June #urojc Transcript

Healthcare Social Media Transcript

From: Sun Jun 02 13:00:00 PDT 2013
To: Tue Jun 04 15:00:00 PDT 2013

What is #urojc? Who were the influencers during this time period? #urojc analytics

Healthcare Conference  – Healthcare Tweet Chats  –  Healthcare Analytics

StorkBrian
@DrRunz_Urology Cris, were are talking about stones this month @iurojc #urojc Love to have you join in the conversation

iurojc
Welcome to the June #urojc discussion. Starts now & runs for 48 hours. Paper is available on line as free download http://t.co/QcwJRn0zto

LoebStacy
New research showing 26% decreased risk of #kidney stones w/ 1 or more servings #coffee per day! Off to @Starbucks #thankgod #addict #urojc

iurojc
June #urojc article is open access http://t.co/QcwJRn0zto thanks to #CJASN Lead author @FerraroManuel will be joining us for the discussion

iurojc
Don’t forget to include the hashtag with every discussion tweet in order for everybody to see. #urojc

iurojc
It’s @AustProstate. MT “@StorkBrian@DrHWoo Anyone know the Twitter Handle for Aust Prostate Ca Research? #urojc” Ping @declangmurphy

iurojc
Q1. Are these results applicable to your patient population? What about for your existing stone formers? #urojc

iurojc
Q2. How can we account for influence of overall fluid consumption? Is this an important consideration? #urojc

Tdave
Soda, cola: bad. Coffee, beer & wine: good. I like this paper! #urojc

DrHWoo
@DrAdamMurphy @LoebStacy Could it be the diuretic action. Cups of coffee in the US are huge+. Real coffee when you come to Melbourne. #urojc

Tdave
But what exactly is “punch” and why so bad? Who is drinking this exactly? #urojc

iurojc
@DrAdamMurphy Do join us for current discussion on stones. Follow the hashtag #urojc

CBayneMD
@iurojc fluid consumption extremely important to consider in stone papers as it is only variable in RCT to sig impact stone formation #urojc

LoebStacy
New study shows 1 or more sugar-sweetened cola/day increases #kidney #stone risk by 23% #urojc Attn @MikeBloomberg @jwgale #nyc #sodaban

JZanetti11
RT @LoebStacy: New study shows 1 or more sugar-sweetened cola/day increases #kidney #stone risk by 23% #urojc Attn @MikeBloomberg @jwgale #…

DrHWoo
@Tdave I always thought of fruit punch being a home made concoction & usually laced with plenty of ETOH. Is it a defined drink? #urojc

Tdave
@DrHWoo Maybe Kool-Aid type drink? Unknown, but clearly evil! #urojc

DrHWoo
@LoebStacy @MikeBloomberg @jwgale Authors postulate it’s the fructose that is the issue with kidney stone http://t.co/LAL6KsDIXC #urojc

MattBultitude
@DrHWoo @Tdave – Quite important to know the definition of punch – should have been in the paper. Can authors please clarify for us ? #urojc

linton_kate
@iurojc looks like we need to relocate stone clinic to the dental hospital as patients likely need dental and urology input #urojc

daviesbj
Just wanted to say hi. Nothing to add #urojc I love fruit punch btw (with gin) #deepdaviesthoughts

MattBultitude
I tell patients diet 7-up/ sprite/ sunkist are best fizzy drinks. This supports that but still shows increase risk. Better than colas #urojc

iurojc
Up for grabs is a chance to join King @daviesbj in Hall of Fame for best discussion tweet – best tweet prize thanks to @EUplatinum #urojc

iurojc
Lets not forget the #urojc hashtag MT“@DrAdamMurphy@DrHWoo @LoebStacy ……..It has been postulated to be the diuretic action”

LoebStacy
#urojc Sound byte: Not all liquids are equal w/respect to #kidneystones. Avoid sugar soda/punch. Wine/coffee/tea good. @sosa_ernie comment?

