Joel Topf, MD
Joel Topf is a nephrologist.
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Conditions and diseases

"Everything we do before a pandemic will seem alarmist. Everything we do after will seem inadequate." - Michael Leavitt Why are we writing this? The COVID-19 pandemic has reached a point where containment is no longer possible. The COVID-19 threat…
“Everything we do before a pandemic will seem alarmist. Everything we do after will seem inadequate.”
– Michael Leavitt
Why are we writing this?
The COVID-19 pandemic has reached a point where containment is no longer possible. The COVID-19 threat is real, and rapidly getting worse. Many of you are very nervous; some are unsure of the validity of the information you are reading. As physician leaders, we felt it was important to …
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A COVID-19 coronavirus update from concerned physicians
Health technology

Acute kidney injury (AKI) is hard. Things that seem like they should work often don't. Just ask Perry Wilson. And even the most predictable cases of AKI are resistant to intervention. Look at bypass surgery. We know days in advance…
Acute kidney injury (AKI) is hard.
Things that seem like they should work often don’t. Just ask Perry Wilson.
And even the most predictable cases of AKI are resistant to intervention. Look at bypass surgery. We know days in advance the time and place the AKI will occur and despite that foreknowledge, like Cassandra, we are powerless to prevent the AKI. Same with contrast administration (or not). Same with AAA …
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Be wary when a non-clinician talks about acute kidney injury
Conditions and diseases

The most valuable assignment I received in fellowship was to write a few textbook chapters. I wrote on sodium, calcium, potassium, phosphorus, and magnesium for three different chapters. I had already developed deep knowledge of electrolytes writing "The Fluid and…
The most valuable assignment I received in fellowship was to write a few textbook chapters. I wrote on sodium, calcium, potassium, phosphorus, and magnesium for three different chapters. I had already developed deep knowledge of electrolytes writing “The Fluid and Electrolyte Companion,” but writing these chapters forced me to look beyond how things work and dive into how we know how things …
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The NIH meets Kickstarter: DreamRCT is back for 2015
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