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hswapnil.medsky.social
Nephrologist = kidney doctor MD, MPH University of Ottawa/Ottawa Hospital 🇨🇦 Unceded territory of the Anishinaaben Algonquin nation He/Him/His No PhRMA conflict #NephJC co-creator, @FreelyFiltered.bsky.social pod panelist #MedSky #NephSky #SkyNeph
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What's the bottom limit of EGFR starting SGLT2? @hswapnil.medsky.social @kidneyboy.bsky.social @christosargyrop.bsky.social

A woman on VACATION from Chili was kidnapped by ICE and they left her 12 yo daughter on the streets of NYC for 8 hours until her mom was released. The party that cares about kids...sure. thetonymichaels.substack.com/p/ice-and-ny...

EGREGIOUS Alberta’s tax dollars are being shovelled into the private system …even as it -Starves the public system of much needed funding -Increases public wait times -Duplicates costs, paying for expensive private surgical suites as public ones sit idle Please share

In case you missed it on the #AJKDBlog, Interviews Editor Timothy Yau sat down with Dr. Anuja Java to dive into the benefits of clinical genetic testing in the nephrology patient population. bit.ly/IntJava24 (FREE)

#WeekendReads from the Advance article section Blood Pressure Outcomes Following a Home Blood Pressure Monitoring Program in a Large Integrated us Health System academic.oup.com/ajh/advance-...

Nomenclature alert 📢 “Disease-modifying anti-nephropathic drugs (DMANDs)” #ERA25 🇦🇹 #Nephpearls #IgAN #NephSky 📌 This is an important topic of discussion particularly due to the advent of novel therapeutic agents in the treatment of various kidney diseases 👉🏼 pubmed.ncbi.nlm.nih.gov/39924173/

#PLEX in #ANCA is perhaps less necessary due to improved efficacy of our treatments - So, personalise your approach, discuss severe DAH + RPGN cases in your MDT, ensure safe practice! Thanks to #ERA25 for letting me debate our dilemma whether to PLEX or not 👍

It’s not more screening, see @drtomfrieden.bsky.social We need better #hypertension treatment - implementation? Cites South Korea, K-P, Veterans Affairs as having done this well www.medpagetoday.com/opinion/seco...

Eosinophil rich cellular rejection is often associated with vascular rejection. One of the most eosinophilic txp biopsies I've seen. ACR III (v3 lesion). Undetectable CNI level at admission. #renalpath #nephsky #pathsky

Patient with constipation Me: Are they giving you anything? Pt: Yeah, I'm on a stool softener and the another one that sounds like a streaming service Me: Miralax? Pt: Yup, that's the one.

#WeekendReads Rates of Undiagnosed Hypertension and Diagnosed Hypertension Without Anti-hypertensive Medication Following the Affordable Care Act 🔗 academic.oup.com/ajh/article/... 🔓 TL;DR: Post-ACA coverage hastened diagnosis and treatment of Hypertension

Huge Danish trial of nudges Patient level (N 22,000) + practice level (1500 practice cluster with N 28,000 pts) To increase RASination & Flozination www.ahajournals.org/doi/abs/10.1... in @ahajournals.bsky.social at #ERA25 Absolutely null effect - is the baseline too high to improve upon?

As Nephrin and anti-Nephrin goes mainstream, a call to standardize assays www.kidney-international.org/article/S008... in @kidneyint.bsky.social (who need to up their visual abstract game) #NephSky

How will the #CONFIDENCE trial shape practice in #CKD + #T2D? I spoke with PI, Rajiv Agarwal, after his #ERA25 late-breaker on why a sequential approach may be doing our patients a disservice Full episode: hcplive.com/view/kidney-... #KidneyCompass #SGLT2i #finerenone

We 'know' this but it's a staggering reminder of how practice changing SGLT2i can be. 26 years of delaying the onset of kidney failure! We have to do better NZ and stop restricting the eligibility for these drugs #era25

Happy to share this slide presented by #ERA President Roser Torra at #ERA25 with the team of German minister of health Nina Warken @bmg-bund.bsky.social. I am looking forward to the support of the @bmg-bund.bsky.social for World Kidney Day March 9th 2026. We need a „Gesunde-Niere-Gesetz“.

I think it’s time that regulator require companies to make open up software rather than retire it which makes technology useless junk

The Australians with a clear recommendation to use balanced solutions (they don’t specify Plasmalyte) in kidney transplant www.kireports.org/article/S246... in @kireports.bsky.social #NephSky #Transplant #EMIMCC

Part 2 published! Last week was glucagon antagonists, this week, glucagon agonists. They're coming in 2026 and they're about to make Ozempic obsolete. Read on and find out why glucagon, once shunned by medicine is about to have its moment in the spotlight

Almost (more than) 2 decades of running the hospital like his personal empire ottawacitizen.com/news/supervi... From @egpayne.bsky.social #OnPoli

Pretty egregious error from this book: The authors say Swedish deaths fell by 2.3% during the pandemic, proving that the country's lax lockdown strategy worked. But they misread their source: Mortality is only down if you remove the COVID deaths. research.abo.fi/ws/portalfil...

CONFIDENCE: Finerenone with Empagliflozin in CKD and T2D from @nejm.org #ERA25 🇦🇹 #Nephpearls #NephSky 📌 Among persons with both CKD and T2D, initial therapy with finerenone plus empagliflozin led to a greater reduction in the UACR than either treatment alone 👉 pubmed.ncbi.nlm.nih.gov/40470996/

We have an official ruling

Related commentary from @jbrianbyrd.bsky.social and colleagues academic.oup.com/ajh/article/... Is Hypertension too important to be left for physicians?

Another great talk about Green Nephrology - finally somebody mentions Hemingway: “Do not send somebody to find out for whom the bell tolls: it tolls for thee” (originally by John Donne) #ERA25

Kentucky OPO horror stories www.nytimes.com/2025/06/06/u... DCD instances that clearly should not have proceeded #NephSky #OrganDonation h/t @picardonhealth.bsky.social

Survival advantages of deceased-donor kidney transplantation don't apply to all patients and donor organs, findings presented at #ERA25 suggested. #nephrology #nephsky #kidneytransplant #transplantation www.docwirenews.com/post/limited...

Great #ACHIEVE ment by @lastwalsh.bsky.social and colleagues presented at the #ERA25. An important study that will hopefully be published accordingly.