Long-Term Exposure to Uranium and Arsenic in Community Drinking Water and CKD Risk Among California Women

bit.ly/Medgyesi25OI

Some of the biggest successes of public health are being re-litigated in 2025

By a bunch of incompetent idiots

And people are going to die as a consequence

This cause is close to my heart - please sign: sign.moveon.org/petitions/de...

The 8 largest Dow Jones drops in history
1. Trump 3/16/20 -2,997.10
2. Trump 3/12/20 -2,352.60
3. Trump 4/4/25 -2,231.07
4. Trump 3/9/20 -2,013.76
5. Trump 6/11/20 -1,861.82
6. Trump 4/3/25 -1,679.39
7. Trump 3/11/20 -1,464.94
8. Trump 3/18/20 -1,338.46
Tired of winning yet?

Thanks to all of the NIHers and their friends who reached out to me. I am still here (DM me or Signal jeremymberg.78)

I still have a very incomplete picture but based on what I have been told, the damage to NIH and to many wonderful people who work(ed) there is/was impossible for me to imagine

1/n

In 2022, we did fewer than 20,000 kidney transplants and discarded thousands more…. and it took nearly 30 million offers. Kidneys that reached patients were turned down twice as often compared to 2 years prior. #broken #kidney #allocation

Another way to think about this… how often does a kidney actually go to the person at the top of the allocation match run … well… not very often, it turns out

How inefficient is the new kidney allocation system in the US? the number of offers increased so rapidly that some centers were receiving > 100,000 offers per year. Is it any surprise that no one is paying close attention anymore?
www.kireports.org/article/S246...

Given the challenges around organ utilization and discards, figuring out reliable estimates of organ quality are a big piece of the puzzle if we are going to make real improvements and increase access to transplant.

Outcomes of #Living Kidney #Donors Following Donor #Nephrectomy in Aotearoa New Zealand

#VisualAbstract by @krishnadoctor1

www.kireports.org/ar...

This has been an inspiring conference so far with so many patient voices and the broad engagement of so many professionals

NEXT WEEK: Join us for ‘#ClinicalGenetics in #KidneyTransplantation’ - a virtual conference on Friday, December 13, 2024 – 7.25 ACCME Credits.
www.eventleaf.com/e/ClinicalGe...

#Genomics #Genetics #MedicalGenetics #Kidney #Nephrology #NephPearls #CKD

Legend:

The Rise of Skywalkers

Great to see the final Increasing Organ Transplant Access (IOTA) model rule from the Centers for Medicare and Medicaid Innovation released.

@asnkidney.bsky.social @nkf-professionals.bsky.social
www.healio.com/news/nephrol...

Perhaps the biggest challenge with #IOTA is continued inclusion of out-of-sequence (OOS) deceased donor kidneys in center volume. This means that centers that are randomized are essentially incentivized to increase OOS placements to meet volume goals and inflate their organ offer acceptance rates

The full 595 pages of the #IOTA rule - public-inspection.federalregister.gov/2024-27841.pdf is excellent bedtime reading but the easier to read model website is at www.cms.gov/priorities/i...

#IOTA incentives transplant centers to grow volume with a $15K incentive per medicare patient transplanted if you hit their goals on volume, efficiency and quality. Its a well thought idea - mostly because they cite us > 40 times 😂

The final rule for CMMI's Increasing Organ Transplant Access (IOTA) from CMMI dropped yesterday - and is the first time that CMS is actively encouraging transplant programs to grow. Its only 595 pages but to see if your center was randomized to participate look here - www.cms.gov/files/docume...