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3/24/2015 #NephJCHealthcareSocialMediaTranscript

#NephJCtranscript
HealthcareSocialMediaTranscript
From: TueOct0717:00:00PDT2014
To: TueOct0721:00:00PDT2014
changetimeperiod

Whatis#NephJC?Whoweretheinfluencersduringthistimeperiod?#NephJCanalytics

HealthcareConferenceHealthcareTweetChatsHealthcareAnalytics

hswapnil RT@NephJC:90minutesuntil#NephJCWhoswithus!
TueOct717:02:09PDT2014

weddellite #nephjcwhat?!StonesAGAIN?!
TueOct717:06:01PDT2014

brendonln RT@Nephro_Sparks:#NephJC#urojcRT@eAJKD:NephJC:CTScanor
UltrasoundfortheDiagnosisofSuspectedKidneyStoneshttp://t.co/USdV91F
TueOct717:09:00PDT2014

nephro_sparks RT@iurojc:Our#urojcpaperforOctoberalsohappenstobethepaperfordiscussion
withour#nephjcfriendsdojointhemforongoingdi
TueOct717:16:25PDT2014

hswapnil @iurojcwaitfor#nephJCinput?Thanks!Canwealsocompeteforyourprize,pretty
please?#urojc
TueOct717:23:02PDT2014

hswapnil RT@iurojc:Our#urojcpaperforOctoberalsohappenstobethepaperfordiscussion
withour#nephjcfriendsdojointhemforongoingdi
TueOct717:24:10PDT2014

jojolaterrible RT@NephJC:90minutesuntil#NephJCWhoswithus!
TueOct717:24:22PDT2014

pumasiwotily I'monline!!!Cmseemeeeehttp://t.co/FazFUuSiyS!#pororokepo#misano#nephjc
#chanelcruisedubai#cunyfirst
http://embed.symplur.com/twitter/transcript?hashtag=NephJC&fdate=10%2F07%2F2014&shour=17&smin=00&tdate=10%2F07%2F2014&thour=21&tmin=00 1/22
3/24/2015 #NephJCHealthcareSocialMediaTranscript
TueOct717:39:00PDT2014

nephjc @iurojcwestartat9pm,whydontyouhaveyourguysjoinusforonelasthour?
#NephJC
TueOct717:39:26PDT2014

nephjc @weddellite:#nephjcwhat?!StonesAGAIN?!Stonesforever.Ithoughtyou
pebbleologistslikedthisstuff
TueOct717:40:07PDT2014

hswapnil @nephjcpebbleologists?thisisnopebble!#nephjchttp://t.co/90CpDQOMI6
TueOct717:47:05PDT2014

hswapnil @NephJCpicturecourtesy@wellcomeimages#Nephjc
TueOct717:48:19PDT2014

nephjc @hswapnilthatsnomoon#NephJChttp://t.co/eqdKYi4aeR
TueOct717:48:50PDT2014

hswapnil RT@NephJC:@iurojcwestartat9pm,whydontyouhaveyourguysjoinusforone
lasthour?#NephJC
TueOct717:51:52PDT2014

iurojc RT@NephJC:@iurojcwestartat9pm,whydontyouhaveyourguysjoinusforone
lasthour?#NephJC
TueOct717:52:29PDT2014

iurojc @NephJCTotallyagree.Callingallurologists,pleasefeelfreetocommentonthe
samepaperbeingdiscussedrightnowon#NephJC
TueOct717:53:27PDT2014

nephjc RT@iurojc:@NephJCTotallyagree.Callingallurologists,pleasefeelfreeto
commentonthesamepaperbeingdiscussedrightnowon#Nep
TueOct717:53:49PDT2014

canesdavid RT@iurojc:Our#urojcpaperforOctoberalsohappenstobethepaperfordiscussion
withour#nephjcfriendsdojointhemforongoingdi
TueOct717:54:00PDT2014

arielfre RT@iurojc:@NephJCTotallyagree.Callingallurologists,pleasefeelfreeto
commentonthesamepaperbeingdiscussedrightnowon#Nep
TueOct717:54:51PDT2014

nephjc hittingtheWCbeforestarting#nephjc
TueOct717:59:27PDT2014

nephjc Welcometo#NephJCnumber12:CTscanversusU/SbyERMDversusU/Sby
radiologyforsuspectednephrolithiasis.http://t.co/R9ajr1VbPZ
TueOct718:00:46PDT2014

http://embed.symplur.com/twitter/transcript?hashtag=NephJC&fdate=10%2F07%2F2014&shour=17&smin=00&tdate=10%2F07%2F2014&thour=21&tmin=00 2/22
3/24/2015 #NephJCHealthcareSocialMediaTranscript

nephjc MynameisJoelTopf,@kidney_boy.Iamacocreatorof#NephJCandwillbeyour
hosttonight.Pleaseintroduceyourselves.
TueOct718:01:17PDT2014

hswapnil SwapnilHiremath,nephrologist,frombeautifulOttawa.OnlyCoI:don'tlikeCT
(contrastAKI)#NephJC#urojchttp://t.co/GFIHxaFzEj
TueOct718:01:33PDT2014

marushla Shubha,nephrologist,CA#nephjc
TueOct718:02:04PDT2014

kidney_boy JoelTopf.ClinicalnephrologistfromDetroit.Ihavenoconflictsofinterest.#NephJC
http://t.co/uIKp0z35S7
TueOct718:02:11PDT2014

nephondemand TejasDesai,NephrologyFellowshipDirector&DeveloperofNephrologyOnDemand
Plushttp://t.co/WRZRbcu8v5#nephjc
TueOct718:02:16PDT2014

hswapnil Wehopesome#uroJC,#ALiEMandradiologycolleaguesjoinustodayfor#nephjc
TueOct718:02:23PDT2014

nephjc welcomTejas,SwapnilandShubha#nephjc
TueOct718:02:38PDT2014

edgarvlermamd EdgarLerma,Nephrologist,Chicagobased#NephJC
TueOct718:02:43PDT2014

nephjc Goldfarbislurking,andhopefullywillremembertoaddthehashtag#nephjc
TueOct718:02:58PDT2014

nephjc hoedgar!#nephjc
TueOct718:03:07PDT2014

hswapnil welcomeShubha,Edgar,Tejas#NephJC
TueOct718:03:21PDT2014

nephjc FYIWearedoingalive#NephJCat#KidneyWk14inPhiladelphiaonSaturdayNov
15.WewillbeintheDoubleTreeBallroomat12:45.1/2
TueOct718:03:23PDT2014

nephjc #NephJCLive2/2@medpagetodayisbuyinglunchforeveryonewhoRSVPs.Wewill
havetwoscientistspresentingdataanddiscussion.
TueOct718:03:33PDT2014

weddellite #nephjcGoldfarblithologistCOI:CaOxstoneformer
TueOct718:03:35PDT2014

http://embed.symplur.com/twitter/transcript?hashtag=NephJC&fdate=10%2F07%2F2014&shour=17&smin=00&tdate=10%2F07%2F2014&thour=21&tmin=00 3/22
3/24/2015 #NephJCHealthcareSocialMediaTranscript

