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Swapnil Hiremath 🍁🇨🇦

@hswapnil.medsky.social
6.1K followers 3.4K following 4.7K posts

Nephrologist = kidney doctor MD, MPH Professor, University of Ottawa/Ottawa Hospital 🇨🇦 He/Him/His #NephJC co-creator; @FreelyFiltered.bsky.social pod panelist; KICR EiC: opinions personal www.swapnilhiremath.com

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Reposted by Swapnil Hiremath 🍁🇨🇦
Canadian Society of Nephrology @csnscn.bsky.social · 1h
We encourage our community to explore resources from Can-SOLVE CKD’s Indigenous initiatives: 🔗https://cansolveckd.ca/our-work/indigenous-initiatives/
cansolveckd.ca
Indigenous Initiatives
Research through an Indigenous lens Chronic kidney disease has a strong impact on the health of Indigenous people and communities. Through research and engagement, Can-SOLVE CKD is working to…
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Reposted by Swapnil Hiremath 🍁🇨🇦
Canadian Society of Nephrology @csnscn.bsky.social · 1h
Today, on the National Day for Truth and Reconciliation, CSN joins Canadians in reflecting, listening and learning🧡. We are committed to advancing reconciliation by listening to Indigenous voices and supporting culturally safe kidney care and research.
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David W (aka Flex NP) @rnflex.bsky.social · 5h
Worried about blood sugar because it contains glucagon? Worry not and laugh again @mikejohansenmd.medsky.social ending fasting glucose was ~100. Fasting insulin dropped 45% !!!! As noted 40% of 9mg/12mg ended up in diabetic remission HOMA IR dropped >50% again.
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KFF Health News @kffhealthnews.org · 3h
The impact of the One Big Beautiful Bill Act on immigrants may be much greater than congressional budget watchers anticipated. kffhealthnews.org/health-industry/i…
kffhealthnews.org
US Poised To Boot Legal Immigrants From Medicaid, Including Refugees and Sex-Trafficking Victims - KFF Health News
The Congressional Budget Office estimated 100,000 more immigrants will be uninsured by 2034 because of Medicaid eligibility changes under President Trump's One Big Beautiful Bill Act that take effect Oct. 1. A KFF Health News survey of nine states found...
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Reposted by Swapnil Hiremath 🍁🇨🇦
yarrah-goffincher.bsky.social @yarrah-goffincher.bsky.social · 4h
My thing is that you need a completely different brain for checking clinic letters. You aren't looking for spelling mistakes in dysdiadochokinesia any more, it's much more "Do I remember hearing about a pet snake? I don't think there was a pet snake, I think that's been hallucinated"
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Arkana Labs @arkanalabs.bsky.social · 3h
Today’s #eyeSCANdy! Acellular SEM of membranous GN, stage IV. Note the distinct craters and circular orifices of the incompletely bridged reticular BM. Inset: TEM showing thickened GBM with discrete crater (arrow) and partially bridged and resorbed deposits. Photo courtesy of Dr. Stephen Bonsib.
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 4h
From 2014 @caitlinflanagan.bsky.social www.theatlantic.com/magazine/arc... Very well written - as a non-US person these things are so bizarre to read about
theatlantic.com
The Dark Power of Fraternities
A yearlong investigation of Greek houses reveals their endemic, lurid, and sometimes tragic problems—and a sophisticated system for shifting the blame.
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Protik Islam-Jakobsson @protik.bsky.social · 4h
"She had bought raw goat milk from a farm recommended to her in a Facebook group run by her chiropractor" God damn it
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Nephrology Journal Club @nephjc.bsky.social · 17h
5/10 A Picture is worth 1000 words 💉 The payoff: cumulative prednisolone roughly halved on the short course 1750mg vs 3430mg and as the KM graph shows ♻️Relapse free survival was essentially the same ⚡AEs were also less in short course arm
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Nephrology Journal Club @nephjc.bsky.social · 17h
1/10 #NephJC #TenPosts #NephSly 🫘💊 START your steroids! A question we ask constantly but adult RCT data rarely answers after remission in steroid-sensitive MCD/FSGS, how long should the prednisolone taper actually be? 🧵 www.sciencedirect.com/science/arti...
