Joel M. Topf, MD FACP ✓

@kidney_boy · Detroit, MI · joined 12 Dec 2008

Saying the product of the kidneys is urine is like saying the product of a factory is pollution. Urine is a by-product. The product is homeostasis COI: link👇🏼

64 231Followers

3 947Following

74 049Posts total

61.8KViews on collected posts

Latest posts

Joel M. Topf, MD FACP ✓@kidney_boy14 Sep

Hello NephJC community, NephJC is now over a dozen years old. When we started, the idea was pretty simple: get a bunch of nephrologists together on Twitter, pick an important paper, and argue about it in public. Somehow, that turned into something much bigger. NephJC became a 5.5K views · 52 likes · 21 reposts · 2 replies Open on X →

Joel M. Topf, MD FACP ✓@kidney_boy14 Sep

Great time recording a podcast on MECURI-2 with filtrate: @hswapnil @sophia_kidney @vipvargh and AKI sharp shooter @jaykoynern and firsty time guest @rbganatra https://t.co/xglIe31dMO

2.1K views · 20 likes · 5 reposts · 1 replies Open on X →

Joel M. Topf, MD FACP ✓@kidney_boy14 Sep

https://t.co/Wbplhw5YqS 1.21 gigawatts! 3.4K views · 3 likes · 1 reposts · 0 replies Open on X →

Joel M. Topf, MD FACP ✓@kidney_boy10 Sep

ACEi + ARB for antiproteinuric effect 😬 That one hurts 419 views · 4 likes · 0 reposts · 0 replies Open on X →

Joel M. Topf, MD FACP ✓@kidney_boy10 Sep

This is copyrighted 2004, the original K/DOQI CKD guidelines came out in Spring of 2002. I read every word in that guideline. https://t.co/9LsO7fmJF8 This was all so new. 453 views · 2 likes · 0 reposts · 0 replies Open on X →

Joel M. Topf, MD FACP ✓@kidney_boy10 Sep

@kidney_boy Happy to see "transplant referral" at Stage 4. That's perfect. 220 views · 2 likes · 0 reposts · 0 replies Open on X →

Joel M. Topf, MD FACP ✓@kidney_boy10 Sep

The first educational material I made after becoming an attending nephrologist. One sheet of cardstock. Full color. Two-sided. Everything you needed to know about CKD. Before the smartphone. Before apps. Before UpToDate in your pocket. There was cardstock. https://t.co/yyyQnK

18.3K views · 448 likes · 58 reposts · 22 replies Open on X →

Joel M. Topf, MD FACP ✓@kidney_boy9 Sep

@kidney_boy Of course. El Bumetazo! 👌 781 views · 3 likes · 0 reposts · 0 replies Open on X →

Joel M. Topf, MD FACP ✓@kidney_boy9 Sep

@kidney_boy Have mercy on the kidneys Jesus 942 views · 3 likes · 0 reposts · 1 replies Open on X →

Joel M. Topf, MD FACP ✓@kidney_boy9 Sep

@kidney_boy And the dosing numbers are smaller so everyone on the floor freaks out less compared to equivalent doses of furosemide. 1.5K views · 25 likes · 1 reposts · 0 replies Open on X →

Joel M. Topf, MD FACP ✓@kidney_boy9 Sep

Here we go. Bumetanide. The very bests there is. When you absolutely, positively need to excrete every last sodium atom in the body, accept no substitutes. https://t.co/23KpsSusHc https://t.co/yzGYQry3BY

28.2K views · 114 likes · 6 reposts · 11 replies Open on X →

Against accounts of the same size

11 posts from the last 90 days, next to the 10K–100K follower range. below its peers on both reach and engagement.

Median views1 534this account924median for 10K–100K

Reach, %2.39%this account3.62%median for 10K–100K

Engagement, %0.91%this account1.52%median for 10K–100K

Metric	This account	Median for 10K–100K	Ratio
Median views per post	1 534	924	1.66×
Reach (views ÷ followers)	2.39%	3.62%	0.66×
Engagement rate	0.91%	1.52%	0.60×

Others in this range → Compare with another account → How these benchmarks are built →

Growth & engagement

How the posts we collected actually performed: views and reaction rate post by post, what the audience did with them, and where the follower count goes.

Views per post

28.2K9 Sep

1.5K

942

781

18.3K10 Sep

220

453

419

3.4K14 Sep

2.1K

5.5K

Last 11 collected posts, oldest on the left. The scale is logarithmic: one post can outrun the rest a hundred times over.

Engagement rate per post

0.47%9 Sep

1.69%

0.42%

0.38%

2.89%10 Sep

0.91%

0.44%

0.95%

0.12%14 Sep

1.23%

1.41%

Reactions — likes, reposts, replies and quotes — divided by views. Median for 10K–100K accounts is 1.52%.

What the audience does

Likes63.2%676 in total

Reposts8.6%92 in total

Replies3.5%37 in total

Quotes0.6%6 in total

Bookmarks24.1%258 in total

Share of every reaction we collected for this account. Replies mean argument, reposts mean endorsement, bookmarks mean the post was worth keeping.

The follower curve appears once this account has two daily snapshots — we take one a day, and this one is on its first.

Latest posts

Against accounts of the same size

Growth & engagement

Views per post

Engagement rate per post

What the audience does

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