iiinova — where your digital self keeps evolving

Dr Vyom Sharma @drvyom.bsky.social · 22/09/2025

When the worms in his skull decided that Tylenol/ paracetamol causes autism, does that count as peer review?

Dr Vyom Sharma @drvyom.bsky.social · 12/09/2025

The abrupt tone shift of the last few hours means nothing. They're temporarily paralysed by the possibility the political assassination is by one of them. The next 200 could be by one of them. It will only take one from the other side before all hell breaks loose.

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Dr Vyom Sharma @drvyom.bsky.social · 12/09/2025

The Coalition couldn't wish for a cohort more naturally inclined to vote for them than Indian immigrants. Substantially socially conservative, economically right leaning cohort. The indomitable challenge for the LNP is to, for the length of an election cycle, not seem racist.

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Adam Ragusea @aragusea.bsky.social · 18/08/2025

I also think our (often valid) policing of language used by reporters can amount to infantilizing paternalism. “I read this headline, I understood it, I learned a new fact from it, but it’s BAD because less-savvy people could have their tiny minds warped by the phrasing and I must protect them.”

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Dr Vyom Sharma @drvyom.bsky.social · 10/08/2025

Big claim: HEPA filters can lower blood pressure Below I describe the weaknesses of the trial, but also why it shouldn't be ignored:

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Dr Vyom Sharma @drvyom.bsky.social · 08/07/2025

Big claims about rising cancer in young people globally, esp in Aus "Some increases.. might be explained by changes in the way they are diagnosed - but most cannot" How about: - Increased testing? - Detection of cancers that are more biologically indolent? - Incidental detections? #medsky

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Dr Vyom Sharma @drvyom.bsky.social · 07/07/2025

Had an encounter today that reminded me how we can hold 3 layers of belief - often contradictory: - Proclaimed: what we dare say publicly - Private: what we admit to ourselves - Revealed: what our actions show

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Dr Vyom Sharma @drvyom.bsky.social · 30/06/2025

Nurses when I ask to borrow their pen:

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Dr Vyom Sharma @drvyom.bsky.social · 22/06/2025

Yesterday, Pakistan nominated Trump for the Nobel Peace Prize. Bit quiet today.

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Dr Vyom Sharma @drvyom.bsky.social · 16/06/2025

A senior commander of Iran's revolutionary guard said that if Israel nukes Iran, Pakistan would nuke them back. Pakistan's defence minister denied ever agreeing to this. Pakistan has now closed land and air borders with Iran.

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Chris Hayes @chrislhayes.bsky.social · 30/01/2025

He's not blaming DEI, he's blaming women and non white people.

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Dr Vyom Sharma @drvyom.bsky.social · 31/01/2025

I've never seen the US media cycle so utterly unable to keep up. Every single day since Trump's inauguration, roughly 7-12 huge policies, or bonkers statements are reported. Each of them worth a week's coverage. But then, two seconds pass, and something else insane happens.

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Dr Vyom Sharma @drvyom.bsky.social · 31/01/2025

Hey #medsky, what do you think about the real value of Plasma pTau217 test for Alzheimer’s dementia?

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Aaron Stewart-Ahn @badideas.bsky.social · 29/01/2025

Absolutely batshit you can watch on live TV a rotting whale eating, bear corpse vandalizing, brainworm eaten, anti-science sex pest who drove an ex wife to suicide & looks exactly like corrupted Leland Palmer from Twin Peaks & sounds like Megatron auditioning to be head of America’s healthcare.

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Dr Vyom Sharma @drvyom.bsky.social · 23/01/2025

[Nelson from Simpson’s voice]: HA-HA

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Dr Vyom Sharma @drvyom.bsky.social · 22/01/2025

I'm astonished at the breadth of issues affected by Trumps's myriad executive orders. Huge changes being presented as short, sporadic reports that understandably vanish with each update. The only thing that's surviving the 24 hour news cycle at this point is the Nazi salute.

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Dr Vyom Sharma @drvyom.bsky.social · 20/01/2025

Hey Aussie GP's - have you been ordering pro-BNP's since the rebate availability in November? #medsky

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El Yobo @elyobo.bsky.social · 20/01/2025

Maybe there could be a better place for that information

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El Yobo @elyobo.bsky.social · 08/01/2025

The appropriate balance is that heritage should be completely ignored when installing solar. In fact, just abolish heritage overlays.

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Dr Vyom Sharma @drvyom.bsky.social · 05/01/2025

Folks, I am telling you, this Aussie cricket team are the loveliest bunch we've had since like... forever. For all the talk about toxic masculinity in sports, now we've got a great bunch - get around em.

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Dr Vyom Sharma @drvyom.bsky.social · 04/01/2025

There is something Shakespearean about the specific tragedy of Kohli's career ending due to his inability to resist a ball outside off, and being undone by it every time. Desperately trying to recapture the magic he once possessed of the most glorious cover drive in cricket.

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Dr Vyom Sharma @drvyom.bsky.social · 30/12/2024

All night I dreamt I was in Adelaide, trying to get a beautiful woman to fall in love with me by mansplaining right censoring on a kaplan-meier curve. Didn’t work. What do women want?

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Dr Vyom Sharma @drvyom.bsky.social · 29/12/2024

Friendly reminder to have your 'see you next year' joke in the holster for a couple of days from now. Use wisely.

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Dr Vyom Sharma @drvyom.bsky.social · 26/12/2024

Did you know that Konstas in Greek means Bazball?

