The Virtue of Honesty and Humility 1 hour ago

I was fortunate to be privy to a conversation between Dr. Richard Glassock and Dr. Barry Brenner (posted here with permission). The content speaks ...

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RE: Does the number of procedures performed by nephrologists affect the recruitment of trainees to nephrology fellowship programs? 2 hours ago

You don't need to clone me lol. Just the program. That's why I'm suggesting ASN or some organization create some grants for these sorts of things. ...

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RE: Does the number of procedures performed by nephrologists affect the recruitment of trainees to nephrology fellowship programs? 3 hours ago

IMO, that is the sort of thing we need. Fellowship programs are not the problem, quite the opposite, they are routinely terrific. The problem is pr...

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RE: Does the number of procedures performed by nephrologists affect the recruitment of trainees to nephrology fellowship programs? 3 hours ago

I have heard this conversation both at NKF and ASN for the past several years. I decided to start a mentored summer clinical research program for o...

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RE: RPGN , Fibrillation Crecentic gn 4 hours ago

Dr Rodby.. Here's an interesting article I have managed to uncover: NEW ASPECTS OF FIBRILLARY AND IMMUNOTACTOID GLOMERULONEPHRITIS Authors: ...

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RE: RPGN , Fibrillation Crecentic gn 5 hours ago

I dont think congophilic FGN necessarily points to a monoclonal related disease. Although I think you should still look for a monoclonal gammopathh...

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RE: Does the number of procedures performed by nephrologists affect the recruitment of trainees to nephrology fellowship programs? 6 hours ago

Well said. The time is certainly ripe for a change. IJ Singh MD Confidentiality Notice: This e-mail transmission may contain confidential or legal...

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RE: Steal syndrome just a cool picture…. 6 hours ago

Thanks for the interesting picture. I'm going to try to buy some of that thermal nail polish, which I didn't know existed until now! I learn so muc...

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RE: Steal syndrome just a cool picture…. 6 hours ago

She needs red nail polish, not blue! ------------------------------ Lynn Cornell MD Mayo Clinic Rochester MN (507) 538-4356 -----------------------...

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RE: CMV prophylaxis whilst being on Rituximab 8 hours ago

Much appreciated. ------------------------------ Dr Mohamed Buhary MBBS, FRCP, FASN Consultant Nephrologist Jeddah ------------------------------

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RE: Labile HTN / CKD4, with Aldosterone 1220 ng/dL with high Plasma Metanephrines 8 hours ago

A random thought...  HTN with normal anion gap metabolic acidosis and raised Aldosterone levels in this pt.... Could this be chronic Licorice induc...

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RE: RPGN , Fibrillation Crecentic gn 8 hours ago

Dr Ashraf.. As pointed out in a prior thread on this same subject, it may be useful to perform a Congo Red stain on the bx specimen, with a chanc...

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RE: Does the number of procedures performed by nephrologists affect the recruitment of trainees to nephrology fellowship programs? 11 hours ago

Yes the world has changed ! The practice of Nephrology outside academics is difficult because of the monopoly and the greed , May be the dialysis c...

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RE: Does the number of procedures performed by nephrologists affect the recruitment of trainees to nephrology fellowship programs? 11 hours ago

Practical= a plan that is likely to succeed in meeting its goals. We need to be very clear what are the goals and objectives fo “rejuvenating” Neph...

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RE: Does the number of procedures performed by nephrologists affect the recruitment of trainees to nephrology fellowship programs? 21 hours ago

Great discussion but no practical answers. Will involve a sea change in how the fellowship program is managed? Who wants to spearhead it? IJ Singh ...

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RE: Does the number of procedures performed by nephrologists affect the recruitment of trainees to nephrology fellowship programs? 22 hours ago

Nephrology remains and will always be a fascinating field but like my esteemed colleagues have mentioned is ever expanding and  certainly faces a m...

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RE: Minimal Change Frequent Relapse 22 hours ago

Or a thymoma!!! ------------------------------ Richard Glassock MD, FASN Emeritus Professor David Geffen School of Medicine at UCLA Laguna Niguel C...

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RE: Does the number of procedures performed by nephrologists affect the recruitment of trainees to nephrology fellowship programs? 22 hours ago

So far Great Discussion. The highlights in my humble opinion are: 1) There is need of change in Nephrology to improve recruitment of quality reside...

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RE: Does the number of procedures performed by nephrologists affect the recruitment of trainees to nephrology fellowship programs? 1 day ago

Whole heartedly Agree with the succinct summary by Dr. Rubin. I went into Nephrology because it Fascinated me, I proceeded to train in intervention...

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RE: New onset proteinuria and risk of surgery 1 day ago

Might add a SPEP, PCR , and ACR or urine protein electrophoresis --------------------------------- [Mark] [Lerman] [MD,FASN,FACP,FAST] AST KPCOP EC...

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RE: Does the number of procedures performed by nephrologists affect the recruitment of trainees to nephrology fellowship programs? 1 day ago

Easier said than done but yes! IJ Singh MD Confidentiality Notice: This e-mail transmission may contain confidential or legally privileged informa...

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RE: RPGN , Fibrillation Crecentic gn 1 day ago

Thank you Dr Glassock for your valuable suggestion She was not on hydralazine But was on allopurinol for long times which was stopped on admission ...

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RE: Does the number of procedures performed by nephrologists affect the recruitment of trainees to nephrology fellowship programs? 1 day ago

All the more reason to be part of a larger group with enhanced flexibility in time management.  ------------------------------ John Mellas MD Nephr...

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RE: RPGN , Fibrillation Crecentic gn 1 day ago

Agree with the poor prognosis. This is most likely Primary FGN, with a superimposed anti-MPO Vasculitis. Many patients with FGN gave concomitant au...

