Dilushi Wijayaratne
@dilushiwijay.bsky.social
Consultant Nephrologist| Lecturer, Colombo. #NSMC 2021|
@GlomCon Instructor |@ISNEducation | @AJKD intern 22/23 | DPhil student |RSG|@Oxford_NDPH | MSc Clinical trials(Oxon) 2021/23
@GlomCon Instructor |@ISNEducation | @AJKD intern 22/23 | DPhil student |RSG|@Oxford_NDPH | MSc Clinical trials(Oxon) 2021/23
Reposted by Dilushi Wijayaratne
Glad to have discussed the case for #ECNeph. Thank you all for your support and guidance! @myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @theisn.org 🙌
May 30, 2025 at 5:02 PM
Glad to have discussed the case for #ECNeph. Thank you all for your support and guidance! @myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @theisn.org 🙌
Reposted by Dilushi Wijayaratne
🚨 Cardiorenal Syndrome (CRS): A Deadly Duo 🚨
Did you know the heart & kidneys are so intertwined that dysfunction in one can wreak havoc on the other?
Let's dive into CRS today.
A lucid read for every nephrology & cardiology fellow 🫀🩺
#MedTwitter
#ISNTweetorial
Did you know the heart & kidneys are so intertwined that dysfunction in one can wreak havoc on the other?
Let's dive into CRS today.
A lucid read for every nephrology & cardiology fellow 🫀🩺
#MedTwitter
#ISNTweetorial
June 26, 2025 at 6:41 PM
🚨 Cardiorenal Syndrome (CRS): A Deadly Duo 🚨
Did you know the heart & kidneys are so intertwined that dysfunction in one can wreak havoc on the other?
Let's dive into CRS today.
A lucid read for every nephrology & cardiology fellow 🫀🩺
#MedTwitter
#ISNTweetorial
Did you know the heart & kidneys are so intertwined that dysfunction in one can wreak havoc on the other?
Let's dive into CRS today.
A lucid read for every nephrology & cardiology fellow 🫀🩺
#MedTwitter
#ISNTweetorial
“Now we must… turn words into actions: We need steady investment, teamwork across sectors, and real action in every corner of the globe. This isn’t just about better kidney care -it’s .. making healthcare fairer & more accessible for everyone, especially in LMICs that need it most.” 👏🎉
🌍 History made! For the first time, kidney care is on the global health agenda. #WHA78 adopted a landmark resolution recognizing kidney health in the fight against #NCDs.
👏 Thanks to Guatemala and the global kidney community for making this possible!
#KidneyHealthMatters
👏 Thanks to Guatemala and the global kidney community for making this possible!
#KidneyHealthMatters
May 23, 2025 at 2:49 PM
“Now we must… turn words into actions: We need steady investment, teamwork across sectors, and real action in every corner of the globe. This isn’t just about better kidney care -it’s .. making healthcare fairer & more accessible for everyone, especially in LMICs that need it most.” 👏🎉
Reposted by Dilushi Wijayaratne
🌍 History made! For the first time, kidney care is on the global health agenda. #WHA78 adopted a landmark resolution recognizing kidney health in the fight against #NCDs.
👏 Thanks to Guatemala and the global kidney community for making this possible!
#KidneyHealthMatters
👏 Thanks to Guatemala and the global kidney community for making this possible!
#KidneyHealthMatters
May 23, 2025 at 2:28 PM
🌍 History made! For the first time, kidney care is on the global health agenda. #WHA78 adopted a landmark resolution recognizing kidney health in the fight against #NCDs.
👏 Thanks to Guatemala and the global kidney community for making this possible!
#KidneyHealthMatters
👏 Thanks to Guatemala and the global kidney community for making this possible!
#KidneyHealthMatters
Reposted by Dilushi Wijayaratne
Reposted by Dilushi Wijayaratne
BP Targets:
the @kdigo.org www.nephjc.com/news/kdigo-bp
The ESPRIT trial discussion www.nephjc.com/news/esprit
The BPROAD discussion
www.nephjc.com/news/bproad
#WorldHypertensionDay
#120ForAll
the @kdigo.org www.nephjc.com/news/kdigo-bp
The ESPRIT trial discussion www.nephjc.com/news/esprit
The BPROAD discussion
www.nephjc.com/news/bproad
#WorldHypertensionDay
#120ForAll
The KDIGO 2021 BP Guidelines — NephJC
KDIGO; BP; blood pressure; guidelines; kidney; kidney disease; CKD; transplant; bp measurement; AOBP; ABPM; ACE inhibitors
www.nephjc.com
May 22, 2025 at 1:37 PM
BP Targets:
the @kdigo.org www.nephjc.com/news/kdigo-bp
The ESPRIT trial discussion www.nephjc.com/news/esprit
The BPROAD discussion
www.nephjc.com/news/bproad
#WorldHypertensionDay
#120ForAll
the @kdigo.org www.nephjc.com/news/kdigo-bp
The ESPRIT trial discussion www.nephjc.com/news/esprit
The BPROAD discussion
www.nephjc.com/news/bproad
#WorldHypertensionDay
#120ForAll
Reposted by Dilushi Wijayaratne
The @thelancet.com review on global BP control
www.thelancet.com/journals/lan...
