iiinova — where your digital self keeps evolving

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John Birmingham @birmo.bsky.social · 06/06/2026

I spent a long hard day in an ER. It was amazing. (And it turned out fine).

open.substack.com

The best people in the world.

I was at the gym when the messages and calls started coming in.

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Alan Garner @garnalan.bsky.social · 06/06/2026

Kind words here but working in an ED is hard. It often felt like we were the drain towards which the s**t was hosed. You saw almost daily the worst of everything. People in absolute distress on the worst day of their life. Burnout is real. Having to fight for resources makes it feel even harder.

aliensideboob.substack.com

The best people in the world.

I was at the gym when the messages and calls started coming in.

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Chris Katsogiannis @chriskats.bsky.social · 23/04/2026

Attended last year . Highly recommended. Great 3 days in a beautiful city with great presenters

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Hiro Ohta @xlix.me · 05/04/2026

Be the same man before and after the hat is lifted.

PHOTO by Luca Nardone. A person stands in a sleek, modern corridor, dressed in a textured grey overcoat and black turtleneck. Their face is hidden as they tip a wide-brimmed black hat forward, covering their features with one hand. The light is soft, the atmosphere quiet, as reflections dance on the water feature beside the walkway. Every line and fold feels deliberate, composed, and quietly bold.

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Hiro Ohta @xlix.me · 28/02/2026

We should meet in another life, we should meet in air, me and you. - Sylvia Plath

Photo by Casey Horner. A hilltop bathed in warm, golden light rises above a sea of clouds. Two silhouetted figures stand near the crest, facing each other, as if caught in quiet conversation. The clouds stretch endlessly, resembling waves frozen in time. The horizon dissolves into soft pastels, blurring the boundary between earth and sky. A moment of stillness, suspended between heights and vastness.

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Chris Katsogiannis @chriskats.bsky.social · 21/01/2026

The Swoon series was so special. Every morning was a beautiful surprise. A brief moment of serenity before a shift . Happy Birthday ABC Classic ❤️

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Hiro Ohta @xlix.me · 13/01/2026

Only in the darkest nights do we find our true colors.

Photo by Daniele Colucci. A narrow cobblestone street winds through a quiet village under a dusky sky. Dimly glowing orange lights spill from windows and streetlamps, their reflections shimmering on the damp ground. The weathered stone buildings, silhouetted against drifting clouds, create an air of timeless solitude, as if the night itself holds its breath in stillness.

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Hiro Ohta @xlix.me · 09/12/2025

Want nothing. Lack nothing.

Photo by Doni Haris. A lone figure stands on a small boat over glasslike water, holding a fishing rod as dawn or dusk blends teal and rose across the sky. A pale moon lingers above, and the vast open space around the boat creates a sense of spacious calm and suspended time.

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Tim Leeuwenburg @kangaroobeach.bsky.social · 21/08/2025

Intense prehospital emergency care (PHEC) course in regional Victoria, Aus Helping rural docs translate their existing skills to prehospital scene, to support local ambulance for pts with time critical needs before retrieval arrive #traumagap Immersive scenarios Trauma Burns End of life Etc etc

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Médecins Sans Frontières @msf.org · 18/07/2025

In 2024, we provided medical assistance to people facing hardship worldwide. 📅 365 days. 🌍 75 countries. 🩺 492 projects. 💶 2.36 billion € spent. Where did the money go? Read our International Activity Report 2024 to find out:

msf.org

International Activity Report 2024 | MSF

Read the full details of MSF's activities across more than 75 countries in 2024.

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David Caldicott @actinosproject.bsky.social · 21/06/2025

The BBC commissioned a film about the work of 2 doctors in a war zone over 3 weeks, & then pulled it, because it showed one side in such bad light. Can you guess where it was shot…? The producers have now released a cut for all to see. It’s free. Here: www.youtube.com/watch?v=bycL...

youtube.com

Doctors on the frontline: Victoria Rose and Tom Potokar take you inside the war in Gaza

YouTube video by Sky News

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Jake Scott, MD @jakescottmd.bsky.social · 13/06/2025

RFK Jr. spouted dangerous vaccine falsehoods on national TV. As a parent and infectious diseases doctor, I couldn't stay silent. Here's what the data actually shows. 🧵

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Hiro Ohta @xlix.me · 12/06/2025

Courage doesn’t erase fear. Courage walks beside fear, trembling but unyielding.

Photo by Beyza Kaplan - A solitary figure stands on a dark field under a vast, mist-filled sky. The silhouette is faint, almost blending into the enveloping haze. The scene exudes quiet isolation, as if the person is suspended between the earth and an infinite void. The air feels heavy yet timeless, inviting introspection and a sense of stillness.

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Hiro Ohta @xlix.me · 11/06/2025

The door exists only in your mind, and so does the key.

CC0 Photo - A vivid wooden door painted in shades of yellow and gold is framed by an ornate, scalloped arch. Sunlight filters through leafy trees, casting soft shadows on the weathered surface, highlighting the intricate metalwork of its handles and lock. The warm tones and delicate details evoke a sense of history and mystery, inviting reflection on the stories that lie behind the door.

