〽️ichael Heung

〽️@umichkidney clinical chief. #AKI #criticareneph #qualityimprovement #foodie #hockey 🇨🇦.

[Leslie Wong @DrLesWong]

CATION+ is officially a #nonprofit organization with a mission to advocate for Asian Americans in #nephrology across #NorthAmerica. Check out our new website https://t.co/JKHqDY3e61

[CATION @CationKidney]

Networking event with CATION at ASN #KidneyWk San Diego on Thursday Oct 24
#AsianAmericanAdvocacy #nephrology #healthcare #diversity #equity #kidneyhealth
DM us for details!

[University of Michigan - Division of Nephrology @UMichKidney]

Such an honor to welcome @rajmehrotra1122 from @UWNephrology to give the Fritz Port Lecture on “Improving the Lived Experience of Patients Undergoing Lon-Term Dialysis” for @UMIntMed grand rounds.

[ASN EPC @AsnEpc]

The AKINow Education Workgroup welcomes Dr. Tran! @keepingitrenal @MarkOkusa @NephTushar @waikarss https://t.co/FJx2Dwa3Ze

[U-M Department of Internal Medicine @UMIntMed]

Just over 6 weeks until our 2024 Updates in Nephrology conference!

Featuring a group of fantastic speakers, relevant presentations, and in-person networking opportunities, this is a must-see event 👀

Register today at: https://t.co/Ai8ArOrJ4S

[U-M Department of Internal Medicine @UMIntMed]

Our own @MonaDoshiMD was present at the signing of SB 384 by Governor Whitmer @gretchenwhitmer, prohibiting life, disability & long-term care insurers from refusing to insure, limiting coverage, or charging a different rate or premium based solely on living organ donor status.

[U-M Department of Internal Medicine @UMIntMed]

Division of Nephrology @UMichKidney faculty, Drs. @LauraMarianiMD, @MonaDoshiMD & Julie Wright Nunes, speak on important current & proposed #KidneyDisease legislation to members of Congress on both the state & national levels.

Learn more: https://t.co/dgVBBbFmpy

[〽️ichael Heung @keepingitrenal]

Explained in much better detail by my colleagues, using our own “shock” protocol for citrate anticoag in CKRT:

https://t.co/0SyXzuvJhB

[〽️ichael Heung @keepingitrenal]

Key to avoiding citrate tox is understanding citrate kinetics during CKRT. If endogenous clearance intact (no liver failure/severe shock), almost never an issue. But if suspect impaired endogenous clearance, protocol needs to be adjusted to increase filter citrate extraction.

[〽️ichael Heung @keepingitrenal]

Key to avoiding citrate tox is understanding citrate kinetics during CKRT. If endogenous clearance intact (no liver failure/severe shock), almost never an issue. But if suspect impaired endogenous clearance, protocol needs to be adjusted to increase filter citrate extraction.

[〽️ichael Heung @keepingitrenal]

Completely agree. Whether we call it citrate “toxicity”, “lock” or just “accumulation”, this is a real risk with citrate protocols. Most dangerous potential aspect to me is acute drop in pt iCa near initiation (ie. Initial bolus of citrate with poor endogenous clearance).

[〽️ichael Heung @keepingitrenal]

Completely agree. Whether we call it citrate “toxicity”, “lock” or just “accumulation”, this is a real risk with citrate protocols. Most dangerous potential aspect to me is acute drop in pt iCa near initiation (ie. Initial bolus of citrate with poor endogenous clearance).

[Ashita Tolwani @luck_urine]

@weddellite @jaykoyner @hswapnil @SaynaNorouzi @arvindcanchi @NephroGuy @VijayanMD @ASNKidney @keepingitrenal @LLNeph @javo_neyra @nkf Citrate itself is not toxic, but citrate accumulation is a real entity with adverse effects. I have used various citrate solutions and have seen it with all solutions. We have been using citrate since 2004 and have extensive experience with all its metabolic issues.

[〽️ichael Heung @keepingitrenal]

Makes sense that if you go to the Kidney Ball, you will run into the @kidney_boy!

@nkf

[Joel M. Topf, MD FACP @kidney_boy]

Having a night at #KidneyBallDetroit

[Joel M. Topf, MD FACP @kidney_boy]

Having a night at #KidneyBallDetroit

[〽️ichael Heung @keepingitrenal]

Looking forward to getting to work with this awesome group of colleagues!

Thank you @CJASN and @ConnieMRhee for this opportunity 🙏

[ASN Publications @asnpublications]

CJASN is pleased to announce the incoming Editorial Team, under the direction of EIC @ConnieMRhee, effective January 1, 2024

@sagarnigs @kamkalantar @KatherineTuttl8 @ChrisChanUHN @keepingitrenal @J_B_Kendrick @LaetitiaKoppe @MBaliker @gratefull080504

[ASN Kidney News @KidneyNews]

Over the past year, AKINow's workgroups have worked to address the rising incidence of AKI through the development of educational content, outreach to the kidney community, and dissemination of best practice information https://t.co/tEJWXz2vyW

@renalgal

[〽️ichael Heung @keepingitrenal]

How it started: A little over 5yrs ago, I got to work w @ConnieMRhee, a great researcher and one of the nicest people ever.

How it’s going: Such and honor to share the @ASN stage at #KidneyWk with her yesterday to receive mid-career awards!

[〽️ichael Heung @keepingitrenal]

Crazy R(esear)ch Asians!

Happy to welcome @ConnieMRhee and the rest of the UCI team to Ann Arbor again for our @USRDS meeting.

[〽️ichael Heung @keepingitrenal]

@jaykoyner Thanks Jay! Just trying to live up to the amazing standard that you have set for us in critical care nephrology!!

[spandurangarao @spandu61]

Our own Dr Oliverio chairing a session on women’s health and the kidneys at ASN 2023 in Philadelphia

[Anitha Vijayan @VijayanMD]

What a fun reunion of @ASNKidney @AsnEpc committee! @SilberjRogosin @mattysincs @jaykoyner @keepingitrenal @AlanKliger @U1Lady @VineetaKumar8 #KidneyWk

[Javier Neyra @javo_neyra]

#AKINow team getting together at #KidneyWk 2023! Great work already done and much more ahead to improve AKI care worldwide, one step at the time @AsnEpc @ASNKidney

https://t.co/atlSQVYDEJ