Swapnil Hiremath 🍁🇨🇦
@hswapnil.medsky.social
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
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
Pinned
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
bsky.app/profile/did:...
Thanks again to @richardferro.xyz for creating & updating this! It’s a one-stop shop for nephrology needs
#NephSky
Update
Link changed (will not change again)
So if you liked/pinned the old feed, please do it again!
bsky.app/profile/did:...
#NephSky
Link changed (will not change again)
So if you liked/pinned the old feed, please do it again!
bsky.app/profile/did:...
#NephSky
Reposted by Swapnil Hiremath 🍁🇨🇦
Today’s Daily Cartoon, by Brendan Loper. #NewYorkerCartoons
February 9, 2026 at 9:30 PM
Today’s Daily Cartoon, by Brendan Loper. #NewYorkerCartoons
Reposted by Swapnil Hiremath 🍁🇨🇦
Official FL measles count (as of 1/31): 15. Ave Maria U alone is reporting 49. School says "per DOH guidance, campus operations continue, including in-person classes; Masses and confessions; dining services; and noncurricular activities."
Expect more cases.
#IDsky #vaccines #EpiSky #publichealth
Expect more cases.
#IDsky #vaccines #EpiSky #publichealth
Campus Health Update | Ave Maria University
Ave Maria University is working closely with the DOH to support our campus community's health and safety.
www.avemaria.edu
February 10, 2026 at 9:38 PM
Official FL measles count (as of 1/31): 15. Ave Maria U alone is reporting 49. School says "per DOH guidance, campus operations continue, including in-person classes; Masses and confessions; dining services; and noncurricular activities."
Expect more cases.
#IDsky #vaccines #EpiSky #publichealth
Expect more cases.
#IDsky #vaccines #EpiSky #publichealth
Reposted by Swapnil Hiremath 🍁🇨🇦
The differential diagnosis for interstitial hemorrhage includes hemorrhagic necrosis in the setting of renal artery thrombosis, infection (e.g. herpes simplex virus, adenovirus, hantavirus, Rickettsia),...(1/2)
#TeachingPoints #kidneypath #renal #pathology
#TeachingPoints #kidneypath #renal #pathology
February 10, 2026 at 2:02 PM
The differential diagnosis for interstitial hemorrhage includes hemorrhagic necrosis in the setting of renal artery thrombosis, infection (e.g. herpes simplex virus, adenovirus, hantavirus, Rickettsia),...(1/2)
#TeachingPoints #kidneypath #renal #pathology
#TeachingPoints #kidneypath #renal #pathology
Reposted by Swapnil Hiremath 🍁🇨🇦
The biopsy shows linear IgG staining along the GBM, and extensive fibrinogen staining within the Bowman space, consistent with crescent formation. These findings are diagnostic of anti-GBM disease.
#renalpath #kidneypath #pathology #renal
#renalpath #kidneypath #pathology #renal
February 10, 2026 at 3:07 PM
The biopsy shows linear IgG staining along the GBM, and extensive fibrinogen staining within the Bowman space, consistent with crescent formation. These findings are diagnostic of anti-GBM disease.
#renalpath #kidneypath #pathology #renal
#renalpath #kidneypath #pathology #renal
Reposted by Swapnil Hiremath 🍁🇨🇦
Another case of prioritizing a man’s potential over the safety of women: doctor doesn’t lose license bc he supposedly only raped one woman and he had glowing reviews from colleagues
Blackpool doctor not struck off by panel over 'one-off' rape - BBC News
Dr Aloaye Foy-Yamah has his medical licence suspended for 12 months over the attack.
www.bbc.com
February 10, 2026 at 4:14 AM
Another case of prioritizing a man’s potential over the safety of women: doctor doesn’t lose license bc he supposedly only raped one woman and he had glowing reviews from colleagues
Reposted by Swapnil Hiremath 🍁🇨🇦
are you using a DEFCON-based strategy to manage bowel motility in hospitalized patients?
