Wael Hussein
@waelhussein.bsky.social
Nephrologist. Informatics and data analysis enthusiast. #MedSky #NephSky
Me leaving the clinic with all notes completed and signed- thanks to AI scribe:
a man in an orange suit is dancing in a room
ALT: a man in an orange suit is dancing in a room
media.tenor.com
November 14, 2025 at 6:19 PM
Me leaving the clinic with all notes completed and signed- thanks to AI scribe:
Reposted by Wael Hussein
Sing it brother!
In a CKD pt, the fear of giving iv contrast during a CT (to diagnose cancer) is more than the fear of cancer.
I need radiologists/techs to understand that
A. If I’ve signed the form, I know what I’m doing!
B. The risk of “contrast nephrotoxicity” is negligible, perhaps non-existent.
Read the lit!
I need radiologists/techs to understand that
A. If I’ve signed the form, I know what I’m doing!
B. The risk of “contrast nephrotoxicity” is negligible, perhaps non-existent.
Read the lit!
October 24, 2025 at 2:25 AM
Sing it brother!
Humans:
- Taking my job?
----- I hate AI!😡
- Helping me get rid of another human when doing something?
----- I love AI!🥰
We are doomed!!
www.msn.com/en-us/health...
- Taking my job?
----- I hate AI!😡
- Helping me get rid of another human when doing something?
----- I love AI!🥰
We are doomed!!
www.msn.com/en-us/health...
MSN
www.msn.com
October 2, 2025 at 11:40 AM
Humans:
- Taking my job?
----- I hate AI!😡
- Helping me get rid of another human when doing something?
----- I love AI!🥰
We are doomed!!
www.msn.com/en-us/health...
- Taking my job?
----- I hate AI!😡
- Helping me get rid of another human when doing something?
----- I love AI!🥰
We are doomed!!
www.msn.com/en-us/health...
A fascinating story about prevention of scurvy shows how it can take CENTURIES between discovery and practice.
Meanwhile, there will be winners and losers.
Here is the story and some valuable lessons. A thread 🧵 below.
doi.org/10.1001/jama...
Meanwhile, there will be winners and losers.
Here is the story and some valuable lessons. A thread 🧵 below.
doi.org/10.1001/jama...
Disseminating Innovations in Health Care
Health care is rich in evidence-based innovations, yet even when such innovations are implemented successfully in one location, they often disseminate slowly—if at all. Diffusion of innovations is a m...
doi.org
September 28, 2025 at 6:11 PM
A fascinating story about prevention of scurvy shows how it can take CENTURIES between discovery and practice.
Meanwhile, there will be winners and losers.
Here is the story and some valuable lessons. A thread 🧵 below.
doi.org/10.1001/jama...
Meanwhile, there will be winners and losers.
Here is the story and some valuable lessons. A thread 🧵 below.
doi.org/10.1001/jama...
15 L interdialytic wt gain.
Record?
Pt was trying to beat nausea with chips and water.
Record?
Pt was trying to beat nausea with chips and water.
September 3, 2025 at 8:49 PM
15 L interdialytic wt gain.
Record?
Pt was trying to beat nausea with chips and water.
Record?
Pt was trying to beat nausea with chips and water.
How are our patients dealing with these tremendous costs?
Do you have ppl in ur clinic to help pts obtain these medicines at an affordable cost?
Source: Primer on Diabetes Management www.vumedi.com/video/primer...
Do you have ppl in ur clinic to help pts obtain these medicines at an affordable cost?
Source: Primer on Diabetes Management www.vumedi.com/video/primer...
September 2, 2025 at 12:47 AM
How are our patients dealing with these tremendous costs?
Do you have ppl in ur clinic to help pts obtain these medicines at an affordable cost?
Source: Primer on Diabetes Management www.vumedi.com/video/primer...
Do you have ppl in ur clinic to help pts obtain these medicines at an affordable cost?
Source: Primer on Diabetes Management www.vumedi.com/video/primer...
