This year rakhi was special for me , every rakhi i have been on duties but this rakhi d patient requested me to tie rakhi to him as i was taking care of him and he was away from family and i was d only family he had! Felt really emotional #Covid_19
2/🔴 Obesity is a chronic relapsing disease and is the MC risk factor for CKD, affects >40% adults, >20% kids in the US.
Adipokine imbalance, RAAS & sympathetic activation, sodium retention, glomerular hyperfiltration & lipotoxicity all drive CKD progression.
#TheWeeklyNephron
1/10
With the incredible wave of glomerular disease and trials showcased at #ERA26, it's time for membranous nephropathy to take the stage
Could deeper B-cell depletion finally claim the throne? 👑
Read the article 👇
https://t.co/KKgFYIgguT
#NephJC#TenPostNephJC#NephTwitter
From glomerular diseases to advancing kidney care through research, Dr. Bhadran Bose @BoseBhadra39576 is a shining star. 🇦🇺
We look forward to the perspectives, experience, and clinical wisdom he will bring to #ISNCON26. 🌏🩺
@drshyambansal@arvindcanchi@DrAkshayaJ
We’re to welcome Dr. Tobias Huber to #ISNCON26, Kochi!
An internationally renowned clinician-scientist whose work has transformed our understanding of podocyte biology and glomerular disease. 🔬🩺
Register 👉 https://t.co/72rlqHZMG5
@TobiasAHuber@drshyambansal@arvindcanchi
Genetics, glomerular disease, & pediatric nephro are rapidly converging.
Join Dr. Priya Verghese @priyagoose at #ISNCON26 🌴Kochi to explore how these advances change the future of kidney care for children and young adults. 👧🧬
@drshyambansal@DrAkshayaJ@arvindcanchi
Evidence, controversy, & clinical practicality - few blend them as effectively as Dr. Swapnil Hiremath @hswapnil
If you enjoy challenging dogma & sharpening your clinical decision-making, don’t miss his session at #ISNCON26 🔥🩺
@arvindcanchi@NephJC@DrAkshayaJ@drshyambansal
If Yellapragada Subbarow is unsung in Oncology, so is Sakharam Dhundiraj Mahurkar in Nephrology. Read about him here @hswapnil@arvindcanchi@Nephropoise@vskeskar
https://t.co/Gmaz3JzcJU
1/ The ISN SoMe is here with our new #NephEd project, #TheWeeklyNephron where we will discuss a recent trial, a high-impact review or a guideline each week. Exam prep, lit review, or just a bedside read - we’ve got you covered. 📚
This week’s Xtorial is by @DrAkshayaJ
A brand new episode of the Kidney Konversations Podcast has just dropped.
@raja_1980 on Membranous Nephropathy.
New co-host @DrAkshayaJ
Listen in on Spotify - https://t.co/bpIXDtRtaQ
or on Apple Podcasts - https://t.co/iyWJhfKKtQ
🔬PLA2R. NELL1. Rituximab. Ponticelli.
If these keywords spark your interest, tune in 🎙️to our latest Kidney Konversations podcast with @raja_1980 on Membranous Nephropathy!
Hosts: @arvindcanchi@DrAkshayaJ
Spotify: https://t.co/Ucc3GxrP2w
Apple Music: https://t.co/BPoWYwk4Pl
Excited to share something new from the ISN Social Media Team! 🎉
✨Starting this week, we’re launching “The Weekly Nephron” - a series of concise nephrology Xtorials that will bring important studies directly to your timeline
@DrAkshayaJ@arvindcanchi@drshyambansal
Excited to host Dr. Kianoush Kashani @kianoushbk at #ISNCON26, Kochi!
He’s a pioneer in critical care nephrology and AKI research, whose contributions continue to shape the care of critically ill patients worldwide. 🌍🩺
@drshyambansal@arvindcanchi
QR for registrations 👇
💊THE MISSING MEDICINE 💊
This morning in the nephrology clinic, I met Abdul, a 46-year-old gentleman with diabetes and hypertension.
