iiinova — where your digital self keeps evolving

Ed Palmer @doced.bsky.social · 03/10/2026

Musk is an idiot. If anything he’s evidence of the extreme wealth concentration that late stage capitalism can produce. Solidarity with the transgender community. 🏳️‍⚧️ ✊🏻

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Ed Palmer @doced.bsky.social · 28/09/2026

Space data centres 😂 lol.

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Ed Palmer @doced.bsky.social · 25/09/2026

The large number of emails I now get that are obviously AI is kinda annoying. I’d rather just have the human send me the prompt or bullet points of what they want to tell me; it would actually be more respectful of my time and get to the point!

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Ed Palmer @doced.bsky.social · 21/09/2026

Injury is the worst. There is absolutely nothing like an injury to completely take you out for months. I’ve had some big humbling lessons in “no, you aren’t 20 anymore” and “that pain, that’s your body telling you to ease off a bit before you hurt yourself old man” Christ I miss being 30.

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Ed Palmer @doced.bsky.social · 21/09/2026

I’ve gone in deep on @typst and literally can’t stop. It is so fast. The compile cycle for me has gone from minutes to miliseconds. Tinymist is also immense. I’m all in. Converting all my workflows out of latex.

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Ed Palmer @doced.bsky.social · 21/09/2026

My first thought was a backyard ultra. I like the format and think it would suit me. But I also like the idea of seeing a lot of terrain and having to navigate it. Any tips/thoughts?

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Ed Palmer @doced.bsky.social · 20/09/2026

I have a theory, patients on myriad drugs, actually receive them all for the first time when they hit hospital as they are prescribed and administered. which makes patients acutely worse. Anyone on 10 plus drugs (without a box) surely can’t take them all! Just speculation, but it makes sense

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Ed Palmer @doced.bsky.social · 19/09/2026

Ooooph. Brilliant. 3rd over what time scale (I know you are into ultra)? I’m still working on multiple injuries (getting old). Back to about 18 km now, and trying to add 10% each week. Aim is to do an ultra before I’m 40 😬 the mind is willing but my tendons… I’m not so sure!

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Ed Palmer @doced.bsky.social · 11/09/2026

@typst.app is there a good style guide anywhere for best practices with code? Things like nesting functions, indentation etc.

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Ed Palmer @doced.bsky.social · 10/09/2026

I’ve finally moved some essential workflows from latex to @typst.app and honestly, it’s just perfect. It’s so easy to work with and control every element. Logical. Fast. It actually makes to shudder to think how many hours I’ve spent debugging latex.

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Alex Selby-Boothroyd @alexselbyb.bsky.social · 30/08/2026

This is getting out of hand

Tube map but with America Water instead of Canada Water. Hilariously.

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Peter Tennant @pwgtennant.bsky.social · 27/08/2026

Does the new shingles vaccine (Shingrix) protect against cardiovascular disease (CVD)? Yes, according to a new 'natural experiment' study in @natmed.nature.com. But the truth is sadly far less convincing! Pull up a chair and let's examine another peer review failure in a Nature journal. 1/10 🧵

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Grumpy Philosopher @stevecooke.org · 20/08/2026

Copilot bollocks appeared on my Mac version of Word this morning. There appears no option to remove it, I assume because it's licensed through my university, who have drunk all the LLM Coolaid in the universe. If I cannot find a way to remove it in the next ten minutes, MS Office is getting deleted.

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Ed Palmer @doced.bsky.social · 20/08/2026

Ok. This looks really useful!

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Ed Palmer @doced.bsky.social · 11/08/2026

So much research time in my field has been spent chasing noise that is entirely meaningless and completely non actionable clinically.

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Ed Palmer @doced.bsky.social · 10/08/2026

Incredibly, I have encountered this.

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Ed Palmer @doced.bsky.social · 02/08/2026

I need to allocate some time to digest this. I’ll get back to you. As usual, my provisional view is: I think your thesis is fundamentally correct. I’m not sure if this is the best way to show it. But I want to peruse this for sure!

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Sadik Al-Hassan MP @sadikal-hassanmp.bsky.social · 29/07/2026

In January, I stopped using X as a communication channel because the platform facilitated the creation of illegal and deeply harmful images by its AI tool, Grok. I am renewing my call for all governmental and parliamentary communications to stop using X. The platform continues to facilitate

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Ed Palmer @doced.bsky.social · 27/07/2026

Just finished the Pitt season 1. Obviously totally mad and silly. But the scene where Dr. Robby looses his shit with grief is very very relatable. If you’ve felt this; you are not alone. 😢

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Rav BOO!dram 🎃👻 @rvbdrm.com · 22/07/2026

Quick thinking having a tablecloth handy. I didn’t even notice the twitching from that dead robot.

