ππ¨π¬ππ©π‘ π
π₯π²π§π§, ππ
@drjosflynn
Followers
8K
Following
92K
Media
2K
Statuses
28K
PGY-38 /Professor of Pediatrics @uwsomwwami /Editor in Chief, @Ped_Neph /Past-President, @ASPNeph / He/Him/His π³οΈβπ /Also at @jostflynnmd.bsky.social
Seattle, WA
Joined May 2013
My incredible team threw a little party last week to mark the end of my tenure as Division Head. What an amazing group of colleagues - I am so privileged to work with them!
6
4
99
So, hospitalized for a nasty cellulitis. On Vancomycin. Creatinine higher today. RN brings in next dose. I ask: Vanco level first, please. Result: 2x desired trough. Plan: hold Vanco. Yep. The patient knows best.
78
18
793
THIS happened today πππ
60
4
504
33 years together, 9 years "legal," now protected for good in all 50 states! .Biden Signs Bill to Protect Same-Sex Marriage Rights
16
7
418
31
29
360
This. Is. Why. I. Go. To. Work. π
14
8
229
Finally online - our editorial on supportive peer review!.
12
56
197
Puppy parenthood commences!
18
2
202
Where did the practice of expressing urine output in cc/kg/hr come from? Usually it's a meaningless number. Make it stop! . Just tell me how many total mL in and how many total mL out. And even better, tell me the patient's weight compared to yesterday! . End of rant.
28
24
178
An editor's plea-. If you reviewed the original version of a manuscript, PLEASE agree to review the revision. That's the tweet.
12
7
151
Warmest of holiday greetings from our home to yours!
4
1
154
One of the most important things we can do in academics is help junior people advance. I'll gladly say yes to just about any request for a LOS for promotion - otherwise, what are we here for?.
11
14
132
Bringing Pride to Nephrology - fantastic editorial, so honored to be part of this issue of @NatRevNeph.
2
37
138
Yes, it WAS me who changed the patient's BP cuff to a larger one as part of my consult for "hypertension".
11
16
133
3
0
132
Saturday morning and I wake up to 7 emails about "mandatory" online trainings due by the end of the month. Delete, .delete,.delete, .delete, .delete, .delete,.delete. There. That's better!.
11
3
120
So far today, I have bathed two dogs, r.educed my Outlook in-box by 2/3, and have written the opening paragraph of an overdue paper. Time for wine!
7
2
123
Ok, people. Do NOT say that Montana has no pediatric nephrologist! I am here and clinic is open! @seattlechildren @ASPNeph
9
3
116
Have to pass along sad news about Miss Greta Garbo to her fans on Twitter - her time to leave us came last week after 16 years. she was the best little #Doxie ever. #DogsofTwittter
44
1
123
Wow! Our paper from the @CKiDStudy received an @AJKDonline 2021 Editor's Choice Award! So proud to be part of this team! Read the paper here:.
12
15
119
Update! Home from the hospital, infection responding to treatment and creatinine improved. Thanks for all the support!
13
1
109
I was today years old when I learned this - and it makes my day!
2
11
101
Vaxxed, boosted and double-masked, welder's sheild in place. Ready for clinic!
5
5
102
Statement updates ambulatory blood pressure classification in children and adolescents
4
38
107
Just published! IPNA guideline for management of steroid-sensitive nephrotic syndrome! @Ped_Neph.
0
55
98
Looking forward to this - hope that everyone will send us their BEST work for publication in our Society's journal.
πOur most sincere congratulations to @drjosflynn, the new editor of @Ped_Neph ! Joseph will take over from Michel Baum in January 2021. We wish him good luck in his new role! .@Alanepe1 @ASPNeph @ASianPNA @afpna @ESPNSociety
13
8
97
Today we mourn the loss of our friend, colleague and teacher Leskey Rees. So many of us are better for knowing her.
7
10
95
Best wishes for Happy Holidays to all, and a Happy, HEALTHY New Year! π²π₯π³οΈβππ₯π²
3
0
85
3
1
81
Wrote four paragraphs of an overdue textbook chapter. Its a good day!.
