Welcome to NephJC, the Twitter Nephrology Journal Club.
NephJC meets twice a month to discuss the research, guidelines, and editorials that are driving nephrology forward. We use the open, social media platform, Twitter to allow people across medicine to participate. We regularly get doctors, students, fellows, patients and residents participating in our spirited conversations. After the chat the conversations are archived by Symplur and in Storify. You can also follow our posts on Pubmed.
The next NephJC discussion on Tuesday, November 1 at 9pm EDT and November 2 at 8pm BST. We will be discussing whether contrast nephropathy exists - another JASN paper.
The Oxford pathology classification does not include crescents in its assessment of IgA nephropathy. This was due to the low number of crescents on the initial cohort. This week's NephJC looks at a recent attempt to right this oversight.
Previous NephJC discussions:
Hyperhomocysteinemia was all the rage a few years ago. Sadly, as is often the case, trials to lwoer homocysteine failed to show much clinical benefit. Now comes a trial to test the effect of follic acid, on CKD prevention. With an N > 15,000 - this should make for an interesting NephJC discussion.
Talking to people about donating a kidney is very difficult. This week's NephJC looks at an app that helps recipients talk about their disease and why they need someone to donate a kidney. The app is backed up by a study to support its efficacy.
Hector was quick on the draw and had last night's chat all summarised by sunrise the next morning. Here for your reading pleasure.
Historically nephrology is a specialty that has been criticized for it’s inability to produce high quality randomized controlled clinical trials designed to answer a specific question. So, when the Lancet publishes the results of a clinical trial in the field it is worth taking note.
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.