@kamaldshah.bsky.social
Reposted
Via @kamaldshah.bsky.social
High serum aluminum with toxicity from sucralfate
The -al- in sucrALfate is aluminum
I had a patient on sucralfate (severe GI reasons) whose PO4 would be pristine. Aluminum is a fantastic PO4 binder (but toxic to may tissues)
www.kamaldshah.com/2025/10/and-...
High serum aluminum with toxicity from sucralfate
The -al- in sucrALfate is aluminum
I had a patient on sucralfate (severe GI reasons) whose PO4 would be pristine. Aluminum is a fantastic PO4 binder (but toxic to may tissues)
www.kamaldshah.com/2025/10/and-...
And now high Aluminium
On Dialysis in India for 28+ years, Daily Nocturnal Home Hemodialysis, Atypical HUS, Co-Founder of NephroPlus, Published Author, TEDx Speaker
www.kamaldshah.com
October 31, 2025 at 5:50 PM
Via @kamaldshah.bsky.social
High serum aluminum with toxicity from sucralfate
The -al- in sucrALfate is aluminum
I had a patient on sucralfate (severe GI reasons) whose PO4 would be pristine. Aluminum is a fantastic PO4 binder (but toxic to may tissues)
www.kamaldshah.com/2025/10/and-...
High serum aluminum with toxicity from sucralfate
The -al- in sucrALfate is aluminum
I had a patient on sucralfate (severe GI reasons) whose PO4 would be pristine. Aluminum is a fantastic PO4 binder (but toxic to may tissues)
www.kamaldshah.com/2025/10/and-...
"Sure enough, the lab reported 'toxic' levels of Aluminium in my blood. While the normal range is < 15 mcg/L, my level was 73 mcg/L. Above 50 mcg/L was considered toxic."
And now high Aluminium
www.kamaldshah.com/2025/10/and-...
And now high Aluminium
www.kamaldshah.com/2025/10/and-...
And now high Aluminium
On Dialysis in India for 28+ years, Daily Nocturnal Home Hemodialysis, Atypical HUS, Co-Founder of NephroPlus, Published Author, TEDx Speaker
www.kamaldshah.com
October 30, 2025 at 9:13 AM
"Sure enough, the lab reported 'toxic' levels of Aluminium in my blood. While the normal range is < 15 mcg/L, my level was 73 mcg/L. Above 50 mcg/L was considered toxic."
And now high Aluminium
www.kamaldshah.com/2025/10/and-...
And now high Aluminium
www.kamaldshah.com/2025/10/and-...
Changes needed to the National Program for Rare Diseases in India
www.kamaldshah.com/2025/09/chan...
www.kamaldshah.com/2025/09/chan...
Changes needed to the National Program for Rare Diseases in India
On Dialysis in India for 28+ years, Daily Nocturnal Home Hemodialysis, Atypical HUS, Co-Founder of NephroPlus, Published Author, TEDx Speaker
www.kamaldshah.com
September 21, 2025 at 12:12 PM
Changes needed to the National Program for Rare Diseases in India
www.kamaldshah.com/2025/09/chan...
www.kamaldshah.com/2025/09/chan...
Eculizumab launched in India
"In a long-awaited welcome development, Eculizumab has been formally launched in India."
www.kamaldshah.com/2025/09/ecul...
"In a long-awaited welcome development, Eculizumab has been formally launched in India."
www.kamaldshah.com/2025/09/ecul...
Eculizumab launched in India
On Dialysis in India for 28+ years, Daily Nocturnal Home Hemodialysis, Atypical HUS, Co-Founder of NephroPlus, Published Author, TEDx Speaker
www.kamaldshah.com
September 15, 2025 at 6:02 AM
Eculizumab launched in India
"In a long-awaited welcome development, Eculizumab has been formally launched in India."
www.kamaldshah.com/2025/09/ecul...
"In a long-awaited welcome development, Eculizumab has been formally launched in India."
www.kamaldshah.com/2025/09/ecul...
"Tools like ChatGPT can definitely help patients with extra information, the kind that doctors might not have time to give. But it cannot replace your doctor."
How I use ChatGPT to help with my medical condition
www.kamaldshah.com/2025/08/how-...
How I use ChatGPT to help with my medical condition
www.kamaldshah.com/2025/08/how-...
