RE: Tablo/Outset dialysate flow rates of 300 4 minutes ago

I thank you all for your  insights. I too am a member of the OFDC. Learned on the Baxter Travanol recirculating twin coil machine. The Redi machine...

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RE: Management of a patient with history of pANCA positive vasculitis in clinical remission, with increasing Myeloperoxidase Ab titers 22 minutes ago

Roth AJ, et al J Clin Invest, 2013 --------------------------------- Richard Glassock MD, FASN Emeritus Professor David Geffen School of Medicin...

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RE: Intradialytic Hypotension with Interdialytic Hypertension 3 hours ago

The answers to your questions: 1. DNa is 138 mmol/l , Predialysis Pna is usually around 136 mmol/l 2. Average weight gain and UF is 2 kg over a 4 h...

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RE: Tablo/Outset dialysate flow rates of 300 5 hours ago

I too am a member of the OFDC, completing my fellowship in 1975. Frankly, it is an honor to be a member of the OFDC. We went from empirical treatme...

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RE: Tablo/Outset dialysate flow rates of 300 5 hours ago

YES, THAT'S how freakin' old I am! ------------------------------ David S. Goldfarb MD, FASN Professor of Medicine & Physiology Clinical Chief, N...

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RE: Intradialytic Hypotension with Interdialytic Hypertension 6 hours ago

"He also recently travelled to Majorca for 1 month , but did not have that issue there." Does this patient dialyze in a dialysis unit or at home? a...

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CKD U IS SAME AS Chronic tubulo interstitial fibrosis of the past? 6 hours ago

Dear All We often come across the new entity of CKD -U and now it has been defined by excluding the known causes . Environmental , Drugs , local in...

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RE: Management of a patient with history of pANCA positive vasculitis in clinical remission, with increasing Myeloperoxidase Ab titers 6 hours ago

@Richard Glassock​​​ I was not aware of this degree of ANCA immunological specificity and epitope spreading. Can you please provide a reference(s)...

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RE: PD and Crohn's disease 10 hours ago

When Crohn's disease is in a long-time remission and there are no indications for the presence of adhesions, I see no reason not to try PD when the...

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RE: Management of a patient with history of pANCA positive vasculitis in clinical remission, with increasing Myeloperoxidase Ab titers 16 hours ago

Dr. Rodby raises some important issues for which we do not have answers (as in evidence) but we do have opinions ( which differ quite a bit) Herei...

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RE: Tablo/Outset dialysate flow rates of 300 17 hours ago

Great discussion on Tablo. Is the machine available for purchase on an individual basis, and if so what is the approx price? And any plans that the...

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RE: Intradialytic Hypotension with Interdialytic Hypertension 17 hours ago

And one more point you made was regarding the lack of symptoms for one month when he traveled. I would suggest enquiring about the dialysate compos...

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RE: Intradialytic Hypotension with Interdialytic Hypertension 17 hours ago

And one more point you made was regarding the lack of symptoms for one month when he traveled. I would suggest enquiring about the dialysate compos...

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RE: Intradialytic Hypotension with Interdialytic Hypertension 17 hours ago

Agree with Dr. Venkat that this is most likely renin defendant mechanism. I have similar case of an elderly thin patient on HHD who developed sever...

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RE: Tablo/Outset dialysate flow rates of 300 18 hours ago

Well, welcome to the club. There are enough of us still around to remember when someone sat with each patient on dialysis. and staffing ratios were...

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RE: Tablo/Outset dialysate flow rates of 300 18 hours ago

Yes, I too cut my teeth om the Baxter twin coil system that looked like a large washing machine on wheels. Remember, it had a mixer to constantly s...

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RE: Tablo/Outset dialysate flow rates of 300 18 hours ago

Agree with Dr. Goldfarb and Dr. Teixeira's comments. I have no experience with REDY (before my time) but plenty with Tablo! both inpatient setting ...

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RE: PD and Crohn's disease 18 hours ago

attached "Prior to the procedure, the patient is interviewed and examined to determine if there are any potential contra- indications to PD cathet...

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RE: Tablo/Outset dialysate flow rates of 300 19 hours ago

I have no vested interests, but which (Tablo or NxStage ) is a more adaptable machine for an inpatient dialysis service in COVID era.-portability, ...

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RE: Tablo/Outset dialysate flow rates of 300 19 hours ago

But are you a member of the REDY OFDC? ------------------------------ Roger Rodby MD, FASN Professor of Medicine Rush University Medical Center Ch...

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RE: Management of a patient with history of pANCA positive vasculitis in clinical remission, with increasing Myeloperoxidase Ab titers 19 hours ago

Dr Glassock, So if you had a patient with biopsy proven ANCA associated glomerulonephritis, and the patient went into both clinical and serologic r...

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RE: Tablo/Outset dialysate flow rates of 300 19 hours ago

Roger - Tablo is now approved for 24h. Then you change the cartridge. ------------------------------ David S. Goldfarb MD, FASN Professor of Medi...

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RE: Tablo/Outset dialysate flow rates of 300 19 hours ago

I have no experience with TABLO but a LOT with NxStage. I have no financial interest but am on NxStage scientific advisory board. One thing I bel...

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RE: Tablo/Outset dialysate flow rates of 300 21 hours ago

Great historical vignettes. I cut my dialysis teeth on the Baxter TwinCoil 100L stainless steel tank with self mixed (individualized) electrolytes ...

