Kidney Diseases @ajkd.bsky.social · 06/05/2025

Patient and Healthcare Provider Perspectives on Showering for Patients With Hemodialysis Central Venous Catheters: A Survey Study bit.ly/3BV51WQ #OpenAccess #VisualAbstract

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Michelle Rheault, MD @rheaultm.bsky.social · 06/05/2025

Are you a trainee Interested in neonatal nephrology but don’t know where to start? Sign up for this structured internship!

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Ryan Town @kidneywiki.bsky.social · 18/04/2025

Wordle today will test the world's knowledge of the lyrics to American Pie

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IPNA Pediatric Nephrology @ped-neph.bsky.social · 15/04/2025

Examination of the urinary sediment is an important non-invasive tool for diagnosis & surveillance of kidney diseases. Read this Educational Review of collecting & examining urine samples in order to obtain reliable results. Free access this month. bit.ly/3DYRNcx

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Ryan Town @kidneywiki.bsky.social · 01/04/2025

Whoever came up with the "use it or lose it" part of an FSA should be put in prison

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Ryan Town @kidneywiki.bsky.social · 31/03/2025

Bill Gates: Within 10 years, Al will replace many doctors and teachers--humans won't be needed 'for most things' www.cnbc.com/2025/03/26/b...

media.tenor.com

a woman in a blue and white dress with a braid on her hair

Alt: Jlaw giving the thumbs up and saying "ok"

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American Journal of Kidney Diseases @ajkd.bsky.social · 28/03/2025

The April 2025 issue is available now: bit.ly/April25TOC Highlights: - CV-Kidney-Metabolic Syndrome in Primary Care - Osteoporotic Fractures after Kidney Tx - Statins and Primary Prevention in CKD - Atypical ADPKD Caused by IFT140 - Renal Tubular Acidosis: Core Curriculum

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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 28/03/2025

+ pedneph pack from @kidneywiki.bsky.social and more please let us know if you are to be added in reply below #NephSky

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Nephrology Journal Club @nephjc.bsky.social · 26/03/2025

Back pain in ADPKD? Don’t blame cysts right away. Remember HALT-PKD Post Hoc Analysis of association with obesity and always rule out, so many more #NephJC

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Nephrology Journal Club @nephjc.bsky.social · 26/03/2025

🛑 Native nephrectomy? Not always. KDIGO prefers: ✔️ Unilateral ✔️ At or after transplant ✔️ Laparoscopic > open All graded 2C–2D. #NephJC

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JAMA @jama.com · 24/03/2025

Autosomal dominant polycystic kidney disease (ADPKD) is the most common genetic kidney disease worldwide and is characterized by progressive development of kidney cysts. This review discusses ADPKD diagnosed in adulthood. ja.ma/4c2E9lm

Figure 1. Cellular Pathways in Autosomal Dominant Polycystic Kidney Disease (ADPKD) Pathogenesis

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Ryan Town @kidneywiki.bsky.social · 23/03/2025

Watching 2 eat an ungodly amount of food: "Wow, where are you putting all that?" 2: "In the tummy" "Well, fair point"

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