@OmarAbdullah@OmarAbdullah State pe bhi dhyaan de dein thoda janaab. Healthcare collapsed since ages, infra bura haal, power supply one of the worst, No jobs ever for professionals, Phd holders. You have all the opportunities to say other's 6 may be 9 for you.
@DrNikhilMD In clinical practice it's actually widespread use of calcitriol without understanding when to give it, what to target while using it and when to stop giving it.
@tarunjindal3165@JasmineNephro@NEJM Since creat is high, both the kidneys are involved and it's not a unilateral disease. Look for proteinuria/hematuria. Evaluate for other causes of CKD including autoimmune, complement levels. Try to add low dose ARB (monitoring electrolytes) along with CCB etc
@drabdulhameed07 Why would you want to control the BP rapidly. It's HTN urgency. You need to look for any end organ damage and if no then optimise the oral drugs as rapid decline is not recommended and no more than 20-25% in next 24 hours.
@nihardesai89 Either you have some khandani dushmani with her or having very dire need of followers.
Subah se yahi kr raha hai bhai. Bss kr. Peeche hi pad gaya hai uske.