Senthil Kumar
drsenthil.bsky.social
Senthil Kumar
@drsenthil.bsky.social
MBBS, DNB (Gen.Med.), MRCP (UK), DrNB (Neph.).

Consultant nephrologist, Sree Abirami hospital, Coimbatore, India.

Passion for internal medicine and love for nephrology. Always believe in "Live and let live"
Reposted by Senthil Kumar
10/ We shouldn't be afraid of creatinine #ISNWCN #MedSky

@scoca1.bsky.social made it very easy to understand: maybe attach this to every consult?

@glaucomflecken.bsky.social
February 8, 2025 at 9:24 PM
Reposted by Senthil Kumar
2/ It was so close... but there was a winner. Curious to see who won? #ISNWCN
February 8, 2025 at 10:13 PM
Reposted by Senthil Kumar
Screening criteria per Endocrine society for PA

Contrast with actual screening rates - summarized here pubmed.ncbi.nlm.nih.gov/36965825/ from @ajkd.bsky.social

#ISNWCN #NephSky
February 8, 2025 at 5:39 AM
10-20% variability in eGFR.

40-50% variability in Albuminuria.

Make your clinical judgment accordingly.👌
#ISNWCN
February 8, 2025 at 5:34 AM
Reposted by Senthil Kumar
This is the algorithm he prefers from a 2020 for biopsy and management www.kidney-international.org/article/S008...
2020 @kidneyint.bsky.social - looks #OpenAccess

#ISNWCN #NephSky #Onconeph

Watch this space for biomarkers I say 😎
February 7, 2025 at 5:00 AM
Reposted by Senthil Kumar
And we need to play by local rules and those rules say, we need to repost rather than just like. It was okay to be a lurker on #MedTweeter, but here we have to embrace our inner extrovert.

Repost rather than like to help build #MedSky
January 30, 2025 at 2:23 AM
Some pivot is probably with ICUs and maybe neurgosurgical teams.

So I also added a good rapport with them is also translational. 😜

Of course governments need to make a stronger push. Unless governmental action brings in with stronger effort, I'm not sure what as we nephrologists could do🤷
January 21, 2025 at 12:30 PM
Tacrolimus search didn't show any result and only cyclosporin did. (I guess because of no binding to cyclophilin).

Alisporivir binds only to cyclophilin and not to calcineurin, hence I assume doesn't have the immunosuppressive action.
January 21, 2025 at 3:46 AM
On doing literature search, there were few reports mentioning improvements of proteinuria with cyclosporin but most were case reports.

One observational study which studied immunosuppressants (+CysA) didn't show benefit.

It will be interesting to see if it picks up further.
January 21, 2025 at 3:46 AM
January 12, 2025 at 8:02 AM
This looks quite some time back. But I'm able to see all your posts.
January 12, 2025 at 7:56 AM
Clearly seen.
Is this some sorta prank?🙄
January 12, 2025 at 7:33 AM
DIPAK. Lanreotide didn't help.
January 11, 2025 at 5:45 AM