Arvind Canchi (Conjeevaram)🇮🇳
@arvindcanchi
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Nephrologist & Transplant Physician, Bangalore/Trustwell/Sagar Hospitals | Co-Founder @Bloom_Value | Chair: @isn_india SoMe | Member- ISN SARB | #ECNeph Creator
Bangalore
Joined November 2014
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"Thani Beats" A New Series of two minute videos that introduces you folks to
#percussion
instruments in South Indian Classical (
#Carnatic
) Music, dwelling mainly on the
#mridangam
. A bit of info and a short clip of percussion.
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An interesting Pt with vertical nystagmus (upbeat nystagmus).
This Pt had severe hypomagnesemia. Serum Mg 0.1 mg/dl.
With IV Mg correction, today the serum Mg is 1.6mg/dl
The cause for hypomagnesemia is being looked at. (Consent taken from Pt and son for putting up this video)
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When you are called to see a pt with severe Acidosis, and you see such values on the PCO2 and Bicarb....
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Had a pt 36 yr old with 8 wks pregnancy come in today with seizures and metabolic Acidosis. There was a h/o oral consumption of 30 ml of
#eucalyptus
oil.
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Interesting salary offer by the Andhra Pradesh govt…
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A different Avatar again. As a percussionist on the Indian classical musical instrument, the
#mridangam
. A short piece in Adi Taala, 8 beats
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Was awarded the Fellowship of the International Society Of Nephrology today.
Receiving the certificate from
@CharuMalik_ISN
CEO of ISN, at the
@ISNkidneycare
World Congress of Nephrology in Bangkok
#ISNWCN
today.
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#ISNSCCON
2020
A no plastic Conference. Even the badges are made of degradable material. Some badges have engraved names and become mementos for keeps. The conference bag is made of khadi cloth! All brilliant ideas. For conferences all over the world to emulate.
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A new responsibility as I take on a fresh task as Head of Nephrology at a spanking new hospital, the Trustwell Hospital, on JC Road in Bangalore. The official inauguration happened yesterday and we are all set to roll.
Meanwhile, off to
#KidneyWk
for some learning & networking.
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High blood pressure anyone?
This is the highest I've seen. And you?
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A 62 yr old female pt underwent a procedure and developed
#AKI
.
What was the procedure?
What do you see in this pic?
Why did Acute Kidney Injury develop (AKI)?
#MedTwitter
#FOAMed
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The first randomized controlled trial in infection related GN. corticosteroids did not result in a statistically significant increase in rates of complete renal recovery at 6 mths. Frm
@MMCNephro
@srigola751
@tanujlamech
@drvenkatnephro
@AnilaKurien
et al
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There is good evidence that beta blocker use in hemodialysis pts (
#CKD
5D) reduces mortality. Here is a list of Beta Blockers commonly used. The tweet that follows this one has a poll, pl answer and RT/repost for wider reach.
#nephtwitter
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They must have put a lot of thought into this! We have the top scientific teaching institution
@iiscbangalore
in Karnataka doing this... 🤦♂️
CC
@raja_1980
@gag_aggarwal
@DrDeepakKrishn1
@nair_sanj
@serioustaurean
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Time to step down as Chair of the wonderful
@ISNeducation
Social Media Team and make way for
@sibgokcay
to take over and take this team to new heights. My thanks to all team members for their support. Thanks also to
@vjha126
@CharuMalik_ISN
@ISNkidneycare
and
@FerArceAmare
!
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I am a sucker for Nephrology Textbooks and in these days of
#nephtwitter
that may well be blasphemy. This book landed on my desk today and will get my undivided attention in the coming days. A student of Nephrology, I remain.
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Here is a pic I found today. Am with Phil Mason, who was in the Hammersmith Hospital at the time. Circa 1994. I believe he's now at Oxford.
CC
@kidneydoc101
@toates_19
@salama_alan
@idasgupta7
And look at that Dialysis machine!
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Precision when reporting the urine protein creatinine ratio anyone?
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As a Nephrologist in private practice, doing just a bit of teaching for MBBS graduates and in the recent past, Internal Medicine Post-grads in their DNB course, this message really made my day today!
