Dr Satoshi Akima, FRACP
@toshiakima.bsky.social
Nephrology & Internal Medicine. Immunothrombosis incl DIC. ISTH Member. No Conflicts of Interest. Views my own etc
Pinned
The Central Error of the Pandemic…
Is that of running pandemic management by laissez-faire socioeconomic principles.
If you grasp this, all the other errors fall into place as the inevitable consequence of following that line of thought. 🧵 1/x
Is that of running pandemic management by laissez-faire socioeconomic principles.
If you grasp this, all the other errors fall into place as the inevitable consequence of following that line of thought. 🧵 1/x
Reposted by Dr Satoshi Akima, FRACP
"Wastewater surveillance reveals hidden COVID spread beyond reported cases"
As COVID testing becomes less routine, case numbers can underestimate outbreaks. Research led by Prof Murakami shows wastewater surveillance reveals hidden spread, offering a clearer view of transmission and early warnings.
As COVID testing becomes less routine, case numbers can underestimate outbreaks. Research led by Prof Murakami shows wastewater surveillance reveals hidden spread, offering a clearer view of transmission and early warnings.
Wastewater surveillance reveals hidden COVID spread beyond reported cases
As COVID-19 testing becomes less routine, official case numbers can make outbreaks look smaller than they really are.
www.news-medical.net
January 31, 2026 at 5:22 AM
"Wastewater surveillance reveals hidden COVID spread beyond reported cases"
As COVID testing becomes less routine, case numbers can underestimate outbreaks. Research led by Prof Murakami shows wastewater surveillance reveals hidden spread, offering a clearer view of transmission and early warnings.
As COVID testing becomes less routine, case numbers can underestimate outbreaks. Research led by Prof Murakami shows wastewater surveillance reveals hidden spread, offering a clearer view of transmission and early warnings.
Reposted by Dr Satoshi Akima, FRACP
January 31, 2026 at 6:11 AM
I suspect that on Wuhan wild-type C19, enforcing fomite/droplet mitigation, while leaving the door wide open to airborne transmission for, created evolutionary pressures that selected out a super-airborne Omicron variant.
January 31, 2026 at 12:29 AM
I suspect that on Wuhan wild-type C19, enforcing fomite/droplet mitigation, while leaving the door wide open to airborne transmission for, created evolutionary pressures that selected out a super-airborne Omicron variant.
Reposted by Dr Satoshi Akima, FRACP
Proud to see the paper our WHN Long C-19 Team wrote is making the MSM
🙏🏻
www.cbsnews.com/news/covid-l...
🙏🏻
www.cbsnews.com/news/covid-l...
Trump policies at odds with emerging understanding of COVID's long-term harm
Studies offer insights into the health risks and burdens faced by people who have had COVID infections. Meanwhile, the Trump administration has narrowed COVID vaccine recommendations and cut research.
www.cbsnews.com
January 29, 2026 at 9:24 AM
Proud to see the paper our WHN Long C-19 Team wrote is making the MSM
🙏🏻
www.cbsnews.com/news/covid-l...
🙏🏻
www.cbsnews.com/news/covid-l...
Reposted by Dr Satoshi Akima, FRACP
Gun control, like infectious disease control, is a matter of public health, and the US is leading the way to its replacement with thoughts and prayers.
January 26, 2026 at 2:58 AM
Gun control, like infectious disease control, is a matter of public health, and the US is leading the way to its replacement with thoughts and prayers.
Reposted by Dr Satoshi Akima, FRACP
Phil Collins: “Everything That Could Go Wrong With Me Did Go Wrong With Me”
"I got COVID in hospital — my kidneys started to back up, you know, everything that started that could, all seemed to converge at the same time.”
Source: consequence.net/2026/01/phil...
"I got COVID in hospital — my kidneys started to back up, you know, everything that started that could, all seemed to converge at the same time.”
Source: consequence.net/2026/01/phil...
January 26, 2026 at 1:21 AM
Phil Collins: “Everything That Could Go Wrong With Me Did Go Wrong With Me”
"I got COVID in hospital — my kidneys started to back up, you know, everything that started that could, all seemed to converge at the same time.”
Source: consequence.net/2026/01/phil...
"I got COVID in hospital — my kidneys started to back up, you know, everything that started that could, all seemed to converge at the same time.”
Source: consequence.net/2026/01/phil...
Reposted by Dr Satoshi Akima, FRACP
AirSpot is excited to launch our CO₂ map!
map.airspothealth.com
To celebrate, we are giving the next 50 AirSpot orders, 25% off!
To redeem, click here:
airspothealth.com/discount/Air...
