Joel Topf
@kidneyboy.bsky.social
Saying the product of the kidneys is urine is like saying the product of a factory is pollution. Urine is a by-product. The product is homeostasis.
COI: https://pbfluids.com/about/
COI: https://pbfluids.com/about/
what a fucking clown show
February 18, 2026 at 1:19 PM
what a fucking clown show
Some thoughts on the new social network for doctors, Roon
February 17, 2026 at 6:38 PM
Some thoughts on the new social network for doctors, Roon
Tikkun Olam (Hebrew for “repairing the world”) is a Jewish tenet that teaches we have a moral obligation to make the world better. We heal the the world through ethical action, justice, kindness, and community-building. It’s all of our responsibility to leave things more whole than we found them.
February 17, 2026 at 6:37 PM
Tikkun Olam (Hebrew for “repairing the world”) is a Jewish tenet that teaches we have a moral obligation to make the world better. We heal the the world through ethical action, justice, kindness, and community-building. It’s all of our responsibility to leave things more whole than we found them.
Happy Presidents day and remember “Life, liberty, and the pursuit of a second (or third) gram of calcium gluconate.”
February 16, 2026 at 2:16 PM
Happy Presidents day and remember “Life, liberty, and the pursuit of a second (or third) gram of calcium gluconate.”
Reposted by Joel Topf
Ok, where are our nephrologists to comment on this?
www.acpjournals.org/doi/10.7326/...
Faster sodium correction is associated with lower risk for 90-day death or delayed neurologic events.
@kidneyboy.bsky.social @christosargyrop.bsky.social @sophieclaudel.bsky.social @nephjc.bsky.social
www.acpjournals.org/doi/10.7326/...
Faster sodium correction is associated with lower risk for 90-day death or delayed neurologic events.
@kidneyboy.bsky.social @christosargyrop.bsky.social @sophieclaudel.bsky.social @nephjc.bsky.social
Sodium Correction Rates and Associated Outcomes Among Patients With Severe Hyponatremia: A Retrospective Cohort Study: Annals of Internal Medicine: Vol 0, No 0
Background: Slow correction of severe hyponatremia is recommended to prevent osmotic demyelination syndrome but is associated with higher mortality. Objective: To examine the association between sodiu...
www.acpjournals.org
February 10, 2026 at 10:57 PM
Ok, where are our nephrologists to comment on this?
www.acpjournals.org/doi/10.7326/...
Faster sodium correction is associated with lower risk for 90-day death or delayed neurologic events.
@kidneyboy.bsky.social @christosargyrop.bsky.social @sophieclaudel.bsky.social @nephjc.bsky.social
www.acpjournals.org/doi/10.7326/...
Faster sodium correction is associated with lower risk for 90-day death or delayed neurologic events.
@kidneyboy.bsky.social @christosargyrop.bsky.social @sophieclaudel.bsky.social @nephjc.bsky.social
Reposted by Joel Topf
Banting, Best, Collip, et al announced initial results on the use of insulin to treat diabetes #OTD in 1922.
They later sold their patent to the University of Toronto for $1 each, hoping this would keep the lifesaving medication cheap and accessible. 🧪
They later sold their patent to the University of Toronto for $1 each, hoping this would keep the lifesaving medication cheap and accessible. 🧪
February 11, 2026 at 4:06 PM
Banting, Best, Collip, et al announced initial results on the use of insulin to treat diabetes #OTD in 1922.
They later sold their patent to the University of Toronto for $1 each, hoping this would keep the lifesaving medication cheap and accessible. 🧪
They later sold their patent to the University of Toronto for $1 each, hoping this would keep the lifesaving medication cheap and accessible. 🧪
Protecting the Validity of Assessment
YouTube video by ABIMcert
youtu.be
February 11, 2026 at 4:50 PM
FDODE is First Date Of Dialysis Ever
12/15/2008
Beat that!
12/15/2008
Beat that!