MattBultitude
What do we think of methodology? Large cohort studies. Enrolled 1976, ’86, ’89. All male HCP’s or female nurses. Prone to dehydration?#urojc

DrHWoo
Mostly Caucasian as well! MT“@MattBultitude: ……Enrolled 1976, ’86, ’89. All male HCP’s or female nurses. Prone to dehydration?#urojc

_TheUrologist_
.@Tdave drinking “punch” means you live in 1870s London and are going to pus out of Petit’s triangle #urojc

_TheUrologist_
@MattBultitude wondered about overlap of high sugary drink consumption and sedentary/Ca++ mobilizing lifestyle. Less likely in HCPs #urojc

DrAdamMurphy
@LoebStacy @sosa_ernie The relationship may not be linear. At least modest coffee intake is ok. High levels could be bad #urojc.

DrHWoo
Tweeps, we are discussing a fascinating paper on what drinks ⬆or⬇ your risk of kidney stones on the hashtag #urojc http://t.co/XIWWGUSY3G

DrHWoo
@DrAdamMurphy @LoebStacy No worries Adam, we totally for that! Please do join in on #urojc http://t.co/XIWWGUSY3G

iurojc
Currently discussion on what drinks ⬆or⬇kidney stones. http://t.co/QcwJRn0zto #hcsm #hcsmanz #meded #urojc #foamed #coffee #kidneystones

UroOncologist
Scotch needs to be tested. @daviesbj @matthayn @Tdave: Soda, cola: bad. Coffee, beer & wine: good. I like this paper! #urojc

StorkBrian
RT @iurojc: Currently discussion on what drinks ⬆or⬇kidney stones. http://t.co/QcwJRn0zto #hcsm #hcsmanz #meded #urojc #foamed #coffee #ki

StorkBrian
@iurojc Muskegon, MI is also known as “The Beer Tent Capitol of the World” *We See A Lot of Obese Patients* http://t.co/Iea4U09IAh #urojc

captfun99
@iurojc #urojc Dietary sodium consumption and Controlling for caffeine levels in diet or sugar sodas omitted. Confounders?

Tdave
@UroOncologist @daviesbj @matthayn #Bourbon medicinal properties will clearly be protective #urojc

iurojc
Look forward to input from primary author @FerraroManuel when he wakes up – currently 0200 in Rome! #urojc Please make him welcome!

iurojc
#urojc RT“@hardy_bm@DrHWoo also, thanks for that link to the Harvard study. I can’t even comprehend the logistics of 100k participants!”

iurojc
Insightful #urojc RT“@hardy_bm@DrHWoo does the diuretic effect of the caffeine in energy drinks make up for the stone-forming potential?”

hardy_bm
RT @DrHWoo: Tweeps, we are discussing a fascinating paper on what drinks ⬆or⬇ your risk of kidney stones on the hashtag #urojc http://t.co/…

StorkBrian
@aweizer1 @montrose52 @hollenbeck1971 @UMichUrology Discussing Kidney Stones this Month at #urojc Welcome your input! @DrHWoo @iurojc

nickbrookMD
@iurojc gr8 paper and potential practice changer…could dispel the any-fluid-is-good-fluid dogma #urojc

nickbrookMD
@MattBultitude good point, but we do base advice not to restrict Ca on evidence from same cohort, so NHS-II already changed practice #urojc

nickbrookMD
@denbysteele this month’s #urojc may be of interest to you…currently being discussed RE https://t.co/76lWnpNRZK

medsexual
RT @iurojc: Insightful #urojc RT“@hardy_bm@DrHWoo does the diuretic effect of the caffeine in energy drinks make up for the stone-forming…

JYLeeUroSMH
#urojc #kidneystones Intrsting paper. R findings applicable to most stone pts today? Cohort of health prof’s(⇑ SES), ⇓ meanBMI, ++white

nickbrookMD
RT @JYLeeUroSMH#urojc #kidneystones Intrsting paper. R findings applicable to most stone pts today? Cohort of health prof’s(⇑ SES), ⇓ meanBMI, ++white

JYLeeUroSMH
#urojc #kidneystones Incidence of stone events v. low? 582/51k (HPFS), 194/121k (NHS I) 858/116k (NHS II)

JYLeeUroSMH
#urojc #kidneystones Lastly, all known stone pts exclded. Do reslts apply to them? Does this change advice we give our recurrent stone pts?

