iiinova — where your digital self keeps evolving

Aadil Bharwani @aadilbharwani.bsky.social · 31/08/2026

In follow-up to the New Global Definition of ARDS, we published a study looking at the diagnostic accuracy of lung ultrasound relative to chest x-ray and CT thorax (gold standard). Now up! rdcu.be/Rte4dTNYsR4a

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david ehrlich @davidehrlich.bsky.social · 24/01/2026

Only a little more than $5,000 to go! Please consider donating if you haven’t already!

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Aadil Bharwani @aadilbharwani.bsky.social · 28/12/2025

Did the thing that I do every year, where I rank every movie I've seen that was released in the calendar year. Anyways, here's the top 20 (out of 93)

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Rheum Cat @rheumcat.bsky.social · 10/12/2025

from the vantage point of an infectious disease specialist

I find myself feeling nervous and uncertain before routine discussions that should take seconds. I rehearse what I’m going to say in my mind to anticipate potential landmines. I worry about appearing pushy or triggering defensiveness. I try to determine whether the patient in front of me is willing to hear any scientific information at all.
I should not feel nervous about mentioning a vaccine that prevents cervical cancer.

I should not have to brace myself before recommending a tetanus booster. And I should not walk into a room wondering whether decades of training and years of caring for a patient will be dismissed because of something they saw on social media.

Yet this is where we are.

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NEJM.org @nejm.org · 10/12/2025

In a randomized trial involving critically ill patients undergoing intubation in EDs or ICUs, the use of ketamine for the induction of anesthesia did not lead to significantly lower in-hospital mortality than etomidate. Full trial results: nej.md/44EOlxB @criticalcarereviews.com

CCR Down Under 2025
Original Article | Dec. 9, 2025 | NEJM.org
Ketamine or Etomidate for Tracheal Intubation of Critically Ill Adults

Figure 1. In-Hospital Death, According to Trial Group.

The NEJM identity sits at the bottom.

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Aadil Bharwani @aadilbharwani.bsky.social · 10/12/2025

Haven't been here in a hot minute. So anyways, I made some seekh kebabs

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Andrew Pruszynski @andpru.bsky.social · 09/12/2025

Come to Canada

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Aadil Bharwani @aadilbharwani.bsky.social · 14/09/2025

Spent an entire week just watching movies at TIFF and this is how my personal favourites shook out

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Aadil Bharwani @aadilbharwani.bsky.social · 14/07/2025

Just one of those days ending in y spent thinking about this gorgeous movie

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Aadil Bharwani @aadilbharwani.bsky.social · 22/06/2025

Did a little mid-year check-in for my 2025 movie rankings

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josh farkas 💊 @pulmcrit.bsky.social · 09/06/2025

Reminder: tube feeding for the treatment of dementia is nonbeneficial. Yes, this is counter-intuitive. But it's been established for decades. Evidence & guidelines indicate that tube feeding doesn't prolong survival or confer clinical benefit. article: jamanetwork.com/journals/jam... #EMIMCC

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Aadil Bharwani @aadilbharwani.bsky.social · 07/06/2025

Toronto this weekend looks like a scene right out of a Villeneuve movie. Easy on the eyes, rough on the lungs.

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Aadil Bharwani @aadilbharwani.bsky.social · 27/04/2025

Started playing around with 35mm half-frame

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Aadil Bharwani @aadilbharwani.bsky.social · 18/04/2025

Seeing SINNERS in IMAX on a 70mm film that was resurrected just in time for my showing. It's Easter indeed

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😱 Spooky SpectreKILLoquy 🔪 🩸 @caulimovirus.bsky.social · 13/04/2025

as a pedestrian, i hate cyclists because sometimes they’re assholes and they almost hit me with their bikes. that’s why i support any measure that cuts down on cycling and forces those same assholes to use a 3,000 lb killing machine instead.

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josh farkas 💊 @pulmcrit.bsky.social · 12/04/2025

fantastic investigator thread about delving deeper into the BALANCE trial (7 vs 14 day antibiotics for bacteremia) to look for heterogeneity of treatment effect 😁 I was allready a BALANCE trial fanboy… this analysis makes it even more appealing. #EMIMCC

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Aadil Bharwani @aadilbharwani.bsky.social · 10/04/2025

S2E8 of Severance, and yet neither I nor the show seem to have any idea where the story is going. Existing for the sake of itself

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😱 Spooky SpectreKILLoquy 🔪 🩸 @caulimovirus.bsky.social · 08/04/2025

a proper investment in healthcare would look like doctors seeing 10 to 12 patients a day instead of 20-40. People don’t trust doctors for many reasons but one common factor is they do not feel like the doctor is listening, which is extremely hard to do in such short visits. AI won’t help.

