Welcome to NephJC, the Twitter Nephrology Journal Club.
NephJC is a nephrology journal club that uses Twitter to discuss the research, guidelines, and editorials that are driving nephrology. After the chat the conversations are archived by Symplur and in Storify. You can also follow our posts on Pubmed.
The ACTIVE trial tested the hypothesis that longer dialysis would be better for quality of life. Sadly, this did not turn out to be the case. Is the end of longer being better? Join us as we dissect the study at the next NephJC.
Stop-IgAN suggested steroids may not be useful in patients with intermediate range proteinuria. Now, in a different population with more proteinuria, TESTING finds a mixed result: some benfit + more adverse events. Should we keep on TESTING?
The next NephJC will be on Avacopan for ANCA associated vasculitis. Please join us.
Here it is! The NephJC Summer Book Club returns. In this inaugural post Dr. Grubbs tells the backstory behind the book title and own journey from her initial idea for a book to becoming published author.
TESTING the visual abstract
A visual abstract to help understand the Avacopan ANCA study
Simulated trips to Mars allow extended and careful metabolic studies. What we are finding is rewriting the textbooks.
Visual Abstract for this weeks NephJC chat. Now updated with NNH.
Here is our second attempt to putting together a visual abstract. Went horizontal instead of vertical this time. Still feeling out this new medium.
The Patient Voice
Posts about NephJC
The winners of the inaugural NephJC Kidneys
Thanks for voting. On friday November 18th at the #KidneyWk TweetUp we announced the winners in all 5 categories.
Rookie of the year: Silvi Shah
Most Valuable Player: Kevin Fowler
Engaged Scientist of the Year: EXTRiP
Study of the Year: AKIKI
Kidney Week 2016 posts
The NephJC Summer Book Club met at the end of July and discussed Eric Topol's provocative book, The Patient Will See You Now. Explore the book through the following posts:
Despite the summer and vacations, we had two very successful chats. This post has links to the full archive of the discussion as well as two curated Storifys.
In the final chapter Topol discusses what needs to happen in order to get from where we are now to a truly emancipated patient. It is a tall order. Dr. Sparks dissects the chapter.
In the penultimate chapter, Topol turns to the developing world and how digital technologiee have the potential to improve health for the poorest humans.
Special guest Scott Brimble reviews the thirteenth chapter on predicting and preempting disease. Scott adapts the lessons of David Sackett and has a skeptical angle on the chapter.
Topol takes on privacy and security in our digital world. This is the darkest chapter of the book. It is filled with problems and the answers he poses seem thin and inadequate.
Intelligent analysis of all the big data we are on the verge of creating in medicine will be the engine that drives future innovation. In cahpter 11, Dr. Topol outlines how open source organization will allow us to harness the potential of this data.
In chapter ten, Dr. Topol describes the hospital of the future which will be very different than today's hospital. Dr. Daniel Coyne is not convinced.
Eric explores how digital tools will allow virtualization of the entire medical encounter. Hello Tricorder.
In chapter 8 Topol looks at the absurd costs of medical care. He also shines a light on possible solutions. Dr. Burgner takes us through it.
Tool looks at electronic medical records and how they can be the bridge to better care. He discusses the potential for EMRs to allow patients to have real access to their medical information. Also pills with electronic trackers.
In this chapter Topol discusses the future of lab tests. It is a bit dated as he lauds Theranos prior to their implosion, so it is a kind of trip down memory lane.
GPS is so successful at concurring location that getting lost is outdated. Eric discusses The personal GIS, or geographic information system that integrates all the 'omics of a single individual and which could make medicine outdated.
Chapter Four. The intersection of genes, breasts and the power of celebrity. The story of Angelina Jolie's choice and how it changed the conversation on patient empowerment.
Topol goes deep into the revolution that was the printing press and how similar it looks to the current smartphone revolution.
Paternalism has defined the doctor-patient relationship for millennia. However this aspect of medical cultureis collapsing. Dr. Lerma dissects chapter 2, a deep dive into medical paternalism.
Eric Topol begins this book by setting the stage of why patients will become more empowered. Topol argues that patients are not going to settle for the amount of power physicians are comfortable yielding, but rather that forces larger than medicine will fundamentally alter the traditional patient-doctor relationship.
You still have time to buy Eric Topol's The Patient Will See You Now in time to be ready for #NephJC's summer book club. We will be discussing this on July 26 and 27 at the usual @NephJC times.