hswapnil RT@NephJC:FYIWearedoingalive#NephJCat#KidneyWk14inPhiladelphiaon
SaturdayNov15.WewillbeintheDoubleTreeBallroomat12
TueOct718:03:38PDT2014

hswapnil @weddelliteLithologistsoundsgrandcomparedtopebbleologist!#nephjc
TueOct718:04:07PDT2014

rx_ed EdElSayed#NephJC
TueOct718:04:13PDT2014

nephro_sparks MattSparks,DukeCOI:WorkinERonweekendssearchingforstones#nephjc
TueOct718:04:43PDT2014

drraymondhsu hieveryone!nephrologistinsanfran#nephjc
TueOct718:04:46PDT2014

hswapnil @DrRaymondHsuHey,Ray,welcome.ThistrialisfromUCSFknowanyofthose
guys?#nephjc
TueOct718:05:24PDT2014

nephjc HoMattHoRay!#nephjc
TueOct718:05:57PDT2014

drraymondhsu @hswapnilido!havedonemultiplerenalbx'swith1stauthor!#nephjc
TueOct718:06:03PDT2014

nephjc AnyofyouthinkyouwillmakeittoNephJClive?#nephjc
TueOct718:06:10PDT2014

marushla reallycoolscreenname@weddeliteforalithologist!#nephjc
TueOct718:06:12PDT2014

edgarvlermamd Apictureisworthathousandwords#NephJChttp://t.co/ahqdQrhvys
TueOct718:06:31PDT2014

marushla @NephJCwishIcouldbutnotattendingASNthisyear#nephjc
TueOct718:07:07PDT2014

nephjc hoShubha#nephjc
TueOct718:07:16PDT2014

hswapnil @NephJCIwill(havetoascofounder)makeitto#NephJCliveotherwise
@kidney_boywillcausesomebodilyharm!
TueOct718:07:16PDT2014

nephro_sparks @NephJCI'llbethere#nephjc
TueOct718:07:19PDT2014

http://embed.symplur.com/twitter/transcript?hashtag=NephJC&fdate=10%2F07%2F2014&shour=17&smin=00&tdate=10%2F07%2F2014&thour=21&tmin=00 4/22
3/24/2015 #NephJCHealthcareSocialMediaTranscript

canesdavid DavidCanes,UrologistinBurlingtonMA.WillmakemanyeGFRreferencestotrytofit
in#NephJC
TueOct718:07:24PDT2014

nephjc David,gladyoucouldmakeit!#nephjc
TueOct718:07:39PDT2014

nephjc This#NephJCisdoingthesamearticleastheLegendary#UroJCsohopefullysome
ofthesurgeonswillweighin.
TueOct718:07:56PDT2014

hswapnil @CanesDavidthanksforcoming!#nephJC
TueOct718:07:59PDT2014

nephjc This#nephJCisprimarilyastudyofemergencymedicineandsohopefullythat
communitywillalsoweighin.#ALiEM
TueOct718:08:00PDT2014

hswapnil RT@NephJC:This#NephJCisdoingthesamearticleastheLegendary#UroJCso
hopefullysomeofthesurgeonswillweighin.
TueOct718:08:15PDT2014

hswapnil RT@NephJC:This#nephJCisprimarilyastudyofemergencymedicineandso
hopefullythatcommunitywillalsoweighin.#ALiEM
TueOct718:08:50PDT2014

nephro_sparks @nephjcthechoiceofdiagnosticmodalityformewhenworkingintheERisguided
mostlyonwhattimeofdayitis#nephjc
TueOct718:10:11PDT2014

nephjc AbdominalCTisthemostcommoninitialimagingtestforsuspectednephrolithiasis
b/cofitshighsensitivityforstonedisease#NephJC
TueOct718:10:15PDT2014

nephjc Unfortunatelyitpacksalotofradiation&leadstoincidentalfindings.Thiscauses
inappropriatefollowup,referral&treatment#NephJC
TueOct718:10:25PDT2014

nephjc SystematicReview:31.1%(CI20.141.9)ofCTscanshaveincidentalfindings!
http://t.co/RARrdbfwOZ#NephJC
TueOct718:10:34PDT2014

nephro_sparks @nephjcalsoabdominalCTisgoodatfindingothercausesofflankpain
#notalwaysastone#nephjc
TueOct718:11:06PDT2014

hswapnil Notalkofradiationiscompletewithoutthis:fromhttps://t.co/KXMyLcZYHG#NephJC
#urojchttp://t.co/M1uZmRxWCb
TueOct718:11:21PDT2014

http://embed.symplur.com/twitter/transcript?hashtag=NephJC&fdate=10%2F07%2F2014&shour=17&smin=00&tdate=10%2F07%2F2014&thour=21&tmin=00 5/22
3/24/2015 #NephJCHealthcareSocialMediaTranscript

hswapnil @Nephro_SparksIndeed.EasiertogetCTdonethanUSfromradiologists.ButifER
MDsdoit?differentballgameentirely!#nephjc
TueOct718:11:38PDT2014

drraymondhsu RT@hswapnil:Notalkofradiationiscompletewithoutthis:from
https://t.co/KXMyLcZYHG#NephJC#urojchttp://t.co/M1uZmRxWCb
TueOct718:12:07PDT2014

nephjc 1CTscanincreasesyourriskofcancerby24%.(IfyouareAustralian)Frightening.
#NephJChttp://t.co/7wa5JWcRchhttp://t.co/TDHJR2yITq
TueOct718:12:17PDT2014

hswapnil QFT"Unfortunatelyitpacksalotofradiation&leadstoincidentalfindings.This
causesinappropriatefollowup,referral&Rx"#nephjc
TueOct718:12:29PDT2014

kidney_boy RT@hswapnil:Notalkofradiationiscompletewithoutthis:from
https://t.co/KXMyLcZYHG#NephJC#urojchttp://t.co/M1uZmRxWCb
TueOct718:12:36PDT2014

rx_ed DosesfromMedicalRadiationSources.#NephJChttp://t.co/IcBlfsOXnz
TueOct718:13:03PDT2014

nephjc Hereisthedataforabd/pelvisCTscans,itwastheworst(tiedwithchestCTscan)
#NephJChttp://t.co/9aGEwU0H0Dhttp://t.co/ezrEUsQYnh
TueOct718:13:32PDT2014

hswapnil @weddellite:#urojc@edgarvlermamdhttps://t.co/JlLXrT7RgO#NephJC
TueOct718:13:39PDT2014

nephjc PanScanRT@hswapnil:@weddellite:#urojc@edgarvlermamd
https://t.co/RwgaDEW9QN#NephJC
TueOct718:14:38PDT2014

nephjc Incase@weddellitesaysthereisathresholdeffect&aCTscanisnotenough
radiationtoincreaseCa.#NephJChttp://t.co/t5BcWFJtH1
TueOct718:15:09PDT2014

