iiinova — where your digital self keeps evolving

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Paul Howard @paulhoward.bsky.social · 05/04/2026

POLYANALGESIC TITRATION FOR OPIOID-REFRACTORY PAIN In pall care, conventional approach is serial monotherapy Non-opioid analgesics one at a time If partial response, add a 2nd; no response, switch to 2nd. But this takes time. Here we describe an alternative approach spcare.bmj.com/content/earl...

spcare.bmj.com

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The Penguins in the Wall @glasgowpenguins.bsky.social · 17/02/2026

After cross-country skiing yesterday, today we're trying bobsleigh - it's scary, but fun! #glasgow #penguins #bobsleigh #winterolympics #kelvinwalkway

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Holly McGuigan @cloudylemonade.bsky.social · 12/01/2026

Smashed the record time of an escape room today and looked cute doing it!

My wife, my sister-in-law, and me with an absolutely not fake robot cat that says clem bot on the top. It’s a bit like K-9 from doctor who but a cat. We all look very pleased with ourselves.

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Alasdair MacLullich @amaclullich.bsky.social · 07/07/2025

“My colleague was using the terminology (terminal restlessness). . . And I said, ‘‘Have we done a rectal examination? Have we done a bladder scan? . . . The colleague got back to me – even though he’d been urinating he had a bladder of 1000 mls. So they’ve put a catheter in.’ #delirium

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Dr Jo Kershaw @mthrjo.bsky.social · 29/06/2025

This is an awful & to me genuinely shocking, story. It’s not that Jay was let down by the safeguarding *system*, tho of course that’s never acceptable, it’s the personal role played in the failure by the Bishop of Leicester, which raises serious questions of judgement www.bbc.co.uk/news/article...

bbc.co.uk

Leicester Church of England: A preacher asked me out and then started stalking me

When Jay Hulme complained about the harassment to a bishop he was accused of witchcraft.

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No Barriers Here @nobarriershere.bsky.social · 02/06/2025

It’s #PrideMonth & we’re sharing our resource ‘It’s more than rainbows in receptions’ - Working with LGBTQ+ People in Palliative and End of Life Care. Inclusive and accessible #PEoLC care should be a right - not a privilege Illustration:@casshm.bsky.social www.nobarriershere.org/wp-content/u...

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Ellie @elliekane.bsky.social · 13/05/2025

Incredibly important report by the commission on palliative care released by parliament today. I implore you all to read and I hope the government will take action to finally end the inequity in palliative care provision across the uk palliativecarecommission.uk

palliativecarecommission.uk

Commission on Palliative and End-of-Life Care

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Rosie Fletcher @rosieatlarge.bsky.social · 21/04/2025

I was on French Exchange when John Paul II died and my friend's exchange's pet rabbit also died, leading her mother to utter the immortal words <Le pape est mort, le lapin est mort, tout le monde est mort.>

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John Bull @garius.bsky.social · 07/05/2025

It's not that the Cardinals are in seclusion. It's just that the Vatican only has Eduroam.

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Dr Gavin Merrifield @drgavinm.bsky.social · 07/04/2025

I enjoyed spending a fabulous evening last week with the Small Voice Podcast team recording this conversation around how to cross the (apparent) divide between science and the Church. Thank you @cloudylemonade.bsky.social, Darren and all. 👍🙂 www.smallvoice.org.uk/sv-podcast-s...

smallvoice.org.uk

sv podcast – science and faith in conversation

OK, time to have a proper conversation …. we’re delighted to be joined by a very special guest – long-time friend of the podcast and actual scientist, Dr Gavin Merrifield. He joins Holl…

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Quakers in Britain @quaker.org.uk · 28/03/2025

🚨 Outrage as 20 police officers break into Westminster Quaker Meeting House and arrest six. 🚨 This shocking violation of a place of worship is a direct result of crackdowns on protest and dissent - freedom of speech, assembly and democracy are at risk.🕊️ 👉 www.quaker.org.uk/news-and-eve...

quaker.org.uk

Quakers condemn police raid on Westminster Meeting House

Police broke into a Quaker Meeting House last night (27 March) and arrested six young people holding a meeting over concerns for the climate and Gaza.