sciencedirect.com
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Kasia @scullingmonkey.bsky.social · 8h
Friends, if you were giving a talk about using AI safely for teaching / learning, what would be the things you’d want to be mentioned Not looking for one sided views. The good. The bad. The “I want to hide away” as much as “AI is the best tutor”
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kireports.bsky.social @kireports.bsky.social · 17h
Impact of #mGFR Versus #eGFR on the #Pharmacokinetics of a #Renally #Excreted Model #Drug in #Older Medical Patients: A Proof-of-Concept Trial #VisualAbstract by @krishnadoctor1 www.kireports.org/article/S2468-024…
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David W (aka Flex NP) @rnflex.bsky.social · 20h
Finally it reduces hepatic insulin resistance so far that I'm not sure it can go much lower. A 55-60% reduction in fasting insulin. Also it raised Cystatin-C based GFR by 6-10ml/min. Legit a medical miracle/fix it all/Mary Sue ass drug as @proptermalone.bsky.social would say.
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David W (aka Flex NP) @rnflex.bsky.social · 20h
If you were a woman, you generally lost upwards of 30% of your body weight. Men lost less around 23% overall weight loss was incredible.
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David W (aka Flex NP) @rnflex.bsky.social · 20h
Full Retatrutide phase 3 obesity data published today. It's gonna take a minute to fill dissect this. The appendix alone has 70 pages of data. Long story short we created a drug that's almost too good. Huge chunks of people stopped or reduced doses from excess weight reductions.
nejm.org
Retatrutide, a Triple Hormone Receptor Agonist, for Treatment of Obesity | NEJM
Retatrutide is a triple-receptor agonist of glucose-dependent insulinotropic polypeptide, glucagon-like peptide-1, and glucagon receptors. In this phase 3, randomized, double-blind trial, we assign...
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 20h
Another Retatrutide success www.thelancet.com/journals/lan... TRIUMPH-2 in @thelancet.com
thelancet.com
Retatrutide in adults with obesity and type 2 diabetes (TRIUMPH-2): a double-blind, parallel-group, randomised, placebo-controlled, phase 3 trial
Treatment with retatrutide resulted in substantial improvements in bodyweight and was associated with improvements in glycaemic control in participants with obesity and type 2 diabetes, with a safety ...
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Reposted by Swapnil Hiremath 🍁🇨🇦
Dimitri Drekonja, MD, MS @dimitridrekonja.bsky.social · 20h
This is gone within a week Way too honest and contradictory to everything this administration says 😂😂😂
Can the president send troops to polling places?

Federal law generally prohibits placing U.S. troops or other armed federal military/naval personnel at polling places.
What the statute says
18 U.S.C. § 592 makes it a crime for an officer of the Army or Navy, or another person in the civil, military, or naval service of the United States, to order, bring, keep, or have under their control any troops or armed men at a place where a general or special election is held.
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 20h
Happening on Thursday! Danny Gale from @ucl.ac.uk Renal RADAR will be presenting #NephGR
Splash slide
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Emily Gorcenski @emily.gorcen.ski · 28/09/2026
Here’s the most incredible story you’ll read today. A small plane with four people aboard crashes in a field. Another pilot witnesses it. That pilot happens to be flying a bunch of skydivers. They offer to jump to assist, are given permission. The skydivers happen to be EMTs. Everyone survives.
wisn.com
Skydivers alert emergency crews, assist after plane crashes near East Troy airport
Four people were aboard the single-engine plane when it went down in a cornfield near Carvers School Road in East Troy at about 1:30 p.m.
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Nephrology Journal Club @nephjc.bsky.social · 28/09/2026
Hey #NephJC 👋 Checkout the VA by @divyaveerssneph.bsky.social This week we're looking at steroid weaning strategies in adults with podocytopathies (MCD/FSGS). 💊Steroids: easy to start🟢 but hard to stop 🛑. #NephSky www.nephjc.com/news/starttrial
nephjc.com
START: The Visual Abstract — NephJC
Can steroid tapering be shorter after remission in adults with sensitive podocytopathy?