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RE: Does the number of procedures performed by nephrologists affect the recruitment of trainees to nephrology fellowship programs? 1 day ago

Fascinating discussion! With all due respect, learning IN can be a motivation or something that puts off bright residents who want to pursue a care...

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RE: RPGN , Fibrillation Crecentic gn 1 day ago

Old record revealed she had us done in 2019 and 2020 in pcp office on routine visit Has 100 mg/ dL protein and blood in urine by dipsticks She was ...

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RE: RPGN , Fibrillation Crecentic gn 1 day ago

Correction : Caption : Fibrillary Crescentic Gn , DNAJB9 positive GN Sorry for autocorrection --------------------------------- Mohammed Ashraf MD,...

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RE: RPGN , Fibrillation Crecentic gn 1 day ago

Serum creatinine in Ed on day of admission 6/11 was 7.1 mg/dL --------------------------------- Mohammed Ashraf MD, FASN Lynchburg Nephrology Phys...

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RPGN , Fibrillation Crecentic gn 1 day ago

I would appreciate input of the forum About management. 74-year-old Caucasian woman with history of hypertension, spinal stenosis with history of l...

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RE: Minimal Change Frequent Relapse 1 day ago

The point is that in MCD one is not looking for “any malignancy”, but rather looking fir a Lymphoma. --------------------------------- Richard Glas...

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RE: Does the number of procedures performed by nephrologists affect the recruitment of trainees to nephrology fellowship programs? 1 day ago

Yes!!!! ------------------------------ Alejandro Alvarez Ortiz MD Nephrology and Hypertension Specialists St. Louis MO (314) 768-8475 (314) 489 415...

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RE: Minimal Change Frequent Relapse 1 day ago

I agree, looking for a malignancy seems to be best practice.

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RE: Does the number of procedures performed by nephrologists affect the recruitment of trainees to nephrology fellowship programs? 1 day ago

Thank you all for your valued points of view. My take is as follows: 1. Procedures have nothing to do with the lack of interest in Nephrology. Thos...

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RE: Does the number of procedures performed by nephrologists affect the recruitment of trainees to nephrology fellowship programs? 1 day ago

Very interesting topic and one that has confused me for a while. Who would not want to be a nephrologist? I interpret the environment very much lik...

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RE: New onset proteinuria and risk of surgery 1 day ago

Interesting dilemma.  I would agree that deferral of surgery is not likely necessary with normal kidney function and very modest decline in serum a...

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RE: Minimal Change Frequent Relapse 1 day ago

See my review if the subject in 2003 (NDT- 2003; 18(Supp 6): vi52-vi58).  The spectrum of malignancies suspected to be causally related to MCD in A...

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New onset proteinuria and risk of surgery 1 day ago

75 yo male found to have 3 cm thyroid nodule. FNA consistent with papillary thyroid cancer. US suggests abnormal adjacent lymph node. Scheduled for...

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RE: CMV prophylaxis whilst being on Rituximab 1 day ago

Reports of CMV related to rituximab use seems to be similar to reports of PJP related to use of rituximab, where most cases are not typical rituxim...

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RE: Minimal Change Frequent Relapse 1 day ago

How often we see MCN in this age group ? Don't we look for secondary cause (  of course in membranous nephropathy) if an elderly patient presents w...

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RE: Minimal Change Frequent Relapse 1 day ago

Thanks .I agree ;  the MCN of this patient could  not be linked to his esophageal cancer.  However this patient who went into remission ( required ...

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RE: Minimal Change Frequent Relapse 1 day ago

In the case you describe, I would wonder whether the Esophageal Cancer is related causally to the MCD .  Two diseases occurring together cannot be ...

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RE: CMV prophylaxis whilst being on Rituximab 1 day ago

To my knowledge, RTX therapy of Vasculitis or Membranous Nephropathy does not increase the  risk of CMV reactivation so prophylaxis is not needed. ...

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CMV prophylaxis whilst being on Rituximab 1 day ago

Dear panel, A general query. When a patient is on Rituximab every six months maintenance dose ( 500-1000mg) irrespective of the underlying indicati...

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RE: Minimal Change Frequent Relapse 1 day ago

I had a patient who was 76 years old presenting with AKI requiring dialysis and nephrotic range proteinuria. He requited dialysis at presentation. ...

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RE: Does the number of procedures performed by nephrologists affect the recruitment of trainees to nephrology fellowship programs? 1 day ago

My sense of this  fascinating dialogue, is that there must be room for everyone at the Nephrology table, from the Palliative  Nephrologist to the I...

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RE: Does the number of procedures performed by nephrologists affect the recruitment of trainees to nephrology fellowship programs? 2 days ago

I agree with Dr. Aftab. As an Interventional Nephrologist performing endo AVF, AVF / G angiograms, Placing PD Catheters, TDC, Ports, Vascular mappi...

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RE: Does the number of procedures performed by nephrologists affect the recruitment of trainees to nephrology fellowship programs? 2 days ago

This thread reflect the sad status of one of the most beautiful subspecialties in medicine. By virtue of what we do, people that would be dead, sta...

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RE: Active Lupus With Normal Comlement 2 days ago

How old is this patient? Male or female?  Older persons may have auto-antibodies such as ANA without having autoimmune disease. However, oral ulcer...

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RE: Active Lupus With Normal Comlement 2 days ago

Here are three papers worth reading, as they help to unravel the confusion about the serological-histological correlations in SLE and Lupus Nephrit...

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RE: Is there a final verdict from ASN-NKF joint task force on "Race and eGFR" yet? 2 days ago

The Phase III report of the NKF-ASN Task Force, along with specific recommendations going forward, is not yet available. It is expected sometime la...

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