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Sharon Hudson she/her/they @sharonhudson.bsky.social · 21/03/2025

"Words like racism don't go well in our fundraising departments" Dr Gurpreet Gupta & Professor Max Watson hold space to explore anti-racism & allyship in PEOLC #PCC2025 This editorial is more important than ever. Please read it and consider your response journals.sagepub.com/doi/full/10....

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Patient Safety Learning @patientsafetylearning.org · 26/02/2025

🆕Retired consultant @doctorcaldwell.bsky.social speaks to @helenh49.bsky.social and Peter Duffy about how raising patient safety concerns led to his decision to retire early and how NHS culture has changed during his 40 year career. Link: www.pslhub.org/learn/cultur...

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Devi Sagar @devirsagar.bsky.social · 18/02/2025

Can sadly believe this. Bro was recommended physio for back pain. The self referral system was a very long series of automated questions via telephone which ultimately stressed him out so much we didn’t end up doing it.

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Prof Katherine Sleeman @katherinesleeman.bsky.social · 18/02/2025

Four good letters the Guardian but imo the most important is by Prof Allan House whose expertise (alongside other psychiatrists) seems to have been ignored because it was inconvenient. What does this say about the commitment of the bill’s proponents to safety? t.co/q7DRJjSDpe

t.co

https://www.theguardian.com/society/2025/feb/17/why-changes-to-assisted-dying-bill-are-cause-for-concern

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Sarah M @sarah-owl.bsky.social · 10/01/2025

Fun fact: most people don’t die of pip-taz deficiency, and it is allowable to die without a trial of it.

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Rhinestone Browboy @rhinestonebrowboy.bsky.social · 09/01/2025

This is like watching an infinite number of monkeys trying to type Shakespeare. #thetraitors

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Yorkshire Tea @yorkshiretea.bsky.social · 25/11/2024

Meanwhile over on Twitter, someone's making tea in an air fryer. It's like the last days of Rome.

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Prof Katherine Sleeman @katherinesleeman.bsky.social · 06/01/2025

Just out - call for evidence for committee stage of Terminally Ill Adults (End of Life) Bill. Submissions requested “as soon as possible”. Assisted dying / assisted suicide www.parliament.uk/business/new...

parliament.uk

Terminally Ill Adults (End of Life) Bill: call for evidence

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Holly McGuigan @cloudylemonade.bsky.social · 06/01/2025

Our new to us dining table arrived today. It’s our first since the fire in 2013 and my first that isn’t glass and chrome with leather chairs (chosen by my mother). I’m already looking forward to dinner!

A round teak mid-century dining table with very cool chairs that have been recovered in dark red velvet.

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Naomi L. Jacobs @naomijacobs.bsky.social · 05/01/2025

The disabled community lost a powerful activist in Lisa Egan last week. She showed a lot of us how to ‘be disabled’ & mentored us in #DisabilityRights activism. If I’ve ever done anything to try to change things for disabled people, it was because of Lisa. Short thread linking to some of her work:

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Trisha Elliott @trishaelliott.bsky.social · 04/01/2025

“Facing death differently: revolutionising our approach to death and grief”. A really important piece here from @lucyselman.bsky.social in the @bmj.com. I’ll try to pick out some highlights in a🧵, but actually I’d recommend reading the whole article. Link here: www.bmj.com/content/387/...

First page of article.

Fairytale type pic of Princess leaning over dead or sleeping Prince.

Facing death and grief: revolution needed
Despite growing public interest in death, support for end-of-life care and bereavement remains inadequate. We urgently need a revolution: a community centred, public health approach to the social processes of dying and mourning, backed by properly funded palliative care, writes Lucy Selman.

Pic of man in bed in hospital.