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Reposted by Swapnil Hiremath 🍁🇨🇦
Nephrology Journal Club @nephjc.bsky.social · 28/09/2026
Steroids are useful (and have bad side effects) in patients with podocytopathies. Starting is easy, but stopping can be challenging. Are longer courses of steroids better for longer remissions? How quickly do you taper? 🐇🐢 #NephSky #NephJC www.nephjc.com/news/startsteroidtaper
nephjc.com
Why Can’t I Quit You: Steroid Tapering in Adults with Podocytopathies (START) — NephJC
This week, we will discuss the best schedule for tapering steroids in adult patients with podocytopathies (MCD/FSGS).
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Reposted by Swapnil Hiremath 🍁🇨🇦
J.P. @jpr602.bsky.social · 28/09/2026
New Yorker cartoon by Leo Cullum. A doctor is saying to a man in a suit and tie: “It’s pronounced ‘hee-la’ monster. The ‘g’ sounds like an ‘h’.” 
The man has a gila monster clamped onto his nose.
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Jason Koebler @jasonkoebler.bsky.social · 28/09/2026
the humans who moderate chatbots say they're inundated with people trying to generate nonconsensual nudes: www.404media.co/humans-readi...
404media.co
Humans Are Reading Copilot Prompts — And They're Horrified
Human contractors are reviewing Copilot users’ prompts and uploaded images, according to internal documents obtained by 404 Media. The contractors are also bombarded with users’ requests for sexual AI...
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Reposted by Swapnil Hiremath 🍁🇨🇦
BWJones @bwjones.bsky.social · 28/09/2026
This is the creature who’s venom gave birth to all the GLP-1 drugs that work by stimulating insulin release, suppressing glucagon production, slowing stomach emptying, and signaling satiety to the brain. You know… the weight loss drugs and diabetes drugs.
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Reposted by Swapnil Hiremath 🍁🇨🇦
Arvind (Canchi) Conjeevaram @arvindcanchi.bsky.social · 28/09/2026
The September 2026 issue of KICR is out! Visit this link for some very unique case reports in nephrology 👉 kicasereports.org/current @hswapnil.medsky.social @theisn.org @nephromythri.bsky.social @kidneyboy.bsky.social
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Giuseppe Biondi-Zoccai @gbiondizoccai.bsky.social · 28/09/2026
Regression Not-to-the-Mean: An Oddity of Regression, Illustrated With the Risk of Overdose Deaths, courtesy of Statistics in Medicine onlinelibrary.wiley.com/doi/full/10....
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Mark Ungrin @mark-ungrin.bsky.social · 24/09/2026
Well, it couldn't possibly be repeated cycles of infection with the virus known to cause kidney injury, that would be too much of a coincidence. It must be sunspots. Or possibly dogs.
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c0nc0rdance @c0nc0rdance.bsky.social · 27/09/2026
The obvious conclusion (to me): if you have proprietary research & you upload it into the Plagiarism Nexus, it's not YOUR proprietary research anymore. Behave accordingly.
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Lex Roman @lexroman.com · 25/09/2026
But it's fucking wild that this is how Meta is working right now and it's a good warning to be careful what you post because it just might defame your entire personal reputation across the internet.
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Reposted by Swapnil Hiremath 🍁🇨🇦
John Ross @johnrossmd.bsky.social · 27/09/2026
There is no mystery about this condition. Human kidneys did not evolve to tolerate intense heat, dehydration, and prolonged physical labor that clogs kidney tubules with leaked muscle proteins
thehill.com
Kidney disease of unknown origin spreads in US. Who is at risk?
People with CKDu don’t have the classic risk factors of kidney disease, like hypertension or diabetes.
