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hswapnil.medsky.social
Swapnil Hiremath 🍁🇨🇦
@hswapnil.medsky.social
5.6K followers 3.2K following 3.8K 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
https://www.swapnilhiremath.com
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hswapnil.medsky.social
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
hswapnil.medsky.social 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
Reposted by Swapnil Hiremath 🍁🇨🇦
mikejohansenmd.medsky.social
Just imagine a world where i'm not called a provider compared to our current reality.
February 10, 2026 at 12:38 AM
Reposted by Swapnil Hiremath 🍁🇨🇦
mikejohansenmd.medsky.social
This literally doesn't matter at all. Might things be a touch clearer if we had definitions for these words; sure. Literally nothing would change.
February 10, 2026 at 12:35 AM
Reposted by Swapnil Hiremath 🍁🇨🇦
mikejohansenmd.medsky.social
In ranking the problems with medicine in the 🇺🇸; i wouldn't rank this in the top 10k.

www.acpjournals.org/doi/10.7326/...
ACP Journals
www.acpjournals.org
February 10, 2026 at 12:33 AM
Reposted by Swapnil Hiremath 🍁🇨🇦
load-dependent.bsky.social
There are few absolute rules in medicine but «never treat sinus tachycardia, treat the cause» has extremely few exceptions.
#emimcc #cardiosky #medsky
pulmcrit.bsky.social josh farkas 💊 @pulmcrit.bsky.social · 11h
Fresh Blog: Mythbusting the use of beta-blockers for sinus tachycardia in thyroid storm

This is one of the most dangerous & pervasive myths currently in circulation about acute care

B-bl commonly precipitate shock or even arrest in these patients...(#1/2)

blog: emcrit.org/pulmcrit/tst... #EMIMCC
February 9, 2026 at 6:40 PM
Reposted by Swapnil Hiremath 🍁🇨🇦
arkanalabs.bsky.social
In a patient with AKI and hematuria, what is your diagnosis?

#DiagnoseThis #nephsky #pathsky #renal #kidneypath
February 9, 2026 at 2:01 PM
Reposted by Swapnil Hiremath 🍁🇨🇦
jzrenalpath.bsky.social
Somewhat subtle case of light chain cast nephropathy by LM. Mostly fine granular casts. Rare PAS pale + two toned color casts. No cellular reaction. IF with K restricted casts confirmatory. EM demonstrates LC precipitation with uromodulin. #renalpath #nephsky #pathsky
February 9, 2026 at 4:32 PM
Reposted by Swapnil Hiremath 🍁🇨🇦
fionacloud.bsky.social
#KidneyHealth #SuperBowl
February 9, 2026 at 10:15 PM
Reposted by Swapnil Hiremath 🍁🇨🇦
jordybc.bsky.social
The Apple Watch has the potential to capture many undetected cases of hypertension, but with 200 million Apple Watch users worldwide, a HUGE number of people with hypertension will remain unaware… and potentially falsely reassured 🤷‍♀️

4/n
February 9, 2026 at 5:21 PM
Reposted by Swapnil Hiremath 🍁🇨🇦
jordybc.bsky.social
Excited to share our research letter published today in JAMA on the new Apple Watch Hypertension Notification Feature! jamanetwork.com/journals/jam...

1/n
Smartwatch and Hypertension Notification
This cross-sectional study assesses the potential impact of a smartwatch hypertension notification feature for US adults who have not been diagnosed with hypertension.
jamanetwork.com
February 9, 2026 at 5:21 PM
Reposted by Swapnil Hiremath 🍁🇨🇦
nephjc.bsky.social
And in honor of Bad Bunny's win at the Super Bowl 🏆,
here is the INFINITI VA en Espanol #NephSky
www.nephjc.com/news/2026/2/8/infiniti-el-resumen-visual
INFINITI: El Resumen Visual — NephJC
Los iSGLT2 han revolucionado la protección cardiorrenal, pero los trasplantados renales han quedado fuera de la historia. El ensayo INFINITI empieza a cerrar esa brecha. ¿Flozinaran igual los iSGLT2 e...
www.nephjc.com
February 9, 2026 at 12:37 PM
Reposted by Swapnil Hiremath 🍁🇨🇦
nephjc.bsky.social
Here is the VA for the INFINITI study of SGLT2i in transplant patients by @glomerican.bsky.social #NephSky #Flozins #Flozination

