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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 🍁🇨🇦
Tabatha Southey🇨🇦 @tabathasouthey.bsky.social · 1h
For @thestar.com I wrote about the gross American export Canadians should avoid most of all. Gift link! www.thestar.com/gift-redeem?...
The newspaper article itself, which shows prepared to Canada with Maple leafs on them. The headline reads What is “Buy Canadian” just makes us more American?
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Reposted by Swapnil Hiremath 🍁🇨🇦
Elizabeth Jacobs, PhD @elizabethjacobs.bsky.social · 2h
When the story first broke on the unethical experiment on infants in Guinea-Bissau, which will withhold the birth dose of HepB vaccine, a reporter asked me if I thought any IRB would approve it. I said “maybe”, because I feared that embedded racism might lead to an approval. And now it’s back on.
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 4h
Happening today! Atrial fibrillation in dialysis - how can we get the proper definitive RCT done? Ziv Harel at #NephGR in Ottawa
Splash slide
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Reposted by Swapnil Hiremath 🍁🇨🇦
Gavi @gavi.org · 6h
In Uganda’s meningitis belt, vaccination helped drive meningitis A cases down by 99% across the region by 2021. Today, many young people in eastern Uganda have never seen the disease at all. A reminder that prevention only works if awareness and vaccination continue. Read more: bit.ly/4yxjEr4
bit.ly
Need proof that vaccines work? Many of Uganda's Gen Z don't know that meningitis exists
A community campaign in eastern Uganda is reviving awareness of a disease many young people have never heard of.
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Reposted by Swapnil Hiremath 🍁🇨🇦
Tom Nichols @radiofreetom.bsky.social · 20h
President Homelander www.theatlantic.com/newsletters/...
theatlantic.com
President Homelander
Donald Trump believes he can do whatever he wants—and his followers are determined to prove him right.
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 6h
Why stop at CKM? Why not CKLM www.nature.com/articles/s41... For that reason - CKM also involves brain, pancreas, bones, vasculature Why not call it CKLBPBVM? 😎
nature.com
The case for cardiovascular–kidney–liver–metabolic syndrome - Nature Reviews Nephrology
The liver has a central role in cardiovascular–kidney–metabolic syndrome but is absent from the current definition. A cardiovascular–kidney–liver–metabolic framework that recognizes steatotic liver di...
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Reposted by Swapnil Hiremath 🍁🇨🇦
Ryan Town @kidneywiki.bsky.social · 17h
Hot take: automated BUN/Cr ratio reporting in children causes confusion/concern while providing no additional value and labs should stop reporting it on pediatric results 😤
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 6h
I haven’t seen that reported automatically! Agree it’s utility is quite limited #NephSky
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Reposted by Swapnil Hiremath 🍁🇨🇦
ISNkidneycare @theisn.org · 10h
🌍 Two opportunities for early-career kidney professionals: 🏆 Researcher Awards: bit.ly/4hCJanz 📝 Editorial Fellowships :https://bit.ly/47t6Beu 📅 Apply by Dec 11. 👉Join/renew your 2027 ISN membership at the new, lower fees: bit.ly/3VMQBBo
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 15h
The @isgd.bsky.social document on Centers of excellence for glomerular diseases @kidneyint.bsky.social www.kidney-international.org/article/S008...
Figure 1 Goals and 4 mission areas of Glomerular Disease Centers of Excellence. ISGD, International Society of Glomerular Disease.
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Reposted by Swapnil Hiremath 🍁🇨🇦
ISNkidneycare @theisn.org · 07/10/2026
ISN Members: Help shape the future of kidney health. 🌍 Join an ISN committee or working group to share your expertise, collaborate with global experts & help guide ISN initiatives. 🗓️ Apply by October 29, 2026 (midnight CET). 🔗 Apply today: bit.ly/4j2OnYn
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Reposted by Swapnil Hiremath 🍁🇨🇦
ISNkidneycare @theisn.org · 06/10/2026
⚠ @kireports.bsky.social October issue is out! Read the latest news in research, highlights from current literature, comprehensive reviews, and in-depth case studies. www.kireports.org/cu... #ThisIsISN #Nephrology #Journal #Research #KidneyCommunity #Kidney #OpenAccess
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Reposted by Swapnil Hiremath 🍁🇨🇦
Max Fawcett @maxfawcett.bsky.social · 20h
Once again, for the politicians, business leaders, and journalists still actively posting on X/Twitter: why? You're using a platform that's owned by someone who's trying to break up your country. The juice isn't worth the squeeze.
