ASN represents more than 21,000 kidney health professionals working to help people with kidney diseases and their families. Comprised of all of ASN's focus areas, the ASN Alliance for Kidney Health allows the society to continue its growth and work towards the goal of a world without kidney diseases.
The latest Nephrology Self-Assessment Program (nephSAP) issue, Volume 23: Issue 4 (Oct 2024): Chronic Kidney Disease is now available online.
RE: Interference with 1,25 OH D Assay 40 minutes ago
Communication with your colleagues in charge of the clinical chemistry lab may be the best way to proceed. There are too many reasons for interfere...
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RE: Interference with 1,25 OH D Assay 2 hours ago
I have found elevated ACE a few times when the assay showed a relatively low 1,25 D I also agree that immobilization can cause hypercalcemia, esp...
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RE: Interference with 1,25 OH D Assay 4 hours ago
Biotin is not a prescription medication. Check over-the-counter use of vitamin supplements, just to be sure . ------------------------------ Rich...
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RE: Nephrology salary 4 hours ago
Dear Dr. Qayyum, Regarding the starting salaries reported by participating fellows, 4 indicated they were practicing hospital medicine (2 as int...
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RE: Normal Saline shortage 6 hours ago
I cannot imagine why you couldn't use it, it is FDA approved for IV installation. IS there anything in it that would preclude using it as a prim...
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RE: Interference with 1,25 OH D Assay 6 hours ago
I cannot tell you how often we see immobilization related hypercalcemia. Pt not on a thiazide? ------------------------------ Roger Rodby MD,...
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RE: Interference with 1,25 OH D Assay 6 hours ago
Dr Glassock, I have gone back and checked medications and client is not on Biotin. Dr Sprague, would you recommend checking ACE level even if 1,2...
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RE: dsDNA + and GBM + 8 hours ago
Dr. Cunha: C3, C4, ANA results? Kidney biopsy results (if done)? Current renal status? Thanks. ------------------------------ K.K. Venkat MD Troy...
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RE: Ig A Nephropathy In Pregnancy 8 hours ago
This lady has nephrotic syndrome but has reached 29 weeks of pregnancy. With normal blood pressure i would think this is a podocytopathy possibly w...
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RE: Nephrology salary 8 hours ago
https://www.floridasocietyofnephrology.com/page/Agenda2025 ------------------------------ Arvind Madan MBBS, MD Partner Central Florida Kidney Sp...
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RE: Nephrology salary 8 hours ago
I am in group practice with 23 nephrologists let me start by saying that numbers that were being suggested here for are not realistic no neph...
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RE: Interference with 1,25 OH D Assay 8 hours ago
I believe immobilisation itself can cause prolonged and persistent hypercalcemia. The appropriate reduction in PTH reflects that probably. But that...
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RE: Interference with 1,25 OH D Assay 18 hours ago
Other than Biotin as mentioned by Prof Glassock, I am not sure of what else can interfere with the assay, but would repeat it. You may also want to...
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RE: Nephrology salary 1 day ago
Thanks Dr. Mellas. My joy of being a Nephrologist grows each day as I see the great science, the dedication to excellence in medical care and the c...
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RE: Nephrology salary 1 day ago
The overhead is quite variable depending on the size, and type of Group, and who is managing the practice. In an academic center it is difficult...
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RE: Nephrology salary 1 day ago
Thank you for your insight. I wonder if the income reported by nephrologists is purely nephrology or includes hospitalist shift. In some cities, ...
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RE: Ig A Nephropathy In Pregnancy 1 day ago
Dr. Mahmoud: Regarding your question whether has progression of IgA nephropathy vs superimposed toxemia as explanation fot increased proteinuria, y...
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Normal Saline shortage 1 day ago
I would like to know how other centers affected and are making adjustments to the nationwide saline shortage? Has anyone switched to priming CRRT (...
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RE: Renal Artery stenosis 1 day ago
Dr. Mamoon Rasheed: in your patient, are there collaterals bypassing the 90% RAS in left kidney? ------------------------------ K.K. Venkat MD Tr...
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RE: Nephrology salary 1 day ago
Dr. Mellas. Interesting analysis. Is a 30% overhead a derived mean from large group practices. It was much higher years ago when I was involved wit...
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RE: Interference with 1,25 OH D Assay 1 day ago
Biotin (a vitamin commonly included in supplement preparations)can interfere with chemiluminescence assays ,(but not chromatographic assays) for 1,...
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Interference with 1,25 OH D Assay 1 day ago
I have an elderly bedbound client that has moderate Hypercalcemia. PTH is depressed below detection limit, 25 OH D is 27 (30-80), PTHrP is below no...
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RE: Nephrology salary 1 day ago
Dear Dr. Qayyum: Thank you for raising this important issue. Starting compensation for fellows entering their first post-fellowship position an...
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RE: Renal Artery stenosis 1 day ago
No consensus as is typical with these complicated cases. I would assume that the atrophic kidney has negligible function. Stenting of the stenosed ...