#NEETss
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Congratulations to
@mvankalakunti
for his achievement of reporting on 50,000 renal biopsies! Phenomenal work indeed. Currently he is reporting at the rate of more than 5000
#kidney
biopsies per year.
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In the long-term, modified Ponticelli regimen is superior to TAC/GC as first-line therapy for the management of antiproteinuric-resistant Primary Membranous Nephropathy.
@raja_1980
@vjha126
et al. In
@KIReports
.
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Treatment of Asymptomatic Bacteruria (AB) in the first 2 months post kidney transplant does not decrease the incidence of UTI or graft pyelonephritis and may actually increase their frequency. Routine treatment of AB during the first months after renal transplantation should not…
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After ten years of follow-up, no difference between supportive care plus immunosuppression and supportive care alone in IgA nephropathy.
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Glucose may interfere with urinary creatinine measurement. Given the increasing use of SGLT-2 inhibitors in clinical practice, the study authors suggest uACR measured using Jaffe creatinine assays should be avoided, where possible. In
@Kidney_Int
👉
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A transplant pt of mine from West Bengal came for follow up today. 13 years post TX, he is doing well. A bit teary eyed, he gave me this sweet box from Calcutta. I asked him why. His daughter had passed her PhD in Germany & was doing great. He thanked me! Made my day.
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I have lost a good friend and colleague, Dr Balaji Prasad, Consultant Nephrologist at Shekhar and Sagar Hospitals in South Bangalore. He died of covid related complications. The
@NephAssocKA
condoles his passing, as do I.
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False positive PLA2R antibody.
Begs the question - should we fall back on the biopsy as always…. CC
@raja_1980
@Tiff_Caza
@SethiRenalPath
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A kidney transplant pt presents with cough and fever, 10 weeks after transplant surgery. A chest xray was done.
What is the first diagnosis that comes to your mind? What is the differential diagnosis?
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Received the
#Nephmadness
swag finally! And the Nathan Hellman Social Media Project of the Year Trophy.
#NephJCkidneys
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Folks on
#NephTwitter
, we are back with an All New Series of Everyday Cases in Nephrology,
#ECNeph
. The first case in this series will be from
@JipmerNephro
with
@SreejithDr
and his team. At 9.30pm IST/4pm GMT on Thursday the 8th October 2020. Please RT for wider reach.
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This is a thread about Doxycycline. We generally tend to use it in Ricketsial infections, sexually transmitted diseases, cholera, anthrax, brucella, prophylaxis of malaria.
But I did not know about it's anti-viral effect and have never used it for that indication.
#nephtwitter
…
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I have been discussing the resurrection of
#ECNeph
Everyday Cases in Nephrology with a few folks. Glad to let you all know that this will happen pretty soon. Watch this space!
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This message made my day today! For a Nephrologist that too in private practice in a hospital with no Nephrology subspecialty residents, this is gold. (I do teach MBBS and MD medicine residents)
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Those of you who knew heparin causes hyperkalemia, do RT this tweet. Like the tweet if you did not!
@edgarvlermamd
at the
@ISNeducation
Webinar.
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Purple urine bag syndrome. A Case eloquently discussed today by
@anupamayj
in the NAK group. Sharing the actual pic from her pt. Just look at that color in the tube leading to the urine bag!
CC
@sundar_s1955
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Increasing dialysate temperature while reducing dialysate flow rate can be used as a water conservation strategy without compromising the adequacy and safety of dialysis, in young, hemodynamically stable patients. Reducing the dialysate flow rate from 500 mL/min to 300 mL/min…
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A sneak peak at the next
@ISNeducation
Nuances in Nephrology Webinar with
@nephrop
speaking on 'POCUS and the kidney' and
@prashantnephro
moderating the session on the 12th of August.
Stay tuned for the registration link.
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This is brilliant.
Got this as a whatsapp forward.
"Mumbai ka Har Doctor Kho Gaya hain"
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Simplified Legal Procedure for End-of-life Decisions in India.
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With NEET PG exams coming up, I am coaching a couple of students who are aiming to get into Internal Medicine and (I hope) nephrology thereafter. It is hardly a secret that nephrologists are pretty good in Internal medicine, but I am learning new stuff every day.
