Joel Topf
@kidneyboy.bsky.social
Saying the product of the kidneys is urine is like saying the product of a factory is pollution. Urine is a by-product. The product is homeostasis.
COI: https://pbfluids.com/about/
COI: https://pbfluids.com/about/
Things you see in dialysis rounds
Knock off iPod Nano, "I've got 3,500 songs on that thing"
Knock off iPod Nano, "I've got 3,500 songs on that thing"
November 24, 2025 at 6:03 PM
Things you see in dialysis rounds
Knock off iPod Nano, "I've got 3,500 songs on that thing"
Knock off iPod Nano, "I've got 3,500 songs on that thing"
Reposted by Joel Topf
a fancy nephrology guideline trying to describe how to titrate a norepi gtt is sending me 🤣
adjust q4hr??
the whole point of a NE gtt in HRS-AKI is immediate BP control
tell the ICU RN the target MAP and they will achieve it immediately... that's why NE gtts are great
(and peripheral IV is fine)
adjust q4hr??
the whole point of a NE gtt in HRS-AKI is immediate BP control
tell the ICU RN the target MAP and they will achieve it immediately... that's why NE gtts are great
(and peripheral IV is fine)
November 22, 2025 at 8:57 PM
a fancy nephrology guideline trying to describe how to titrate a norepi gtt is sending me 🤣
adjust q4hr??
the whole point of a NE gtt in HRS-AKI is immediate BP control
tell the ICU RN the target MAP and they will achieve it immediately... that's why NE gtts are great
(and peripheral IV is fine)
adjust q4hr??
the whole point of a NE gtt in HRS-AKI is immediate BP control
tell the ICU RN the target MAP and they will achieve it immediately... that's why NE gtts are great
(and peripheral IV is fine)
November 19, 2025 at 2:09 AM
Reposted by Joel Topf
Hey Megyn Kelly,
14-year-old Eloise would like a word:
“If my voice makes you uncomfortable, good…
because the minute adults start defending predators by defending the age of a child, you’re not protecting the truth, you’re protecting the predator.”
Sound up! 🔥🔊
1/2
14-year-old Eloise would like a word:
“If my voice makes you uncomfortable, good…
because the minute adults start defending predators by defending the age of a child, you’re not protecting the truth, you’re protecting the predator.”
Sound up! 🔥🔊
1/2
November 15, 2025 at 1:17 PM
Hey Megyn Kelly,
14-year-old Eloise would like a word:
“If my voice makes you uncomfortable, good…
because the minute adults start defending predators by defending the age of a child, you’re not protecting the truth, you’re protecting the predator.”
Sound up! 🔥🔊
1/2
14-year-old Eloise would like a word:
“If my voice makes you uncomfortable, good…
because the minute adults start defending predators by defending the age of a child, you’re not protecting the truth, you’re protecting the predator.”
Sound up! 🔥🔊
1/2
Reposted by Joel Topf
The annual @asnkidney.bsky.social Fellows survey is out
data.asn-online.org/posts/2025_f...
Thanks @kpivert.bsky.social et al
#KidneyWk #NephSky
data.asn-online.org/posts/2025_f...
Thanks @kpivert.bsky.social et al
#KidneyWk #NephSky
ASN Data
Insights from the 12th Annual ASN Nephrology Fellow Survey
data.asn-online.org
November 6, 2025 at 12:37 PM
The annual @asnkidney.bsky.social Fellows survey is out
data.asn-online.org/posts/2025_f...
Thanks @kpivert.bsky.social et al
#KidneyWk #NephSky
data.asn-online.org/posts/2025_f...
Thanks @kpivert.bsky.social et al
#KidneyWk #NephSky
Reposted by Joel Topf
Mandatory #KidneyWk gathering with my fellow Channeleers from Channel Your Enthusiasm podcast 🎙️ www.rosebook.club @kidneyboy.bsky.social @amyaimei.bsky.social @annagaddy.bsky.social @jwaitz.bsky.social
November 8, 2025 at 12:27 AM
Mandatory #KidneyWk gathering with my fellow Channeleers from Channel Your Enthusiasm podcast 🎙️ www.rosebook.club @kidneyboy.bsky.social @amyaimei.bsky.social @annagaddy.bsky.social @jwaitz.bsky.social
Reposted by Joel Topf
Clinical Variability of ADPKD in Monozygotic Twins www.kireports.org/article/S246...
November 15, 2025 at 2:50 PM
Clinical Variability of ADPKD in Monozygotic Twins www.kireports.org/article/S246...
Recording another @FreelyFiltered. This one with Jon Barratt. Talking atacicet and IgAN!
November 14, 2025 at 9:54 PM
Recording another @FreelyFiltered. This one with Jon Barratt. Talking atacicet and IgAN!
