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Reposted by Hector Madariaga, MD FASN 🇲🇽

Brian Rifkin @brianrifkin.bsky.social · 21d

New Trump EO increases fee from $1,000 to $100,000 per year for H1B visas?? Aimed at tech companies hiring cheaper trained people.
However, this is going to be extremely disruptive to residency training programs and hospitals. Hope someone clues him in.

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Hector Madariaga, MD FASN 🇲🇽 @hecmagsmd.bsky.social · Aug 12

Comments in the NYT are also very interesting. One that caught my attention mentioned that current system is biased in favor of procuring organs in patients who are declared DCD. The cost of having no one prematurely referred for organ donation would be eliminating cadaveric donations altogether.

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Hector Madariaga, MD FASN 🇲🇽 @hecmagsmd.bsky.social · Aug 12

The NYT piece is a very sensational article & not well balanced. I believe it has caused more harm than good. I don’t blame people for criticizing the OPTN and OPOs—given all the issues you’ve mentioned, they deserve it—but the current system, albeit not perfect, works in 99% of cases. Should be 💯

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Hector Madariaga, MD FASN 🇲🇽 @hecmagsmd.bsky.social · Aug 12

A response to the NYT article about organ donation, from Tom Mone, a former President and Chief Executive Officer of the OneLegacy OPO
sidandt.org/tom-mones-re...

Tom Mone's Response to the New York Times — Science in Donation and Transplant

sidandt.org

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Hector Madariaga, MD FASN 🇲🇽 @hecmagsmd.bsky.social · May 20

Kidney transplant in patients with C3 glomerulopathy

academic.oup.com/ckj/article/...

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Hector Madariaga, MD FASN 🇲🇽 @hecmagsmd.bsky.social · May 2

My birthday wishlist… 🔥

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Hector Madariaga, MD FASN 🇲🇽 @hecmagsmd.bsky.social · Apr 22

I recently attended the Student National Medical Association’s AMEC 2025 conference,where we engaged w/med students/residents to promote the field of nephrology,mentoring opportunities, educational programs & health policy initiatives. It was a pleasure to work with the ASN staff

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Hector Madariaga, MD FASN 🇲🇽 @hecmagsmd.bsky.social · Apr 16

Oh wow… this has rarely been my practice but very interesting! #NephJC

Edgar V. Lerma 🇵🇭 @edgarvlermamd.bsky.social · Apr 16

Did they check Vitamin B12 levels?
#Nephpearls #NephJC #NephSky

👉 pubmed.ncbi.nlm.nih.gov/36272764/

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Reposted by Hector Madariaga, MD FASN 🇲🇽

Nephrology Journal Club @nephjc.bsky.social · Apr 16

T1f: #NephJC
3-Year Survival Outcomes

Pts who continued metformin ≥6 months after reaching CKD stage 4 demonstrated significantly higher survival (70.3%; 95% CI, 67.9–72.8) compared to those who discontinued early (63.4%; 95% CI, 60.5–66.5)

💡6.9 percentage-point difference (95% CI, 3.2–10.6)

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Hector Madariaga, MD FASN 🇲🇽 @hecmagsmd.bsky.social · Apr 16

Not sure if relevant but I love Scottish terriers… #NephJC

a small black dog is sitting in front of a fireplace in a living room

ALT: a small black dog is sitting in front of a fireplace in a living room

media.tenor.com

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Hector Madariaga, MD FASN 🇲🇽 @hecmagsmd.bsky.social · Apr 16

What if CKD-EPI GFR of 35 mL/min and MDRD GFR of 25 mL/min ?
Take average?
Add GFRcys of 30 mL/min…

#NephJC

a person is holding a sword with the words perfectly balanced as all things should be

ALT: a person is holding a sword with the words perfectly balanced as all things should be

media.tenor.com

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Hector Madariaga, MD FASN 🇲🇽 @hecmagsmd.bsky.social · Apr 16

I use metformin in kidney transplant recipients as a first line agent in post-transplant diabetes when eGFR >30 😬

Then a flozin. Then a GLP-1 RA
All good 👍

#NephJC

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Hector Madariaga, MD FASN 🇲🇽 @hecmagsmd.bsky.social · Apr 9

Worried About the Stock Market? Here's Warren Buffett's Investing Advice for Getting Through It.