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Reposted by Swapnil Hiremath 🍁🇨🇦
Jack Iwashyna @iwashyna.bsky.social · 07/10/2026
New @nejm.org Voices: how I write an introduction to a research manuscript “My first piece of advice…: write your introduction backwards. “My second piece of advice: innovate in your ideas, not in the structure of how you present the ideas.” voices.nejm.org/doi/full/10....
voices.nejm.org
Start Here to Write a Research Introduction Section
A step-by-step guide to writing a concise introduction to a clinical research manuscript
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Reposted by Swapnil Hiremath 🍁🇨🇦
Initiative for Medicines, Access & Knowledge @imakglobal.bsky.social · 17h
Big victory! Indonesia’s Constitutional Court struck down a provision in a law that allowed patent evergreening. This is a win for patients. Thank you to our colleagues around the world who are fighting back against patent abuse and expansionist patent policies. www.statnews.com/pharmalot/20...
statnews.com
Indonesian ruling against 'patent evergreening' by pharma industry sends critical message, patient advocates say
A recent court decision in Indonesia sends an important message to other countries to challenge the pharma industry's use of "patent evergreening," patient advocates say.
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Reposted by Swapnil Hiremath 🍁🇨🇦
ASN Publications @asnpublications.bsky.social · 19h
Discover the Best of ASN Journals 2026 collection, featuring noteworthy research from JASN, CJASN, and Kidney360 highlighted at Kidney Week 2026. Explore articles on cardiovascular-kidney-metabolic health, glomerulonephritis, nutrition in kidney health, and more. asnjournals.org/bestof
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 17h
CGM use associated with maybe a bit lower ACR at 3 years In the era of GDMT this looks so meh @christosargyrop.bsky.social ? jamanetwork.com/journals/jam... in @jamanetworkopen.com
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 18h
Successful Peritoneal Fibrinolysis With Alteplase for Nephrogenic Ascites in a 13-Year-Old Child: A Case Report - Kidney International Case Reports www.kicasereports.org/article/S311... March issue highlights
kicasereports.org
Successful Peritoneal Fibrinolysis With Alteplase for Nephrogenic Ascites in a 13-Year-Old Child: A Case Report
Nephrogenic ascites is a rare complication of end-stage renal disease, with limited treatment options beyond kidney transplantation. Management typically involves intensive hemodialysis and paracentes...
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Reposted by Swapnil Hiremath 🍁🇨🇦
Ryan Town @kidneywiki.bsky.social · 19h
I can't imagine they'll be sold when they have no apparent path to monetization except pharma ads and selling user content to LLMs, but they can't possibly have the userbase for that to be economically feasible I bet they will just burn through their runway and go dark one day
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 21h
See you somewhere else then! (Never joining Roon)
static.klipy.com
Disappointed Disappointed Fan
Alt: Disappointed Disappointed Fan
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 21h
Ugh. A closed platform for American docs only to be sold eventually to a big LLM platform? Et tu Dr Chiu?
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Walter Olson @walterolson.bsky.social · 07/10/2026
"Flock promised to read license plates. It built surveillance that can track dissenters—and the law hasn’t caught up." [Matthew Cavedon and Laura Bondank-Harmon, Cato]
cato.org
The Law Can't Keep Up with Flock's AI Surveillance
Flock promised to read license plates. It built surveillance that can track dissenters—and the law hasn’t caught up.
