 
            
              Amol Patel
            
            @amolmpatel
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               If you're a nephrology fellow, check out this home dialysis website! Whether you got a PD catheter that won't flush or questions about fistula buttonholes, this is your one-stop shop. #nephtwitter #MedTwitter #MedEd
          
          
          
                
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             This deeply resonates with me. The term clinician educator, in many circles, has been equated to “clinician publisher.” We are loosing great diagnosticians and humanitarians in academic medicine to the publish or perish model. A thread of thoughts below: 🧵 
          
              #Inthetrenches. I use this phrase often in the cases I post. Happy to read this piece from Dr Hilal highlighting the role of clinician educators
            
            
                
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             Overview of complement profiles in GN. As expected, C3 glomerulopathy had highest spectral counts of all complement proteins. Surprisingly, monoclonal Ig-associated GN including MIDD & PGNMID had next highest complement burden. C4A & C4B pathways in GN  https://t.co/vLbHHjcHZc 
          
          
            
            kireports.org
              Complement plays an important role in the pathogenesis of glomerulonephritis (GN). Even though the underlying etiology of GN might be different, complement activation with subsequent glomerular...
            
                
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             1/2 NON-ANEMIC IRON DEFICIENCY There is actually a literature, including Cochrane reviews, that questions whether to treat such patients. Really?? So you are sitting there with ZERO iron stores, on the way to iron-deficient erythropoiesis and anemia. 
          
                
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             Look at the twitter pages of some of the biggest medical centers, and you’ll see so many boast #USNWR ranking. The rat race is real and sad. 
           The point is, as long as we value the USNWR rankings, hospitals (and schools, and everyone else) will chase the metrics. Even if chasing them generates adverse environmental effects or costs money that could have been more compassionately spent elsewhere (e.g., patient care). 
          
                
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             Scientists spend too much time taking “professional selfies”. A paper from PNAS describes what it takes to be a scientist today. Key points (that I always emphasize myself): #AcademicTwitter @AcademicChatter #research
          
          
                
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             To those who insist on using Hct over Hb to describe a patient with anemia (I hope they are few in number), does this patient have anemia or not? 
          
                
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             Answer: A It is said the with each 0.5 mEq/L decrease in serum potassium there is a association of about a 45 percent higher risk of new diabetes 
          
                
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             Renalism: The failure to perform appropriate diagnostic/ therapeutic interventions in patients with CKD due to concern about risk of AKI #Nephpearls 👉🏼  https://t.co/iJpSSXpeIL 
          
           This study found hospitalized patients with acute coronary syndrome are less likely to receive clinically indicated invasive cardiac care such as angiography if they have chronic kidney disease. Not receiving such care is linked to higher 6-month mortality  https://t.co/YddxfN8dPB 
            
            
                
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             My point is this: Those of us involved in residency selection need to be sure that the competitions we push our applicants into result in them acquiring the skills that we really care about. Then, we can have a virtuous competition instead of a senseless arms race. /end 
          
                
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             One of the most comprehensive yet concise reviews I've read on hyponatremia. Highly recommend to anyone wanting to really understand the topic. 
          
                
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             I meditated 15 hours a day for 6 months straight with one of the toughest Buddhist monks on the planet. Here's what I learned: 
          
                
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             Want to transform your presentations? Stop making excuses. Here are 7 phrases to avoid in your next presentation: 
          
                
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            #HDAE22 was huge step forward in home dialysis education! Very inspirational to hear from patients such as @DavidRushOnline and learn from their stories. #winsonly
          
           finishing up day 2 of #HDAE22 with @DavidRushOnline sharing his story with the fellows, nurses and faculty. Such a powerful message. Thanks David!!! #homehemodialysis #tablodialysis #satellitehealth #betterbeginsnow
            
            
                
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             Had a fantastic time at @NBLUniv! Lots of learning and amazing people. Definitely a must for any nephrology fellow. 
          
              #NBLUniv Team Richmond finishing out the week strong! So proud of all of you. NBLU 2022 is a wrap! @renal_jon @HryzakSarah @keertooo @amolmpatel
            
            
                
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             River City Renal Care - Keeping your kidneys afloat! #teamrichmond #rivercityrenalcare #NBLUniv @NBLUniv @Nephro_Sparks @PennKidney @ucsdnephrology @LSUnephrology @UTSWNephrology @UCDNephrology @HryzakSarah @amolmpatel @keertooo @cnwachukwu99 @abdul_2592 @VikpMD @BritBoudreaux
          
          
                
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             A paper I return to every few months, to re-structure my approach to learning in medicine.  https://t.co/7ACQie5Xts 
          
          
                
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