Nephropeeps
@jpeeples.bsky.social
Christian. Husband. Dad. Friend. Literature Enthusiast. Former heavy metal guitarist/vocalist. Nephrologist in NC. Opinions are my own.
You know how I know we are bad at evaluating volume status?
Because we say someone’s euvolemic then dialyze off 8 liters in 2 days and cure their hypertension.
Because we say someone’s euvolemic then dialyze off 8 liters in 2 days and cure their hypertension.
a man in a hawaiian shirt is sitting on a couch and saying i 'm pretty good with this
ALT: a man in a hawaiian shirt is sitting on a couch and saying i 'm pretty good with this
media.tenor.com
November 4, 2025 at 1:06 AM
You know how I know we are bad at evaluating volume status?
Because we say someone’s euvolemic then dialyze off 8 liters in 2 days and cure their hypertension.
Because we say someone’s euvolemic then dialyze off 8 liters in 2 days and cure their hypertension.
…..alkaline water?? Whyyyyy
August 23, 2025 at 10:46 PM
…..alkaline water?? Whyyyyy
Loss with 1 goal at 90’ and 1 in extra time.
Different roster same wrexham
Different roster same wrexham
August 9, 2025 at 1:38 PM
Loss with 1 goal at 90’ and 1 in extra time.
Different roster same wrexham
Different roster same wrexham
Me on the phone with the ER because radiology is recommending avoidance of contrast on a septic ESRD patient because he only started dialysis 2 months ago:
“I am literally looking at a poster on my wall that says ‘Just give the contrast’”
@glaucomflecken.bsky.social
“I am literally looking at a poster on my wall that says ‘Just give the contrast’”
@glaucomflecken.bsky.social
July 16, 2025 at 2:52 PM
Me on the phone with the ER because radiology is recommending avoidance of contrast on a septic ESRD patient because he only started dialysis 2 months ago:
“I am literally looking at a poster on my wall that says ‘Just give the contrast’”
@glaucomflecken.bsky.social
“I am literally looking at a poster on my wall that says ‘Just give the contrast’”
@glaucomflecken.bsky.social
One hot dog a day seems like a whole lot of hot dogs
“The data showed that people who ate as little as one hot dog a day when it comes to processed meats had an 11% greater risk of type 2 diabetes and a 7% increased risk of colorectal cancer than those who didn't eat any.“
ketv.com/article/no-s...
ketv.com/article/no-s...
There is no safe amount of processed meat to eat, according to new research
Experts reveal why even small amounts of processed meat can increase disease risks.
ketv.com
July 5, 2025 at 11:47 PM
One hot dog a day seems like a whole lot of hot dogs
Reposted by Nephropeeps
“The data showed that people who ate as little as one hot dog a day when it comes to processed meats had an 11% greater risk of type 2 diabetes and a 7% increased risk of colorectal cancer than those who didn't eat any.“
ketv.com/article/no-s...
ketv.com/article/no-s...
There is no safe amount of processed meat to eat, according to new research
Experts reveal why even small amounts of processed meat can increase disease risks.
ketv.com
July 5, 2025 at 11:36 PM
“The data showed that people who ate as little as one hot dog a day when it comes to processed meats had an 11% greater risk of type 2 diabetes and a 7% increased risk of colorectal cancer than those who didn't eat any.“
ketv.com/article/no-s...
ketv.com/article/no-s...
RFK Jr saying vaccines alter your immune system permanently.
Please please please no one tell this poor man what contracting any of these illnesses can do to your immune system.
www.npr.org/sections/sho...
Please please please no one tell this poor man what contracting any of these illnesses can do to your immune system.
www.npr.org/sections/sho...
How measles, whooping cough and worse could roar back on RFK Jr.'s watch
With anti-vaccine activist Robert F. Kennedy Jr. in charge of the nation's biggest health agency, it wouldn't take much tampering to enable vaccine-preventable diseases to make a comeback.
www.npr.org
June 14, 2025 at 2:01 PM
RFK Jr saying vaccines alter your immune system permanently.