JYLeeUroSMH
#urojc self-admittedly, we need better research/methodology in endourol (eg cf uro-onc) This subspclty issue discussd at AUA podium session

Tdave
@JYLeeUroSMH @UroOncologist @daviesbj @matthayn must include small batch arm #urojc

FlavorFaze
@iurojc where does Coke Zero fall into this equation? That’s my poison of choice. No renal colic episodes yet! #urojc

medskep
MT @LoebStacy#urojc Sound byte: Not all liquids are equal w/respect to #kidneystones. Avoid sugar soda/punch. Wine/coffee/tea good.

DrHWoo
T2 – twitter has been great for global journal club interaction such as #urojc. Succinct, targeted & great for time poor clinicians #hcsm

JYLeeUroSMH
MT @DrHWoo: twitter great for global journal club interaction (eg #urojc) Succinct, targeted, great for time poor clinicians #hcsm #hcsmca

DrRKSingal
Time to check in to #urojc. Sugary drinks and risk of #kidneystones #cdnhealth #onhealth http://t.co/Iij8P3fMk8

roccorossiTO
RT @DrRKSingal: Time to check in to #urojc. Sugary drinks and risk of #kidneystones #cdnhealth #onhealth http://t.co/Iij8P3fMk8

DrRKSingal
#urojc Not sure the cohort is very useful. Older population.Sedentary. Health care workers. Problem with not including recurrent formers.

DrRKSingal
And here’s a question for 2013. What about sugary coffees? a la @TimHortons @Starbucks etc #frappacinno #urojc

CBayneMD
#urojc enjoyed the paper and the ideas. Appreciate the effort the authors made to control for variables, track diet, and separate beverages

CBayneMD
#urojc unfort, paper highlights the inherent difficulty in assessing urolithiasis risk: dietary habits virtually impossible to truly control

CBayneMD
#urojc unless you can administer diet and control metabolic differences w/ 24hr urine, hard to draw anything by very soft correlations

Tdave
@CBayneMD You hit nail I’m the head! Association is NOT causality #urojc

CBayneMD
#urojc most interesting to me was signif p correlation with sugar-sweetened sodas but no signif in BMI, DM, and high BP

DrRKSingal
I am unclear re definition of stone incident. All Colic? Not sure of routine use of US in 1970s/80s.How 2account 4 asymptomatic stone #urojc

DrRKSingal
Well said MT @CBayneMD#urojc unless you can administer diet & control metabolic differences w/ 24hr urine, can only very soft correlations

FlavorFaze
@Tdave @CBayneMD isn’t this a disease of associations? Think it still helps direct pts on how to make real life intake decisions #urojc

CBayneMD
#urojc still about body’s default: the health(ier) diet (except spinach!) with lots of H2O is likely to lean toward less stone formation

DrRKSingal
& mind the salt MT @CBayneMD#urojc still about body’s default: healthier diet (except spinach!) with lots of H2O likely less stone formed

hardy_bm
#urojc @CBayneMD or even just the prevailing bias. Many super-powerful studies suffer from this. Ioannidis’ essay: http://t.co/tgNykrc05n

nickbrookMD
@DrRKSingal good point. we have this filth in Aus..branded ice coffee 58g sugar/600ml in packets http://t.co/nJQKjumNn1 #urojc

UroOncologist
So are the stone docs going to tell patients to drink tea? Was a longstanding tenant to avoid #urojc #questionvalidity @Tdave