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Reposted by Swapnil Hiremath 🍁🇨🇦
American Journal of Hypertension @amjhypertension.bsky.social · 07/10/2026
Methodological and Statistical Considerations for Circulating miR-23b-3p in Hypertensive Nephropathy academic.oup.com/ajh/advance-... #correspondence
academic.oup.com
Methodological and Statistical Considerations for Circulating miR-23b-3p in Hypertensive Nephropathy
Serdar Hıra; Methodological and Statistical Considerations for Circulating miR-23b-3p in Hypertensive Nephropathy, American Journal of Hypertension, , hpag
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 07/10/2026
Did You Ever See the Ocean? - Kidney International Case Reports www.kicasereports.org/article/S311... Our first 'Renal Reveries' aka humanities piece is up!
kicasereports.org
Did You Ever See the Ocean?
Three days after you died, I found myself sitting on the beach wondering “did you ever see the ocean?”
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 07/10/2026
Acute Interstitial Nephritis, Acute Tubular Injury, and Drug-Induced Phospholipidosis Associated with Combined KRAS G12C and RAF/MEK Inhibition in Non-Small Cell Lung Cancer - Kidney International Case Reports www.kicasereports.org/article/S311... Highlights from March issue
kicasereports.org
Acute Interstitial Nephritis, Acute Tubular Injury, and Drug-Induced Phospholipidosis Associated with Combined KRAS G12C and RAF/MEK Inhibition in Non-Small Cell Lung Cancer
Targeted therapies directed against oncogenic KRAS mutations have significantly improved outcomes in non-small cell lung cancer (NSCLC), yet the renal safety profile of combined KRAS pathway inhibitio...
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Reposted by Swapnil Hiremath 🍁🇨🇦
Dan Garisto @dangaristo.bsky.social · 06/10/2026
NEW: In March the White House released an FY27 budget request that zeroed out the National Science Foundation's directorate of Social, Behavioral and Economic Sciences (SBE). For months it was unclear what would happen. Now, with FY26 over, the damage to SBE is coming to light. My reporting:
science.org
‘Complete devastation’: How NSF gutted its social sciences research
Agency body that funds sociology, linguistics, and archaeology studies in U.S. gave 90% fewer new grants this year
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Reposted by Swapnil Hiremath 🍁🇨🇦
Schrödinger's Sneetch Belly @rtodkelly.bsky.social · 06/10/2026
It's absolutely bonkers to me that this image led directly to this tweet.
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 07/10/2026
Ultrasonographic Detection and Management of Peritoneal Dialysis Catheter Breakage in Peritoneal Dialysis - Kidney International Case Reports www.kicasereports.org/article/S311... March highlights
kicasereports.org
Ultrasonographic Detection and Management of Peritoneal Dialysis Catheter Breakage in Peritoneal Dialysis
Peritoneal dialysis (PD) catheter function is vital to long-term PD success; however, catheter breakage is rare and may be clinically occult. We report a case of late PD catheter breakage that was not...
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Reposted by Swapnil Hiremath 🍁🇨🇦
Darren Dahly @statsepi.bsky.social · 06/10/2026
They hounded Aaron Swartz to death for downloading papers from jstor but society is now supposed to just accept mass theft because this thing can write that TPS report *for* you. en.wikipedia.org/wiki/Aaron_S...
en.wikipedia.org
Aaron Swartz - Wikipedia
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Reposted by Swapnil Hiremath 🍁🇨🇦
American Journal of Hypertension @amjhypertension.bsky.social · 06/10/2026
#HotOffThePressBeyond Inflammation: The NLRP3 Inflammasome as a Cellular and Mechanical Hub of Vascular Remodeling in Hypertension academic.oup.com/ajh/advance-...
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Reposted by Swapnil Hiremath 🍁🇨🇦
American Journal of Hypertension @amjhypertension.bsky.social · 06/10/2026
Brief Office Sodium Screener: Assessing Sodium Intake from High Sodium Foods in the Outpatient Setting academic.oup.com/ajh/advance-... #HotOffThePress
academic.oup.com
Brief Office Sodium Screener: assessing sodium intake from high-sodium foods in the outpatient setting
AbstractBackground. Excessive dietary sodium intake contributes to approximately 5 million deaths annually, mainly due to its association with hypertension
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 06/10/2026
Co-occurrence of Heterozygous Variants in PKD1 and ALG9 in a Patient With Early-Onset ESKD: A Case Report - Kidney International Case Reports www.kicasereports.org/article/S311... March issue highlights
kicasereports.org
Co-occurrence of Heterozygous Variants in PKD1 and ALG9 in a Patient With Early-Onset ESKD: A Case Report
Autosomal dominant polycystic kidney disease (ADPKD) is a hereditary disorder, predominantly caused by pathogenic variants in the PKD1 and PKD2 genes. Variants in other genes, including ALG9, have eme...
