ASN represents more than 21,000 kidney health professionals working to help people with kidney diseases and their families. Comprised of all of ASN's focus areas, the ASN Alliance for Kidney Health allows the society to continue its growth and work towards the goal of a world without kidney diseases.
The latest Nephrology Self-Assessment Program (nephSAP) issue, Volume 22: Issue 4 (Feb 2024): Pregnancy and Kidney Disease is now available online.
RE: Access to dialysis morbid obese non mobile 20 minutes ago
Thanks a lot We facing such challenges frequently and to preserve residual renal function we should start with PD until training or did PET if s...
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RE: NSAIDS and CKD 10 hours ago
NSAIDs hurt or help Here are my personal observations and biases: Yes, I have seen tangible number of office patients NSAIDs appear to pr...
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RE: Access to dialysis morbid obese non mobile 12 hours ago
Since I do not know what is the wt and height, I am making a guess. The odds that PD will be successful is low. This is a tough situation and we fa...
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Encourage fellows to volunteer as case report reviewers for Kidney Week 2024! 13 hours ago
ASN invites ASN Fellows-in-Training members to serve as reviewers for case reports submitted by trainees for Kidney Week 2024. The reviewing/gradin...
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Volunteer by May 8 to serve as a case report reviewer for Kidney Week 2024! 14 hours ago
ASN invites ASN Fellows-in-Training members to serve as reviewers for case reports submitted by trainees for Kidney Week 2024. The reviewing/gradin...
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RE: Transplant Question Cd68 Cell 12 Years. Post. Alentuzumab 14 hours ago
https://www.amjtransplant.org/article/S1600-6135(22)05570-8/fulltext --------------------------------- Muhammad Soobadar MBChB UK ---------------...
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LN not in remission 15 hours ago
63 yo M with PMHx of renal limited lupus nephritis class 5 with partial remission (initial biopsy 2018 where he was diagnosed with idiopathic membr...
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RE: Access to dialysis morbid obese non mobile 18 hours ago
The home dialysis clinic can provide home hemodialysis training in the home. Training does not need to take place in the clinic. Some home clinics ...
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RE: Access to dialysis morbid obese non mobile 18 hours ago
If she has a caretaker/family member, maybe you could teach that person (PD) without actually the patient present? admit her , get a catheter in...
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RE: NSAIDS and CKD 19 hours ago
I see that we have come full circle. From a notion that NSAIDs are untouchable agents in CKD to David Goldfarb's thesis on 'renoprotective' actions...
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RE: Transplant Question Cd68 Cell 12 Years. Post. Alentuzumab 22 hours ago
Thanks dr venkat for r Helpful explanation as well as prof glassock and dr lerman Bw --------------------------------- Muhammad Soobadar MBChB ...
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Access to dialysis morbid obese non mobile 1 day ago
Question for the community 65 y F morbid obesity unable to move advanced CKD DM HTN.Started HD via catheter during a hospital stay for fluid overlo...
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RE: NSAIDS and CKD 1 day ago
Thank you, I have found this discussion useful, if not for the EMR initiative then for my own knowledge (Thanks for the 360 pro/con reference lin...
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RE: NSAIDS and CKD 1 day ago
Dr. Cronin- I hope you have found this extensive discussion of NSAID helpful for planning your EMR project. On balance, the comments do not engen...
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RE: NSAIDS and CKD 1 day ago
Just to get back to my suggestion that NSAIDs are actually renoprotective, I want to share some important comments from Professor Rodby, who exhibi...
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RE: NSAIDS and CKD 1 day ago
I think EMR prompts for NSAID use is pandora's box. It would frighten anyone away from using them (not individualized decision as proposed based on...
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RE: PKD by US/MRI. Negative genetic testing. 2 days ago
As usual. Dr. Hirsch offers sage observation on the dilemma posed by the patient in this post. I am reminded of the famous Carl Sagan quote (dealin...
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RE: PKD by US/MRI. Negative genetic testing. 2 days ago
Opinion: I would not assume that water loading has the "same benefits" as talvaptan in PCKD (I believe a comparison study is ongoing?) In fact, one...
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RE: PKD by US/MRI. Negative genetic testing. 2 days ago
Good question. Tolvaptan is lifetime therapy with issues of side effects and Non compliance and I still have uncertainty about the diagnosis of ADP...
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RE: PKD by US/MRI. Negative genetic testing. 2 days ago
Dr. Glassock, Please explain to me why you not recommending Tolvaptan although you still believe this is APKD. ------------------------------ ...
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RE: Renal Biopsy On Mechanical Ventilation 2 days ago
An important question, to which I have only a limited response. Anti-PL are a well recognized response to infection (and certain immunizations) . T...
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RE: NSAIDS and CKD 2 days ago
Dr. Campese- i fully understand your distinction between prudence and avoidance. When the alternatives are opioids, I think that prudence overcom...
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RE: NSAIDS and CKD 2 days ago
I would not use the term mandatory, but in the situations I outlined (there may be others) I believe prudence would suggest avoidance of NSADs and ...
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RE: NSAIDS and CKD 2 days ago
There is nothing truly mandatory in Medicine, but in the situations I outlined (there may be others) prudence would suggest avoidance of NSADs and ...
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RE: NSAIDS and CKD 2 days ago
Dr. Campese - do your recommendations apply even when the pain requires opiates? Your suggestions seem to support the notion of mandatory avoidance...