7
1
79
Please join me in congratulating Dr. Daryl Okamura as the new @seattlechildren Nephrology Division Head!
6
5
78
So proud of our great nephrology team at @seattlechildren that provides such outstanding care to our patients!
2
6
72
We have a President again. That's the tweet.
2
1
72
When you order just about any urine study, order a urine creatinine too. That's the tweet.
6
10
73
Thanks - you actually scooped the official announcement from @IPNA_PedNeph .At any rate - I'm excited to take on this role at @Ped_Neph!.
Hot off the @IPNA_PedNeph presses. @drjosflynn appointed new co-editor (with Leslie Rees)of Pediatric Nephrology - the worldβs premier peds nephjournal! Stock up on the Scotch @drjosflynn to toast your inevitable successes as editor! @seattlechildren @ASPNeph @kidneytweets.
16
6
74
I had a hypertension joke, but I can't remember it due to all the pressure.
3
3
68
True story from today's clinic:. 3 y/o referred for high BP of 140/80 taken by multiple people. Ausculatory BP by me: 92/58. Repeatedly. Cured!. All in a day's work. @IntPedHTN @ASPNeph @TammyBradyMD @HalbachSusan @joshuaasamuels.
6
5
68
So happy to welcome Drs. Stacy Yanofsky and Anthony Salvatore as our incoming fellows! Congratulations to all! @seattlechildren @UWNephrology
0
2
68
Still a few weeks until it's official, but already working on bits and pieces of journal business. Exciting!.@IPNA_PedNeph @Ped_Neph @ASPNeph @BAPNnephrology @ASianPNA @Alanepe1 @ESPNSociety @CAPNeph @ANZSN @SNephroPed
2
1
72
My new kitchen helper
1
0
68
Cute exchange during today's #Telemedicine clinic:. Pt: Dr. Flynn, you grew a mustache!. Me: Yes! 35 years ago! You've just never seen it because we met during COVID . Pt: Giggles. Me: β€οΈβ€οΈβ€οΈ.
1
1
64
What Level of Blood Pressure Is Concerning in Childhood?
4
26
69
Love my telemedicine clinic:. 7 y/o pt: "Dr. Flynn, you grew a mustache! ". Me: "Yep, 40 years ago. ". Pt's mother: "You're just seeing him unmasked for the first time. ". Pt: "Oh. ".
2
0
67
Fibally! Live in Kyoto presenting the latest data from SHIP-AHOY - be sure to stop by! @ISHBP
5
2
68
I just have to say that this has been such a great day for Pediatric Nephrology on Twitter. It's so exciting to see all of the posts from applicants thrilled at where they matched, and posts from the programs about their future trainees. Congrats to our future colleagues!.
2
4
63
As I enter my PGY-37 year, it's time for another rite of passage. but this one I'm happy about!
4
0
61
Congrats to @Chloe_DouglasMD and @rustywheel1, who won the @ASPNeph Clinical and Basic Science Research Awards, respectively, for their work submitted to the 2021 @PASMeeting ! So proud of our trainees at @seattlechildren !.
8
7
62
Remembering Patrick βPatβ Brophy, a transformational leader, whose focus was always on the children.
2
17
59
Work email cleaned out and off my phone - Maui here we come!
2
0
62
Had one of those days today that reminds us of why we go to work every day. Love days like this. Love what I do.
0
1
63
OMG- the residents just asked for a talk on RTA! Hope I don't screw it up. .
12
2
61
I hate the new Pubmed interface. There, I've said it.
6
1
62
So great to see the COVID-19 vaccine clinic at @seattlechildren fill up with teenagers today - lines down the hallway! #GetVaccinated
0
7
58
What a great Father's Day story.
Pete Buttigieg, Navy vet, former mayor, and Secretary of Transportation, now embraces his role as "Papa." He and husband Chasten share their journey to parenting twins Penelope and Gus.
16
10
57
Thanksgiving dinner for 2, all prepped. Downsized some things, but not the pie!.Happy Thanksgiving everyone!
