agree, it should be integral to all chronic illnesses research (not just CKD) especially since QOL parameters are easily standardized! And more importantly chronic illnesses are lived and not just measured! #NephJC

HRQOL data were scarce and heterogeneous! so no pooled analysis. Just qualitative data. #NephJC

17 trials with 955 patients
DAPA-CKD had 4,300 CKD patients one of half dozen CKD #Flozin trial

This is so under studied it is pathetic.
If you are going to change someone whole lifestyle you need to bring receipts

Do better dieticians

#NephJC

The only thing more restricted than protein is happiness at dinner- HRQOL #NephJC

“We promised better outcomes not better flavors” #NephJC

Thank you and look forward to the #NephJC event in Houston!

T3a
Chimerism is closer to being mainstream. This trial moves immune tolerance from a "Greek legend" to a reproducible strategy for select pts. The protocol achieved its goal, showing this isn't just single-center "magic." In what other groups would you like to see this protocol used? #NephJC

Woohoo - welcome back Paresh

The whole nephrology world will be descending on your city soon for #KidneyWk

#NephJC

T0c
There have been numerous developments in the field of transplantation that have improved outcomes and success rates. Today 95% of renal transplants are functional after 1 year, and 80% at five years. #NephJC

Hello, #NephJC
this is Paresh from Houston. No COI. Looking forward to the discussion on immune tolerance!

We are thrilled to announce that we have generously received funding for a one-year hypertension fellowship, and we are recruiting now for a candidate to start fellowship July 1, 2026 .
med.stanford.edu/hypertension/e…

-Jehan Zahid Bahrainwala
HTN Fellowship Program Director

“The great phosphate bypass” @hswapnil.medsky.social
#NephJC

Yes.. that would be awesome! Please make it happen. #NephJC

Paresh Jadav, from Houston..no COI
#NephJC

Low Urine Cr concentration: simply very poor clearance in bad AKI. (But not in steady state; as even with GFR of 5 cc/min (72L/day), creatinine excretion remains the same)
Or high water intake.. low urine Cr of 20 mg/dl who is making 4 to 5L of urine a day is having adequate clearance (1000mg)

Ur Na> serum Na
Person taking 150 to 200 meq of Na intake/day (to be in steady state) will have urine Na of 150 to 200 meq/L if they are making 1 liter of urine. (And Urine Na in 130s if 1.5L of urine per day). Number of possibilities with various Na &water intake. Kidney &its precision work!!

Urine studies show -pt is still in AKI &has very poor clearance; so creatinine must still be rising.
In a steady state, at a low GFR, Na reabsorption is often 80s to 90s%. & Urine Na is not uncommonly higher than serum Na.(Based on Na/water intake&not accounting for diuretic that they often require