arielfre @nephjcArielFredrick.Urologyresident.Curiousaboutopinionsfromnonop
perspective.#NephJC
TueOct718:15:19PDT2014

nephjc Looksprettylineartome.Source:http://t.co/MylW0We5iI#NephJC
http://t.co/Rvh35V6swR
TueOct718:15:27PDT2014

hswapnil @arielfrethanksforjointinAriel!#nephjc
TueOct718:15:40PDT2014

http://embed.symplur.com/twitter/transcript?hashtag=NephJC&fdate=10%2F07%2F2014&shour=17&smin=00&tdate=10%2F07%2F2014&thour=21&tmin=00 6/22
3/24/2015 #NephJCHealthcareSocialMediaTranscript

nephjc HerAriel,thanksforcoming.IrememberyouwereabigCTscanfanonSunday,amI
right?#nephjc
TueOct718:15:56PDT2014

hswapnil RT@NephJC:Looksprettylineartome.Source:http://t.co/MylW0We5iI#NephJC
http://t.co/Rvh35V6swR
TueOct718:16:02PDT2014

marushla @NephJC:anysuchdatainadults?#nephjc
TueOct718:16:34PDT2014

hswapnil @NephJCbutit'srelativerisknotabsolute.Incrriskfrom0.05to0.065overlifetime
versusmisseddiagnosisnow?#nephJC#urojc
TueOct718:17:01PDT2014

weddellite @NephJCwhat'stheyaxis?RRofusing$$$?Orcancers?#nephjc
TueOct718:18:13PDT2014

nephjc @marushlaIjusttrackedthereferencesfromtheirintroduction.Sorry.Butcheckout
this:http://t.co/KBCvnDAX7j#nephjc
TueOct718:18:49PDT2014

canesdavid @hswapnilhaveheardradiologistarguesinceCTsofarbelowyearlyradworker
limit,thatfearsoverblown#nephjc
TueOct718:19:07PDT2014

weddellite @weddelliteIdon'thaveanopinionherethat'swhataCTologistsaid#nephjc
TueOct718:19:16PDT2014

hswapnil RT@CanesDavid:@hswapnilhaveheardradiologistarguesinceCTsofarbelow
yearlyradworkerlimit,thatfearsoverblown#nephjc
TueOct718:19:29PDT2014

nephjc @weddellitedevelopinghematologicorbrainmalignancy#nephjc
TueOct718:19:38PDT2014

arielfre @nephjcNoway,I'mallforU/Sfirstlessradiation,nobigmisses.#NephJC
TueOct718:19:49PDT2014

hswapnil @CanesDavidIamsympathetictothatPOV#nephjc#urojcaflightfromLAtoNYis
>>aCT
TueOct718:20:04PDT2014

nephjc @CanesDavidsoundslikeeminencebasedmedicineBS.Thedataisgoingtheother
way.Threatenstheirwallet.#nephjc
TueOct718:20:28PDT2014

nephjc QuestionofthestudyisdoesthehigherclinicalaccuracyofCTleadtobetter
outcomes?#NephJC
TueOct718:21:09PDT2014

http://embed.symplur.com/twitter/transcript?hashtag=NephJC&fdate=10%2F07%2F2014&shour=17&smin=00&tdate=10%2F07%2F2014&thour=21&tmin=00 7/22
3/24/2015 #NephJCHealthcareSocialMediaTranscript

hswapnil Thisisastudyofstrategy:shouldwedoUSorCTFIRSTforsuspectedstonesnot
whichoneismoresensitive/specific#nephjc
TueOct718:21:37PDT2014

nephjc 15differentcentersrandomized1:1:1U/SbyERdocU/SbyradiologistabdominalCT
scanfromOct11toFeb13#NephJC
TueOct718:21:50PDT2014

canesdavid @NephJCgoodpoint.Thepropagandaisselfservingforsure#nephjc
TueOct718:22:07PDT2014

hswapnil RT@NephJC:15differentcentersrandomized1:1:1U/SbyERdocU/Sby
radiologistabdominalCTscanfromOct11toFeb13#NephJC
TueOct718:22:17PDT2014

hswapnil @NephJCAlso,kudosto@AHRQNewsforfundingthistrial!#NephJC#urojc
TueOct718:22:41PDT2014

nephjc @CanesDavidIalwayswearsunscreenoncrosscountryplanetrips.
#TheMoreYouKnow#nephjc
TueOct718:23:05PDT2014

rx_ed IndinavirstonesareradiolucentandusuallyundetectableonCT.#NephJC
TueOct718:23:13PDT2014

nephjc Flankorabdominalpaineligibleforentryiftheemergencydocorderedimagingto
diagnoseorruleoutkidneystones#NephJC
TueOct718:23:14PDT2014

nephro_sparks howmanyERdocsaredoingtheirownU/Sforsuspectedstone
#howdotheyhavetimeforthis#nephjc
TueOct718:23:36PDT2014

nephjc RT@Rx_Ed:IndinavirstonesareradiolucentandusuallyundetectableonCT.
#NephJCHistoryimportantthere#nephjc
TueOct718:23:47PDT2014

hswapnil Indeedandcantheybillforit?MT@Nephro_Sparks:howmanyERdocsaredoing
theirownU/Sforsuspectedstone#nephjc
TueOct718:24:31PDT2014

rx_ed Summaryofthechemicalcompositionandradiologicalcharacteristicsofdrug
inducedstones.#NephJChttp://t.co/cuONIIEA5q
TueOct718:24:36PDT2014

edgarvlermamd @AmerUrologicalrecommendsCTasfirstimagingtestforsuspectedstone#NephJC
http://t.co/zENYsVQQVA#urojchttp://t.co/N1n9XbPJsM
TueOct718:25:10PDT2014

http://embed.symplur.com/twitter/transcript?hashtag=NephJC&fdate=10%2F07%2F2014&shour=17&smin=00&tdate=10%2F07%2F2014&thour=21&tmin=00 8/22
3/24/2015 #NephJCHealthcareSocialMediaTranscript

hswapnil RT@edgarvlermamd:@AmerUrologicalrecommendsCTasfirstimagingtestfor
suspectedstone#NephJChttp://t.co/zENYsVQQVA#urojchttp://t
TueOct718:25:37PDT2014

nephjc @edgarvlermamdguidelinepredatethisstudy,itwillbeinterestingiftheychange
theirpositioninthefaceofyouknow,evidence.#nephjc
TueOct718:26:06PDT2014

hswapnil @edgarvlermamd@AmerUrologicalButG/Lmaybelaggingbehindevidence?
#nephjc#urojc
TueOct718:26:16PDT2014

nephjc highriskforseriousdiagnoses:acutechole,appy,aorticaneurysm,orbowel
disorders,werenoteligible.Nopregnantpts#NephJC
TueOct718:26:18PDT2014