1/2
map.airspothealth.com
To celebrate, we are giving the next 50 AirSpot orders, 25% off!
To redeem, click here:
airspothealth.com/discount/Air...
1/2
January 21, 2026 at 4:29 AM
AirSpot is excited to launch our CO₂ map!
map.airspothealth.com
To celebrate, we are giving the next 50 AirSpot orders, 25% off!
To redeem, click here:
airspothealth.com/discount/Air...
1/2
map.airspothealth.com
To celebrate, we are giving the next 50 AirSpot orders, 25% off!
To redeem, click here:
airspothealth.com/discount/Air...
1/2
Reposted by Dr Satoshi Akima, FRACP
"The Australian Government has made a decision to no longer publish data about COVID-19 cases in Australian residential aged care facilities on a weekly basis."
@healthgovau.bsky.social @markbutlermp.bsky.social
@healthgovau.bsky.social @markbutlermp.bsky.social
January 20, 2026 at 11:07 PM
"The Australian Government has made a decision to no longer publish data about COVID-19 cases in Australian residential aged care facilities on a weekly basis."
@healthgovau.bsky.social @markbutlermp.bsky.social
@healthgovau.bsky.social @markbutlermp.bsky.social
Reposted by Dr Satoshi Akima, FRACP
Nebulized aerosol therapy is used for treating respiratory diseases, including those caused by #SARSCoV2. During pandemics some guidelines recommend avoiding nebulizers. Authors reviewed the evidence on risk of cross-infection linked to nebulizer use in healthcare settings
🧪https://ow.ly/OG9I50XZNf3
🧪https://ow.ly/OG9I50XZNf3
January 20, 2026 at 9:00 AM
Nebulized aerosol therapy is used for treating respiratory diseases, including those caused by #SARSCoV2. During pandemics some guidelines recommend avoiding nebulizers. Authors reviewed the evidence on risk of cross-infection linked to nebulizer use in healthcare settings
🧪https://ow.ly/OG9I50XZNf3
🧪https://ow.ly/OG9I50XZNf3
Reposted by Dr Satoshi Akima, FRACP
I couldn’t find a simple app to help people measure blood pressure correctly, so I created one with Perplexity and Gemini: bloodpressure-app.netlify.app. Bookmark or share menu adds to Home Screen. For educational purposes only. Covers proper positioning, cuff placement, timing, and common mistakes.
January 12, 2026 at 4:27 PM
I couldn’t find a simple app to help people measure blood pressure correctly, so I created one with Perplexity and Gemini: bloodpressure-app.netlify.app. Bookmark or share menu adds to Home Screen. For educational purposes only. Covers proper positioning, cuff placement, timing, and common mistakes.
Reposted by Dr Satoshi Akima, FRACP
Case report of ANCA-associated vasculitis (a systemic autoimmune disease affecting blood vessels), newly diagnosed one month after COVID-19 infection
#LongCovid
link.springer.com/article/10.1...
#LongCovid
link.springer.com/article/10.1...
Newly diagnosed ANCA-associated vasculitis after COVID-19 infection: a case report - Journal of Medical Case Reports
Background Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis is a systemic autoimmune disease characterized by mononuclear cell infiltration and small and medium-sized blood vessel dest...
link.springer.com
January 20, 2026 at 12:41 AM
Case report of ANCA-associated vasculitis (a systemic autoimmune disease affecting blood vessels), newly diagnosed one month after COVID-19 infection
#LongCovid
link.springer.com/article/10.1...
#LongCovid
link.springer.com/article/10.1...
Reposted by Dr Satoshi Akima, FRACP
Here's the latest variant picture with a global scope, to late December.
BA.3.2.* "Cicada" showed a growth advantage of 5% per day (35% per week) over XFG.* "Stratus". The low sample sizes for late-December make this even more uncertain than usual.
#COVID19 #SARSCoV2 #Global #BA_3_2 #Cicada
🧵
BA.3.2.* "Cicada" showed a growth advantage of 5% per day (35% per week) over XFG.* "Stratus". The low sample sizes for late-December make this even more uncertain than usual.
#COVID19 #SARSCoV2 #Global #BA_3_2 #Cicada
🧵
January 17, 2026 at 10:59 AM
Reposted by Dr Satoshi Akima, FRACP
particularly in high risk groups to guide personalized therapeutic interventions for mitigating the long term consequences of #COVID or #LongCovid sequelas .
www.sciencedirect.com/science/arti...
www.sciencedirect.com/science/arti...