Worsening BP control in Canada www.sciencedirect.com/science/arti...
Improving BP control in US from @amjhypertension.bsky.social academic.oup.com/ajh/article/...
#Hypertension #WorldHypertensionDay
www.thelancet.com/journals/lan...
Worsening BP control in Canada www.sciencedirect.com/science/arti...
Improving BP control in US from @amjhypertension.bsky.social academic.oup.com/ajh/article/...
#Hypertension #WorldHypertensionDay
Global and national high blood pressure burden and control
High blood pressure is a leading modifiable cause of premature death and one of WHO's
global targets for the prevention of non-communicable diseases. Monitoring high blood
pressure globally while unde...
www.thelancet.com
May 22, 2025 at 1:17 PM
The @thelancet.com review on global BP control
www.thelancet.com/journals/lan...
Worsening BP control in Canada www.sciencedirect.com/science/arti...
Improving BP control in US from @amjhypertension.bsky.social academic.oup.com/ajh/article/...
#Hypertension #WorldHypertensionDay
www.thelancet.com/journals/lan...
Worsening BP control in Canada www.sciencedirect.com/science/arti...
Improving BP control in US from @amjhypertension.bsky.social academic.oup.com/ajh/article/...
#Hypertension #WorldHypertensionDay
Reposted by Dilushi Wijayaratne
K issues
#NephJC www.nephjc.com/news/salt-su...
Podcast www.nephjc.com/freelyfilter...
K switch mechanism
pubmed.ncbi.nlm.nih.gov/38081406/ in @ajkd.bsky.social
pubmed.ncbi.nlm.nih.gov/37772757/ from @amjhypertension.bsky.social
journals.physiology.org/doi/full/10....
#WorldHypertensionDay
#NephJC www.nephjc.com/news/salt-su...
Podcast www.nephjc.com/freelyfilter...
K switch mechanism
pubmed.ncbi.nlm.nih.gov/38081406/ in @ajkd.bsky.social
pubmed.ncbi.nlm.nih.gov/37772757/ from @amjhypertension.bsky.social
journals.physiology.org/doi/full/10....
#WorldHypertensionDay
The Na-K Exchange Saves Lives — NephJC
This week, we will discuss the SSASS trial. in which a simple switch of table salt with a K-enriched salt works miracles. Is it about the sodium or the potassium?
www.nephjc.com
May 22, 2025 at 2:31 PM
Reposted by Dilushi Wijayaratne
Reposted by Dilushi Wijayaratne
#23 𝗦𝗔𝗩𝗘 𝗧𝗛𝗘 𝗗𝗔𝗧𝗘 for next Space #WorldHypertensionDay: "Hypertension and the Kidneys."
@edgarvlermamd.bsky.social @hswapnil.medsky.social @myadla.bsky.social @dilushiwijay.bsky.social @ferarceamare.bsky.social
🗓️ May 22
🕑 3:00 pm CEST
⏰ Set your alarm here: twitter.com/i/spaces/1jM...
@edgarvlermamd.bsky.social @hswapnil.medsky.social @myadla.bsky.social @dilushiwijay.bsky.social @ferarceamare.bsky.social
🗓️ May 22
🕑 3:00 pm CEST
⏰ Set your alarm here: twitter.com/i/spaces/1jM...
May 17, 2025 at 6:55 AM
#23 𝗦𝗔𝗩𝗘 𝗧𝗛𝗘 𝗗𝗔𝗧𝗘 for next Space #WorldHypertensionDay: "Hypertension and the Kidneys."
@edgarvlermamd.bsky.social @hswapnil.medsky.social @myadla.bsky.social @dilushiwijay.bsky.social @ferarceamare.bsky.social
🗓️ May 22
🕑 3:00 pm CEST
⏰ Set your alarm here: twitter.com/i/spaces/1jM...
