iiinova — where your digital self keeps evolving

Cheery Littlebottom @cherrylittlebottom.bsky.social · 22/09/2026

@drjaninaramirez.bsky.social Is there a third book planned in your Viking Mystery series? My child loves the series and is waiting to see the adventures of Alva finding her father!

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Cheery Littlebottom @cherrylittlebottom.bsky.social · 18/09/2026

Nicely designed study on GLP1 use increasing the risk of perioperative aspiration 11-fold (1.4% rate)

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Tuta @tuta.com · 31/08/2026

If you have a Gmail account, you need to read this. Google's AI now scans your emails and attachments, bank statements, tax files, medical letters, all of it. It turned on by default, and there's a class-action lawsuit over how. Here are 5 moves to shut it off, the switch is hidden in two places:

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Anaesthesia @anaesjournal.bsky.social · 18/08/2026

Do you routinely discuss the risk of death as a complication of anaesthesia for your paediatric patients? Great Ormond Street have increased the rate of discussion of the risk of death from 4/138 (3%) in 2020 to 131/143 (92%) in their most recent audit. #AnSky #MedSky doi.org/10.1111/anae...

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Royal College of Anaesthetists @rcoanews.bsky.social · 04/08/2026

The latest joint Rapid Sequence Induction (RSI) statement encourages a risk-based approach, careful preparation, and evidence-led practice — empowering anaesthetists to deliver the best care for every patient. Read more and download the statement 👉https://ow.ly/ZKFu50Zwc9q #Ansky #Medsky

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Raj LB @rajlb.bsky.social · 01/08/2026

That in the UK we use the start of team brief as a some sort of meaningful measure of theatre efficiency. ANAESTHETISTS HAVE TO SEE PATIENTS THE TIME OF THE BRIEF IS ENTIRELY DEPENDENT ON THE NUMBER AND COMPLEXITY OF PATIENTS #AnSky

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👻madeline bOoOoOoOodent👻 @oldenoughtosay.com · 27/07/2026

the transphobes: 'there's no good medical evidence for trans healthcare' sensible people: 'okay, you've dismissed a number of good studies but fine we'll do another' transphobes: 'and that made me really mad'

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Cheery Littlebottom @cherrylittlebottom.bsky.social · 03/07/2026

This is a really good post which everyone who has suffered through a PowerPoint presentation should read It's a bugbear of mine that presentation skills are not taught in medical education, so you learn by osmosis how to give a presentation from others who are also terrible at it

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Gale Sinatra @galesinatra.bsky.social · 27/06/2026

I think we just passed oops.

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Dr Steve Taylor @drstevetaylor.bsky.social · 04/05/2026

As a GP, I am not allowed to receive a pen or post-it note pad from a pharmaceutical company rep Govt banned them in case I was influenced to prescribe medications This should also be banned Influence is being bought in Govt Patients should influence not the healthy & wealthy

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Amit Pawa @dr-amit-pawa.bsky.social · 02/05/2026

Did you miss the live broadcast of our #BILIH #BlockItLikeItsHot @bilih.bsky.social VIDEO episodes with GEHealthCare? You can watch @jeffgadsden.bsky.social & I take you through techniques for Knees, Hips & Shoulders at the link below 👇👇🏻👇🏼 landing1.gehealthcare.com/Block-It-Lik... #RAsky #AnSky

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WHO @who.int · 23/04/2026

It's #WorldImmunizationWeek Vaccines have saved more than 150 million lives since 1974 — not by accident, but because ordinary people made the decision to protect themselves, their children and one another. That’s 6 lives every minute, every day, for more than 5 decades bit.ly/4mH2HWi

Illustration of diverse family generations celebrating vaccination with a large vaccine vial and immunization card, promoting World Immunization Week 2026.

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Jones @theearlofpowys.bsky.social · 13/04/2026

If you return unwanted Reform local election leaflets to their party headquarters using their free post address, then it will cost the party £2.50 per envelope. Please don’t share this information; it could cost Nigel Farage a fortune.

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RM @dorsalstream.bsky.social · 03/04/2026

The horse op-ed is an instant classic. I can't tell you how much joy this piece gives me. It should be taught in every introductory writing class in no small part because the horse arguments are so compelling. "I have noticed that human children get to eat cake. But I am bigger than the children."