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I am stepping into unknown territory today, and in a new role as a Co-Founder of a software start-up, Bloom Value Corporation, the brain-child of my friend and schoolmate Dr Arun Hampapur (), together with
@SampoornaHegde
!
Visit
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Use of a dialysate sodium of 135 as compared with 138 mEq/L was associated with a small reduction in interdialytic weight gain without impact on IDH or predialysis BP, but with an increase in symptoms. Raising dialysate sodium from 135 to 140mEq/L was associated with a reduction…
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Indeed it is time now to thank all members of the
#ISNWCN
SoMe team for their sterling work in bringing the
@ISNkidneycare
World Congress of Nephrology alive on Twitter. Yes, Thank you All. Much appreciated.
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Launching the New
@ISNeducation
Webinar Series - Nuances in Nephrology.
Speaker -
@raja_1980
, Asst Prof @ PGIMER Chandigarh.
Topic: Membranous Nephropathy
Moderators -
@MayuriTrivedi80
, Consultant Nephrologist, Hinduja Healthcare Surgical, Mumbai
&
@arvindcanchi
, Bangalore.
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Waiting at the airport in Philadelphia with
@rmadraki
for the long flight back to Bangalore. Excellent time spent in learning at
#KidneyWk
. Met a whole lot of colleagues and many more
#nephtwitter
friends!
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High anti-PLA2R titres & Rx.
At 18 mths, 21 (65.6%) & 17 (53.1%) patients treated with cyclical CYC/CS & rituximab achieved remission, resptly. Complete remission (CR) numerically higher in the cyclical CYC/CS-treated patients (CR vs PR, 25% versus 15.6%)
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Only 8% of Bangalore population have received the second dose of
#COVID19
vaccine. Important to immediately look at the 12 week gap, & reduce it, so that more can receive both jabs, to mitigate the third wave.
@BBMPAdmn
@BBMPSWMSplComm
@BBMPCOMM
@BbmpsplHealth
@BBMPSouthZone
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There was no kidney dysfunction. I was called for Rx of Acidosis. I have not seen eucalyptus oil poisoning before.
In adults, death is commonly seen after ingestion of 30 ml, but can be encountered after 4-5 ml also.
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@ChitraEndocrine
@nileshnolkha
@sundar_s1955
@GireeshMS8
@nephdrkishan
Never been a great fan of low protein diets in the Indian context. This is a slide from my ppt of a previous discussion on nutrition in CKD pts,
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Those days in the past when NAGMA did not always mean Metabolic Acidosis...
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Just coming out of a meeting where
@RenalyxHealth
has entered into an agreement with BEL for mass manufacture of India‘s 1st indigenous
#dialysis
machine. This is exciting news & should result in a more economical HD machine! This machine is already in use
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Interview Teaser with Prof Liz Lightstone. The full interview will follow later.
Interviewers :
@aakashshingada
and myself.
At the World Congress of Nephrology in
#Melbourne
#ISNWCN
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Dinner with dialysis technicians (& a couple of residents in medicine). These folks are hard-working, dedicated, did not flinch during the covid pandemic, took good care of dialysis pts - true heroes. Some have btw 20 to 30 yrs of experience in the field, one has clocked 33 years
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For covid positive pts who require out-patient Hemodialysis in South Bangalore, the facility and appointments are available at
@TrustwellCare
, Agadi hospital,
@SAGARHOSPITALS
and Meenakshi People Tree Hospital.
CC
@Vasuragh
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With the
@ISNkidneycare
Social Media Team at the ISN booth in
#KidneyWk
With
@edgarvlermamd
@Dilushiwijay
@SabineKaram6
@carlo_alfieri
@CharuMalik_ISN
@RClaure_nefro
@TheBeaniac
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As I leave
#kidneywk
with fond memories, here is a poster that I presented at the conference. I thank my wonderful co-authors who were of immense help during the study,
@anupamayj
, Lloyd Vincent & Nanda Kumar as well as the hospitals & Nephrologists that contributed to the study.
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Ri-CYCLO Trial
Rituximab vs. Cyclophosphamide in the Treatment of Membranous Nephropathy.
No difference in benefit or harm between the two treatments.