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 05/10/2026
Diffuse Crescentic Fibrillary Glomerulonephritis With a Favorable Outcome - Kidney International Case Reports www.kicasereports.org/article/S311... March issue highlights
kicasereports.org
Diffuse Crescentic Fibrillary Glomerulonephritis With a Favorable Outcome
Fibrillary glomerulonephritis (FGN) is an uncommon form of kidney disease that can occasionally present in a diffuse crescentic variant. This may sometimes mimic antiglomerular basement membrane (anti...
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 05/10/2026
Hmm Concern about a diuretic in a poly pill during a heatwave www.bmj.com/content/395/... Is 12.5 or lower of HCTZ really make things all that worse? @bmj.com letters
bmj.com
Polypills for hypertension: a warning about diuretics in a heatwave
Nolan reports the results of a US study comparing the use of a polypill containing metoprolol succinate with enhanced usual care in people with symptomatic heart failure: the polypill group showed bet...
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Reposted by Swapnil Hiremath 🍁🇨🇦
American Journal of Hypertension @amjhypertension.bsky.social · 05/10/2026
Implementation of Clinical Hypertension Guidelines and Single Pill Combinations: A Qualitative Study in Australian General Practice academic.oup.com/ajh/advance-... #HotOffThePress #OpenAccess
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Reposted by Swapnil Hiremath 🍁🇨🇦
American Journal of Hypertension @amjhypertension.bsky.social · 05/10/2026
The relationship between salt intake and hypertension in adolescents in an area of Northeast China academic.oup.com/ajh/article/... #HotOffThePress
academic.oup.com
The relationship between salt intake and hypertension in adolescents in an area of Northeast China
AbstractBackground. To study the relationship between salt intake and hypertension among adolescents in an area of Northeast China.Method. According to the
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Reposted by Swapnil Hiremath 🍁🇨🇦
American Journal of Hypertension @amjhypertension.bsky.social · 05/10/2026
Be sure to keep the #HypertensionSummerSchool from American Journal of Hypertension in your calendar! Coming again in 2027... stay tuned... www.eventleaf.com/Attendee/Att...
eventleaf.com
Hypertension Summer School Loyola 2027
Page for information and registration (coming later; button inactive until 2027) for AJH Hypertension Summer School
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 05/10/2026
A Rare Coinfection of Leptospira and Hepatitis A Presenting as Immune Complex-Mediated Glomerulonephritis - Kidney International Case Reports www.kicasereports.org/article/S311... More from the March issue
kicasereports.org
A Rare Coinfection of Leptospira and Hepatitis A Presenting as Immune Complex-Mediated Glomerulonephritis
Infection-related glomerulonephritis (IRGN) is typically associated with bacterial infections, although viral and zoonotic pathogens are increasingly recognized. We report a rare case of IRGN in an im...
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 05/10/2026
Infliximab for Drug-Induced Acute Interstitial Nephritis - Kidney International Case Reports www.kicasereports.org/article/S311... More from the March issue @kdjhaveri.bsky.social et al
kicasereports.org
Infliximab for Drug-Induced Acute Interstitial Nephritis
Acute interstitial nephritis (AIN) is a frequent cause of acute kidney injury (AKI) and is commonly drug-induced. Corticosteroids are widely used for treatment; however, outcomes in cases with incompl...