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Reposted by Swapnil Hiremath 🍁🇨🇦
Prof Gavin Yamey MD MPH @gavinyamey.bsky.social · 26/09/2026
To see measles spread so wildly—so much so that congenital measles has now returned—has long been a dream of RFK Jr, arguably the world’s most extreme & dangerous anti-vaxx activist & eugenicist Now that he runs the US federal health system, RFK is able to make his longstanding dreams come true 😢
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Apoorva Mandavilli @apoorvanyt.bsky.social · 26/09/2026
I’ve been reporting on the CDC for years, and have written about many of its troubles over the past year. I was still shocked by the extent of the staff losses and political interference I found when reporting this one. www.nytimes.com/2026/09/26/h...
nytimes.com
‘Zombified’ C.D.C., Hobbled by Cuts, Struggles to Fulfill Scientific Mission (Gift Article)
The agency has lost its independence and nearly a third of its staff, as Health Secretary Robert F. Kennedy Jr. and associates have tightened control.
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Ed Maibach @maibached.bsky.social · 25/09/2026
Happy Stanislav Petrov Day He passed in 2017. As Encyclopedia Britannica puts it, “He is survived by his two children, two grandchildren, and the entire human race.” If you don't know his story, please take 3 minutes now to learn it. @gchalliance.bsky.social @docsforclimate.bsky.social
sammatey.substack.com
Happy Stanislav Petrov Day
Take five minutes to not destroy civilization
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Luke LeBrun @lukelebrun.ca · 26/09/2026
Tech companies suddenly decide they can, in fact, moderate content on their platforms after all
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Micah @rincewind.run · 26/09/2026
I think it is very important that Big Balls, personally, goes to jail there are a lot of young goons who think they are invincible and it is important to make it clear that they are not
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ASN Publications @asnpublications.bsky.social · 25/09/2026
Are we too focused on avoiding overcorrection of hyponatremia? New evidence suggests undercorrection may carry its own risks, raising important questions about how aggressively hyponatremia should be treated. kidney.pub/KN1809-06 #ASNKidneyNews
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Max Kozlov @maxkozlov.bsky.social · 25/09/2026
SCOOP: Top researchers at Columbia, Stanford, and others thought they were elected to elite scientific societies alongside Nobel laureates. The catch? The organizations are a sham. I spent the last month diving deep into a massive academic scam spanning continents, for @nature.com
nature.com
Exclusive: Sham scientific societies are misleading star researchers
A Nature investigation reveals a network of organizations that have been building their ranks through deceptive practices.
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 25/09/2026
How come this has not made it to the ratios feed yet @numb.comfortab.ly 😱?
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Radley Balko @radleybalko.bsky.social · 25/09/2026
Raskin made a holy shit observation on MS Now this afternoon: Since taking office, Trump has made a million dollars per hour for himself. Every hour, he has made more than twice the president’s annual salary.
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Lilia Cervantes @cervantes-lily1.bsky.social · 24/09/2026
The NIH RFI (NOT-OD-26-095) closes Sept 30. If leading a pilot on your K shaped your career, or losing it would affect your trainees, institution, or patients, please share your perspective: grants.nih.gov/grants/guide... #NIH #ClinicalTrials
grants.nih.gov
NOT-OD-26-095: REQUEST FOR INFORMATION (RFI): INPUT ON POTENTIAL NIH FUNDING APPROACHES TO SUPPORT THE DEVELOPMENT OF FUTURE CLINICAL TRIAL INVESTIGATORS
NIH Funding Opportunities and Notices in the NIH Guide for Grants and Contracts: REQUEST FOR INFORMATION (RFI): INPUT ON POTENTIAL NIH FUNDING APPROACHES TO SUPPORT THE DEVELOPMENT OF FUTURE CLINICAL ...
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Lilia Cervantes @cervantes-lily1.bsky.social · 24/09/2026
Out today in @jama.com: "On Becoming a Gold Standard Scientist: The Importance of Pilot Clinical Trials. I was honored to co-author this with Drs. Fesintein, @dramyhuebschmann.bsky.social & @russgl.bsky.social jamanetwork.com/journals/jam.... @jenna-m-norton.bsky.social @jeremymberg.bsky.social
jamanetwork.com
On Becoming a Gold Standard Scientist
This Viewpoint discusses the recent National Institutes of Health announcement that its Career Development (K) awards cannot be used to conduct clinical trials, feasibility studies, or ancillary studi...