Reposted by Wael Hussein
In case you missed it on the #AJKDBlog:
AJKDBlog Interviews Editor Timothy Yau caught up with Dr. Subhash Chander to discuss if urea is effective for managing SIADH-induced hyponatremia.
bit.ly/ChanderBlog25 (FREE)
AJKDBlog Interviews Editor Timothy Yau caught up with Dr. Subhash Chander to discuss if urea is effective for managing SIADH-induced hyponatremia.
bit.ly/ChanderBlog25 (FREE)
August 3, 2025 at 4:01 PM
In case you missed it on the #AJKDBlog:
AJKDBlog Interviews Editor Timothy Yau caught up with Dr. Subhash Chander to discuss if urea is effective for managing SIADH-induced hyponatremia.
bit.ly/ChanderBlog25 (FREE)
AJKDBlog Interviews Editor Timothy Yau caught up with Dr. Subhash Chander to discuss if urea is effective for managing SIADH-induced hyponatremia.
bit.ly/ChanderBlog25 (FREE)
Do u have a local policy for picc- and mid-lines for pts with renal impairment?
🧭 Any simple algorithm that can be shared with other specialties?
⛔️ “Has to be discussed with nephrology” is a battle- we r the bad people who r inconsiderate of realities of the pt’s (immediate) care!
#askrenal
🧭 Any simple algorithm that can be shared with other specialties?
⛔️ “Has to be discussed with nephrology” is a battle- we r the bad people who r inconsiderate of realities of the pt’s (immediate) care!
#askrenal
July 25, 2025 at 7:21 PM
Do u have a local policy for picc- and mid-lines for pts with renal impairment?
🧭 Any simple algorithm that can be shared with other specialties?
⛔️ “Has to be discussed with nephrology” is a battle- we r the bad people who r inconsiderate of realities of the pt’s (immediate) care!
#askrenal
🧭 Any simple algorithm that can be shared with other specialties?
⛔️ “Has to be discussed with nephrology” is a battle- we r the bad people who r inconsiderate of realities of the pt’s (immediate) care!
#askrenal
⚠️ Calciphylaxis is a debilitating and painful condition that is hard to treat.
▶️ Do you use daily dialysis as part of treatment? If so, what criteria do you use?
#askrenal
pubmed.ncbi.nlm.nih.gov/21872378/
doi.org/10.1093/ndt/...
▶️ Do you use daily dialysis as part of treatment? If so, what criteria do you use?
#askrenal
pubmed.ncbi.nlm.nih.gov/21872378/
doi.org/10.1093/ndt/...
July 22, 2025 at 3:23 AM
⚠️ Calciphylaxis is a debilitating and painful condition that is hard to treat.
▶️ Do you use daily dialysis as part of treatment? If so, what criteria do you use?
#askrenal
pubmed.ncbi.nlm.nih.gov/21872378/
doi.org/10.1093/ndt/...
▶️ Do you use daily dialysis as part of treatment? If so, what criteria do you use?
#askrenal
pubmed.ncbi.nlm.nih.gov/21872378/
doi.org/10.1093/ndt/...
Is it just me or is it really awkward?
".. and they are all known as non-steroidal anti-inflammatory drugs, or NSAIDs".
I am sure I lose patients at "non-ster.."!
How do you tell ur pts about them?
".. and they are all known as non-steroidal anti-inflammatory drugs, or NSAIDs".
I am sure I lose patients at "non-ster.."!
How do you tell ur pts about them?
July 16, 2025 at 9:52 PM
Is it just me or is it really awkward?
".. and they are all known as non-steroidal anti-inflammatory drugs, or NSAIDs".
I am sure I lose patients at "non-ster.."!
How do you tell ur pts about them?
".. and they are all known as non-steroidal anti-inflammatory drugs, or NSAIDs".
I am sure I lose patients at "non-ster.."!
How do you tell ur pts about them?
“Does not smoke, drink, or work”
Made my day 😂
Made my day 😂
July 15, 2025 at 9:49 PM
“Does not smoke, drink, or work”
Made my day 😂
Made my day 😂
Will AI tools make your job as a doctor more enjoyable?
Think twice!
Imagine investors developing tools to help builders. Their real focus would not be to improve job quality, but rather to boost productivity = ⬆️ ROI💰
Here’s how the game unfolds:
open.substack.com/pub/sensible...
