Harry Giles (@beandoc2) 's Twitter Profile
Harry Giles

@beandoc2

Nephrologist (kidney doc) with a passion for kidney advocacy and especially home dialysis

ID: 1136412404265435143

linkhttp://www.nephrologypc.com calendar_today05-06-2019 23:20:05

1,1K Tweet

614 Followers

402 Following

Sanford Bishop, Jr. (@sanfordbishop) 's Twitter Profile Photo

March is #NationalKidneyMonth! Kidney disease is often called a "silent disease" because there are few symptoms in early stages, making testing essential for early diagnosis. In Congress, I’m working to break down barriers to medical care for kidney patients and focus on disease

InsuranceOligopoly (@insoligopoly) 's Twitter Profile Photo

Doctor of Pharmacy degree $250,000 Pharmacist license $400 DEA HQ license $800 Store pharmacy license $500 PioneerRx software $2000/month Business/liability insurance $2500/mth Preop diazepam 5mg #3 Anthem Blue Cross and Blue Shield and their PBM allows $0.12 PBM pays zero. Total amount to patient

Doctor of Pharmacy degree $250,000
Pharmacist license $400
<a href="/DEAHQ/">DEA HQ</a> license $800
Store pharmacy license $500
<a href="/PioneerRx/">PioneerRx</a> software $2000/month
Business/liability insurance $2500/mth

Preop diazepam 5mg #3
<a href="/AnthemBCBS/">Anthem Blue Cross and Blue Shield</a> and their PBM allows 
$0.12
PBM pays zero. Total amount to patient
Eric Weinhandl (@eric_weinhandl) 's Twitter Profile Photo

Hey Elon Musk. People in healthcare need CMSGov to get back to releasing data. The dataset at the below link is surely ready (as it is prepared by a contractor who did the work last year) and it needs to be posted by now. data.cms.gov/quality-of-car…

Shilpa Jesudason (@shilpa_jes) 's Twitter Profile Photo

Finally published fully in February CJASN: A really rare but fascinating pathway to parenthood. Pregnancy in Patients Receiving Home Dialysis : Clinical Journal of the American Society of Nephrology journals.lww.com/cjasn/abstract…

RPA-Nephrology (@rpanephrology) 's Twitter Profile Photo

Get involved and make a difference! RPA governance activities offer our members the chance to volunteer, contribute their expertise, and be a part of shaping the future of nephrology: renalmd.org/page/committees #RPACommunity #LeadershipOpportunity #Nephrology

Get involved and make a difference! RPA governance activities offer our members the chance to volunteer, contribute their expertise, and be a part of shaping the future of nephrology: renalmd.org/page/committees

#RPACommunity #LeadershipOpportunity #Nephrology
Adam Boehler (@aboehler) 's Twitter Profile Photo

There are 5 AMERICANS and 59 INNOCENT HOSTAGES held by the terrorist group Hamas. We will NOT stop until they are home with their families.

There are 5 AMERICANS and 59 INNOCENT HOSTAGES held by the terrorist group Hamas. We will NOT stop until they are home with their families.
Elisabeth Potter MD (@epottermd) 's Twitter Profile Photo

Have you heard of a planned denial? I hadn’t, until an insurance peer reviewer said it out loud during a call. Apparently, some insurance companies already know they’re going to deny a procedure before they even hear from the doctor. The peer-to-peer? Just going through the

Eddy J. Gutierrez, MD (@eddyjoemd) 's Twitter Profile Photo

The urea-to-creatinine ratio could potentially help us predict the progression to chronic illness and possibly mortality. It could also help determine if we’re providing too much protein to our patients. 🎩 tip to the authors. eddyjoemd.com/foamed

The urea-to-creatinine ratio could potentially help us predict the progression to chronic illness and possibly mortality. It could also help determine if we’re providing too much protein to our patients. 🎩 tip to the authors.
eddyjoemd.com/foamed
RPA-Nephrology (@rpanephrology) 's Twitter Profile Photo

RPA is calling for continued HRSA funding to support vital programs that help improve care delivery and strengthen the nephrology workforce: renalmd.org/news/698286/RP… #Advocacy #NephrologyCare #HRSA

RPA is calling for continued HRSA funding to support vital programs that help improve care delivery and strengthen the nephrology workforce: renalmd.org/news/698286/RP…

#Advocacy #NephrologyCare #HRSA
Eddy J. Gutierrez, MD (@eddyjoemd) 's Twitter Profile Photo

Lactate can predict poor outcomes but this obsession of reflexively providing fluids to make it go away is just plain silly at this point. 🎩 tip to the authors. eddyjoemd.com/foamed/

Lactate can predict poor outcomes but this obsession of reflexively providing fluids to make it go away is just plain silly at this point. 🎩 tip to the authors.
eddyjoemd.com/foamed/
Graham Abra, MD (@grahamabra) 's Twitter Profile Photo

The loss of outpatient dialysis services and access to immunosuppressive drugs would result in a near immediate self-inflicted humanitarian disaster. Pts would seek dialysis care in ERs 3x/week and transplant recipients without meds would lose their allografts to rejection.

Daniel Coyne (@drdanmo) 's Twitter Profile Photo

He begins by citing research that Americans pay less (on average) for unbranded drug than the OECD, and 90% of our Rx’s are generic. However, the research points out overall the US pays an astounding 278% more for drugs. There’s no justification for that, and Cowen knows that.

Eddy J. Gutierrez, MD (@eddyjoemd) 's Twitter Profile Photo

We use diuretics every day in the ICU. Prescribing them is never a one-size-fits-all approach. This paper reviews different strategies we can utilize with our patients. 🎩 tip to the authors! eddyjoemd.com/foamed/

We use diuretics every day in the ICU. Prescribing them is never a one-size-fits-all approach. This paper reviews different strategies we can utilize with our patients. 🎩 tip to the authors!
eddyjoemd.com/foamed/
Turning the Tide (@turningthe_tide) 's Twitter Profile Photo

🧵1/ Hypovolaemia is the most overdiagnosed concept in medicine. We say it reflexively — especially in sepsis. But here’s the uncomfortable truth: We can’t measure blood volume. We infer it. Often wrongly. Let’s unpack why that matters. 👇 #MedTwitter #FOAMed

đź§µ1/
Hypovolaemia is the most overdiagnosed concept in medicine.
We say it reflexively — especially in sepsis.
But here’s the uncomfortable truth:
We can’t measure blood volume.
We infer it.
Often wrongly.
Let’s unpack why that matters. 👇
#MedTwitter #FOAMed
Graham Abra, MD (@grahamabra) 's Twitter Profile Photo

I was today years old when I learned that HHD only started in mainland China in April 2020 bmcnephrol.biomedcentral.com/articles/10.11…

Eddy J. Gutierrez, MD (@eddyjoemd) 's Twitter Profile Photo

Fluid accumulation syndrome, a term coined by these authors, definitely sounds nicer than "drowning your patients." Either way, stop drowning your patients. 🎩 tip to the authors, including Manu Malbrain eddyjoemd.com/foamed

Fluid accumulation syndrome, a term coined by these authors, definitely sounds nicer than "drowning your patients." Either way, stop drowning your patients. 🎩 tip to the authors, including <a href="/Manu_Malbrain/">Manu Malbrain</a> 
eddyjoemd.com/foamed