marushla importanttoremembertheentrycriteriaispatientssuspectedONLYofstones.Not
stonesinthebroaddifferential.#nephjc
TueOct718:26:46PDT2014

edgarvlermamd @hswapnil@AmerUrologicalSoyouthinkthis1studyisPRACTICECHANGING???
#NephJC
TueOct718:27:04PDT2014

hswapnil Inclusioncriteriaappropriatelybroadexclusionreasonable.Any1haveany
objections?#nephjc
TueOct718:27:05PDT2014

hswapnil RT@marushla:importanttoremembertheentrycriteriaispatientssuspectedONLY
ofstones.Notstonesinthebroaddifferential.#nephjc
TueOct718:27:28PDT2014

canesdavid @Rx_Edanyoneseenadrugstoneoutsideofatextbook?Ihaven'tin13yrs.#nephjc
TueOct718:27:31PDT2014

arielfre @nephro_sparksUSshouldprobablybepartofagoodemergencyPEinmanycases
#NephJC
TueOct718:28:04PDT2014

nephjc +1RT@CanesDavid:@Rx_Edanyoneseenadrugstoneoutsideofatextbook?I
haven'tin13yrs.#nephjc
TueOct718:28:11PDT2014

nephjc Possibleproblem:Menweighingmorethan129kg(285lb)andwomenweighing
morethan113kg(250lb)wereexcluded#NephJC
TueOct718:28:32PDT2014

nephjc 41.6%hadahistoryofstones,63.3%hadhematuria,52.5%hadcostovertebral
angletendernessPretestprobsoundshigh!#NephJC
TueOct718:28:48PDT2014

http://embed.symplur.com/twitter/transcript?hashtag=NephJC&fdate=10%2F07%2F2014&shour=17&smin=00&tdate=10%2F07%2F2014&thour=21&tmin=00 9/22
3/24/2015 #NephJCHealthcareSocialMediaTranscript

hswapnil that'sthenewparadigm!@arielfre:@nephro_sparksUSshouldprobablybepartofa
goodemergencyPEinmanycases#NephJC
TueOct718:28:53PDT2014

edgarvlermamd @CanesDavid@Rx_EdIwoulddeferthatquestionto@weddellite#NephJC
TueOct718:29:34PDT2014

nephjc +1RT@arielfre:@nephro_sparksUSshouldprobablybepartofagoodemergency
PEinmanycases#NephJC
TueOct718:29:36PDT2014

hswapnil excluding>129/113kgpeopledoesn'taffectinternalvalidityonlylimits
generalizabilitytothosepopulation#nephjc
TueOct718:29:53PDT2014

nephro_sparks druginducedstonestendtoclusteraroundPearsonVUEtestingcenters
#onlyonboards#nephjc
TueOct718:30:15PDT2014

hswapnil @kdjhaveri:@NephJCbutpretestprobshouldbehighforanytestyouorderthat
involvesradiationIthink.#NephJC
TueOct718:30:29PDT2014

nephjc SeeingresidentsdoingtheirownU/Smakesmefeelold.#BehindTheTimes
#StillUsePercussion#NephJC
TueOct718:30:33PDT2014

drraymondhsu RT@Nephro_Sparks:druginducedstonestendtoclusteraroundPearsonVUE
testingcenters#onlyonboards#nephjc
TueOct718:31:00PDT2014

hswapnil @kdjhaverithanksforjoiningintheconvoKenar,#NephJC
TueOct718:31:04PDT2014

kdjhaveri RT@NephJC:SeeingresidentsdoingtheirownU/Smakesmefeelold.
#BehindTheTimes#StillUsePercussion#NephJC
TueOct718:31:16PDT2014

nephjc thatisreallyfunnyRT@Nephro_Sparks:druginducedstonestendtoclusteraround
PearsonVUEtestingcenters#onlyonboards#nephjc
TueOct718:31:22PDT2014

nephjc Kenarmakesanappearance!#nephjc
TueOct718:31:33PDT2014

marushla RT@Nephro_Sparks:druginducedstonestendtoclusteraroundPearsonVUE
testingcenters#onlyonboards#nephjc
TueOct718:31:33PDT2014

nephjc 1outcomes:1highriskdiagnoses&complicationsrelatedtomissed/delayed

http://embed.symplur.com/twitter/transcript?hashtag=NephJC&fdate=10%2F07%2F2014&shour=17&smin=00&tdate=10%2F07%2F2014&thour=21&tmin=00 10/22
3/24/2015 #NephJCHealthcareSocialMediaTranscript
diagnoses2cumulativeradiationexposure3totalcosts#NephJC
TueOct718:32:04PDT2014

hswapnil @Nephro_SparksAimingforthetweetoftheweekagain?#nephjc
TueOct718:32:10PDT2014

hswapnil Premiseoftrialseemstobe:canUScomparedtoCTresultinsimilarnofmissed
TueOct718:32:37PDT2014

nephjc Whatdoesitmeantohave3primaryoutcomes,Dotheyneedarefresheronthe
meaningofprimary?#nephjc
TueOct718:32:47PDT2014

drraymondhsu @NephJClovetheseoutcomes,verypragmatic#nephjc
TueOct718:33:14PDT2014

nephjc Patientswerecontactedat3,7,30,90,and180daysafterrandomizationtoassess
studyoutcomes#NephJC
TueOct718:33:24PDT2014

marushla Ihadthesamequestion#3primaryoutcomes?#nephjc
TueOct718:33:43PDT2014

marushla sowhichoutcomearetheypoweringtheirstudyto?#nephjc
TueOct718:34:06PDT2014

hswapnil Pragmatic'stheword!orcomparativeeffectivenessresearchMT@DrRaymondHsu:
@NephJClovetheseoutcomes,verypragmatic#nephjc
TueOct718:34:09PDT2014

hswapnil 1outcome(nodifferenceinmissed/delayeddiagnosis)should'vebeenanon
inferiorityQ.Butsamplesizesuggestsmaybenot.#NephJC#urojc
TueOct718:34:21PDT2014

rx_ed CanU/Saccuratelydetectsmallstones(especiallyinthecorticomedullaryjunction)?
#NephJC
TueOct718:34:22PDT2014

hswapnil Contd:great#openaccessreferenceonnoninferiority:http://t.co/nBeCLkmDWI
#NephJC#urojc
TueOct718:34:42PDT2014

hswapnil @Rx_Edlikelynot:ThisisoneofthediagnosticaccuracypaperswithCTasgoldstd:
http://t.co/n8yKawzRcj#NephJC#urojc
TueOct718:35:35PDT2014

nephjc 2outcomes:1.seriousadverseevents2.SAErelatedtoparticipation3.returntoED
&hospitalizationsafterd/c#NephJC
TueOct718:35:50PDT2014

http://embed.symplur.com/twitter/transcript?hashtag=NephJC&fdate=10%2F07%2F2014&shour=17&smin=00&tdate=10%2F07%2F2014&thour=21&tmin=00 11/22
3/24/2015 #NephJCHealthcareSocialMediaTranscript