I Work Very Hard, And I Would Like To Try Cake

By A Horse

Hello. I am a horse. I work very hard at my job of being a horse. When humans say move the heavy thing, I move the heavy thing. When humans sit on top of me and pull on my head, I carry them where they want to go. The main food the humans give me is hay and oats. But I am thinking it would be nice to have a different food.

I am thinking I would like to try cake.

Yes, yes. Cake. I know all about it. When humans eat cake, it is in glad times. It is the food for a celebration, such as when a woman becomes 47. I have seen cake on the Fourth of July. When humans have a cake, they stand around it and clap hands and smile and say happy birthday at each other. Sometimes there are beautiful markings on a cake, such as balloons or a pink shape.

Sometimes the top of a cake is on fire and a boy must blow on the fire with mouth wind. This is the scariest cake. I do not want this kind. But I will eat any other cake. Any cake that is not the fire cake that tries to kill the boy.

Please understand: I do not get money for doing work. I do not get to go inside the house. All I am either doing my horse job or standing in my pen or eating food off the floor. I always do these things. But I have never once gotten cake and I would like it very much.

I have noticed that human children get to eat cake. But I am bigger than the children. I am more helpful to the farm. Children do not move the heavy things like me or let anyone ride on them. And yet they get cake. Maybe the humans will realize this. Maybe they will say, "You know who deserves cake? That horse. That horse whose back we are always on."

Every day I dream about what it will be like if I get to eat cake. Here is what will happen. First, I will walk to the cake and putt my nose at it like hrrfff to make and stomping my hooves to make sure it is not a snake. Then I will trot in a circle to show that I am a horse and I am large. After that, I will nuzzle the cake to …

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Dr Steve Taylor @drstevetaylor.bsky.social · 03/04/2026

Dr James Le Fanu was happy with £7500 in his day! His day as a Junior Doctor 1974 - the following year Junior Doctors were in industrial action with Government £7500 would be £72k now if kept with CPI inflation - no wonder he was happy Maybe he should get back on his sofa

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Laura Helmuth @laurahelmuth.bsky.social · 22/03/2026

This is a great list of techniques for getting real information out of a Google search and avoiding AI slop and paid results. (One thing not included is that if you add "-ai" to a search, you block the AI summary) cardcatalogforlife.substack.com/p/google-has...

cardcatalogforlife.substack.com

Google Has a Secret Reference Desk. Here's How to Use It.

40 Google features to find exactly what you need, the alternative search engines that do things Google won't, and the reference desk framework underneath all of it.

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nilay patel @reckless.bsky.social · 20/03/2026

Google is now screwing with the 10 blue links in traditional search and rewriting headlines - including ours - to be the worst kind of slop. This sucks so bad www.theverge.com/tech/896490/...

A screenshot of Google search with verge headlines rewritten as slop

Lego Computer Brick - Engineer James Brown
Aug 20, 2022 — James Brown has brilllantly brought classic Lego computer bricks to life by outfitting them with a tiny OLED screen, processor, ...
Y/
The Verge
https://www.theverge.com› Al> Tech, Reviews:
"Cheat on everything" Al tool
Apr 23, 2025 - Two 21-year-old Columbia University dropouts are proposing a new $5.3 million twist on the concept: use their Al tool Cluely to "cheat on everything." Read more
The Verge
https://www.theverge.com» » Microsoft›Al› Tech:
Copilot Changes: Marketing Teams at it Again
22 Aug 2024 — Microsoft is getting ready to rebrand its Copilot for its business Al efforts. It's part of an effort to push Microsoft 365 Al tools.
The Verge
https://www.theverge.com› Wearable Science Tech:
Dexcom Stelo hands-on - OTC Continuous Glucose Monitor
Aug 26, 2024 - The $99 Dexcom Stelo is an over-the-counter continuous glucose monitor designed for Type 2 diabetics who don't use insulin.

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Amit Pawa @dr-amit-pawa.bsky.social · 14/03/2026

Update to my PENG block Video out now on my YouTube channel! Great for Hip Arthroplasty, Arthroscopy & Fracture! Link Here👇🏽👇🏽👇🏽 youtu.be/ghKuVxQR1bQ?... #RegionalAnaesthesia #RegionalAnesthesia #RAsky #AnSky

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Anaesthesia @anaesjournal.bsky.social · 11/03/2026

Plan A blocks in regional anaesthesia Key components to increase patient access to regional anaesthesia: • select high value blocks • widespread competence • ⬆️ patient access • pathway implementation #AnSky #RASky #PainSky doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 20/02/2026

Considerations for shared decision-making in the use of regional anaesthesia for patients with diabetes #AnSky #MedSky #EndoSky doi.org/10.1111/anae...

