iiinova — where your digital self keeps evolving

Chris Tiplady @christiplady.bsky.social · 28/02/2026

I wrote this blog after accidentally inventing a new word... "Unencountering" We wanted to describe that despite how much we are taught about patient encounters, we are rarely taught how to move on and be able to give the next patient you undivided attention too. www.rcpath.org/discover-pat...

rcpath.org

Dr Chris Tiplady blog – Unencountering

In his latest blog, Dr Chris Tiplady discusses how he and his colleague, Senior Lecturer, Mr Michael Atkinson at the University of Sunderland, teach students how to move on from patient encounters, ho...

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Jonathan McFarland @soulinmedicine.bsky.social · 09/01/2026

Very pleased to have my short article published www.sun-silkroadia.org/board/view?b... @drkopacz.bsky.social @chris6572.bsky.social @christiplady.bsky.social @melisupf.bsky.social

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Chris Tiplady @christiplady.bsky.social · 09/11/2025

I made this. Probably only thing I could reliably paint from memory.

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@CLOSLER @closler.bsky.social · 08/10/2025

"Bike riding reduces stress & lowers dementia risk. Do it daily & routinely ask patients, 'What does your typical daily movement look like?'"- @christiplady.bsky.social @vipsmdmed.bsky.social @hubermanlab.com #MedSky tinyurl.com/4ekfc7v6

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Chris Tiplady @christiplady.bsky.social · 20/09/2025

I assume this man must be a relative. Born in Newcastle area, qualified in Edinburgh. He died in 1905. Wrote in the Edinburgh Medical Journal an incredible story of someone with a terrible head injury

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John Launer @johnlauner.bsky.social · 18/09/2025

Yet again, the structures and funding for medical education in England are being reorganised. Will anything be learned from the successes and follies of previous rounds of musical chairs? My latest "Talking Point" column @bmj.com www.bmj.com/content/bmj/...

bmj.com

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Chris Tiplady @christiplady.bsky.social · 27/07/2025

Early brambles for the north of England.

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David Kopacz, MD @drkopacz.bsky.social · 24/05/2025

Episode 10: The Doctor as a Humanist (DASH) - Becoming a True Human Podcast - guest Jonathan McFarland, reminisces about his own human education & how he came to found DASH. Audio: t.ly/6BHxl Video: t.ly/yISVN @soulinmedicine.bsky.social @chris6572.bsky.social #medicalhumanities #podcast

t.ly

Episode 10: The Doctor as a Humanist (with Jonathan McFarland)

Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube.

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Chris Tiplady @christiplady.bsky.social · 07/05/2025

Be Reasonable! Just some advice to those of you who teach, supervise, or manage trainees www.rcpath.org/resource-rep...

rcpath.org

Reasonable adjustments for trainees

What adjustments might supervisors need to make for their trainees?

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Jonathan McFarland @soulinmedicine.bsky.social · 22/03/2025

Thank you @rebeccasolnit.bsky.social for this “To write is to carve a new path through the terrain of the imagination….To read is to travel through that terrain with the author as guide.” ( Solnit - Wanderlust 2001- p72) @drkopacz.bsky.social @drgavinfrancis.bsky.social @drmattmorgan.bsky.social

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Chris Tiplady @christiplady.bsky.social · 21/03/2025

I would speak to the pharmacist a little earlier

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Joel Cunningham @joelcunningham.bsky.social · 06/03/2025

100% this, for many reasons! In the era of emails, Teams meetings and WhatsApp-esque healthcare messaging systems, much has been lost.

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Transportation Alternatives @transalt.org · 03/03/2025

Why do men bike more than women in many countries? A new study from Spain shows that the construction of a connected network of high-quality protected bike lanes helps to close this gender gap. When we fail to build protected bike lanes, we keep women from riding bikes.

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David Zipper @davidzipper.bsky.social · 03/03/2025

Separated bike lanes especially benefit women: "The findings revealed a notable increase in the utilisation of segregated lanes, with a more significant impact observed among women than among men." doi.org/10.1016/j.re...