having a clear, evidence-based treatment strategy improves efficacy & saves time
you don't need to redesign the wheel for every patient
& helpful to avert thermonuclear war
emcrit.org/ibcc/constip... #EMIMCC
having a clear, evidence-based treatment strategy improves efficacy & saves time
you don't need to redesign the wheel for every patient
& helpful to avert thermonuclear war
emcrit.org/ibcc/constip... #EMIMCC
February 10, 2026 at 2:32 PM
are you using a DEFCON-based strategy to manage bowel motility in hospitalized patients?
having a clear, evidence-based treatment strategy improves efficacy & saves time
you don't need to redesign the wheel for every patient
& helpful to avert thermonuclear war
emcrit.org/ibcc/constip... #EMIMCC
having a clear, evidence-based treatment strategy improves efficacy & saves time
you don't need to redesign the wheel for every patient
& helpful to avert thermonuclear war
emcrit.org/ibcc/constip... #EMIMCC
Reposted by Swapnil Hiremath 🍁🇨🇦
The Effect of SGLT2 Inhibitors aka #Flozins on Blood Pressure in Relation to Baseline Kidney Function: A Systematic Literature Review and Data Analysis
🔗 academic.oup.com/ajh/article-... 🔒
🔗 academic.oup.com/ajh/article-... 🔒
The Effect of SGLT2 Inhibitors on Blood Pressure in Relation to Baseline Kidney Function: A Systematic Literature Review and Data Analysis
AbstractBACKGROUND. Sodium-glucose cotransporter 2 inhibitors (SGLT2i) reduce both systolic blood pressure (SBP) and diastolic blood pressure (DBP). The gl
academic.oup.com
February 10, 2026 at 12:01 PM
The Effect of SGLT2 Inhibitors aka #Flozins on Blood Pressure in Relation to Baseline Kidney Function: A Systematic Literature Review and Data Analysis
🔗 academic.oup.com/ajh/article-... 🔒
🔗 academic.oup.com/ajh/article-... 🔒
the urinary microbiome in calcium oxalate stones?
www.medscape.com/s/viewarticl... @medscape.com covers a PNAS story with comments from @weddellite.bsky.social
#nephsky
www.medscape.com/s/viewarticl... @medscape.com covers a PNAS story with comments from @weddellite.bsky.social
#nephsky
Hidden Bacteria Found in Common Kidney Stones
Researchers identify live bacteria within calcium kidney stones, raising new questions about stone formation and suggesting new targets for prevention and treatment.
www.medscape.com
February 10, 2026 at 11:26 AM
the urinary microbiome in calcium oxalate stones?
www.medscape.com/s/viewarticl... @medscape.com covers a PNAS story with comments from @weddellite.bsky.social
#nephsky
www.medscape.com/s/viewarticl... @medscape.com covers a PNAS story with comments from @weddellite.bsky.social
#nephsky
seems the unfortunate death of the Canadian man in ICE custody was from AKI - oxalate nephropathy
www.theglobeandmail.com/canada/artic... in the @theglobeandmail.com
www.theglobeandmail.com/canada/artic... in the @theglobeandmail.com
Autopsy of Canadian in ICE custody indicates his death was preventable, experts say
Johnny Noviello’s kidney failure would have prompted symptoms of illness in the hours or days before his death
www.theglobeandmail.com
February 10, 2026 at 10:46 AM
seems the unfortunate death of the Canadian man in ICE custody was from AKI - oxalate nephropathy
www.theglobeandmail.com/canada/artic... in the @theglobeandmail.com
www.theglobeandmail.com/canada/artic... in the @theglobeandmail.com
Reposted by Swapnil Hiremath 🍁🇨🇦
Republicans getting destroyed by a bunny at halftime
February 9, 2026 at 8:57 AM
Republicans getting destroyed by a bunny at halftime
Reposted by Swapnil Hiremath 🍁🇨🇦
The govt announced four new private orthopedic surgery facilities as part of a $125m scheme over two years to increase for-profit involvement. This is the largest single injection of public $ into for-profit health care in Ont—& likely Cdn—history.
www.policyalternatives.ca/news-researc...
www.policyalternatives.ca/news-researc...
