The highest Serum Na I have ever seen. This patient presented with altered sensorium and for obvious reasons. He also needed RRT for oliguric renal failure. What would be the target Na in this patient? How do we do RRT in such a scenario? #NephTwitter#AskNeph#AskRenal
Today I introduced The Healthcare Personnel and Healthcare Institutions (Prohibition of Violence and Damage to Property) Bill, 2023 in the LokSabha.
On May 10, 2023, Dr Vandana Das, a young doctor driven by a commitment to serve humanity, tragically lost her life at the hands of a patient she was caring for in the emergency room. While recognising that nothing would bring back their only child, I had pledged to her parents that her death would not be in vain. She is not alone: It is currently estimated that 75% of doctors face physical &verbal abuse during their service. No doctor should have to fear for their safety while fulfilling their duty.
As promised, I have thus moved a private member’s bill in Parliament to protect medical personnel. It makes acts of violence against healthcare personnel, including paramedical students &workers, administrative staff & ASHA workers, a cognisable and non-bailable offence. It requires speedy investigation and sentencing within a specified time frame & the establishment of designated special courts in every district.
If passed, my Bill should be known as the Vandana Das Act, in honour of the brave young medical martyr. @mansukhmandviya
Lots of fun waiting to happen..
For the first time we present a Nephrology Cricket League with
#isncon22
All those with a cricketer inside you join in..
Please block your dates for the 52nd Annual Conference of @isn_india#isncon22 at JW Marriot #Pune from 01-04 Dec 2022.. Scientific nephrology feast with great talks by esteemed international & national faculty, Exciting oral papers & posters, and lots more !! @ISNeducation
#askrenal#nephjc@fearingforties@NamrataYParikh@arvindcanchi@divyaa24 27yr F, unmarried with nephrotic presentation. Urine alb +3 with microscopic hematuria and serum alb 1.9g/dl. Normal renal functions and proteinuria of 6g per day. No h/o suggestive of lupus except hairfall
@fearingforties@NamrataYParikh@arvindcanchi@divyaa24 Would you term it as Lupus? Treatment i agree would not differ much! Only thing Class V may present with normal complements and absent AntidsDNA... so thinking in that terms!
Presence of both c3 and c1q positivity in biopsy. Serum Anti Pla2r is negative and complement levels are normal. How would you further evaluate and manage such patient? She has already recieved 2 months of mmf and steroids without any response.