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Jayana Devathasan @jyndvthsn.bsky.social · 24d

Glassock is the best 🐐

Reposted by Jayana Devathasan

Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · Sep 14

The need to deprescribe!

www.nytimes.com/2025/09/07/h... (gift link)

Older peeps and falls, often prescription drugs to blame.

Why Are More Older People Dying After Falls?

www.nytimes.com

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Jayana Devathasan @jyndvthsn.bsky.social · Aug 31

Prof Adeera Levin from @BCRenal education us at @ANZSN 2025 in Perth about models of care in CKD - relationship and knowing your patients is important.

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Jayana Devathasan @jyndvthsn.bsky.social · Aug 24

Important to keep all other variables controlled

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Jayana Devathasan @jyndvthsn.bsky.social · Aug 15

Umm Joel just visit NZ and see the real thing for yourself come on now 🙂

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Jayana Devathasan @jyndvthsn.bsky.social · Aug 3

Wow I'm so behind... Thank you!

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Reposted by Jayana Devathasan

Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · Aug 3

We recorded a podcast with him here www.nephjc.com/freelyfilter... from the last #KidneyWk

FF 75 NephJC Night at Kidney Week — NephJC

Live from San Diego it is a recording of the NephJC Night Show!

www.nephjc.com

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Reposted by Jayana Devathasan

Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · Aug 2

Excellent read of the day.
Cannot disagree with anything written by Andrew Cohen here: www.ajkd.org/article/S027... in @ajkd.bsky.social

Starts off with citations of the dreaded Student Doctor Network and @kidneyboy.bsky.social PB fluids blog.

Is Dialysis Nephrology’s Original Sin?

The introduction of hemodialysis in the 1960s and the subsequent enactment of Medicare coverage in 1972 came to shape the evolution of nephrology as a specialty. The subsequent focus on dialysis care ...

www.ajkd.org

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Jayana Devathasan @jyndvthsn.bsky.social · Aug 3

Have you read Tom Mueller's book? I'm just reading it now... would love to see it through the lens of an American nephrologist (yes I know you're Canadian!)

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Jayana Devathasan @jyndvthsn.bsky.social · Jul 29

Very hot take! Our CLABSI rates were so high and we had such a high prevalence of CVCs being used due to massive AVF delays. We've worked really hard on it and got CVC rates and now finally starting to see lower BSI rates. How quickly do yours get permanent access after starting?

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Jayana Devathasan @jyndvthsn.bsky.social · Jul 29

But isn't that exactly what a suboptimal start is? (we have loads of those too...)

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Reposted by Jayana Devathasan

Dr. Genevieve Eastabrook, MD FRCSC (she/her) @placentadoc.bsky.social · Jul 26

Recommendations:
-Limit nonessential meetings to core hours (eg. 9-4) recognizing that time outside this window is not equitably accessible
-Offer asynchronous or hybrid options for professional development & decision-making forums, reducing reliance on physical presence as a proxy for engagement

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Jayana Devathasan @jyndvthsn.bsky.social · Jul 14

🤔

The BMJ @bmj.com · Jul 14

“My portfolio career was born out of a desperate need to keep my non-clinical interests alive."

Many doctors are turning to portfolio careers to reduce burnout and improve morale, @emahase.bsky.social _ hears
www.bmj.com/content/390/...

Jayana Devathasan @jyndvthsn.bsky.social · Jul 3

30M with aggressive crescentic IgAN. M1E0S1T1C2. 4g proteinuria with Cr 160 umol/L but rising. Induction with IV CYC and pred. Now 1g protein but Cr, now 250 umol/L. Not sure what next :( maybe repeat biopsy? @nephrowhitt.bsky.social @hswapnil.medsky.social @askrenal.bsky.social

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Reposted by Jayana Devathasan

Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · Jul 2

We don’t get to discuss every important study that comes out on #NephJC

Hence #NephJCShorts

www.nephjc.com/news/nephjc-...

Introducing NephJC Shorts — NephJC

In just over a decade of critical appraisal on NephJC, we have done several experiments. Some of them have worked out phenomenally well, such as the Freely Filtered podcast. Others were not ready for ...

www.nephjc.com

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Reposted by Jayana Devathasan

Joel Topf @kidneyboy.bsky.social · Jul 2

My patients live at the margins of society. They don’t have much. Just getting to dialysis three times a week is a big ask. Taking from them to fund tax breaks for the rich is just cruel.

I want to be outraged but I just feel like crying.

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Reposted by Jayana Devathasan

Michelle Rheault, MD @rheaultm.bsky.social · Jul 1

Holy cow. A $35 copay for every dialysis treatment???

“New Copays: A $35-per-treatment copay for dialysis and CKD patients above the poverty line could cost dialysis patients over $5,000 annually.”

National Kidney Foundation @kidney.org · Jul 1

The so-called ‘Big Beautiful Bill’ that passed the Senate today is a giant leap backward for people living with kidney disease. NKF urges Congress to reject these harmful provisions. www.kidney.org/press-room/b...

Big Beautiful Bill is Downright Ugly for Kidney Patients

Tune in for the latest research and perspectives on kidney health from NKF.

www.kidney.org

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Jayana Devathasan @jyndvthsn.bsky.social · Jul 2

Crazy. So much inequity.

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Jayana Devathasan @jyndvthsn.bsky.social · Jul 1

Is it not just this?
jamanetwork.com/journals/jam...

Efficacy and Safety of Spironolactone in Acute Heart Failure

This randomized clinical trial analyzes the effects of high-dose spironolactone vs usual care on N-terminal pro-B-type natriuretic peptide levels.

jamanetwork.com

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Reposted by Jayana Devathasan

Nephgirlsketches @nephgirlsketch.bsky.social · Jun 26

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Reposted by Jayana Devathasan

Transplant Epidemiology Group Australia @tregaustralia.bsky.social · Jun 22

@lachlanmcmichael.bsky.social presenting his first of two talks at @tsanz.bsky.social exploring variation in living donor referral in Australia and New Zealand @anzdataregistry.bsky.social

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Reposted by Jayana Devathasan

Lachlan McMichael @lachlanmcmichael.bsky.social · Jun 16

🔍 New Publication in Kidney International Reports

Pleased to share our recently published editorial commentary:

“Upstream Causes, Downstream Consequences: Targeting Pre-Dialysis Pathways to Tackle Inequities in Access to Kidney Transplantation”

👉 doi.org/10.1016/j.ek...

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Reposted by Jayana Devathasan

Transplant Epidemiology Group Australia @tregaustralia.bsky.social · Jun 22

@philclayton.bsky.social presenting the new HLA matchability score as part of the proposed new kidney allocation system demonstrating improvement in equity @tsanz.bsky.social @anzdataregistry.bsky.social

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Jayana Devathasan @jyndvthsn.bsky.social · Jun 18

Sorry late to the post but have seen dramatic hypophosphataemia post FCM in a tx patient. Now much more cautious re: timing in these patients!

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Jayana Devathasan @jyndvthsn.bsky.social · Jun 18

*probably should have said 'numerical outcome' or something instead of 'clinical outcome'