after millions of views and shares of my Portland Frog art. (thank you all🙏🏾) I got requests to highlight priests, and chickens, and Chicagoans, and T-Rexes, and more… all of us who refuse to bend the knee. so this is for US.
𝚂𝚝𝚊𝚗𝚍 𝚃𝚊𝚕𝚕.
𝚆𝚎 𝚆𝚒𝚕𝚕 𝚆𝚒𝚗.

ICE just blatantly violated the law and arrested sitting Chicago Alderperson Jessie Fuentes while seeking to illegally arrest a patient in a hospital. Fuck these fascists.

My husband was detained by ICE today

Juan Muñoz, an American citizen, father of 2, and local government official, was peacefully protesting w. other elected officials. He was assaulted and taken away

I have had zero contact or updates since

#SOS
@duckworth.senate.gov @durbin.senate.gov

ICYMI: How diet affects atherosclerosis in obesity…

@aweinstock.bsky.social & team show short-term caloric restriction resolves atherosclerosis inflammation in obese mice, but weight regain accelerates its adverse effects: buff.ly/ieqwQ3O

Casey Means, the influencer who did not complete medical training but is nominated for Surgeon General, has been extremely critical of financial conflicts of interest in medicine. But she has made hundreds of thousands shilling supplements like algae & basil seed, and from investments in big tobacco

Apropos of nothing in particular, always good to KNOW YOUR RIGHTS.

www.aclusocal.org/en/know-your...

It is impossible to explain to civilians how it feels to finally, FINALLY, land a clearly within-payline NIH grant score and then have it go unfunded because of all this regime bullshit.

You all have my sympathies. Unfair doesn’t even begin to describe it.

Boston Mayor Michelle Wu:

“Silence in the face of oppression is not an option. The U.S. Attorney General asked for a response by today. So here it is…Stop attacking our cities to hide your administration's failures.”

I never give SU, certainly not in CKD peeps! But those folks who walk in with A1c 11 to PCP or endo? They should definitely get aggressive glycemic control with metformin and whatever injectable is affordable (unfortunately that is still insulin sometimes). SGLT2 as well!

SUs should be completely out for sure, but A1c lowering does have effects on hard outcomes (retinopathy, nephropathy) that we care about, and metformin and insulin remain extremely effective. For most of the patients we see in CKD clinic, I agree with you, but not so for primary care and endo.

Nice to see new AHA HTN guidelines emphasizing albuminuria detection!
"[Urine ACR] (a test that assesses kidney health) is now recommended for all patients with high blood pressure. It was recommended as an optional test in the 2017 guideline."
newsroom.heart.org/news/new-hig...

New #Perspective describes key barriers to patients accessing specialized treatments for glomerular disease, including lack of access to specialized nephrology care, delays in diagnosis, and administrative and regulatory challenges. Read more in #ASNJASN: kidney.pub/JASN0819

TBF this is actually better than most humans would do...

I do think this is unfortunately part of the point. UPF are scientifically designed in many cases to maximize palatability, which likely leads to increased intake (along with higher energy density). I don't think that can be factored out of these experiments.

Seems like a myth. I really haven't seen absorption issues, per se, in the absence of overt GI symptoms like nausea or diarrhea. So I don't think any issues would be subtle. Either they are too sick to take meds or not, and if so, no more GLP1ra (or titrate more slowly, etc etc).

One would think benefits to the kidney from GLP1ra would be similar in transplant to those in obesity - the physiology is not dissimilar in that both are at risk of hyperfiltration related injury.

Great meds for pre-existing DM or NODAT. Our transplant nephrologists essentially "fire at will" with these. Obviously some more caution is warranted with GI side effects/inability to tolerate immunosuppression, but that degree of GI upset is going to be exception rather than norm.

should we screen for CKD in the general population?

Finally, flozins, finerenone and GLP1s allow a good cost-effectiveness case

www.nephjc.com/news/2025/7/... for #NephJC shorts

Time to stop just being dialysis-ologists and flozinate, glipinate!

#NephSky

I see people wonder "why? why medical research?"

First sentence of Vought's think tank's page on federal health programs: "COVID exposed how embedded the medical establishment has become within the globalist, political power hierarchy"

Vought also blames the existence of COVID on NIH/CDC

Again, the whole purpose of this madness has, from day 1, been to destroy the US leadership in science, technology, and innovation.

This is just one more way to ensure that goal is achieved.

“But why?” you might, rightly, ask. To which I say, pick up a history book and you’ll have your answer.

Age can play an important role in how nephrologists treat individuals with glomerular diseases. This #ASNCJASN "How I Treat" article highlights key insights: kidney.pub/CJASN0805

@kdjhaveri.bsky.social

If I remember right it was actually T2D in kids...