Like many of our patients, he navigates a complicated healthcare journey, visiting his primary care physician at our institution’s LCECU (Low cost effective Care unit), meets endocrinology when referred by them, and comes to our nephrology clinic every few months for his kidney care. Medications come from different clinics, different prescriptions, and different doctors. Keeping track of them is not always easy.
As we reviewed his reports, he asked the same questions patients often ask. “How is my sugar, madam? How are my kidneys? Has the protein in the urine improved?”
We went through everything together. Then came the medication review. I reassured him that most of his prescriptions were visible in our hospital system & I’ll cross check them with him. But he gently interrupted me.
“No, madam. My wife has told me that every time I come, I must confirm all the medicines with the doctor by listing it out myself.” I smiled and began reading out the medications one by one.He listened carefully. After I finished, he paused.
“No, madam. One sugar tablet which I take at night is missing. It was prescribed newly after I met you last time.” He knew the medicine. He took it every day. But he did not know its name.
His wife usually accompanied him to appointments, but that day their son had an exam, so she stayed home. I told him not to worry. He could confirm it and come back after the next patient. Or I could call him back next week. But he shook his head frantically. “No, madam. I will tell you now.” He immediately called his wife.
The conversation that followed lasted only a few minutes, but it was perhaps the most memorable part of my clinic that day.
On the phone, he urged her playfully, “Tell me fast, tell me fast. The doctor is waiting!” I could hear the faint sound of a woman moving around the house, searching through medicine strips and boxes.
He guided her like google maps navigation.
“Go to the “Peeche” (back) room. → “Check the cupboard.” → “No, not that one.” → “Jaldhi Dekh (Search faster)” !
She asked patiently, “Is it in the before-dinner box or after dinner?” Eventually she found it and read out the name. He repeated it to me triumphantly (It was Gliclazide BTW) but also apologetically, relieved that the mystery had been solved but knowing that I had a long list of patients ahead.
To anyone else, it might have seemed like an ordinary exchange about an ordinary tablet. But sitting there, watching him, I saw something else. I saw a wife who knew every corner of her husband’s medicine cabinet, every detail of his treatment. A husband who took her instructions seriously enough to insist on getting the drug list right. I saw two people sharing the invisible work of chronic illness, each quietly looking after the other.
We often speak about family support in medicine as though it is a statistic or a checkbox. But family support is this. It is a woman making sure her husband never misses a medication review. It is a husband calling home because he wants to get one missing tablet right. It is knowing which cupboard holds the medicines. It is knowing whether a tablet is taken before dinner or after dinner. It is caring enough to pay attention to details that most people would overlook.
Every day in the OPDs, we treat the disease. We adjust doses. We interpret Urine ACRs. We prescribe medications. But every now and then, between discussions about Creatinine and blood sugars, we get a glimpse into people’s lives.
And sometimes what stays with us isn’t the diagnosis. It is the tenderness. The quiet partnership. The ordinary, everyday love that helps people carry chronic illness one tablet, one appointment, and one phone call at a time. Those are the moments that make my day. 🥹
@hswapnil@ISNkidneycare@KidneyKolumns@kidney_warriors@onconephsociety@rc_oncneph@brian_rifkin
Now open access in @NDTsocial
Life course approach to preventing CKD by limiting long-term consequences of early adverse events
🧐Over a lifetime many hits injure our kidneys. Delaying CKD/kidney failure means mitigating those hits
▶️https://t.co/e01Qc4llhk
Join us in welcoming Dr. Anuja Java @anuja_java to #ISNCON26, Kochi! ✨
A leading expert in complement biology, thrombotic microangiopathy, and rare kidney diseases, bringing cutting-edge science and clinical insights to the meeting. 🌍🔬
Register 👉 https://t.co/72rlqHZMG5