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Hiro Ohta @xlix.me · 07/06/2025

The more you follow your own life, the fewer friends you’ll keep. Only a small number of those who align with your journey will stay. Having fewer friends doesn’t mean unhappiness—it’s measurable proof that you’re walking your own path.

Photo by Mathias Reding - Two people walk along a quiet forest path enveloped in dense fog. The tall, leafless trees stretch their bare branches into the misty sky, creating a serene and mysterious atmosphere. The soft light diffuses through the fog, evoking a sense of calm and introspection as they journey forward.

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Hiro Ohta @xlix.me · 06/06/2025

Want nothing, lack nothing.

Photo by Emmy Paw - A woman sits peacefully on a hillside surrounded by tall green grass and blooming purple wildflowers. Her back faces the viewer, and she gazes out over a vast valley filled with mist, with snow-capped mountains visible in the distance. The scene feels serene and reflective, capturing a quiet moment in nature.

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Hiro Ohta @xlix.me · 05/06/2025

A clock is simple; time is not.

Photo by Olena Bohovyk - A simple white wall clock hangs on a large, nearly empty light gray wall. The clock face shows the time as 10:38, with its black hands contrasting against the white background. The vast expanse of the wall creates a minimalist, serene atmosphere, emphasizing the smallness of the clock and the quiet passage of time.

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David Caldicott @actinosproject.bsky.social · 05/06/2025

A proper ‘Masterclass’ series, with the global experts, and nothing but enthusiasm & encouragement. The better the teacher, the less of a pedant you have to be! Great to hang with you, and meet your amazing family, Chris!

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Chris Katsogiannis @chriskats.bsky.social · 04/06/2025

@airwaymxacademy.bsky.social @actinosproject.bsky.social A huge thanks from a couple of Aussies, to Hans and the entire Faculty at the Airway Academy Festival 2025 . An amazing 3 days of truly Masterclass teachings from around the globe , hosted in a beautiful city and venue 🙏 #AAF25

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Hiro Ohta @xlix.me · 26/05/2025

Within the most complex structures, the purest form of beauty resides.

Photo by Creative Free Stock - A delicate lavender rose sits at the center of a dark wooden surface with horizontal planks. The soft petals of the flower form an intricate spiral, creating a calm and meditative visual contrast against the deep, textured wood background. The composition exudes simplicity and tranquility, drawing attention to the beauty of natural forms and muted tones.

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St Emlyn's podcast and blog @stemlyns.bsky.social · 25/05/2025

Is there still room for compassion in emergency care? Emergency care is more pressured than ever—but is compassion being lost in the chaos? This post explores the reality of compassion fatigue, the systemic and cultural barriers to empathy, and practical, evidence-based strategies to reconnect…

stemlynsblog.org

Is there still room for compassion in emergency care?

Emergency care is more pressured than ever—but is compassion being lost in the chaos? This post explores the reality of compassion fatigue, the systemic and cultural barriers to empathy, and practical, evidence-based strategies to reconnect with patients in meaningful ways.

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Hiro Ohta @xlix.me · 08/05/2025

Less thinking, more being. Less seeking, more wandering.

PHOTO by Nick Dunlap - A lone figure sits by a glowing campfire in the vast openness of a desert plain, embraced by the quiet hush of night. Above, the sky stretches endlessly, scattered with countless stars twinkling in deep indigo and black. The constellation Orion is clearly visible near the center. Faint golden lights linger low on the horizon, hinting at distant human presence, but here, stillness prevails under the cosmic canopy.

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Hiro Ohta @xlix.me · 22/05/2025

We have to dare to be ourselves, however frightening or strange that self may prove to be. – May Sarton

Photo by Desiray Green - A mysterious figure stands in the middle of a rural road, completely obscured by a large bunch of shiny black balloons. The backdrop features a cloudy sky and a hint of farmland stretching into the distance. Wearing a white skirt and a black top, the person holds the balloons, creating a stark contrast. If these balloons were thoughts, where would they carry you?

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Hiro Ohta @xlix.me · 22/05/2025

The tree stands alone because there are times when solitude is safer than being around others.

Photo by Jeremy Bishop - A lone, leafless tree stands atop a gently sloping hill under a vast, cloudy sky. The silhouette of a solitary person walking nearby emphasizes the stillness and quiet of the scene. The interplay of light and shadow creates a sense of calm and introspection, with the open expanse of sky inviting contemplation.

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Hiro Ohta @xlix.me · 21/05/2025

And into the forest I go, to lose my mind and find my soul. - John Muir

Photo by Olena Bohovyk - This image captures an aerial view of a winding road enveloped by a dense forest, showcasing a vast expanse of greenery with specks of autumnal yellow. A solitary red car drives along the road, creating a striking contrast with the natural colors around it. Does the path chosen reflect the journey, or does the journey define the path?

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Reposted by Chris Katsogiannis

Hiro Ohta @xlix.me · 13/05/2025

The brightest minds are not those who shine in clear skies, but those who illuminate during the fogs of uncertainty.

Photo by Chris F - A streetlamp stands alone in a choking fog, its dim light clawing at the darkness like a futile attempt to matter. It’s not lighting the way; it’s just proof that sometimes, even light can feel lost.

