Rashmi Algeri

Nephrologist and Transplant physician👩🏻‍⚕️

[Rashmi Algeri @nephroRash]

@Preddy85 Probably the only babu who seems to be interested in making this country a better place to live in, more power to him!!
Sadly people like u find problems in everything, if he will ask u to take a deep breath u will declare that as illegal too!

[Nikhilb @Nikhilb5887]

@arvindcanchi @isn_india @ISNeducation @ECNeph Have seen a few prescriptions where patients are prescribed Ketoanalogues, Probiotics after starting dialysis .

[Rashmi Algeri @nephroRash]

@varundubey Aren’t u the same guy who came with that hoax pacemaker story, the details of which u still have not shared despite many doctors calling you out? Back with another fake ass story.

[Dr Deepak Krishnamurthy @DrDeepakKrishn1]

A community note on this topic. Please provide evidence!!! @varundubey

[Rashmi Algeri @nephroRash]

@SAMTHEBESTEST_ A bunch of adults obsessing and lecturing a child about ‘humility’ because he couldnt get a grip over his emotions and did wat most children do-goof up.

[Shah Rukh Khan @iamsrk]

Thank you for honouring me with the National Award. Thanks to the jury, the I&B ministry… Iss samman ke liye Bharat Sarkar ka dhanyawaad. Overwhelmed with the love showered upon me. Half a hug to everyone today….

[Houssein Safa, MD @hsafaMD]

🩸Hematology For the Non-Hematologist🩸

(A practical educational series for internal medicine trainees and physicians)

Episode 4 - Febrile Neutropenia? Here’s your assessment and plan.

Listen up - 🧵

[Rashmi Algeri @nephroRash]

@docbhooshan Good call, never understood the logic behind this act of ‘collecting good karma points’ by rubbing ur celebrations in the face of those who dont have parents/dont know their birthdays, worse are those that make reels and post it for clout. Just donate anonymously or STFU.

[Turning the Tide @Turningthe_Tide]

🧵Why does low protein intake cause hyponatraemia?

Most people find this confusing.

But the underlying physiology is beautifully simple.

Let’s walk through it 👇

#Hyponatraemia #FluidBalance #MedTwitter #FOAMed

[Aravind Palraj @Rheumat_Aravind]

🧵 “10 Things Every Clinician Should Know About Vaccination in Autoimmune Disease”

Vaccination saves lives—but timing matters.
Here are 10 essential tips to vaccinate immunosuppressed patients safely 👇
#Rheumatology #MedTwitter #ClinicalPearls #Vaccines @DrAkhilX @IhabFathiSulima @gavi

[Rashmi Algeri @nephroRash]

@goanewshub @visrane So the minister ‘lost his cool’ for a B12 injection that was rightfully not given in Emergency? Ridiculous. Indian politicians as usual, high on theatrics.

[Goutham Sunny @medoncodoc]

🧪 New in Br J Haematol (2025):

🚫 Routine screening for MGUS is contraindicated!

❌ No benefit
😟 Same psychological distress as cancer
🔬 High false positives from κ/λ ratio
💉 Invasive tests done without prior non-invasive checks
📉 No improvement in outcomes from early detection
🧘‍♂️ Most MGUS patients never progress to MM

💡“Primum non nocere” – First, do no harm. @AaronGoodman33

#mmsm
https://t.co/bEWF3bYPMz

[Jasmine Sethi @JasmineNephro]

🫘👉AKI in patients with Cancer

https://t.co/trV7KJaXVU

@NEJM

[Sanjeev Sethi @SethiRenalPath]

This Dx often not the mind of nephrologist- always surprised by Dx

Fibrillary Glomerulonephritis

LM: Membranoproliferative GN
IF: IgG 3+, polyclonal=3+ kappa & lambda
EM: fibrillary deposits

DNAJB9 positive, Congo red negative

65 yr obese lady, hematuria & proteinuria. Cr 2

[Ross Prager @ross_prager]

Lasix is NOT nephrotoxic 🫘

Please retweet so we can end this myth once and for all 🦄

Rising creatinine is more often an indicator of inadequate Lasix dosing than excessive!!

Lasix can only harm the kidneys if it decreases cardiac output by dropping preload to the point of reducing stroke volume... as someone who scans these patients regularly this is surprisingly rare!

If a patient still has venous congestion (on Doppler), then Lasix is not driving the AKI. Instead, their AKI is from untreated congestion!!

[Jasmine Sethi @JasmineNephro]

🙌Interpretetion of SPEP

https://t.co/MiLjTBYhUy

[Jasmine Sethi @JasmineNephro]

🫘Hypertension in dialysis

https://t.co/NZns1bjwsw

@ijkdwin

[Dr Nilesh Nolkha @nileshnolkha]

GOUT: Let’s Clear the Confusion!

Common Mistakes We See:
❌ Taking meds only during attacks
❌ Stopping treatment when you feel better
❌ Blaming food alone
❌ Ignoring uric acid targets
❌ Eliminating protein unnecessarily

⸻

What Really Happens Over Time?

Without proper treatment, gout attacks:
⏳ Last longer
⚡️ Become more frequent
🦶 Affect multiple joints
And may cause permanent joint damage!

⸻

It’s NOT Just About Food!

Yes, 🍗🥂 purine-rich foods can be triggers —
BUT genetics, kidney function, and body metabolism are major players in high uric acid.
You can eat “clean” and still have gout — or eat well and stay flare-free with the right treatment!

⸻

GOOD NEWS for Foodies:

You can eat animal protein (chicken, fish, eggs) and use protein supplements safely —
IF you’re on proper urate-lowering therapy!

🥚 Eggs
🥛 Dairy
🐟 Lean meats
🌱 Plant proteins
💪 Protein powders (whey/plant-based)
All can be included!

⸻

Eliminating All Protein? Bad Idea!

⚠️ Makes your diet unpalatable
⚠️ Leads to muscle loss
⚠️ Often fails to bring uric acid below the target
Remember — it’s not about punishing food, it’s about smart treatment!

⸻

What Actually Works?

✅ Target uric acid < 6 mg/dL
✅ Daily urate-lowering meds (not just during flares!)
✅ No stop-start approach
✅ Build strength, eat well, live pain-free

⸻

The Bottom Line

Gout is treatable and preventable — but not by fearing food.
Get the science right, stay on the right meds, and stop fearing protein!

#GoutAwareness #UricAcidUnder6 #ProteinIsNotTheEnemy #SmartTreatment #RheumatologyFacts #NoMoreGoutAttacks #LiveStrongEatWell

[Rashmi Algeri @nephroRash]

@kotharijatin @dubai Haha no worries sir! Wat an awesome game🇮🇳🏆

[Cricinfo @cricinfo]

INDIA WIN THE 2025 ICC CHAMPIONS TROPHY 🇮🇳🏆