“ESG (gastric sleeve) was found to be a cost-effective strategy, offering greater weight loss and cost savings. The annual cost of semaglutide would need to be reduced 3-fold, from $13 618 to $3591, for it to be a cost-competitive alternative.”

My original post on student loans.

No, we didn’t stop our DEI efforts, we renamed them. Goodbye DEI, Hello Access & Engagement!

And don’t worry, it will take the legislature a few years to figure it out.

Look at this.

Two days ago, someone bought $500,000 Zoetis, $ZTS, $160 puts expiring 04/19/2024.

Today, the stock dropped at most 10%, due to side effects of its drug being released.

They have not exited, yet, but have turned $500,000 into $10 million.

Someone always knows.

Today in 1945, the American top brass saw the full evil of the Nazi regime. 'Have trouble hating them now?' Eisenhower asked a GI.

wwiimemorialfriends.org/blog/one-day-i…

Hypoxia-Inducible Factor Stabilizers: An Evolving Role in Post-Transplant Anemia - Kidney International Reports kireports.org/article/S2468-… Steven Fishbane KIReports

We are now at the point of institutional rot that top tier university psychiatry schools are reconsidering whether dousing yourself with gasoline and lighting yourself on fire should be stigmatized as a sign of mental illness

Who would have thought that Macula Densa cells regulate kidney regeneration?! Break-through work by ⁦Georgina Gyarmati⁩ ⁦Janos Peti-Peterdi⁩
JCI - Neuronally differentiated macula densa cells regulate tissue remodeling and regeneration in the kidney.
jci.org/articles/view/…

Physician pay by specialty (2023 Medscape data). What do you think of when you see this list?

Low protein diet in CKD.

The ASN In The Loop e-mails hails the safety of low protein diet (without any survival benefit), however the manuscript is a bit more cautious.

And where are the renal outcomes?

academic.oup.com/ndt/advance-ar…

'..dangers of social justice activism to academic freedom, the editor of the society’s journal...removed the letter from the website but issued an apology to anyone who (read it). '
Bigoted psychologists hound colleague who questioned social justice agenda conservativewoman.co.uk/bigoted-psycho…

Lab Medicine Doc: QNS.

This is inconceivable! Seriously…

“In repudiating Flexner, we are turning away from the goal of medical training based on scientifically informed and rigorously grounded standards. Indeed…we have now entered the post-Flexner era. The watchword today is not science, but anti-racism and identity politics.”

I had no idea at first, then it suddenly hit me.

1. Normal glomeruli,no FSGS
2. Tubules filled with large granules
3. IF negative=not light chain tubulopathy

Chromogranin +++ in tubules

Dx: Neuroendocrine tumor-associated tubulopathy

65-yr, diabetes, HTN, pancreas mass, ⬆️ Cr

For many of us, the lack of civility and respect by the students is disturbing but hardly surprising. These are many students who have been enabled for years by administrators and faculty at schools like Berkeley to disrupt events... jonathanturley.org/2024/04/11/ber…

ID and IDA are very common in HF patients and wildly undertreated.
Iron Deficiency, Anemia, and Iron Supplementation in Patients With Heart Failure: A Population-Level Study pubmed.ncbi.nlm.nih.gov/38572652/

Medicine Grand Rounds at Wash U!

So, how are things going at Law schools like UC Berkeley where liberal Erwin Chemerinsky is Dean? Lovely. Just lovely.
At least she didn’t set the house on fire. You know, a fiery but peaceful protest.

I hope Dr. Madison married Benny.