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Swapnil Hiremath 🍁🇨🇦

@hswapnil.medsky.social

5.4K followers 3.1K following 3.2K posts

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

www.swapnilhiremath.com

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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · Sep 9

Update

Link changed (will not change again)

So if you liked/pinned the old feed, please do it again!

bsky.app/profile/did:...

#NephSky

Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · Sep 5

If you are a nephrology or kidney disease or renal professional or interested in the field - make sure you have liked/followed/pinned the nephrology feed

bsky.app/profile/did:...

Thanks again to @richardferro.xyz for creating & updating this! It’s a one-stop shop for nephrology needs

#NephSky

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Reposted by Swapnil Hiremath 🍁🇨🇦

David S. Goldfarb MD @weddellite.bsky.social · 12h

Megan Prochaska introduces the Fredric L Coe Symposium in war-ravaged Chicago

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Reposted by Swapnil Hiremath 🍁🇨🇦

Brian Rifkin @brianrifkin.bsky.social · 14h

#NephSky all are welcome!

Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 15h

The 2025 #NephJC at #KidneyWk details

www.nephjc.com/news/2025/10...

Thanks to @jadav.bsky.social!

The 2025 NephJC Night, in Houston — NephJC

SAVE THE DATE! On FRIDAY night, NOVEMBER 7th, NephJC will be hosting another of its legendary NephJC Nights during ASN Kidney Week

www.nephjc.com

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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 15h

Interesting review on the successes of the NIDDK in CJASN @asnpublications.bsky.social

journals.lww.com/cjasn/fullte... from @conniemrhee.bsky.social Michael Allon @rajmehrotra.bsky.social

Just as NIDDK will be collapsed into the NIBS

www.aabb.org/news-resourc...

A congressional justification letter released last week by National Institutes of Health (NIH) Director Jay Bhattacharya, MD, PhD, offers the most detailed insight to date into how the Trump administration’s proposed $18.1 billion reduction in NIH funding could affect the agency’s structure and operations in fiscal year (FY) 2026.

The justification letter advances the administration’s plan to eliminate or consolidate the agency’s 27 institutes and centers into eight. This would include reorganizing the National Heart, Lung, and Blood Institute; the National Institute of Arthritis and Musculoskeletal and Skin Diseases; and the National Institute of Diabetes and Digestive and Kidney Diseases into a new National Institute on Body Systems (NIBS). The new NIBS would see a 39.3% decrease in funding compared with FY 2025. NIH released individual budget justifications for NIBS and the other institutes.

Bhattacharya also outlined a planned $11.6 billion reduction (43.4%) in funding for research project grants in FY 2026, including a $1.95 billion reduction in funding for research project grants for NIBS. According to NIH, this would result in 8,148 fewer new grants awarded compared with FY 2025. The plan also includes a $359.3 million cut (35.4%) to researcher training programs, which would reduce the number of full-time trainee positions by an estimated 6,669 in FY 2026.

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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 15h

The 2025 #NephJC at #KidneyWk details

www.nephjc.com/news/2025/10...

Thanks to @jadav.bsky.social!

The 2025 NephJC Night, in Houston — NephJC

SAVE THE DATE! On FRIDAY night, NOVEMBER 7th, NephJC will be hosting another of its legendary NephJC Nights during ASN Kidney Week

www.nephjc.com

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Reposted by Swapnil Hiremath 🍁🇨🇦

Municipal Fox @amunicipalfox.bsky.social · 1d

This frog is your FRIEND
He fights for FREEDOM

Person in a frog costume faces down ICE agents

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Reposted by Swapnil Hiremath 🍁🇨🇦

Mike Johansen @mikejohansenmd.medsky.social · 18h

lol; was reading @fperrywilson.bsky.social's column. Without clicking, I said; I wonder what Gil Welch wrote this time. Hopefully, he didn't steal his ideas from a younger researcher, again.

www.medscape.com/viewarticle/...

Is the Rise in Cancer in Young People...Fake?