@edgarvlermamd.bsky.social @hswapnil.medsky.social @myadla.bsky.social @dilushiwijay.bsky.social @ferarceamare.bsky.social
🗓️ May 22
🕑 3:00 pm CEST
⏰ Set your alarm here: twitter.com/i/spaces/1jM...
Reposted by Dilushi Wijayaratne
Great meeting with the @ISNEducation social media team; lots of exciting projects on the horizon!
We're looking forward to what’s coming next, so stay tuned!
We're looking forward to what’s coming next, so stay tuned!
May 15, 2025 at 3:40 PM
Great meeting with the @ISNEducation social media team; lots of exciting projects on the horizon!
We're looking forward to what’s coming next, so stay tuned!
We're looking forward to what’s coming next, so stay tuned!
Reposted by Dilushi Wijayaratne
Guatemala's resolution on kidney health: a historic opportunity - The Lancet www.thelancet.com/journals/lan...
Tonelli et al: "We call on all 193 UN Member States to bring about positive change by voting to adopt Guatemala's resolution on kidney health at the 78th WHA in May, 2025."
Tonelli et al: "We call on all 193 UN Member States to bring about positive change by voting to adopt Guatemala's resolution on kidney health at the 78th WHA in May, 2025."
Guatemala's resolution on kidney health: a historic opportunity
Although much remains to be done, tremendous progress has been made on the prevention
and control of chronic non-communicable diseases (NCDs), with slow but steady health
gains achieved for millions o...
www.thelancet.com
May 13, 2025 at 8:29 AM
Guatemala's resolution on kidney health: a historic opportunity - The Lancet www.thelancet.com/journals/lan...
Tonelli et al: "We call on all 193 UN Member States to bring about positive change by voting to adopt Guatemala's resolution on kidney health at the 78th WHA in May, 2025."
Tonelli et al: "We call on all 193 UN Member States to bring about positive change by voting to adopt Guatemala's resolution on kidney health at the 78th WHA in May, 2025."
Reposted by Dilushi Wijayaratne
Reposted by Dilushi Wijayaratne
📅 Get ready for the next #NephJC on May 29 🧠💊
We’ll dive into:
Lorundrostat for Uncontrolled Hypertension — efficacy, safety, and what it means for the future of BP management.
⏰ #NephSky #MedSKy
@nejm.org www.nejm.org/doi/ful...
We’ll dive into:
Lorundrostat for Uncontrolled Hypertension — efficacy, safety, and what it means for the future of BP management.
⏰ #NephSky #MedSKy
@nejm.org www.nejm.org/doi/ful...
May 14, 2025 at 1:53 AM
📅 Get ready for the next #NephJC on May 29 🧠💊
We’ll dive into:
Lorundrostat for Uncontrolled Hypertension — efficacy, safety, and what it means for the future of BP management.
⏰ #NephSky #MedSKy
@nejm.org www.nejm.org/doi/ful...
We’ll dive into:
Lorundrostat for Uncontrolled Hypertension — efficacy, safety, and what it means for the future of BP management.
⏰ #NephSky #MedSKy
@nejm.org www.nejm.org/doi/ful...
Reposted by Dilushi Wijayaratne
#NephJC One of my fave all time papers in this topic is a proof-of-concept DDAVP in CKD: reduces bleeding time consistently @nejm.org pubmed.ncbi.nlm.nih.gov/6401193/
Deamino-8-D-arginine vasopressin shortens the bleeding time in uremia - PubMed
In a randomized double-blind cross-over trial we gave either 1-deamino-8-D-arginine vasopressin or placebo to 12 patients with uremia, hemorrhagic tendencies, and prolonged bleeding times. After vasop...
pubmed.ncbi.nlm.nih.gov
May 14, 2025 at 1:52 AM
#NephJC One of my fave all time papers in this topic is a proof-of-concept DDAVP in CKD: reduces bleeding time consistently @nejm.org pubmed.ncbi.nlm.nih.gov/6401193/
Reposted by Dilushi Wijayaratne
Don´t forget to advocate the resolution led by Guatemala on #WHA78:
🌍 Chronic kidney disease affects over 850M
We must shift from silent neglect to strategic action.
Awareness, prevention, and equity in care are our next steps.
#NephJC @theisn.org #NephSky #MedSky
www.thelancet.com/jo...
🌍 Chronic kidney disease affects over 850M
We must shift from silent neglect to strategic action.
Awareness, prevention, and equity in care are our next steps.
#NephJC @theisn.org #NephSky #MedSky
www.thelancet.com/jo...
