iiinova — where your digital self keeps evolving

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Pippa Crerar @pippacrerar.bsky.social · 19/04/2026

NEW: Richard Tice failed to pay almost £100,000 in corporation tax, benefiting his investment company which made large donations to Reform UK. First time Reform's deputy leader's tax affairs can be directly linked to finances of Nigel Farage's party.

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Balazs @cannulaservice.hibalazs.net · 19/04/2026

Explains why it takes me 2x video length to get through things. I rewind & watch with subtitles so much 😂 and I still forget things.

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David Mayerich @supox.net · 18/04/2026

“Air Go Down, Plane Go Up” will now be my first-order explanation. It’s a MUCH better starting point than trying to explain pressure.

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Christopher Wiggins @cwnewser.bsky.social · 19/04/2026

Breaking: HHS’s ban on gender-affirming care is struck down. Rarely have I read a ruling this sharply worded. “This case is one of a long list of examples of how a leader’s wanton disregard for the rule of law causes very real harm to very real people.” www.advocate.com/politics/nat...

advocate.com

Federal judge unloads on ‘unserious’ RFK Jr., says anti-trans policy showed his ‘cruelty’

Judge Mustafa T. Kasubhai vacated the “Kennedy Declaration,” finding it unlawfully attempted to override medical standards and restrict care for transgender youth.

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Balazs @cannulaservice.hibalazs.net · 19/04/2026

She's said before that's not what she wants to do with her channel. The conspiracy audience willingly accept being missold nuance as "it doesn't work" & that's sad. Same thing in medicine. It's so much energy trying to undo the fake news & they don't want to hear it.

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Balazs @cannulaservice.hibalazs.net · 19/04/2026

I don't want to make the assumption that people are stupid, but like did we watch the same video? Did they just hear what they want to hear? Do people not really pay attention and just have it on in the background? It fascinates me.

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Fionna O’Leary @fascinatorfun.bsky.social · 14/09/2025

Hardly “well”, Peter Kyle. Get a bloody grip @labouruk.bsky.social You have a massive majority. Keep pandering to the Tories and ReFuk. And, guess what? They don’t like you any better for it. Meanwhile you are squandering the votes of those who would customarily support you. IDIOTIC.

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Eugene Lim @tukohbin.bsky.social · 14/09/2025

“Minister said 100k marching calling to shoot their leader is sign of healthy country.” This reeks either big brain overthink or panic meltdown mode.

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Andy Conway Morris @andymoz78.bsky.social · 04/05/2025

I’d counter by having pensioners sent to classes on climate change, trade economics and the histories of slavery and colonialism. Two can play at this game.

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Andrea Love, PhD | Biomedical Scientist @drandrealove.bsky.social · 21/04/2025

Breast cancer diagnoses rose by over 300% between 1973 and 1992. Was there a breast cancer epidemic?! NO. Mammograms were implemented for screening in 1976. PREVALENCE is a function of being able to correctly diagnose something. This is also about autism.

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Danielle Froom 🏳️‍🌈 @danifroom.bsky.social · 22/04/2025

Everyone needs to internalize that when they say they want to "eliminate autism" what they mean is "eliminate autistic people and their families".

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Ken Milne MD @thesgem.bsky.social · 05/04/2025

Life on social media as a skeptic and science communicator. @dennisrenmd.bsky.social @kaymd.bsky.social @aineyoremd.bsky.social @mdaware.org

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Balazs @cannulaservice.hibalazs.net · 25/03/2025

I hope abolishing NHSE fixes some of these perverse incentives for trusts to seek alternative income streams. More than anything I'm frustrated by poor leaders like Dr Navina Evans who must have been aware & yet can't listen to doctors & work to improve things. 8/8

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Balazs @cannulaservice.hibalazs.net · 25/03/2025

The sad thing is, they're not even trying to hide it. Most screenshots from my FOI request but a lot of info is freely available online: global.hee.nhs.uk/supporting-g... www.hee.nhs.uk/sites/defaul... education.uhb.nhs.uk/clinical-edu... 7/8

global.hee.nhs.uk

IPGMTS - Global Health Partnerships

The International Postgraduate Medical Training Scheme: summary The NHS: the premier destination for healthcare education and training Programme entry requirements […]

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Balazs @cannulaservice.hibalazs.net · 25/03/2025

They can apply to any speciality. There's no workforce planning or ringfencing for specialities/regions most in need. I've no doubt these doctors are suitably qualified. But amidst ongoing NHS crises, how can we provide training for up to 300 Saudi drs & yet not our own? 6/8

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Balazs @cannulaservice.hibalazs.net · 25/03/2025

It seems the agreement is expected to be renewed in 2030 when it expires. This is so backwards. UK drs are emigrating unable to get training & yet trusts are being paid by foreign govts to train their drs here. Why can't we put money into training the drs we already have? 5/8

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Balazs @cannulaservice.hibalazs.net · 25/03/2025