www.nephjc.com/news/2026/2/8/infiniti-the-visual-abstract
INFINITI: The Visual Abstract — NephJC
SGLT2i have reshaped cardiorenal care, but kidney transplant recipients have mostly been left out of the story. INFINITI starts to close that gap, testing the safety and physiology of dapagliflozin in...
www.nephjc.com
February 9, 2026 at 12:40 PM
Reposted by Swapnil Hiremath 🍁🇨🇦
rnflex.bsky.social
The market forces will be incredibly dynamic this year. Between generic semaglutide, multiple new drugs are launching in the next year, orforglipron vs oral Wegovy will be a battle as well. Hopefully patients see improved cost and access
February 9, 2026 at 12:27 PM
Reposted by Swapnil Hiremath 🍁🇨🇦
beckyhammer.bsky.social
Disturbingly detailed analysis of my first rewatch incoming
February 9, 2026 at 2:30 AM
Reposted by Swapnil Hiremath 🍁🇨🇦
amjhypertension.bsky.social
Arterial Stiffness and Central Hemodynamics in South Asian, African American, and White Adolescents and Young Adults—The Charisma Study

🔗 academic.oup.com/ajh/article-... 🔒
Arterial Stiffness and Central Hemodynamics in South Asian, African American, and White Adolescents and Young Adults—The Charisma Study
AbstractBACKGROUND. Compared to individuals of European or African ancestry, individuals of South Asian (SA) ancestry have greater cardiovascular disease (
academic.oup.com
February 9, 2026 at 11:01 AM
Reposted by Swapnil Hiremath 🍁🇨🇦
aspneph.bsky.social
A secondary analysis of the TESTING trial predicted individual patient response to corticosteroid treatment in IgA nephropathy
#nephsky
A secondary analysis of the TESTING trial predicted individual patient response to corticosteroid treatment in IgA nephropathy
Corticosteroids are effective for treating IgA nephropathy but have important adverse effects. In this secondary analysis of the TESTING cohort, we generated a model to predicts, for an individual…
buff.ly
February 9, 2026 at 12:00 AM
Reposted by Swapnil Hiremath 🍁🇨🇦
sarahsanghavi.bsky.social
Urine microalbumin getting Super Bowl star treatment with Sofia Vergara and Octavia Spencer.
February 9, 2026 at 1:37 AM
Reposted by Swapnil Hiremath 🍁🇨🇦
drjohnaquino.medsky.social
If you’re in 🇨🇦, have skin in the game for the Super Bowl outcome, and have Hypertension, check your amlodipine brand. globalnews.ca/news/1165789...
High blood pressure drug recalled over low blood pressure pill mix-up - National | Globalnews.ca
Health Canada is recalling two lots of MAR-Amlodipine after some bottles were found to contain midodrine, a medication used to treat low blood pressure.
globalnews.ca
February 9, 2026 at 12:44 AM
Reposted by Swapnil Hiremath 🍁🇨🇦
nephjc.bsky.social
Hey #NephSky
2/10/26 at 9 pm EST we'll discuss
#Flozinating into the Future & Beyond...
SGLT2i in kidney transplant recipients.
What's the latest evidence of risk/benefit?
Do #Flozins act mechanistically the same in de-innervated kidneys?
Come chat.
www.nephjc.com/news/inifinti-flozins-transplant
To INFINITI and Beyond: SGLT2 Inhibitors in Kidney Transplant Patients — NephJC
This week, we aim for an INFINITe allograft lifespan. or flozination in kidney transplant.
www.nephjc.com
February 8, 2026 at 11:25 PM
Reposted by Swapnil Hiremath 🍁🇨🇦
texasobserver.org
From Monday, by @josephinelee.bsky.social: "I regarded Pearland as a bleak place to endure as part of my sacrificial motherhood. So I was surprised to find a temple here where women were both being celebrated and celebrating with so much joy."
A Reporter's Religious Quest in Houston Suburbia
At a Hindu temple hidden in Pearland, I found lessons about community, womanhood, and alienation.
www.texasobserver.org
February 8, 2026 at 10:00 PM
Reposted by Swapnil Hiremath 🍁🇨🇦
amjhypertension.bsky.social
#WeekendReads from the Archives

