Sujal Shah
@sujalshah4.bsky.social
Pathologist - medical renal and hemepath.
Also: movies, books, the Pirates/Jazz/Utes (to various degrees of self-inflicted pain).
Also: movies, books, the Pirates/Jazz/Utes (to various degrees of self-inflicted pain).
Reposted by Sujal Shah
started playing cyberpunk 2077 and it's still got some bugs after like five years, but i kinda get it because the open world is so bewilderingly expansive and sophisticated with tons of crazy ideas crammed in there. ea sports has spent decades screwing up a flat rectangle with 22 guys and a ball
December 11, 2025 at 11:07 PM
started playing cyberpunk 2077 and it's still got some bugs after like five years, but i kinda get it because the open world is so bewilderingly expansive and sophisticated with tons of crazy ideas crammed in there. ea sports has spent decades screwing up a flat rectangle with 22 guys and a ball
First time I had “Diet Coke with lime” I felt like I was literally drinking acid (yes, I know - but even more so than with my usual Diet Coke). Quickly it became “this is actually good!” (may have been the soda addiction speaking, who knows) and became the drink of choice.
December 11, 2025 at 9:45 PM
First time I had “Diet Coke with lime” I felt like I was literally drinking acid (yes, I know - but even more so than with my usual Diet Coke). Quickly it became “this is actually good!” (may have been the soda addiction speaking, who knows) and became the drink of choice.
Pirates FO: “hey guys, we tried.” (Now goes and signs nobody.)
December 9, 2025 at 4:46 PM
Pirates FO: “hey guys, we tried.” (Now goes and signs nobody.)
Reposted by Sujal Shah
the pirates are only making big offers to top free agents that they know will never accept and I don’t think we should give them credit for “trying”
December 9, 2025 at 4:37 PM
the pirates are only making big offers to top free agents that they know will never accept and I don’t think we should give them credit for “trying”
Doubt anything comes of this, but what’s really gut-wrenching is this two paragraph stretch in the MLBTR write-up…
December 8, 2025 at 2:39 PM
Doubt anything comes of this, but what’s really gut-wrenching is this two paragraph stretch in the MLBTR write-up…
Reposted by Sujal Shah
Of course they didn't lol. www.nytimes.com/athletic/683...
November 24, 2025 at 2:31 PM
Of course they didn't lol. www.nytimes.com/athletic/683...
Reposted by Sujal Shah
Diagnosis unmasked. Young F with 2g proteinuria, weak +dsDNA. Membranous pattern, IF with C3 dominant staining. Pronase IF --> IgG-k. Membranous-like glomerulopathy with masked monotypic IgG-k deposits. Considered to be autoimmune; not MGRS. #renalpath #pathsky #nephsky.
November 20, 2025 at 1:01 PM
Diagnosis unmasked. Young F with 2g proteinuria, weak +dsDNA. Membranous pattern, IF with C3 dominant staining. Pronase IF --> IgG-k. Membranous-like glomerulopathy with masked monotypic IgG-k deposits. Considered to be autoimmune; not MGRS. #renalpath #pathsky #nephsky.
Reposted by Sujal Shah
This is your moment to shape #KidneyWk 2026 in Denver, CO. 12,000 faculty and participants made 2025 unforgettable. Share your ideas and recommendations to help build what's next.
📅Submit by Monday, December 15, 2025
🔗 asn.kdny.info/HOaL50XqHuY
📅Submit by Monday, December 15, 2025
🔗 asn.kdny.info/HOaL50XqHuY
November 13, 2025 at 3:57 PM
This is your moment to shape #KidneyWk 2026 in Denver, CO. 12,000 faculty and participants made 2025 unforgettable. Share your ideas and recommendations to help build what's next.