nephjc 2outcomes(cont):4.selfreportedpainscores5.diagnosticaccuracyfor
nephrolithiasis#NephJC
TueOct718:35:53PDT2014

rx_ed @canesdavidDoesthatmeantheydon'texistorthatweneedtobelessvigilantwhen
prescribinghighriskdrugs?#NephJC
TueOct718:36:14PDT2014

canesdavid Questionforthegroup:ifyouwerethereviewerwouldyouaccept?Revisions?
Reject?Why?#nephjc
TueOct718:36:38PDT2014

amardbansal OnelessreasonforpatientstogetaCTaftervitalsignsaretakenintriage.#nephjc
TueOct718:36:58PDT2014

drraymondhsu @marushlajustlookedatprotocolithinkall3outcomeswereconsideredforsample
size#nephjc
TueOct718:37:11PDT2014

marushla @CanesDavidwouldn'tthatcometowardstheendofthediscussion?#nephjc
TueOct718:37:13PDT2014

hswapnil @CanesDavidIwouldasksamplesizequestion.veryfewmissed/delayeddiagnosis
toproveUSisnoninferiortoCT#nephjc
TueOct718:37:46PDT2014

signindoc RT@NephJC:SeeingresidentsdoingtheirownU/Smakesmefeelold.
#BehindTheTimes#StillUsePercussion#NephJC
TueOct718:38:13PDT2014

nephjc Lookslikeatightstudy89%ofeligiblepatientsmadeittotheITTpopulation.Great
work!#NephJChttp://t.co/syJFP5oYfr
TueOct718:38:27PDT2014

marushla @hswapnilthisgoestoshowyouhowgoodtheEDdocswereinclinicaldiagnosisof
stones!#nephjc
TueOct718:38:56PDT2014

signindoc RT@NephJC:RT@Rx_Ed:Indinavirstonesareradiolucentandusually
undetectableonCT.#NephJCHistoryimportantthere#nephjc
TueOct718:39:08PDT2014

hswapnil @DrRaymondHsuYes,butitstilllooksstrange.DidtheyexpectCTtobesuperiorto
US?Lookslikesetuptofail(myskepticside)#NephJC
TueOct718:39:29PDT2014

hswapnil RT@NephJC:Lookslikeatightstudy89%ofeligiblepatientsmadeittotheITT
population.Greatwork!#NephJChttp://t.co/syJFP5oYfr
TueOct718:39:40PDT2014

http://embed.symplur.com/twitter/transcript?hashtag=NephJC&fdate=10%2F07%2F2014&shour=17&smin=00&tdate=10%2F07%2F2014&thour=21&tmin=00 12/22
3/24/2015 #NephJCHealthcareSocialMediaTranscript

hswapnil @kdjhaveri:@hswapnil@DrRaymondHsu@NephJCtotallyanovelandpractical
approach#nephjc
TueOct718:40:26PDT2014

nephjc Anybodythinkthereisanythingtoseeontable1?#NephJChttp://t.co/e7HCwW3BZO
TueOct718:40:32PDT2014

kdjhaveri RT@NephJC:Kenarmakesanappearance!#nephjc
TueOct718:40:37PDT2014

edgarvlermamd @hswapnil@CanesDavidWhat'sthenegativepredictivevalueofanU/Sindetecting
astone?#NephJC
TueOct718:41:19PDT2014

hswapnil @NephJCproofofgoodrandomization?http://t.co/jv21cUFlf6#nephjc
TueOct718:41:44PDT2014

nephjc @CanesDavidIwouldhavelikedtolookatclinicalcharacteristicsofU/Sptswhothen
gotCTscans.Fevers?AbnlU/A?Painscores?#nephjc
TueOct718:41:52PDT2014

nephjc veryfewhighriskdiagnosis#NephJChttp://t.co/DjlrNM8NDF
TueOct718:42:16PDT2014

nephro_sparks @NephJCanydataonpatientweights?thiscouldlimituseofU/S#nephjc
TueOct718:43:04PDT2014

drraymondhsu @hswapnildon'tthinktheyassumedCTbetter,butuseddatafrompriorCTstudiesto
comeupwithpotentialdifferencewithUSgroup#nephjc
TueOct718:43:24PDT2014

hswapnil @edgarvlermamdSensitivityishigh,butNPVwoulddependonprevalence/pretest
probability#nephjc
TueOct718:43:46PDT2014

arielfre @nephjc@canesdavidalsowhatUSfindingspromptedCT?Justhydro?#NephJC
TueOct718:44:36PDT2014

nephjc @Nephro_Sparksnodata.Justexcludedmenover129kgandwomenover113kg.
FatShaming?#nephjc
TueOct718:44:58PDT2014

marushla @arielfreIdon'tthinkthatwasclearinthepaper#nephjc
TueOct718:45:30PDT2014

drraymondhsu #ATLwasasitelikelybroadrangeofweights?#nephjc
TueOct718:45:35PDT2014

http://embed.symplur.com/twitter/transcript?hashtag=NephJC&fdate=10%2F07%2F2014&shour=17&smin=00&tdate=10%2F07%2F2014&thour=21&tmin=00 13/22
3/24/2015 #NephJCHealthcareSocialMediaTranscript

rx_ed @canesdavidIwouldaskiftherewasahistoryofUTI,andiftherewereanyU/S
patientswhodevelopedspontaneousextravasation.#NephJC
TueOct718:46:34PDT2014

nephjc AnythingofnoteonTable2?Didntseeanything.#NephJChttp://t.co/G5633Q6duN
TueOct718:47:47PDT2014

hswapnil RT@NephJC:AnythingofnoteonTable2?Didntseeanything.#NephJC
http://t.co/G5633Q6duN
TueOct718:48:13PDT2014

nephjc @arielfrefollowupCTafterU/SITTwasphysiciandirected.Notontheprotocol.
#nephjc
TueOct718:48:28PDT2014

nephjc AllimportantTable3,alsoknownasthesweetmarrowofthestudy.#NephJC
http://t.co/U51MY2lzlP
TueOct718:48:54PDT2014

weddellite @CanesDaviddruginduced:lotofTopomaxandsomeatazanavir(onlystonesNOT
seenonCTareproteaseinhibitors)#nephjc
TueOct718:49:25PDT2014

marushla theERdocsknowing40%ofpatientshadh/okidneystonesandnowwithpain
potentialbias?#nephjc
TueOct718:49:26PDT2014

marushla #table2:about40%ofpatientshadh/ostones.potentialbiaswhentheEDdocs
knowwhatthey'relookingfor?#nephjc
TueOct718:50:18PDT2014

nephjc @weddelliteIhaveseetopomaxstonesafewtimes,butthoseareCaPhosstones,
notcrystalizeddrugstones#nephjc
TueOct718:50:33PDT2014

drraymondhsu table2odd"enrollingphysicianhighlysuggestiveofappy,AA..."ithoughtthosewere
excluded#nephjc
TueOct718:50:43PDT2014

