Sanjay Neupane

Nephrologist at Northwest Renal Clinic, Portland

[Sanjay Neupane @Saprane8848]

@RogerSeheult @Nabin62158820 River turned into ocean.. so it was like tsunami

[Sanjay Neupane @Saprane8848]

@GlassockJ @JonathanNefro @rafavaldeznefro @GlassockJ do you think Atherosclerotic CKD or vascular disease CKD would be better nomenclature for that phenotype CKD which everyone seem to say Hypertensive nephrosclerosis?

[Sanjay Neupane @Saprane8848]

@ThorTorrens Rapid weight loss due to any or GLP agonists

[Sanjay Neupane @Saprane8848]

@DrDiGiorgio FYI- 12 point ROS or comprehensive physical exam are no longer the requirements. That changed few yrs already. Current billing is mostly based on assessment and planning or time spent which are fair.

[Sanjay Neupane @Saprane8848]

@katiewiskar Thats exactly the algorithm most nephrologists follow but I was never taught in medical school or residency. Thanks for creating the flowsheet. If all internist only followed this rather than volume based they wouldn’t need much of us.

[Sanjay Neupane @Saprane8848]

@VijayaRBhatt1 @unmc @UNMC_IM @UNMCHemeOnc Congratulations

[Sanjay Neupane @Saprane8848]

@khanacademy Mathematics

[Sanjay Neupane @Saprane8848]

@AshleyGWinter As a nephrologist I have done this for recurrent uti. But I wasn’t aware of isolated microscopic hematuria. Do you do estrogen cream for isolated microscopic hematuria if related to vaginal dryness? Why treat isolated microscopic hematuria if they don’t have UTI?

[Sanjay Neupane @Saprane8848]

@kdjhaveri I can barely get SlowMg approved from insurance. Forget about being able to use these for hypomagnesemia in clinical practice.

[Sanjay Neupane @Saprane8848]

@SilberjRogosin Congratulations, well deserved!!

[Sanjay Neupane @Saprane8848]

@DrAndyNixon Thats why somebody said: no more white coat syndrome, its patagonia fleece syndrome!!

[Sanjay Neupane @Saprane8848]

@LaraAHayes It would be best just to call primary care and figure out why they did it or educate them on the topic if they are not aware!

[Sanjay Neupane @Saprane8848]

@DGlaucomflecken @YouTube That was the best laugh!!

[Sanjay Neupane @Saprane8848]

@MiriamGodwin4 in Oregon where I practice, it is dire. Its mostly staffing shortage and treatments are cut short to 2 hrs in several places and several Fresenius clinics closing. It will only get worse..

[Sanjay Neupane @Saprane8848]

@TWhittier_RUSH I am trying to do same for Amlodipine and Hydralazine. But then, do you also do this on those with Coronary artery disease?

[Sanjay Neupane @Saprane8848]

Do you prescribe ESA for severe anemia in AKI( HD dependent or not) #Aaskrenal

[Sanjay Neupane @Saprane8848]

@ISNeducation @hswapnil Oxalate

[Sanjay Neupane @Saprane8848]

@NephJC Does Spironolactone cause hyponatremia #askrenal

[Sanjay Neupane @Saprane8848]

@nephondemand 10

[Sanjay Neupane @Saprane8848]

@VelezNephHepato Could it be spuriously low due to lots of fluids and positive fluid balance!