Sample of text:

In the UK around 90% of dying people would benefit from palliative care, but 25% don't get it. Demand is set to rise 25% over the next 25 years as lifespans increase and health conditions grow more complex, yet the sector is already critically underfunded. Just a third of UK hospice funding comes from the state, with the remaining £1bn raised annually through charity shops, fundraising events, and donation.
This funding gap sends a clear message: care for dying people is less valued than aggressive treatments and high tech medical advances. (It's surely no coincidence that 9 in 10 of the clinical and care workforce in UK hospices are women, reflecting a long history of "women's work" being undervalued.)

Pic of someone being cared for and having their hair brushed.

Sample of text:

Clinicians too have a critical role in reshaping attitudes and so must build their own death and grief literacy. By discussing end-of-life care openly and challenging common misconceptions, they can model acceptance of dying, build trust, and show the public that it is safe to ask questions and voice doubts and fears.
Care must be emotionally aware, culturally sensitive, compassionate, and person centred-and this must be reflected in clinical education.
Clinical leaders must acknowledge the emotional weight of dealing with death and grief and offer support, encouraging sharing, peer support, and remembrance. By making space for grief and vulnerability in professional life we nurture the human side of being a clinician.

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Holly McGuigan @cloudylemonade.bsky.social · 04/01/2025

It turns out our new house is the perfect venue for a shadow puppet theatre. I am really enjoying finding the magic in our new space and having our smallest friends here all weekend was just lovely.

A peg board balanced on a chair. The peg board says welcome to the shadow cinema. There is a pig stuffed toy that is meant to be a cat but isn’t remotely cat shaped in front of it.

A shadow theatre projected on a really tall wall!

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kim @kimmymonte.bsky.social · 03/01/2025

if i were bono, i’d quit music & open up a gluten free bakery called “Where The Treats Have No Grain”

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James Hoffmann @jameshoffmann.bsky.social · 03/01/2025

I don’t know why this makes me as happy as it does, but this is the chart of views for my French Press technique video over the last year. Every little peak happens on a weekend, particularly on Sundays. There is often a notable peak on Christmas Day too!

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Daniel Benneworth-Gray @danielgray.com · 01/01/2025

recording an epic gothic cover of Mr Boombastic to be used over five seconds of people walking down a corridor, maybe a shot of the moon #thetraitors

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Ash @queerash.bsky.social · 01/01/2025

Conclave (2024)

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Scott Bryan @scottygb.bsky.social · 01/01/2025

“I’m a diplomat. I deal with hostage situations and I’m able to be calm in a crisis.” “Anyway I have decided to vote myself out of the train.” #TheTraitors

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Holly McGuigan @cloudylemonade.bsky.social · 25/12/2024

It’s Christmas on-call for me and night shift Christmas for my wife. I’ll mostly be either working, pootling about in the West End or watching Christmas films with the cat. It will be lovely and a bit sad which feels like an appropriate 2024 Christmas. Also I have so much chocolate!

A close up of my Christmas tree with my new yellow H+W crane ornament

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Alexandra Petri @petridishes.bsky.social · 23/12/2024

you know who should be inducted into the rock and roll hall of fame? Sisyphus

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Holly McGuigan @cloudylemonade.bsky.social · 23/12/2024

I had a very similar experience today in a Glasgow carpark… the presence of my sprout headband seemed to make people even angrier…

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Holly McGuigan @cloudylemonade.bsky.social · 16/12/2024

This is the only photograph I took on 16th December 2014. What a day…

Photograph of a computer screen with the following words:
The following information gives general guidance only and should not be treated as a complete and authoritative statement of the law.
Who can be married in Scotland
Any two persons, regardless of where they live, may marry in Scotland provided that:
• both persons are at least 16 years of age on the day of their marriage
• they are not related to one another in a way which would prevent their marrying
• each is unmarried or not already registered as a civil partner (any person who has already been married or registered as a civil partner must produce documentary evidence that the previous marriage or civil partnership has been ended by death, divorce, annulment or dissolution)
• they are capable of understanding the nature of a marriage ceremony and of consenting to marriage
• in the case of opposite sex marriage, the marriage would be regarded as valid in the party's country of domicile
Types of Marriage
You can be married in either of two ways in Scotland - by a religious ceremony or a civil ceremony:
A religious marriage, whether Christian or non-Christian, may be solemnised only by a minister, clergyman, pastor, priest or other person entitled to do so under the Marriage (Scotland) Act 1977.
A civil marriage may be solemnised only by a registrar or an assistant registrar who has been