nephjc Verylowtruepositiverateespeciallyhowrichthestudypopulationseemed.Only
32%stoned.#NephJChttp://t.co/3uUGfcLH3p
TueOct718:50:47PDT2014

hswapnil ERlengthofstaywasnot1or2outcomebutpopsuphereintable3...hmmm
#nephjc
TueOct718:50:52PDT2014

edgarvlermamd Thisstudyhttp://t.co/LltILzXLBtsuggeststhatifnephrolithiasisissuspected,1st
imagingmodalityshouldbeULTRASOUND,Right?#NephJC
TueOct718:51:08PDT2014

http://embed.symplur.com/twitter/transcript?hashtag=NephJC&fdate=10%2F07%2F2014&shour=17&smin=00&tdate=10%2F07%2F2014&thour=21&tmin=00 14/22
3/24/2015 #NephJCHealthcareSocialMediaTranscript

nephjc DataminingRT@hswapnil:ERlengthofstaywasnot1or2outcomebutpopsup
hereintable3...hmmm#nephjc
TueOct718:51:13PDT2014

signindoc @NephJC#NephJCEasiertogetaCTthanaUSeverywhere!(Table3LOS)
TueOct718:51:38PDT2014

arielfre @NephJCmoreofa"justwondering"kindofquestion.Itwouldn'thavecontributedto
theoutcomesofthestudy#nephjc
TueOct718:51:54PDT2014

edgarvlermamd Ifclinicalsuspicionfornephrolithiasisishigh,yetUSisnegative,thenCTwouldbe
the2ndimagingmodality,Right?#NephJC
TueOct718:52:02PDT2014

marushla testtweet(didn'tseemy2priortweetscomethrough)#nephjc
TueOct718:52:21PDT2014

nephro_sparks @hswapnilIthoughtthelengthofstaywouldbelowerwiththeU/SwieldingERdocs
#nephjc
TueOct718:52:25PDT2014

hswapnil Goodcatch!@DrRaymondHsu:table2odd"enrollingphysicianhighlysuggestiveof
appy,AA..."ithoughtthosewereexcluded#nephjc
TueOct718:52:26PDT2014

rx_ed U/Swiththetwinklingartifactforenhancedstonedetectionhasahugeclinical
potential.#NephJChttp://t.co/IRrvmWMHtx
TueOct718:52:34PDT2014

hswapnil RT@NephJC:Verylowtruepositiverateespeciallyhowrichthestudypopulation
seemed.Only32%stoned.#NephJChttp://t.co/3uUGfcLH3p
TueOct718:52:54PDT2014

marushla table2:about40%ofpatientshadpreexistingstones.potentialbiaswhenphysicians
knewwhattheywereprobablylookingfor.#nephjc
TueOct718:53:14PDT2014

edgarvlermamd Ifclinicalsuspicionfornephrolithiasisishigh,andUSispositive,Iwouldthinkthe
nextstepwouldbetodoaCT#NephJC
TueOct718:53:23PDT2014

hswapnil @Nephro_SparksItwasalsoCT.radiologistsdoingUSwaslongest,assuspected
#nephjc
TueOct718:53:56PDT2014

nephjc 41%inthepointofcareU/Sgroupand27%intheradiologyU/Sgroupunderwent
CToninitialvisit.#NephJC
TueOct718:53:58PDT2014

@Nephro_Sparks41%oftheU/SwieldingdoctorsthenorderedaCTscan.2images
http://embed.symplur.com/twitter/transcript?hashtag=NephJC&fdate=10%2F07%2F2014&shour=17&smin=00&tdate=10%2F07%2F2014&thour=21&tmin=00 15/22
3/24/2015 #NephJCHealthcareSocialMediaTranscript

nephjc slowerthan1.Butworth2000words.#nephjc
TueOct718:54:34PDT2014

marushla @nephjc:table2:about40%ofpatientshadh/ostones.Potentialbiasastheyknew
whattheywerelookingfor!#nephjc
TueOct718:54:51PDT2014

hswapnil @signindoc@NephJCHoRoss,thanksforjoiningin!#NephJC
TueOct718:55:02PDT2014

hswapnil RT@edgarvlermamd:Ifclinicalsuspicionfornephrolithiasisishigh,andUSis
positive,IwouldthinkthenextstepwouldbetodoaCT
TueOct718:55:15PDT2014

nephjc 5.1%ofthepatientsintheCTgroupunderwentultrasonography#NephJC
TueOct718:55:36PDT2014

nephjc SpecificitydataonCTisshameful.Goldstandardwasinsensitive(capturedstone
only)stonescaughtbyCTloweredspecificity#nephjc
TueOct718:55:40PDT2014

nephjc 5moreminutes.Finalthoughts?#nephjc
TueOct718:56:04PDT2014

nephro_sparks @hswapnilmedianlengthofstayfortheU/SwieldingERdocwas6.3hrvs.donut
holeCTat6.4hr#nephjc
TueOct718:56:16PDT2014

edgarvlermamd @signindoc@NephJCIthinkthe"curveball"hereisthattheERDocisalsothe
bedsidesonographer#NephJC
TueOct718:56:51PDT2014

weddellite YoungpeoplelikecystinuriawillhavealifetimeofimagingMUCHmoreimptfor
them#nephjc
TueOct718:57:02PDT2014

hswapnil @NephJCTheirstandardswereverystringent.PerhapsCTpickstinystonesthat
patientsdon'tnotice,orthatdon'tneedsurgery?#nephjc
TueOct718:57:03PDT2014

nephjc @edgarvlermamdexplain?#nephjc
TueOct718:57:11PDT2014

shomik_s RT@hswapnil:Notalkofradiationiscompletewithoutthis:from
https://t.co/KXMyLcZYHG#NephJC#urojchttp://t.co/M1uZmRxWCb
TueOct718:57:17PDT2014

nephjc @hswapnilI'msurethatsthecase.Butshouldthespecificitybedingedforthat?
#nephjc

http://embed.symplur.com/twitter/transcript?hashtag=NephJC&fdate=10%2F07%2F2014&shour=17&smin=00&tdate=10%2F07%2F2014&thour=21&tmin=00 16/22
3/24/2015 #NephJCHealthcareSocialMediaTranscript