DrRKSingal
I think the tea link is weak #urojc #oxalate @UroOncologist @Tdave

DrRKSingal
Us stone docs are firing up the Holmium Laser RT @UroOncologist: So are the stone docs going to tell patients to drink tea? #urojc @Tdave

DrRKSingal
@specialkdmd check in on #urojc over the next 48 hours. It is going on now #meded

Tdave
@UroOncologist perhaps…no. Moderation is key. But we’ve been basing on oxalate not caffeine, volume or whatever else T drinkers do #urojc

ClairWhelan
#urojc water, tea and coffee not magic, just cheap. And my grandpa always recommended adding scotch to negate the fish-poo

iurojc
RT @ClairWhelan#urojc water, tea and coffee not magic, just cheap. And my grandpa always recommended adding scotch to negate the fish-poo

doctorfullerton
RT @DrRKSingal: Time to check in to #urojc. Sugary drinks and risk of #kidneystones #cdnhealth #onhealth http://t.co/Iij8P3fMk8

LoebStacy
@CBayneMD #Diet studies hard in humans. Same in #prostatecancer -weak evidence for lycopene, #soy,green tea,etc but many confounders #urojc

FlavorFaze
@iurojc who over 12 yo drinks punch? Second, has anyone heard of “Big Red”. Popular in southern USA apparently. #cokezeroFTW #urojc

FerraroManuel
#urojc Greetings everybody, I’m the first author of the cJASN paper you are discussing. Happy you find it interesting

iurojc
RT @FerraroManuel#urojc Greetings everybody, I’m the first author of the cJASN paper you are discussing. Happy you find it interesting

FerraroManuel
#urojc @MattBultitude The study doesn’t show that non-colas are “better” than colas since the referent category for colas wasn’t non-colas

iThangasamy
@DrRKSingal @_TheUrologist_ @MattBultitude Can vouch that junior docs dehydrated often! QLD health talking about mandatory mealtime.. #urojc

iThangasamy
RT @JYLeeUroSMH#urojc #kidneystones Lastly, all known stone pts exclded. Do reslts apply to them? Does this change advice we give our rec…

iThangasamy
@DrRKSingal Agreed it is a very select group. Not sure if can apply to average Joe Blogs that walks on the door (John Doe if in US!) #urojc

iThangasamy
RT @DrRKSingal: Well said MT @CBayneMD#urojc unless you can administer diet & control metabolic differences w/ 24hr urine, can only very …

iThangasamy
RT @FerraroManuel#urojc Greetings everybody, I’m the first author of the cJASN paper you are discussing. Happy you find it interesting

iurojc
@FerraroManuel Welcome Dr. If you track back, there are a number of questions for which we’d value your thoughts. #urojc

linton_kate
@iThangasamy I suspect surgeons get v dehydrated on theatre days #urojc #needteabetweencases

FerraroManuel
#urojc @CBayneMD Agreed. Anyway, unless you don’t follow those participants to collect data on incident stones, you would only have data…

FerraroManuel
#urojc @CBayneMD …on urine composition, which doesn’t necessarily translate into kidney stones.

UrologyMatch
RT @iurojc@FerraroManuel Welcome Dr. If you track back, there are a number of questions for which we’d value your thoughts. #urojc

UrologyMatch
RT @FerraroManuel#urojc @MattBultitude The study doesn’t show that non-colas are “better” than colas since the referent category for colas wasn’t non-colas

UrologyMatch
RT @LoebStacy#urojc Sound byte: Not all liquids are equal w/respect to #kidneystones. Avoid sugar soda/punch. Wine/coffee/tea good. @sosa

UrologyMatch
RT @Tdave: Soda, cola: bad. Coffee, beer & wine: good. I like this paper! #urojc

iurojc
#urojc MT“@FerraroManuel: Ext validity is interesting issue. As others pointed out, we analyzed selected popltn; however, the distrib of…”

iurojc
#urojc MT“@FerraroManuel: risk factors was not diff from gen pop. Furthermore, other assoc found in these cohorts have been replicated…”

iurojc
#urojc RT“@FerraroManuel@iurojc …in other populations.”

