Volunteers for COVID army at NYU 4 hours ago

COVID-19 Volunteer Physician Application | NYU Langone Health NYU Langone Health remove preview COVID-19 Voluntee...

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RE: Vascular Access procedures in an Era of Covid 5 hours ago

I met with our surgeons over Zoom earlier today.  A big driver of the policy here, to divert all cases that can be diverted, is to improve social d...

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RE: Tocilizumab 5 hours ago

Great quotes. Very appropriate for the COVID19 era. Thanks. Sent from my iPad

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RE: Hypernatremia in COVID-19 5 hours ago

Hi,  Thanks for the reply! ------------------------------ Sushma Reddycherla MD BRONX CARE Bronxville NY ------------------------------

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RE: Tocilizumab 6 hours ago

@Roger Rodby . Other examples which span many centuries are: ~ 450 BC: Real knowledge is to know the extent of one's ignorance. Confucius 1973. A m...

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RE: Tocilizumab 6 hours ago

Just an opinion. The use of CsA, Tociluzumab or Anakirna can be justified for a deteriorating patient with COVID19 who shows signs of a probable HL...

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RE: Hypernatremia in COVID-19 6 hours ago

A U/P Osmolal ratio and a timed urine collection can be useful in assessing insensible water loss, osmotic (urea) diuresis and the rare hypothalami...

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RE: Testing for COVID 19 in outpatient dialysis settings 6 hours ago

In my opinion (like most things in COVID19, not based on evidence) It is better to assume that at least one member of the patients or staff on each...

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RE: Acute PD during COVID-19 6 hours ago

Not a lot of use so far bc COVID is a respiratory disease and ventilation is so difficult as it is, and the sick ones spend 18 hours a day prone,  ...

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RE: Hypernatremia in COVID-19 6 hours ago

Just a=having spent a week as an ICU COVID attending Im not sure I saw a normal PNa.  WE say a lot of hypernatremia. These patients have a LOT of i...

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Acute PD during COVID-19 6 hours ago

Our program is considering using acute PD to decompress the demand for CRRT and iHD machines.   Does anyone have experience with using acute PD dur...

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RE: Tocilizumab 6 hours ago

This is such a great quote that for those that didn't get Dr. Glassock's reference here it is:  Donald Rumsfeld:  "T here are known knowns; there a...

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RE: Lupus Nephritis 7 hours ago

Platelet count 70k, APL negative on presentation 9/19 and ADAMTS ordered, peripheral smear pending.

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Hemodialysis double catethers 8 hours ago

Can you kindly answer this question circulating among colleagues in our university, as controversy about the correct answer,my cost lives: can doub...

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Testing for COVID 19 in outpatient dialysis settings 8 hours ago

​I would like to ask what people's thoughts or experiences are with COVID 19 testing of dialysis patients in the outpatient dialysis setting. In my...

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Hypernatremia in COVID-19 9 hours ago

Hypernatremia in COVID-19 Patients  Hi all,  I am practicing nephrologist in NY. This forum has always been helpful to learn new things and review ...

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RE: Vascular Access procedures in an Era of Covid 10 hours ago

Dear Jeffrey, I completely, wholeheartedly agree with you. I used almost the identical words to summarize the bottom line- that we want to reduce t...

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RE: Tocilizumab 11 hours ago

That is a lot of known unknowns, and a fair amount of unknown unknowns are still circulating around. COVID19I is really a Rumsfeld situation. -- D...

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RE: Tocilizumab 12 hours ago

We at Rush Chicago are giving tocilizumab  to patients with confirmed COVID that are deteriorating. We follow a number of inflammatory markers, CRP...

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RE: COVID-19 crisis: An opportunity to permanently shorten documentation requirements in EMRs? 12 hours ago

The changes that went into effect 20-30 (?) years ago where billing is based on documentation is one of the travesties of medicine IMO. There was a...

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COVID-19 crisis: An opportunity to permanently shorten documentation requirements in EMRs? 12 hours ago

The COVID-19 crisis has tremendously increased workload on physicians and support staff. Use of telemedicine and no physical contact care have beco...

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RE: Lupus Nephritis 13 hours ago

These new findings suggest a superimposed TMA. What is the current platelet count? Do you have an ADAMTS13 cooking.? Do we have any recent APL anti...

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RE: Lupus Nephritis 13 hours ago

Additional info now concerning for progressive lupus with possible MAHA as suggested by Dr. Glassock. Had elevated ldh and low haptoglobin. Getting...

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Tocilizumab 13 hours ago

Wondering if anyone can share their experience with tocilizumab in patients with ARDS, with or without renal disease. I like the theory behind it b...

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RE: Vascular Access procedures in an Era of Covid 14 hours ago

This is a very frustrating situation. While the desire to preserve PPE is understandable, as you point out, if a patient ends up with an infection ...

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RE: Protective factors for COVID19 pneumonia in CKD - registret data 20 hours ago

Whilst the ongoing debate about hydroxychloroquine is interesting, personally the fact that in this registry data the use of ARBs is protective giv...

