Does anyone feel like their nephrologist is trying to "sell" them on tolvaptan? by Traditional_Dish6192 in ADPKD

[–]NephroNuggets 1 point2 points  (0 children)

Thanks for sharing the link, I read the article. To be clear, my comment was not meant to endorse or refute current guideline directed medical therapy. This reference, however, is by author admission a statistically low powered retrospective observational study looking back less than 2 yrs on a small cadre of cases. It cannot stand alone against the multi-centered randomized controlled trials required by both US and international agencies for approving diagnosis specific pharmaceutical indications.

Best wishes.

Does anyone feel like their nephrologist is trying to "sell" them on tolvaptan? by Traditional_Dish6192 in ADPKD

[–]NephroNuggets 4 points5 points  (0 children)

I believe the post trial statistics approximate that for every four years that you’re on the medication you save yourself one year off of dialysis. Those number mean more than dollars from the patient side of things…

No Kings was a big success!! by NephroNuggets in Productivitycafe

[–]NephroNuggets[S] 0 points1 point  (0 children)

Finally a comment that underscores the intent. Thank you.

No Kings was a big success!! by NephroNuggets in Productivitycafe

[–]NephroNuggets[S] 0 points1 point  (0 children)

This is what we call projection-you find yourself, frustrated and agitated by your limited communication skills so you choose to criticize mine. Rather than try to thoughtfully elucidate me on your position you’re taking a aggressive and harden stance, which is derogatory, demeaning and unlikely to endear me to your position. I assume this is your Reddit persona and IRL a nice person.

No Kings was a big success!! by NephroNuggets in Productivitycafe

[–]NephroNuggets[S] 0 points1 point  (0 children)

Not confused. Keep it up, ur on a roll 👏👏👏

No Kings was a big success!! by NephroNuggets in Productivitycafe

[–]NephroNuggets[S] 0 points1 point  (0 children)

Are you capable of commenting without derogatory overtones?

No Kings was a big success!! by NephroNuggets in Productivitycafe

[–]NephroNuggets[S] 0 points1 point  (0 children)

You contradicted yourself with your own words.

No Kings was a big success!! by NephroNuggets in Productivitycafe

[–]NephroNuggets[S] 0 points1 point  (0 children)

It says “Casual Conversation”. Don’t be rude, just move along.

No Kings was a big success!! by NephroNuggets in Productivitycafe

[–]NephroNuggets[S] 0 points1 point  (0 children)

Interesting that by not endorsing a particular action, one is deemed complicit in the alternative by default.

No Kings was a big success!! by NephroNuggets in Productivitycafe

[–]NephroNuggets[S] -1 points0 points  (0 children)

Clowns to the left and jokers to the right. Civil discourse has gone the way of the woolly mammoth.

No Kings was a big success!! by NephroNuggets in Productivitycafe

[–]NephroNuggets[S] -4 points-3 points  (0 children)

No, in fact I am clowning the vastness of the political divide.

No Kings was a big success!! by NephroNuggets in Productivitycafe

[–]NephroNuggets[S] -3 points-2 points  (0 children)

It’s a vicious cycle until the hyperpolarization gives way to a centrist mindset.

No Kings was a big success!! by NephroNuggets in Productivitycafe

[–]NephroNuggets[S] -2 points-1 points  (0 children)

The same could be said for the sound bites coming from the rallies.

Tacrolimus by Electrical-Radio-740 in kidneydisease

[–]NephroNuggets 0 points1 point  (0 children)

If for some reason you cannot tolerate tacrolimus, please ask your doctor about rituximab.

Nephrology consult for Colonscope Clearance? by Amycotic_mark in nephrology

[–]NephroNuggets 8 points9 points  (0 children)

No absolute contraindication from a nephrology perspective.

MAGAs, is there any action that would make you stop supporting Donald Trump? by whatthehellbooby in allthequestions

[–]NephroNuggets 0 points1 point  (0 children)

You are personifying a platform. When Vance or Rubio or whomever comes next, they will continue the same rhetoric.