Where was the consultation with doctors, royal colleges, BMA about this? Feasibility to deliver training & impact assessment? It's infuriating HEE, DHSC, GMC all approved this. On a backdrop of ⬆️ competition ratios & ⬇️ training satisfaction during the same period. 5/8

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Balazs @cannulaservice.hibalazs.net · 25/03/2025

What little comfort it may provide, it doesn't seem to take away from the pool of UK training nos. I'm sure these doctors are highly capable & they do need to meet the same benchmarking standards. But UK drs are expected to go through the CV & application rat race. Why? 4/8

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Balazs @cannulaservice.hibalazs.net · 25/03/2025

NHSE said they didn't give or receive any money, but confirmed that Saudi govt pay UHB directly. (I have separate FOIs still pending about this). Why UHB? The "prestigious" trust often in the news for toxic leadership has historical working relationship with Saudi DoH. 3/8

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Balazs @cannulaservice.hibalazs.net · 25/03/2025

During covid in 2020+ as UK doctors faced redeployment, exam cancellations & delays, recruitment mishaps, moral injury, @england.nhs.uk, HEE, UHB were busy helping support a growing no of Saudi doctors enter UK training. 2/8

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Balazs @cannulaservice.hibalazs.net · 25/03/2025

As UK doctors face yet another disaster in job applications & ⬆️ competition ratios, let me tell you how Saudi Arabia pays Univ Hosp Birmingham to allow their drs to side step into UK speciality training. No competition. Guaranteed places. All with @gmcuk.bsky.social & @england.nhs.uk approval. 1/8

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Louise Egan @louise-egan.bsky.social · 18/03/2025

If people cant access appropriate mental health treatment and support in a timely way in stands to reason their mental health will further deteriorate and the severity of their mental illness will increase. www.rcpsych.ac.uk/news-and-fea...

rcpsych.ac.uk

“Rise in people with mental illness being driven by real societal challenges and lack of available treatment” says RCPsych President

RCPsych President Dr Lade Smith CBE responds to the Secretary of State for Health and Social Care's comments about the overdiagnosis of mental health conditions.

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Martin McKee @martinmckee.bsky.social · 07/03/2025

5/11 ⚠️ Notably, we found no evidence that physician associates add value in primary care or that anaesthetic associates contribute positively in anaesthetics. If you add cost of supervision, which the studies don’t, it’s very unlikely they are cost-effective

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Martin McKee @martinmckee.bsky.social · 07/03/2025

4/11 🏥 Our findings suggested that the evidence was limited and preliminary. There were important concerns about the competence of PAs in managing complex patients and prescribing (which happens, even if illegal)

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Martin McKee @martinmckee.bsky.social · 07/03/2025

🧵 1/11 📚 Our new rapid systematic review, led by @trishgreenhalgh.bsky.social in @bmj.com examines the role of physician associates (PAs) and anaesthetic associates (AAs) in the UK. This is a crucially important question in light of the Leng Review

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Ryan Marino, MD @ryanmarino.bsky.social · 03/03/2025

He’s moved on from ivermectin but I still cannot overstate how lazy and stupid this guy’s scams are. People have died from experimenting with DMSO, an industrial grade solvent. There is a wealth of scientific literature on it, and the only people pushing decades-old junk science like this are frauds

Pierre Kory, MD MPA & @PierreKory

If DMSO was used for strokes and spinal cord injuries, millions would be spared from death, paralysis, and disability. As an ICU doc, I am in disbelief the FDA has kept this from us for decades. The evidence @MidwesternDoc presents here is mind-blowing.

How DMSO Treats
•Strokes and Brain Bleeds
• Brain and Spine Injuries
• Paralysis
• Heart Attacks
• Dementia
• Amyloidosis
• Developmental Delays
• Down Syndrome
• Raynaud's
•Varicose Veins

“DMSO Could Save Millions From Brain and Spinal Injury”
From midwesterndoctor.com

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Fionna O’Leary @fascinatorfun.bsky.social · 02/03/2025

Interesting to watch the diplomacy dance. Zelensky not only gets his visit to see the King before Trump, and so quickly after Trump’s shameful attack, but it isn’t a standard one at Buck House either, but a private visit in Sandringham.

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Balazs @cannulaservice.hibalazs.net · 02/03/2025

Also please ignore the vignetting, I'm using a DX lens on a film camera and Nikon's annoying changes mean it cuts off 35mm film.

a busy intersection of regent street in london, at night, in black and white

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Balazs @cannulaservice.hibalazs.net · 02/03/2025

Taking inspiration from @robjimfleming.bsky.social I'm sharing some of my own #photography. I've never been a very arty or creative person, but the process of shooting and developing black and white film helps cover up the lack of skills. Shot with Nikon F80 on Ilford HP5+ film.

view of a single road ahead lined by small bushes and a few big trees on either side, with a monument at the end of the road in the middle of the picture.

wooden fence at a train station platform, with a sign saying to keep behind the yellow line, in black and white

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Balazs @cannulaservice.hibalazs.net · 28/02/2025

That's definitely the way to go 🤣 it's what I do! take a bunch and hopefully some look good!

