#nephmadness

Swapnil Hiremath ๐Ÿ๐Ÿ‡จ๐Ÿ‡ฆhswapnil.medsky.social@bsky.brid.gy
2025-05-25
Swapnil Hiremath ๐Ÿ๐Ÿ‡จ๐Ÿ‡ฆhswapnil.medsky.social@bsky.brid.gy
2025-05-25
Swapnil Hiremath ๐Ÿ๐Ÿ‡จ๐Ÿ‡ฆhswapnil.medsky.social@bsky.brid.gy
2025-05-06

Just checking back - even in #NephMadness 2019 we went straight from screening to localization - we didnโ€™t waste time on confirmatory testing - you donโ€™t waste time either! ajkdblog.org/2019/03/15/n...

#NephMadness 2019: Hypertensio...

Swapnil Hiremath ๐Ÿ๐Ÿ‡จ๐Ÿ‡ฆhswapnil.medsky.social@bsky.brid.gy
2025-04-16

Finally, I win a #NephMadness prize ๐Ÿ† This goes right in the CV!

RE: https://bsky.app/profile/did:plc:azu5ql6kakdkygmlxlogafkj/post/3lmwnps72ls2q

EMCrit Blog & Podcastemcrit@med-mastodon.com
2024-03-08

EMCrit 370 - Extracorporeal Therapies for Poisoning #ExTRIP #NephMadness
A panel of brilliant nephrologists discuss RRT for the Poisoned Patient.
Modality choice, how to consult, access, hemodynamic stability and so much more!
[#FOAMed]

emcrit.org/emcrit/rrt-toxicolo

Swapnil Hiremath :renal: MDhswapnil@med-mastodon.com
2023-04-18

Excellent thread from Peter Reese on GFR, race, and the recent change in #kidney #transplant listing rules with UNOS

threadreaderapp.com/thread/164

It was really bad before. It still doesnโ€™t fix the big problem - seems like band aid to me - and also why journey to transplant should have won in the #NephMadness first round ๐Ÿคท๐Ÿฝโ€โ™‚๏ธ#BlueRibbonMassiveFail

Swapnil Hiremath :renal: MDhswapnil@med-mastodon.com
2023-04-06

@Bneuen @Kidney_boy @ChristosArgyrop so you donโ€™t think highly of Sean Barbourโ€™s point that reducing proteinuria with RASi + Flozin = you might miss some patients who may benefit with steroids?

#NephMadness

Swapnil Hiremath :renal: MDhswapnil@med-mastodon.com
2023-04-05

Devices with an early demise as predicted!

Organ pool will match up supportive care as the other finalist....and I suspect will win as it a more uplifting story?

#NephMadness

Swapnil Hiremath :renal: MDhswapnil@med-mastodon.com
2023-04-05

This was was predictable.
Supportive care will be a finalist unless the #BlueRibbonFail is completely rockers

#NephMadness

Swapnil Hiremath :renal: MDhswapnil@med-mastodon.com
2023-04-05

and this is even more hilarious. Finerenone is a solid story, despite @Nephro_Sparks rants. AKI in immune checkpoint inhibitors is cool but we have known that for a few years now...but enough to beat MRAs?

#NephMadness #BlueRibbonFail

Swapnil Hiremath :renal: MDhswapnil@med-mastodon.com
2023-04-05

Look at this. Secondary TMA was a bizarre choice in first round....IgA has so much to go - so many trials. Flozins and Sparsentan from the non-IS angle. Why pump up this if you were making it lose to....secondary TMA?

Predict quick loss in next roound

#NephMadness @BlueRibbonFail

Swapnil Hiremath :renal: MDhswapnil@med-mastodon.com
2023-04-05

the #Filtered4 from #Nephmadness are out

OMG what a #BlueRibbonFail this is. Lower than my most pessimistic expectations. Folly of the supposed wise ๐Ÿคฆโ€โ™‚๏ธ

ajkdblog.org/2023/04/05/nephma

Swapnil Hiremath :renal: MDhswapnil@med-mastodon.com
2023-04-04

@captainchloride agreed - I guess this should have been expected!

As Sparky has been ranting in twitter about ๐Ÿ˜

I am much more keen on using spiro/eplerenone in DKD with residual risk if I donโ€™t have coverage for Finerenone

#nephmadness

Swapnil Hiremath :renal: MDhswapnil@med-mastodon.com
2023-04-03

Organ pool makes it here - despite knowing the OPO shenanigans in US, the KDPI madness, the eGFR disparities, the preTx workup idiocy

Why? Because a #BlueRibbonfail liked 'xenotransplant' mention? Hello?? Xeno is not happening anytime soon...

sigh
#Nephmadness

Swapnil Hiremath :renal: MDhswapnil@med-mastodon.com
2023-04-03

Devices in AKI or ESKD....TBH both are unexciting...I predict a quick demise for device in next round

#NephMadness

Swapnil Hiremath :renal: MDhswapnil@med-mastodon.com
2023-04-03

Secondary TMA? What? Did the #BlueRibbonFail even read the scouting report?

I was half joking when I made the secondary pick on FF nephjc.com/freelyfiltered/57/n

๐Ÿคฆโ€โ™‚๏ธ #NephMadness

Swapnil Hiremath :renal: MDhswapnil@med-mastodon.com
2023-04-03

whoah whoah whoah.....non-IS in IgAN...just as all the IS trials are dropping like TESTING, NEFIGARD and more to come?

What do you say @Bneuen and @ChristosArgyrop - team #flozinator or team #immunosuppression?

I think flozins have had their time in the spotlight - time to let IS come ahead?

So #BlueRibbonFail #NephMadness

Swapnil Hiremath :renal: MDhswapnil@med-mastodon.com
2023-04-03

WTF here though? #Finerenone over good old spironolactone?

New drugs - and a BRP clean sweep! Who would have seen this coming?

#NephMadness #BlueRibbonFail

Swapnil Hiremath :renal: MDhswapnil@med-mastodon.com
2023-04-03

same as this one...AKI with ICI could be so many things...hypoMg is a one-trick pony? (clearly physiologically so interesting - I like magnesium since forever)

BRP got this one right as well

#NephMadness

Swapnil Hiremath :renal: MDhswapnil@med-mastodon.com
2023-04-03

sorry pediatricians - the BRP did get this one right

There is so much more to do in both areas...but supportive care is done so poorly...we owe it to people on dialysis to do a better job

#NephMadness

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