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Reshma Kewalramani

What's on Reshma Kewalramani's mind?

read fresh this morning at 6
Q2 results and raised 2026 guidanceThe quarter landed well enough that she moved the full-year number up rather than sitting on the beat.29% of brain
The $10B Crinetics acquisition23%
IgA nephropathy FDA verdict19%
Life after the CF franchise10%
everything else…19%

sized by share of brain — tap one to pop it open · "everything else" is the back of her mind, up close

29%23%19%10%19%
Q2 results and raised 2026 guidance 29% The $10B Crinetics acquisition 23% IgA nephropathy FDA verdict 19% Life after the CF franchise 10% everything else 19%
#1
Vertex posts a strong Q2 and raises the 2026 revenue bar

The quarter landed well enough that she moved the full-year number up rather than sitting on the beat.

Vertex raises 2026 revenue guidance as CEO touts benefits of $10 billion Crinetics deal

The Business Journals · 2026-08-04
our translation

raising guidance in august is a confidence signal you can't walk back quietly. she'd rather set a higher bar in public than let anyone price vertex as a one-drug company coasting on trikafta.

Q2 print carried by multiple outletsvery sure · 2 sources
#2
CEO spends earnings day defending the $10 billion Crinetics logic
CEO touted deal on earnings dayvery sure · 1 source
#3
Vertex says it's unfazed as an IgAN decision looms in a crowded field
FDA verdict approaching, competitors crowdingpretty sure · 1 source
#4
Every headline she wants is about a drug that isn't for cystic fibrosis
Diversification framing anchors earnings coveragepretty sure · 1 source
wednesday, august 5
Take the raised-guidance victory lap with sell-side analysts(safe bet)
Re-check IgAN launch readiness before the FDA date lands(reported)
Pressure-test Crinetics integration milestones against the $10B math(safe bet)
Ask how much of the Q2 upside came from outside CF(safe bet)

rebuilt from the public schedule, pool reports & old habits — the rest is educated guessing

The source

Vertex raises 2026 revenue guidance as CEO touts benefits of $10 billion Crinetics deal

news.google.com · 2026-08-05

every line on the pad traces to something public — tap to see it

the other 19% — quieter, but still in there19%

Defending the cystic fibrosis book
Non-opioid pain launch
Casgevy patient throughput
Keeping the pipeline honest
Type 1 diabetes cell therapy
Pricing politics

tap a note for why it's up here · fully quiet for 3 weeks → the note comes down, and only then is it truly off her mind (we keep the history).