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Trisha Elliott @trishaelliott.bsky.social · 22/02/2025

When I started out as a junior doctor in the 1980s, it was quite common to bring people back after discharge to check on their progress. They came back to the “SHO” clinic a week or two later. This practice is uncommon now so I was interested to read this snippet in the @bmj.com. #MedSky 🧵 1/n

Following up patients after hospital discharge
Contacting patients to follow up with them within seven days of discharge
doesn't reduce 30
day readmission rates, according to this systematic review and meta-analysis.
Most of the evidence comes from studies
that targeted patients at high risk of admission (8 of the 11 randomised trials) and used telephone review (10 studies), typically within three days of discharge.
Is this more low value care that we should cut, or is there more to post-discharge follow-ups than readmission rates?

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Neil Thakrar @neil-thakrar.bsky.social · 12/02/2025

Looking for a national conference to present your #ClinEd work? 📝 Want a chance to win a national prize to boost that CV and future application? 🏆 Submit to #TASME25 by 24th Feb! ⏳ This one day conference will reflect on how AI & tech are changing the landscape of #MedSky #ClinEdSky #MedEdSky 🤖

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Dees @caseofdees.eurosky.social · 04/02/2025

To get a better understanding of overdiagnosis, look at the picture.

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josh farkas 💊 @pulmcrit.bsky.social · 28/01/2025

need some bland, meaningless conclusions for your review article? use these! these conclusions are so nonspecific that they're perfectly applicable to any ICU topic 👌 you're welcome

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Cycling UK Official @cyclinguk.bsky.social · 30/01/2025

Wales’ 20mph speed limit is delivering incredible results: ✅ 100 fewer deaths/serious injuries on 20 & 30mph roads ✅ 35% drop in road casualties (Jul–Sep 2024 vs. same period in 2023) ✅ Lowest casualty rate for this period since 1979 The data is clear: slower speeds save lives. 🔗 bbc.in/4aGd72h

bbc.in

Welsh 20mph limit: 100 fewer killed or seriously hurt in first year

Ex-minister says it shows policy was the most successful road safety initiative in modern times.

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Chris Tiplady @christiplady.bsky.social · 29/01/2025

This is astonishing. 12 amino acids, including A, T, G and C, all found on an asteroid. BBC News - Asteroid contains building blocks of life, say scientists www.bbc.com/news/article...

bbc.com

Bennu asteroid contains building blocks of life, say scientists

Bennu contains minerals and thousands of organic molecules, including the chemical components that make up DNA.

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Stephen Frost @sfrost.bsky.social · 20/01/2025

2 reports from Transport from the North out today: 1st includes this summary of mobility in rural areas: high costs & car dependency, fewer EV chargers and poor digital connectivity. 2nd on rural attitudes to mobility hubs. Unsurprisingly: "Better bus services emerged as a very high priority..."

Key findings: England

Nationally, rural households spend a larger proportion of their weekly income (£38 more) on transport compared to urban households (Figure 1). These higher weekly transport costs for rural communities can limit access to opportunities and increase social exclusion. Our evidence shows that for rural village residents, transport is their highest living cost at £131 per week prepandemic, using up 15% of their income.

In addition to travel costs, reliability and accessibility are significant issues for rural transport. As a result, high car dependency is prevalent across much of England’s rural areas, with 90% of trips made by private car in rural regions compared to 72% in urban areas. The average rural resident also travels much further annually across all modes, (6,500 miles versus 3,661 miles in urban areas).

Given high car dependency in rural areas, supporting the future transition to electric vehicles is important for rural transport decarbonisation. However, our analysis using ZapMap data shows that rural areas have fewer publicly available electric vehicle charging points, with 45 per 100,000 people, compared to 62 per 100,000 people in urban areas.

Due to greater travel costs and distance travelled in rural areas, strong digital connectivity is essential for work, shopping and leisure to reduce the need to travel, yet evidence from Ofcom shows rural areas experience slower broadband speeds (43 Mbit/s versus 81 Mbit/s in urban areas) , impacting England’s 1.5 million rural home workers and constraining economic productivity.

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Jonty @fairless.xyz · 29/12/2024

Omg @hildur.bsky.social I'm in Bedlington this week, and the town is packed full of Uggi benches!

