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Joel Topf @kidneyboy.bsky.social · 19h

This second paragraph is so important. There has not been the same social media diaspora in India that we have seen in the US #MedTwitter

Eric Strong @ericstrong.bsky.social · 19h

Specifically peak #MedTwitter felt like 2017-2018, whereas IMHO peak optimism at the attending level in the US for using social media in med ed peaked earlier than this. Maybe ~2016.

Globally, there are countries where I don’t know if social media use in med ed has even peaked yet.

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Reposted by Joel Topf

Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 22h

ICYMI, recording now live
Excellent exposition on lower doses, anti coagulation and much more. Lot of RCTs in this space

youtu.be/xfEVlh_68vc?... by @nephcrit.bsky.social #NephGR #NephSky

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Joel Topf @kidneyboy.bsky.social · 22h

What was peak #MedTwitter?

What was the moment of greatest optimism for the idea of social media as a major driver of medial education?

I have my answer, but I'm going to keep my powder dry while I listen for your answers (but since this is BlueSky, I wonder if this will generate much heat)

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Joel Topf @kidneyboy.bsky.social · 1d

"When The Goopies politely made their way on set, each member was wearing a different color neckerchief like an indie new-wave version of Sailor Moon"

My daughter is bassist for The Goopies. My daughter is a Goopy!

www.michigandaily.com/arts/music/h...

Three local bands bring their diverse sounds to annual WCBN show

Over the course of three acts, Horse Bomb, Odd Reality and The Goopies took the audience on a roller coaster ride of a show.

www.michigandaily.com

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Reposted by Joel Topf

Nephrology Times @nephtimes.bsky.social · 1d

Don't miss the latest from @kidneyboy.bsky.social for MashupMD!
www.mashupmd.com/expert-colle...

Nephrology With Joel Topf, MD

<i>Dr. Topf is an assistant clinical professor of medicine at Oakland University William Beaumont School of Medicine, creator and host of the Freely Filtered and Channel Your Enthusiasm podcasts, crea...

www.mashupmd.com

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Reposted by Joel Topf

David S. Goldfarb MD @weddellite.bsky.social · 1d

Megan Prochaska introduces the Fredric L Coe Symposium in war-ravaged Chicago

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Reposted by Joel Topf

xenwan @xenwan.bsky.social · 2d

You pay for its constant peer-review and update process, instead of relying on LLM. I personally use both (my hospital pays for UTD)
medium.com/@underwaterc...

OpenEvidence Sounds Promising, but is it Reliable?

In the 1940s, almost half of Americans were smoking cigarettes. There was very little research to show that cigarettes were harmful, and…

medium.com

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Joel Topf @kidneyboy.bsky.social · 1d

For sure. Your point is a good one. And it was a sharp blog post

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Joel Topf @kidneyboy.bsky.social · 1d

Can’t stop staring at the prevalence of hypertension among young people.

www.ahajournals.org/doi/epub/10....

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Joel Topf @kidneyboy.bsky.social · 2d

that post from feb looks outdated, here is how opinion evidence answered your query.

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Joel Topf @kidneyboy.bsky.social · 2d

That feels like a feature that open evidence will add soon enough

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David M. Perry @lollardfish.bsky.social · 2d

- My talk is too long
- But maybe if I read it fast
- Lots of people have tried this
- It didn't work for those people
- But maybe ...

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Joel Topf @kidneyboy.bsky.social · 2d

Try open evidence.
www.openevidence.com

Then tell me, who the hell is paying $580 for UpToDate

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wormbuxx @wormbuxx.bsky.social · 3d

Now I’m falling asleep and she’s calling a cob

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Joel Topf @kidneyboy.bsky.social · 3d

Which fucker at the ABIM thought that the day that IM board scores came out was a good day to do scheduled maintenance?

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Nephrology Journal Club @nephjc.bsky.social · 4d

1/10
Welcome to #TenPostNephJC
Last #NephJC we discussed tolerance induction in HLA matched 🫘 transplants with donor Hematopoietic stem cells (MDR-101).
Missed the Chimeri-chat? No worries - We’re quite “tolerant” to those who missed their IS(Informative Session)!

pubmed.ncbi.nlm.nih.gov/39922283/

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Joel Topf @kidneyboy.bsky.social · 4d

From Richard Lafayette at GlomCon

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Joel Topf @kidneyboy.bsky.social · 4d

but mandating treatment with something that is not available as SoC is also a little crazy.

And "allowing" is an escape hatch from the ethical dilemma of enrolling a patient on sub state-of-the-art therapy for the length of the trial (thankfully, only a year at this time)

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Joel Topf @kidneyboy.bsky.social · 4d

And allow use of SGLT2i and sparsentan or atrasentan as long as they are started before study drug is initiated

No conventional steroids
No coated budesonide

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Joel Topf @kidneyboy.bsky.social · 4d

makes for an interesting question, why should countries where the drugs will not be available enroll patients in trials?

The control group I am seeing in new IgAN trials:
requiured ACEi or ARB at maximum tolerated doses but no titration period like in Fidelio/Figaro trials

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Reposted by Joel Topf

Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 6d

Want to get your own version of #NephJC merch such as this pretty and useful backpack? 🎒

Donate to a good cause and get some swag too

www.nephjc.com/news/2025/9/...

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Reposted by Joel Topf

clyde bruckman's ghost's final repost says free link @ultralaser.bsky.social · 7d

terrible things are happening outside. poor helpless people are being dragged out of their homes. families are torn apart. men, women, and children are separated. children come home from school to find that their parents have disappeared.

diary of anne frank, january 13, 1943.

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Joel Topf @kidneyboy.bsky.social · 6d

I think we are having a raging agreement. I'm all in favor of active controls. In fact at our research center we are refusing to consider any trials with drug against ACEi/ARB/Flozin. That ship has sailed.

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Joel Topf @kidneyboy.bsky.social · 6d

Dan Dickerson is legendary. He is no sacrifice.

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Joel Topf @kidneyboy.bsky.social · 6d

According to my sources FS1

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