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Aadil Bharwani @aadilbharwani.bsky.social · 04/04/2025

Sounds like then everything changed when the Fire Nation attacked

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Aadil Bharwani @aadilbharwani.bsky.social · 30/03/2025

Had to share these stunning views. 2300m above sea level

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Aadil Bharwani @aadilbharwani.bsky.social · 26/03/2025

Guess who's armed and uniformed for a Studio Ghibli in IMAX

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@IM_Crit_ @imcrit.bsky.social · 22/03/2025

ICU Stories: Elderly patient with multiple medical problems (HFpEF / A fib / HTN / PE / obesity etc) was admitted w CHF exacerbation. Improved w diuresis but developed left upper extremity edema; diagnosed with extensive DVT for which Interventional Radiology (IR) was consulted

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Rosemary Mosco @rosemarymosco.com · 20/03/2025

Look I have zero excuses for this, but the idea popped into my head and now it's in your head, sorry

A six panel comic. In panel 1, a yellow warbler says "Hey, so I'm going to go out on a limb here". For the next four panels, it hops down along a branch. In the last panel, at the end of the branch, it sings a little song. I'm sorry.

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Kevin Collins @kwcollins.bsky.social · 17/03/2025

Scientists have just cured pancreatic cancer in some patients with personalized mRNA vaccines. Pancreatic cancer. And this Trump administration wants to throw it all away. They’re throwing away a cure for cancer.

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josh farkas 💊 @pulmcrit.bsky.social · 13/03/2025

I love the PITT but this scene requires correction A patient develops angioedema after stroke thrombolysis To intubate or not to intubate? Someone saves the day with epinephrine. Can you see the error? (#1/3) #EMIMCC

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Madeleine Bonsma-Fisher, PhD @mbonsma.bsky.social · 13/03/2025

The modern conservative playbook. There is no need for the stated reasons to have any relationship with reality. The tariffs aren't about fentanyl and removing the bike lanes isn't about congestion. www.thestar.com/news/gta/for...

A Toronto Star article: "Ford government’s own research warned that removing Toronto bike lanes may not ease congestion, may make roads less safe.

The government was warned that its plan to remove bike lanes may not get traffic moving as advertised, documents show.

In November, the Ford government passed Bill 212, which empowers it to remove bike lanes on Bloor Street, Yonge Street and University Avenue."

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Popehat @kenwhite.bsky.social · 11/03/2025

This is a grave and sobering admission: they are not pursuing the “WELL ACTUALLY he broke the law during protests,” they are bragging that they are deporting people for protected speech.

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Aadil Bharwani @aadilbharwani.bsky.social · 01/03/2025

Our study comparing resuscitation with conservative versus liberal fluid volumes for septic shock in patients who, at baseline, are at risk of volume overload, is finally out www.sciencedirect.com/science/arti...

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Aadil Bharwani @aadilbharwani.bsky.social · 11/03/2025

It was time to make one of these for Bong

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Michael Hendricks 🇨🇦 @michaelhendricks.bsky.social · 03/03/2025

I have a theory about why, beyond just being people, much of US scientific leadership was caught so flat-footed and is displaying Neville Chamberlain-tier wet kleenex resolve in defense of our institutions and values.

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Mehdi Hasan @mehdirhasan.bsky.social · 03/03/2025

"No Other Land," the Palestinian-Israeli made film showing the destruction of the occupied West Bank's Masafer Yatta by Israeli soldiers, just won the Oscar for Best Documentary. It can't get a distributor in the US. Which tells you everything about censorship in the US.

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Aadil Bharwani @aadilbharwani.bsky.social · 02/03/2025

It's that time of the year for Oscar predictions: who will win (vs who should). -Score: The Brutalist (cowardly omission of Challengers) -Cinematography: The Brutalist (Dune II) -Documentary: No Other Land -International feature: I'm Still Here (Flow)

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Aadil Bharwani @aadilbharwani.bsky.social · 01/03/2025

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Aadil Bharwani @aadilbharwani.bsky.social · 26/02/2025

I'm going to be running on an absolute high for back-to-back weekends

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Aadil Bharwani @aadilbharwani.bsky.social · 10/02/2025

He really brought Serena out there to crip walk while he belted out "a-minor". Can't help but respect that level of pettiness.

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Chloe Cockburn @chloecockburn.bsky.social · 08/02/2025

Congestion pricing in New York City is a month old. What are the results? Less crime as subway ridership up, less cars, less traffic, more people walking around, and increasing popularity. Here's a thread of recent stories about it.

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Aadil Bharwani @aadilbharwani.bsky.social · 09/02/2025

"We really need to bring back movie trailers that don't give away the bulk of the movie." --me, as I desperately cover my eyes and ears during the pre-show at the theatres.

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Aadil Bharwani @aadilbharwani.bsky.social · 05/02/2025

Made the emotional and time commitment tonigbt to rewatch one of my all time favourite movies

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Aadil Bharwani @aadilbharwani.bsky.social · 25/01/2025

Update: great show for everyone but me

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Aadil Bharwani @aadilbharwani.bsky.social · 23/01/2025

Trying to decide whether I should be spending my free hours outside the hospital by watching a fictional show set...in a hospital.

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