5
0
58
Glomerular hyperfiltration: part 1 β defining the threshold β is the sky the limit? @Ped_Neph @ESPNSociety @ASPNeph @ipnajc @KU_Leuven @PStoneOftheYear .
4
21
62
My happy place for the day.
4
1
59
It was an honor to memorialize Pat and share others' remembrances of him. If you'd like to read about him, it's available here:
2
11
59
Happy New Year to all from our snowy upper-left hand corner of the US! π₯π₯
2
0
57
Taking in the colors of fall.#FootProcess @HumphreysLab @ASPNeph #OlympicPenninsula #HoodCanal @seattlechildren
6
1
60
Today's office view.
8
0
54
Heard on ICU rounds today. Resident: And for some reason, her chloride took a jump up, it's now 112. Me: Didn't you just tell us that she received 3 NS boluses overnight? . Resident: Yes. oh, I get it. #ABnormalSaline.
5
5
55
1
0
56
This is profound.
"Those little cruelties add up.". There's extraordinary wisdom in Pete Buttigieg's words here.
0
9
51
Congratulations to our @seattlechildren graduating neph fellows - watch out, world! @mcstarr1 @EBlanchettePeds
3
8
54
That's a wrap!. β
οΈ Bivalent Omicron booster. β
οΈ Flu shot. β
οΈ Cute child's band-aid. Arm may be a bit sore tomorrow though.
4
1
52
Happy Pride Seattle style!
1
1
50
Manhattan was a small world today!
1
1
49
.@seattlechildren is known for covering the largest geographic area of any children's hospital in the US. This week, while I'm in Montana, @HalbachSusan is at our clinic in Anchorage. Can you tell which photo comes from which place?
5
2
48
So proud of the #5 ranking of our Nephrology program! We have a great team and this recognizes their hard work on behalf of our patients. @UWNephrology @UWMedicine @BruderStapleton @seattlechildren.
Weβre honored to be named one of U.S. News and World Report's best childrenβs hospitals in the nation.
4
4
53
Adolescent Blood Pressure and the Risk for Early Kidney Damage in Young Adulthood
1
25
53
I did it people!
14
0
53
The teddy bear is a cute touch, but technique-wise, this is all wrong. @DrJMLuther @AnastasiaSMihai @TammyBradyMD @ASPNeph @jordy_bc @sarahkmels @jonathanmynard @deanp_BP
7
6
50
That moment when you return to work from vacation and briefly can't remember your log-on password. .
10
0
52
Memorial biography of Dr. Bill Schnaper now available online - . H. William Schnaper - Life course journey of a true Mensch.
0
11
51
When you author a guideline or practice recommendation, you get a lot of questions. One of the most common that I get is βwhat ABPM cut-points should be used to diagnose hypertension in adolescents?β. Hereβs a short summary of my thoughts on that question. 1/11.
2
24
52
Woo-hoo! 2000 followers! Thank you everyone!
5
0
53
Let the holiday dinners begin!
2
2
50
Have to love the connections made on #medtwitter! Have connected 2 colleagues, one whose patient has an unusual genetic mutation, the other who runs a kidney genetics clinic. Improved patient care is the result! @KatieKwonMD @UWNephrology @kidney_boy @Nephro_Sparks.
2
0
50
Have reached #kidneywk saturation point- probably have watched 16h of talks over past 2.5 days. time to go to a museum or something. but those are online too!.
4
1
48
Great summary slide about the many beneficial effects of SGLT2i by @Kidney_Kula @ASPNeph @seattlechildren
2
16
50
Survived the π§ and βοΈ and made it to our happy place! Happy Holidays, everyone!
3
0
46
Tolvaptan had no significant effect on eGFR or total kidney volume. .
Tolvaptan slows expansion of kidney volume and kidney function decline in adults with ADPKD. This study found that tolvaptan exhibited pharmacodynamic activity in pediatric ADPKD. Aquaretic effects were manageable, with few discontinuations
5
11
46