In Ontario, it’s a time of plenty for private health care while public hospitals starve - CCPA
Ontario public hospitals face large deficits even as the provincial government doles out more cash to for-profit providers.
www.policyalternatives.ca
February 10, 2026 at 1:54 AM
The govt announced four new private orthopedic surgery facilities as part of a $125m scheme over two years to increase for-profit involvement. This is the largest single injection of public $ into for-profit health care in Ont—& likely Cdn—history.
www.policyalternatives.ca/news-researc...
www.policyalternatives.ca/news-researc...
Reposted by Swapnil Hiremath 🍁🇨🇦
Take away Spanish and there's no San Francisco or Los Angeles or Sacramento, no San Diego or Santa Rosa or Sierra nevada and actually there's no California, because that's a Spanish word...
February 10, 2026 at 1:44 AM
Take away Spanish and there's no San Francisco or Los Angeles or Sacramento, no San Diego or Santa Rosa or Sierra nevada and actually there's no California, because that's a Spanish word...
Reposted by Swapnil Hiremath 🍁🇨🇦
Reposted by Swapnil Hiremath 🍁🇨🇦
Just imagine a world where i'm not called a provider compared to our current reality.
February 10, 2026 at 12:38 AM
Just imagine a world where i'm not called a provider compared to our current reality.
Reposted by Swapnil Hiremath 🍁🇨🇦
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
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.
Reposted by Swapnil Hiremath 🍁🇨🇦
In ranking the problems with medicine in the 🇺🇸; i wouldn't rank this in the top 10k.
www.acpjournals.org/doi/10.7326/...
www.acpjournals.org/doi/10.7326/...
ACP Journals
www.acpjournals.org
February 10, 2026 at 12:33 AM
In ranking the problems with medicine in the 🇺🇸; i wouldn't rank this in the top 10k.
www.acpjournals.org/doi/10.7326/...
www.acpjournals.org/doi/10.7326/...
Reposted by Swapnil Hiremath 🍁🇨🇦
There are few absolute rules in medicine but «never treat sinus tachycardia, treat the cause» has extremely few exceptions.
#emimcc #cardiosky #medsky
#emimcc #cardiosky #medsky
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
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
There are few absolute rules in medicine but «never treat sinus tachycardia, treat the cause» has extremely few exceptions.
#emimcc #cardiosky #medsky
#emimcc #cardiosky #medsky
Reposted by Swapnil Hiremath 🍁🇨🇦
In a patient with AKI and hematuria, what is your diagnosis?
#DiagnoseThis #nephsky #pathsky #renal #kidneypath
#DiagnoseThis #nephsky #pathsky #renal #kidneypath
February 9, 2026 at 2:01 PM
In a patient with AKI and hematuria, what is your diagnosis?
#DiagnoseThis #nephsky #pathsky #renal #kidneypath
#DiagnoseThis #nephsky #pathsky #renal #kidneypath
Reposted by Swapnil Hiremath 🍁🇨🇦
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
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
Reposted by Swapnil Hiremath 🍁🇨🇦
Reposted by Swapnil Hiremath 🍁🇨🇦
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
4/n
February 9, 2026 at 5:21 PM
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
4/n
Reposted by Swapnil Hiremath 🍁🇨🇦
Excited to share our research letter published today in JAMA on the new Apple Watch Hypertension Notification Feature! jamanetwork.com/journals/jam...
1/n
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
Excited to share our research letter published today in JAMA on the new Apple Watch Hypertension Notification Feature! jamanetwork.com/journals/jam...
1/n
1/n
Reposted by Swapnil Hiremath 🍁🇨🇦
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
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
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
here is the INFINITI VA en Espanol #NephSky
www.nephjc.com/news/2026/2/8/infiniti-el-resumen-visual
Reposted by Swapnil Hiremath 🍁🇨🇦
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
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
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
www.nephjc.com/news/2026/2/8/infiniti-the-visual-abstract