Well NephroMemes beat me to the SOTU meme post…but this one is a winner 🏆#NephMadness Matthew Sparks, MD Samira Farouk, MD, MSCR Tony Breu Farah Daccueil Leonard Feldman ajkdblog.org/2024/03/01/nep…

One instant way to improve EMRs would be to allow gifs. Imagine getting a consult for “recommendations” on a resolving AKI, decongesting well, electrolytes are fine: Me in the chart:

JHM’S Things We Do For No Reason TM Region with Ariadna Gámez 🐣 and Mario Mendez #NephMadness #NephMadnessParty NephroMemes NephMadness

Times running out, ☎️ phone a friend and fill out your brackets! #NephMadness Gila The NephMadness Monster THE Mourning Dove NephroMemes

Fever, rash, eosinophilia (Coincidentally, also not worth a lick)

Me when someone asks if I’m worried about the contrasted CT “hurting the kidneys”

Hey #NephTwitter Swapnil Hiremath @hswapnil.medsky.social NephroMemes should I give the contrast?? 🍌🩻

Me when the hyponatremic patient is told “just to drink more water”

There’s a 30 minute open block in the middle of my clinic schedule Monday morning…. Wonder what special surprise guest it could be?

When the research attending doing their yearly required week of clinical work asks you to explain Klotho and FGF23 on rounds

Creatinine trend: 2018: 2.0 2019: 1.9 2020: 2.0 2021: 2.0 2022: 2.1 2023: 1.7 2024: 2.2 Non nephrology office: “YOUR KIDNEYS ARE SHUTTING DOWN AND YOU MIGHT NEED DIALYSIS!!!! CALL YOUR KIDNEY DOCTOR!! NO, WE WON’T CALL OR SEND LABS, YOU DO IT!!!!”

Me walking into the ICU for a hyponatremia consult

When that nephron bomb hits…

Me when cardiology figured out they can decongest and let the creatinine go up a couple tenths of a point.

Consult: AKI resolving. Volume overload. Patient is overloaded, but diuretics have been held for days.

Cardiology: Need G.I. clearance before we can potentially proceed with LHC. G.I.: Need cardiology clearance before we can potentially pursue an EGD. Increíble.

Tell him people are still trying to treat hyponatremia with salt tabs.

Overheard this week: CRRT is “chewing up platelets”