#KidneyWk
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ECG of a 65 yr old male pt who was admitted with AoCKD, Screat of 4.1 mg (was 2.6 mg 3m ago). K was 9.0
What changes of hyperkalemia do you see on this ecg? Why is there no Bradycardia or "sine wave" pattern? How would you Rx this?
#Meded
#nephtwitter
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The Janmashtami spread today at our house! CC
@Nair_Sanj
@vs70
@raja_1980
@DrDeepakKrishn1
@serioustaurean
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RIP General Merit.
Mourning period - next 75 yrs.
India is the only country that looks down on merit.
Expect a continued exodus of brilliant minds! The standing joke - there are more Indian origin Nephrologists in the USA than Indian Nephrologists in India.
#NEETPG2021
#NEET
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Presented a poster today at the
@ISNkidneycare
World Congress of Nephrology
#ISNWCN
on "Liposomal Amphotericin Associated Nephrotoxicity in Patients with Mucormycosis: An Epidemic in the midst of Pandemic" a Study from
@TrustwellH
#Bangalore
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Isatuximab resulted in decreases in CD38+ plasmablasts, plasma cells, and NK cells; and significant reductions in HLA-specific IgG-producing memory B cells. Overall response rate, based on a pre-defined composite desensitization end-point, was 83.3% and 81.8% in Cohorts A and B.…
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Happy to be invited to speak at the
@ASNKidney
#KidneyWk
2020 & in the midst of stalwarts such as
@Maximal_Change
,
@aishaikh
and
@gradydoctor
with moderators
@ssfarouk
and
@nephondemand
.
Will be speaking on "Changing the Practice of Nephrology Globally with Tweets and Hashtags."
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The man who coined the slogan Ek chamach kum,
@Ubkhanna
speaks about salt restriction in the diet.
#SRNMCON2020
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@gag_aggarwal
@Indian_stats
Well, the point is they are trying to ape that pic on top! Obviously not the same people!
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The very FIRST Indian Nephrologist!
Dr. Kripal S Chugh was 1st nephrologist in India. When he tried to enroll himself for MD in 1956 in "kidney diseases", Punjab University refused because it wasn't on the list of specialities. In the end he was given a special subject "genitourinary medicine"
@BagaiDr
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The
@ISNeducation
Webinar Series-Nuances in Nephrology. The next Webinar in August-
Topic: Hypertension
Speaker:
@hswapnil
Moderator :
@krishnadoctor1
Date: 21st August at 12.30 PM EST, 4.30 PM GMT, 10PM IST
Please register for the webinar at this link -
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Congratulations to
@VinBhargava
@priti899
@drmanishasahay
among others for this fantastic initiative of bringing out a Textbook of
#Kidney
Transplantation. The book was launched today at the
#ISNCON22
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On my way to
#Bangkok
. Hoping to meet many of my colleagues and friends. Looking forward to chairing the Social Media session together with
@BasuNephro
& find out what
@sibgokcay
@myadla
&
@divyaa24
have in store for us at the
@ISNkidneycare
World Congress of Nephrology
#ISNWCN
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5
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Essential oils of 11 plants are powerful convulsants (eucalyptus, fennel, hyssop, pennyroyal, rosemary, sage, savin, tansy, thuja, turpentine & wormwood) due to highly reactive monoterpene ketones - camphor, pinocamphone, thujone, cineole, pulegone, sabinylacetate & fenchone.
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It's been more than 18 months now since the mask has become a permanent feature on my face and that has changed the way I view some things -
1. I've learnt that that intense itch near your nose will go away if you ignore it. Needs a lot of will power though.
#COVID19
1/n
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Part of the
#ISNWCN
Social media team. With
@PreethiSekarMD
@FerArceAmare
@aakashshingada
@GireeshMS8
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My abstract for the
@ISNkidneycare
World Congress of Nephrology
#ISNWCN
has been accepted as a poster.
#Melbourne
, see you in April.