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Natacha @natacha.bsky.social · 21/07/2026

PSA on the Victoria Line tube in London. Phillipson and every other GC weirdo needs to take note.

Are you having fanatical thoughts about other people's crotches?
Has hating a minority group become your entire personality?
Do you obsess over other people's toilet use?
If so, you could be a danger to others - it's time to seek help.
Contact our team: youneedhelp@leavetranspeoplealone.com

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David Zipper @davidzipper.bsky.social · 17/07/2026

It's World Emoji Day, so here's a friendly reminder that we have 🚷 and 🚳 but not

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Tan-Lucien Mohammed, MD, FACR @tlhm-md.bsky.social · 13/07/2026

Attendings, fellows, residents, medical students…

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Count Binface @countbinface.bsky.social · 19/07/2023

Under a Binface government, anyone who doesn’t accept human-made climate change as fact will be sent back to school, from Year 1 right the way to A Levels, to see if anything goes in the second time round. #VoteBinface

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Jay Pitter @jaypitter.bsky.social · 12/07/2026

Pedestrianization is often framed as transforming streets. In many cases, we're actually restoring them. We're reclaiming what's been lost: social connection, local commerce, civic life, and human-scale movement. Perhaps it's time to shift from street transformation to street restoration.

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Ed Palmer @doced.bsky.social · 12/07/2026

I do think we’ve created this entire industry around reaction rather than prevention. We (as a society) drink++, eat++, smoke and then expect medicine to somehow pick up the tab. I know it’s complex and easier said than done, but we desperately need preventative interventions from childhood.

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Ed Palmer @doced.bsky.social · 12/07/2026

Precisely. We now have “summer pressures”. There is no release.

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Ed Palmer @doced.bsky.social · 08/07/2026

There’s an opportunity here to do the funniest thing in the history of British politics.

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Count Binface @countbinface.bsky.social · 07/07/2026

On my way, Clacton.

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Chantzy @chantzy.bsky.social · 04/07/2026

Sometimes I'm not surprised at all that we are where we are

Cartoon by Asher Perlman featuring a medical table in an examination room with paper half the width of the table

Caption "to keep your body from touching the same surface as previous bodies, we cover the table with this strip of paper that is narrower than all bodies"

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Ed Palmer @doced.bsky.social · 03/07/2026

Data centres in space is some of the most intellectually lazy nonsense I have ever heard. It makes hyperloop look like the inerrant word of god.

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Ed Palmer @doced.bsky.social · 02/07/2026

Congrats to @thecollegeoficm.bsky.social I’m quite excited to see the future of my specialty take shape.

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Ed Palmer @doced.bsky.social · 29/06/2026

Oooo. and ID/CCM 😍 is such a good combo! I wish I had done more micro in my training. Would love to chat more about this.

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Shaun Lintern @shaunlintern.bsky.social · 27/06/2026

🚨 Donna Ockenden says midwives should train first as nurses as she warns of concerns across England. Next week Baroness Amos WILL call for a review of education & a National Maternity Comissioner to oversee a redesign of maternity through a modern service framework www.thetimes.com/article/5cf0...

thetimes.com

Donna Ockenden: Train midwives as nurses so they can care safely

The senior midwife who investigated poor care in Nottingham says students have told her they lack the skills to treat mothers with complex needs

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BJA Education @bjaeducation.bsky.social · 26/06/2026

👥 There is no legal ‘next of kin’ in UK law and no hierarchy of opinion in best-interests decisions. Family views matter only to illuminate what the patient themselves would have wanted. Make sure you’re up to date with the legalities: www.bjaed.org/article/S2058-5349(26)00028-4/fulltext

bjaed.org

Consent and assessing capacity in perioperative and intensive care

Consent and capacity are fundamental pillars of medical ethics and law. These take on particular significance in anaesthesia and intensive care medicine (ICM), where patients' ability to participate…

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Julia Piaskowski @jpiaskowski.bsky.social · 25/06/2026

The AI slop I see in statistical consulting from my clients is really starting to get exhausting. It wastes my time, but it also wastes theirs.

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Ed Palmer @doced.bsky.social · 24/06/2026

I have never understood this rationale? Surely prioritising safety *is* prioritising reputation. How could it ever be any other way? 🤷

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Ed Palmer @doced.bsky.social · 24/06/2026

The scariest thing about this, is that it’s taken the collective global economic effort of the modern era to bring this change over decades. The thought that we can somehow reverse this on a sensible timescale without a similar effort seems far fetched.

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Ed Palmer @doced.bsky.social · 23/06/2026

Towards the end of training I loathed rotating. Constantly reforming social connections every few months. What I hadn’t expected was the same feelings as a consultant. Meeting so many wonderful people who en masse are pulled away every few months. We really need to fix this.

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