How I use ChatGPT to help with my medical condition
On Dialysis in India for 27+ years, Daily Nocturnal Home Hemodialysis, Atypical HUS, Co-Founder of NephroPlus, Published Author, TEDx Speaker
www.kamaldshah.com
August 10, 2025 at 6:17 AM
"Tools like ChatGPT can definitely help patients with extra information, the kind that doctors might not have time to give. But it cannot replace your doctor."
How I use ChatGPT to help with my medical condition
www.kamaldshah.com/2025/08/how-...
How I use ChatGPT to help with my medical condition
www.kamaldshah.com/2025/08/how-...
"I was really happy that my Beta-2m level was finally under control. However, I'm not celebrating just yet because there's always a chance it might go back up in a few months."
Daily Nocturnal Home HDF - 3 Year Update
www.kamaldshah.com/2025/08/dail...
Daily Nocturnal Home HDF - 3 Year Update
www.kamaldshah.com/2025/08/dail...
Daily Nocturnal Home HDF - 3 Year Update
On Dialysis in India for 27+ years, Daily Nocturnal Home Hemodialysis, Atypical HUS, Co-Founder of NephroPlus, Published Author, TEDx Speaker
www.kamaldshah.com
August 7, 2025 at 3:50 AM
"I was really happy that my Beta-2m level was finally under control. However, I'm not celebrating just yet because there's always a chance it might go back up in a few months."
Daily Nocturnal Home HDF - 3 Year Update
www.kamaldshah.com/2025/08/dail...
Daily Nocturnal Home HDF - 3 Year Update
www.kamaldshah.com/2025/08/dail...
After a few years with a chronic illness like kidney faillure, it is not death that one worries about but suffering. Most people in this situation would take a painless, instant death in a heartbeat.
July 16, 2025 at 11:41 AM
After a few years with a chronic illness like kidney faillure, it is not death that one worries about but suffering. Most people in this situation would take a painless, instant death in a heartbeat.
When an adverse event happens in a healthcare setting, the first impluse of most HCWs is to worry about how their superiors or the patient's family would react and not what the impact of the event is on the patient.A truly patient-centric org should strive to change this mindset.
June 19, 2025 at 11:44 AM
When an adverse event happens in a healthcare setting, the first impluse of most HCWs is to worry about how their superiors or the patient's family would react and not what the impact of the event is on the patient.A truly patient-centric org should strive to change this mindset.
Exciting webinar coming up on Xenotransplantation! Registration link and speaker details below. @vjha.bsky.social @vijaykher.bsky.social
June 4, 2025 at 10:24 AM
Exciting webinar coming up on Xenotransplantation! Registration link and speaker details below. @vjha.bsky.social @vijaykher.bsky.social
How much longer before "Your kidneys have failed, get a fistula" changes to "Your kidneys have failed and these are your 4 options"? Patients need to be part of decision making that is going to dictate the rest of their lives. Not blindly accept the default. #SharedDecisionMaking @nephroplus
May 14, 2025 at 11:41 AM
How much longer before "Your kidneys have failed, get a fistula" changes to "Your kidneys have failed and these are your 4 options"? Patients need to be part of decision making that is going to dictate the rest of their lives. Not blindly accept the default. #SharedDecisionMaking @nephroplus
Reposted
Well said
www.kamaldshah.com/2025/05/the-...
@kamaldshah.bsky.social on the rights of patients on dialysis - the legal system in India needs to be updated - and we should support the needs and decisions
#NephSky
www.kamaldshah.com/2025/05/the-...
@kamaldshah.bsky.social on the rights of patients on dialysis - the legal system in India needs to be updated - and we should support the needs and decisions
#NephSky
The right of dialysis patients to a comfortable end
On Dialysis in India for 21 years, Daily Nocturnal Home Hemodialysis, Atypical HUS, Co-Founder of NephroPlus, India’s largest Dialysis Provider
www.kamaldshah.com
May 3, 2025 at 11:47 PM
Well said
www.kamaldshah.com/2025/05/the-...
@kamaldshah.bsky.social on the rights of patients on dialysis - the legal system in India needs to be updated - and we should support the needs and decisions
#NephSky
www.kamaldshah.com/2025/05/the-...