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Reposted by Swapnil Hiremath 🍁🇨🇦
American Journal of Hypertension @amjhypertension.bsky.social · 04/10/2026
Efficacy of hemodynamic profiling-guided antihypertensive therapy in elderly patients with early morning hypertension: a randomized controlled multicenter clinical study academic.oup.com/ajh/article/... #HotOffThePress
academic.oup.com
Efficacy of hemodynamic profiling-guided antihypertensive therapy in elderly patients with early morning hypertension: a randomized controlled multicenter clinical study
AbstractObjective. To evaluate the efficacy of hemodynamic profiling (HDpro)-guided antihypertensive therapy in elderly patients with uncontrolled morning
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Reposted by Swapnil Hiremath 🍁🇨🇦
American Journal of Kidney Diseases @ajkd.bsky.social · 04/10/2026
The October 2026 issue of AJKD is available now! Check out the plain-language summaries on what inspired each study, the basic approach taken, what was learned, and why it matters: bit.ly/46V3wDR
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Reposted by Swapnil Hiremath 🍁🇨🇦
Jenny Lee Shee @jennyleeshee.bsky.social · 04/10/2026
Our education system is being intentionally and systematically underfunded to create a crisis. It's working. Please keep this story in mind when you hear Paul Calandra and Doug Ford talk about their govt's "historic investments in education." Voting has consequences. So does not voting. #OntEd
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 04/10/2026
Citizenship and Immigration Canada playing hardball again? ottawacitizen.com/news/dundas-... Sabrina Bedford in @ottawacitizen.com
ottawacitizen.com
This long-term care home is about to lose most of its frontline staff
Dundas Manor is facing a staffing crisis as work permits for 60 international nurses and personal support workers are set to expire.
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Reposted by Swapnil Hiremath 🍁🇨🇦
Hari Kunzru @harikunzru.bsky.social · 04/10/2026
The arguments are incoherent and bogus but the racist right turning its lens on South Asians for being too successful and visible is a real phenomenon and should be forcefully countered
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Reposted by Swapnil Hiremath 🍁🇨🇦
American Journal of Hypertension @amjhypertension.bsky.social · 04/10/2026
Renal Denervation for Hypertension Management: Past, Current Evidence and Future Directions academic.oup.com/ajh/advance-... #HotOffThePress
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 04/10/2026
Ciltacabtagene Autoleucel in Monoclonal Gammopathy of Renal Significance - Kidney International Case Reports www.kicasereports.org/article/S311... From the March issue
kicasereports.org
Ciltacabtagene Autoleucel in Monoclonal Gammopathy of Renal Significance
A 63-year-old woman with IgG kappa monoclonal gammopathy of undetermined significance presented with progressive proteinuria and kidney dysfunction. Sequential biopsies eventually revealed collapsing ...
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Reposted by Swapnil Hiremath 🍁🇨🇦
@IM_Crit_ @imcrit.bsky.social · 03/10/2026
6️⃣ Suction + dark urine? Think hemolysis. We have to check plasma-free hemoglobin and the rest of the hemolysis markers. But besides staring at the labs, we have to look for malposition, a small underfilled LV, excessive pump speed, or mechanical obstruction. Find the cause of the shear.
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Cristina Popa @nephroseeker.medsky.social · 03/10/2026
Dialysis adequacy MUST move beyond urea kinetics, and some of us have stated this for years. 🫀The dominant threat is cardiovascular stress: volumes, electrolytes, arrhythmia, LV load, inflammation... Kt/V is not enough #Nephsky academic.oup.com/ndt/advance-...
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 04/10/2026
That’s I am waiting for H4RT to be published to be convinced one way or the other for HDF #NephSky
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Bryce Barr @brycebarr.bsky.social · 03/10/2026
1/4 eGFR slope is now a common outcome in #IgAN trials and KDIGO has proposed a treatment target of <1 mL/min/1.73m²/year decline. We asked: could we predict a patient’s future eGFR slope to identify risk of progression earlier? journals.sagepub.com/doi/10.1177/...
journals.sagepub.com
Challenges in Predicting Estimated Glomerular Filtration Rate Slope Among Adult Patients With IgA Nephropathy: A Population-Based Cohort Study - Bryce Barr, Mark Canney, Navdeep Tangri, Lisa M. Lix, 2...
Background Traditional epidemiologic studies and clinical trials in IgA nephropathy (IgAN) have focused on kidney failure or large declines in estimated glomeru...
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