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Chris Tiplady @christiplady.bsky.social · 23/12/2024

25000km - of nothing but commuting by bike since lockdown in 2020. Thankfully I have one more ride to work tomorrow to get the total up.

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Chris Tiplady @christiplady.bsky.social · 22/12/2024

Lots of neutropenia around associated with #flu. A common complication of viral illness but just seeing it a bit more than usual and a bit more marked than usual.

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Brent Toderian @brenttoderian.bsky.social · 21/12/2024

“The long-term health benefits didn’t stop there: commuter cycling was also linked to a 24% reduced risk of cardiovascular hospitalizations, a 51% lower risk of dying from cancer, and improved mental health, as measured by fewer prescriptions for anxiety and depression.” Via @momentummag.bsky.social

momentummag.com

If you bike to work, you live longer, new study confirms

If you’re looking for an affordable and accessible way to live longer, skip the pricey wellness retreats and quirky biohacks—just bike to work.

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Chris Tiplady @christiplady.bsky.social · 17/12/2024

On call this week. I have a new pet hate - when the conversation starts with "Can I give you an NHS number?" 1. I am not always sitting next to a computer. 2. The history is always more important than the test. 3. It's not the usual way to start a conversation.

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Chris Tiplady @christiplady.bsky.social · 16/12/2024

If ever short of something to teach, use a normal distribution curve

Two intersecting normal distribution curves

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Eric Topol @erictopol.bsky.social · 14/12/2024

A new study this week showed how the most common blood test performed-—the CBC, complete blood count—contains a treasure chest of information that we are missing in reporting out to patients and doctors. erictopol.substack.com/p/your-lab-t...

relationship of complete blood count setpoint metrics to 10-year mortality

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NEJM.org @nejm.org · 10/12/2024

On this day in 1981, a landmark paper in NEJM described four patients with evidence of immunodeficiency associated with PJP pneumonia, disseminated CMV, and Kaposi sarcoma. The disease would come to be known as HIV/AIDS. Revisit the paper: nej.md/41iekKD #MedSky #IDSky

Published on This Day in 1981.
Pneumocystis carinii Pneumonia and Mucosal Candidiasis in Previously Healthy Homosexual Men — Evidence of a New Acquired Cellular Immunodeficiency

An illustration showing the reproductive cycle of human immunodeficiency virus type 1 (HIV-1) and sites of action of the major classes of antiretroviral medications.

The NEJM identity sits at the bottom.

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ProfMakris @profmakris.bsky.social · 08/12/2024

Oral HRT increases venous thrombotic risk (VTE). Tibolone increases arterial but not VTE risk. Topical HRT showed no increase in either. Huge prospective Swedish study: 919,614 women of whom 77,512 started HRT. tinyurl.com/85jxatux #HRT

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Pallmedpro @pallmedpro.bsky.social · 08/12/2024

@christiplady.bsky.social thanks for coming along to present last week. The fact about oral iron replacement being more effective on alternate days (because TDS dosing increases hepcidin and decreases enteral absorption) came up on Friday’s ward round! Was able to significantly reduce tablet burden.

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Chris Tiplady @christiplady.bsky.social · 06/12/2024

This makes me sad. Public Health, deprivation and politics. BBC News - North East tops alcohol-related deaths table again www.bbc.com/news/article...

bbc.com

North East has England's highest alcohol-related deaths again

The North East continues to have the highest number alcohol-related deaths anywhere in England.

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NHS Charities Together @nhscharitiestogether.co.uk · 27/11/2024

To help manage winter pressures, three in 10 NHS staff said they were likely to turn to services that support their wellbeing, such as helplines, counselling, and free or subsidised gym or exercise classes. Read more from our latest research at nhscharitiestogether.co.uk/nhs-work-nam....

nhscharitiestogether.co.uk

NHS work named most difficult job in festive period - NHS Charities Together

Our latest study* has revealed nearly three quarters (72%) of the 2,000 UK adults surveyed said NHS staff have the hardest job this time of year, with many acknowledging the mounting pressure and stre...

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Chris Tiplady @christiplady.bsky.social · 02/12/2024

My blog for RCPath The danger of empathy. www.rcpath.org/discover-pat...

rcpath.org

Dr Chris Tiplady blog – Never talk to strangers

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