Nephrologist | Consultant - Sir Ganga Ram Hospital | Associate Professor - GRIPMER | FASN | FISN | ESENeph | Fitness Enthusiast | SoMe ERA

Joined August 2009
50 Photos and videos
Pinned Tweet
14 Dec 2025
Is CAPD a viable option for those with refractory ascites? The data suggests YES #NephTwitter #medtwitter #CAPD #RefractoryAscites #PeritonealDialysis #Dialysis
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🔥Late Breaking Clinical Trials 2 #ERA26 
 ⏩ Efficacy, safety and pharmacokinetics/pharmacodynamics of crovalimab for atypical haemolytic uraemic syndrome (aHUS): Phase III COMMUTE-a trial in adults/ adolescents 
 🎙️Presented by @DrBradleyDixon 💊 Crovalimab: long-acting SC C5 inhibitor with home-administration potential
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Being in #latebreakingclinicaltrials at #ERA26 feels like a Taylor Swift concert. Loving every second ❤️✨ #finerenone #findCKD #obinutuzumab #rituximabinnephroticGN #aHUS
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Finerenone in CKD!! It's raining publications - NEJM, JAMA, Lancet, NDT Live from #ERA26
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Such an amazing encounter and talk with @markus_schlaich and @drvt87 #ERA26 experience ✨❤️
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How to assess bone health in CKD? Speaker: Dr. Hanne Skou Jørgensen #ERA26
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Should Romosozumab be used in advanced CKD? Speaker: Dr. Maria Lerche Mac #ERA26
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Is ADPKD actually good for bone? Speaker: Dr. Magdalena Jankowska #ERA26
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To Biopsy or Not?? 🔅Markus Ketteler’s presentation at #ERA26 🔆Exploring how to bypass invasive bone biopsies using serum biomarkers
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🔅PTH and total ALP are heavily affected by renal and HD clearance. 🔅 bALP, PINP, and TRAP5b do not rely on renal or HD clearance for removal. 🔅This makes their specific high/low cut-off thresholds highly stable in advanced CKD. #ERA26
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🔅Combine strategic BTM panels with DXA BMD measurements. 🔅 This combined strategy dramatically improves the identification of high-risk patients. #ERA26
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🥳After months of preparation, coordination, and teamwork, the time has finally come. 🎉The ERA Staff has danced its way from Parma to Glasgow, and now they are ready for #ERA26. 💡Ready to challenge your thinking!
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Thankyou @sciqst Great point—this gap is multifactorial: • Hyperkalemia risk (real/perceived) ⚡ • Rise in creatinine → premature down-titration 📉 • Hypotension in advanced CKD 🩺 • Monitoringconstraints 🏥 New K⁺ binders closer monitoring may help bridge this.
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🔥Day 2️⃣ @CNSI2026 Sharp takes from Dr Sanjay Srinivasa on simplifying post-transplant immunosuppression: AAP regimen (Azathioprine Advagraf OD Prednisolone) → ✔️ Better adherence ✔️ Comparable graft outcomes vs BD tac ✔️ Lower infections & PTDM, stable Tac #CNSICON2026
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Dr Ramesh Prasad on DGF—sharp takeaways: ⏳ DGF shapes long-term graft survival 🧊 Perfusion > hypothermia (DBD & DCD) 🫁 Oxygenation critical in DCD 🔄 Every step (donor→transport→recipient) is an intervention window #CNSICON2026 @CNSI2026 @VinBhargava @drvt87 @rajdebsaha
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Absolutely—this is where the field is evolving: • 🧪 New K⁺ binders (patiromer, SZC) enabling RAASi continuation • 💊 Non-steroidal MRAs (finerenone) with lower hyperkalemia risk • 📊 AI/biomarker-driven risk prediction for early intervention • 🎯 Personalized RAASi binder
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Vaibhav Tiwari retweeted
🔥Hyponatremia made simple Dr Ajay Kher: 1️⃣ Serum Osm → hypo vs pseudo 2️⃣ Urine Osm → <100 = polydipsia, >100 = ADH present 3️⃣ Urine Na → <20 = volume depletion, >40 = SIADH 🙇‍♀️Structured thinking = faster diagnosis. #CNSICON2026 @CNSI2026 @VinBhargava @rajdebsaha @drvt87
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