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
In patients with cardiovascular disease and an implantable cardioverter–defibrillator, increasing potassium levels to the high-normal range reduced the risk of arrhythmia events, hospitalizations, and death. Full POTCAST trial results: nej.md/4oQtHTN
#MedSky #CardioSky
#MedSky #CardioSky
November 23, 2025 at 8:01 PM
In patients with cardiovascular disease and an implantable cardioverter–defibrillator, increasing potassium levels to the high-normal range reduced the risk of arrhythmia events, hospitalizations, and death. Full POTCAST trial results: nej.md/4oQtHTN
#MedSky #CardioSky
#MedSky #CardioSky
Reposted by Dr Satoshi Akima, FRACP
Reposted by Dr Satoshi Akima, FRACP
Here's the latest variant picture for Australia, to early November.
BA.3.* (all BA.3.2.2) rose to 19% and seems the most likely challenger to replace NB.1.8.1.* "Nimbus".
#COVID19 #SARSCoV2 #Australia #BA_3_2
🧵
BA.3.* (all BA.3.2.2) rose to 19% and seems the most likely challenger to replace NB.1.8.1.* "Nimbus".
#COVID19 #SARSCoV2 #Australia #BA_3_2
🧵
November 23, 2025 at 5:42 AM
Here's the latest variant picture for Australia, to early November.
BA.3.* (all BA.3.2.2) rose to 19% and seems the most likely challenger to replace NB.1.8.1.* "Nimbus".
#COVID19 #SARSCoV2 #Australia #BA_3_2
🧵
BA.3.* (all BA.3.2.2) rose to 19% and seems the most likely challenger to replace NB.1.8.1.* "Nimbus".
#COVID19 #SARSCoV2 #Australia #BA_3_2
🧵
Reposted by Dr Satoshi Akima, FRACP
Wear a #respie *before*, during and after your “winter bug”… because there are lots of them, and the next one is waiting.
www.manchestereveningnews.co.uk/news/uk-news...
www.manchestereveningnews.co.uk/news/uk-news...
UKHSA says 'wear a mask' as four viruses spread in UK
Health bosses expect to see 'further increases' in winter virus levels as the colder months hit
www.manchestereveningnews.co.uk
November 23, 2025 at 2:46 AM
Wear a #respie *before*, during and after your “winter bug”… because there are lots of them, and the next one is waiting.
www.manchestereveningnews.co.uk/news/uk-news...
www.manchestereveningnews.co.uk/news/uk-news...
Reposted by Dr Satoshi Akima, FRACP
Overall, this review highlights the limited evidence supporting the use of anti-Xa monitoring for dose adjustments in the therapeutic use of low-molecular-weight heparins. Therefore, we conclude that measuring anti-Xa levels is currently not justified. @jthjournal.bsky.social
A systematic review on anti-Xa monitoring in the therapeutic use of low-molecular-weight heparins - PubMed
Low-molecular-weight heparins are widely utilized, including in special patient populations (eg, patients with renal impairment, pregnancy, and obesity). Monitoring with anti-Xa measurements is often used, but the effectiveness of anti-Xa-based dose adjustments remains uncertain. This systematic rev …
pubmed.ncbi.nlm.nih.gov
November 21, 2025 at 11:28 PM
Overall, this review highlights the limited evidence supporting the use of anti-Xa monitoring for dose adjustments in the therapeutic use of low-molecular-weight heparins. Therefore, we conclude that measuring anti-Xa levels is currently not justified. @jthjournal.bsky.social
Reposted by Dr Satoshi Akima, FRACP
AUSTRALIA Weekly COVID Update — 21 November 2025
SA up (+24.8%)
NSW up (+6.3%)
WA down (-9.3%) Avg 17/day in hospital
QLD down (-2.0%) 29 in hospital (+38%)
VIC next update: 28 Nov
TAS next update: 12 Dec
ACT paused reporting for 2025
Aged-care update delayed today
SA up (+24.8%)
NSW up (+6.3%)
WA down (-9.3%) Avg 17/day in hospital
QLD down (-2.0%) 29 in hospital (+38%)
VIC next update: 28 Nov
TAS next update: 12 Dec
ACT paused reporting for 2025
Aged-care update delayed today
November 21, 2025 at 7:23 AM
AUSTRALIA Weekly COVID Update — 21 November 2025
SA up (+24.8%)
NSW up (+6.3%)
WA down (-9.3%) Avg 17/day in hospital
QLD down (-2.0%) 29 in hospital (+38%)
VIC next update: 28 Nov
TAS next update: 12 Dec
ACT paused reporting for 2025
Aged-care update delayed today
SA up (+24.8%)
NSW up (+6.3%)
WA down (-9.3%) Avg 17/day in hospital
QLD down (-2.0%) 29 in hospital (+38%)
VIC next update: 28 Nov
TAS next update: 12 Dec
ACT paused reporting for 2025
Aged-care update delayed today
Reposted by Dr Satoshi Akima, FRACP
Economic burden of long COVID: macroeconomic, cost-of-illness and microeconomic impacts
Published: 21 November 2025
Long COVID affects an estimated 36% globally, creating a huge economic burden: about $1 trillion a year worldwide, roughly $9,000 per US patient and $170 billion in lost US earnings.
