iiinova — where your digital self keeps evolving

Duncan McGregor @drdmcgregor.bsky.social · 15/07/2026

Friends have been confiscating his scissors for fear of the integrity of his remaining t shirts

A selfie in a tank top and tiny little shorts

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Duncan McGregor @drdmcgregor.bsky.social · 05/04/2026

One of the most unironically funny things I’ve read. I’m in bits

Screenshot of a tweet from a total maniac which reads “Tuesday will be Power Plant Day, and Bridge Day, all wrapped up in one, in Iran.
There will be nothing like it!!! Open the Fuckin' Strait, you crazy bastards, or you'll be living in Hell - JUST WATCH! Praise be to Allah. President DONALD J. TRUMP”

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Duncan McGregor @drdmcgregor.bsky.social · 21/03/2026

Cannot recommend this stuff highly enough. The stomatitis was really challenging and it just takes time to adjust. But the lip cracking was so intense that I had to carry this stuff around with me constantly. Sugar free mints can help also

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Duncan McGregor @drdmcgregor.bsky.social · 19/02/2026

Kind of obsessed with the idea of Ex-Prime Minister Gordon Brown spending his spare time as an internet sleuth in the Epstein files

Screenshot of BBC news article:

Brown says he submitted additional information to police
PA MEDIA
Former Prime Minister Gordon Brown has told
BBC News he submitted a five-page letter to several UK police forces, including the Metropolitan Police, Sussex Police and Thames Valley Police, providing new and additional information from the Epstein files.
It comes in the wake of the arrest of Andrew Mountbatten-Windsor for misconduct in public office, which the BBC understands is in relation to activity during his time as a trade envoy.
In a statement, Brown says the new information is in addition to what he submitted to the forces last week, in which he
"expressed my concern that we secure justice for trafficked girls and women"

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Duncan McGregor @drdmcgregor.bsky.social · 04/02/2026

Chatting about induction today and don’t mind me while I go find the nearest burn unit

Screenshot of a WhatsApp conversation.
Me: “We had basically a 20 min corporate induction then half an hour of the sassy college tutor telling us over and over not to drive home after a night shift because he doesn't want to have to explain to bereaved spouses/parents/children”
Them: “None of which you have”

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Duncan McGregor @drdmcgregor.bsky.social · 26/01/2026

Well done @rcoanews.bsky.social and @assocanaes.bsky.social for taking action and stepping away from activity on Twitter/X It seems that every day reputable organisations are waking up to the fact that they do not need to remain there.

Screenshot of a tweet from RCoA:
“We have stopped posting on X.
Read more about why we have made that decision and how you can stay connected with us: rcoa.ac.uk/news/rcoa-will...”

Screenshot of two tweets from the association of anaesthetists:
“1/2 We want our online spaces to reflect our commitment to respectful, safe and inclusive debate. For that reason, we have decided to pause all our activities on X while concerns remain about harmful behaviour on the platform and the sharing of indecent images through Grok.

2/2 We welcome the investigation launched by Ofcom and will carefully consider its recommendations. In the meantime, you can find us on our other channels, including Linkedin, Facebook, Instagram and Bluesky, as well as our own website.”

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Duncan McGregor @drdmcgregor.bsky.social · 12/01/2026

The agony of deciding which way to go with Bluesky

Meme of SpongeBob looking cross eyed at two different pages on a book, one saying “professional networking with the medical community”, the other saying “gays posting selfies and gay shit”

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Duncan McGregor @drdmcgregor.bsky.social · 09/01/2026

It’s okay everyone, only people who pay Elod will be allowed to make ch*ld p**n

Screenshot of BBC News article
Elon Musk's platform X has limited image editing with its Al tool Grok to paying users, after it came under fire for allowing people to make sexualised deepfakes.
There has been a significant backlash after the chatbot honoured requests from users to digitally alter images of other people by undressing them without their consent.
But Grok is now telling people asking it to make such material that only paid subscribers would be able to do so - meaning their name and payment information must be on file.

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Duncan McGregor @drdmcgregor.bsky.social · 27/12/2025

I heard we’re doing mirror selfies?

A basic selfie of a basic homosexual man (feat background dog)

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Duncan McGregor @drdmcgregor.bsky.social · 28/11/2025

Me showing off my shiny new kitchen and cooking for friends while there are still patches of bare plaster all over the rest of my downstairs

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Duncan McGregor @drdmcgregor.bsky.social · 23/11/2025

First roast cooked in the new kitchen after renovations. A modest spread but that gravy was fucking A

Picture of a roast dinner set at a table with a dog looking on hungrily

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Duncan McGregor @drdmcgregor.bsky.social · 28/10/2025

Honestly such a hilariously damning photo.

