geddescc.bsky.social
@geddescc.bsky.social
Nephrologist, Glasgow, Scotland, UK
The remaining challenge is measuring BP by standardized method. Very few clinics can do it in Scotland. Is the same true in Canada? pubmed.ncbi.nlm.nih.gov/39638870/
Blood pressure measurement technique in clinical practice in the NHS Greater Glasgow and Clyde - PubMed
Blood pressure (BP) measurement is a common procedure conducted in various disciplines and is widely available on clinical reports. The diagnosis and management of hypertension require reliable measur...
pubmed.ncbi.nlm.nih.gov
May 28, 2025 at 7:54 PM
Reposted
That’s what we just did in Canada! Target is SBP < 130 mmHg for all

www.cmaj.ca/content/197/...
May 27, 2025 at 11:08 PM
So we should remove diastolic targets from guidelines no? @hswapnil.medsky.social
May 27, 2025 at 5:35 PM
It is not lack of capacity driving this in Scotland. It is patient choice.
May 15, 2025 at 6:09 PM
Come to #ERA2026 in Glasgow @hswapnil.medsky.social . It will be a great meeting and we will make you very welcome.
April 24, 2025 at 11:35 AM
Reposted
This seems like a - let us write more guidelines that will get heavily cited and boost my h-index - piece

I will argue we need less guidelines

They should be like wars - waged only when absolutely necessary (stealing from @cardiobrief.bsky.social Larry Husten www.forbes.com/sites/larryh...)
Why Health Guidelines Should Be Waged Like War
Updated Here's a modest proposal: we need fewer and shorter guidelines. In fact, I'd like to propose that guidelines, like war, should be waged only when there is absolute consensus and overwhelming e...
www.forbes.com
April 16, 2025 at 3:32 PM
Reposted
Overall they sleep poorly
Median ~ 6.5 hours - and look at the spread
2/
April 10, 2025 at 2:13 AM
👏👏
April 5, 2025 at 5:52 PM
Contrary to other studies we observed highest incidence of thrombotic events in min change but we analysed events per month of NS. So maybe nothing special about membranous other than NS is sustained for longer than other causes? pubmed.ncbi.nlm.nih.gov/27669572/
Venous Thromboembolism in Primary Nephrotic Syndrome - Is the Risk High Enough to Justify Prophylactic Anticoagulation? - PubMed
Patients with primary NS are at an increased risk of VTE. The timing of VTE means that only half of episodes would be targeted by prophylactic anticoagulation. Given the low frequency of events, a wel...
pubmed.ncbi.nlm.nih.gov
April 3, 2025 at 1:45 PM
Could it be that higher incidence of thrombotic events in the first 6m is because some NS scenarios involve imbalance of protein loss in favour of thrombosis and some don’t? So what remains after a few months is latter (who by implication will be harmed by anticoag because they never needed it)
April 3, 2025 at 1:41 PM
We’re no further forward after 30 years of debate. Producing detailed treatment algorithms based on flawed observational evidence makes the RCTs the authors cry out for less likely to happen. Recommending a “Highly personalised” approach is code for “we don’t know”.
April 3, 2025 at 1:36 PM