Dr. Prashant.C.Dheerendra
@prashantnephro
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Kidney doctor. Founder of Dharma Kidney Care. Adjunct associate professor at Apollo Hospitals,BG Road, Bangalore. Making life easier for kidney patients.
Bengaluru South, India
Joined June 2015
Thankfully urine albumin hasn't been reported in pico or femtograms.
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RT @seriousfunnyguy: CM: Bhai Factory to Kafi badhiya banayi hai, koi dikkat ho to mujhe direct call karna . Owner: Thank you Sir, aap Devt….
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RT @sakthinephro: Join us on Nov 8th, 6:30 PM IST for the #ISOTeduConnect event! Demonstration of the innovative ISOT Swap Software, follow….
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We live in an age of too much noise and few signals. We were better at managing edema before so many tests became available. There's no signal that's more useful than a patient who feels better with decreasing weight and diuresis.
One of the common criticisms of NephroCheck and other biomarkers of AKI is that since we don't have a treatment for AKI, checking these do not change what we do. But I think this view isn't thoughtful. Given that most of the contrast associated nephropathy we see after cardiac.
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RT @IndiaSoTx: 🌸ISOT's swap transplant software facilitates donor-recipient matching, optimizing compatibility for kidney and liver transpl….
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Can you name the first man to succumb to anatremia (Yes, you read it right, Na= 0)? And his physician? @nephdrkishan @kidney_boy @VelezNephHepato @AnnaGaddy @Jwaitz @chetanmudrabett @JasmineNephro @fearingforties @srikanthnephro @drmanishasahay @LeticiaRolonMD @NephroMD.
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week he was back to his "dry weight"? How was this achieved? He had near normal serum creatinine. @nephdrkishan @JasmineNephro @SreejithDr @melhoenig @JasmineNephro @arvindcanchi @LeticiaRolonMD @Jwaitz @raja_1980 @VijayKher8 @ajaynephro @chetanmudrabett @Dr_Kristin_G @krithicism.
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This was a patient with FSGS that we managed two years ago. 10 kgs over recent weight and e.uncomfortable because of edema. Usual measures plus high diuretic doses -- 240 mg Lasix IV, metolazone 10mg and spiro 100mg with albumin didn't move the needle over 5-6 days. Over the next.
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How easy is it for one to be hypernatremic (say a serum sodium of 158) AND hypervolemic? @ajaynephro @VijayKher8 @kidney_boy @LeticiaRolonMD @VelezNephHepato @NephroMD @raja_1980 @nephdrkishan @priti899 @vjha126 @AnnaGaddy @arvindcanchi @drgirishns.
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That's how much of hydrogen ions are present in each liter of blood. The kidneys(along with their Sancho Panza the lungs) maintain this balance minute to minute over a lifetime. @kidney_boy @amyaimei @Jwaitz @LeticiaRolonMD @chetanmudrabett @raja_1980 @nephdrkishan @vjha126.
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An attempt at a @NephRodby like number crunching. Imagine a teaspoon of a substance that contains only H+ ions and has the density of salt. Divide that into 60 parts first.Divide one portion of it into 2.5 million equal parts. Now, you have 150 millionth of a teaspoon of H+ ions.
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I was told to speak on "ABG analysis" but @drniranjanmr2 was kind enough to change it to "The lung -kidney axis in acid base balance." A topic which had been misty for a quarter century became a little more clear finally.
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and this needs to be emulated. We need the bright, young physicians to look at nephrology with renewed fascination and as a fulfilling career option. @chetanmudrabett @BeheraVineet @JasmineNephro @manirath @SreejithDr @pkguru10 @ajaynephro @snamratarao.
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attended. As a speciality nephrologists must make more attempts to include medicine residents/young physicians in our CMEs/conferences and share knowledge about these amazing organs called kidneys. @raja_1980 did something similar at the North zone conference this year.
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Speaking at a CME organized at our beloved MMC on acid base balance organized by Dr. Himamani and @drniranjanmr2 a few weeks ago. @shankarmmcmed @arvindcanchi @arunsah (all the way from Bareli!) @nephdrkishan (all MMC alumni) also spoke. Almost a hundred medicine residents
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Congratulations on an "above average" tenure @NephRodby and all the best to @Proximal_Baxi . I don't know how things work in the US but hope that the joys of renal physiology continue to delight the fellows at Rush.
After 24 yrs as @Rush_Nephrology Training Program Director I have decided to hand over the torch to @Proximal_Baxi. It took me forever to make this decision but now having done so I realize it was 100% the right person and 100% the right time! Congratulations Pravir.
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A few questions to begin with :.1. Does it detect ALL the cancers that are present? .2. Does it give a negative signal in ALL patients without cancer? .3. What proportion of positive tests are "true positives" and what proportion of negative tests are "true negatives"?.
If this is accurate, then AI is going to be of significantly more value to us than we imagined and much earlier than we had imagined….
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