Persistent attenuation of lymphocyte subsets after mass SARS-CoV-2 infection
Growing evidence suggests that lymphocyte subsets are declined in COVID-19 patients, but it is unclear if these alterations persist after widespread e…
www.sciencedirect.com
January 17, 2026 at 3:29 PM
particularly in high risk groups to guide personalized therapeutic interventions for mitigating the long term consequences of #COVID or #LongCovid sequelas .
www.sciencedirect.com/science/arti...
www.sciencedirect.com/science/arti...
Reposted by Dr Satoshi Akima, FRACP
"Most of the adults who got vaccinated did so because they felt a strong sense of duty to get the vaccination, not just to protect themselves but to protect their community. When they know that they're making a difference, it matters."
abcnews.go.com/Health/measl...
abcnews.go.com/Health/measl...
Measles vaccine acceptance is mixed amid outbreaks across the US: Experts
Health experts working in and near measles outbreaks told ABC News that vaccine acceptance has been mixed among these communities.
abcnews.go.com
January 18, 2026 at 4:42 AM
"Most of the adults who got vaccinated did so because they felt a strong sense of duty to get the vaccination, not just to protect themselves but to protect their community. When they know that they're making a difference, it matters."
abcnews.go.com/Health/measl...
abcnews.go.com/Health/measl...
Reposted by Dr Satoshi Akima, FRACP
USA pilot trial with 43 adults found that home use of near-infrared brain stimulation (itPBM) showed small but significant cognitive improvements in long COVID brain fog, especially in those under 45.
www.thelancet.com/journals/ecl...
www.thelancet.com/journals/ecl...
Photobiomodulation for cognitive dysfunction (Brain Fog) in post-COVID-19 condition: a randomized double-blind sham-controlled pilot trial
Home-based itPBM is safe and feasible, showing potential cognitive benefits for PCC
brain fog, particularly in younger adults. Larger trials are needed to confirm efficacy
and optimize parameters.
www.thelancet.com
January 17, 2026 at 2:55 PM
USA pilot trial with 43 adults found that home use of near-infrared brain stimulation (itPBM) showed small but significant cognitive improvements in long COVID brain fog, especially in those under 45.
www.thelancet.com/journals/ecl...
www.thelancet.com/journals/ecl...
Reposted by Dr Satoshi Akima, FRACP
A real “tell your parents” paper (since everyone on Bsky is canonically 38).
Review of 21 studies of ppl over 50:
• Shingles vax associated w/47% lower risk of Alzheimer’s, 24% lower risk of any dementia
• Pneumonia vax had 36% lower risk of Alzheimer's
• Tdap had 33% lower risk of any dementia
Review of 21 studies of ppl over 50:
• Shingles vax associated w/47% lower risk of Alzheimer’s, 24% lower risk of any dementia
• Pneumonia vax had 36% lower risk of Alzheimer's
• Tdap had 33% lower risk of any dementia
Association between vaccinations and risk of dementia: a systematic review and meta-analysis
AbstractImportance. Dementia is a highly prevalent issue in older people. Whilst the prevention of dementia is a public health priority, the role of vaccin
academic.oup.com
January 17, 2026 at 1:48 AM
A real “tell your parents” paper (since everyone on Bsky is canonically 38).
Review of 21 studies of ppl over 50:
• Shingles vax associated w/47% lower risk of Alzheimer’s, 24% lower risk of any dementia
• Pneumonia vax had 36% lower risk of Alzheimer's
• Tdap had 33% lower risk of any dementia
Review of 21 studies of ppl over 50:
• Shingles vax associated w/47% lower risk of Alzheimer’s, 24% lower risk of any dementia
• Pneumonia vax had 36% lower risk of Alzheimer's
• Tdap had 33% lower risk of any dementia
Reposted by Dr Satoshi Akima, FRACP
Mini Review by Angelique Savelberg et al:
Management of Chronic Hyponatremia in the Outpatient Setting
bit.ly/3Jjsa8S #OpenAccess
Management of Chronic Hyponatremia in the Outpatient Setting
bit.ly/3Jjsa8S #OpenAccess
January 16, 2026 at 11:00 PM
Mini Review by Angelique Savelberg et al:
Management of Chronic Hyponatremia in the Outpatient Setting
bit.ly/3Jjsa8S #OpenAccess
Management of Chronic Hyponatremia in the Outpatient Setting
bit.ly/3Jjsa8S #OpenAccess
Factor Xa inhibitors in dialysis patients reduce intracranial haemorrhage by RR -60% vs VKAs
Thieme E-Journals - Thrombosis and Haemostasis / Full Text
Thieme E-Books & E-Journals
www.thieme-connect.com
January 16, 2026 at 11:38 AM
Factor Xa inhibitors in dialysis patients reduce intracranial haemorrhage by RR -60% vs VKAs
Reposted by Dr Satoshi Akima, FRACP
Beautiful study coordinated by @resiapretorius.bsky.social
Open Access here:
www.nature.com/articles/s41...
