J Pedro Teixeira (a.k.a. Jwow)
@NephCrit_NM
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Husband. Father. Son. Crit Care Neph. Renal Fellow PD. Acute HD/CRRT Director. Inflatable 🦄 owner. Tweets my own. 🇺🇸🇵🇹 #BlackLivesMatter. 🏳️🌈 He/him/his
Albuquerque, NM
Joined December 2019
Apparently Lego has donated over 10,000 of these MRI playsets to hospitals to help reduce anxiety in children getting MRIs
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Apparently Lego has donated over 10,000 of these MRI playsets to hospitals to help reduce anxiety in children getting MRIs
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I like using IJV #POCUS as an alternative to IVC, especially when the IVC is unreliable or inaccessible. But it’s not foolproof. I’d love to hear from those who use it frequently - what practical pitfalls have you encountered? I’ll start with an article/observation below.
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Actual scientists “find proof” not “make the proof”
RFK Jr on Tylenol and autism: "It is not proof. We're doing the studies to make the proof."
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Aclaremos, el crédito no es mio, es solo el efecto del camino forjado por los verdaderos pioneros: el Dr Armando Vazquez, la dra Olynka Vega, la dra @DraMarili y @JonathanNefro, entre otros. Así como de la confianza y apoyo del proyecto por @buddhafactor y @rafavaldeznefro
Tras 2 años de trabajo y con el esfuerzo de muchos: Se aprobó en la UNAM el PRIMER Posgrado de Alta Especialidad en: NEFROLOGIA CRITICA y TERAPIAS EXTRACORPOREAS Con sede en el Hospital General de México 🇲🇽/ marzo 2026/ Atentos nefrólogos e intensivistas a la convocatoria.
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Tras 2 años de trabajo y con el esfuerzo de muchos: Se aprobó en la UNAM el PRIMER Posgrado de Alta Especialidad en: NEFROLOGIA CRITICA y TERAPIAS EXTRACORPOREAS Con sede en el Hospital General de México 🇲🇽/ marzo 2026/ Atentos nefrólogos e intensivistas a la convocatoria.
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In 18 years as an ER doc, I ask about immigration status about as often as I ask about insurance—which is never My job is to respond to the person in front me, as if neither immigration or insurance matters Because in that moment, neither of those things matter So tell me,
REPORTER: Should ERs check immigration status before treating a dying patient? LEAVITT: That's probably not a question for me to answer. That's a question for healthcare professionals and legal experts to answer. (That's not a no!)
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代謝性アシドーシスに対する重炭酸ナトリウムについては、その有効性を示唆するデータとして、最近Intensive Care Medicine誌にもこんな研究が出ていました。 https://t.co/fR86qjHcR9
メイロン®︎こと、重炭酸ナトリウムがなぜ今ホットなのか、話しました👇 https://t.co/6FewhX1OSU
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A person inhaled an obscure chemical & called a poison center. Minutes later—for free—a world expert was consulted and determined it wasn’t an issue. I can’t even reach a human for my Uber Eats order—poison centers are incredible.
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Can a diagnosis be made from this common carotid pulsed-wave Doppler tracing alone? Turn the sound on and LISTEN as you visualize. @nephrop @RjonesSonoem @butterflynetinc @iceman_ex
#pocus #foamed #meded #cardiotwitter #medtwitter
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⚗️🧨𝗜𝗺𝗽𝗮𝗰𝘁𝗼 𝗱𝗲 𝟭 𝗟 𝗱𝗲 𝗥𝗶𝗻𝗴𝗲𝗿 𝗟𝗮𝗰𝘁𝗮𝘁𝗼 (𝗥𝗟) 𝘀𝗼𝗯𝗿𝗲 𝗞+ 𝘀𝗲́𝗿𝗶𝗰𝗼🩸 ⬇️⬇️⬇️⬇️ 🔹 RL contiene 4 𝙢𝙀𝙦/𝙇 𝙙𝙚 𝙆+. 🔹 En plasma (14 L EC), con K+ basal 6 mEq/L = 84 𝙢𝙀𝙦 𝙩𝙤𝙩𝙖𝙡𝙚𝙨. 🔹 Al infundir 1 L RL → se añaden 4 𝙢𝙀𝙦. 🔹 Nuevo [K+]
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This will kill people
Trump: DON’T TAKE TYLENOL. There is no downside. You will be uncomfortable, it won't be as easy
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1/ SVR looks precise: (MAP – RAP)/CO. But this neat number hides traps. It’s not “afterload,” it’s not pure “tone,” and sometimes it’s not even valid. A thread on why systemic vascular resistance misleads — and when it still helps. 🧵 #MedX
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The second installment of the proceedings of the University of Alabama at Birmingham Continuous Renal Replacement Therapy Academy is now live in #ASNKidney360. Read more about transitions of care in acute RRT: https://t.co/jXamapFsKV
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#UABCRRT2025 so grateful for this collaboration of experts in the field willing to share their knowledge with fellows @javo_neyra @luck_urine @UAB_NRTC
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I know the volume status method is still taught in many medical schools, which is a shame. Using the urine studies is a much more straightforward and physiologic approach👍🏻 https://t.co/1BtFjQ7RmJ
Confession: I LOVE hyponatremia 🤓 (I know, I know. What can I say, I'm a true internist!) HypoNa is often feared, maligned, and misunderstood - but I promise it doesn't have to be scary! Here are my top 10 hyponatremia tips and tricks - a 🧵
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I say this as kindly as possible: “volume status” should not be the cornerstone of your hyponatremia evaluation ❌ I am admittedly someone who LOVES fluid physiology and hemodynamic assessment, but - it is TOO COMPLICATED 😵💫 We have much simpler, more intuitive methods for
Tweet 4 – Step 3: Volume Status Hypotonic hyponatremia → classify: •Hypovolemic: vomiting, diarrhea, diuretics •Euvolemic: SIADH, hypothyroid, adrenal insufficiency •Hypervolemic: CHF, cirrhosis, nephrotic syndrome, renal failure
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