Dr. Prashant.C.Dheerendra

Kidney doctor. Founder of Dharma Kidney Care. Adjunct associate professor at Apollo Hospitals,BG Road, Bangalore. Making life easier for kidney patients.

[Dr. Prashant.C.Dheerendra @prashantnephro]

If  you are looking for fourth opinion, go back to the first one. And so on.....

[Dr. Prashant.C.Dheerendra @prashantnephro]

Thankfully urine albumin hasn't been reported in pico or femtograms.

[Dr. Prashant.C.Dheerendra @prashantnephro]

@katiewiskar Difficult for me to agree with this. Low intake by itself shouldn't cause hyponatremia. A very good thread indeed!

[SUDHIR @seriousfunnyguy]

CM: Bhai Factory to Kafi badhiya banayi hai, koi dikkat ho to mujhe direct call karna

Owner: Thank you Sir, aap Devta hain

CM: 1000 jodi (pairs of shoes) to ban jati hongi ek din mein?

Owner: Nahin Sir, 5000 jodi banti hain ☺️

CM: Wah. Tujhe to CM award milna chahiye. 10 Rupaye Jodi bach jaate hain?

Owner: Nahin Sir, 35 se 40/- bach jate hain 🤦‍♂️
🧵

[Dr. Prashant.C.Dheerendra @prashantnephro]

@chetanmudrabett @arvindcanchi @raja_1980 I haven't.

[Sakthi @sakthinephro]

Join us on Nov 8th, 6:30 PM IST for the #ISOTeduConnect event! Demonstration of the innovative ISOT Swap Software, followed by a panel discussion with experts Dr. K S Nayak and Dr. Satish Balan
https://t.co/zM4ql8Tb6W

#ISOT #ISOTSWAP

[Dr. Prashant.C.Dheerendra @prashantnephro]

We live in an age of too much noise and few signals. We were better at managing edema before so many tests became available. There's no signal that's more useful than a patient who feels better with decreasing weight and diuresis.

[Joel M. Topf, MD FACP @kidney_boy]

One of the common criticisms of NephroCheck and other biomarkers of AKI is that since we don't have a treatment for AKI, checking these do not change what we do.

But I think this view isn't thoughtful.

Given that most of the contrast associated nephropathy we see after cardiac cath has been shown to be meaningless hemodynamic changes in creatinine and not actual tubular damage, we could have avoided scaring a generation of doctors in to believing in contrast nephropathy had we evolved from creatinine to biomarkers.

Similarly, how many heart failure patients have gotten inadequate diuresis because of panic over a bump in creatinine? I suspect, had we transitioned to biomarkers of kidney injury, cardiologists and nephrologists would have been more confident in pressing forward with needed diuresis.

Better diagnosis would allow better management despite not having an AKI pill (yet).

[Dr. Prashant.C.Dheerendra @prashantnephro]

@kidney_boy Great work. Congratulations!

[Dr. Prashant.C.Dheerendra @prashantnephro]

@sakthinephro @purvabavikar @IndiaSoTx @DrKSNayak @iamnephrologist @drvivekkute @IamGopambuj @BeheraVineet @arvindcanchi @AmolBhawane @Amit_Nephro @balwani__manish @drshyambansal @dakidneydoc @priti899 @JasmineNephro @Jithukurian6 @ajaynephro @drmanishasahay @nephromythri @MSR_Urosurgeon That's laudable. Sooner the better. 👍

[Dr. Prashant.C.Dheerendra @prashantnephro]

@sakthinephro @purvabavikar @IndiaSoTx @DrKSNayak @iamnephrologist @drvivekkute @IamGopambuj @BeheraVineet @arvindcanchi @AmolBhawane @Amit_Nephro @balwani__manish @drshyambansal @dakidneydoc @priti899 @JasmineNephro @Jithukurian6 @ajaynephro @drmanishasahay @nephromythri @MSR_Urosurgeon @sakthinephro any cost implications for the patients/nephrologists/hospitals? I think the tool must be used without further delay and the respective states should take the lead.