Published: 21 November 2025
Long COVID affects an estimated 36% globally, creating a huge economic burden: about $1 trillion a year worldwide, roughly $9,000 per US patient and $170 billion in lost US earnings.
November 22, 2025 at 1:51 AM
Economic burden of long COVID: macroeconomic, cost-of-illness and microeconomic impacts
Published: 21 November 2025
Long COVID affects an estimated 36% globally, creating a huge economic burden: about $1 trillion a year worldwide, roughly $9,000 per US patient and $170 billion in lost US earnings.
Published: 21 November 2025
Long COVID affects an estimated 36% globally, creating a huge economic burden: about $1 trillion a year worldwide, roughly $9,000 per US patient and $170 billion in lost US earnings.
Reposted by Dr Satoshi Akima, FRACP
Autopsies of 18 foetuses showed that "SARS-CoV-2 can be widely distributed in fetal organs through vertical transmission". In addition immune and DNA damage were found in the infected organs
www.nature.com/articles/s41...
www.nature.com/articles/s41...
Presence of SARS-CoV-2 in fetal organs via intraamniotic infection - Nature Communications
Infection with SARS-CoV-2 during pregnancy may result in maternal and fetal complications. Here, the authors analyze 18 fetuses following maternal SARS-CoV-2 infection and identify distribution in fet...
www.nature.com
November 22, 2025 at 1:12 AM
Autopsies of 18 foetuses showed that "SARS-CoV-2 can be widely distributed in fetal organs through vertical transmission". In addition immune and DNA damage were found in the infected organs
www.nature.com/articles/s41...
www.nature.com/articles/s41...
Reposted by Dr Satoshi Akima, FRACP
Vaccines DO NOT cause autism - there is extensive research showing this. Resurrecting old, discredited, fraudulent work is shameful.
Vaccine-preventable illnesses are serious - this is going to cause real harms.
This is dangerous & disappointing.
Vaccine-preventable illnesses are serious - this is going to cause real harms.
This is dangerous & disappointing.
November 21, 2025 at 11:40 PM
Vaccines DO NOT cause autism - there is extensive research showing this. Resurrecting old, discredited, fraudulent work is shameful.
Vaccine-preventable illnesses are serious - this is going to cause real harms.
This is dangerous & disappointing.
Vaccine-preventable illnesses are serious - this is going to cause real harms.
This is dangerous & disappointing.
Debunking the myth of so-called “corrected” calcium. Use whole/uncorrected Ca as your screening test and confirm with an ionised Ca
November 22, 2025 at 12:11 AM
Debunking the myth of so-called “corrected” calcium. Use whole/uncorrected Ca as your screening test and confirm with an ionised Ca
Overall, this review highlights the limited evidence supporting the use of anti-Xa monitoring for dose adjustments in the therapeutic use of low-molecular-weight heparins. Therefore, we conclude that measuring anti-Xa levels is currently not justified. @jthjournal.bsky.social
A systematic review on anti-Xa monitoring in the therapeutic use of low-molecular-weight heparins - PubMed
Low-molecular-weight heparins are widely utilized, including in special patient populations (eg, patients with renal impairment, pregnancy, and obesity). Monitoring with anti-Xa measurements is often used, but the effectiveness of anti-Xa-based dose adjustments remains uncertain. This systematic rev …
pubmed.ncbi.nlm.nih.gov
November 21, 2025 at 11:28 PM
Overall, this review highlights the limited evidence supporting the use of anti-Xa monitoring for dose adjustments in the therapeutic use of low-molecular-weight heparins. Therefore, we conclude that measuring anti-Xa levels is currently not justified. @jthjournal.bsky.social
Reposted by Dr Satoshi Akima, FRACP
Japan’s flu cases are rising at the fastest pace in 10 years, with experts pointing to the rising number of tourists as one of the likely factors.