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Anne Finucane @annefinucane.bsky.social · 09/12/2024

Sharing our delirium resources for healthcare professionals caring for people approaching end-of-life. Includes advice on using the 4AT to identify delirium. youtu.be/e6PXbWvWCTI?...

youtu.be

Caring for someone with delirium – for healthcare professionals

YouTube video by Marie Curie

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Mark Hazelwood @palliativescot.bsky.social · 05/12/2024

Two new additions to the fantastic Scottish Palliative Care Guidelines. Mouthcare: tinyurl.com/5n6v38st Spiritual Distress: tinyurl.com/y4k67ja5

tinyurl.com

Mouth care | Right Decisions

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Jamilla Hussain @jamillahussain1.bsky.social · 04/12/2024

Disability advocacy groups in the Australian Capital Territory have withdrawn from gment consultation on #assisteddying Why? Cos 2 years later their well informed reasonable requests haven’t been actioned Being invited to the table is not enough @francesryan.bsky.social @sonia-sodha.bsky.social

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Hospice UK @hospiceuk.bsky.social · 04/12/2024

The draft Scottish budget published today included welcome recognition that Scotland's hospices need more support. But we need clarity on what the funding announced is intended to cover - especially given the hospice sector still faces a significant deficit this year. Read more: bit.ly/3ZNc8tz

bit.ly

Hospice UK responds to draft Scottish budget

The draft Scottish budget published today included recognition that Scotland's hospices need more support, but little clarity on what the funding announced is intended to cover.

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Holly McGuigan @cloudylemonade.bsky.social · 01/12/2024

We started our Advent at Church this morning by reflecting on this poem by Emily Dickinson. However you spend this season, learn to see.

We grow accustomed to the Dark -
When Light is put away -
As when the Neighbor holds the Lamp
To witness her Good bye -

A Moment - We uncertain step
For newness of the night -
Then - fit our Vision to the Dark -
And meet the Road - erect -

And so of larger - Darknesses -
Those Evenings of the Brain -
When not a Moon disclose a sign -
Or Star - come out - within -

The Bravest - grope a little -
And sometimes hit a Tree
Directly in the Forehead -
But as they learn to see -

Either the Darkness alters -
Or something in the sight
Adjusts itself to Midnight -
And Life steps almost straight.

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Holly McGuigan @cloudylemonade.bsky.social · 01/12/2024

I have given a lot of stuff away on Facebook Marketplace this week and it has made me feel so accomplished. I am so good at handing things I don’t want to strangers!

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Kelvin Holdsworth @thurible.net · 30/11/2024

Here's the homily that I preached at Janey Godley's funeral today. "Janey Godley died having forgiven everyone. But she still believed to her dying day, that Trump..." #JaneyGodley #pisky #Glasgow #FrankGetTheDoor www.youtube.com/watch?v=YNof...

youtube.com

Homily for Janey Godley's Funeral

YouTube video by St Mary's Cathedral, Glasgow

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Holly McGuigan @cloudylemonade.bsky.social · 30/11/2024

I’ve been clearing some stuff out of my car and have discovered that my fit tested masks from visiting patients at the height of the pandemic have expired. The passage of time is a strange thing.

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Prof Katherine Sleeman @katherinesleeman.bsky.social · 30/11/2024

This is an important point. Yesterday’s vote on assisted dying / suicide affects our patients now, not just at some future date. They may be pleased by the outcome, confused by it, or frightened. All heath and care professionals need to be able to sensitively discuss this. Guidance is needed.

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Holly McGuigan @cloudylemonade.bsky.social · 30/11/2024

I don’t think I’ve ever recommended watching a funeral on catchup but I’m watching this as it happens and it is absolutely life affirming. What a woman. #frankgetthedoor

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