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The Association of Anaesthetists @assocanaes.bsky.social · 05/02/2026

New: Guidelines for anaesthesia and sedation in patients who are breastfeeding Anaesthetic, sedative & analgesic medicines are transferred to breastmilk in only very small amounts. Patients should be advised that discarding of breastmilk after anaesthesia is not necessary Download: buff.ly/KNnL8gR

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Anaesthesia @anaesjournal.bsky.social · 04/02/2026

Semaglutide, fasting and gastric ultrasound Nearly 50% of patients receiving semaglutide treatment had a full stomach on pre-operative gastric ultrasound, regardless of dose, duration, route of administration or withholding time. #AnSky doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 30/01/2026

In this study, the presence of regional anaesthesia emerged as the strongest determinant of improved postop recovery. #AnSky doi.org/10.1111/anae...

doi.org

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Dr Kat Day (she/her) 🌖 @chronicleflask.katday.com · 28/09/2024

This graph is astonishing. The people that bang on about “natural birth” and “women have been doing this forever without help” need to be forced to stare at this until their eyes water.

Graph of maternal mortality rate against year for the UK. Rate bounces until and down around 500 deaths per 100,000 births until about 1940, when it falls sharply. It’s been very low (~1–3 per 100,000) ever since.

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Amit Pawa @dr-amit-pawa.bsky.social · 11/01/2026

I have updated my Serratus Anterior Plane Block Video Full Link Here: youtu.be/_Bv8UL9jdWI?... #RAsky #AnSky #MesSky

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Amit Pawa @dr-amit-pawa.bsky.social · 10/01/2026

Latest video on Infraclavicular block on my channel now! youtu.be/GmwpyQqeVxs?... #AnSky #RAsky #MedSky #RegionalAnaesthesia #RegionalAnesthesia

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Nick Petrić Howe @nickpetrichowe.bsky.social · 18/12/2025

'Tis the season for some festive science songs. If you've ever wanted to hear someone sing about a dimunitive tyranosaur then now is your chance

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Dr Steve Taylor @drstevetaylor.bsky.social · 15/12/2025

How many had a 28.9% pay rise! ANSWER - EVERYONE WHO DIDN’T HAVE SUCH A BIG CUT If you hadn’t had the cut your haven’t needed the rise! It really is that simple - shouldn’t be this hard Unless you’re a history graduate Wes Streeting or bad at maths The answer below

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jenna newman phd @jennanewman.bsky.social · 04/12/2025

“When participants used ChatGPT to draft essays, brain scans revealed a 47% drop in neural connectivity across regions associated with memory, language, & critical reasoning. Their brains worked less, but they felt just as engaged—a kind of metacognitive mirage.”🧪

“When participants used ChatGPT to draft essays, brain scans revealed a 47 percent drop in neural connectivity across regions associated with memory, language, and critical reasoning. Their brains worked less, but they felt just as engaged—a kind of metacognitive mirage. Eighty-three percent of heavy Al users couldn't recall key points from what they'd "written, compared to only 10 percent of those who composed unaided.
Neutral reviewers described the Al-assisted writing as "soulless, empty, lacking individuality." Most alarmingly, after four months of reliance on Chat GPT, participants wrote worse once it was removed than those who had never used it at all.
The study warns that when writing is
delegated to Al, the way people learn fundamentally changes.”

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Amit Pawa @dr-amit-pawa.bsky.social · 01/12/2025

Updated Video on Rectus Sheath Block (including actual block) just released! Please check it out! #RAsky #AnSky #MedSky #RegionalAnaesthesia #RegionalAnesthesia youtu.be/MMsHci7kzIo?...

youtu.be

New Rectus Sheath Block Video with Actual Block Included!

YouTube video by Dr Amit Pawa

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Anaesthesia @anaesjournal.bsky.social · 18/11/2025

The following are associated with a reduced incidence of postoperative neurocognitive complications: dexmedetomidine; esketamine; remimazolam; acupuncture; cerebral monitoring; sleep interventions; corticosteroids; antipsychotics; & peripheral nerve blocks. #AnSky #MedSky doi.org/10.1111/anae...