From Nov 10–16, 145,526 cases were reported across 3,000 facilities, averaging 37.7—above the 30 warning level.
Source: archive.md/tGnSi
From Nov 10–16, 145,526 cases were reported across 3,000 facilities, averaging 37.7—above the 30 warning level.
Source: archive.md/tGnSi
November 21, 2025 at 11:01 PM
Japan’s flu cases are rising at the fastest pace in 10 years, with experts pointing to the rising number of tourists as one of the likely factors.
From Nov 10–16, 145,526 cases were reported across 3,000 facilities, averaging 37.7—above the 30 warning level.
Source: archive.md/tGnSi
From Nov 10–16, 145,526 cases were reported across 3,000 facilities, averaging 37.7—above the 30 warning level.
Source: archive.md/tGnSi
Reposted by Dr Satoshi Akima, FRACP
Reposted by Dr Satoshi Akima, FRACP
Princess Kako of Japan tested positive for COVID-19 after developing a fever on Tuesday. She had a sore throat Sunday after a Tokyo event and tested negative Monday, but a second test on Tuesday returned a positive result.
Source: archive.md/IAquh
Source: archive.md/IAquh
November 18, 2025 at 6:11 AM
Princess Kako of Japan tested positive for COVID-19 after developing a fever on Tuesday. She had a sore throat Sunday after a Tokyo event and tested negative Monday, but a second test on Tuesday returned a positive result.
Source: archive.md/IAquh
Source: archive.md/IAquh
Reposted by Dr Satoshi Akima, FRACP
UK: "Two-thirds of nurses in UK work while unwell, says union"
"A survey by the Royal College of Nursing (RCN) of more than 20,000 nursing staff found that 66% had worked when they should have been on sick leave, up from 49% in 2017."
www.theguardian.com/society/2025...
"A survey by the Royal College of Nursing (RCN) of more than 20,000 nursing staff found that 66% had worked when they should have been on sick leave, up from 49% in 2017."
www.theguardian.com/society/2025...
Two-thirds of nurses in UK work while unwell, says union
Understaffing is driving workers to ill health and discouraging them for taking leave, says Royal College of Nursing CEO
www.theguardian.com
November 18, 2025 at 3:45 AM
UK: "Two-thirds of nurses in UK work while unwell, says union"
"A survey by the Royal College of Nursing (RCN) of more than 20,000 nursing staff found that 66% had worked when they should have been on sick leave, up from 49% in 2017."
www.theguardian.com/society/2025...
"A survey by the Royal College of Nursing (RCN) of more than 20,000 nursing staff found that 66% had worked when they should have been on sick leave, up from 49% in 2017."
www.theguardian.com/society/2025...
Reposted by Dr Satoshi Akima, FRACP
Reposted by Dr Satoshi Akima, FRACP
NIH directors have pointed to below estimates as evidence that Sweden was 'best in the world at protecting human life' for COVID (www.city-journal.org/article/nih-...). But plot doesn't show what they apparently think it shows - and there is a big red flag that immediately jumps out... 🧵
November 16, 2025 at 10:02 AM
NIH directors have pointed to below estimates as evidence that Sweden was 'best in the world at protecting human life' for COVID (www.city-journal.org/article/nih-...). But plot doesn't show what they apparently think it shows - and there is a big red flag that immediately jumps out... 🧵
In the meantime our overall admission numbers are exploding during what used to be the quiet season.
Stop getting seriously ill everyone!!
You can start by masking of course
Seriously, all elements of health are already stretched so there is not a lot to cut
How about we tax gas companies etc and inject funds into the system instead?
You can start by masking of course
Seriously, all elements of health are already stretched so there is not a lot to cut
How about we tax gas companies etc and inject funds into the system instead?
'Beyond belief': Albanese tells states to spend less on hospitals
Health ministers are furious with a letter from the prime minister demanding they rein in spending if they want a public hospital funding deal honoured.
www.abc.net.au
November 17, 2025 at 9:04 AM
In the meantime our overall admission numbers are exploding during what used to be the quiet season.
Reposted by Dr Satoshi Akima, FRACP
There's a big shift in cardiology to the high-risk, non-obstructed, inflamed artery and reducing heart attacks
erictopol.substack.com/p/the-big-sh...
erictopol.substack.com/p/the-big-sh...