Please please please no one tell this poor man what contracting any of these illnesses can do to your immune system.
www.npr.org/sections/sho...
Please please please no one tell this poor man what contracting any of these illnesses can do to your immune system.
www.npr.org/sections/sho...
Yes Mr LizardFish. Yes indeed.
I can’t get past the paywall but based on the comments what a joke.
We discuss this with patients all the time and many demand it. Whether that is good or bad is situationally dependent and not for me (or the New Yorker) to decide
www.newyorker.com/news/the-wee...
I can’t get past the paywall but based on the comments what a joke.
We discuss this with patients all the time and many demand it. Whether that is good or bad is situationally dependent and not for me (or the New Yorker) to decide
www.newyorker.com/news/the-wee...
June 7, 2025 at 2:27 PM
Yes Mr LizardFish. Yes indeed.
I can’t get past the paywall but based on the comments what a joke.
We discuss this with patients all the time and many demand it. Whether that is good or bad is situationally dependent and not for me (or the New Yorker) to decide
www.newyorker.com/news/the-wee...
I can’t get past the paywall but based on the comments what a joke.
We discuss this with patients all the time and many demand it. Whether that is good or bad is situationally dependent and not for me (or the New Yorker) to decide
www.newyorker.com/news/the-wee...
Some people just have bacteria in their pee and that’s okay
a woman with #schittscreek written on the bottom of her face
ALT: a woman with #schittscreek written on the bottom of her face
media.tenor.com
June 3, 2025 at 4:58 PM
Some people just have bacteria in their pee and that’s okay
In short the problem is simple
Trump and the Rep Party via RFK Jr blame doctors for US citizen’s chronic disease burden
When in reality the problem is the government has not created a medical system where doctors can address the root causes of chronic disease
Trump and the Rep Party via RFK Jr blame doctors for US citizen’s chronic disease burden
When in reality the problem is the government has not created a medical system where doctors can address the root causes of chronic disease
RFK jr is now taking aim at doctors for causing chronic diseases and other issues in kids. Of course the focus is also turning to those diagnosed with ADHD and other similar conditions. "physicians who diagnose and treat children with conditions including attention-deficit/hyperactivity cont'd
RFK Jr.’s report had a surprise target: Your doctor
The commission led by the health secretary says physicians often have the wrong prescription for America’s ills.
www.politico.com
May 24, 2025 at 2:37 PM
In short the problem is simple
Trump and the Rep Party via RFK Jr blame doctors for US citizen’s chronic disease burden
When in reality the problem is the government has not created a medical system where doctors can address the root causes of chronic disease
Trump and the Rep Party via RFK Jr blame doctors for US citizen’s chronic disease burden
When in reality the problem is the government has not created a medical system where doctors can address the root causes of chronic disease
“Patient sent in for acute renal failure. Creatinine 3. Baseline 2.5.”
a close up of a kangaroo 's face with the words `` so what 's up '' written below it .
ALT: a close up of a kangaroo 's face with the words `` so what 's up '' written below it .
media.tenor.com
May 22, 2025 at 10:39 PM
“Patient sent in for acute renal failure. Creatinine 3. Baseline 2.5.”
People ask me all the time “Doc, how can I be cool?”
And the recommendation is always the same “Get a transplant or do dialysis at home until you do!”
And the recommendation is always the same “Get a transplant or do dialysis at home until you do!”
a man in a suit and tie is saying " boom easy as that "
ALT: a man in a suit and tie is saying " boom easy as that "
media.tenor.com
May 22, 2025 at 5:47 PM
People ask me all the time “Doc, how can I be cool?”
And the recommendation is always the same “Get a transplant or do dialysis at home until you do!”
And the recommendation is always the same “Get a transplant or do dialysis at home until you do!”
Getting dialysis at the hospital is so in right now
a woman with curly hair is making a funny face while holding a sign that says `` so '' .
