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10 years! #Cystinuria clinic. Now over 200 referrals. The team from left to right in the photo: Matthew Bultitude Dr David Game @specialkathomas Anoopma - (nurse specialist) Giles Rottenberg (radiology) Rachel (dietician)

Living with early stage kidney disease youtu.be/jdsAqWKsOC4 via YouTube

Aude Servais from Paris talking at the National Cystinosis Patient Study Day in Birmingham. Excellent talks and patient + family contributions. ⁦CystinosisUK⁩ ⁦Eا𝖔n М̶ߎsƙ༝̲⁩ ⁦Hôpital Necker AP-HP⁩

Delighted to have prof Goldfarb @weddellite talking to the renal and urology units about kidney stone disease Guy's and St Thomas'

Amazing day of celebration with patients and former staff regaling us with extraordinary tales.

UHL grand round blunt chest trauma protocol. Battle score and early CT. complications reduced by analgesia, O2 and physio. Echo may be useful for cardiac injury. Mortality high ++ if rib fracture >6

Rosner and colleagues from Virginia joining GSTT ITU and renal on AKI in haem oncology. Interesting cases and review of literature. POC GFR testing in development. Could be game changer...

IRME regulations update. Irefer helpful. 1400 per day at GSTT. Overall Fatal cancer from chest CT 1 in 1250 = 500 CXR

Raftery on cyclosporine history and switch. Licensing for generics introduced 1984. Dose equivalent neoral deximune. All switched Bart's.

Guy's Renal and Transplant Christmas rounds with Adam Rumjon and Dr d'Ersu. Surgeons resting after operating overnight - good job fellas.

Edwina Brown helping us increase our PD numbers. Looking at our blocks. I am optimistic. Not doing 7d PD.

UHL GR HHS not HONK. >1kg water per 10kg tbw fluid neg. VTE prophylaxis; pressure care. Na can rise acutely. fr Insulin if gluc stuck filled

UHL treatment escalation plan discussion. Levels of care to include 1.5? Consensus tricky with grey areas but clarity better. On PTWR.

That's all for today folks. Watch James Brokenshire sum up why our #GuysCancer and Kidney Treatment Centres Oxleas NHS are so important #nhs

Hypophosphatasia as a cause of nephrocalcinosis/ bone pain/fractures etc. Low ALP eg <40. PTH low or normal. PO4 high. Enzyme replacement.

UHL GR - upper GI bleed. Restrictive transfusion better. iv PPI if Forrest>IIb. SSRI might need switch. Abx for variceal bld.

UHL grand rounds. Very interesting presentation on delirium with some AKI parallels. Numonic causes. Consider low dose sedatives early. NOK engagement essential.

Alexis Clinic at UHL grand round. SEL late presentations HIV challenging. PCR for PCP sensitive and specific. BD glucan can be helpful.

Dysphagia at UHL Causes split into oral/pharyngeal/oesophageal phases. Delerium dementia common. Observe eating. Cranial nerve exam. FEES and VFS. Risk feeding proforma.