May 14, 2025 at 1:52 AM
Don´t forget to advocate the resolution led by Guatemala on #WHA78:
🌍 Chronic kidney disease affects over 850M
We must shift from silent neglect to strategic action.
Awareness, prevention, and equity in care are our next steps.
#NephJC @theisn.org #NephSky #MedSky
www.thelancet.com/jo...
🌍 Chronic kidney disease affects over 850M
We must shift from silent neglect to strategic action.
Awareness, prevention, and equity in care are our next steps.
#NephJC @theisn.org #NephSky #MedSky
www.thelancet.com/jo...
Reposted by Dilushi Wijayaratne
One the one hand, low risk intervention. On the other hand, still unclear benefits.
We doctors like to feel like we are doing something to prevent bad outcomes…but “don’t just do something, sit there” is also appropriate in many patients #NephJC
We doctors like to feel like we are doing something to prevent bad outcomes…but “don’t just do something, sit there” is also appropriate in many patients #NephJC
a man stands in front of a whiteboard with the word wait written on it
ALT: a man stands in front of a whiteboard with the word wait written on it
media.tenor.com
May 14, 2025 at 1:51 AM
One the one hand, low risk intervention. On the other hand, still unclear benefits.
We doctors like to feel like we are doing something to prevent bad outcomes…but “don’t just do something, sit there” is also appropriate in many patients #NephJC
We doctors like to feel like we are doing something to prevent bad outcomes…but “don’t just do something, sit there” is also appropriate in many patients #NephJC
Reposted by Dilushi Wijayaratne
🩸Desmopressin appears safe, any serious risks?
Hyponatremia, headaches, hemoglobin drop 🧪
We need stronger data on who, when, and how much.
#NephJC
Hyponatremia, headaches, hemoglobin drop 🧪
We need stronger data on who, when, and how much.
#NephJC
May 14, 2025 at 1:45 AM
🩸Desmopressin appears safe, any serious risks?
Hyponatremia, headaches, hemoglobin drop 🧪
We need stronger data on who, when, and how much.
#NephJC
Hyponatremia, headaches, hemoglobin drop 🧪
We need stronger data on who, when, and how much.
#NephJC
Reposted by Dilushi Wijayaratne
Reposted by Dilushi Wijayaratne
I do that too. If severe AKI or CKD stage 5 knocking the uremia door I lower my HD threshold. That’s an area where data are needed though #NephJC
May 14, 2025 at 1:42 AM
I do that too. If severe AKI or CKD stage 5 knocking the uremia door I lower my HD threshold. That’s an area where data are needed though #NephJC
Reposted by Dilushi Wijayaratne
↗️ vWF & Factor VIII levels rose significantly at 2h post-dose
⏳ But effects faded by 4h
Is this enough to help during biopsy, but after it? #NephJC
⏳ But effects faded by 4h
Is this enough to help during biopsy, but after it? #NephJC
May 14, 2025 at 1:39 AM
Reposted by Dilushi Wijayaratne
specific studies comparing the efficacy of different administration routes is limited in kidney biopsy, in some cases for hematological disorder better SC #NephJC
May 14, 2025 at 1:32 AM
specific studies comparing the efficacy of different administration routes is limited in kidney biopsy, in some cases for hematological disorder better SC #NephJC
Reposted by Dilushi Wijayaratne
🧪 Two RCTs, one question… very different paths:
🔹 Same drug
🔹 Different patients
🔹 Different doses
🔹 Different needles
🔹 Different expectations
Feeling any twist ahead? #NephJC
🔹 Same drug
🔹 Different patients
🔹 Different doses
🔹 Different needles
🔹 Different expectations
Feeling any twist ahead? #NephJC
May 14, 2025 at 1:25 AM
🧪 Two RCTs, one question… very different paths:
🔹 Same drug
🔹 Different patients
🔹 Different doses
🔹 Different needles
🔹 Different expectations
Feeling any twist ahead? #NephJC
🔹 Same drug
🔹 Different patients
🔹 Different doses
🔹 Different needles
🔹 Different expectations
Feeling any twist ahead? #NephJC
Reposted by Dilushi Wijayaratne
🩸Kidney biopsy is essential for diagnosis, but bleeding remains a key concern — especially in CKD, and when it comes to preventing bleeding? On 2019 @ajkd.bsky.social core curriculum left us without clear guidance.
#NephJC
#NephJC
May 14, 2025 at 1:09 AM
🩸Kidney biopsy is essential for diagnosis, but bleeding remains a key concern — especially in CKD, and when it comes to preventing bleeding? On 2019 @ajkd.bsky.social core curriculum left us without clear guidance.
#NephJC
#NephJC