iurojc
Check out great feedback from lead author @FerraroManuel http://t.co/QcwJRn0zto #urojc

FerraroManuel
#urojc @CBayneMD Sorry, I don’t follow you on this. The p-values reported for BMI/DM/HBP refer to effect modification not to association.

luisreyva
RT @UrologyMatch: RT @Tdave: Soda, cola: bad. Coffee, beer & wine: good. I like this paper! #urojc

Tdave
@LoebStacy @CBayneMD #Onlyamatteroftime Somebody would relate to prostate cancer #urojc

drerickgrullon
RT @LoebStacy: New study shows 1 or more sugar-sweetened cola/day increases #kidney #stone risk by 23% #urojc Attn @MikeBloomberg @jwgale #…

nickbrookMD
@FerraroManuel nice work. These stone popn studies have potential to change managmt..NHSII already changed approach to Ca advice #urojc

DrHLN
@FerraroManuel May I ask what defines punch? I agree with @DrHWoo that generally thought of in Oz as alcoholic #urojc #urojc

DrHLN
@FerraroManuel May I ask what defines punch? I agree with @DrHWoo that generally thought of in Oz as alcoholic #urojc

FerraroManuel
#urojc @DrHLN In the QTN we asked about punch intake defining it as fruit drink w/ sugar excluding fruit juices, e.g. Hawaiian Punch.

MattBultitude
@FerraroManuel @DrHLN Usually punch is very alcoholic in the UK ! Must be a lot of Hawaiian punch drinkers in the US ! #urojc

DrRKSingal
Not to mention the existence of the phrase ‘punch drunk’ @DrHLN @FerraroManuel @DrHWoo #urojc

DrRKSingal
Dr Ferraro, TY for coming. Nice paper. What about my earlier ? about sugary coffees? @FerraroManuel @DrHLN #urojc #frappacino

FerraroManuel
#urojc @DrRKSingal You’re welcome. Based on the info from the QTN, we couldn’t separate the “effects” of components of coffee or of…

FerraroManuel
#urojc @DrRKSingal …different types of coffee on the risk of stones. The “effect” of caffeine might offset that of oxalate/sugar…

FerraroManuel
#urojc @DrRKSingal …in the beverage.

FerraroManuel
#urojc @DrRKSingal I’m referring to “effect” in quotes since we just observe associations, not causal effects.

iThangasamy
MT #urojc @FerraroManuel@iurojc This is certainly impt. We adjusted analysis for total fluid consumption, hence assoc b/w each type of…”

iThangasamy
RT #urojc “@FerraroManuel@iurojc …beverage and stones should be considered as for subjects who drink the same amount of fluids.”

Tdave
So where are all the uro-onc tweeps? Scared of some stone paper? Can’t handle it? #gauntletthrown #urojc

MattBultitude
@Tdave – strangely silent – like they don’t understand it – let’s call it stone cancer – would that help ? #ButICantUseMyRobotForThis #urojc

matthayn
@MattBultitude You can still use robo for stones, right @Tdave#urojc

DrRKSingal
Be careful guys the pure oncologists usual laugh at our wonky trial designs in #endourology #urojc @MattBultitude @Tdave

KeithKow
@DrRKSingal @MattBultitude @Tdave I lasered TWO stones today! One is even getting a metabolic work up! The other a partial nx….. #urojc

DrRKSingal
Maybe but some new coffee concoctions have ridiculous amount of sugar. MT @FerraroManuel#urojc . caffeine may offset calories/oxalate

JYLeeUroSMH
#urojc @nickbrookMD @FerraroManuel Agree, nice work. Huge cohorts w/ undoubtedly +data to sift through. Also thx for joining convo. +valuble