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Dr Steve Taylor @drstevetaylor.bsky.social · 26/10/2025

As a GP, I am not allowed to receive a pen or post-it note pad from a pharmaceutical company rep Govt banned them in case I was influenced to prescribe medications This should also be banned Influence being bought in Govt Patients should influence not the healthy & wealthy

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Deanna Kreisel 🌱 @doctorwaffle.substack.com · 02/10/2025

In honor of National Poetry Day, the greatest parody rewrite of all time:

Screen cap of parodic version of William Blake's "The Tyger" that begins:
Tyger! Tyger! Burning bright
(Not sure if I spelled that right)
What immortal hand or eye
Could fashion such a stripy guy?
What the hammer that hath hewn it
Into such a chonky unit?
Did who made the lamb make thee,
Or an external franchisee?

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Micah @rincewind.run · 02/10/2025

please enjoy Discworld Elysium, everyone this was clearly written for me personally but I think a lot of you will also like it

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Greg Jenner (Historian) @gregjenner.bsky.social · 24/09/2025

This brilliant video by singer Chris Cron deserves its own applause (he’s on Instagram), but it also reminds us how astonishingly good Queen were as songwriters and musicians. The melody, harmony, and lyrical flair are all elite — and this isn’t even one of their Top 5 most downloaded songs!

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Amit Pawa @dr-amit-pawa.bsky.social · 19/08/2025

I love the medial needle insertion approach to the IPACK block. Have you tried it? I find it Faster, Easier to perform Easier to see the needle But you must take care not to puncture long saphenous. #RegionalAnaesthesia #RegionalAnesthesia #RAsky Full video here: youtu.be/q-4TXakDoXA?...

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Amit Pawa @dr-amit-pawa.bsky.social · 14/08/2025

So 3 new videos released today! 1. Femoral Triangle & AFCN youtu.be/3hIqmH3vTNo?... 2. Medial approach to IPACK youtu.be/q-4TXakDoXA?... 3. Serratus Plane youtu.be/jbLKyV--2d4?... Please Enjoy, Like & Subscribe! #RegionalAnaesthesia #RegionalAnesthesia #RAsky #AnSky

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Edwin Hayward @edwinhayward.com · 08/08/2025

Brexit dividend: our swimming waters are MUCH more polluted than any EU country's because we no longer have to follow EU environmental law since Brexit so water companies can get away with just about anything. (Just one of many pesky EU rules Brexiters hated.) www.theguardian.com/environment/...

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Amit Pawa @dr-amit-pawa.bsky.social · 08/07/2025

I have uploaded a mini scanning tutorial for the Supraclavicular Brachial Plexus Full link below: youtu.be/4fqmasig7Ww?... In the meantime- check out this teaser with sound on! 👇🏼 #RAsky #AnSky

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Amit Pawa @dr-amit-pawa.bsky.social · 06/07/2025

I’ve uploaded a new video on the Suprainguinal Fascia iliaca (SIFI) Block It is meant to simulate the teaching you may receive on a scanning workshop #RAsky #AnSky #POCUSky Please do check out the full link here: youtu.be/fHgO4dczWFk?...

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Mick Kerr @mick-kerr.bsky.social · 02/02/2025

Needling for the axillary approach to the brachial plexus block. Not the greatest block / result, just what i'm pondering along the way. Sorry for the delay! youtu.be/cX18JooTbVc

youtu.be

Axillary brachial plexus block - Needling and decisions

YouTube video by mick kerr

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Mick Kerr @mick-kerr.bsky.social · 29/05/2025

And here's part 2 - looking at all the other things we can inadvertently damage or inject into. youtu.be/HcF0Imiyfs0

youtu.be

Interscalene block - ADVANCED scanning

YouTube video by mick kerr

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Mick Kerr @mick-kerr.bsky.social · 29/05/2025

Been a while between videos. Here's a two parter looking at the minimum required anatomy for an interscalene block. youtu.be/Cd0rgIIsdO4

youtu.be

Interscalene block - BASIC scanning

YouTube video by mick kerr

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Dr Mary-Ann Fox BMBS FANZCA GChPOM @maffygirl.medsky.social · 04/05/2025

Final speaker was Dr Alana Flexman back on stage again for another amazing lecture on Perioperative Stroke. Dry topic made enthralling. Bravo #ASM25CNS

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