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Posts by Joel Topf

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Comparison of 8.4% Sodium Bicarbonate vs. 3% Sodium Chloride in Severe Hyponatremia: A Retrospective Cohort Study - PubMed This study found that a single 50 mL dose of HTB more often resulted in obtainment of guideline-recommended post-intervention serum sodium goal concentrations than a 100 mL HTS dose. Additional studies...

Cool study - an amp of sodium bicarbonate (50 ml 8.4%) raises sodium similar to a boils of 3% - as expected of course!

pubmed.ncbi.nlm.nih.gov/41937305/

@pulmcrit.bsky.social @kidneyboy.bsky.social

#nephsky #emimcc

4 days ago 12 6 2 0

Always a solid strategy

4 days ago 1 0 0 0
Travere Therapeutics Announces Full FDA Approval of FILSPARI® (sparsentan), the First and Only Approved Medicine for FSGS

Sparsentan approved for FSGS for age 8+! www.streetinsider.com/dr/news.php?...

1 week ago 9 4 1 0

Orban, Bolsonaro, Trump, and all the rest of these goons want you to believe they are inevitable and, once in power, invincible. They are not.

1 week ago 2835 614 0 19
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That said phosphate containing colas are not great #StoneCamp

1 week ago 3 1 0 0

When it comes to stones, fluids of any kind are helpful but beer and wine are particularly fine #StoneCamp

1 week ago 2 0 1 0
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High oxaluria due to peanuts. Salted peanuts.
Note the phos.

1 week ago 1 0 1 0
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Going deep into acid base. Instead of ABGs we are using 24-hr urines. Fascinating #StoneCamp

1 week ago 1 0 1 0
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If the 24-hr urine looks clean maybe they cheated, maybe it is an unusual stone. 2,8 dihydroxyadenine stone

1 week ago 1 0 1 0
A street corner, with a sign reading "Play Area & Cholera Burial Ground".

A street corner, with a sign reading "Play Area & Cholera Burial Ground".

Saving for "State your mood in one image" threads.

1 week ago 1927 302 33 25
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Urine calcium goes up with glucose and caffeine loads. Learning lots at #StoneCamp

1 week ago 4 1 1 0

I guess you really do lose muscle mass on GLP1ra

1 week ago 0 0 1 0
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Tremendous overlap between stone formers and non stone formers #StoneCamp

1 week ago 3 0 1 0

About 4% of samples they receive are rejected because patients did not follow the instructions correctly. #StoneSample

1 week ago 2 0 1 0

The LithoLink preservative has a set amount of K Fluoride in it. They then look at the concentration of fluoride in the aliquot to back calculate the volume! Fucking genius #StoneCamp

1 week ago 3 0 3 0
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Asplin shows his own urine collections. He claims no one in the world has done more 24-hour urines than him. Note the tight variability of urine Cr. He is also the best at collecting 24-hr urines #StoneCamp

1 week ago 5 0 1 0
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And stop worrying about protein intake. It doesn’t matter. #StoneCamp

1 week ago 1 0 1 0
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Look at the N on the y axis. This is all 2-day back-to-back collections where the two collection were within 10% of each other. 20 mg/kg for men, 15 mg/kg for women #StoneCamp

1 week ago 1 0 1 0

Get an electronic urine pH meter! #StoneCamp

1 week ago 2 0 1 0
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Dipstick urinal pH sucks #StoneCamp

1 week ago 2 0 1 0
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Two consecutive urines, 25% will have at least one variable 50% different

1 week ago 2 0 1 0
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Sundays hit different #StoneCamp

1 week ago 3 0 1 0
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a group of men in historical costumes with the words nobody knows above them ALT: a group of men in historical costumes with the words nobody knows above them

🤷🏻‍♂️

1 week ago 3 0 0 0
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I'm at LithoLink's #StoneCamp. Asplin is explaining that the first rule of stone camp is you don't talk about stone camp. I am tweeting under table. I may get kicked out.

1 week ago 14 1 2 0
Glenn Chertow Sings about Contrast Associated Nephropathy
Glenn Chertow Sings about Contrast Associated Nephropathy YouTube video by Joel Topf

For those of you who are not familiar youtu.be/Q3n1AQphbUA?...

1 week ago 2 1 0 0

ASN #KidneyWk 2019 might be my favorite ASN. Epic #NephJC party. Chertow sang Give’m the Old Razzle Dazzle during the CAN session, and #Flozins were still ascending!

1 week ago 2 0 1 0
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8 mile run this week. Longest since last summer. Felt good

1 week ago 16 0 0 0

I want to scream to the world that this is not who we are but we are what we do.

This is embarrassing

1 week ago 10 1 1 0
Dear GI

How are you?

Nice story about JE in NY mag. You look great on the picture.

I know you are very busy flying all over the world. How was Palm Beach? I cannot wait to go down. Give me a call when you are back in NY.

Have a great time!

Love,

Melania

Dear GI How are you? Nice story about JE in NY mag. You look great on the picture. I know you are very busy flying all over the world. How was Palm Beach? I cannot wait to go down. Give me a call when you are back in NY. Have a great time! Love, Melania

Melania: “I never had a relationship with Ghislaine Maxwell.”

1 week ago 5788 1721 220 126
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Astronauts Dedicate Moon Crater to Carroll Wiseman, Wife of NASA Commander

I didn't know anything about the Artemis II astronauts a week ago and now I would fight my way into Hell for any of them.

2 weeks ago 5682 658 82 41