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...

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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...

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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...

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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...

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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-...

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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...

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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...

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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...

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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...

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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...

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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...

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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...

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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...

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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...

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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) , ...

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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-...

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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...

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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 ...

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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...

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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...

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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...

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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...

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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...

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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...

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RE: Renal Transplant Biopsy 2 days ago

Having a microscope is I believe essential. ------------------------------ Anatole Besarab MD ABesarab Consulting Bend OR (734) 417-4793 --------...

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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...

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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. -------------------------...

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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...

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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 ...

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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...

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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-...

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RE: Renal Transplant Biopsy 3 days ago

@Beatrice Concepcion @Mark Lerman ------------------------------ Roger Rodby MD, FASN Professor of Medicine Rush University Medical Center C...

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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...

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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...

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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...

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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...

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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...

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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...

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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...

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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...

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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...

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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...

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RE: Target Weight In New HD Starter Thursday, November 30 @ 4:55 PM

Thanks really helpful --------------------------------- Muhammad Soobadar MBChB UK ---------------------------------

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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...

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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 ...

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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...

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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...

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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 ...

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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...

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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...

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