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Jamie Willows
@jamiekwillows
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Renal/GIM consultant. Dad. Runner. Poker player. POCUS. #NSMC Intern 2021. @BukuRenal. Associate editor @NephJC.
Newcastle Upon Tyne, England
Joined January 2018
RT @gunnar_heine: APPLAUSE, APPLAUSE @VladoPerkovic @IgAN_JBarratt @BradRovin et al Iptacopan reduces proteinurie (PU) in IgA NP š1: Is theā¦
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RT @kidney_boy: Last one Tacro or MMF for steroid dependent of frequently relapsing nephrotic syndrome #KidneyWk
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RT @willkidney: Nice summary from the @Oxford_NDPH team: ā ā¦while empagliflozin continues to have some benefit after stopping treatment, tā¦
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@AlanYuNeph @sarahkmels @CJASN Canāt access - do they say why DAPA-CKD not in table? Looks to support eGFR slope data from EMPA-KIDNEY. However as you know a risk calculator may say your example patients 5 year ESKD risk is 1/1000, so if only eGFR indication still learning how to ādraw the lineā on this issue
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RT @NephJC: Welcome to #TenTweetNephJC ā³ļø10 tweets #NephJC catch-up ā³ļø What is the best systolic BP in patients with high-risk CV comorbidiā¦
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@LewisStanding1 @askrenal Decrease in intraglomerular hyperfiltrarion with the things that are good for kidneys in longterm - ACEi/SGLT2i/nsMRA - so see that drop in eGFR initially but push through as slow rate of eGFR progression on longterm follow-up (which is what we care about) with these agents.
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@JasmineNephro @ManualOMedicine As I comment every time - every algorithm should have ESKD as an explicit exclusion criteria from following it.
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RT @NephJC: T3d Long-term data (weāre talking 45 years+) on patients post nephrectomy suggesting little harm came from World War II veteraā¦
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Summary of latest publication looking at safety of kidney donation with 7 year follow-up.
#NephJC In my mind the key clinical implications. 1. Carefully selected standard criteria living kidney donors can be counselled that donating a kidney will not increase their blood pressure in the subsequent decade beyond what would be expected with normal aging.
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RT @AmitXGarg: #NephJC In my mind the key clinical implications. 1. Carefully selected standard criteria living kidney donors can be counā¦
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@jfdwolff @kidney_bow @kidney_boy @hswapnil @NeillDuncan3 Plasminogen activation of ENaC a fun story too! Prob combination of factors - the liver does stupid things with ā¬ļøclotting factors too (see also: hypercholesterolaemia) but urine losses must be important given predilection of clots for renal veins. LMWH certainly works though š¤·āāļø
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