Reposted by Joel Topf
Happy Partially Muscled Skeleton Standing by the Perimeter Fence Screaming for Thirty Seconds Before Vanishing Day to all who celebrate
November 14, 2025 at 3:57 PM
Happy Partially Muscled Skeleton Standing by the Perimeter Fence Screaming for Thirty Seconds Before Vanishing Day to all who celebrate
Reposted by Joel Topf
Miss out on #KidneyWk? Catch up with day 1's highlights courtesy of Drs. Joel Topf and Anna Gaddy. @kidneyboy.bsky.social #nephrology #nephsky #kidneydisease
www.docwirenews.com/post/asn-kid...
www.docwirenews.com/post/asn-kid...
ASN Kidney Week 2025 Day 1 Highlights | Docwire News
Nephrology Times board members Joel Topf, MD, and Anna Gaddy, MD, met at American Society of Nephrology (ASN) Kidney Week 2025 in Houston to discuss day 1's highlights.
www.docwirenews.com
November 12, 2025 at 5:09 PM
Miss out on #KidneyWk? Catch up with day 1's highlights courtesy of Drs. Joel Topf and Anna Gaddy. @kidneyboy.bsky.social #nephrology #nephsky #kidneydisease
www.docwirenews.com/post/asn-kid...
www.docwirenews.com/post/asn-kid...
Reposted by Joel Topf
As one of the original flozinators it so maddening to see nephrologists flozinate *instead* of using immunosuppresants, dz modifying therapies in nonDM CKD. Consider a thought experiment in transplant: proteinuria is often how we pick up ABMR & an SGLT2i is the wrong answer. Now do IgAN, SLE,C3G etc
November 10, 2025 at 2:18 PM
As one of the original flozinators it so maddening to see nephrologists flozinate *instead* of using immunosuppresants, dz modifying therapies in nonDM CKD. Consider a thought experiment in transplant: proteinuria is often how we pick up ABMR & an SGLT2i is the wrong answer. Now do IgAN, SLE,C3G etc
Reposted by Joel Topf
November 8, 2025 at 5:40 PM
November 8, 2025 at 5:21 PM
Reposted by Joel Topf
Richard Haynes- professor at Oxford, nephrologist. Senior author EMPA-k , 3C etc etc…..
November 8, 2025 at 5:05 PM
Richard Haynes- professor at Oxford, nephrologist. Senior author EMPA-k , 3C etc etc…..
Reposted by Joel Topf
Was listening to nephjc freely filtered episode of ACHIEVE trial just the other day. Of all the things we've tried in HD and failed, and now fish oil does the trick??? @kidneyboy.bsky.social @hswapnil.medsky.social
Shocking first high impact trial of the day. Fish oil reduces CV events in dialysis patients! #Pisces #kidneywk
Simultaneous pub in NEJM
www.nejm.org/doi/full/10....
Simultaneous pub in NEJM
www.nejm.org/doi/full/10....
November 7, 2025 at 11:40 PM
Was listening to nephjc freely filtered episode of ACHIEVE trial just the other day. Of all the things we've tried in HD and failed, and now fish oil does the trick??? @kidneyboy.bsky.social @hswapnil.medsky.social
If you are coming to the NephJC party tonight catch the bus at 7:00 at the corner Avenida De Las Americas & Rusk St at the corner of the conference center nearest Hall A. Near the restaurant, Grotto.
November 7, 2025 at 11:19 PM
If you are coming to the NephJC party tonight catch the bus at 7:00 at the corner Avenida De Las Americas & Rusk St at the corner of the conference center nearest Hall A. Near the restaurant, Grotto.
Reposted by Joel Topf
Recall only a few years ago that the late breaking trials session often has post hoc observation analyses or another negative HD or AKI trial. Indeed it is fantastic. More tomorrow…
November 7, 2025 at 7:52 AM
Recall only a few years ago that the late breaking trials session often has post hoc observation analyses or another negative HD or AKI trial. Indeed it is fantastic. More tomorrow…
Reposted by Joel Topf
I might have a new career in industry, but another #KidneyWk calls for another Kidney Week Run Club! From now on it will be organized by @nephjc.bsky.social (basically @kidneyboy.bsky.social). Saturday morning, 6:30 am, Discovery Green. 3 miles + change.
November 7, 2025 at 2:33 AM
I might have a new career in industry, but another #KidneyWk calls for another Kidney Week Run Club! From now on it will be organized by @nephjc.bsky.social (basically @kidneyboy.bsky.social). Saturday morning, 6:30 am, Discovery Green. 3 miles + change.
Reposted by Joel Topf
Dr Vlado Perkovic kicks off plenary session. Missed it? Check out the simultaneous publication. #KidneyWk www.kidney-international.org/article/S008...
From Progression to Remission: A New Paradigm for Success in Chronic Kidney Disease
Recent advances in treatment of chronic kidney disease (CKD) have changed the clinical
paradigm from slowing inevitable progression to achievable remission. Landmark trials
involving SGLT2 inhibitors,...
www.kidney-international.org
November 6, 2025 at 2:35 PM
Dr Vlado Perkovic kicks off plenary session. Missed it? Check out the simultaneous publication. #KidneyWk www.kidney-international.org/article/S008...