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
I can't think of better rebranding ambassadors for masks than the 2026 Olympians. Our leaders have tried to pass off masks as something you only wear if already sick or older with comorbidities.
But everyone is vulnerable to post viral illness. These athletes get it 👏🏼👏🏼
But everyone is vulnerable to post viral illness. These athletes get it 👏🏼👏🏼
February 14, 2026 at 1:00 AM
I can't think of better rebranding ambassadors for masks than the 2026 Olympians. Our leaders have tried to pass off masks as something you only wear if already sick or older with comorbidities.
But everyone is vulnerable to post viral illness. These athletes get it 👏🏼👏🏼
But everyone is vulnerable to post viral illness. These athletes get it 👏🏼👏🏼
Reposted by Dr Satoshi Akima, FRACP
POTS review: ‘Patients who have been inappropriately labelled with psychiatric diagnoses throughout their diagnostic journey of many years can describe the effect of being believed as “lifechanging”’ www.heartlungcirc.org/article/S144...
February 7, 2026 at 4:37 AM
POTS review: ‘Patients who have been inappropriately labelled with psychiatric diagnoses throughout their diagnostic journey of many years can describe the effect of being believed as “lifechanging”’ www.heartlungcirc.org/article/S144...
POTS review: ‘Patients who have been inappropriately labelled with psychiatric diagnoses throughout their diagnostic journey of many years can describe the effect of being believed as “lifechanging”’ www.heartlungcirc.org/article/S144...
February 7, 2026 at 4:37 AM
POTS review: ‘Patients who have been inappropriately labelled with psychiatric diagnoses throughout their diagnostic journey of many years can describe the effect of being believed as “lifechanging”’ www.heartlungcirc.org/article/S144...
Reposted by Dr Satoshi Akima, FRACP
🧨Clinical Evidences
-COVID-OUT Trial: A Phase 3 trial reported a 41% reduction in #LongCOVID over 10 months for those taking a 14-day course of metformin.
-ACTIV-6 Trial: Published in early 2026, this large trial confirmed a 50% lower likelihood of clinician-diagnosed #LongCOVID at six months.
-COVID-OUT Trial: A Phase 3 trial reported a 41% reduction in #LongCOVID over 10 months for those taking a 14-day course of metformin.
-ACTIV-6 Trial: Published in early 2026, this large trial confirmed a 50% lower likelihood of clinician-diagnosed #LongCOVID at six months.
February 5, 2026 at 5:45 AM
🧨Clinical Evidences
-COVID-OUT Trial: A Phase 3 trial reported a 41% reduction in #LongCOVID over 10 months for those taking a 14-day course of metformin.
-ACTIV-6 Trial: Published in early 2026, this large trial confirmed a 50% lower likelihood of clinician-diagnosed #LongCOVID at six months.
-COVID-OUT Trial: A Phase 3 trial reported a 41% reduction in #LongCOVID over 10 months for those taking a 14-day course of metformin.
-ACTIV-6 Trial: Published in early 2026, this large trial confirmed a 50% lower likelihood of clinician-diagnosed #LongCOVID at six months.
Reposted by Dr Satoshi Akima, FRACP
Singapore’s Ministry of Health studied 19,689 patients and found that early COVID-19 monoclonal antibody treatment did not reduce long COVID overall but was linked to at least double the risk of autoimmune diseases like lupus and rheumatoid arthritis.
www.sciencedirect.com/science/arti...
www.sciencedirect.com/science/arti...
Early administration of neutralising monoclonal antibodies and post-acute sequelae of COVID-19
Post-acute sequelae of COVID-19 (PASC) are more common in unvaccinated or immunocompromised individuals. In Singapore, neutralising monoclonal antibod…
www.sciencedirect.com
February 4, 2026 at 12:26 AM
Singapore’s Ministry of Health studied 19,689 patients and found that early COVID-19 monoclonal antibody treatment did not reduce long COVID overall but was linked to at least double the risk of autoimmune diseases like lupus and rheumatoid arthritis.
www.sciencedirect.com/science/arti...
www.sciencedirect.com/science/arti...
Reposted by Dr Satoshi Akima, FRACP
'Zombie' Remnants of COVID-19 Hunt In Packs And Kill Our Immune Cells
Study by 30+ authors shows how the destruction of the virus within our body leaves dangerous protein fragments that target immune cells, helping explain debilitating long COVID symptoms affecting millions worldwide.
Study by 30+ authors shows how the destruction of the virus within our body leaves dangerous protein fragments that target immune cells, helping explain debilitating long COVID symptoms affecting millions worldwide.
'Zombie' Remnants of COVID-19 Hunt In Packs And Kill Our Immune Cells
'Zombie' coronavirus fragments not only help drive inflammation in long-COVID, but also destroy our immune cells.
www.sciencealert.com
February 4, 2026 at 12:13 AM
'Zombie' Remnants of COVID-19 Hunt In Packs And Kill Our Immune Cells
Study by 30+ authors shows how the destruction of the virus within our body leaves dangerous protein fragments that target immune cells, helping explain debilitating long COVID symptoms affecting millions worldwide.