The Big Shift in Cardiology to Atheroma and Inflammation
One A.I. company's tag line: "Creating A World Without Heart Attacks"
erictopol.substack.com
November 16, 2025 at 8:07 PM
There's a big shift in cardiology to the high-risk, non-obstructed, inflamed artery and reducing heart attacks
erictopol.substack.com/p/the-big-sh...
erictopol.substack.com/p/the-big-sh...
Reposted by Dr Satoshi Akima, FRACP
I get the feeling that our honoured dead were deemed unworthy. The weak that fell by the wayside.
Even HCW that died in the line of duty “weren’t strong enough”…
Even HCW that died in the line of duty “weren’t strong enough”…
November 15, 2025 at 1:22 PM
I get the feeling that our honoured dead were deemed unworthy. The weak that fell by the wayside.
Even HCW that died in the line of duty “weren’t strong enough”…
Even HCW that died in the line of duty “weren’t strong enough”…
Reposted by Dr Satoshi Akima, FRACP
sometimes it will just hit me that over a million americans died from covid in a short period of time and we never had a national mourning. we never collectively grieved. we never honored the dead. this feels like a failure
November 15, 2025 at 11:23 AM
sometimes it will just hit me that over a million americans died from covid in a short period of time and we never had a national mourning. we never collectively grieved. we never honored the dead. this feels like a failure
Reposted by Dr Satoshi Akima, FRACP
Epstein-Barr virus is linked to development of the autoimmune disease lupus in new research
www.scientificamerican.com/article/the-...
www.scientificamerican.com/article/the-...
The Virus That Causes Mono May Also Cause Lupus
Early findings indicate that Epstein-Barr Virus may also cause the autoimmune disease lupus
www.scientificamerican.com
November 13, 2025 at 2:22 PM
Epstein-Barr virus is linked to development of the autoimmune disease lupus in new research
www.scientificamerican.com/article/the-...
www.scientificamerican.com/article/the-...
Reposted by Dr Satoshi Akima, FRACP
It is "unconscionable’ that the Government [in the UK] has not recognised Long COVID as an occupational disease, warns BMA and RCN [Royal College of Nursing]"
www.bma.org.uk/bma-media-ce...
www.bma.org.uk/bma-media-ce...
‘Unconscionable’ that the Government has not recognised Long COVID as an occupational disease, warns BMA and RCN - BMA media centre - BMA
Press release from the BMA.
www.bma.org.uk
November 13, 2025 at 2:21 PM
It is "unconscionable’ that the Government [in the UK] has not recognised Long COVID as an occupational disease, warns BMA and RCN [Royal College of Nursing]"
www.bma.org.uk/bma-media-ce...
www.bma.org.uk/bma-media-ce...
Reposted by Dr Satoshi Akima, FRACP
The blueprints for a brand new hospital in NSW Australia are open for public review.
A great time to let the government know that air handling upgrades are needed.
www.haveyoursay.nsw.gov.au/rouse-hill-h...
A great time to let the government know that air handling upgrades are needed.
www.haveyoursay.nsw.gov.au/rouse-hill-h...
Rouse Hill Hospital
The NSW and Australian Governments have committed $910 million to deliver a new Rouse Hill Hospital.
www.haveyoursay.nsw.gov.au
November 13, 2025 at 2:29 PM
The blueprints for a brand new hospital in NSW Australia are open for public review.
A great time to let the government know that air handling upgrades are needed.
www.haveyoursay.nsw.gov.au/rouse-hill-h...
A great time to let the government know that air handling upgrades are needed.
www.haveyoursay.nsw.gov.au/rouse-hill-h...
Reposted by Dr Satoshi Akima, FRACP
Despite their frequent use, opioids have limited benefits in managing noncancer pain. Avoiding long-term opioid use, reducing the opioid dose, or replacing opioids with nonopioid alternatives may reduce the risk of opioid-related harm. Learn more: nej.md/4oL3fu2
#MedSky #NeuroSky
#MedSky #NeuroSky
November 11, 2025 at 8:03 PM
Despite their frequent use, opioids have limited benefits in managing noncancer pain. Avoiding long-term opioid use, reducing the opioid dose, or replacing opioids with nonopioid alternatives may reduce the risk of opioid-related harm. Learn more: nej.md/4oL3fu2
#MedSky #NeuroSky
#MedSky #NeuroSky