@kamaldshah.bsky.social on the rights of patients on dialysis - the legal system in India needs to be updated - and we should support the needs and decisions
#NephSky
“But at its heart lies a simple truth: what the patient wants matters most. For many, quality of life outweighs the mere length of life. And everyone involved must respect that.”
The right of dialysis patients to a comfortable end
The right of dialysis patients to a comfortable end
The right of dialysis patients to a comfortable end
On Dialysis in India for 21 years, Daily Nocturnal Home Hemodialysis, Atypical HUS, Co-Founder of NephroPlus, India’s largest Dialysis Provider
www.kamaldshah.com
May 3, 2025 at 10:22 AM
“But at its heart lies a simple truth: what the patient wants matters most. For many, quality of life outweighs the mere length of life. And everyone involved must respect that.”
The right of dialysis patients to a comfortable end
The right of dialysis patients to a comfortable end
"Publish or perish", they say in the context of doctors. This holds true in the context of healthcare providers as well. If you are not publishing clinical outcomes of your patients, what evidence do you have that your services are any good?
May 1, 2025 at 11:44 AM
"Publish or perish", they say in the context of doctors. This holds true in the context of healthcare providers as well. If you are not publishing clinical outcomes of your patients, what evidence do you have that your services are any good?
What? 2 articles on #aHUS in this issue of the Indian Journal of Nephrology?! #aHUS has arrived as a disease or what?! 😀
indianjnephrol.org/current-issue/
indianjnephrol.org/current-issue/
April 27, 2025 at 6:19 AM
What? 2 articles on #aHUS in this issue of the Indian Journal of Nephrology?! #aHUS has arrived as a disease or what?! 😀
indianjnephrol.org/current-issue/
indianjnephrol.org/current-issue/
"It's now been about 19 years since I started using buttonhole cannulation. Over time, I've noticed that the area where I insert the needles has become harder to use."
www.kamaldshah.com/2025/04/why-...
www.kamaldshah.com/2025/04/why-...
Why I gave up using buttonhole needles after 19 years
On Dialysis in India for 21 years, Daily Nocturnal Home Hemodialysis, Atypical HUS, Co-Founder of NephroPlus, India’s largest Dialysis Provider
www.kamaldshah.com
April 20, 2025 at 6:38 AM
"It's now been about 19 years since I started using buttonhole cannulation. Over time, I've noticed that the area where I insert the needles has become harder to use."
www.kamaldshah.com/2025/04/why-...
www.kamaldshah.com/2025/04/why-...
Reposted
My rare disease has an effective treatment — but no clear name. That confusion has consequences.
I don’t know what I’m supposed to call my rare kidney disease
My rare disease has an effective treatment — but no clear name. That confusion has consequences.
buff.ly
April 18, 2025 at 3:25 PM
My rare disease has an effective treatment — but no clear name. That confusion has consequences.
"It is trendy to talk about being patient-centric than actually being patient-centric!", said a nephrologist at a meeting of different stakeholders. Well, at least we are talking about it at the conference, I thought! At @nephroplus though, we are walking that talk as well!
April 18, 2025 at 9:49 AM
"It is trendy to talk about being patient-centric than actually being patient-centric!", said a nephrologist at a meeting of different stakeholders. Well, at least we are talking about it at the conference, I thought! At @nephroplus though, we are walking that talk as well!
".... I firmly believe that HIF-PHIs should be rapidly introduced in countries like ours."
Why I as a patient prefer HIF-PHIs to injectable ESAs
www.kamaldshah.com/2025/02/why-...
Why I as a patient prefer HIF-PHIs to injectable ESAs
www.kamaldshah.com/2025/02/why-...
Why I as a patient prefer HIF-PHIs to injectable ESAs
On Dialysis in India for 21 years, Daily Nocturnal Home Hemodialysis, Atypical HUS, Co-Founder of NephroPlus, India’s largest Dialysis Provider
www.kamaldshah.com
February 19, 2025 at 10:52 AM
".... I firmly believe that HIF-PHIs should be rapidly introduced in countries like ours."
Why I as a patient prefer HIF-PHIs to injectable ESAs
www.kamaldshah.com/2025/02/why-...
Why I as a patient prefer HIF-PHIs to injectable ESAs
www.kamaldshah.com/2025/02/why-...
