Wael Hussein
@Teknofiliac
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Nephrologist & Health Tech Innovator | Data-Driven Medicine & mHealth | Stanford Alum | Passionate Programmer BlueSky: @waelhussein.bsky.social
California, USA
Joined December 2010
The Fascinating Story of Scurvy - Why Life-Saving Innovations Can Take Centuries to Spread https://t.co/Gqf6aZLhJ6 via @LinkedIn
linkedin.com
The diffusion of innovation in medicine can be long. In fact, very long in the story of the fight against scurvy.
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Let's streamline ML workflows in R with fastml! We'll preprocess iris data, train multiple models, and explain results with DALEX + SHAP. First, we load packages: #RStats #MachineLearning #DataScience #Science #Research
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This is now my major area of interest. Put simply, we need to rewrite medicine. The mouth is not just a cake hole! Good oral health is vital to body health, not as an add-on extra but as an upstream mechanistic determinant of body health. 21/23
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🙋🏽♂️ Pt in his 80’s with colorectal cancer with liver mets admitted with sepsis a week ago. Now stable. ++dependent edema after resuscitation. Albumin 1.4 g/dL (14 g/L). N kid fx and electrolytes. Low appetite and limited oral intake. ❓Do you give “maintenance” IV fluids?
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Lessons from the 1600’s. The first lesson was that coercing the locals to produce gold and food won’t work. The second is interesting, as humans still struggle to comprehend it.
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@ISPD1 @Ask_Renal @NephJC @GrahamAbra @eric_weinhandl @CJASN Some asPD programs require nurses for assistance. Their pool, however, is from home care services. Others utilize trained non-nurse staff. Regardless, given the info above, 🚨Does keeping pts on PD instead of HD help or strain our staffing issues?🚨
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@ISPD1 @Ask_Renal @NephJC 2. Home dialysis centers: * US median is 1:14. Up to 1:25. This is to accommodate for training patients alongside following up on established patients (clinics, complications, troubleshooting). @GrahamAbra @eric_weinhandl @CJASN
https://t.co/E73EczItpH
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@ISPD1 @Ask_Renal @NephJC 1. In-center HD: * 1 nurse: 12 HD patients during an HD shift. * Typically up to 3 shifts per day. * RN typically three 12-hr work shifts days per week. ➡️ need at least 1 nurse for every 36 HD patients. Supported by healthcare techs. Is this correct? What's ur practice like?
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@ISPD1 @Ask_Renal @NephJC We are talking about pts who want PD but can't do it without staff assistance. US model. Option 1: in-center HD Option 2: staff-assisted PD What is the nurse:patient ratio for each?
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Healthcare staff shortages are on the rise, particularly for #PD nurses. 👉 **Challenging question:** Does offering staff-assisted PD help with nurse shortages? @ISPD1 @ask_renal @nephjc Let's think 🤔 🧵 https://t.co/EWBnQhx7bJ
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If you are moving to bluesky (and you should!), add your bsky handle to your x profile. Mine is: [@ waelhussein . bsky . social] (without the spaces). I hope to see you there. https://t.co/1MFsLlIqvq
@bluesky
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Corlanor wut?! Oh, ivabradine. Brand name procoralan in Europe. What’s the reason brand names are different across the Atlantic?
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I had to take a pause, ponder, and muse while reading this opening sentence. **only** 24.1%. Source: https://t.co/9W396rROXg
@PDI_Journal USRDS: wide variation in PD utilization, 7% to 25%. Amazing analysis: https://t.co/fgZRfuf9hj.
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Being picky. Shouldn’t the abstract say what “kidney failure” is? Dialysis? Low GFR? And didn’t we decide we’re not saying kidney failure anymore? 🫣 Long-Term Benefits & Safety of Statins in Pts with kidney failure : JASN
journals.lww.com
.Statin therapy was associated with a lower risk of major cardiovascular diseases and all-cause mortality without a higher risk of major adverse events. Background Patients with kidney failure are at...
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It doesn’t take long for ChatGPT to impress you. It also doesn’t take long for it to disappoint you!
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