JYLeeUroSMH
#urojc @FerraroManuel Wonder signif of caffeine on “relative dehydrtn” MDs “dehydrtd” all day in OR, drink after work. Total intake N but…

MattBultitude
All this talk of stones and the King seems becalmed and far less angry #urojc @daviesbj #GoodForHisBloodPressure

Tdave
@matthayn @MattBultitude absolutely! [see CJU editorial coming next month] #shamelessplug #urojc

daviesbj
@MattBultitude #urojc I don’t mind stones at all. Just nothing high volume. My ADD isn’t good for URS

peepeeDoctor
@MattBultitude@Tdave – #ButICantUseMyRobotForThis #urojc” but yes folks you can use the robot for complex stones. highly recommend

DrRKSingal
The plenary at #aua13 showed lap anatrophic for complete stag. waste of time @peepeeDoctor @MattBultitude @Tdave #urojc

DrRKSingal
for difficult ureteral stones can consider but very rare in my experi & pure lap okay & cheaper #urojc @peepeeDoctor @MattBultitude @Tdave

peepeeDoctor
@DrRKSingal: lap anatrophic for stag. waste of time” @MattBultitude @Tdave #urojc completely agree. Not so if robotic + cold ischemia.

Tdave
@DrRKSingal @MattBultitude Wonky? 194,095 pts ain’t too shabby #urojc

DrRKSingal
Agreed. Not this paper. #s are impressive. In general I meant and compared with large onc trials @Tdave @MattBultitude #urojc

sueurology
Can someone please tell me the makeup of “punch”. Surely each batch varies unless this is a product available OTC in the us.#urojc

DrRKSingal
Forget #urojc. Time for #bruinspens13 @KeithKow @daviesbj @matthayn @Tdave

Tdave
On hold RT @DrRKSingal: Forget #urojc. Time for #bruinspens13 @KeithKow @daviesbj @matthayn @Tdave

DrHWoo
See previous response by @ferraromanuel MT @sueurology Can someone pls tell me makeup of “punch”. #urojc

JYLeeUroSMH
@DrRKSingal @tdave @mattbultitude #urojc Agree impressive dataset. But generalizabilty limtd by focusd cohort. Also agree abt endo research

CBayneMD
@FerraroManuel I was surprised no significance was found with BMI or DM status. I think it lends support to significance of sugarcola #urojc

iThangasamy
RT @Tdave: So where are all the uro-onc tweeps? Scared of some stone paper? Can’t handle it? #gauntletthrown #urojc

sueurology
Sounds like I’ll have punch with a shot of caffeine. Preferably artificially sweetened. And a large shot of gin #urojc

DrHWoo
With regard to ‘sugar’ the paper suggests that we should perhaps differentiate between fructose and glucose. Thoughts @ferraromanuel#urojc

cooperberg_ucsf
Bet #urojc members knew this already: drink coffee, wine, beer! Skip (Diet) Coke. Didn’t need 2.6M person-years f/u… #BacktoCancer @iurojc

cooperberg_ucsf
In the meantime, HPFS has been _heavily_ analyzed; multiple comparisons problem applies. Also, control for comorbidity was inadequate #urojc

JustUro
@FerraroManuel @DrRKSingal Presume components=caffine+milk(if present)+water+sugar(if present). Decaf+tea similarly variable then? #urojc

JustUro
Using tab1’s data, overall median fluid intake for all grps <1.3L/d! Time for more coffee and wine… #urojc

UrologyMatch
RT @cooperberg_ucsf: Bet #urojc members knew this already: drink coffee, wine, beer! Skip (Diet) Coke. Didn’t need 2.6M person-years f/u… #BacktoCancer@iurojc

iurojc
Still another 10 hours to run for the June #urojc Still time to get your comments in.

iurojc
RT @JustUro: Using tab1’s data, overall median fluid intake for all grps <1.3L/d! Time for more coffee and wine… #urojc

Tdave
RT @iurojc: Still another 10 hours to run for the June #urojc Still time to get your comments in.

