ASN represents more than 21,000 kidney health professionals working to help people with kidney diseases and their families. Created with input from all of ASN's constituencies, the new ASN logo allows the society to continue our growth and work toward a goal of a world without kidney diseases.
The latest Nephrology Self-Assessment Program (nephSAP) issue, Volume 22: Issue 2 (Aug 2023): End-Stage Kidney Disease is now available online.
RE: Timeline to use a new AV graft 13 hours ago
Thank you, Dr Beserab, for your many insights. You have obviously made enormous contributions in this area and have much to teach us. In respons...
View Discussion
RE: ANCA MPO vasculitis 17 hours ago
thank you Dr Venkat and Dr Balan for your input. I will have to talk to the surgeon again. Is there any evidence of delayed wound healing with avac...
View Discussion
RE: ANCA MPO vasculitis 17 hours ago
Thank you Dr Glassock. We shall discuss with her about the switch ------------------------------ Bhavika Gandhi MD Nephrology Fellow Baylor Scott...
View Discussion
RE: Denosumab in Chronic kidney disease patients 19 hours ago
Long-Term Effect of Denosumab on Bone Disease in Patients with CKD Ken Iseri 1, Masahide Mizobuchi 1, Renaud Winzenrieth 2, Ludovic Humbert 2, To...
View Discussion
RE: Target Weight In New HD Starter 19 hours ago
Mike A long tome since I actually looked at a bioimpedance report and tried to figure out the vectors. Granted we should do betterfor the 10-...
View Discussion
RE: Target Weight In New HD Starter 19 hours ago
Dear Mike. I've noticed that in the EU, the LDO will use technology whereas here in the we do not. Does it have something to do with the bundle whi...
View Discussion
RE: Target Weight In New HD Starter 19 hours ago
Agree Tony we have used your research to help develop a cheap easy way to get ABV. it requires an accurate nacl bolus easly done with a hemofil...
View Discussion
RE: Target Weight In New HD Starter 20 hours ago
Mike. For decades, The hematologists have been measuring ABV by tagging RBCs and then calculating the value from the Hct. It's a standard tech...
View Discussion
RE: ANCA MPO vasculitis 21 hours ago
I agree with Dr Venkat. Getting her off steroids is definitely going to take time and surgery for Ca breast should not wait for that long. Reduce s...
View Discussion
RE: ANCA MPO vasculitis 22 hours ago
Peak SCr and current SCr? Based on PEXIVAS, prednisone can probably be reduced to 30 mg daily immediately. In kidney transplantation, major surgery...
View Discussion
RE: ANCA MPO vasculitis 1 day ago
Patients with simultaneous ANCA and anti-Phospholipid antibody syndrome have a very high risk of venous or arterial thrombosis . DOAC are not recim...
View Discussion
ANCA MPO vasculitis 1 day ago
Hello everyone I have a 57 yo F with PMHX of HER2neu + breast Ca s/p b/l mastectomies with reconstruction on anastrozole, APS diagnosed the same...
View Discussion
RE: Timeline to use a new AV graft 1 day ago
I share your view that there is a brighter side to vascular access care compared to 30 -40 years ago. For me the changes began 40 years ago when we...
View Discussion
RE: Target Weight In New HD Starter 1 day ago
We did a study looking at the stable wt after kidney transplant with good stable creatininecompared to last DW on dialysis 1/3 had a DW on dialys...
View Discussion
RE: Immunotherapy and persistent tubulointerstitial nephritis 1 day ago
I assume the patient is off PPIs? If not that is first move. You can as you stated rechallenge, but if you are not in remission (AIN kidney) , ...
View Discussion
Immunotherapy and persistent tubulointerstitial nephritis 1 day ago
I have a few patients now on immunotherapy with biopsy proven interstitial nephritis who have been treated with a combination of iv steroids and 4-...
View Discussion
Telenephrology 1 day ago
Dear Colleagues: We have been asked to add a "telenephrology" service for a series of rural hospitals. I am told that there are stethescopes that a...
View Discussion
Telenephrology 1 day ago
Dear Colleagues: We have been asked to add a "telenephrology" saervice for a series of rural hospitals. I an told that there are stethescopes that ...
View Discussion
RE: Denosumab in Chronic kidney disease patients 2 days ago
I hope that they (KDIGO ) strenuously advise to discourage "routine " screening of patients with CKD4/5/5D using DEXA scans. I think that overuse o...
View Discussion
RE: Denosumab in Chronic kidney disease patients 2 days ago
It took a year for the Meeting summary on new therapies (the GIF+PHI) to come out in print (and I as a participant) I hope it does not take as long...
View Discussion
RE: Denosumab in Chronic kidney disease patients 2 days ago
I believe the last KDIGO meeting, which was a few weeks ago, addressed osteoporosis and DEXA scans. However, I was not at the meeting and am awaiti...
View Discussion
RE: Hypertension in athletic healthy patient 2 days ago
I don't have much to add. But I want to say thank you for you all. this is a great learning source for me [I finished my fellowship a few months a...
View Discussion
RE: Timeline to use a new AV graft 2 days ago
I think there's a bright side to this too: IMO, access clottings are not a fait accompli, they no longer need to be the bane of our existence. Fir...
View Discussion
RE: Denosumab in Chronic kidney disease patients 2 days ago
The last KDIGO on this topic of renal osteodystrophy (the older term) was about 13 years ago. Anything more recent ? I've included some artic...
View Discussion
RE: Renal Transplant Biopsy 2 days ago
Having a microscope is I believe essential. ------------------------------ Anatole Besarab MD ABesarab Consulting Bend OR (734) 417-4793 --------...