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Dr Vyom Sharma @drvyom.bsky.social · 23/12/2024

Dear #medsky GPs - when treating COPD patients 1) are you doing the 'ol stepwise approach, starting with tiotropium, or opting for a stepdown approach and starting sometimes with combination meds? 2) Do you look at eosinophils when choosing COPD inhalers, or nah?

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MarkH @markhoofnagle.medsky.social · 23/12/2024

All unattended food is fair game on call.

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Dr Vyom Sharma @drvyom.bsky.social · 23/12/2024

I estimate there are 40+ movies that I've only seen 70% of the way through. Because until age 13, at 8:30 PM mum would shut the TV and march us off to bed. I still don't know how Waterworld ends.

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Dr Vyom Sharma @drvyom.bsky.social · 23/12/2024

New NEJM trial on Tirzepatide for HFpEF. I have 2 questions #medsky Claim: Treatment led to lower risk of a composite of death from CV causes or worsening HF. Q1: Is it weird to claim a COMPOSITE win, when there were HIGHER deaths due to CV causes in treatment group? www.nejm.org/doi/full/10....

nejm.org

Tirzepatide for Heart Failure with Preserved Ejection Fraction and Obesity | NEJM

Obesity increases the risk of heart failure with preserved ejection fraction. Tirzepatide, a long-acting agonist of glucose-dependent insulinotropic polypeptide and glucagon-like peptide-1 receptor...

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Dr Vyom Sharma @drvyom.bsky.social · 21/12/2024

"Most all" is a terrible phrase, and people who use it are bad. Under my dictatorship, these people will be marched off to the gulag first, followed by the "thanking you" crowd.

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Dr Vyom Sharma @drvyom.bsky.social · 19/12/2024

This was posted over a year ago

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Dr Vyom Sharma @drvyom.bsky.social · 19/12/2024

Gisele Pelicot's husband Dominique Pelicot has been convicted for rape and sentenced to 20 years prison. Good riddance.

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Dr Vyom Sharma @drvyom.bsky.social · 17/12/2024

The TV/movie highlight of 2024 for me was, by a mile, Shogun. How about you?

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Dr Vyom Sharma @drvyom.bsky.social · 11/12/2024

How the hell did 'sitting is the new smoking' ever catch on...

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Dr Vyom Sharma @drvyom.bsky.social · 08/12/2024

Unconfirmed reports that Assad has fled to USA and will shortly be appointed by Trump to the health department to write the new ophthalmology guidelines.

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Dr Vyom Sharma @drvyom.bsky.social · 08/12/2024

Now that Bashar Al-Asaad has fled, he should be treated like every other odious personality who is past their peak: be interviewed on Talk Tuah and fight Jake Paul.

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Dr Vyom Sharma @drvyom.bsky.social · 08/12/2024

👏normalise👏de-caf👏Tiramisu

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Dr Vyom Sharma @drvyom.bsky.social · 05/12/2024

I’m astonished that, in response to the murder of the American health insurer CEO, the main thing Americans are posting is their personal insurance horror stories. So much bad will towards the healthcare system. Incredible that American democracy is powerless to change a system that oppresses it.

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Dr Mary-Ann Fox BMBS FANZCA GChPOM @maffygirl.medsky.social · 02/12/2024

I am seeing a lot on social media about a certain celebrity and “banter” and how some see it as harmless and women do not. There is criticism of women who speak out years after the event. A few comments as I have some experience of “banter” in medicine 1/? #MedSky

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Dr Vyom Sharma @drvyom.bsky.social · 02/12/2024

In 2 months, Australia will do something interesting. Boxes of paracetamol (acetaminophen) will be allowed to contain a maximum of 16 tablets instead of 20. I assume this has to do with a toxicity threshold met at 10 grams. #medsky

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Dr Vyom Sharma @drvyom.bsky.social · 28/11/2024

So this is nuts. Try it. “Hey siri, open Bluesky” Nothing “Hey siri, open blueskiii” works …. IS THAT HOW WE ARE SUPPOSED TO SAY IT?

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Dr Vyom Sharma @drvyom.bsky.social · 28/11/2024

What does #medsky #urolsky #oncsky think of surgery vs EBRT for localised #prostatecancer? I understand survival rates are similar. But this JAMA study shows prostatectomy is worse for incontinence & sexual dysfunction compared to EBRT. So why do prostatectomy? jamanetwork.com/journals/jam...

jamanetwork.com

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Dr Vyom Sharma @drvyom.bsky.social · 26/11/2024

I’m buying some furniture at the moment I’m amazed how often a $3K dining table is visually indistinguishable from one’s under 1 K. Who buys these?

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emma zhou @emmz.bsky.social · 25/10/2024

does everybody know about my favorite website, the embroidery tips page that forgot to close its <h3> tags

web.archive.org

Embroidery Trouble Shooting Page

Embroidery Trouble Shooting Answers to all your questions about Embroidery problems

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Dr Vyom Sharma @drvyom.bsky.social · 25/11/2024

Australian media losing its mind. The cricket team lost because they are simultaneously too arrogant but also too nice.. If only they were less arrogant but also somehow less nice. Maybe then they would’ve won the ashes and the World Cup for one day, T20, and tests.

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Kirsty Webeck @kirstywebeck.bsky.social · 25/11/2024

“Yeah, I’ll be there in 10 minutes.” *whispering under my breath* “10 washing machine minutes.”

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Dr Vyom Sharma @drvyom.bsky.social · 24/11/2024

Really enjoying watching the cricket being interspersed with TV ads promoting the NBN, which are glitching cos my NBN is fucking shit.

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