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Have a 50y male pt with Scr 1.5, U PCR 8gm, membranous Nephropathy PLA2R +ve. No response to Rituximab + pred 3 months + ARB. Screat 1.8, U PCR 7.5
On pred+cyclophosphamide, now Screat 1.2, PCR 1.1 gm
Spare a thought for cyclo (Rs 47 for 10 tabs) vs Ritux Rs 18000 for 1 gm
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Our article 𝐒𝐞𝐱‐ 𝐚𝐧𝐝 𝐆𝐞𝐧𝐝𝐞𝐫‐𝐁𝐚𝐬𝐞𝐝 𝐑𝐞𝐩𝐨𝐫𝐭𝐢𝐧𝐠 𝐢𝐧 𝐀𝐧𝐭𝐢𝐡𝐲𝐩𝐞𝐫𝐭𝐞𝐧𝐬𝐢𝐯𝐞 𝐌𝐞𝐝𝐢𝐜𝐚𝐭𝐢𝐨𝐧 𝐋𝐢𝐭𝐞𝐫𝐚𝐭𝐮𝐫𝐞 𝐈𝐧𝐟𝐨𝐫𝐦𝐢𝐧𝐠 𝐇𝐲𝐩𝐞𝐫𝐭𝐞𝐧𝐬𝐢𝐨𝐧 𝐆𝐮𝐢𝐝𝐞𝐥𝐢𝐧𝐞𝐬 was published in the
@JAHA_AHA
Many thanks to
@SofiaAhmedMD
and…
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Thread.
Saw this 47 yr old Hemodialysis pt from another centre, just adm with us. HD done yesterday. Screat 14.9 mg. Pt c/o tiredness, nausea and METABOLIC FLAP is the sign seen on this video (actually seen on both outstretched hands, not shown here). Also called Asterixis.
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8
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I met with 2 postgraduates in Nephrology (DM)
@DrPriyangani
and Dr Teja at
#ISNCON23
. They worked with me as DNB general medicine residents at the Bangalore Hospital some years ago. I would like to think that my association with them during their DNB residency rubbed off on them…
2
1
50
It sure was great meeting with
@rheault_m
for a short interview. And the icing on the cake was the Handbook of Glomerulnephritis that she presented me a copy of. At the
#ISNWCN
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1st patient taken for HD on a totally indigenously manufactured Haemodialysis machine. Pic shows Dr Manjunath Shetty & his team of JSS Medical College, Mysore. Hemodialysis Machine manufactured by Renalyx ( Dr Vincent Lloyd & team)
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A mini Nephrology Conference Online over the next three days. All speakers brilliant exponents in the field of Nephrology. Here's the link
2
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India's first pediatric kidney swap transplant at KEM Hospital Mumbai. Pre-emptive TX. Transplant Nephrology team headed by
@tukaramj
.
3
10
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The next
@ISNeducation
Nuances in Nephrology Webinar.
Topic : Simplified approach to evaluate & manage Hyponatremia
Speaker:
@ajaynephro
Moderator:
@prashantnephro
Wednesday 27th Nov at 8pm IST/ 3.30pm GMT/ 8.30 am CST
Register here for the webinar 👉
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Met with
@divyaa24
at the
#ISNCON
2021 today and was finally able to hand over her best VA prize from the 2019
#nephjckidneys
award that I had collected on her behalf during
#KidneyWk
at Washington DC!
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1
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Generic Dapagliflozin is available now at 110 INR (1.5 USD) for 10 tabs of 10 mg.
Widespread flozination (as
@ChristosArgyrop
calls it) previously economically unviable, has begun here in right earnest.
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6
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Publishing papers in the 90s, involved writing letters back and forth and sending modifications and corrections in print. A precious letter from Prof Chugh, then Editor, Indian Journal of Nephrology advising modifications in my paper!
CC
@vjha126
@raja_1980
@SreejithDr
@manirath
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Tested
#COVID19
positive today.
This ain't mild.
High fever with chills and rigors, headache, cough, sneeze bouts, running nose, extreme tiredness, decreased appetite, food tastes funny.
No genome sequencing, so we don't know if this is omicron or delta. RAT was negative.
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Tranexamic acid induced Acute Cortical Necrosis. Case series from Manipal Hospital, Bangalore
@drvishwanaths
et al.
I need to review conditions where I use it and be more careful.
3
13
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Vertical Nystagmus is a rare but diagnostically useful sign for severe hypomagnesemia. Aetiology for hypomagnesemia is being looked into as we speak. (Concurrent hypokalemia and hypocalcemia was also present.)
This Pt had pancreatitis previously. Also he was on PPI for 5 years.
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