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RE: Nephrology salary 1 day ago
With the following patient load/titles a nephrologist's gross annual income would exceed $575,000. With a 30% overhead that would leave $400,000 an...
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RE: Ig A Nephropathy In Pregnancy 1 day ago
Bp 130/80 Sugar controlled on Lantaus /actarapid obstetrics assessment for fetal development/viability and toxemia? I am not know more about that...
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RE: Ig A Nephropathy In Pregnancy 1 day ago
To make further recommendations, we need to know BP, high-risk obstetrics assessment for fetal development/viability and toxemia, status of steroid...
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RE: Memb gn with diabetic nephropathy 1 day ago
Thank you for your response. this is the current proposed plan No rituxan, taper off steroids continue AC with Coumadin until patient is nep...
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RE: Ig A Nephropathy In Pregnancy 1 day ago
Thank you dr.Venkat So this patient no needed to increase steroid again --------------------------------- Mohamed Mahmoud MBBS NEPHROLOGIST MOH...
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RE: Ig A Nephropathy In Pregnancy 1 day ago
Glad she has reached 29 weeks of gestation. Current BP and maternal-fetal team's assessment of fetal development and viability? Hopefully, she can ...
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RE: Ig A Nephropathy In Pregnancy 1 day ago
This patient 29 w, Proteinuria 24 h 6 gm , Albumine 26 , cr stable predinslone 5 mg Any suggestions?? --------------------------------- Mohamed M...
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RE: EuroLupus Protocol in patient with eGFR 20 2 days ago
Does anyone still use the older NIH high dose IV CYC regimen for LN anymore.. If so, for what reason?i ------------------------------ Richard Gla...
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RE: Renal Artery stenosis 2 days ago
Sure; TNF inhibitors were shown to be associated with eGFR decline HR 1.34 in a cohort study of US veterans with incident IBD Sumida et al JAMA ...
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RE: A Philosophical Question 2 days ago
Perhaps the answer is in improvement in life expectancy and QOL. So turning to AI Based on the available research, there is evidence th...
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RE: Renal Artery stenosis 2 days ago
Thank you all for Feedback. Dr Sinasis can you explain the rationale of your recommendations re Stop Humira Stop Ozempic Isosorbide and ...
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RE: EuroLupus Protocol in patient with eGFR 20 2 days ago
I feel this is correct understanding that Cyclophosphamide AUC is generally considered equivalent regardless of the route of administration, whethe...
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RE: A Philosophical Question 2 days ago
Dr. Slater- if you are correct, the prospect for a lot of empty chairs in dialysis units looms large. While this is a very good development for med...
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Nephrology salary 2 days ago
Good morning, Why are nephrology salaries significantly lower than our counterparts in medicine? Cities in northeast offer 150k-180k startin...
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RE: A Philosophical Question 2 days ago
Poweful Topic -despite the advcements mention we have been moving at a snail pace in regards to ESRD treatment which is about to change IMO we a...
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RE: EuroLupus Protocol in patient with eGFR 20 2 days ago
Thank you Dr Nauman and Dr Venkat for your input ------------------------------ Siev Hong Lor PharmD Pharmacist Liverpool Hospital, NSW E: honglo...
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RE: A Philosophical Question 2 days ago
"AI will ruin the soul of Nephrology"!! . Well, if it is any consolation , we won't be alone in purgatory. But, if we are very careful , we can tam...
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RE: A Philosophical Question 2 days ago
Positives & Negatives Genetic testing opened a huge new perspective in diagnostic projections for current and future kidney problems. Better...
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RE: Renal Artery stenosis 2 days ago
Would not waste time STOP Humira STOP Ozempic Call the surgeon > go for as NAUMAN suggested START Isosorbide Dinitrate 10 bid START Fish oil...
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RE: Renal Artery stenosis 3 days ago
I think a severe RAS which is collateralized may be a reflection of a more chronically hypoxic kidney than if not. While collateralization may prot...
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RE: Tough GN case 3 days ago
Noted, agree, we are pursuing the biopsy, and good point about recurrence potential s/p txplt. Thank you! ------------------------------ Jeffrey ...
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RE: Tough GN case 3 days ago
With 9-10 cm kidneys by US I would probably do a kidney biopsy anyway, (if not contraindicated) to put the final nail on the futility issue. And to...
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RE: Renal Artery stenosis 3 days ago
I think I am in the Klein/Campese camp on this case. I would adopt an aggressive conservative , non-surgical management. At least for now. I doubt ...
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RE: Renal Artery stenosis 3 days ago
In this case, the risk benefit ratio for intervention is too high. Given the presence of diabetes and severe and diffuse atherosclerosis, the ris...
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RE: Renal Artery stenosis 3 days ago
Dr. Hirsch: I agree with you that good collaterals supplying the left kidney can explain the maintained renal function despite the 90% RAS, atrophi...
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RE: Renal Artery stenosis 3 days ago
I must respectively disagree . I think stenting is extremely high risk and though I agree with Dr Rodby that dialysis may be inevitable, until the ...
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