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A pinch of salt - A podcast by ERA

European Renal Association
Chronic Kidney Disease
Nephrology
Kidney Disease
Peritoneal Dialysis
Proteinuria
Imlifidase
Renal Transplantation
Artificial Intelligence
Onconephrology
ANCA Vasculitis
Intradialytic Hypotension
Anca-Associated Vasculitis
Iga Nephropathy
European Renal Association
Dialysis
Obesity
SGLT2 Inhibitors
Transplantation
Conservative Care
Tubular Interstitial Nephritis

A pinch of salt is the official ERA podcast dedicated to nephrology.Each month, we'll release three episodes with nephrologists and other physicians discuss advances in clinical practice and renal medicine.

Hosts: Andrej Skoberne and George Kosmadakis

PublishesDailyEpisodes128Founded2 years ago
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MedicineHealth & Fitness

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Artwork for A pinch of salt

Latest Episodes

In this episode Maria Jose Soler Romeo joins us to break down the shifting landscape of MRAs and Aldosterone Synthase Inhibition. We’ll cover the central role of aldosterone as a central culprit in inflammation and renal fibrosis, how the rise of non... more

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In the 75th episode of A Pinch of Salt we'll be talking about narrative-based medicine, a topic that is not specific to nephrology, but it should be a core topic that is deeply involved in practicing patient-friendly clinical medicine. In medical sch... more

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In this episode we are joined by Peter Stenvinkel to discuss why Chronic Kidney Disease is increasingly recognized as a state of "fast-forward" aging. 

We dive into: The "Inflammaging" Factor- How chronic low-grade inflammation acts as a silent drive... more

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Recent Guests

Amy Waterman
Director of Patient Engagement at a major Transplant Center in the US
Houston Methodist Hospital
Episode: #75 What is narrative-based medicine? with Amy Waterman
Peter Stenvinkel
Professor of inflammation and aging in CKD
Karolinska Institutet, Sweden
Episode: #74 Inflammation and Aging in CKD – From Translational Basics to Clinical Practice, with Peter Stenvinkel
Maria Jose Soler Romeo
Professor, Nephrology
Hospital de Hebron, Barcelona, Spain
Episode: #73 Inhibition of Aldosterone Synthase and MRAs in Nephrology, with Maria Jose Soler Romeo
Peter Stelvinkel
Professor (guest), nephrology expert
Episode: Trailer Inhibition of Aldosterone Synthase and MRAs in Nephrology, Inflammation and Aging in CKD – From Translational Basics to Clinical Practice, What is narrative-based medicine?
Maria Jose Soler-Romeo
Professor (guest), nephrology expert
Episode: Trailer Inhibition of Aldosterone Synthase and MRAs in Nephrology, Inflammation and Aging in CKD – From Translational Basics to Clinical Practice, What is narrative-based medicine?
Sana Khan
Nephrologist
University Medical Center, Charlottesville, USA
Episode: #70 How to tackle PD complications? with Sana F. Khan
Karlien François
Professor from Brussels, Belgium
Brussels, Belgium
Episode: #71 Obstacles for the Development of Peritoneal Dialysis – A Solution Toolbox, with Karlien François
Sana F. Han
Guest mentioned as featured in a future PD episode
Episode: Trailer How to tackle PD complications?, Obstacles for the Development of Peritoneal Dialysis – A Solution Toolbox and Liquid Biopsies and Other AI Goodies in Nephrology
Kaleem Francois
Guest mentioned as featured in a future PD barriers discussion
Belgium
Episode: Trailer How to tackle PD complications?, Obstacles for the Development of Peritoneal Dialysis – A Solution Toolbox and Liquid Biopsies and Other AI Goodies in Nephrology

Hosts

Andrej Skoberne
Nephrologist and co-host with a focus on practical nephrology and clinical education
George Kosmadakis
Co-host with nephrology expertise and an interest in medical education and clinical care pathways

Chart Rankings

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Talking Points

Recent interactions between the hosts and their guests.

#73 Inhibition of Aldosterone Synthase and MRAs in Nephrology, with Maria Jose Soler Romeo
Q: Why is aldosterone such a central player in CKD progression and cardiovascular complications?
Aldosterone acts beyond sodium balance by promoting inflammation, oxidative stress, and fibrosis in both kidney and cardiovascular tissues, linking kidney disease to cardiovascular risk and driving progression.
#70 How to tackle PD complications? with Sana F. Khan
Q: What are practical management steps for catheter-related leaks?
Positioning (supine), low-volume dwells, and sometimes scrotal elevation for male patients; for more persistent leaks, considering a temporary PD break with medical management and infection prophylaxis.
#70 How to tackle PD complications? with Sana F. Khan
Q: How do you interpret sodium sieving after one hour in the PET test?
Sodium sieving is a transient phenomenon related to aquaporin-mediated ultrafiltration; interpretation can be challenging and depends on dwell time and overall PD prescription.
#70 How to tackle PD complications? with Sana F. Khan
Q: What are we looking at for a sudden loss of ultrafiltration and how to solve it?
Key causes include leaks, catheter malfunction, peritonitis, and membrane function issues; initial steps are history, imaging to locate leaks, ruling out infections, and considering a modified PET test if membrane dysfunction is suspected.
#71 Obstacles for the Development of Peritoneal Dialysis – A Solution Toolbox, with Karlien François
Q: Why in 2025, 45 years after the introduction of peritoneal dialysis, should we still discuss the importance of PD?
PD offers good metabolic and fluid control, enables home-based care and patient autonomy, and tends to yield better treatment satisfaction and lower bleeding risk compared with center HD, making it a valuable option to broaden the renal replacement toolbox.

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Frequently Asked Questions About A pinch of salt

What is A pinch of salt about and what kind of topics does it cover?

A practical, clinically focused show in the nephrology space, featuring nephrologists and other physicians who bring specialty interests outside medicine. Episodes cover a mix of cutting-edge treatment paradigms (such as ANCA-associated vasculitis, obesity management in CKD, and novel GFR measurement approaches), patient-centered outcomes, and pragmatic care questions (vascular access, BK nephropathy, and tubulointerstitial nephritis). The host duo emphasizes actionable guidance, contemporary guidelines, and multidisciplinary care, often pairing clinical debates with methodology discussions (biostatistics, diagnostic testing, and health outcomes). A distinguishing trait is the consistent blend of clinical depth with real-world implications ... more

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1. Annals On Call Podcast
2. JAMA Clinical Reviews
3. NEJM This Week
4. Core IM | Internal Medicine Podcast
5. AFP: American Family Physician Podcast

How many episodes of A pinch of salt are there?

A pinch of salt launched 2 years ago and published 128 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on A pinch of salt?

Recent guests on A pinch of salt include:

1. Amy Waterman
2. Peter Stenvinkel
3. Maria Jose Soler Romeo
4. Peter Stelvinkel
5. Maria Jose Soler-Romeo
6. Sana Khan
7. Karlien François
8. Sana F. Han

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