Open Access here:
www.nature.com/articles/s41...
January 14, 2026 at 3:31 PM
Beautiful study coordinated by @resiapretorius.bsky.social
Open Access here:
www.nature.com/articles/s41...
Open Access here:
www.nature.com/articles/s41...
Reposted by Dr Satoshi Akima, FRACP
New important publication in #LongCovid & #MECFS!
After a viral infection, cells lining our blood vessels can become damaged and enter senescence, similar to accelerated aging. These cells are not healthy, but they also don’t disappear. Instead, they send out constant stress & inflammatory signals.
After a viral infection, cells lining our blood vessels can become damaged and enter senescence, similar to accelerated aging. These cells are not healthy, but they also don’t disappear. Instead, they send out constant stress & inflammatory signals.
January 14, 2026 at 3:31 PM
New important publication in #LongCovid & #MECFS!
After a viral infection, cells lining our blood vessels can become damaged and enter senescence, similar to accelerated aging. These cells are not healthy, but they also don’t disappear. Instead, they send out constant stress & inflammatory signals.
After a viral infection, cells lining our blood vessels can become damaged and enter senescence, similar to accelerated aging. These cells are not healthy, but they also don’t disappear. Instead, they send out constant stress & inflammatory signals.
Reposted by Dr Satoshi Akima, FRACP
A rare case study published in #JCEMCR details the first known instance of a decades-dormant hormonal disorder, Cyclic #Cushing Syndrome, relapsing after a patient contracted #COVID19 and received standard glucocorticoid treatment. #EndoSky
endocrinenews.endocrine.org/covid-19-inf...
endocrinenews.endocrine.org/covid-19-inf...
COVID-19 Infection Linked to Relapse of Rare Endocrine Disorder After 19 Years - Endocrine News
A rare case study published in JCEM Case Reports details the first known instance of a decades-dormant hormonal disorder, Cyclic Cushing Syndrome (CS), relapsing after a patient contracted COVID-19 an...
endocrinenews.endocrine.org
January 15, 2026 at 11:01 PM
A rare case study published in #JCEMCR details the first known instance of a decades-dormant hormonal disorder, Cyclic #Cushing Syndrome, relapsing after a patient contracted #COVID19 and received standard glucocorticoid treatment. #EndoSky
endocrinenews.endocrine.org/covid-19-inf...
endocrinenews.endocrine.org/covid-19-inf...
Reposted by Dr Satoshi Akima, FRACP
Reposted by Dr Satoshi Akima, FRACP
Up next 1/27/25
POTCAST, Increasing the Potassium Level in Patients at High Risk for Ventricular Arrhythmias
www.nejm.org/doi/ful...
POTCAST, Increasing the Potassium Level in Patients at High Risk for Ventricular Arrhythmias
www.nejm.org/doi/ful...
January 14, 2026 at 2:56 AM
Up next 1/27/25
POTCAST, Increasing the Potassium Level in Patients at High Risk for Ventricular Arrhythmias
www.nejm.org/doi/ful...
POTCAST, Increasing the Potassium Level in Patients at High Risk for Ventricular Arrhythmias
www.nejm.org/doi/ful...
Reposted by Dr Satoshi Akima, FRACP
University of Basel researchers found that B cells can capture myelin in the brain but usually self-destruct.
If they express an Epstein-Barr virus protein called LMP1, they survive and trigger demyelination like that seen in multiple sclerosis.
www.cell.com/cell/fulltex...
If they express an Epstein-Barr virus protein called LMP1, they survive and trigger demyelination like that seen in multiple sclerosis.
www.cell.com/cell/fulltex...
Myelin antigen capture in the CNS by B cells expressing EBV latent membrane protein 1 leads to demyelinating lesion formation
Myelin-reactive B cells entering the central nervous system capture cognate antigen
from the parenchyma. Without T cell help, they rapidly die; however, Epstein-Barr
virus LMP1 enables them to bypass ...
www.cell.com
January 13, 2026 at 3:50 PM
University of Basel researchers found that B cells can capture myelin in the brain but usually self-destruct.
If they express an Epstein-Barr virus protein called LMP1, they survive and trigger demyelination like that seen in multiple sclerosis.
www.cell.com/cell/fulltex...
If they express an Epstein-Barr virus protein called LMP1, they survive and trigger demyelination like that seen in multiple sclerosis.
www.cell.com/cell/fulltex...
Reposted by Dr Satoshi Akima, FRACP