Screenshot of news article titled “Prince Andrew hosted Epstein, Maxwell and Weinstein at Royal Lodge” with picture of Weinstein, Epstein and Maxwell together

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Duncan McGregor @drdmcgregor.bsky.social · 06/08/2025

When we were coming into the room they had this playing on YouTube to greet us

YouTube video called
LION HEART | Epic Powerful
Motivation Orchestral Music | Song...
Epic Music Mix • 1.9M views • 1 year ago
64 chapters

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Duncan McGregor @drdmcgregor.bsky.social · 25/06/2025

Going through the EHRC consultation on guidance following the Supreme Court ruling on the definition of a woman. They just want to exclude trans people from public life. They aren’t even hiding it. Not for one service because of sex assigned at birth, not for the other because of presentation.

Excerpt from consultation which reads: “13.3.7 The impact on those who will be excluded from the service includes both the impact on people of the opposite biological sex generally and the particular impact on trans people of the opposite biological sex. In separate or single-sex services, a trans man will be excluded from the men-only service because his biological sex is female, and a trans woman will be excluded from the women-only service because her biological sex is male. Trans people are likely to be
disadvantaged by this, by comparison to people who are not trans.”

Excerpt from consultation which reads “13.5.5 For example, a trans man might be excluded from the women-only service if the service provider decides that, because he presents as a man, other service users could reasonably object to his presence, and it is a proportionate means of achieving a legitimate aim to exclude him.”

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Duncan McGregor @drdmcgregor.bsky.social · 25/06/2025

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Duncan McGregor @drdmcgregor.bsky.social · 07/06/2025

Sleeping dogs must be one of life’s purest joys

A cute Shiba Inu asleep on the edge of a sofa

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Duncan McGregor @drdmcgregor.bsky.social · 13/05/2025

Who needs dating when you’ve already got the only man you’ll ever need?

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Duncan McGregor @drdmcgregor.bsky.social · 18/04/2025

Recommendations certainly err on the side of caution, but not firmly stating mRSI is necessary in these patients. However in the cold light of the coroners court, feels like it would be hard to defend choosing not to… #anaesthesia

Box 1 Recommendations for the peri-operative management of patients taking glucagon-like peptide-1 receptor agonists and glucose-dependent insulinotropic peptide.
• The risk of pulmonary aspiration and mitigation strategies should be discussed with the patient using a shared decision-making approach.
• Patients should continue to take glucagon-like peptide-1 receptor agonists throughout the peri-operative period.
• Patients and clinicians should adhere to recommended fasting guidelines.
• Upper gastrointestinal symptoms alone should not be used to determine gastric content.
• Regional anaesthesia should be considered as the primary anaesthetic technique, if appropriate.
• Point-of-care gastric ultrasound should be considered before induction of anaesthesia to facilitate risk stratification, if appropriate.
• Individualised pulmonary aspiration risk assessment should be completed, accounting for drug, patient and procedural factors.
• Anaesthesia and airway management should aim to reduce the risk of pulmonary aspiration on induction of anaesthesia, during maintenance and after emergence of anaesthesia. This could include: administering prokinetics; using a tracheal tube; modified rapid sequence intubation (with or without cricoid force, depending on local practice); head-up position for induction of anaesthesia; potential use of gastric tubes to empty the stomach before induction of anaesthesia and tracheal extubation; and awake tracheal extubation.

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Duncan McGregor @drdmcgregor.bsky.social · 25/12/2024

Never skip leg day, even if it falls on Christmas Day #squatmas

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Duncan McGregor @drdmcgregor.bsky.social · 24/12/2024

Hate to rub it in for #duvetknowitschristmas but I’m away staying in a swanky hotel and it was sunny and warm today

A nice hotel room with two beds made up and blue skies in the background seen through the window

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Duncan McGregor @drdmcgregor.bsky.social · 19/12/2024

Yes I hated it too but I realised you can change it! Three dots in the top right corner and click list view. Now if anyone can work out how to get my old calendar back…

Screenshot of iOS mail app with option to change back to list view

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Duncan McGregor @drdmcgregor.bsky.social · 29/11/2024

show me a picture on your phone that has your energy, that isnt a selfie

A photo of a deep sea creature looking stunned and disheveled.