A study looking at the eight fastest-rising cancers in young adults concludes that the real problem is overdiagnosis. But not everyone agrees.

www.medscape.com

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Reposted by Swapnil Hiremath 🍁🇨🇦

Kristof Decoster @kristofdecoster.bsky.social · 22h

Pharma’s shift away from infectious disease research could spell disaster for the world’s poorest people www.statnews.com/2025/10/09/p... via @statnews.com

Pharma’s shift away from infectious disease research could spell disaster for the world’s poorest people

The number of “innovation champions” in the pharma industry working on infectious diseases is dropping — and that’s troubling, writes R&D director for Drugs for Neglected Diseases initiative.

www.statnews.com

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Reposted by Swapnil Hiremath 🍁🇨🇦

American Journal of Hypertension @amjhypertension.bsky.social · 22h

#ThrowbackThursday

Two-Day ABPM-Derived Indices and Mortality in Hemodialysis Patients

academic.oup.com/ajh/article/...

Two-Day ABPM-Derived Indices and Mortality in Hemodialysis Patients

AbstractBACKGROUND. Blood pressure (BP) and arterial stiffness are known cardiovascular risk factors in hemodialysis (HD) patients. This study examines the

academic.oup.com

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Reposted by Swapnil Hiremath 🍁🇨🇦

ASN Publications @asnpublications.bsky.social · 1d

The October/November double issue of Kidney News is now online! Topics covered include:
- the must-attend sessions at Kidney Week 2025
- a spotlight on this year's award recipients
- a new case for Detective Nephron

Explore the issue: kidney.pub/KN1710-01 #ASNKidneyNews @kdjhaveri.bsky.social

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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 1d

happening tomorrow!

@dialysisbloke.bsky.social will be musing on vascular access for #NephGR at @uottawa.ca and @ottawahospital.on.ca

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Reposted by Swapnil Hiremath 🍁🇨🇦

Walter Olson @walterolson.bsky.social · 1d

My new @thedispatchmedia.bsky.social piece tells how DHS continues to deny that citizens have a right to videorecord its agents and raids even in the face of overwhelming court precedent that the First Amendment protects their right to do so. Nor is it just a matter of positions taken in court. /5

DHS Says Videotaping ICE Agents Is Illegal. Federal Courts Disagree.

Filming law enforcement serves important goals central to a free republic.

thedispatch.com

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Reposted by Swapnil Hiremath 🍁🇨🇦

Don Moynihan @donmoyn.bsky.social · 1d

The elimination of USAID is a moral atrocity and all involved made a choice to enable, and then lie about, ending the lives of some of the most vulnerable people in the world.

MAE SOT, Thailand (AP) - Mohammed Taher clutched the lifeless body of his 2-year-old son and wept. Ever since his family's food rations stopped arriving at their internment camp in Myanmar in April, the father had watched helplessly as his once-vibrant baby boy weakened, suffering from diarrhea and begging for food.
On May 21, exactly two weeks after Taher's little boy died, U.S. Secretary of State Marco Rubio sat before Congress and declared: "No one has died" because of his government's decision to gut its foreign aid program. Rubio also insisted: "No children are dying on my watch."
That, Taher says, "is a lie."

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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 1d

Links

- www.indiatoday.in/magazine/liv...

- en.m.wikipedia.org/wiki/1985_Au...

- en.m.wikipedia.org/wiki/Elixir_...

- montrealgazette.com/opinion/colu...

Investigation exposes corruption in drug control in Bombay

An investigation exposes corruption in drug control in Bombay.

www.indiatoday.in

Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 1d

Bunch of Indian scandals - by peeps using DEG instead of glycerin

- the JJ Hospital scandal of 1986 which killed ~ 14 people
- several cough syrup scandals mostly killing children sadly enough, with Indian company drugs killing kids in Africa and Indonesia

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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 1d

The Austrian Wine scandal or Glykolwein-Skandal of 1985

DEG added to make wine sweeter and ‘full bodied’ - luckily detected with no deaths

38 million bottles had to be disposed of- pouring in sewage killed fish, so it was used as a coolant and antifreeze

Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 1d

InFamous DEG toxicity episodes:

Sulfanilamide elixir containing DEG with raspberry flavour in 1937 lead to
- More than 107 deaths
- suicide by the chemist involved
- slap on the wrist fine to the drug company
- Federal Food, Drug and Cosmetic act giving FDA teeth to examine safety

Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 1d

Diethylene glycol has a chequered history

It is sweet, and a great solvent so attractive to use in making syrups and liquids …and wine.

