In the last month, the NEJM published two articles with Twitter as a central focus. First there was “Social Media and Advancement of Women Physicians” featuring Heather Logghe’s #ILookLikeASurgeon and @McSassyMD, @SingleScalpel and @DoctorMeowskis‘s #GirlMedTwitter https://twitter.com/mcsassymd/status/1019283981106405376 And then in tomorrow’s print edition is former NEJM editor, Lisa Rosenbaum‘s editorial about Esther Choo‘s recent viral hashtag #ShareAStoryInOneTweet, Twitter Tailwinds …
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My wife and I celebrated out eighteenth anniversary last night. We went to dinner in Windsor. While we were in line waiting to cross back into the US, Cathy found and read some of our e-mails back and forth from the first few years of courtship. Here is one that I sent from my very …
Continue reading “E-mail from my first trip to Kidney Week”
This second article in the hyponatremia data dump comes from CJASN and like yesterday’s post, attempts to clarify who develops rapid correction of hyponatremia. The U.S. Hyponatremia Guidelines (Verbalis, et al) recommend a speed limit for correcting the sodium of no more than 8 mmol/L in any 24 hour period for patients at high risk …
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Sorry that I blew through all of the deadlines to submit the slides. Or submitted a primitive version of the presentation that resembles but is not the same as the one I delivered. You can share: “SorryMySlidesArentDone.com” as an alternative URL for this page. 5th Annual KIDNEYcon Fluid and Electrolyte Workshop My slides Keynote KIDNEYcon …
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I am reading the biography of Jeff Bezos, The Everything Store by Brad Stone. And as I’m reading about Amazon’s innovation after innovation, one jumps out as being particularly relevant to me: Amazon Best Sellers Rank. That's right. @NephSecrets is ahead of Vander's Renal Physiology, where it should be!https://t.co/44PvkTh195 pic.twitter.com/bs6kFs75tx — Joel M. Topf, MD …
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So the trip to Everest Basecamp began yesterday. Cathy took Jeff, Silva and I to the airport Thursday morning. I dropped my altimeter (gift from Rose and John) going through security. 😢 First casualty of the trip. We then met John Raithel at the gate and boarded our A350. About this time it started snowing. …
Continue reading “Day 1 on the #MM4MM: The flight of the endless sunset”
JOEL M. TOPF Nephrologist I am a board certified clinical nephrologist in Detroit. I am a partner at St Clair Nephrology and am part of the faculty that teaches the nephrology fellows, residents, and medical students that use St John Hospital and Medical Center to hone their clinical skills. I am an Assistant Clinical Professor at …
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The Award Saturday November 4, 2017 I accepted the Robert Narins Award from the ASN. This is the highest honor I could ever receive for the work that I have done in medical education. Here is how ASN describes the award: The Robert G. Narins Award honors individuals who have made substantial and meritorious contributions …
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Somewhere along the road to becoming a doctor med students develop the hyperkalemia insulin reflex. See an elevated potassium give 10 units of IV insulin and 25 grams of D50. Yesterday I saw this done for a potassium of 5.6. No. One. Dies. From. A. Potassium. Of. 5.6. But there is morbidity from the insulin …
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I teach IV fluids to every third year medical student and resident that crosses the threshold at St John Hospital. It’s what I do. It’s a conventional lecture focusing on the expected fluid distribution following various flavors of IV fluids. The dogma of IV fluids is that dextrose solutions, crystalloids and plasma expanders distribute across …
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