Malvinder Parmar

Say the way, it is! Tweets are != medical advice. Focus on "Little things that matter."

[Malvinder Parmar @wittykidney]

A nephtwitron with interests beyond nephrology. No COI. #jhmchat

[Malvinder Parmar @wittykidney]

@JAMA_current A misnomer. In severe obesity hyperphosphorylation of toponin directly impairs contractility in proportion to obesity (Science 2026) - weight loss is the mainstay, GLP-1 helps. #StopHFpEFmimics as #HFpEF when only a minority ~10% have true elevated filling pressure (Bellicini 26)

[Malvinder Parmar @wittykidney]

@fervenzaf @arvindcanchi @NEJM @isn_india @ISNeducation @ECNeph Like the quote

[Malvinder Parmar @wittykidney]

@fervenzaf @arvindcanchi @NEJM @isn_india @ISNeducation @ECNeph Thanks for the rationale. So, if we compare this with ongoing wars in 2026,
RTX is like Israel with the support of US, attacking a country
OBI is like Russia attacking another country
But Majesty like US attacking Venezuela & declaring victory in a short period
Simply put.

[Malvinder Parmar @wittykidney]

@MorningNorth
Midnight calls and false alarms: Why rural patients deserve better laboratory services.

This might be of interest to Northern Ontario population

[Malvinder Parmar @wittykidney]

Midnight calls and false alarms.
https://t.co/u10iMJQ7oX

[Malvinder Parmar @wittykidney]

@Doctors_GUILD Abdominal angina, depends on the age, celiac artery stenosis, especially being after meals

[Malvinder Parmar @wittykidney]

@dakidneydoc @Dilushiwijay @edgarvlermamd @AmJNephrol @NephroKarger @asnpublications @NDTsocial Majority of patients who have diabetic nephropathy, also have associated retinopathy, and are receiving intravitreal VEGF injections and those can cause such and other changes with worsening proteinuria. Have they excluded the effect of such agents.

[Malvinder Parmar @wittykidney]

@Dilushiwijay @arvindcanchi Error, not colloid, should be crystalloid. Typo

[Malvinder Parmar @wittykidney]

@Dilushiwijay @arvindcanchi Depends on what % . 5% is no different than colloids. 25% 100cc 2-3 times a day for few days almost always works, helps with diuresis with lasix without worsening AKI, in fact kidney function stabilizes or improves, only a temporizing measure.

[Malvinder Parmar @wittykidney]

Should #HFpEF be considered a pandemic nowadays. Almost everyone with dyspnea or 'air hunger', undergoes ECHO, and with normal EF, is being diagnosed with this diagnosis, especially elderly..., unfortunately even by some cardiologists? Seems like a default diagnosis.

[Malvinder Parmar @wittykidney]

@BladeDoc @PulmCrit And controlling the construct

[Malvinder Parmar @wittykidney]

@AlanYuNeph @hswapnil @marclebiodoura1 @NephRodby @kidney_boy Think, soon that would be called "AVP -I"

I for inappropriate

[Malvinder Parmar @wittykidney]

@drjohnm Thanks

[Malvinder Parmar @wittykidney]

@drjohnm We do things because...

[Malvinder Parmar @wittykidney]

Why editors when they reject a manuscript from their mainstream journal, advise to submit to their associated Open Access Journal?

[Malvinder Parmar @wittykidney]

@RenoHemonc @JAMA_current That's why these are called 'non-profit'. Use profits for themselves and balance the books.

[Malvinder Parmar @wittykidney]

@AJKDonline @dranulala @MonaDoshiMD @mkonstam @TuftsMCKidney @TuftsMedicalCtr The conclusion statement is confusing or possibly typographical error, Instead of "..., long-term term kidney function" should be "kidney dysfunction or "...reduced (decreased) long-term kidney function"

[Malvinder Parmar @wittykidney]

@Jecmello @DrNikhilMD My recent LTE

[Malvinder Parmar @wittykidney]

@nature_sabine @drjohnm What long-term studies, unfortunately negative studies do not change practices where their are financial benefits. Did OAT, CARP, COURAGE & it's 15-yr follow up study, DANISH, ISCHEMIA & many more studies changed anything over past 2 decades.