View Discussion
RE: Renal Transplant Biopsy 2 days ago
I thinktThe need to have ready availability to look at the cores obtained s crucial in all kidney Bx. While in practice (in academic centers), we e...
View Discussion
RE: Renal Transplant Biopsy 3 days ago
If recurrent GN, with an active urinary sediment , is suspected sending one core for IF will be more important than EM. -------------------------...
View Discussion
RE: Renal Transplant Biopsy 3 days ago
Thanks all About 2 cores for light microscopy for rejection we do that for acute transplant less than 6 month with bland urine and no gn as primary...
View Discussion
RE: Renal Transplant Biopsy 3 days ago
Per the Banff recommendations (for light microscopy): "Adequacy of Specimen: Since Banff 1997 a biopsy has been considered adequate if it contains ...
View Discussion
RE: Renal Transplant Biopsy 3 days ago
biopsy asap assuming coags ok one satisfactory core for LM,EM,IF is USUALLY ENOUGH OBTAIN DSA I do 3 passes and check to confirm under micros...
View Discussion
RE: Renal Transplant Biopsy 3 days ago
@Lynn Cornell could comment as well but I would send all 3. ------------------------------ Nelson Leung MD Mayo Clinic Rochester MN (507) 208-...
View Discussion
RE: Renal Transplant Biopsy 3 days ago
@Beatrice Concepcion @Mark Lerman ------------------------------ Roger Rodby MD, FASN Professor of Medicine Rush University Medical Center C...
View Discussion
RE: Target Weight In New HD Starter 3 days ago
I did not train under Mike Lazarus but I was in Boston when he was at the Brigham and he was involved in setting up BioMed Application (BNA), forer...
View Discussion
RE: Target Weight In New HD Starter 3 days ago
This is how Mike Lazarus at the Brigham used to teach his nephrology fellows about dry weight. He brought them into a room with a human skeleton st...
View Discussion
RE: Denosumab in Chronic kidney disease patients 3 days ago
Our knowledge about CKD MBD and therapies, is, unfortunately, abysmally low. Without a bone biopsy (which needs expertise in performance as well as...
View Discussion
RE: Denosumab in Chronic kidney disease patients 3 days ago
This is the latest information I have lately read https://pubmed.ncbi.nlm.nih.gov/37314764/ as mentioned in other comments careful select...
View Discussion
RE: Timeline to use a new AV graft Thursday, November 30 @ 8:30 PM
Agree that we need better training of those who construct Vascular accesses. Many a Nephrologist has gone out and trained with a group, like the on...
View Discussion
RE: Steroids before a renal biopsy Thursday, November 30 @ 8:05 PM
I've done several in the ICU if the patient's area is large enough to accommodate the US technician and their equipment. I do not know if the syste...
View Discussion
RE: Target Weight In New HD Starter Thursday, November 30 @ 7:45 PM
But tools like Bioimpedance and Crit line which could make the "probing " more efficient and "compassionate" are not used because 1) need someone w...
View Discussion
RE: Denosumab in Chronic kidney disease patients Thursday, November 30 @ 7:34 PM
Didn't Shrom Moe at Indiana U publish something bout high resolution CT of bone in ESRD? Recent Advances in the Non-invasive Diagnosis of Renal O...
View Discussion
RE: Steroids before a renal biopsy Thursday, November 30 @ 6:20 PM
"PEXIVAS be damned" #TeamRodbyBalan lol wink In the lupus plasmapheresis trial 1980s, in which "we" (the Collaborative Study Group) compared p...
View Discussion
RE: Timeline to use a new AV graft Thursday, November 30 @ 5:01 PM
Can't wait to thoroughly digest all these responses over a glass of pinot later! I'm not familiar w/ anyone recommending a 4 week wait prior to s...
View Discussion
RE: Target Weight In New HD Starter Thursday, November 30 @ 4:55 PM
Thanks really helpful --------------------------------- Muhammad Soobadar MBChB UK ---------------------------------
View Discussion
RE: Steroids before a renal biopsy Thursday, November 30 @ 4:11 PM
I have performed percutaneous kidney biopsies in the operating theatre while a comatose patient was being ventilated by an anesthesiologist. Not fr...
View Discussion
Renal Transplant Biopsy Thursday, November 30 @ 3:06 PM
I have a renal transplant patient transplanted 7 years ago . Primary disease unknown . Had rejection first month of transplant . Kidney function ...
View Discussion
RE: Target Weight In New HD Starter Thursday, November 30 @ 2:51 PM
My vintage in dialysis therapy for ESKD was when "probing dry weight" by aggressive ultrafiltration was the rule. We did believe, very passionately...
View Discussion
RE: Denosumab in Chronic kidney disease patients Thursday, November 30 @ 2:43 PM
Thanks. Like Dr. Sprague , I do not believe that Denosumab is contra-indicated in advanced CKD, but case selection and monitoring are very importan...
View Discussion
RE: Target Weight In New HD Starter Thursday, November 30 @ 12:40 PM
The French have more culture than we. They even wine and dine during HD in Tassin. In a review I recently submitted, my co-authors took issue that ...
View Discussion
RE: Target Weight In New HD Starter Thursday, November 30 @ 12:05 PM
Attached is an excellent review on the topic of dry weight by @Jennifer Flythe. My two cents on this: "All" ESKD patients with HTN are overloa...
View Discussion
RE: Hypertension in athletic healthy patient Thursday, November 30 @ 12:04 PM
Totally agree with you Had to set and read through the articles process all that talk to him we both agreed to go with confirmation test...
View Discussion