Mastodawn

Spin class rhabdomyolysis

https://www.cbc.ca/news/health/rhabdo-exercise-induced-illness-9.7155169

We have seen a few here as well

Here's why some young Canadian women have landed in hospital after working out | CBC News

One woman was admitted with a life-threatening condition called exercise-induced or exertional rhabdomyolysis, rhabdo for short. The illness can happen after an intense workout and is when muscle tissue breaks down, leaking enzymes and proteins into the bloodstream. In high amounts, the proteins can damage the kidneys and lead to an imbalance of electrolytes, which can cause dehydration and heart issues.

CBC

hswapnil 1d ago

Finally FDA ✔️ Farxiga generics

Time to accelerate #Flozination in the US

https://www.fda.gov/drugs/drug-alerts-and-statements/fda-approves-first-generic-dapagliflozin-tablets

FDA Approves First Generic Dapagliflozin Tablets

FDA approves multiple generics of FARXIGA

U.S. Food and Drug Administration

hswapnil 1d ago

Seems #Kale arose several centuries ago in……Greece

Source: issue 22 of https://worksinprogress.co

hswapnil 5d ago

The 39 country visa freeze snags many doctors

https://www.nytimes.com/2026/04/04/us/trumps-immigration-policy-sidelines-foreign-doctors-amid-shortage.html?unlocked_article_code=1.YVA.bgHK.QcX9RVB5LSPW&smid=nytcore-ios-share

NYT gift link

Show thread

hswapnil 5d ago

@loaddependent the clinical observations is that this is due to low protein diet (eg tea and toast) - low solute + reduced renal diluting ability = hyponatremia

But there’s genetics too https://www.nephjc.com/news/thiazide which hasn’t reported age/sex interactions

Thiazide induced hyponatremia, a detailed phenotypic and genotypic analysis — NephJC

Thiazide induced hyponatremia occurs in about 10% of people. Is there a genetic link? Does that genetic link give clues to the mechanism of thiazide induced hyponatremia? Find out in the next exciting edition of #NephJC

NephJC

hswapnil 5d ago

An interesting neurological diagnoses

NYT Gift link https://www.nytimes.com/2026/04/03/well/shuffle-normal-pressure-hydrocephalus.html?unlocked_article_code=1.YFA.adQm.jDaRK4kLm2rR&smid=nytcore-ios-share

He Suddenly Shuffled When He Walked. Why?

The man’s changed gait was the first sign of a serious problem.

The New York Times

hswapnil 6d ago

Spoke with the HCP Live folks about the WHO lead HEARTS program for BP control, based on the talk at #ISNWCN

see it here https://www.hcplive.com/view/bridging-the-gap-in-hypertension-care-delivery-with-swapnil-hiremath-md-mph

Bridging the Gap in Hypertension Care Delivery, With Swapnil Hiremath, MD, MPH

Hypertension drives millions of preventable deaths, yet control lags globally. The HEARTS framework offers practical, scalable solutions to close this gap.

HCPLive

hswapnil Apr 2

As we suspected

Thiazide induced hyponatremia is more seen in older women

JNO analysis from Sweden https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2847235

hswapnil Apr 2

The #Effluent8 of #NephMadness are live!

https://ajkdblog.org/2026/04/02/nephmadness-2026-the-effluent-eight/

Dogs 🐶win? That seems like a #BlueRibbonFail 😏

The rest seem solid choices IMO!

#NephMadness 2026: The Effluent Eight

It’s time for our first step on the road to naming a Champion, announcing the winners of each of this year’s regions! Is your The mighty Blue Ribbon Panel has conferred, and the picks a…

AJKD Blog

hswapnil Apr 2

Wolfgang Winkelmayer to be the next AJKD editor in chief!

https://www.kidney.org/press-room/wolfgang-c-winkelmayer-md-mph-scd-named-editor-chief-american-journal-kidney-diseases

Wolfgang C. Winkelmayer, MD, MPH, ScD, Named Editor-in-Chief of the American Journal of Kidney Diseases

National Kidney Foundation

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