Only drawback is: it can cause renal failure, neurotoxicity and death (fatal dose ~ 1 ml/kg) from metabolism to hydroxyethoxyacetic acid acid (by ADH)

Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 1d

Another diethylene glycol causing (so far 20) children’s deaths in India

www.ndtv.com/india-news/c...

Note these kind of (masala) cocktails are pretty useless - and should not be used by anyone

#MedSky #PharmSky

A picture of coldrif cough syrup containing acetaminophen, phenylephrine and dipheniramine

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Reposted by Swapnil Hiremath 🍁🇨🇦

Drmaypole @drmaypole.bsky.social · 1d

The doorknob moment files: how not to end the doctor visit.

#medsky #graphicmedicine

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Reposted by Swapnil Hiremath 🍁🇨🇦

Lloyd Alter @lloydalter.bsky.social · 1d

I saw my first Mercedes Econic garbage truck in Newcastle the other day and was so excited! This is the kind of vehicle we should be demanding in Canada to stop the killing of pedestrians and cyclists. Canada has hewed to the USA safety standards, but now is the time to go our own way.

Canada should make side guards on trucks mandatory; the usual excuse no longer works

Now that we are plotting an independent course from the USA, it’s time to develop our own safety strategies and standards.

lloydalter.substack.com

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Reposted by Swapnil Hiremath 🍁🇨🇦

Adam HORRORster 🎃 @kidneynerd.bsky.social · 2d

Really interesting study. I would be curious to know what the average travel distance is for in centre hemodialysis given the 36% estimated contribution from travel to the overall carbon footprint

www.ajkd.org/article/S027...

Carbon Emissions From Different Dialysis Modalities: A Life Cycle Assessment

As the health impacts of climate change intensify, the health care sector faces growing pressure to minimize its carbon footprint. Achieving this goal requires understanding of the carbon impact of wi...

www.ajkd.org

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Reposted by Swapnil Hiremath 🍁🇨🇦

Christos Argyropoulos MD, PhD, FASN 🇺🇸 0kale/acc @christosargyrop.bsky.social · 2d

The screenshots are so cool (discussed mortality up to the end of 2023)

Interview in late 2025 discusses excess deaths (estimated as 2% by the interviewee and attributed to long covid) and drops in mortality due to glp1ra estimated to be ~6% by 2030.

insurancenewsnet.com/innarticle/s...

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Reposted by Swapnil Hiremath 🍁🇨🇦

Christos Argyropoulos MD, PhD, FASN 🇺🇸 0kale/acc @christosargyrop.bsky.social · 2d

Nice write-up. Comment: Dula is mostly used as a 4.5 mg drug as opposed to a 1.5mg drug. Having said that, one may guestimate the effect of the 4.5 mg based on AWARD-11 . Which is why I think insurances will likely implement step-up therapies for this indication.
@hswapnil.medsky.social

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Reposted by Swapnil Hiremath 🍁🇨🇦

Christos Argyropoulos MD, PhD, FASN 🇺🇸 0kale/acc @christosargyrop.bsky.social · 2d

Eplerenone for those who don't want to grow boobs.

About to start someone on eple+aprocitentan too

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Reposted by Swapnil Hiremath 🍁🇨🇦

Rolando Claure @runningkidneys.bsky.social · 4d

🌿 Herbal medicine: tradition… but also risk.
Some plants are nephrotoxic and can injure the kidneys.

📖 In Tropical Nephrology 2025, we review mechanisms of kidney injury linked to medicinal plants.

🔗 link.springer.com/chapter/10.1...

#Nephrology #TropicalMedicine #KidneyHealth

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