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RE: Management of a patient with history of pANCA positive vasculitis in clinical remission, with increasing Myeloperoxidase Ab titers 21 hours ago

Third opinion. I follow Dr. Venkat and only treat clinical relapse in anti-MPO SVV. I am not convinced that assessing CD19 B cell levels will be a ...

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RE: Management of a patient with history of pANCA positive vasculitis in clinical remission, with increasing Myeloperoxidase Ab titers 21 hours ago

See attached, a fourfold increase in MPO or PR3 is most predictive of clinical relapse. (KI 03 Niles)  I use this, unless there are clinical indica...

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RE: Management of a patient with history of pANCA positive vasculitis in clinical remission, with increasing Myeloperoxidase Ab titers 21 hours ago

Sed rate, CRP, current CD19/20 cell count? Given lower risk of clinical relapse with MPO-ANCA and lack of hematuria, my approach would be monitor c...

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RE: Tablo/Outset dialysate flow rates of 300 22 hours ago

Remember the REDY system well from my 1976-1978 nephrology fellowship. Rapid saturation of limited quantity of generated dialysate by removed uremi...

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RE: Tablo/Outset dialysate flow rates of 300 22 hours ago

Yes indeed. We use it at Thomas Jefferson Univ Hospital. Its main advantage was regeneration of the dialysate. Back then we did not worry much abou...

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RE: Tablo/Outset dialysate flow rates of 300 22 hours ago

Correct. The regeneration of dialysate In hemodialysis system (REDY). ------------------------------ Mario Rubin, M.D. Houston TX (713) 252-5539 -...

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RE: Tablo/Outset dialysate flow rates of 300 22 hours ago

Correct! ------------------------------ Mario Rubin, M.D. Houston TX (713) 252-5539 ------------------------------

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Management of a patient with history of pANCA positive vasculitis in clinical remission, with increasing Myeloperoxidase Ab titers 23 hours ago

I am seeing a 25-year-old woman who was diagnosed to have glomerulonephritis from ANCA vasculitis in 2018. Her serum Cr in 2018 was 1.4. Urine Alb/...

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RE: Tablo/Outset dialysate flow rates of 300 23 hours ago

REDY. I only used one a couple of times. The Baxter RSP was also pretty portable (but bulky), made obsolete by the development of the Hollow Fiber ...

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RE: Membranous nephropathy follow up 23 hours ago

Thanks , Sonali Sent from my iPhone

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RE: Tablo/Outset dialysate flow rates of 300 23 hours ago

Looks similar to the Reddy (sp?) machines we used sometimes —- mainly with Met alkalosis (if memory serves). --------------------------------- Ell...

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RE: Tablo/Outset dialysate flow rates of 300 23 hours ago

It did not reproduce. Let's try again! ------------------------------ Mario Rubin, M.D. Houston TX (713) 252-5539 ----------------------...

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RE: A young patient with diffuse alveolar hemorrhage and renal impairment 1 day ago

Did the patient receive COVID19 vaccine, especially an Adenovirus based one? What about complement blockade to put off the fire first, then go aft...

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RE: Membranous nephropathy follow up 1 day ago

With the excellent immunological response, I would wait for the clinical response to catch up. No need to change therapy right now, IMO. ---------...

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RE: PD and Crohn's disease 1 day ago

Thanks Dr Shah, I did.  Asked in case our community members have a personal opinion/experience. ------------------------------ [V] [Melnikov] [MD,...

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RE: Membranous nephropathy follow up 1 day ago

I had posted about the patient with membranous nephropathy few months back Primary MN with + PLA2R ( tissue stain +) + antiPLA2R IV Rituxan : 1 gm ...

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RE: Tablo/Outset dialysate flow rates of 300 1 day ago

A short piece of portable dialysis machine history. As a fellow at Georgetown in 1979 this is the machine we used in the patient's room. Do any of ...

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RE: PD and Crohn's disease 1 day ago

Please see a similar question answered on the ISPD Q and A page - see screenshot and link below. https://ispd.org/question/who-has-experience-w...

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RE: Tablo/Outset dialysate flow rates of 300 1 day ago

Thank you David Anatole(Tony) Sent from Outlook

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RE: Tablo/Outset dialysate flow rates of 300 1 day ago

Tony, I have no personal experience with NxStage but I'm a Tablo fan since the start of the pandemic. I have no financial relationship with them. B...

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PD and Crohn's disease 1 day ago

28 yo male with advance CKD due to IgA nephropathy needs initiation of RRT. He has Crohn's disease in remission. No abdominal surgeries. I am going...

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RE: RAASi in Peritoneal Dialysis 1 day ago

We use ACEi/ ARB ( prefer due to less side effect) in our PD patient with arterial HTN. We have not noticed any significant drop in RRF in those pa...

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RE: Intradialytic Hypotension with Interdialytic Hypertension 1 day ago

I have seen 2 definitions of IDH in this discussion. A MAP decrease of > 20 mm Hg and a systolic pressure < 90  mm HG. Symptomatic in both cases. W...

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RE: A young patient with diffuse alveolar hemorrhage and renal impairment 1 day ago

Dear AllI agree with Prof Hayden, Use of IV IG in combination with Plex may be helpful as an immunomodulator.The other remote possibility could be ...

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RE: Tablo/Outset dialysate flow rates of 300 1 day ago

I have been out of Clin Practice for almost 6.5 years. We used the NxStage system back then and I never heard of Tablo. Looking at the internet, th...

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RE: Intradialytic Hypotension with Interdialytic Hypertension 1 day ago

What is the average volume of ultrafiltration per dialysis session and does post-dialysis hypertension correlate with intradialytic weight loss? If...

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