Living up in the hills in #Hawaii is weird. It was just sunny in my front yard with a downpour in the back. Then vice versa.

Seeing a patient in the ICU, struggling to breathe. Me: "Will you get vaccinated after you get better?" Him: "No. I'm more worried about the vaccine than #Covid19."

How Much Water Do You Actually Need? nytimes.com/2021/09/17/wel…

Just felt my house shake on Oahu, maybe an earthquake?

The Click Trial (chlorthalidone in CKD4) is very helpful but what to do if someone is already on an SGLT2i? Unclear from paper. Risk of volume depletion? Rajiv Agarwal MD, MS

Avoid cana but consider empa/dapa, look at baseline risk. If heavy proteinuria would discuss costs/benefits with patient for shared decision making. If low grade would most likely avoid.

Kaiser is looking to hire a nephrologist in Salem, Oregon. Here is link to the job posting nwpermanente.com/jobs/nephrolog…. You can DM me for more details.

In med school we learned to balance autonomy with paternalism. After Covid I think we'll see a shift to the latter.

Presented new project to get 90% of candidates on an #SGLT2i. PCPs are behind me. Here we go!

Victory at Iwo Jima, today 1945: #Rosenthal

We wish Dr. Irina Crook the best as she flies out to support Ukrainians fleeing the Russian invasion. You can help support her mission by visiting bit.ly/3qR0OKM Island News story: bit.ly/3wTCOdV

Steve Kerr on today's tragic shooting in Uvalde, Texas.

Just watch.

This Mikhail Gorbachev Pizza Hut commercial is what historians will someday say marked the real end of the cold war and is a masterpiece.

It’s out #EMPAKidney in NEJM #kidneywk nejm.org/doi/full/10.10…

#askrenal I've seen warnings to not use #SGLT2i in kids <6 due to diapers. Has anyone tried them in adults with diapers? Did they get a fungal infection?

Wow! Caroline Kennedy calls out her own cousin for being a hypocrite and reveals that he got his own kids vaccinated!! This should be a way BIGGER story!

Fred Korematsu stood up for the rights of Japanese Americans illegally incarcerated during WWII, devoting his life to justice and equality. Today, Mr. Korematsu’s work is more relevant than ever and I am proud to lead efforts to honor his fight for equality. May Mr. Korematsu’s

A bird smarter than most humans.