Sreejith Parameswaran
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sreejithdr.bsky.social
Sreejith Parameswaran
@sreejithdr.bsky.social
Nephrologist, Learner, Teacher.
I’m my own competition on the path to better!
Something so fundamental to understanding and interpreting health parameters, yet not understood by most lay people. Thanks @thehindu.com for having such a worthy article occupy precious newspaper space!
November 20, 2025 at 12:10 PM
I am now on a 22 weeks streak, running at least twice a week. The typical activity session is a 5 km run + 2km walking. Sunday long runs are 'bonus'!
Hoping to sustain the streak.
November 9, 2025 at 3:44 AM
Sunday Morning Run - 15K 🏃🏽‍♂️
#MakingProgress
November 9, 2025 at 2:31 AM
Gandhi Jayanthi Morning 12K 🏃🏽‍♂️
With humidity above 80%, I was drenched in sweat as if I took a shower during the run! 🥵
October 2, 2025 at 4:34 AM
CKDu as a Tubulointerstitial Disease - a narrative review I wrote with Dr Magdalena Maduro :
kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F...
Thank You @pranavgarimella for asking us to contribute for @akdhjournal
September 14, 2025 at 2:30 PM
Sunday Morning 12K 🏃🏽‍♂️
The biggest threat to the 'streak' are the medical conferences happening almost every weekend! 😅
August 31, 2025 at 2:25 AM
If this is not a calamity, what is?
172,000 people died in 2023 on Indian roads, translating into 1317 accidents & 474 deaths every day or 55 accidents and 20 deaths every hour!! 🫢
Most of them in young & productive age.
This is worse than dropping a nuclear bomb!
#RoadSafety
August 30, 2025 at 2:49 PM
Turns out we ourselves (how we like, share) are to blame for SoMe toxicity and not algorithms! 😐
www.newscientist.com/article/2492...
August 24, 2025 at 2:47 PM
Sunday Morning 12K 🏃🏽‍♂️
August 24, 2025 at 4:34 AM
Sunday Morning 12K 🏃🏽‍♂️
(showing 13K because of tracking error).
#MakingProgress
August 10, 2025 at 3:53 AM
That is a wrap!
Thank you for staying with me on this thread!
#AKI #CCNA 2.0
18/18
July 26, 2025 at 10:05 AM
While biomarkers have the potential to enhance our ability to care for people with AKI, we need more work in this area.
Even when we have useful biomarkers, they are expected to refine our abilities and not to replace Creatinine & U.O.
#AKI #CCNA 2.0
17/18
July 26, 2025 at 10:05 AM
What is the future of AKI Biomarkers?
#AKI #CCNA 2.0
16/18
July 26, 2025 at 10:05 AM
A novel point-of-care (POC) uNGAL Dipstick was developed at the Columbia University by Dr Jonathan Barasch and was tested @JipmerNephro for predicting AKI risk in patients seeking treatment at the emergency services
pubmed.ncbi.nlm.nih.gov/40630276/
#AKI #CCNA 2.0
15/18
July 26, 2025 at 10:05 AM
Despite all these, there are many challenges & limitations when it comes to applying AKI biomarkers in routine clinical practice
pubmed.ncbi.nlm.nih.gov/33021646/
#AKI #CCNA 2.0
14/18
July 26, 2025 at 10:05 AM
04 - Progression & Recovery
pubmed.ncbi.nlm.nih.gov/33021646/
#AKI #CCNA 2.0
13/18
July 26, 2025 at 10:05 AM
The proposed new diagnosis and staging system for AKI incorporating Biomarkers
pubmed.ncbi.nlm.nih.gov/33021646/
#AKI #CCNA 2.0
12/18
July 26, 2025 at 10:05 AM
03 - Diagnosis, Aetiology & Management
#AKI #CCNA 2.0
11/18
July 26, 2025 at 10:05 AM
The NephroCheck(R) Test is validated & FDA approved
#AKI #CCNA 2.0
10/18
July 26, 2025 at 10:05 AM
02 - AKI Prediction & Prevention
pubmed.ncbi.nlm.nih.gov/33021646/
#AKI #CCNA 2.0
9/18
July 26, 2025 at 10:05 AM
The 'Kidney Health Assessment' framework
pubmed.ncbi.nlm.nih.gov/33021646/
#AKI #CCNA 2.0
8/18
July 26, 2025 at 10:05 AM
Let us see what their current clinical applications are.
Please refer to the ADQI consensus statement too: pubmed.ncbi.nlm.nih.gov/33021646/
01 - AKI Risk Assessment
#AKI #CCNA 2.0
7/18
July 26, 2025 at 10:05 AM
AKI Biomarkers can be categorised broadly into three categories:
1️⃣Function Markers
2️⃣Stress Markers
3️⃣Damage Markers
#AKI #CCNA 2.0
6/18
July 26, 2025 at 10:05 AM
It is not that there are no biomarkers to assess kidney injury & damage. Many were studied extensively and newer ones are being identified
#AKI #CCNA 2.0
5/18
July 26, 2025 at 10:05 AM
Urine output is also not exactly reliable as a marker of kidney function.
#AKI #CCNA 2.0
4/18
July 26, 2025 at 10:05 AM