Madhuri Ramakrishnan

A wide-eyed wanderer in the wondrous world of nephrology. Student for life - current training level: transplant nephrology fellow

[KU TXPNEPH @KUTxpNeph]

Calling all nephrologists, and health care professionals caring for patients with kidney disease in Missouri and Kansas.

REGISTER for Kidney Transplantation Update Symposium on Oct 5!

Speakers: KU Transplant Division and Dr Rosalyn Mannon from the University of Nebraska.

[Jia Ng, MD MSCE @jiahweing]

Come join me at 9am ET today (Jan 15) to learn about critical appraisal for RCT.

https://t.co/RxykLefTtE

[ASN Publications @asnpublications]

This study expects treatment with the combination of angiotensin-converting enzyme inhibitors/angiotensin receptor blockers and SGLT2 inhibitor in patients with albuminuric CKD without diabetes to substantially increase kidney failure–free survival https://t.co/YSGWWwnhyp

[Madhuri Ramakrishnan @madmagicdoc]

Dream: Plotting to mix SGLT2i into the water supply.

Reality: Insurance denials (try using metformin, they say), prior auths, looking up assistance programs, and its still too expensive for most patients.

#MyKidneyVoice
https://t.co/cnEev5mPSA

[Matthew Sparks, MD @Nephro_Sparks]

Thanks to so many who supported me. Especially to my family who made it to their first #kidneywk

@ssfarouk who nominated me and is my educational partner and friend.

all of my co signers, current and past @DukeKidney fellows, faculty, and everyone around the world

Thank you

[Madhuri Ramakrishnan @madmagicdoc]

An infectious disease specialist, cardiologist and nephrologist walk into a bar....

(Who is supposed to pay?)
@PoojaGurram @sicksinussyn
@mattysincs

Only at #KidneyWk
@ASNKidney

[Madhuri Ramakrishnan @madmagicdoc]

Back at #KidneyWk after 2019, hits different! As a resident, I was preoccupied with where I'd go for fellowship. As a fellow, I was preoccupied with where I'd get a job! Now as a practicing nephrologist, I am in unadulterated awe of the field and it's practitioners.
@ASNKidney

[Matthew Sparks, MD @Nephro_Sparks]

It’s out #EMPAKidney in @nejm #kidneywk

https://t.co/rrf0yTT9ES

[Jia Ng, MD MSCE @jiahweing]

Nephrology fellows on visas!
Special session for you today.

Reminder- come to W221A, nov 4th, Friday - 4.30-5.30pm.

Networking, Q+A session.
We have a mix of academics and private practice nephrologists. @BetterCallSeeth @madmagicdoc @Elena_Cervants @ASNKidney #KidneyWk

[Jia Ng, MD MSCE @jiahweing]

Nephrology Fellows!

Being on a visa has its own challenges.

Come join us next week during @ASNKidney #KidneyWk.

We will share our stories (challenges and successes) so that you don’t feel alone.

Bring your questions, we will answer them.

[Madhuri Ramakrishnan @madmagicdoc]

A large part of my life as a nephrology trainee and now as a practicing nephrologist is my visa and immigration status. Thank you @ASNKidney for organizing this session!
Nephrology trainees on visa - mark your calendar - attend this networking session
#KidneyWk

[Harish Seethapathy @BetterCallSeeth]

Are you a fellow on a J1 or H1B visa?

Don’t miss this networking event at #KidneyWk designed just for you!

“IMGs and Immigration challenges: The Great Burnout”

We can’t wait to connect with you!

[Edgar V. Lerma 🇵🇭 @edgarvlermamd]

Diabetes Management in CKD: A Consensus Report by @AmDiabetesAssn & @goKDIGO @DiabetesCareADA ca. 2022 #Nephpearls

H/T @deboerih @gbakris @KatherineTuttl8 @P_Rossing @sylviaerosas @JoshuaNeumiller @ConnieMRhee @kamleshkhunti

👉 https://t.co/n3nYY849S4

[Edgar V. Lerma 🇵🇭 @edgarvlermamd]

ADVOR: The addition of acetazolamide to loop diuretic therapy in patients with acute decompensated heart failure resulted in a greater incidence of successful decongestion ca. 2022 from @NEJM
#ESCCongress 🇪🇸 #Cardiorenal #Nephpearls

https://t.co/lCKaOIn9yY

[Edgar V. Lerma 🇵🇭 @edgarvlermamd]

CKD and metabolic acidosis from @goKDIGO #Nephpearls
#Infographics by @whatsthegfr

👉 https://t.co/dl8u2pQ3hH

[Pierre Antoine Brown @brownpa79]

tl:dr
don’t use linelozid in ESKD unless you HAVE to (daptomycin often a possible alternative). If you do, monitor CBC very closely. Even though off label, you may need to consider an appropriate renal dose.

[Edgar V. Lerma 🇵🇭 @edgarvlermamd]

Diuretics in states of volume overload: Core Curriculum ca. 2022 from @AJKDonline @JamesNovakNeph @dhekidney #Nephpearls

👉���� https://t.co/xZ2hVBR41I

[Madhuri Ramakrishnan @madmagicdoc]

@rehbies Coming from an infectious disease specialist, this means a lot 😄

[Madhuri Ramakrishnan @madmagicdoc]

To me this speaks to a larger problem of general lack of focus on nephrology in internal medicine residency. Nephrology simply cannot be an elective. It is a core area of internal medicine that requires good basic training to avoid these clinical scenarios.

[Alan Yu🇭🇰 @AlanYuNeph]

Pt admitted for AKI. A/P by primary team:
"Baseline Cr < 1, Cr up to 2
Holding losartan & lasix
Giving LR 150 mL/hr continuous"

No comment on volume status & no mention of working diagnosis😲

Discharged on day 3 with "stable" Cr in mid-2s (4x baseline)
2/n

[Madhuri Ramakrishnan @madmagicdoc]

@Dan_Batlle @portorenal I couldn't find anything specific on @acgme website regarding number/ hours of subspecialty rotations/exposure. #programdirectors on the thread, do programs just decide on these numbers bases on their individual situations?

[Madhuri Ramakrishnan @madmagicdoc]

#Nephfellows learn this early.

https://t.co/7fozxTiO2o

https://t.co/Eze2Mm9oFo

[Matthew Sparks, MD @Nephro_Sparks]

Correction of hyponatremia in someone with high risk of overcorrection without DDAVP clamp.