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Duncan McGregor @drdmcgregor.bsky.social · 12/11/2024

I think that the wording here does not inherently prohibit IV agents being used. A physician cannot administer, but could cannulate, set up and attach pumps and the person presses start.

A screenshot of the Assisted Dying Bill. Test reads:

(6) In respect of an approved substance which is provided to the person under subsection (2), the coordinating doctor may -
(a) prepare that substance for self-administration by that person,
(b) prepare a medical device which will enable that person to self-administer the substance, and
(c) assist that person to ingest or otherwise self-administer the substance.
(7)
But the decision to self-administer the approved substance and the final act of doing so must be taken by the person to whom the substance has been provided.

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Duncan McGregor @drdmcgregor.bsky.social · 12/11/2024

There are specific legal protections for those providing #assisteddying from criminal and civil legal proceedings and from employment detriments. 11/12

A screenshot of the Terminally Ill Adults (End of Life) Bill with sections highlighted.
The text reads:

Protections for health professionals
23 No obligation to provide assistance etc
(1)
No registered medical practitioner or other health professional is under any duty (whether arising from any contract, statute or otherwise) to participate in the provision of assistance in accordance with this Act.
(2)
An employer must not subject an employee to any detriment for exercising their right under subsection (1) not to participate in the provision of assistance in accordance with this Act or for participating in the provision of assistance to a person in accordance with this Act.
24 Criminal liability for providing assistance
(1) A person is not guilty of an offence by virtue of providing assistance to a person in accordance with this Act.
(2)
Subsection (1) does not limit the circumstances in which a court can otherwise find that a person who has assisted another to end their own life (or to attempt to do so) has not committed an offence.
(3) In the Suicide Act 1961, after section 2A (acts capable of encouraging or assisting suicide) insert—
"2AA Assistance provided under Terminally Ill Adults (End of Life) Act
2024
(1) In sections 2(1) and 2A(1), a reference to an act that is capable of encouraging or assisting suicide or attempted suicide does not include the provision of assistance to a person to end their own life in accordance with the Terminally Ill Adults (End of Life) Act 2024.
(2) It is a defence for a person charged with an offence under section 2
to prove that they -
(a) reasonably believed they were acting in accordance with the Terminally Ill Adults (End of Life) Act 2024, and
(b) took all reasonable precautions and exercised all due diligence to avoid the commission of the offence."
25 Civil liability for providing assistance
(1) Providing assistance to a person to end their own life in accordance with this
Act does not give rise to any civil liability.

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Duncan McGregor @drdmcgregor.bsky.social · 12/11/2024

At this point, the co-ordinating doctor or an authorised alternative doctor can administer drugs for the person to self administer, to support the patient in self administering or to administer directly to the person. The details of which drugs will be determined by the Secretary of State. 10/12

A screenshot of the Terminally Ill Adults (End of Life) Bill with sections highlighted.
The text reads:

Provision of assistance
(1) This section applies where -
(a) the High Court or Court of Appeal has made a declaration in respect of a person under section 12,
(b) the second period for reflection (within the meaning of section 13(2))
has ended,
(c) that person has made a second declaration which has not been cancelled, and
(d) the coordinating doctor has made the statement under section 13(5).
(2) The coordinating doctor may, in accordance with this section, provide that person with an approved substance (see section 20) with which the person may end their own life.
(3) The approved substance must be provided directly and in person by the coordinating doctor to that person.
(4) The coordinating doctor must be satisfied, at the time the approved substance is provided, that the person to whom it is provided -
(a) has capacity to make the decision to end their own life,
(b) has a clear, settled and informed wish to end their own life, and
(c) is requesting provision of that assistance voluntarily and has not been coerced or pressured by any other person into doing so.
(5) The coordinating doctor may be accompanied by such other health professionals as the coordinating doctor thinks necessary.
(6) In respect of an approved substance which is provided to the person under subsection (2), the coordinating doctor may -
(a) prepare that substance for self-administration by that person,
(b) prepare a medical device which will enable that person to self-administer the substance, and
(c) assist that person to ingest or otherwise self-administer the substance.
(7) But the decision to self-administer the approved substance and the final act of doing so must be taken by the person to whom the substance has been provided.