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RE: Lupus Nephritis 21 hours ago

we had a similar young patient with severe lupus, who did not respond to steroids, cylcophosphomide, MMF, and continued to deteriorate. she finally...

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RE: Protective factors for COVID19 pneumonia in CKD - registret data 1 day ago

I would like to propose a hypothesis, in regards to Plaquenil, and certainly welcome comments and even personal insults (my wife does it all the ti...

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RE: Hydroxychloroquine and clearance 1 day ago

I am equally mystified by the “Swedish Study” of Chloroquine in COVID19 and its reported premature closure for safety reasons. It was originally re...

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RE: Hydroxychloroquine and clearance 1 day ago

Dr Fein, I had the same question from Dr Glassock's answer.  I do not see anything published that is related to a Swedish experience that is associ...

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RE: COVID19 and ACE2 1 day ago

something related to this- GIAPREZA™ (Angiotensin II) in Italy for Compassionate Use in Patients with Septic Shock Associated with COVID-19 ---...

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RE: Protective factors for COVID19 pneumonia in CKD - registret data 1 day ago

There was no trial, only clinical use. And many physicians were quite surprised by this decision. My feeling is that the ID people had problems adj...

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RE: Protective factors for COVID19 pneumonia in CKD - registret data 1 day ago

Was the stoppage of Chloroquine in COVID19 taken as an action within an organized Clinical Trial overseen by a DMC or was it something else? I can’...

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RE: Protective factors for COVID19 pneumonia in CKD - registret data 1 day ago

To clarify, since I work in Sweden, there have been no ongoing studies in Sweden with  chloroquine in COVID19 neither in patients with CKD nor in o...

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RE: Protective factors for COVID19 pneumonia in CKD - registret data 1 day ago

Understood completely. I would still try the paquenil. I have always found the Scandinavians amongst the most impressive nations in many respects. ...

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RE: Hydroxychloroquine and clearance 1 day ago

Is there a reference for the Swedish experience. As always we are all. very concerned that these mass protocols might actually be contributing to h...

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RE: Limiting staff exposure with CRRT/IHD in COVID 1 day ago

Can you please share how exactly you do that? Is the tablet focused on the machine/patient? Do your nurses have realtime access to vitals, blood fl...

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RE: Protective factors for COVID19 pneumonia in CKD - registret data 1 day ago

The issue is two fold- 1) a myocarditis can commonly accompany COVID19- how can we be sure that HCQ is “safe” in these circumstances; 2) HCQ is com...

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RE: Vascular Access procedures in an Era of Covid 1 day ago

Our group operates a VAC for the SSM network in St Louis. Our case load is down about 50%. We are doing thrombectomies, venous catheters, PD cathet...

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RE: Protective factors for COVID19 pneumonia in CKD - registret data 1 day ago

I have been following these conversations for the past several weeks. Having seen plaqeunil used, on countless patients, for several years in many ...

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RE: Vascular Access procedures in an Era of Covid 1 day ago

Hi Richard, We are having a similar debate.  In addition to declot and angioplasty of fistulas and grafts, our suggestions to our surgical and inte...

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RE: Hydroxychloroquine and clearance 1 day ago

Dosing: Renal Impairment: Adult There are no dosage adjustments provided in the manufacturer's labeling; renal clearance accounts for 15 to 25% o...

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RE: Limiting staff exposure with CRRT/IHD in COVID 1 day ago

We have come up with remote video monitoring option on surface tablet thats' left inside the patient room. HD staff stay outside the room monitorin...

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RE: TMA with Covid-19 2 days ago

Altogether, the data provided in the Keith et al (2020) retrospective analysis of PLEX in ARDS (propensity matched) is mainly hypothesis generating...

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RE: TMA with Covid-19 2 days ago

Interesting thanks for the reference ------------------------------ Aqeel Siddiqui MD Nephrology Associates Wynnewood PA --------------------------...

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RE: Hydroxychloroquine and clearance 2 days ago

Thank you for your expedite answer.  I was thinking more on the efficacy of HD to treat a potentially lethal acute hydroxyxhloroquine toxicity not ...

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RE: CRRT - Citrate anticoagulation with Ca-containing solutions 2 days ago

No personal experience but there is a body of literature on use of Ca-containing dialysate/replacement with RCA removing/reducing Ca infusion requi...

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RE: Hydroxychloroquine and clearance 2 days ago

A trial of Chloroquine in ESRD patients with COVID19 in Sweden was just abruptly stopped for safety reasons. Extreme caution should be observed in ...

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Hydroxychloroquine and clearance 2 days ago

I am reading an old comprehensive review from 06/1979 about the side effects and toxicities (acute and chronic, voluntary and involuntary)  of chlo...

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RE: TMA with Covid-19 2 days ago

Interesting case. i think the question you are really asking is whether there is any role for plasma exchange to treat TMA that is probably seconda...

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