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RE: NSAIDS and CKD 2 days ago
I think there are certain situations we can agree NSAIDs should not be used. Here are some: Uncontrolled hypertension Patients with liver cirrh...
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RE: seronegative lupus nephritis or the new terminology of the non-lupus -fullhouse nephropathy 2 days ago
I suppose that it will be difficult to ascribe the apparent improvement of kidney function to therapy in this patient, as a spontaneous remission i...
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RE: seronegative lupus nephritis or the new terminology of the non-lupus -fullhouse nephropathy 2 days ago
Thanks for the Follow-up. Are you withdrawing the steroids? ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (949) 388-88...
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RE: seronegative lupus nephritis or the new terminology of the non-lupus -fullhouse nephropathy 2 days ago
Good evening Anti-streptolysin O antibody( ASOT ) done and was negative < 200 she is now non-oliguric AKI, off HD, creatinine slowly improvi...
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Tomorrow's AKINow Panel Discussion: Building Repositories 2 days ago
Tomorrow (April 18) at 12 p.m. EDT, AKINow will host a virtual panel discussion to teach the nephrology community how to build an AKI or kidney rel...
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RE: NSAIDS and CKD 2 days ago
I agree with Dr. Glassock. I do not think it is currently possible to put such prompts or red flags easily into the EMR. There are too many factors...
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RE: PKD by US/MRI. Negative genetic testing. 2 days ago
Based on what we know now, i would not recommend Tolvaptan, but I would encourage a high water intake. Other opinions welcome! ------------------...
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RE: NSAIDS and CKD 2 days ago
Can this good advice be fostered by introducing prompts or red flags into the EMR. At present, I do not think that this is possible.. ----------...
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RE: NSAIDS and CKD 2 days ago
I recommend cautious use but not avoidance. Individualize NSAID prescription folks! ------------------------------ Mark Perazella MD, MS, FASN Ya...
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RE: Renal Biopsy On Mechanical Ventilation 3 days ago
Thank you prof.Glassock You put me in the right way from first day This antibodies needed to be repeated after 12 w?? Just I know for myself whe...
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RE: Renal Biopsy On Mechanical Ventilation 3 days ago
The patient is behaving like ATN, not crescentic GN or a TMA. The antiPL antibody is most likely secondary to infection. No indication for a kidney...
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RE: Renal Biopsy On Mechanical Ventilation 3 days ago
Cr going down 190 Uo 2400 ml /day Plat improved 200,wbc. 5 , HB 9 --------------------------------- Mohamed Mahmoud MBBS NEPHROLOGIST MOH Egyp...
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RE: Renal Biopsy On Mechanical Ventilation 3 days ago
Thanks for the update. Current SCr/eGFR and hematological status/TMA parameters? ------------------------------ K.K. Venkat MD Troy MI (248) 420 ...
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RE: Renal Biopsy On Mechanical Ventilation 3 days ago
I have update This patient thankfully weaned from MV ANTI B2 GLYCOPROTIEN: Ab IgG Normal Range IgG 120 ANTI CARDIOLIPIN IgM :: Normal Rang...
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RE: NSAIDS and CKD 3 days ago
Great comments. The link you posted is not working. Please revise it. Thank you https://www.nejm.org/doi/full/10.1056/NEJMoa1611593 -----------...
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RE: NSAIDS and CKD 3 days ago
Thanks for pinging me @David Goldfarb! Excellent comments and most points I would make are already done. In almost all the epidemiological stud...
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RE: NSAIDS and CKD 3 days ago
Just to add to the literature here, this is a review that I asked @Swapnil Hiremath to write for Current Opinion which wisely makes "the case for c...
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RE: NSAIDS and CKD 3 days ago
I find my experience with iv toradol is supportive of mild to moderate AKI in a variety of clinical situations such that the event that precipitate...
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RE: NSAIDS and CKD 3 days ago
I would make a distinction between "avoid" and "use with caution". Certainly, there are situations were NSAIDs should be avoided: For example, p...
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RE: NSAIDS and CKD 3 days ago
I doubt we have good data on the risk of high K in patients in patients given NSAIDs on top of dual RASI as the latter is a relatively recent strat...
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RE: seronegative lupus nephritis or the new terminology of the non-lupus -fullhouse nephropathy Tuesday, April 16 @ 3:53 AM
Interesting , thank you Dr Richard Will wait the EM report Dr saja ------------------------------ Saja Mohammed MD, MBChB, MS Doctor SQUH ...
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RE: NSAIDS and CKD Monday, April 15 @ 4:23 PM
For what it's worth, these pro, con and commentary articles from Kidney360 in November 2020 are a really nice summary of exactly that. Si...
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RE: NSAIDS and CKD Monday, April 15 @ 3:33 PM
I fully agree with the comments from Drs. King , Rodby and Hirsch about the "danglers " of NSAID in CKD and the "hazards" of developing an EMR meth...
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RE: NSAIDS and CKD Monday, April 15 @ 2:39 PM
I agree. My main concern for NSAIDs in CKD is hyperkalemia, esp in pts with dual RAASI and/or advanced CKD Also, in any modern era patient on dua...
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RE: NSAIDS and CKD Monday, April 15 @ 2:30 PM
This is such an important discussion IMO, but no suppose I am a NSAID non-fearer. MCD with AIN is idiosyncratic and rare CKD causation and prog...
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