ALT: a woman with curly hair is making a funny face while holding a sign that says `` so '' .
media.tenor.com
May 22, 2025 at 5:34 PM
Getting dialysis at the hospital is so in right now
Question: I feel so good tonight. I wonder if there is a way for me to feel worse tomorrow.
Answer:
Answer:
May 8, 2025 at 10:22 PM
Question: I feel so good tonight. I wonder if there is a way for me to feel worse tomorrow.
Answer:
Answer:
What an absolute joke.
A joke.
People do care about you and will miss you after you’re gone
You can make an important impact in the world. Your life does matter
It’s disturbing for a doctor to feel this way about human life.
A joke.
People do care about you and will miss you after you’re gone
You can make an important impact in the world. Your life does matter
It’s disturbing for a doctor to feel this way about human life.
Here is what Vinay Prasad, the quack now regulating vaccines at the FDA, thinks about death. Be sure to notice his book just poking into frame!
May 7, 2025 at 9:17 PM
What an absolute joke.
A joke.
People do care about you and will miss you after you’re gone
You can make an important impact in the world. Your life does matter
It’s disturbing for a doctor to feel this way about human life.
A joke.
People do care about you and will miss you after you’re gone
You can make an important impact in the world. Your life does matter
It’s disturbing for a doctor to feel this way about human life.
@glombandit.bsky.social working late on a Friday evening to make sure I know which of my patients are positive for APOL1!
a man with a mustache is saying thank you .
ALT: a man with a mustache is saying thank you .
media.tenor.com
April 11, 2025 at 9:49 PM
@glombandit.bsky.social working late on a Friday evening to make sure I know which of my patients are positive for APOL1!
February 11, 2025 at 5:18 PM
Reposted by Nephropeeps
This thing keeps happening with ultra-processed food research and it's very confusing to me. People seem to be searching for a link with bad health outcomes that is *independent* of caloric intake. Like... folks... that's the link. (brief 🧵)
February 4, 2025 at 8:25 PM
This thing keeps happening with ultra-processed food research and it's very confusing to me. People seem to be searching for a link with bad health outcomes that is *independent* of caloric intake. Like... folks... that's the link. (brief 🧵)
The “I don’t even add salt to my food!” Starter pack
February 2, 2025 at 9:39 PM
The “I don’t even add salt to my food!” Starter pack
Nephrologists have been bred for the dissociating Olympics.
January 28, 2025 at 11:13 PM
Nephrologists have been bred for the dissociating Olympics.
Thanks @hswapnil.medsky.social and @glaucomflecken.bsky.social for helping more improve my office decor
January 23, 2025 at 3:19 PM
Thanks @hswapnil.medsky.social and @glaucomflecken.bsky.social for helping more improve my office decor
Nothing more helpful than unsolicited advice in the gym
a man in a suit and tie is saying thank dude
ALT: a man in a suit and tie is saying thank dude
media.tenor.com
January 15, 2025 at 6:06 PM
Nothing more helpful than unsolicited advice in the gym
Reposted by Nephropeeps
This op-ed in @nytimes.com by @pauloffit.bsky.social is an absolute must-read. In it, Dr. Offit writes, "I’m an actual vaccine skeptic. In fact, everyone who serves with me on the Food and Drug Administration’s vaccine advisory committee is a vaccine skeptic."
www.nytimes.com/2025/01/13/o...
www.nytimes.com/2025/01/13/o...
Opinion | RFK Jr. Is a Vaccine Cynic, Not Skeptic.
My job is to ask tough questions of vaccine makers. That’s not what he is doing.
www.nytimes.com
January 13, 2025 at 5:07 PM
This op-ed in @nytimes.com by @pauloffit.bsky.social is an absolute must-read. In it, Dr. Offit writes, "I’m an actual vaccine skeptic. In fact, everyone who serves with me on the Food and Drug Administration’s vaccine advisory committee is a vaccine skeptic."
www.nytimes.com/2025/01/13/o...
www.nytimes.com/2025/01/13/o...