Dr Satoshi Akima, FRACP
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toshiakima.bsky.social
Dr Satoshi Akima, FRACP
@toshiakima.bsky.social
Nephrology & Internal Medicine. Immunothrombosis incl DIC. ISTH Member. No Conflicts of Interest. Views my own etc
Lymph nodes enlarge during a viral illness because they are doing their job. They are essentially immune-response “command centres,” and enlargement means they are actively filtering pathogens and producing the cells needed to fight the infection.
November 23, 2025 at 11:25 AM
Yes, ME/CFS existed pre-COVID. I should add a caveat that a kindergarten teacher I know tested dual flu/COVID positive a week or so ago, so they are still around, even if my PCRs are negative.
November 23, 2025 at 1:02 AM
At the moment none of my PCRs are coming back with COVID or influenza. I am seeing more rhinovirus/enterovirus
November 22, 2025 at 11:34 PM
Note: it isn't necessary to always run an ionised Ca (needs to be on a fresh specimen collected in an ABG syringe, no ice) as the whole Ca is 80% accurate. But where accurate clinical confirmation is needed, run the iCa. Here's how to interpret the ionised calcium
November 22, 2025 at 12:32 AM
It is kinda depressing that much medical orthodoxy is based on cultist dogma supported by the infinite repetition of mantras. bsky.app/profile/tosh...
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 12:23 AM
The Payne corrected Ca formula has been shown over and over again to be utterly useless, yet I keep coming across clinicians who believe in it like a cult or religion. bsky.app/profile/hswa...
Albumin adjustment formulae for calcium continue to suck

jamanetwork.com/journals/jam...

In @jama.com network open
November 22, 2025 at 12:20 AM
Running the Ca level through the Payne “corrected Ca” formula only reduces the accuracy of the result: it is worse than useless. It’s get even worse as the albumin level drops. Myth busted
November 22, 2025 at 12:16 AM
So much for the cult and religion of anti-Xa monitoring.
November 21, 2025 at 11:33 PM
Reposted by Dr Satoshi Akima, FRACP
And look at this… flu and the heart… 1930s!

virologyresearchservices.com/2019/04/30/w....
When Flu hits you in the Heart - VIROLOGY RESEARCH SERVICES
Why you’re at increased risk of heart attack when you have the flu
virologyresearchservices.com
November 19, 2025 at 9:06 PM