DrHLN
How sugary is your coffee?! Fructose in 1 tspn sucrose approx 2g vs 22g in cola, total sugar 4 vs 39g @DrRKSingal @FerraroManuel #urojc

DrHLN
Fructose the bad guy? No control for common foods high in fructose eg honey, fruits, processed foods/sauces/cereals #urojc

DrRKSingal
@DrHLN @FerraroManuel No sugar in mine but talking about stuff like this #urojc http://t.co/hx3rZqh5Om

Tdave
@DrRKSingal @DrHLN @FerraroManuel You all are making me hungry! #JustSayNoToFructose #urojc

DrHLN
Cola & apple juice both high sources fructose yet increased cola = stones despite caffeine diuresis vs no sig diff with increased AJ #urojc

DrRKSingal
Probably MT @JustUro@FerraroManuel Presume components=caffine+milk(if present)+H2O+sugar(if present). Decaf+tea similarly variable? #urojc

DrRKSingal
Or just more fluids. RT @JustUro: Using tab1’s data, overall median fluid intake for all grps <1.3L/d! Time for more coffee and wine. #urojc

DrHLN
Ok wow…and made with fructose syrup so high vs glucose! NOT making me hungry! @DrRKSingal @FerraroManuel @Tdave #urojc

DrAdamMurphy
RT @iurojc: Lets not forget the #urojc MT“@DrAdamMurphy@DrHWoo @LoebStacy ……..It has been postulated to be the diuretic action”

sosa_ernie
@LoebStacy I council patients to drink water avoiding sugar. For one there is a calciuric effect to sugar. #urojc who needs more cals?

DrRKSingal
Nice MT @sosa_ernie@LoebStacy I council: drink water avoiding sugar. For one there’s calciuric effect to sugar #urojc who needs more cals?

MattBultitude
2 hours left for #urojc this month. What top tips do people have as dietary advice for stone patients? Who uses lemons? Baking soda? Etc

LoebStacy
@MattBultitude #urojc good #kidneystone recs: more water, low added salt & animal #protein. Don’t restrict #calcium based on Borghi RCT.

PoppyPocket
RT @DrRKSingal: Nice MT @sosa_ernie@LoebStacy I council: drink water avoiding sugar. For one there’s calciuric effect to sugar #urojc who needs more cals?

DrRKSingal
That’s what I say + stay active. MT @LoebStacy@MattBultitude #urojc for #kidneystones more H20, <salt, animal #protein#calcium ok

declangmurphy
@MattBultitude Everything in moderation. And check your PSA. Or your husband’s PSA. This has been a LONG 48h #urojc#cancerplease

iurojc
June #urojc wraps up in about an hour? Great effort for our first ever non-oncology paper. Love to hear from our many observers/watchers

MattBultitude
@declangmurphy – oh come on Mr Murphy. I know you have loved stone cancer ever since you sucked a stent out with an elick evacuator! #urojc

iurojc
Big thks again author @FerraroManuel. Thanks also CJASN 4 allowing open access of article. Thanks @EUplatinum 4 Best Tweet prize #urojc

linton_kate
@iurojc what is next month? Female/recon? #urojc

iurojc
@linton_kate We are open to suggestions. Hot off press articles esp favored. We may have to do cancer in July to quell restlessness #urojc

iurojc
RT @sosa_ernie@LoebStacy I council patients to drink water avoiding sugar. For one there is a calciuric effect to sugar. #urojc who needs…

JYLeeUroSMH
@MattBultitude #urojc Depends on stone type but on balance, ⇑fluids (2L/d), ⇓salt, ⇑citrate (lemon or OJ). Ca & oxalate-rich ok in moderatn.

cooperberg_ucsf
@JYLeeUroSMH @MattBultitude Yep. Agree. Now, what @declangmurphy said! #urojc @iurojc

 

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