Think twice!
Imagine investors developing tools to help builders. Their real focus would not be to improve job quality, but rather to boost productivity = ⬆️ ROI💰
Here’s how the game unfolds:
open.substack.com/pub/sensible...
When AI Listens In: How Conversational Data Could Disrupt Medicine
When I began practicing medicine, use of the Internet or a smartphone could not have been imagined because neither existed.
open.substack.com
July 15, 2025 at 11:13 AM
Will AI tools make your job as a doctor more enjoyable?
Think twice!
Imagine investors developing tools to help builders. Their real focus would not be to improve job quality, but rather to boost productivity = ⬆️ ROI💰
Here’s how the game unfolds:
open.substack.com/pub/sensible...
Think twice!
Imagine investors developing tools to help builders. Their real focus would not be to improve job quality, but rather to boost productivity = ⬆️ ROI💰
Here’s how the game unfolds:
open.substack.com/pub/sensible...
Reposted by Wael Hussein
#Vibecoding a #Perl interface to a #C library - Part 2
chrisarg.github.io/Killing-It-w...
Conclusions:
> #AI requires substantial subject matter expertise to deliver
> Constant vigilance for hallucinations, omissions and biases is required!
> They will not make a God out of a novice
chrisarg.github.io/Killing-It-w...
Conclusions:
> #AI requires substantial subject matter expertise to deliver
> Constant vigilance for hallucinations, omissions and biases is required!
> They will not make a God out of a novice
Vibe coding a Perl interface to a foreign library - Part 2
Of makefiles and alienfiles
chrisarg.github.io
July 5, 2025 at 11:26 PM
#Vibecoding a #Perl interface to a #C library - Part 2
chrisarg.github.io/Killing-It-w...
Conclusions:
> #AI requires substantial subject matter expertise to deliver
> Constant vigilance for hallucinations, omissions and biases is required!
> They will not make a God out of a novice
chrisarg.github.io/Killing-It-w...
Conclusions:
> #AI requires substantial subject matter expertise to deliver
> Constant vigilance for hallucinations, omissions and biases is required!
> They will not make a God out of a novice
Reposted by Wael Hussein
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.
I want to be outraged but I just feel like crying.
July 2, 2025 at 12:20 AM
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.
I want to be outraged but I just feel like crying.
Reposted by Wael Hussein
Viewpoint: Delegating Medicare Advantage coverage and payment decisions to a third party could limit claim denials and improve access to care.
ja.ma/3HZuPnm
ja.ma/3HZuPnm
June 25, 2025 at 4:27 PM
Viewpoint: Delegating Medicare Advantage coverage and payment decisions to a third party could limit claim denials and improve access to care.
ja.ma/3HZuPnm
ja.ma/3HZuPnm
Reposted by Wael Hussein
The Krebs cycle is worse than death
June 22, 2025 at 2:22 AM
The Krebs cycle is worse than death
@askrenal.bsky.social @asnkidney.bsky.social
Why do we not have a course, say on Coursera, that’s available for new fellows that covers the essentials of starting on the specialty?
Why do we not have a course, say on Coursera, that’s available for new fellows that covers the essentials of starting on the specialty?
June 22, 2025 at 1:39 AM
@askrenal.bsky.social @asnkidney.bsky.social
Why do we not have a course, say on Coursera, that’s available for new fellows that covers the essentials of starting on the specialty?
Why do we not have a course, say on Coursera, that’s available for new fellows that covers the essentials of starting on the specialty?
Great bike lock. 5 stars. #ecommerce #business #finance
YouTube video by Chris Kohler
youtube.com
June 19, 2025 at 10:28 AM
Reposted by Wael Hussein
“If international medical graduates can’t start their medical residencies on time on July 1, the ramifications are so far-reaching that it is really unconscionable,” said Kimberly Pierce Burke, executive director of the Alliance of Independent Academic Medical Centers.”
