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brianrifkin.bsky.social
Brian Rifkin
@brianrifkin.bsky.social
1.6K followers 4.7K following 1.6K posts
General and Interventional Nephrologist #MedSky #NephSky, pragmatist, lover of memes/GIFs/bad dad jokes, artist, singer, NephJC editor, NephSIM mentor, GlomCon grad. Air Force veteran and type 1 diabetic (insulin pimp).
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Reposted by Brian Rifkin
catwomanresists.bsky.social
CatWoman @catwomanresists.bsky.social · 4h
🤦‍♀️🤦‍♀️
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brianrifkin.bsky.social
Brian Rifkin @brianrifkin.bsky.social · 11h
brianrifkin.bsky.social
Brian Rifkin @brianrifkin.bsky.social · 1d
#NephJC
a cartoon character is holding a bunch of money and the words shut up and take are above him
ALT: a cartoon character is holding a bunch of money and the words shut up and take are above him
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Brian Rifkin @brianrifkin.bsky.social · 1d
#NephJC
a man is sitting at a table eating a steak .
ALT: a man is sitting at a table eating a steak .
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Brian Rifkin @brianrifkin.bsky.social · 1d
Most of my dialysis patients don’t need a higher BMI, yet we push protein for low albumin. I’m not sure this actually leads to better outcomes #NephJC
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Brian Rifkin @brianrifkin.bsky.social · 1d
I think we are going to “need more studies”, and really think more about prescribing diets and supplements #NephJC
a woman in a white sweater is holding two bottles and a glass .
ALT: a woman in a white sweater is holding two bottles and a glass .
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Brian Rifkin @brianrifkin.bsky.social · 1d
I’m not even sure the current data actually qualifies for a meta analysis?! We definitely need better quality studies and more patient focused outcomes #NephJC
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Brian Rifkin @brianrifkin.bsky.social · 1d
Many supplements are not regulated in the US and can have heavy metal and other contaminants #NephJC
an older woman with glasses says we don 't drink the water from here
ALT: an older woman with glasses says we don 't drink the water from here
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Brian Rifkin @brianrifkin.bsky.social · 1d
Dieticians are a core part of dialysis rounds, but we don’t have access to them for CKD. #NephJC
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Brian Rifkin @brianrifkin.bsky.social · 1d
I think the CKD diet is complicated enough, and I do not recommend changing the amount of protein in the diet routinely. However, in ESRD I’m pushing eggs/supplements (liqucel) daily. #NephJC
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Brian Rifkin @brianrifkin.bsky.social · 1d
Bigger is worse in CKD but better in ESRD for mortality? #NephJC
a man with long hair and a beard is wearing a black shirt that says a lot more massive on it
ALT: a man with long hair and a beard is wearing a black shirt that says a lot more massive on it
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Brian Rifkin @brianrifkin.bsky.social · 1d
A surrogate that seems less helpful from a clinical perspective #NephJC
The Transformers Megatron GIF
ALT: The Transformers Megatron GIF
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Brian Rifkin @brianrifkin.bsky.social · 1d
We used to call it “buffing the chart” to get the chem-7 to be euboxic #NephJC
arnold schwarzenegger is smiling and looking at the camera while wearing a suit and tie .
ALT: arnold schwarzenegger is smiling and looking at the camera while wearing a suit and tie .
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Brian Rifkin @brianrifkin.bsky.social · 1d
#NephJC
a man in an apron is saying every time all the time
ALT: a man in an apron is saying every time all the time
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Brian Rifkin @brianrifkin.bsky.social · 1d
It appears it is hard to get good dietary studies #NephJC
a cookie monster is sitting at a table eating a plate of vegetables .
ALT: a cookie monster is sitting at a table eating a plate of vegetables .
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Brian Rifkin @brianrifkin.bsky.social · 1d
Never used ketoanaloges #NephJC
two men standing on a boardwalk with one wearing a shirt that says " keto or cheato "
ALT: two men standing on a boardwalk with one wearing a shirt that says " keto or cheato "
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Brian Rifkin @brianrifkin.bsky.social · 1d
I’m not down for any expensive supplements that have little/no proof. #NephJC
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Brian Rifkin @brianrifkin.bsky.social · 1d
Protein: We restrict or just “let it go” in CKD, but we actively force protein supplementation in ESRD. Seems liked studying very mixed strategies #NephJC
a group of cartoon characters are gathered around a table with a sign that says vax
ALT: a group of cartoon characters are gathered around a table with a sign that says vax
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Brian Rifkin @brianrifkin.bsky.social · 1d
#NephJC
a sign that says " enter at your own risk "
ALT: a sign that says " enter at your own risk "
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Brian Rifkin @brianrifkin.bsky.social · 1d
#NephJC
a woman says i got left out in front of a microphone
ALT: a woman says i got left out in front of a microphone
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Brian Rifkin @brianrifkin.bsky.social · 1d
#NephJC
a cartoon of a dachshund holding a microphone with the words end of discussion
ALT: a cartoon of a dachshund holding a microphone with the words end of discussion
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Brian Rifkin @brianrifkin.bsky.social · 1d
#NephJC
a close up of a cat laying on a table with the word nope written on the bottom .
ALT: a close up of a cat laying on a table with the word nope written on the bottom .
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Brian Rifkin @brianrifkin.bsky.social · 1d
This would be “normal” intake even for those without CKD #NephJC
a snowman in a pile of leaves with the words that 's normal
ALT: a snowman in a pile of leaves with the words that 's normal
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Brian Rifkin @brianrifkin.bsky.social · 1d
I don’t recommend above 1mg/kg. Some bodybuilders go as high as 3mg/kg and then get referred to me for proteinuria #NephJC
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Brian Rifkin @brianrifkin.bsky.social · 1d
Starving patients doesn’t sound like a great strategy #NephJC
a man wearing glasses and a white shirt says i 'm freakin starving i didnt eat anything today
ALT: a man wearing glasses and a white shirt says i 'm freakin starving i didnt eat anything today
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