📅Submit by Monday, December 15, 2025
🔗 asn.kdny.info/HOaL50XqHuY
📅Submit by Monday, December 15, 2025
🔗 asn.kdny.info/HOaL50XqHuY
Reposted by Sujal Shah
Strong signal for better kidney biopsy adequacy favoring 16G needle over 18G (w/ = complication rate) in pediatric pts 12-18 years-old, extending established norm 4 adults. Only 4 children <12, a smaller 18G needle is safer. #KidneyBiopsyAcademy @kidneycon.bsky.social @arkanalabs.bsky.social
Adequacy and safety of pediatric native kidney biopsy using 16- and 18-gauge needles
Adequacy and safety of pediatric native kidney biopsy using 16- and 18-gauge needles - Pediatric Nephrology
Background The native kidney biopsy is an important diagnostic procedure in pediatric nephrology. Recent meta-analyses did not find the size of the needle as a risk factor for bleeding complications,…
buff.ly
October 1, 2025 at 12:53 AM
Strong signal for better kidney biopsy adequacy favoring 16G needle over 18G (w/ = complication rate) in pediatric pts 12-18 years-old, extending established norm 4 adults. Only 4 children <12, a smaller 18G needle is safer. #KidneyBiopsyAcademy @kidneycon.bsky.social @arkanalabs.bsky.social
Reposted by Sujal Shah
me, in charge of a Pirates team that was Top 10 in ERA but scored the fewest runs in a 162-game season by the franchise since 1968:
September 30, 2025 at 9:47 PM
me, in charge of a Pirates team that was Top 10 in ERA but scored the fewest runs in a 162-game season by the franchise since 1968:
Like I said, all one can do is laugh cynically
Ben Cherington says that he has received assurance he will remain Pirates GM
September 29, 2025 at 9:04 PM
Like I said, all one can do is laugh cynically
Reposted by Sujal Shah
look, credit where credit is due, announcing that you're retaining an interim manager with a .476 winning percentage by saying “This season, we fell well short as an organization both on and off the field. It has been unacceptable," is pretty funny.
September 29, 2025 at 7:21 PM
look, credit where credit is due, announcing that you're retaining an interim manager with a .476 winning percentage by saying “This season, we fell well short as an organization both on and off the field. It has been unacceptable," is pretty funny.
Reposted by Sujal Shah
they absolutely deployed this news to try to stifle that scathing PPG article
September 29, 2025 at 5:00 PM
they absolutely deployed this news to try to stifle that scathing PPG article
Depressing, but also like, I feel if you change the names, it’s the same story we’ve been getting every couple of seasons going back over a decade now. Ownership clearly doesn’t seem to give a shit and at this point all one can do is laugh cynically.
“We laugh at all of this [expletive] behind closed doors. ... It’s just a bad organization.”
The Pirates' 2025 season was frustrating for many, including those on the team. A few players explained why they believe things went wrong. Our exclusive story:
The Pirates' 2025 season was frustrating for many, including those on the team. A few players explained why they believe things went wrong. Our exclusive story:
The 2025 Pirates never had a chance, and the players knew it
Pirates players allowed their heads to sink low in disgust after heading back into the visitor’s clubhouse on opening day at loanDepot Park. The...
www.post-gazette.com
September 29, 2025 at 12:54 PM
Depressing, but also like, I feel if you change the names, it’s the same story we’ve been getting every couple of seasons going back over a decade now. Ownership clearly doesn’t seem to give a shit and at this point all one can do is laugh cynically.
Haven’t dug into our numbers, but inadequate biopsies definitely seem to be more frequent than they were even just a couple years ago. Frustrating for everyone involved.
What exactly is an inadequate renal biopsy? Why are 27% of biopsies inadequate? What can be done to fix this?
Check the thread to listen to @nephrosharma.bsky.social, @glombandit.bsky.social, @nephrowhitt.bsky.social, and @juancarlosqvelez.bsky.social discuss this challenge. #RenalPath #RenalSky
Check the thread to listen to @nephrosharma.bsky.social, @glombandit.bsky.social, @nephrowhitt.bsky.social, and @juancarlosqvelez.bsky.social discuss this challenge. #RenalPath #RenalSky
September 24, 2025 at 12:58 AM
Haven’t dug into our numbers, but inadequate biopsies definitely seem to be more frequent than they were even just a couple years ago. Frustrating for everyone involved.
Reposted by Sujal Shah
Discussing evidence for autoantibodies against nephrin as cause of diffuse podocytopathy.
Points out that toxins and drug induced podocytopathy (bisphosphonates) do not have anti-nephrin antibodies and do not respond to immunosuppression #GlomCon
Points out that toxins and drug induced podocytopathy (bisphosphonates) do not have anti-nephrin antibodies and do not respond to immunosuppression #GlomCon
September 23, 2025 at 11:52 PM
Discussing evidence for autoantibodies against nephrin as cause of diffuse podocytopathy.
Points out that toxins and drug induced podocytopathy (bisphosphonates) do not have anti-nephrin antibodies and do not respond to immunosuppression #GlomCon
Points out that toxins and drug induced podocytopathy (bisphosphonates) do not have anti-nephrin antibodies and do not respond to immunosuppression #GlomCon
Reposted by Sujal Shah
Another example of an 'incidental' finding next to the tumor in a nephrectomy specimen. Amyloidosis (probably LECT2). Reminder not too overlook the non-neoplastic tissue. #renalpath #pathsky #nephsky
August 20, 2025 at 4:55 PM
Another example of an 'incidental' finding next to the tumor in a nephrectomy specimen. Amyloidosis (probably LECT2). Reminder not too overlook the non-neoplastic tissue. #renalpath #pathsky #nephsky
Reposted by Sujal Shah
I just don't think the front office gets the benefit of the doubt for anything.