Trump Travel Restrictions Bar Residents Needed at U.S. Hospitals
www.nytimes.com
June 19, 2025 at 1:52 AM
“If international medical graduates can’t start their medical residencies on time on July 1, the ramifications are so far-reaching that it is really unconscionable,” said Kimberly Pierce Burke, executive director of the Alliance of Independent Academic Medical Centers.”
Quality of online time is an “admixture of content and quantity”, and is “not without cost”.
Texting the AI boy/girlfriend is a new one!
Texting the AI boy/girlfriend is a new one!
"Time spent using digital media is not without cost."
This Viewpoint discusses the evolving recognition of digital media use disorders.
https://ja.ma/3ZBSXlS
This Viewpoint discusses the evolving recognition of digital media use disorders.
https://ja.ma/3ZBSXlS
June 18, 2025 at 10:46 AM
Quality of online time is an “admixture of content and quantity”, and is “not without cost”.
Texting the AI boy/girlfriend is a new one!
Texting the AI boy/girlfriend is a new one!
Reposted by Wael Hussein
From the Special Collection on Diabetes & Kidney Disease:
Urine Albumin-Creatinine Ratio Variability in People With Type 2 Diabetes: Clinical and Research Implications
bit.ly/4asLbxT (temp free)
#VisualAbstract
Urine Albumin-Creatinine Ratio Variability in People With Type 2 Diabetes: Clinical and Research Implications
bit.ly/4asLbxT (temp free)
#VisualAbstract
June 18, 2025 at 10:02 AM
From the Special Collection on Diabetes & Kidney Disease:
Urine Albumin-Creatinine Ratio Variability in People With Type 2 Diabetes: Clinical and Research Implications
bit.ly/4asLbxT (temp free)
#VisualAbstract
Urine Albumin-Creatinine Ratio Variability in People With Type 2 Diabetes: Clinical and Research Implications
bit.ly/4asLbxT (temp free)
#VisualAbstract
Doximity dialer and text messaging services are GREAT!
I love that I can call from the app or from the browser on my computer. My calls show the office number. The texts are secure.
It's very rare to see something as well done!
Thx, @doximity.bsky.social ! 5/5 stars!
I love that I can call from the app or from the browser on my computer. My calls show the office number. The texts are secure.
It's very rare to see something as well done!
Thx, @doximity.bsky.social ! 5/5 stars!
June 17, 2025 at 9:19 PM
Doximity dialer and text messaging services are GREAT!
I love that I can call from the app or from the browser on my computer. My calls show the office number. The texts are secure.
It's very rare to see something as well done!
Thx, @doximity.bsky.social ! 5/5 stars!
I love that I can call from the app or from the browser on my computer. My calls show the office number. The texts are secure.
It's very rare to see something as well done!
Thx, @doximity.bsky.social ! 5/5 stars!
Seems good, but what does "un-ionized" mean? 😵💫
"Resident physicians secure the first *unionized* contract at MGH.."
www.wgbh.org/news/health/...
"Resident physicians secure the first *unionized* contract at MGH.."
www.wgbh.org/news/health/...
June 17, 2025 at 8:04 PM
Seems good, but what does "un-ionized" mean? 😵💫
"Resident physicians secure the first *unionized* contract at MGH.."
www.wgbh.org/news/health/...
"Resident physicians secure the first *unionized* contract at MGH.."
www.wgbh.org/news/health/...
Please don't do this!
This figure stuffs a lot of information in one graph: outcome, program size, comparator, length of follow up, and type of assistance.
Comprehensive, but so hard to read => wasteful.
journals.lww.com/cjasn/abstra...
This figure stuffs a lot of information in one graph: outcome, program size, comparator, length of follow up, and type of assistance.
Comprehensive, but so hard to read => wasteful.
journals.lww.com/cjasn/abstra...
June 16, 2025 at 1:56 AM
Please don't do this!
This figure stuffs a lot of information in one graph: outcome, program size, comparator, length of follow up, and type of assistance.
Comprehensive, but so hard to read => wasteful.
journals.lww.com/cjasn/abstra...
This figure stuffs a lot of information in one graph: outcome, program size, comparator, length of follow up, and type of assistance.
Comprehensive, but so hard to read => wasteful.
journals.lww.com/cjasn/abstra...