Physician-scientist specializing in mineral balance and #hypertension. #magnesium #potassium #photography. Tweets are my own views.

Pittsburgh, PA
Joined January 2020
PPI's in CKD: 3 pts in CKD clinic with PPIs restarted since I held them previously (usu adding an H2B) Indications: GERD (by GI), cough/COPD (by Pulm). None for Barret's or GI erosion. Frustrated my colleagues in other specialties and I are working against ea. other. Thoughts?
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Evan Cross Ray retweeted
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If people wonder why I keep switching patients from short-acting furosemide to longer-acting torsemide, it’s because of the top graph. Green bar above dashed line (na excretion from furosemide) rapidly approaches pink area (compensatory reabsorption)—>0 net naturiesis.
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"To clean the urine is to clean the soul, and the mind..." youtube.com/shorts/1aw4LRDKU…
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"And what of the urine? Does he still produce that liquid that maintains our feeble balance with nature?" Could have been a scene with one of my medical school attendings. But now I realize... I have become that attending... youtu.be/1aw4LRDKUXM
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Amazing headline from the day after the Tulsa massacre, in which hundreds of black Americans were killed, and 10,000 were left homeless.
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SQ Mag? Weekly SGL2Ti ? Mag Lactate or Aspartate, better oral availability! @RayRenal gave a master class “Old and new therapeutic approaches to #hypomagnasemia” at #NKFClinicals #Nephpearls #NephTwitter #Nephnuggets #1440club @PITTRenal #MedEd #MedTwitter #KidneyAide – at Batesville, SC
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Interesting report on how low Mg contributes to salt-sensitive #hypertension from Keizo Kanasaki. Hint: it may involve COMT, SPAK, and NCC. @hyperAHA #hypomagnesemia ahajournals.org/doi/pdf/10.1…
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Our invited comprehensive paper on #inflammation and #immunity in #hypertension is now published @CircRes! ahajournals.org/doi/pdf/10.1… Thanks co-authors @CVimmunology @isjaima @Dr_AshleyPitzer @tkleyman @Jvanbeusecum @smartdunc @RobNPeck @VascRes @VUMChealth @VUMCClinPharm
Check out our recent mega review on inflammation and hypertension. True team effort. @annetkiraboc1 @CircRes @VUMC_heart @VUMC_Medicine @VascRes #Cardioimmunology #hypertension ahajournals.org/doi/10.1161/…
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jasn.asnjournals.org/content… Normally, ENaC goes down on a high salt diet (no need in sodium retention). However, genetic predispostition can break this mechanism and contribute to hypertension. Check on how inflammation is involved in this process in male db/db mice #KidneyInCVD 👍
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Nephrologists - is anyone routinely using hand-held #ultrasound devices on rounds to evaluate fluid volume with IVC collapse or Kerley B-lines? Which devices? #POCUS @askrenal #nephrology
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Evan Cross Ray retweeted
Great to see that the Pitt's O'Brien Kidney Center is (finally) on Twitter!
Pittsburgh Center for Kidney Research is now on Twitter!
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Biden: Yellen needs a “Hamilton” musical. Dessa: Here you go. marketplace.org/2021/01/21/y…
WARNING: Side effects from the COVID-19 Vaccine from Pfizer. I got dose #2 of the Pfizer COVID-19 vaccine 3 days ago and wanted to warn you about some of the severe side effects I’m experiencing. These include - A sore arm for 12-18 hours.
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or the ones in the yogurt at the back of my fridge that has been open since Trump still endorsed Fox News; and 2) does not shield me from nausea experienced after watching the news.
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- Thirty extra pounds and a few ear hairs that I’m 90% sure weren’t there before. PLEASE! Take these side effects seriously before getting the vaccine, if you haven’t already.
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