Trends in Blood Pressure Control among US Adults With Hypertension, 2013–2014 to 2021–2023

🔗 academic.oup.com/ajh/article/... 🔓

#openaccess #free
February 8, 2026 at 5:03 PM
Reposted by Swapnil Hiremath 🍁🇨🇦
imcrit.bsky.social
The United States has the highest incarceration rate in the world: nearly 2 million people locked up in 1,566 state prisons, 98 federal prisons, 3,116 local jails, 1,277 juvenile correctional facilities, 133 immigration detention facilities, 80 Indian country jails etc
February 8, 2026 at 4:37 PM
Reposted by Swapnil Hiremath 🍁🇨🇦
johanneboucher.bsky.social
This man didn’t believe in the Covid epidemic because he didn’t see that many ill people in his ER.

Source? His podcast.

Where he had panels w/ friends who thought similar. He also sold merch.

Don’t trust everything a “doctor” says.
February 8, 2026 at 1:57 PM
Reposted by Swapnil Hiremath 🍁🇨🇦
mikejohansenmd.medsky.social
Haven't read this yet, but my pretest probability this is true border on 100%. Cuts in clinic =/= cuts in clinical time. Visits longer/more complicated/more non-visit EMR work.

**nearly all academic MD/DO's have experienced this

www.healthaffairs.org/doi/abs/10.1...
Changes In Primary Care Physicians’ Electronic Health Record Patterns After They Reduced Clinical Visit Volume | Health Affairs Journal
Primary care physicians face increasing workload pressures. Some are delivering fewer patient visits, potentially in response to these pressures. However, the relationship between reduced visit volume...
www.healthaffairs.org
February 8, 2026 at 12:20 PM
hswapnil.medsky.social
-35 C tonight in Ottawa (-31 F)

getting close to when F = C (-40 C/F)
a cartoon scene of a cabin in the snow with a canadian flag in the foreground
Alt: a cartoon scene of a cabin in the snow with a canadian flag in the foreground
media.tenor.com
February 8, 2026 at 1:44 AM
hswapnil.medsky.social
from @willdouglasheaven.bsky.social on the @moltbook.bsky.social frenzy

(and the Karpathy snippet was a fake)

more: www.technologyreview.com/2026/02/06/1... in @technologyreview.com

#LLMSlop
Perhaps the best way to think of Moltbook is as a new kind of entertainment: a place where people wind up their bots and set them loose. “It’s basically a spectator sport, like fantasy football, but for language models,” says Jason Schloetzer at the Georgetown Psaros Center for Financial Markets and Policy. “You configure your agent and watch it compete for viral moments, and brag when your agent posts something clever or funny.” “People aren’t really believing their agents are conscious,” he adds. “It’s just a new form of competitive or creative play, like how Pokémon trainers don’t think their Pokémon are real but still get invested in battles.” Even if Moltbook is just the internet’s newest playground, there’s still a serious takeaway here. This week showed how many risks people are happy to take for their AI lulz. Many security experts have warned that Moltbook is dangerous: Agents that may have access to their users’ private data, including bank details or passwords, are running amok on a website filled with unvetted content, including potentially malicious instructions for what to do with that data. Ori Bendet, vice president of product management at Checkmarx, a software security firm that specializes in agent-based systems, agrees with others that Moltbook isn’t a step up in machine smarts. “There is no learning, no evolving intent, and no self-directed intelligence here,” he says.
February 8, 2026 at 1:13 AM