iiinova — where your digital self keeps evolving

Andrew J @em-dr-jacklin.bsky.social · 07/09/2026

Finally made it to see Avenue Q. It's only been about 22 years or so?

020

Andrew J @em-dr-jacklin.bsky.social · 06/09/2026

What an absolute disgrace Salisbury Hospitals: www.bbc.co.uk/news/article... As well as the family you should apologise to the staff member that was put in this situation and was choosing whether to hang a drip from a picture frame or a teaching skeleton.

Andrew J @em-dr-jacklin.bsky.social · 24/06/2026

In today's installment of: AI/LLMs are just incredibly powerful 'next word' predicting machines - the advice given to me by Google Health yesterday after the gym.

020

Andrew J @em-dr-jacklin.bsky.social · 22/06/2026

Now instead of just text saying 'please remember to examine the throat properly' with the advent of AI you get a nice little infographic sent to you over the departmental comms. I do wonder how quickly people will fatigue of this as well though....

000

Andrew J @em-dr-jacklin.bsky.social · 15/06/2026

Ran 16km yesterday, will run 21 and a bit km in about 2 weeks. That's gotta be worth a small dontation to the hospital charity, right? www.justgiving.com/page/andrew-...

justgiving.com

Andrew's Ramathon King's Mill Fundraiser

Help Andrew Jacklin raise money to support Sherwood Forest Hospitals General Charitable Fund

000

Andrew J @em-dr-jacklin.bsky.social · 11/04/2026

Anyone going to the RCEM annual conference in Birmingham?

000

Andrew J @em-dr-jacklin.bsky.social · 11/04/2026

Rainy. Four hours of sleep from on-call so obviously going to go running like every Saturday. #TooTiredToThinkOfAMotivationalHashtag

000

Andrew J @em-dr-jacklin.bsky.social · 06/04/2026

@drlindadykes.bsky.social I've done my tax return. Also I was on call last night so didn't get up till late. #NewRecord

Andrew J @em-dr-jacklin.bsky.social · 31/03/2026

You are, after all, a Royal College and shouldn't be promoting pseudoscientific practices or associating with pharmacies with any questionable business practices.

Andrew J @em-dr-jacklin.bsky.social · 31/03/2026

A company that sells IgG testing panels, which are in no way a measure of food intolerance, just of food exposure.

100

Andrew J @em-dr-jacklin.bsky.social · 31/03/2026

Hello @rcem.ac.uk , I'm a little distressed that my RCEM Rewards e-mails includes: A company that keeps on popping up in the news: www.bbc.co.uk/news/article... for not the best business practices when it comes to selling weight loss drugs, and....

100

Andrew J @em-dr-jacklin.bsky.social · 22/02/2026

Interesting how much trouble a little box with text can cause. In the new ALS tachycardia algorithm the VT/is it VT? box is confusing enough that it's already been amended into a version 2 but also asks for procainamide (no UK license so it's interesting to source!).

000

Andrew J @em-dr-jacklin.bsky.social · 16/02/2026

Happy New Year and a Prosperous Year of the Horse to everyone! Even to the wind that blew away the banners around my door.

000

Andrew J @em-dr-jacklin.bsky.social · 15/02/2026

Wife brings this downstairs. Me: "ooh, that's lovely, where did you get it?" Wife: "you bought it last year cheap after last Chinese New Year."

a sign hanging from a tree saying "thank you past me!"

000

Andrew J @em-dr-jacklin.bsky.social · 14/02/2026

Half of the biathlon? Icy boxing?

000

Andrew J @em-dr-jacklin.bsky.social · 10/02/2026

New Lilo & Stitch: defeats enemy by kinda winning a fight on a spaceship. OG Lilo & Stitch: defeats enemy by stealing petrol tanker, driving it into a volcano, riding the explosion wave and beating up the alien guard whilst dropping wisecracks. OG Stitch FTW every time.

000

Andrew J @em-dr-jacklin.bsky.social · 09/02/2026

Drat, knew I'd been doing something wrong.