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Duncan McGregor @drdmcgregor.bsky.social · 12/11/2024

There is provision for the use of a proxy to sign all documents in the case that a person is physically unable to sign - capacity rules must still be met. 8/12

A screenshot of the Terminally Ill Adults (End of Life) Bill with sections highlighted.
The text reads:

Signing by proxy
(1) This section applies where a person intending to make a first declaration or a second declaration -
(a) declares to a proxy that they are unable to sign their own name (by reason of physical impairment, being unable to read or for any other reason, and
(b) authorises the proxy to sign the declaration on their behalf.
(2) A declaration signed by a proxy -
(a) in the presence of the person, and
(b) in accordance with subsection (3),
has the same effect as if signed by the person themselves.
(3) Where a proxy signs a declaration, the proxy is to add, after their signature -
(a) their full name and address,
(b) the capacity in which they qualify as a proxy, and
(c) a statement that they have signed in that capacity as a proxy.
(4) A proxy may not sign a declaration -
(a) unless satisfied that the person understands the nature and effect of the making of the declaration,
(b) if disqualified under section 36 from being a proxy, or
(c) if it is a second declaration and the proxy signed the first declaration as a witness.
(5) In this section "proxy" means -
Terminally Ill Adults (End of Life) Bill
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(a) a person who has known the person making the declaration personally for at least 2 years, or
(b) a person who is of good standing in the community.

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Duncan McGregor @drdmcgregor.bsky.social · 12/11/2024

Importantly here the Bill specifies that this must be undertaken by a Registered Medical Practitioner, I.e. a doctor. The specifics of what experience and qualifications are required will be determined by the Secretary of State. This is the case for both assessment and administration. 6/12

A screenshot of the Terminally Ill Adults (End of Life) Bill.
The text reads:

(3) In this Act, "the coordinating doctor" means a registered medical practitioner -
(a) who has such training, qualifications and experience as the Secretary of State may specify by regulations,
(b)
who has indicated to the person making the declaration that they are able and willing to carry out the functions under this Act of the coordinating doctor in relation to the person,
who is not a relative of the person making the declaration, and (d)
who does not know or believe that they -
(i) are a beneficiary under a will of the person, or
(i) may otherwise benefit financially or in any other material way

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Duncan McGregor @drdmcgregor.bsky.social · 12/11/2024

The process is that there are two independent doctors undertake separate assessments of: - the nature of the illness - the person’s capacity - has a clear intention to end their life - that the decision is free from coercion 5/12

A screenshot of the Terminally Ill Adults (End of Life) Bill with sections highlighted.
The text reads:

(2) "The first assessment" is an assessment to ascertain whether, in the opinion of the coordinating doctor, the person-
(a) is terminally ill, (b)
has capacity to make the decision to end their own life,
(c)
was aged 18 or over at the time the first declaration was made,
(d) is ordinarily resident in England and Wales and has been so resident for at least 12 months ending with the date of the first declaration,
(e) is registered as a patient with a general medical practice in England or Wales,
has a clear, settled and informed wish to end their own life, and
(g)
made the first declaration voluntarily and has not been coerced or pressured by any other person into making it.
(3) If, having carried out the first assessment, the coordinating doctor is satisfied that the requirements of subsection (2)(a) to (g) are satisfied, the coordinating doctor must—
(a) make a statement to that effect in the form set out in Schedule 2, and sign and date it,
(b) provide the person who was assessed with a copy of the statement, and
(c) refer that person, as soon as practicable, to another registered medical practitioner who meets the requirements of section 8(6) and is able and willing to carry out the second assessment (*the independent doctor").
8 Second doctor's assessment (independent doctor)
(1) Where a referral is made under section 7(3)(c), the independent doctor must carry out the second assessment of the person as soon as reasonably practicable after the first period for reflection has ended.
(2) "The second assessment" is an assessment to ascertain whether, in the opinion of the independent doctor, the person who made the first declaration -
(a) is terminally ill,
(b) has capacity to make the decision to end their own life, (c)
was aged 18 years or over at the time the first declaration was made,
(d) has a clear, settled and informed wish to end their own life, and

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Duncan McGregor @drdmcgregor.bsky.social · 12/11/2024

There is no obligation for a medical practitioner to raise the subject or to undertake a discussion if raised by a patient. However, they must refer on if requested. Medical practitioners can raise the subject if they see appropriate though. 4/12

A screenshot of the Terminally Ill Adults (End of Life) Bill with sections highlighted.
The text reads:

