A total collapse. The National Institutes of Health went from 756 funding announcements published to 14 in two years. One example of the effects: emerging threats will become harder to address quickly. Response to future health emergencies (like Covid) will be slower and less coordinated.

With thanks to Prof. Raina McIntyre. Shared via email. All Australians with kids should read this carefully... Perhaps Kelly CMO would like to see his handiwork? doi.org/10.1016/j.va...

Initiation of #SGLT2 inhibitor therapy was associated with lower 5-year risk of chronic kidney disease and fewer acute kidney injuries vs #GLP-1 receptor agonists among individuals with #Type2Diabetes. ja.ma/4l128FZ

FIND CKD meets primary outcome (GFR slope) in n ~ 1500 with proteinuric non-diabetic CKD Bayer press release: www.bayer.com/media/en-us/... BL data + design paper pubmed.ncbi.nlm.nih.gov/38858818/ in NDT H/T Brendon Neuen on LinkedIn (!)

Here's the latest variant picture for Australia, to late February. NB.1.8.1.* "Nimbus" rebounded to 42%, while XFG.* "Stratus" fell sharply to 16%. BA.3.2.* "Cicada" grew strongly to 26%. #COVID19 #SARSCoV2 #Australia 🧵

Japan's cherry blossom season is getting underway, with Tokyo expected to see the first blooms by Wednesday or Thursday, and trees likely to be in full bloom the following week, according to forecasts from weather information providers. trib.al/dOFRMiP

COBRRA is out. Don't prescribe Rivaroxaban. Choose Apixaban instead. No COI. Chart taken from pre-publication ISTH 2025 presentation

COBRRA is out. Don't prescribe Rivaroxaban. Choose Apixaban instead. No COI. Chart taken from pre-publication ISTH 2025 presentation

$150,000 fine is peanuts. 45 RESIDENTS DIED. The max potential penalty was $1.5m.. Are our grandparents lives not worth much? www.abc.net.au/news/2026-03...

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 😊😊🙏🏻

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

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

👀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...

"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

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 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#ASNKidney360

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

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

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

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.

Why is this not child abuse?

Blood Pressure–Lowering Agents for Kidney Transplant Recipients: Editorial Summary of a Cochrane Review bit.ly/3ZKEWlp

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/...

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

How the Kakistocracy Became a Quackistocracy Corruption is a germ’s best friend By Paul Krugman @pkrugman.bsky.social

Adam Rodman on patients using an LLM www.nytimes.com/2026/02/17/o... (gift link) @adamrodmanmd.bsky.social has thought long about this - very good read #MedSky

Paul Sax as always with a sensible take in the FDA decision under Vinay Prasad on the Moderna flu vaccine and the broader implications blogs.nejm.org/hiv-id-obser...

How the Kakistocracy Became a Quackistocracy Corruption is a germ’s best friend By Paul Krugman @pkrugman.bsky.social

France: First court case over death linked to hospital-acquired COVID-19 infection. Awarded €8,000 for the harm suffered by the victim; €15,000 for the widow’s emotional distress, €4,000 for funeral costs, and €4,000 each for the 4 children’s emotional distress. www.francebleu.fr/nouvelle-aqu...

I was looking up the history of SGLT2 inhibitors and found this article on “phlorizinized men” and saw the first paragraph included “this evidence is direct and unequivocal in the case of the aglomerular fish” which made me double check the authors and sure enough there was Homer W. Smith

once, you needed a doctorate’s worth of knowledge and years of experience to build a biological weapon. now, AI may be able to teach you everything you need to know theconversation.com/an-illegal-b...

"I used to snort cocaine off toilet seats" sounds just about right for the current state of public health... and the world. www.usatoday.com/story/news/p...

RFK Jr: I'm not scared of a germ. I used to snort cocaine off of toilet seats.

Here's the latest variant picture with a global scope, to late January. XFG.* "Stratus" continued to dominate, but fell sharply to 52% frequency. NB.1.8.1 "Nimbus" grew slightly to 28%,. BA.3.2.* "Cicada" rebounded to 7%. #COVID19 #SARSCoV2 #Global 🧵

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 👏🏼👏🏼

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...

Not a single thing we were told about #COVID turned out to be correct. A long thread 🧵

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...