Dr Satoshi Akima, FRACP

Coffee, straight out of my nose.

Life expectancy is one of the parameters I was keeping an eye on… and warned about years ago before we “opened up” in Australia.

We’ll see how this plays here, but I’m very sad for my country of birth.

"This is a life and death story for the UK – so why is it being brushed under the carpet?"

Healthy Life Expectancy at Birth Plummeting. 📉

It is a hideous scandal that they can publish a chart as obvious as this and not even mention the words 'covid infections'.

Thank You, Jonathan....

It's was a lot of fun to chat 😊😊🙏🏻

The Curious Case of the Disappearing Data Last night I tried to access a dataset I’ve used many times before.

A good documentation of COVID history preserving data for posterity before it is vanished substack.com/home/post/p-...

Dialysis delay at what cost? Protein restriction as a distraction in the age of GDMT — NephJC The NephJC shorts on cost-efficiency of low-protein diets and ketoanalogues as a distraction from CKD-relevant therapies in the 21st century… wait, only if the comparator wouldn’t be dialysis.

World Kidney Day is coming, and we’ll celebrate the field’s momentum. This #NephJCshort is a reminder that some practices should stay relics. Extreme dietary restriction feels archaic when modern therapies can hit same renal pathways without the ritualized deprivation

www.nephjc.com/news/2026/2/...

We are giving away 5 AirSpots!

To enter, share a video of you using map.airspothealth.com!

How to win:

- The first 2 to post a video using the AirSpot Map and tag @airspothealth.bsky.social

- The 3 videos that tag @airspothealth.bsky.social and generate the most engagement by March 23rd

Tissue Factor for predicting Cardiovascular Mortality in Coronary Artery Disease Patients TH: Why did you (and your colleagues) write this paper? What was its main purpose? MARINA CAMERA : We wrote this paper to address an important unmet clinical need: improving thrombotic risk stratifica...

👀Read ou rinterview 🗣️with the lead author Marina Camera on the potential of Tissue Factor for predicting Cardiovascular Mortality in Coronary Artery Disease Patients

www.linkedin.com/pulse/tissue...

👀Read full article here 🔗 www.thieme-connect.com/products/ejo...

Screenshot of a Daily Mail article titled “Catching Covid significantly raises the risk of developing kidney disease, researchers find,” published 1 March 2026. Below the headline is a medical illustration of a semi-transparent human torso showing internal organs, with both kidneys highlighted in bright red. A caption notes kidney disease affects about 7.2 million Britons and occurs when the kidneys, which filter toxins, stop working properly.

"Catching COVID significantly raises the risk of developing kidney disease, researchers find"

"The virus was found to increase the chances that patients will develop the incurable condition by around 50 per cent."

Source: archive.md/Z87bA

Screenshot of a Stuff news article dated March 4, 2026 titled “Covid hospitalisations climb as New Zealand enters new wave,” written by Rachel Powe. Below the headline is an illustration of several black coronavirus particles on a light background with diagonal yellow shapes.

New Zealand: COVID hospitalisations climb as the country enters a new wave.

COVID deaths are also rising as New Zealand enters its 9th wave.

Wastewater data shows cases are at their highest level in over 6 months

Source: archive.md/ij18m

SARS-CoV-2 Infection Linked to Higher Thyroid-Disease Risk An analysis of medical records from a hospital system in the Bronx, New York, adds to findings linking SARS-CoV-2 infection to later diagnosis of thyroid conditions.

SARS-CoV-2 Infection Linked to Higher Thyroid-Disease Risk www.medscape.com/viewarticle/...

Kidneys and Cövid
@thecovidinfoguy.bsky.social 🙏🏻

www.nature.com/articles/s43...

"COVID-19 has been the leading cause of acute respiratory infection related mortality across the majority of 2023–2025. In 2025 the number of deaths involving COVID-19 (both due to and with) exceeded the number of deaths involving influenza."

#COVID19Australia #COVIDisNotOVER

This week's cover @thelancet.com

This #ASNKidney360 study evaluated the concordance of pre-biopsy clinical diagnosis with post-biopsy final diagnosis among patients with clinical AKI. Read the article here: kidney.pub/KID1151 Steve Coca

Since measles is coming back, here's a question:

What is the "half-life" of airborne decay of measles?

Answer: We have no idea. People think it's long (1 to 2 hours).

Why don't we know? Funders largely felt there wasn't a need to measure it since it was managed with vaccines.

PSA: if you have chronic fatigue and have never had your ferritin checked, please do so.

And look at the actual value because the reference range is likely trash. It should be at minimum 30 and ideally 50+

Thank you for your attention.

For those who saw the #ASH abstract but missed the actual publication suggesting IV Fe is safe in sepsis #HaemSky #Nephsky #NephJC

Deciphering the dilemma: Intravenous (IV) iron use in iron deficiency anemia during acute infections AbstractBackgroundThe use of intravenous (IV) iron for treating iron deficiency anemia during acute infections remains controversial. Prior studies have re

There is a large cohort study showing that IV Fe is safe in sepsis. Presented at ASH 2025 (thanks for the heads-up @shematologist.medsky.social) but now published in Blood #NephJC ashpublications.org/blood/articl...

In DIALIZE-Outcomes, Kidney International SZC improves normokalemia in hemodialysis, but does not reduce arrhythmia-related CV events (HR 0.98). Biochemistry improved; outcomes unchanged.

#ClinicalTrials #Nephrology

It's like living through the French Revolution or WWI, the sky is still blue and superficially things look the same. But the past is a different country. Mark Carney talked about a “rupture” with the post-war order but COVID primed the rupture.

Australian C19 Weekly Update - 20th February 2026

Note: Cases recorded are from PCR testing only. Actual cases are significantly higher.

Data from: nindss.health.gov.au/pbi-dashboard/

Thanks to @angiecibisdesign for the design!

1/4

PEM: Why “good days” may be costing you tomorrow

Excellent overview and explanation of #PostExertionalMalaise by @oonaghcousins.bsky.social and shared with me this morning via the #VisibleHealth app by Harry Leeming 👇

www.makevisible.com/blog/post-ex...

HT Todd @sunsopeningband.bsky.social Davenport 🙏

#LongCovid #PEM #Pacing

I saw one op-ed claim that COVID has left no impact on our “post-COVID world” but it has clearly helped unleash a quackistocracy that goes well beyond healthcare.

I saw one op-ed claim that COVID has left no impact on our “post-COVID world” but it has clearly helped unleash a quackistocracy that goes well beyond healthcare.

Why is this not child abuse?

Blood Pressure–Lowering Agents for Kidney Transplant Recipients: Editorial Summary of a Cochrane Review

bit.ly/3ZKEWlp

Mom whose 7-year-old has brain swelling from measles still wouldn’t vaccinate EXCLUSIVE: South Carolina parents living in the state’s measles epicenter tell Rhian Lubin of their devastation after their unvaccinated 7-year-old son, Ethan, developed encephalitis, a complication f...

Mom of 7-year-old hospitalized with measles encephalitis: "I still wouldn’t have given my son the vaccine"

#PublicHealth #Medsky

www.independent.co.uk/news/health/...

Visual abstract

Another trial!

Albumin 20% for septic shock

Does not work - JAMA NO

jamanetwork.com/journals/jam...

#EMIMCC

Nipah virus vaccine from University of Tokyo set for April clinical trial As new cases emerge in India, highly fatal virus has no effective treatment

Nipah virus vaccine from University of Tokyo set for April clinical trial
https://asia.nikkei.com/business/science/nipah-virus-vaccine-from-university-of-tokyo-set-for-april-clinical-trial