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@IM_Crit_ @imcrit.bsky.social · 14/02/2025

ICU Mechanical Ventilation (MV): There are many books & articles on the topic but this 8 years' old review has nice graphs/tables & a good discussion of the specific ventilatory approaches in ARDS and COPD:

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Glen Pyle | Womens Heart Health ❤️‍🩹🖇️ @glenpyle.bsky.social · 16/02/2025

"In just two weeks, an outbreak in northwest Texas jumped from two cases among unvaccinated children in Gaines County to 48 people across four counties" Geez...it's almost like measles is highly contagious or something🤔 Also, anti-vaxxers suck🤬 www.usatoday.com/story/news/n...

usatoday.com

Measles continues to spread as Texas outbreak rises to 48 cases: Here's what to know

A fast-growing measles outbreak has infected dozens of people in Texas and now New Mexico as officials warn of further spread.

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miksu2903.bsky.social @miksu2903.bsky.social · 08/02/2025

When evil men do their evil things and you're silent makes you an evil person.

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Christa Brown @christabrown.bsky.social · 07/02/2025

"Citizenship by birth is an unequivocal Constitutional right. It is one of the precious principles that make the United States the great nation that it is. The President cannot change, limit, or qualify this Constitutional right via an executive order." storage.courtlistener.com/recap/gov.us...

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Dr Louella Vaughan @drlkvaughan.bsky.social · 07/02/2025

Only in the foothills of 2 college elections (RCP + RCR) and already seeing: WhY aRE Pas aN iSSue? MoRe imPortAnt FinGs haPpeniG. Here's my response. 🧵 1/

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Cllr Dr David Nicholl @drdavidnicholl.bsky.social · 06/02/2025

My good friend @drasifqasim.bsky.social is standing to be President of Royal College of Physicians…I’ve only got to know Asif over the last 2 years in all the mess over #RCPEGM He is an outstanding physician, I cannot commend him enough. Tell your FRCP chums #VoteAsif asifqasim.co.uk/prcp

asifqasim.co.uk

PRCP Election — Dr Asif Qasim, MA PhD FRCP

Dr Asif Qasim candidate for election at President of the Royal College of Physicians - restoring the RCP as the Voice of Physicians

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Balazs @cannulaservice.hibalazs.net · 05/02/2025

My takeaways: - Dire need for high quality research about the implementation & clinical competence/safety of MAPs. - Nationally defined scope important for safety & also key to allowing PAs to integrate & be accepted into teams. - Careful planning of PA roles into teams. 17/18

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Balazs @cannulaservice.hibalazs.net · 05/02/2025

Conclusion: - Need to assess what MAPs are doing due to lack of national scope. - Variance leads to confusion & poor views of PAs. - PA contribution could be their operational knowledge & routine/admin tasks. - Prescribing/x-rays could be limited to role/team they are in. 16/18

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Balazs @cannulaservice.hibalazs.net · 05/02/2025

AAs: - Single qualitative study: Most trusts employed AAs in extended roles & with more independence than guidelines. - Mix of cases not limited to 'healthier' 'less complex' ASA 1-2 patients. - Concerns expressed by consultants about competence & accountability of AAs. 15/18

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Balazs @cannulaservice.hibalazs.net · 05/02/2025

- More & varied groups of staff ❌ not associated w/ better quality of care. - ⬆️ employment of non-GPs & non-nurses in practices ⬇️ patient exp & perception of access to care. - Variety of staff groups led to confusion about training/scope of each. 14/18

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Balazs @cannulaservice.hibalazs.net · 05/02/2025

PA policy: - ⬆️support at national level & ⬇️ support at regional & below. - Policymakers focused on staff shortages & convinced from early studies of US PAs in Scotland that substitution can be safe. - Prof. bodies concerned about lack of evidence for safety & efficacy. 13/18

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Balazs @cannulaservice.hibalazs.net · 05/02/2025

- Supervisor & institutional involvement in shaping individual PA's role in the team key to ⬆️ motivation & acceptance of PAs. - Roles need to be tailored & organically developed: PAs can't slot in from one environment to another as lots of knowledge local & MDT specific. 12/18

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Balazs @cannulaservice.hibalazs.net · 05/02/2025

Identity & career development: - Absence of PA role models led to inappropriate modelling on medical students & drs. - Identity dissonance exacerbated by career uncertainty. - PAs more satisfied & more accepted into teams when role clearly defined/niche carved out. 11/18

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Balazs @cannulaservice.hibalazs.net · 05/02/2025

- Supervision seen as burdensome. - PAs liked on personal level but much ambiguity about role leading to comparisons w/ other HCPs rather than defining unique role. - Staff unsure of what PAs could do, to what standards, what support they needed & max level of competency. 10/18

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