February 9, 2026 at 1:32 PM
FDODE is First Date Of Dialysis Ever
12/15/2008
Beat that!
12/15/2008
Beat that!
Reposted by Joel Topf
From the @bmj.com this week - some commentary on the exodus of medical leaders from X that used to be Twitter.
It’s sad, but I think it’s the right thing to move away from that platform.
#MedSky
Link here:
www.bmj.com/content/392/...
It’s sad, but I think it’s the right thing to move away from that platform.
#MedSky
Link here:
www.bmj.com/content/392/...
February 7, 2026 at 10:27 AM
From the @bmj.com this week - some commentary on the exodus of medical leaders from X that used to be Twitter.
It’s sad, but I think it’s the right thing to move away from that platform.
#MedSky
Link here:
www.bmj.com/content/392/...
It’s sad, but I think it’s the right thing to move away from that platform.
#MedSky
Link here:
www.bmj.com/content/392/...
Reposted by Joel Topf
It was unclear if Mr. Hirohito was aware that the planes he had sent towards Hawaii carried bombs.
The New York Times has finally covered the Trump video of Obama as an ape — and they are still providing cover for him. Fuck the Times.
February 6, 2026 at 2:29 PM
It was unclear if Mr. Hirohito was aware that the planes he had sent towards Hawaii carried bombs.
Get'em Mike!
@aafp.org AFP Journal published a non-sense editorial around BP management in primary care.
We wrote a letter to the editor that the journal opted not to publish. We are therefore publishing exclusively on Blue Sky.
www.aafp.org/pubs/afp/iss...
We wrote a letter to the editor that the journal opted not to publish. We are therefore publishing exclusively on Blue Sky.
www.aafp.org/pubs/afp/iss...
February 2, 2026 at 12:44 AM
Get'em Mike!
Reposted by Joel Topf
#TopNephrology stories of 2025
the podcast is out: www.nephjc.com/freelyfilter...
with @kidneyboy.bsky.social @captainchloride.bsky.social @medpeedskidneys.bsky.social @annagaddy.bsky.social @vipvargh.bsky.social @brianrifkin.bsky.social & @nephroseeker.medsky.social
the podcast is out: www.nephjc.com/freelyfilter...
with @kidneyboy.bsky.social @captainchloride.bsky.social @medpeedskidneys.bsky.social @annagaddy.bsky.social @vipvargh.bsky.social @brianrifkin.bsky.social & @nephroseeker.medsky.social
FF 89 Top Stories of 2025 — NephJC
I know 2026 feels like it ihas been here for months, but only a few weeks ago we were celebrating the nephrology accomplishments of 2025. The New Filtrate came together to review the year.
www.nephjc.com
January 31, 2026 at 7:08 PM
Reposted by Joel Topf
interesting Elsevier advice on Visual abstracts
3/4 VAs are from renal journals including one from @annagaddy.bsky.social (the KI VA is ....not a good example to use)
the first article is from a seminars issue edited by @kidneyboy.bsky.social
www.elsevier.com/en-gb/resear...
3/4 VAs are from renal journals including one from @annagaddy.bsky.social (the KI VA is ....not a good example to use)
the first article is from a seminars issue edited by @kidneyboy.bsky.social
www.elsevier.com/en-gb/resear...
Graphical abstract in Elsevier journals
Journals are increasingly requesting graphical/visual abstracts alongside the main article. Learn how to prepare a good visual/graphical abstract
www.elsevier.com
January 28, 2026 at 2:47 PM
interesting Elsevier advice on Visual abstracts
3/4 VAs are from renal journals including one from @annagaddy.bsky.social (the KI VA is ....not a good example to use)
the first article is from a seminars issue edited by @kidneyboy.bsky.social
www.elsevier.com/en-gb/resear...
3/4 VAs are from renal journals including one from @annagaddy.bsky.social (the KI VA is ....not a good example to use)
the first article is from a seminars issue edited by @kidneyboy.bsky.social
www.elsevier.com/en-gb/resear...