TueOct718:57:37PDT2014

nephjc +1RT@weddellite:Youngpeoplelikecystinuriawillhavealifetimeofimaging
MUCHmoreimptforthem#nephjc
TueOct718:58:02PDT2014

nephondemand here'sacrazyideahowaboutwereintroduceultrasonographyforrenalfellows&
haveTHEMperformtheU/SintheED?#nephjc
TueOct718:58:34PDT2014

nephjc LotsofrecurrentstoneformersgetactscaneveryERvisit.Thisisatragicwasteof
resourcesandpilingonofradiation.#nephjc
TueOct718:58:48PDT2014

drraymondhsu trialhashighimpactforEDprovidersbutgeneralizeabilitylimitedieifUSnotreadily
availableacrossall#nephjc
TueOct718:58:58PDT2014

hswapnil @NephJCtheyhadtosincethatwastheir"goldstandard"passageofstoneor
surgerytoostringentbutclinicallyrelevant#nephjc
TueOct718:59:12PDT2014

nephjc +1RT@nephondemand:howaboutwereintroduceultrasonographyforrenalfellows
&haveTHEMperformtheU/SintheED?#nephjc
TueOct718:59:18PDT2014

hswapnil RT@weddellite:YoungpeoplelikecystinuriawillhavealifetimeofimagingMUCH
moreimptforthem#nephjc
TueOct718:59:25PDT2014

hswapnil RT@NephJC:LotsofrecurrentstoneformersgetactscaneveryERvisit.Thisisa
tragicwasteofresourcesandpilingonofradiation.#
TueOct718:59:31PDT2014

signindoc .@weddelliteTrue,+RTAwith"gravel"andpaingetfartoomanyCTs.Opioidseeking
labelisadownside.IndicateUSonlyonchart#nephJC
TueOct718:59:49PDT2014

nephro_sparks RT@NephJC:+1RT@nephondemand:howaboutwereintroduceultrasonography
forrenalfellows&haveTHEMperformtheU/SintheED?#nephjc
TueOct718:59:58PDT2014

signindoc RT@edgarvlermamd:@signindoc@NephJCIthinkthe"curveball"hereisthatthe
ERDocisalsothebedsidesonographer#NephJC
TueOct719:00:04PDT2014

drraymondhsu notsureifitchangesurologist/nephrologistpracticesbecauseweseemore
complicatedstoners#nephjc
TueOct719:00:08PDT2014

hswapnil RT@DrRaymondHsu:notsureifitchangesurologist/nephrologistpracticesbecause

http://embed.symplur.com/twitter/transcript?hashtag=NephJC&fdate=10%2F07%2F2014&shour=17&smin=00&tdate=10%2F07%2F2014&thour=21&tmin=00 17/22
3/24/2015 #NephJCHealthcareSocialMediaTranscript
weseemorecomplicatedstoners#nephjc
TueOct719:00:23PDT2014

edgarvlermamd @NephJCIwouldthinkit'dbefastertodoBedsideU/SintheERvsschedulingfor
transportpickup,CT,etc#NephJC
TueOct719:00:23PDT2014

drraymondhsu @Nephro_Sparksthatmeansyouhavetogoinatnighttosupervisethem#nephjc
TueOct719:01:03PDT2014

nephjc @edgarvlermamdbut40%requiredCTanyways,negatingspeedadvantage.
#nephjc
TueOct719:01:06PDT2014

nephjc @DrRaymondHsuthat'swhatjuniorfacultyarefor.#nephjc
TueOct719:01:22PDT2014

nephro_sparks @DrRaymonHsuI'llbeintheERmoonlightinganyway#nephjc
TueOct719:01:33PDT2014

hswapnil newgenofERMDslikelyknowhowtodoUSorshould,importantbeyondkidney
stonesIMO#nephjc
TueOct719:01:36PDT2014

nephro_sparks @DrRaymondHsuI'llbeintheERmoonlightinganyway#nephjc
TueOct719:02:00PDT2014

nephondemand @DrRaymondHsuperhapsourdisinterestingoinginatnighttosuperviseourfellows
contributestotheirdisinterestinnephrology#nephjc
TueOct719:02:04PDT2014

nephjc Thanksforshowingupandcontributingeveryone.Greatdiscussion.LookfortheLive
#NephJCsignupsoon!
TueOct719:02:15PDT2014

signindoc @NephJC@nephondemandGreatcommentweneedtoencouragethisforsure!
#nephJC
TueOct719:02:17PDT2014

drraymondhsu @nephondemandtrue.spokenlikeagreatclinicianeducator:)#nephjc
TueOct719:02:57PDT2014

nephondemand @DrRaymondHsuorjusteducator!!notsureaboutthe"great"part.thanksthough.
appreciateit.#nephjc
TueOct719:03:23PDT2014

edgarvlermamd @NephJCYup...justlikea"curveball"willnotalwaysgetastrike...Sometimesit's
justa"foulball"#NephJC
TueOct719:03:24PDT2014

http://embed.symplur.com/twitter/transcript?hashtag=NephJC&fdate=10%2F07%2F2014&shour=17&smin=00&tdate=10%2F07%2F2014&thour=21&tmin=00 18/22
3/24/2015 #NephJCHealthcareSocialMediaTranscript

hswapnil greatdiscussion!specialthanksto@CanesDavidand@arielfrefrom#uroJCfor
joiningin!#nephjc
TueOct719:03:33PDT2014

nephondemand @nephJC@hswapnilHereisthesummaryoftonight'sjournalclub
https://t.co/XbgCh8sVpP#nephjc
TueOct719:03:48PDT2014

hswapnil RT@nephondemand:@nephJC@hswapnilHereisthesummaryoftonight'sjournal
clubhttps://t.co/XbgCh8sVpP#nephjc
TueOct719:04:29PDT2014

weddellite Morestones!#nephjc
TueOct719:04:31PDT2014

hswapnil @signindoc:.@hswapnilYetmorethanERdocsneedtounderstandthistechnique
#nephjc
TueOct719:05:03PDT2014

urologymatch @iurojc:@NephJCTotallyagreeCallingallurologists,pleasefeelfreetocomment
onthesamepaperbeingdiscussedrightnowon#NephJC
TueOct719:06:06PDT2014

azizenad RT@edgarvlermamd:Thisstudyhttp://t.co/LltILzXLBtsuggeststhatifnephrolithiasis
issuspected,1stimagingmodalityshouldbeULTRASOU
TueOct719:06:24PDT2014

azizenad RT@edgarvlermamd:Ifclinicalsuspicionfornephrolithiasisishigh,yetUSis
negative,thenCTwouldbethe2ndimagingmodality,Right?
TueOct719:06:30PDT2014

edgarvlermamd @NephJC@nephondemand2words:TurfWar#NephJC
TueOct719:08:03PDT2014

arielfre @signindoc@nephjc@nephondemandAsdiscussedin#urojc,fellowswouldbe
thrilledtogetthatcallfromED#NephJC
TueOct719:08:45PDT2014

nephondemand TurfWarseems2Bawarthatwekeeplosing:ICUvsRenal4CRRTUrolvsRenal4
stonesRheumvRenal4lupusCardsvRenal4UF#nephjc
TueOct719:09:45PDT2014

edgarvlermamd @NephJC@nephondemandIthinkinsomeNephrologyprogramsegEmory,they
alreadydoRoutineU/SinInpatientsbutnotinER#NephJC
TueOct719:09:57PDT2014

nephondemand Yes.ItrainedatEmorywedidourownU/S.PaintomovetheU/Smachinebutsuch
aterrificeducationalexperience#nephjc
TueOct719:10:29PDT2014

