r/nephrology

Anyone personally know a high-protein gym-goer who developed kidney problems? Have you ever actually seen/heard of someone who was healthy, gymmed regularly and ate a lot of protein, but eventually developed kidney issues or got hospitalized? Just looking for real-life experiences, not “protein is good / bad for kidneys"

Guys pls don't get offended but I do not want advice at all, just any cases you've seen or know of. This is for research purposes. Thankyou for your time!

Interesting branch with ? less money vs

supposedly more money with procedures but bit dry branch

Hi everyone, I am a Non US Img with 5 years of home country Internal Medicine residency.
Step 1: Pass
Step 2 CK: 258
Step 3: Planned for November 2026
ECFMG certification in progress
No U.S. clinical experience yet
I’m planning to apply for Nephrology and Infectious Disease fellowship.
What do you think are my realistic chances of matching with this profile?
I would really appreciate honest advice.
Does Step 3 is mandatory for Nephro/ID before Dec?

Hi everyone, kindly someone share questions/ans pdf file etc for Nephrology Fellowship interview.

This is a throw away account for obvious reasons - I hope admin will allow this post to stand.

I completed the U of Minnesota nephrology fellowship within the past few years. I am recommending that any smart applicant NOT RANK the program. This is a malignant program!

The program leadership is not supportive. They will not help you find a job.
Much of the faculty is unhappy and uninterested in teaching the fellows.
Fellows are second class citizens, simply warm bodies to write notes and take call.

Minneapolis is a great city and the VA there is great. If you want to do fellowship there consider the Hennepin County Medical Center program.

PM me if you have specific questions, I am happy to discuss more.

Best of luck to all applying for fellowship, nephrology is an amazing field. I love it, despite my poor fellowship experience.

I have been a PA for over 9 years, mostly working in walk-in clinics. Over the past 2 years I have been doing more basic primary care (type 2 diabetes, hypertension, dyslipidemia, etc.), but I will be interviewing for a nephrology PA position next week and wanted to know if there is a good resource I could read over to brush up on some renal-specific issues. Usually, when a patient's kidney function is worsening, we refer them to nephrology, so we are never the ones doing the detailed workups or treatments. Do you have any high-yield resources in mind? I still work FT at my current job, so don't have time to plow through 700 pages of dense source material.

Any suggestions would be greatly appreciated.

What contexts are you guys looking at while ranking the Nephrology programs.

Recently tolvpatan went generic, and apparently the cost is not nearly as exorbitant, therefore I have been prescribing it left and right for my SIADH patients (after starting them in the hospital of course, which is off topic but also a ridiculous rule given that one can start much higher doses of Jynarque outpatient for pckd). I feel like Otsuka could have made bank for the past 10-12 years if they simply lowered the price of the drug outpatient. It was a major cost-prohibitive barrier, and resulted in countless rehospitalizations for hyponatremia. This condition is far more common than PCKD (at least in my experience). Thoughts?

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I am a 35-year-old male, and I feel like I’m about to lose my mind.
About a year ago, I noticed changes in my urination—it became less frequent than it used to be. Since then, I have been seeing a nephrology consultant almost every month. I have undergone every kidney test they recommended, and each time the doctor has reassured me that all my results are normal and that there is nothing to worry about.
My eGFR has consistently been around 120, 115, and most recently 100. I also had urine protein-to-creatinine ratio (PCR) tests multiple times, and they were always within the normal range.
More recently, I have started experiencing a feeling of pressure in my chest.
I am mentally exhausted and no longer able to live my life normally.
My questions are:
Am I actually sick, and is there no hope of getting better?
Is there anything I can do?
If there really is something wrong with me, is there still a way to catch it early and prevent it from getting worse?
Please, I would really appreciate your help.

New fellow here
Constantly finding myself dreading patients with hyponatremia. What resources can I study from? Especially managment part not Dx part.

Hello guys. My dad 65M was diagnosed with spilling protien in his urine and hematuria with some really small kidney stones on a routine investigation. He has no hypertension or blood pressure or no family hx of any kidney or auto immune disease. All her blood works were fine with a normal kidney function and serum electrolytes except for low platelets (85 and then 94k)

He was started on losarton and prednisone 10 mg considering it could be just some temporary issue. After a month when we tested him again for 24hour urine he was nearly still spillign the same amount of protien(1gram)

He was given a panel of tests which showed normal C3,TSH as well as negative AMA , Asma but his ANA titre showed 1:80 nuclear speculated. We are still awaiting the Anti ds DNA test and will be visiting his primary nephrologist once the test is backbut I am quite worried as could it be isolated lupus nephritis? He has absolutely no other symptoms of lupus which kind of makes me a bit optimistic if him jot having lupus but due to the 1:80 titre and possiblility of isolated LN i am quite concerned.

Any one gone through same and has any advice?