@virtualpun

Nephrologist and Clinical Researcher at Duke University School of Medicine/Durham VA Medical Center

 Durham NC
virtualpun.com
Joined February 2014
  • Tweets25
  • Following16
  • Followers394
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103,000+ Americans wait for transplants. 25% of living donors face insurance discrimination. Solution? Living Donor Protection Act (S.1552/HR 4582 & 4583). Bipartisan, zero cost, saves lives. Pls @fousheefornc cosponsor #LDPA #OrganDonation #Congress
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13 people die daily waiting for organs while heroes willing to donate face insurance discrimination & job loss. @fousheefornc pls cosponsor the Living Donor Protection Act S. 1552/ HR4582 & 4583 #LDPA #OrganDonation #SaveLives
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Patrick Pun, MD MHS FASN retweeted
Alvin Jeffery@Nurse_Alvin22 May 2023
So excited to celebrate @VUMChealth @WesElyMD & Brenda Pun for their Pioneering Spirit Award at #NTI2023 @AACNme
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Patrick Pun, MD MHS FASN retweeted
Chris Carroll MD@ChrisCarrollMD22 May 2023
Brenda Pun and @WesElyMD receiving the Pioneering Spirit from @AACNme! #NTI2023
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Patrick Pun, MD MHS FASN retweeted
Joel M. Topf, MD FACP
@kidney_boy5 Nov 2022
Signal for sudden cardiac death (SCD) with azithro and with levofloxacin. #BestofNephJC #KidneyWk
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Patrick Pun, MD MHS FASN retweeted
Joel M. Topf, MD FACP
@kidney_boy4 Nov 2022
Black dialysis patients with cardiac arrest are less likely to receive CPR than white patients. OR 0.4! W.T.F. #KidneyWk
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Patrick Pun, MD MHS FASN retweeted
Joel M. Topf, MD FACP
@kidney_boy3 Nov 2022
Why $950 per cancer patient Why $560 per Alzheimer’s patient Why $18 per kidney patient #KidneyWk – at Florida, USA
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Patrick Pun, MD MHS FASN retweeted
Duke Kidney@DukeKidney28 Oct 2020
.@shofacker @virtualpun and colleagues in Nephrology Nursing Journal Barriers and Facilitators to Performing Cardiopulmonary Resuscitation During Treatment in Outpatient Hemodialysis Clinics: A Qualitative Study pubmed.ncbi.nlm.nih.gov/3310…

Barriers and Facilitators to Performing Cardiopulmonary Resuscitation During Treatment in Outpati...

Cardiac arrest is the leading cause of death among patients receiving hemodialysis, and major deficiencies exist in hemodialysis staff-provided cardiopulmonary resuscitation (CPR). Our study aimed to...

pubmed.ncbi.nlm.nih.gov
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Patrick Pun, MD MHS FASN retweeted
Susan Quaggin@SusanQuaggin23 Oct 2020
Effect of Finerenone on Chronic Kidney Disease Outcomes in Type 2 Diabetes | NEJM. When it 🌧 sometimes it pours in the most positive way!! Another #win for the kidney community! can’t wait to check out the late breakers ⁦@ASNKidney⁩ #KidneyWk nejm.org/doi/full/10.1056/NE…

Effect of Finerenone on Chronic Kidney Disease Outcomes in Type 2 Diabetes | NEJM

Finerenone, a nonsteroidal, selective mineralocorticoid receptor antagonist, reduced albuminuria in short-term trials involving patients with chronic kidney disease (CKD) and type 2 diabetes. Howev...

nejm.org
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Patrick Pun, MD MHS FASN retweeted
Duke Kidney@DukeKidney23 Sep 2020
.@virtualpun @DCRINews and colleagues in @CJASN Trends in Use and In-Hospital Outcomes of Subcutaneous Implantable Cardioverter Defibrillators in Patients Undergoing Long-Term Dialysis cjasn.asnjournals.org/conten…
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Patrick Pun, MD MHS FASN retweeted
Sam Hofacker@shofacker11 Sep 2020
Hi #Medtwitter, #Nephtwitter! I’ve wanted to put together a tweetorial for a while, and now that my first manuscript is published, here are a few things I’ve learned about cardiac arrest in patients on dialysis, our resuscitative response, and #healthequity. Thread:
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New research led by former @DukeMedSchool student @shofacker / @MGHMedicine intern Important racial disparities in CPR initiation observed in US dialysis clinics "Of all forms of inequality, injustice in health is most shocking and inhuman" Dr MLK Jr resuscitationjournal.com/art…
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But If we have stopped using gadolinium in ckd due to risk of nsf, how can we have any data that risk in ckd is “sufficiently low or nonexistent”? Do we need more evidence specifically in ckd pts before we subject our patients to gadolinium without informed consent?
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The 2017 American College of Radiology guidelines on contrast say that the risk of NSF with class II gadolinium agents is "sufficiently low or possibly non-existent" and recommend that no informed consent is needed for CKD pts. Does absence of evidence= absence of risk? #AskASN
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Another great question is what to do about subclinical Afib, detected during HD in 20% of HD pts with ICDs ncbi.nlm.nih.gov/pubmed/2467… #askasn

The dialysis procedure as a trigger for atrial fibrillation: new insights in the development of...

This study provides insight in the exact timing of AF onset in relation to the dialysis procedure itself. In HD patients, AF occurred significantly more often on a dialysis day and especially during...

pubmed.ncbi.nlm.nih.gov
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So proud of Brenda Pun and her work on improving implementation of the #ABCDEFBundle #ICULiberation
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Going on 10 hours without power at our hotel next to convention center, but the show must go on! #KidneyWk
concept of "isothermic" dialysis is intriguing-- are we harming some patients by setting dialysate temp to 37? cjasn.asnjournals.org/conten…
Created my first twitter account. Now to find some intelligent things to tweet about. #newbietotwitter
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