http://embed.symplur.com/twitter/transcript?hashtag=NephJC&fdate=10%2F07%2F2014&shour=17&smin=00&tdate=10%2F07%2F2014&thour=21&tmin=00 19/22
3/24/2015 #NephJCHealthcareSocialMediaTranscript

k2optimist RT@hswapnil:Notalkofradiationiscompletewithoutthis:from
https://t.co/KXMyLcZYHG#NephJC#urojchttp://t.co/M1uZmRxWCb
TueOct719:11:44PDT2014

nephondemand @hswapnil@nephJCHereistheblogrecapsummarizedhttps://t.co/XbgCh8sVpP
#nephjc
TueOct719:12:36PDT2014

nephjc Analyticsfor#nephjc12from@healthhashtagshttp://t.co/AJ4Sw2lbc3
TueOct719:13:07PDT2014

signindoc .@arielfre@NephJC@nephondemandUrology/NephrologyPDsneedtosupportthis
(RCPSCrequirementwouldwork:))#NephJC?Jointcourses.
TueOct719:14:19PDT2014

uretericbud #urojcand#NephJCdiscussingsamepaperinsameweek.Fascinating.Lookslike
gradelevelofaTweetsnearlydoubledovernight.
TueOct719:15:21PDT2014

edgarvlermamd @nephondemandIdidmy2dayMiniFellowshipfollowedby7dayRenalU/S
trainingwithDrCharlieO'Neilaswell#NephJC
TueOct719:16:30PDT2014

gameyadav RT@hswapnil:newgenofERMDslikelyknowhowtodoUSorshould,important
beyondkidneystonesIMO#nephjc
TueOct719:26:19PDT2014

dr_nikhilshah RT@nephondemand:@nephJC@hswapnilHereisthesummaryoftonight'sjournal
clubhttps://t.co/XbgCh8sVpP#nephjc
TueOct719:26:26PDT2014

uncurology RT@uretericbud:#urojcand#NephJCdiscussingsamepaperinsameweek.
Fascinating.LookslikegradelevelofaTweetsnearlydoubledover
TueOct719:32:55PDT2014

alittlemedic RT@hswapnil:Notalkofradiationiscompletewithoutthis:from
https://t.co/KXMyLcZYHG#NephJC#urojchttp://t.co/M1uZmRxWCb
TueOct719:42:06PDT2014

romynsa RT@hswapnil:Notalkofradiationiscompletewithoutthis:from
https://t.co/KXMyLcZYHG#NephJC#urojchttp://t.co/M1uZmRxWCb
TueOct719:48:06PDT2014

amardbansal RT@NephJC:1outcomes:1highriskdiagnoses&complicationsrelatedto
missed/delayeddiagnoses2cumulativeradiationexposure3total
TueOct719:50:00PDT2014

hswapnil @EBMGoneWild@CanesDavidAhhyouareright,mybad.EvenlowdoseCTis>>
flighthttp://t.co/UPXDW2vEVi#nephjc
TueOct719:55:16PDT2014

http://embed.symplur.com/twitter/transcript?hashtag=NephJC&fdate=10%2F07%2F2014&shour=17&smin=00&tdate=10%2F07%2F2014&thour=21&tmin=00 20/22
3/24/2015 #NephJCHealthcareSocialMediaTranscript

edgarvlermamd Nephrolithiasis101:Appearanceofstonesonurinarytractimaging#Nephpearls
#NephJChttp://t.co/HqTLgMCzXQ
TueOct719:57:55PDT2014

ajkdblog @NephJCYou'vebeenquotedinmy#Storifystory"#NephJC12"
http://t.co/kXD3l9ShEr
TueOct720:29:51PDT2014

hswapnil #NephJC12https://t.co/QDrct3RlRbvia@eajkd
TueOct720:31:55PDT2014

ajkdblog @weddellite@CanesDavid@arielfreYou'vebeenquotedinmy#Storifystory
"#NephJC12"http://t.co/kXD3l9ShEr
TueOct720:33:28PDT2014

ajkdblog @marushla@DrRaymondHsu@Nephro_SparksYou'vebeenquotedinmy#Storify
story"#NephJC12"http://t.co/kXD3l9ShEr
TueOct720:33:59PDT2014

ajkdblog @hswapnil@edgarvlermamd@UCRadSafetyYou'vebeenquotedinmy#Storify
story"#NephJC12"http://t.co/kXD3l9ShEr
TueOct720:34:09PDT2014

edgarvlermamd Nephrolithiasis101:Appearanceofstonesonurinarytractimaging#Nephpearls
#NephJChttp://t.co/HqTLgMCzXQhttp://t.co/qba6a8gUsB
TueOct720:37:05PDT2014

franloachamin RT@edgarvlermamd:Nephrolithiasis101:Appearanceofstonesonurinarytract
imaging#Nephpearls#NephJChttp://t.co/HqTLgMCzXQhttp:
TueOct720:42:16PDT2014

franloachamin RT@edgarvlermamd:@nephondemandIdidmy2dayMiniFellowshipfollowedby
7dayRenalU/StrainingwithDrCharlieO'Neilaswell#NephJC
TueOct720:42:19PDT2014

dr_nikhilshah RT@hswapnil:Notalkofradiationiscompletewithoutthis:from
https://t.co/KXMyLcZYHG#NephJC#urojchttp://t.co/M1uZmRxWCb
TueOct720:47:45PDT2014

dr_nikhilshah RT@nephondemand:TurfWarseems2Bawarthatwekeeplosing:ICUvsRenal4
CRRTUrolvsRenal4stonesRheumvRenal4lupusCardsv
TueOct720:49:41PDT2014

dr_nikhilshah RT@nephondemand#nephjc@hswapnil@kidney_boy:...CardsvRenal4UFetc
TurfWarcontinuesproceduresradiologyvnephrology
TueOct720:52:30PDT2014

dr_nikhilshah RT@nephondemand:@DrRaymondHsuperhapsourdisinterestingoinginatnight
tosuperviseourfellowscontributestotheirdisinterestinn
TueOct720:54:27PDT2014

http://embed.symplur.com/twitter/transcript?hashtag=NephJC&fdate=10%2F07%2F2014&shour=17&smin=00&tdate=10%2F07%2F2014&thour=21&tmin=00 21/22
3/24/2015 #NephJCHealthcareSocialMediaTranscript

nephjc @hswapnil:newgenofERMDslikelyknowhowtodoUSorshould,important
beyondkidneystonesIMO#nephjccc@TChanMDforcomments?
TueOct720:56:49PDT2014

matteoborselli RT@hswapnil:Notalkofradiationiscompletewithoutthis:from
https://t.co/KXMyLcZYHG#NephJC#urojchttp://t.co/M1uZmRxWCb
TueOct720:58:42PDT2014

http://embed.symplur.com/twitter/transcript?hashtag=NephJC&fdate=10%2F07%2F2014&shour=17&smin=00&tdate=10%2F07%2F2014&thour=21&tmin=00 22/22