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Dr Farbod @emergencybod.medsky.social · 07/05/2025

I am not a GP. I would even consider myself a poor substitute for a GP. General Practice and Emergency Medicine are both specialisms that deal with the gamut of human disease, but at wildly different acuities. Nothing can replace a properly funded and staffed Primary Care service. Nothing.

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Hiro Ohta @xlix.me · 01/05/2025

To find the path, stop looking—let the path find you.

PHOTO by Finn Semmer - A quiet forest path winds gently between tall, slender trees with smooth, pale trunks. The soft golden light of late afternoon filters through the canopy, casting long, delicate shadows across the dirt trail. The trees stand close together, their vertical forms creating a natural corridor that draws the eye toward the distant green glow beyond. There is stillness in the scene, touched only by the interplay of light and the quiet presence of nature.

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Hiro Ohta @xlix.me · 10/04/2025

Maybe the world ends today. Maybe not. Either way, coffee’s coming.

PHOTO by La Miko - A woman sits alone on a high stool, facing a large café window that overlooks a misty European street. Her back is to the camera, framed by the soft knit of her camel-colored dress and the dark round brim of her hat. Outside, blurred cars drift past and pale historic buildings loom under a pale winter light. A single dome-shaped lamp glows overhead, casting a pool of warmth against the grey chill beyond the glass. Time feels paused—quiet, observant.

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Hiro Ohta @xlix.me · 24/04/2025

There is a sunrise and a sunset every single day, and they’re absolutely free. Don’t miss so many of them. - Jo Walton

PHOTO by Yusheng Deng - A lone figure stands silhouetted against a radiant sunset sky, where hues of crimson, orange, and violet blend in sweeping strokes across the horizon. Below, a still body of water mirrors the fiery clouds and the figure’s quiet stance, creating a perfect reflection. The horizon line bisects the image, grounding the contrast between sky and earth in a moment of tranquil pause.

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Hiro Ohta @xlix.me · 05/04/2025

No matter how broken your past may be, it forms the foundation of who you are today. The wreckage of the past is not a mark of shame, but a source of strength.

PHOTO by StockSnap - Two weathered ships rest on dry land beneath a moody, overcast sky. The central vessel, large and worn with peeling paint and streaks of rust, faces directly forward, its faded blue and white hull showing the passage of time. To its left sits a slightly smaller boat named "LABOE," also aged but less deteriorated. Rusty shipping containers flank the right side, while distant mountains fade into the mist beyond. The scene is still, heavy with the weight of past voyages and forgotten harbors.

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Chris Katsogiannis @chriskats.bsky.social · 20/04/2025

Dulux colours that don't exist, but should #MedSky edition: Phlegmasia Cerulea Dolens

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Hiro Ohta @xlix.me · 18/04/2025

When the world fades from view, the infinite comes to welcome you.

PHOTO by Наталья Маркина - A solitary figure in a black coat and knit hat stands at the edge of a calm, gray sea, facing away. Overhead, seagulls soar and blur in motion against a pale, overcast sky. The scene is hushed and distant, suspended between the cold air and soft movement of wings. No horizon line is distinct—just the vastness of water meeting a colorless sky.

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Hiro Ohta @xlix.me · 17/04/2025

If you only read the books that everyone else is reading, you can only think what everyone else is thinking. - Haruki Murakami, Norwegian Wood

PHOTO by Quang Vuong - A narrow aisle stretches deep into a monochrome labyrinth of tall bookshelves, packed tightly with aged spines and endless stories. Overhead signs mark categories—Poetry, U.S. History, Literary Bios—dangling above the quiet corridor. A lone step ladder waits mid-path, inviting the seeker upward. Fluorescent lights cast a sterile glow, yet the space feels timeless, suspended between thought and memory. The silence is thick, broken only by the imagined rustle of turning pages.

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Casey Parker @broomedocs.bsky.social · 12/04/2025

The Broomedocs podcast is now live on Spotify for the first time! I’m still cool with the kids eh? open.spotify.com/show/6eWDjq8... #emimcc #foamed

open.spotify.com

Broomedocs Podcast

Podcast · Dr Casey Parker · Free, open access medical education podcast for rural and remote generalist practitioners

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Chris Katsogiannis @chriskats.bsky.social · 11/04/2025

Thank you to the team @resuscitology.bsky.social @cliffreid.bsky.social @nmay.bsky.social for an amazing 2 days . Great lessons , pearls , reflections and sharing of your experiences. Great course , beautiful venue . Highly recommended 🙏

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Chris Katsogiannis @chriskats.bsky.social · 04/04/2025

It’s in the recovery where the growth happens

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Chris Katsogiannis @chriskats.bsky.social · 23/03/2025

Great podcasts. One of my favourites. Informative, easy to listen to , love the banter . Highly recommended 👍

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Ken Milne MD @thesgem.bsky.social · 22/03/2025

"Education is the ability to listen to almost anything without losing your temper or your self-confidence." #MedSky

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Arndell @arndell.ca · 22/03/2025

Treat these funding cuts like the humanitarian disaster that they are! #AidSky

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