@hswapnil

672 Followers
46 Following
33 Posts
MD, MPH, Assoc. Prof Univ of Ottawa, Nephrologist 
:renal:
#NephJC co-founder
NSMC internship Faculty 
Freely Filtered 🎙️panelist
Swapnil ‘Hee-Ray-mutth’
He/Him/His
Unceded territory of the Anishinaabe Algonquin Nation
Personal Pagehttps://www.swapnilhiremath.com/
Google Scholarhttps://scholar.google.ca/citations?user=wiHTA24AAAAJ&hl=en
Pubmedhttps://www.ncbi.nlm.nih.gov/myncbi/swapnil.hiremath.1/bibliography/public/?sortby=pubDate&sdirection=descending

The transactional US government: HIV medications, biological specimens, and mineral rights in Zambia

https://www.nytimes.com/2026/03/16/health/zambia-hiv-aid-minerals-trump.html?unlocked_article_code=1.T1A.lCAy.Y3bnxyhgoR95&smid=nytcore-ios-share (gift link) Stephanie Nolen in the NYT

No H.I.V. Aid Without More Access to Minerals: U.S. Ponders ‘Sticks’ Against Zambia

A draft State Department memo outlines ways the Trump administration may ratchet up pressure on the African country by ending health support “on a massive scale.”

The New York Times

Orwellian betting markets

https://www.timesofisrael.com/gamblers-trying-to-win-a-bet-on-polymarket-are-vowing-to-kill-me-if-i-dont-rewrite-an-iran-missile-story/

Since their prediction came wrong, these chaps try to alter reality by changing what’s reported

What is the actual risk of vasculitis with hydralazine aka #HydrANCAzine?

Ottawa colleagues say ~ 20% higher risk vs RASi but overall very low absolute risk

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2846501 in JNO

FIND CKD meets primary outcome (GFR slope) in n ~ 1500 with proteinuric non-diabetic CKD

Bayer press release:
https://www.bayer.com/media/en-us/finerenone-meets-primary-endpoint-in-pivotal-phase-iii-find-ckd-study-in-patients-with-non-diabetic-chronic-kidney-disease/

BL data + design paper https://pubmed.ncbi.nlm.nih.gov/38858818/ in NDT

H/T Brendon Neuen on LinkedIn (!)

From a large (almost 150,000) Fresenius cohort

Association of dialysis time with survival

3 hours worse than longer

https://www.kireports.org/article/S2468-0249(26)02715-4/fulltext?rss=yes in KI Reports

(Yes RCTs have failed to show benefit with longer)

The Armanni-Ebstein (not Epstein😅) lesion in a nondiabetic patient

The glycosuria from flozination can cause these, very interesting phenomenon

https://www.kidney-international.org/article/S0085-2538(26)00058-X/fulltext in Kidney International

#RenalPath

Is Semaglutide cost effective?

https://jamanetwork.com/journals/jamacardiology/fullarticle/2844580?guestAccessKey=00f32ab2-67eb-4daf-8ab2-6f0454a3b4a2&utm_medium=email&utm_source=postup_jn&utm_campaign=article_alert-jamacardiology&utm_content=etoc-tfl_&utm_term=031226 in JAMA Cardiology

Good: I like this push to make them cheaper
Bad: all the assumptions in this model. SELECT is not the only RCT & VC outcomes are all that matter!

Cost-Effectiveness of Semaglutide for Secondary Prevention of Cardiovascular Disease in US Adults

This study evaluates the cost-effectiveness of semaglutide for secondary prevention of cardiovascular disease and potential effect on US health care spending.

Yet another ddAVP trial for kidney biopsies with neutral results

https://academic.oup.com/ckj/advance-article/doi/10.1093/ckj/sfag083/8516492

In Clinical Kidney Journal

Previous #NephJC discussion: https://www.nephjc.com/news/ddavp

Genuinely important and widespread problem

https://www.insidehighered.com/news/faculty-issues/books-publishing/2026/03/06/journal-submissions-riddled-ai-created-fake

AI/LLM generated hallucinated citations which look very real (real journals, real authors, topics they do research in) rapidly infecting journals broadly

Journal Submissions Riddled With AI-Created Fake Citations

References used to be one of the last things journal editors checked before publishing a paper. Artificial intelligence is changing that.

Inside Higher Ed | Higher Education News, Events and Jobs

Green urine

Familiar agent, unfamiliar product (Uribel!)

https://www.kidney-international.org/article/S0085-2538(25)01038-5/abstract?rss=yes

Kidney International