LECT2. ALECT

I morgen skal Stortinget stemme over et forslag som kan få store konsekvenser for natur, dyreliv og matberedskap. FrP, Høyre og Sp har fått med seg Ap.

Hvis Aps stortingsgruppe stemmer for dette forslaget stemmer de for enda mer rasering av verdifull norsk natur og enda mer nedbygging av matjord.

KDIGO 2026 Anemia in CKD: The Visual Abstract — NephJC Anemia remains a central challenge in chronic kidney disease, influencing quality of life, cardiovascular risk, and clinical outcomes. The updated KDIGO 2026 guideline provides practical recommendatio...

Hey #MedSky #NephSky
KDIGO has updated their guidance on anemia in kidney disease for the first time in a decade! Let's discuss 2/24/26 at 9pm EST
Check out the VA by @shelliefravel.bsky.social
www.nephjc.com/news/2026/2/23/kdigo-2026-anemia-in-ckd

Urease prod bacteria

Check out thr second part of a @coreimpodcast.bsky.social podcast episode on HRS www.coreimpodcast.com/2025/10/22/h...

Chat consensus?
🫀Low dose spironolactone is safe in ESRD, but monitor K+
🫀Spironolactone does not decrease CV events or HF hospitalizations in ESRD
🫀No meds (ACEi/statins) have improved CV mortality in ESRD to date; patiently awaiting SGLT2/GLP1/nsMRA studies in ESRD

Nå hadde vi en historisk sjanse til å gjøre oppdrettsnæringen langt mer bærekraftig🐟
Så velger man å ikke gjøre det🤷 Havbruksnæringen tjener store store penger, og har stor negativt påvirkning på miljøet🤑

@kevinyau.bsky.social GLP1 agonist master Jedi presenting at #ERA25.

💉GLP1 agonist reduce ED visits and hospitalizations!!!

📉Awesome methods. Best of the session:

💊DDP4 for comparison, IPTW, ICES data. Ticking all the right boxes (EPI nerd).

💊Only 40% on SGLT2i!!! We should flozinate more!!!

NRK - valgomaten burde ikke bestride fakta. Dette var skuffende. Spørsmålet bør heller være noe slikt som "Norge bør ikke kutte klimautslipp"

Things We Do for No Reason™: Avoiding intravenous iodinated contrast material in patients with acute kidney injury or chronic kidney disease Click on the article title to read more.

This was a fun article to work on. Hope you enjoy it.

Things We Do for No Reason™: Avoiding IV iodinated contrast material in patients with acute kidney injury or chronic kidney disease Journal of Hospital Medicine
shmpublications.onlinelibrary.wiley.com/doi/10.1002/...

a long time ago I used to knock normal saline for being hypertonic

I want to set the record straight on this, I was wrong

NS & LR are *functionally* isotonic

to affect sodium concentration, you'd need to give an impossibly massive volume

full discussion here: emcrit.org/ibcc/fluid/#...

Tring to make a chart showing that knowing the volume status does not tell you the anything about the sodium concentration (and vice versa). What would you add (and where)?

Det finnes øyeblikk hvor historien står og vipper. Nå er et slikt øyeblikk. Skriv under for å gi tusen milliarder til Ukrainas forsvar og et tettere europeisk forsvarssamarbeid: 🇺🇦 mdg.no/ukraina 🇺🇦

Mineralocorticoid Receptor Blockade prior to Adrenal Venous Sampling for PA - The Visual Abstract — NephJC Do Mineralocorticoid Receptor Antagonists Preclude the Identification of Unilateral Primary Aldosteronism at Adrenal Venous Sampling? Guidelines recommend withholding MRAs prior to PA subtyping by...

👀Check out the VA for our #NephJC discussion tonight 2/25/25 at 9 pm EST only on #Bluesky.
Visual abstract by Dr. Divya Bajpai
www.nephjc.com/news/2025/2/24/mineralocorticoid-receptor-blockade-prior-to-adrenal-venous-sampling-for-pa-the-visual-abstract

MDG vil ha forhandlinger om økt Ukraina-støtte etter Trumps uttalelser Miljøpartiet De Grønne (MDG) ber statsminister Jonas Gahr Støre (Ap) umiddelbart kalle inn til forhandlinger om økt støtte til Ukraina.

– Det å øke støtten raskt nå er ikke bare en viktig moralsk forpliktelse, men også avgjørende for vår egen sikkerhet, sier @arildher.bsky.social

Flomvern-saken: Stortinget stemte for å kunne åpne for kraftutbygging i vernede vassdrag Stortinget stemte i dag for å kunne tillate behandling av søknader til kraftutbygging i vernede vassdrag.

Hvis noen er i tvil, så er jeg og @mdg.no motstander av dette vedtaket!
www.nrk.no/innlandet/fl...

Renal Physiology for the Clinician Series
#Nephpearls

👉 journals.lww.com/cjasn/pages/...

Thomas Hylland Eriksen er død Den kjente sosialantropologen, forfatteren og debattanten ble 62 år gammel.

For et tap for Norge! Thomas Hylland Eriksen er en av de få folka jeg har møtt som har fått MEG til å tenke "wow, han prater mye". Og alt han sa var interessant! En fantastisk formidler og vidsynt tenker. Sånne har vi ikke for mange av, og nå har vi en færre. Takk for alt www.vg.no/nyheter/i/3M...

Check this out :

48 % less AVF thrombosis with Apixaban after thrombectomy of hemodialysis vascular access in a Taiwanese RCT - @asdinnews.bsky.social

Always satisfying to find the spikes and capillary wall holes of membranous nephropathy on silver stain. #renalpath #nephrology #pathsky #nephsky

Det var regjeringen som ville ha Helseplattformen innført og testet ut (Åpen for alle)

En ganske treffsikker kommentar om ansvarsforhold rundt Helseplattformen. www.adressa.no/debatt/i/RzK...

ANSWER

💡PTH can increase as early as days after an AKI.

A 1978 study performed serial measurements of PTH in patients with AKI. They found that PTH was elevated within days of injury and returned to normal when renal function recovered.

https://buff.ly/3YKpgxx

Tc-99m MAG3 diuretic renogram is a useful test for the evaluation of obstructive uropathy, and to determine if anatomical hydronephrosis reflects active functional obstruction. #UroNephrology

Finerenone Finally Finishing off Spironolactone? — NephJC A commentary putting the recent finerenone and spironolactone trials in perspective

Wrote a blog about it www.nephjc.com/news/2024/10...

I think MRAs in CKD are tricky to use.
You need a tight protocol - not a loosey-goosey pragmatic trial

I still remain a Spiro-stan, but the onus is on us to provide the good data

Smiling glomerulus to brighten your day. #pathology #renalpath #nephropathy #nephropath

New article in PDI

#OnlineFirst
#PeritonealDialysis

journals.sagepub.com/toc/ptda/0/0

I encourage #nephsky folks to read the ASN Kidney Health Guidance on Obesity in CKD. ASN encourages nephs to understand tools available to help adults with obesity and CKD safely lose weight - hope its helpful journals.lww.com/jasn/fulltex...
accompanying podcast www.asn-online.org/media/podcas...

Latest NASA global temperature data.
Earth has never been hotter since Homo sapiens (we) discovered agriculture in the early Holocene. Likely even since the Eemian interglacial 120.000 years ago.
Fossil coal, oil and gas emissions caused it.
We need to stop making it worse.
We can if we want to.

Calcium phosphate continents/plates/crystals, AKI, severe hyperphosphatemia. #UrinarySediment #UrineMicroscopy 🔬

Thx