August 18, 2025 at 3:08 PM
I just don't think the front office gets the benefit of the doubt for anything.
Reposted by Sujal Shah
#RenalPath: Lecithin–cholesterol acyltransferase deficiency with mild mesangial expansion with slight foamy appearance. Capillary walls show segmental thickening (hematoxylin and eosin stain).
bit.ly/2tQDkJx (FREE)
bit.ly/2tQDkJx (FREE)
April 13, 2025 at 10:01 AM
#RenalPath: Lecithin–cholesterol acyltransferase deficiency with mild mesangial expansion with slight foamy appearance. Capillary walls show segmental thickening (hematoxylin and eosin stain).
bit.ly/2tQDkJx (FREE)
bit.ly/2tQDkJx (FREE)
Reposted by Sujal Shah
Fibronectin glomerulopathy
🔸Massive fibronectin deposits
🔸AD mutation FN1
🔸MPGN-like pattern
🔸Silver-neg, PAS+, trichrome-red
🔸EM: Homogeneous granular + variable fibrils
🔸IF/IHC strongly + fibronectin
🔸renal-limited
(1/2) more below
#renalpath #pathsky #nephsky
🔸Massive fibronectin deposits
🔸AD mutation FN1
🔸MPGN-like pattern
🔸Silver-neg, PAS+, trichrome-red
🔸EM: Homogeneous granular + variable fibrils
🔸IF/IHC strongly + fibronectin
🔸renal-limited
(1/2) more below
#renalpath #pathsky #nephsky
August 6, 2025 at 3:18 AM
Fibronectin glomerulopathy
🔸Massive fibronectin deposits
🔸AD mutation FN1
🔸MPGN-like pattern
🔸Silver-neg, PAS+, trichrome-red
🔸EM: Homogeneous granular + variable fibrils
🔸IF/IHC strongly + fibronectin
🔸renal-limited
(1/2) more below
#renalpath #pathsky #nephsky
🔸Massive fibronectin deposits
🔸AD mutation FN1
🔸MPGN-like pattern
🔸Silver-neg, PAS+, trichrome-red
🔸EM: Homogeneous granular + variable fibrils
🔸IF/IHC strongly + fibronectin
🔸renal-limited
(1/2) more below
#renalpath #pathsky #nephsky
Excuse the “taking a picture of a computer screen” quality here - this looks like early MN pattern (IgG, IgG1 here) by IF, but EM has absolutely no deposits (EM on frozen material done on this glom). Still MN (“by IF only”?!)? @glombandit.bsky.social @arkanalabs.bsky.social @jzrenalpath.bsky.social
August 9, 2025 at 5:03 PM
Excuse the “taking a picture of a computer screen” quality here - this looks like early MN pattern (IgG, IgG1 here) by IF, but EM has absolutely no deposits (EM on frozen material done on this glom). Still MN (“by IF only”?!)? @glombandit.bsky.social @arkanalabs.bsky.social @jzrenalpath.bsky.social
Reposted by Sujal Shah
Call of the year
August 9, 2025 at 6:37 AM
Call of the year
Reposted by Sujal Shah
there was a competitive brand of baseball that prioritized fun and fan experience it was called the minor leagues and it was eviscerated to save a dollar
From @theathletic.com: The Savannah Bananas have millions of fans and are seemingly growing at warp speed. Banana Ball is wacky, but it's also a competitive brand of baseball that prioritizes fun and fan experience. MLB can learn from it.
What can MLB learn from the Savannah Bananas? A lot, it turns out
Banana Ball is wacky, but it's also a competitive brand of baseball that prioritizes fun and fan experience.
nyti.ms
August 5, 2025 at 2:38 PM
there was a competitive brand of baseball that prioritized fun and fan experience it was called the minor leagues and it was eviscerated to save a dollar
Reposted by Sujal Shah
they don't care if you come. they don't even care if you have fun if you come, or if you want to come back! it doesn't matter to them. maybe they can afford tommy pham next year, or maybe if you stay home they can't even do that. there's no message to be sent.
August 4, 2025 at 4:20 PM
they don't care if you come. they don't even care if you have fun if you come, or if you want to come back! it doesn't matter to them. maybe they can afford tommy pham next year, or maybe if you stay home they can't even do that. there's no message to be sent.