Study by 30+ authors shows how the destruction of the virus within our body leaves dangerous protein fragments that target immune cells, helping explain debilitating long COVID symptoms affecting millions worldwide.
‘Treated like slaves’: Junior doctors’ class action against St Vincent’s Hospital - The Sydney Morning Herald apple.news/AO85XKUjFSau...
‘Treated like slaves’: Junior doctors’ class action against St Vincent’s Hospital — The Sydney Morning Herald
Junior doctors are suing St Vincent’s Hospital for hundreds of thousands of dollars, alleging the hospital demands excessive hours of unpaid overtime or risk career sabotage.
apple.news
February 4, 2026 at 10:22 AM
‘Treated like slaves’: Junior doctors’ class action against St Vincent’s Hospital - The Sydney Morning Herald apple.news/AO85XKUjFSau...
Reposted by Dr Satoshi Akima, FRACP
When air is unsafe, people with chronic illness, disability or immunocompromise are excluded first, from offices, meetings, events and everyday participation.
If the accessibility case isn’t enough, perhaps the economics will be.
Read more here: www.estatesgazette.co.uk/news/why-ceo...
If the accessibility case isn’t enough, perhaps the economics will be.
Read more here: www.estatesgazette.co.uk/news/why-ceo...
Why CEOs should treat office air quality like a financial KPI
COMMENT Smart Space’s Dan Drogman on a financial risk hiding in plain sight
www.estatesgazette.co.uk
February 3, 2026 at 5:54 AM
When air is unsafe, people with chronic illness, disability or immunocompromise are excluded first, from offices, meetings, events and everyday participation.
If the accessibility case isn’t enough, perhaps the economics will be.
Read more here: www.estatesgazette.co.uk/news/why-ceo...
If the accessibility case isn’t enough, perhaps the economics will be.
Read more here: www.estatesgazette.co.uk/news/why-ceo...
Reposted by Dr Satoshi Akima, FRACP
『新型コロナ集団感染から６年 「ダイヤモンド・プリンセス」献花式』
全国連絡会 平沢保人共同代表
「6年たってダイヤモンド・プリンセスの問題だけではなく、コロナの問題もはるか過去の問題のように扱われているのが大変残念に思う。 それを思い出す日にこの2月3日をしてもらいたい」
news.jp/i/1391355662...
全国連絡会 平沢保人共同代表
「6年たってダイヤモンド・プリンセスの問題だけではなく、コロナの問題もはるか過去の問題のように扱われているのが大変残念に思う。 それを思い出す日にこの2月3日をしてもらいたい」
news.jp/i/1391355662...
新型コロナ集団感染から６年 「ダイヤモンド・プリンセス」献花式 | NEWSjp
新型コロナウイルスの集団感染が起きた大型クルーズ船が横浜に入港して6年。亡くなった人への献花式が行わ...
news.jp
February 3, 2026 at 11:39 AM
『新型コロナ集団感染から６年 「ダイヤモンド・プリンセス」献花式』
全国連絡会 平沢保人共同代表
「6年たってダイヤモンド・プリンセスの問題だけではなく、コロナの問題もはるか過去の問題のように扱われているのが大変残念に思う。 それを思い出す日にこの2月3日をしてもらいたい」
news.jp/i/1391355662...
全国連絡会 平沢保人共同代表
「6年たってダイヤモンド・プリンセスの問題だけではなく、コロナの問題もはるか過去の問題のように扱われているのが大変残念に思う。 それを思い出す日にこの2月3日をしてもらいたい」
news.jp/i/1391355662...
Reposted by Dr Satoshi Akima, FRACP
January 31, 2026 at 11:00 PM
Reposted by Dr Satoshi Akima, FRACP
Recent kidney news includes an update on xenotransplant recipient Tim Andrews and more. #nephrology #nephsky
www.docwirenews.com/post/kidney-...
www.docwirenews.com/post/kidney-...
Kidney News in Brief: Xenotransplant Recipient Gets Human Kidney | Docwire News
Nephrology news includes xenotransplantation as bridge therapy, a US record for kidney transplants, and a biotech partnership to develop polycystic kidney disease (PKD) drugs.
www.docwirenews.com
January 31, 2026 at 6:15 PM
Recent kidney news includes an update on xenotransplant recipient Tim Andrews and more. #nephrology #nephsky
www.docwirenews.com/post/kidney-...
www.docwirenews.com/post/kidney-...
Reposted by Dr Satoshi Akima, FRACP
super interesting mechanistic study
effect of potassium supplement on natriuresis, with and without lisinopril
in patients with and without CKD
academic.oup.com/ndt/article-...
effect of potassium supplement on natriuresis, with and without lisinopril
in patients with and without CKD
academic.oup.com/ndt/article-...
January 30, 2026 at 10:33 PM
super interesting mechanistic study
effect of potassium supplement on natriuresis, with and without lisinopril
in patients with and without CKD
academic.oup.com/ndt/article-...
effect of potassium supplement on natriuresis, with and without lisinopril
in patients with and without CKD
academic.oup.com/ndt/article-...
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...