Initial discussions
4 Initial discussions with registered medical practitioners
(1) No registered medical practitioner is under any duty to raise the subject of the provision of assistance in accordance with this Act with a person.
(2) But nothing in subsection (1) prevents a registered medical practitioner exercising their professional judgement to decide if, and when, it is appropriate to discuss the matter with a person.
(3) Where a person indicates to a registered medical practitioner their wish to seek assistance to end their own life in accordance with this Act, the registered medical practitioner may (but is not required to) conduct a preliminary discussion about the requirements that need to be met for such assistance to be provided.
(4) If a registered medical practitioner conducts such a preliminary discussion with a person, the practitioner must explain to and discuss with that person -
(a) the person's diagnosis and prognosis;
(b) any treatment available and the likely effect of it;
(c) any available palliative, hospice or other care, including symptom management and psychological support.
(5) A registered medical practitioner who is unwilling or unable to conduct the preliminary discussion mentioned under subsection (3) must, if requested by the person to do so, refer them to another registered medical practitioner whom the first practitioner believes is willing and able to conduct that discussion.

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Duncan McGregor @drdmcgregor.bsky.social · 12/11/2024

There is no expansion on ‘Capacity’ beyond that which is described in the Mental Capacity Act. However, later in the document provisions are made for referral for further assessment by psychiatrist if there are concerns about capacity. 3/12

A screenshot of the Terminally Ill Adults (End of Life) Bill.
The text reads:

Capacity
In this Act, references to a person having capacity are to be read in accordance with the Mental Capacity Act 2005.

A screenshot of the Terminally Ill Adults (End of Life) Bill with sections highlighted.
The text reads:

(3) To inform their assessment, the assessing doctor -

(a) must, if they have doubt as to whether the person being assessed is terminally ill, refer the person for assessment by a registered medical practitioner who holds qualifications in or has experience of the diagnosis and management of the illness, disease or condition in question;
(b)
may, if they have doubt as to the capacity of the person being assessed, refer the person for assessment by a registered medical practitioner who is registered in the specialism of psychiatry in the Specialist Register kept by the General Medical Council or who otherwise holds qualifications in or has experience of the assessment of capability;
(c)
must, if they make a referral under paragraph (a) or (b), take account of any opinion provided by that other registered medical practitioner.

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Duncan McGregor @drdmcgregor.bsky.social · 12/11/2024

Firstly, the Bill covers provisions that allows for #assisteddying for terminally ill adults (18 and over) with a reasonable life expectancy of 6 months or less. Mental health conditions and disability (as described in the equality act) alone do not qualify. 2/12

A screenshot of the Terminally Ill Adults (End of Life) Bill with sections highlighted.
The text reads:

1 Assisted dying
(1) A terminally ill person who -
(a) has the capacity to make a decision to end their own life (see section
3),
(b) is aged 18 or over at the time the person makes a first declaration (see section 5),
(c) is ordinarily resident in England and Wales and has been so resident for at least 12 months ending with the date of the first declaration, and
(d) is registered as a patient with a general medical practice in England or Wales,
may, on request, be provided with assistance to end their own life in accordance with sections 5 to 22.
(2) Sections 5 to 22, in particular, require steps to be taken to establish that the person —
(a) has a clear, settled and informed wish to end their own life, and
(b) has made the decision that they wish to end their own life voluntarily and has not been coerced or pressured by any other person into making it.
2 Terminal illness
(1) For the purposes of this Act, a person is terminally ill if -
(a) the person has an inevitably progressive illness, disease or medical condition which cannot be reversed by treatment, and
Bill 12
59/1
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Terminally Ill Adults (End of Life) Bill
(b) the person's death in consequence of that illness, disease or medical condition can reasonably be expected within 6 months.
(2) For the purposes of subsection (1), treatment which only relieves the symptoms of an inevitably progressive illness, disease or medical condition temporarily is not to be regarded as treatment which can reverse that illness, disease or condition.
(3) For the avoidance of doubt, a person is not to be considered to be terminally ill by reason only of the person having one or both of —
(a) a mental disorder, within the meaning of the Mental Health Act 1983;
(b) a disability, within the meaning of section 6 of the Equality Act 2010.

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Duncan McGregor @drdmcgregor.bsky.social · 11/11/2024

Post your Lock Screen. Where are my other pet owners at?

iPhone Lock Screen featuring a dog (shiba inu looking at the camera) and a pint of beer partially on screen.
The dog is super cute

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Duncan McGregor @drdmcgregor.bsky.social · 09/11/2024

That feels like one of those things that you feel obliged to keep, it takes up vital storage space and you never look at again.

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