Reposted by Joel Topf
We had eradicated this disease.
And now because of targeted disinformation, children, immunocompromised people, elderly folks, and so many others become victims in this proxy war and we have a new avoidable pandemic.
And now because of targeted disinformation, children, immunocompromised people, elderly folks, and so many others become victims in this proxy war and we have a new avoidable pandemic.
Holy moly this chart: Cumulative US measles cases
January 28, 2026 at 2:03 PM
We had eradicated this disease.
And now because of targeted disinformation, children, immunocompromised people, elderly folks, and so many others become victims in this proxy war and we have a new avoidable pandemic.
And now because of targeted disinformation, children, immunocompromised people, elderly folks, and so many others become victims in this proxy war and we have a new avoidable pandemic.
PBFluids▶️PISCES showed a striking cardiovascular benefit with fish oil in hemodialysis. Lovaza closely matches the trial’s ethyl-ester formulation, is FDA regulated, EHR friendly, and offers a practical option while we wait for the exact formulation pbfluids.com/2026/01/why-...
Why aren’t you prescribing fish oil to your dialysis patients?
PISCES showed a striking cardiovascular benefit with fish oil in hemodialysis. Lovaza closely matches the trial’s ethyl-ester formulation, is FDA regulated, EHR friendly, and offers a practical, re…
pbfluids.com
January 28, 2026 at 1:49 PM
PBFluids▶️PISCES showed a striking cardiovascular benefit with fish oil in hemodialysis. Lovaza closely matches the trial’s ethyl-ester formulation, is FDA regulated, EHR friendly, and offers a practical option while we wait for the exact formulation pbfluids.com/2026/01/why-...
The POTcast would have been a great name for a weed focused stoner podcast. Instead it is a randomized trial of potassium supplementation to prevent arrhythmia.
www.nephjc.com/news/potcast
www.nephjc.com/news/potcast
January 28, 2026 at 5:45 AM
The POTcast would have been a great name for a weed focused stoner podcast. Instead it is a randomized trial of potassium supplementation to prevent arrhythmia.
www.nephjc.com/news/potcast
www.nephjc.com/news/potcast
T3n
Bottomline?
In ICD patients with mild–moderate CKD, raising plasma K safely cut arrhythmias, HF/arrhythmia hospitalizations, and death
But is it practice-changing… or still a “wait and see”? 🤔#NephJC
Bottomline?
In ICD patients with mild–moderate CKD, raising plasma K safely cut arrhythmias, HF/arrhythmia hospitalizations, and death
But is it practice-changing… or still a “wait and see”? 🤔#NephJC
January 28, 2026 at 2:57 AM
I have no problem with the outcomes (primary and secondary). They seem meaningful and related to the question the authors were asking #NephJC
January 28, 2026 at 2:25 AM
I have no problem with the outcomes (primary and secondary). They seem meaningful and related to the question the authors were asking #NephJC
January 28, 2026 at 2:04 AM
Reposted by Joel Topf
5 reasons to publish with KICR
www.theisn.org/blog/2026/01...
@theisn.org @arvindcanchi.bsky.social
#NephSky
www.theisn.org/blog/2026/01...
@theisn.org @arvindcanchi.bsky.social
#NephSky
Five compelling reasons to submit to Kidney International Case Reports™ - International Society of Nephrology
www.theisn.org
January 27, 2026 at 12:05 PM
5 reasons to publish with KICR
www.theisn.org/blog/2026/01...
@theisn.org @arvindcanchi.bsky.social
#NephSky
www.theisn.org/blog/2026/01...
@theisn.org @arvindcanchi.bsky.social
#NephSky
@drsnit.bsky.social seeing @margaretatwood.bsky.social speak live tonight!
January 27, 2026 at 12:29 AM
@drsnit.bsky.social seeing @margaretatwood.bsky.social speak live tonight!