[Indian society Organ Transplantation @IndiaSoTx]

🌸ISOT's swap transplant software facilitates donor-recipient matching, optimizing compatibility for kidney and liver transplants using advanced matching algorithms.
🔆@sakthinephro briefs about the software

💥Interview by @purvabavikar
#ISOT2024

[Dr. Prashant.C.Dheerendra @prashantnephro]

@captainchloride Only diuresis and make the family/patient understand the risk of contrast administration.

[Dr. Prashant.C.Dheerendra @prashantnephro]

@HinduofOdisha @priti899 @KIReports @ISNkidneycare @kdjhaveri @vjha126 @AnandhUrmila @myadla @SaynaNorouzi @PanktiMehta24 @Indian__doctor @arvindcanchi Will written and eye opening!

[Dr. Prashant.C.Dheerendra @prashantnephro]

@hswapnil @Jwaitz @nephdrkishan @kidney_boy @VelezNephHepato @AnnaGaddy @chetanmudrabett @JasmineNephro @fearingforties @srikanthnephro @drmanishasahay @LeticiaRolonMD @NephroMD @signindoc Spot on! Crewman Darnell it is and Dr. McCoy his physician. It used to air on Doordarshan when I was in kindergarten. Wish "it" had survived and sent back to its planet with tonnes of salt. Life's craving for salt depicted splendidly. A reco on Netflix.
https://t.co/Q8ZUXLH9GW

[Dr. Prashant.C.Dheerendra @prashantnephro]

Can you name the first man to succumb to anatremia (Yes, you read it right, Na= 0)? And his physician? @nephdrkishan @kidney_boy @VelezNephHepato @AnnaGaddy @Jwaitz @chetanmudrabett @JasmineNephro @fearingforties @srikanthnephro @drmanishasahay @LeticiaRolonMD @NephroMD

[Dr. Prashant.C.Dheerendra @prashantnephro]

@Jwaitz @nephdrkishan @kidney_boy @VelezNephHepato @AnnaGaddy @chetanmudrabett @JasmineNephro @fearingforties @srikanthnephro @drmanishasahay @LeticiaRolonMD @NephroMD Incorrect. He is one of many men who have succumbed to the box office.

[Dr. Prashant.C.Dheerendra @prashantnephro]

@Teknofiliac Aspirate as much as possible with a two cc syringe. Flush very, very slowly.

[Dr. Prashant.C.Dheerendra @prashantnephro]

@LangoteAmit @nephdrkishan @JasmineNephro @SreejithDr @melhoenig @arvindcanchi @LeticiaRolonMD @Jwaitz @raja_1980 @VijayKher8 @ajaynephro @chetanmudrabett @Dr_Kristin_G @krithicism https://t.co/27q24UqOc7
https://t.co/WbNt5G3Awh
Used something like this contraption from Amazon in the ward.
https://t.co/CQOa7VBT1I
Have used in two very refractory nephrotic patients. 2-3 days into the process and both of them became diuretic sensitive! Lukewarm water. 4h/day

[Dr. Prashant.C.Dheerendra @prashantnephro]

This was a patient with FSGS that we managed two years ago. 10 kgs over recent weight and e
uncomfortable because of edema. Usual measures plus high diuretic doses -- 240 mg Lasix IV, metolazone 10mg and spiro 100mg with albumin didn't move the needle over 5-6 days. Over the next

[Dr. Prashant.C.Dheerendra @prashantnephro]

@nephdrkishan @JasmineNephro @SreejithDr @melhoenig @arvindcanchi @LeticiaRolonMD @Jwaitz @raja_1980 @VijayKher8 @ajaynephro @chetanmudrabett @Dr_Kristin_G @krithicism We used head out water immersion with good results.
https://t.co/K6MPRDKmxY

[Dr. Prashant.C.Dheerendra @prashantnephro]

@Endoananth @nephdrkishan @JasmineNephro @SreejithDr @melhoenig @arvindcanchi @LeticiaRolonMD @Jwaitz @raja_1980 @VijayKher8 @ajaynephro @chetanmudrabett @Dr_Kristin_G @krithicism Haven't used it for diuresis alone.