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ISNkidneycare @theisn.org · 25/09/2026
ISN members get more from kidney science. 📖 This weekend’s @kidneyint.bsky.social #ISNFridaySelection explores non-invasive assessment of kidney injury using near-infrared autofluorescence imaging. Read ➡️ bit.ly/4gr81KI #ThisIsISN #Nephrology
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ISNkidneycare @theisn.org · 25/09/2026
A week of action for kidney health! The ISN hosted the ISN–Devex event, and joined NCD Alliance and WSO events, and met with representatives from Djibouti, Algeria, Japan, Saudi Arabia, Egypt and the Dominican Republic. Kidney health belongs at the heart of integrated NCD and UHC action. #UNGA
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Clara Jeffery @clarajeffery.bsky.social · 24/09/2026
We just dropped a bombshell investigation into ChatGPT's role in the Tumbler Ridge mass shooting. Incredible reporting from @markfollman.bsky.social that will have far-reaching effects...hopefully: www.motherjones.com/media/2026/0...
motherjones.com
ChatGPT helped the Tumbler Ridge school shooter focus on guns, tactics, and terror, our investigation reveals
OpenAI’s chatbot fed the shooter’s violent fantasies and planning up to the massacre.
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ISNkidneycare @theisn.org · 24/09/2026
🌍 Take your nephrology training further with an ISN Fellowship! ISN membership opens the door to opportunities to build your expertise, expand your network, and strengthen kidney care in your community. 🎓 Explore the ISN Fellowship Program and apply by October 1: bit.ly/4yblPQz #ThisIsISN
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 25/09/2026
Josh @pulmcrit.bsky.social tackles ICU management of DAH incl ANCA vasculitis emcrit.org/ibcc/dah/#tr... On PLEX: yes that doesn’t help DAH at all However, in some patients, it helps save a few months off dialysis - small effect #NephSky #emimcc
emcrit.org
Pulmonary vasculitis & diffuse alveolar hemorrhage (DAH)
CONTENTS Diffuse Alveolar Hemorrhage (DAH) Clinical presentation Radiology Bronchoscopy Causes Evaluation Management ANCA-associated vasculitis (GPA & MPA) Definitions Clinical features Laboratory fin...
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 25/09/2026
Little to disagree ottawacitizen.com/news/ottawa-... #OttNews
ottawacitizen.com
Ottawa hospitals 'underused' as private clinics receive millions: report
An Ontario Health Coalition report says operating rooms and diagnostic equipment are being underused in city hospitals like Ottawa.
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Jonathan Zuckerman MD PhD @jzrenalpath.bsky.social · 24/09/2026
Pt with myelofibrosis, NR proteinuria, progressive CKD. Hypercellular glomeruli + intracapillary megakaryocytes, + mesangial sclerosis, +chronic microangiopathic changes c/w MPN-related glomerulopathy. Also renal extramedullary hematopeosis. IHC is CD61 #renalpath #pathsky #nephsky
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Brendan Nyhan @brendannyhan.bsky.social · 24/09/2026
In competitive authoritarian regimes, the ruling party uses its control of the government to stack the deck against their opponents. We're not there (yet at least), but this is exactly the kind of thing you would see in such a regime.
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the beggars out of here getter @milesklee.bsky.social · 24/09/2026
malpractice story packaging in that the more pertinent details are: this guy is a bodybuilder promoter who killed his own son with a $100K divorce on wheels but is crowdfunding his funeral on a page that just says he was “accidentally struck by a moving vehicle” and they’re close to half that amount
latimes.com
Young boy killed after father backs Cybertruck into him, police say
A California man accidentally hit and killed his 6-year-old son while backing out of the family’s driveway near Temecula in a Tesla Cybertruck, according to police reports.
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