Around 62% of U.S. investors are pessimistic about the next six months, according to an April 2025 survey from the American Association of Individual Investors -- the highest figure since March 2009. ...

finance.yahoo.com

Hector Madariaga, MD FASN 🇲🇽 @hecmagsmd.bsky.social · Apr 7

Checking some Greek art at the Museum of Fine Arts in Boston, when suddenly…. Mr Bean?!

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Hector Madariaga, MD FASN 🇲🇽 @hecmagsmd.bsky.social · Apr 5

Sebastian’s Story: A Kidney Transplant and a Second Chance at Life

Sebastian is back to doing what he loves thanks to his sister’s lifesaving kidney donation.

www.tuftsmedicine.org

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Hector Madariaga, MD FASN 🇲🇽 @hecmagsmd.bsky.social · Apr 5

How much milk foam is too much?

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Reposted by Hector Madariaga, MD FASN 🇲🇽

Edgar V. Lerma 🇵🇭 @edgarvlermamd.bsky.social · Apr 5

Diabetic Kidney Disease (DKD) ca. 2025 from @elsevierconnect.bsky.social @annagaddy.bsky.social @hecmagsmd.bsky.social @doctorgates.bsky.social
#Nephpearls #NephSky

👉 pubmed.ncbi.nlm.nih.gov/39753456/

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Hector Madariaga, MD FASN 🇲🇽 @hecmagsmd.bsky.social · Apr 2

Today, I had the honor of participating in this amazing panel to talk about organ donation, particularly those barriers that affect the Hispanic community. It was a privilege to listen to my co-panelists share their stories about their journeys with organ donation

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Hector Madariaga, MD FASN 🇲🇽 @hecmagsmd.bsky.social · Mar 30

And don’t hold Flozins before TAVI

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Hector Madariaga, MD FASN 🇲🇽 @hecmagsmd.bsky.social · Mar 30

The American Society of Transplantation (AST) stands in support of their members who face immigration challenges 🙌

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Hector Madariaga, MD FASN 🇲🇽 @hecmagsmd.bsky.social · Mar 29

Subcutaneous Ofatumumab in Recurrent Focal Segmental Glomerulosclerosis Post Kidney Transplantation

academic.oup.com/ckj/advance-...

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Hector Madariaga, MD FASN 🇲🇽 @hecmagsmd.bsky.social · Mar 29

So, what’s up with the all those blood clots found in NBA players.
Is it the NSAIDs mostly?

apnews.com/article/bloo...

What is deep vein thrombosis and why do so many athletes like Damian Lillard get blood clots?

Milwaukee Bucks guard Damian Lillard is likely out indefinitely because of deep vein thrombosis in his right calf.

apnews.com

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Hector Madariaga, MD FASN 🇲🇽 @hecmagsmd.bsky.social · Mar 29

First time watching the ISU World Skating Champsionship in Boston, MA. Here’s the new champ: Alysa Liu 🇺🇸
#Figureskating #Worldfigure

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Hector Madariaga, MD FASN 🇲🇽 @hecmagsmd.bsky.social · Mar 25

Fixed the headline!

Red Bull to replace Liam #Slowson 🐢 with Yuki Tsunoda - reports - via
@ESPN

Reports: Red Bull to replace Lawson with Tsunoda

Red Bull have made the decision to replace Liam Lawson with Japanese driver Yuki Tsunoda, according to multiple reports on Tuesday.

www.espn.com

Hector Madariaga, MD FASN 🇲🇽 @hecmagsmd.bsky.social · Mar 23

Thanks, Sarah. All good; just getting used to the new way of life and social media! How you’re doing well! 👋

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