Andrew J @em-dr-jacklin.bsky.social · 09/02/2026

www.england.nhs.uk/publication/... Maybe it's just the way it's phrased but this just feels a bit like a lecture on the correct way to suck eggs is being delivered.

340

Andrew J @em-dr-jacklin.bsky.social · 18/01/2026

Also a non-breather mask sounds dangerous.

000

Andrew J @em-dr-jacklin.bsky.social · 18/01/2026

Should there be a bit more history here?

100

Andrew J @em-dr-jacklin.bsky.social · 05/01/2026

For a whole year now I've been responding to WhatsApp messages with themed emojis instead of just simple thumbs up/smiley faces and not one person has commented on it.

100

Andrew J @em-dr-jacklin.bsky.social · 05/01/2026

Yes. Also, fun fact, in the original script it was spelt Inniego Man Toyer. But he still wanted you to prepare to die.

Andrew J @em-dr-jacklin.bsky.social · 25/12/2025

Ok, but what are you going to draw on it?

120

Reposted by Andrew J

Mark Lemley @marklemley.bsky.social · 07/11/2025

Tired: two-factor authentication Wired: n+1-factor authentication, where successfully authenticating on a new device just allows you to log in again, triggering another authentication request. Repeat ad infinitum

4986083

Andrew J @em-dr-jacklin.bsky.social · 07/11/2025

Ok Gemini, that's pretty good. IYKYK

Andrew J @em-dr-jacklin.bsky.social · 06/11/2025

lowest acuity setting appropriate to them" and it almost feels like you could measure the success of a streaming initiative using it (apart from just measuring time to stream.)

Andrew J @em-dr-jacklin.bsky.social · 06/11/2025

...then one of the goals of (safe) streaming of patients presenting to ED would be to produce a leftward shift. I just really like it as a phrase but I'm not certain it actually speaks to anyone but it was a touch more exciting to me than the dry maxim "patients should be cared for in the

100

Andrew J @em-dr-jacklin.bsky.social · 06/11/2025

@kurtstat.bsky.social has anyone ever used the phrase 'leftward shift of acuity in streaming' (and I'm slightly embarassed to be asking this.) My thought: if you thought of acuity of setting on the x-axis with home at the left and ED resus on the right, and patient numbers on the y-axis...

100

Andrew J @em-dr-jacklin.bsky.social · 23/10/2025

Also: today year's old when I found out Boba Fett was based on Clint Eastwood in Fistful of Dollars.

000

Andrew J @em-dr-jacklin.bsky.social · 23/10/2025

The Mandolorian is quite good, isn't it?

100

The most caustic effect of Brexit is the rise in the view that democracy is just about voting on things. (Ideally it's a complex interlocking system that relies on the rules and interplay between Parliament, government, courts and the press to try and maximise freedom and quality of life for all.)

020

Or is that muddying the waters again and moving away from the idea of making this a metric of the 'middle period' of patient time.

Neil Pettinger @kurtstat.bsky.social · 16/10/2025

Reposted by Andrew J

Indicators of patient flow dysfunction mainly focus on either the hospital front door (e.g. breaches of the four-hour target) or the hospital back door (e.g. delayed transfers of care). But patient flow dysfunction manifests itself *everywhere* in a general hospital. 1/6

121

And thinking out loud - if it is WrongWardHours you could add in the length of time that the patient spends in ED waiting for bed, which are also wrong hours.

210

Is this a snapshot metric - e.g. this is the level of dysfunction in the hospital atm. or is it measured in something like WrongWardHours - e.g. how many hours each patient spends in the wrong place?

210

You're also missing out on the opportunity to create an Alan Partidge-esque moment where an adorable but annoying 7 year old struggles with the concept that she's two grades higher then you.

The important thing to understand about AI is that everything that everyone else creates using it is mindless slop that is heating up the planet but everything I create using it is like a cross between Oscar Wilde and Van Gogh and was 100% worth it.

Andrew J @em-dr-jacklin.bsky.social · 17/10/2025

Is this recording for an exam? I heard about this and found it bizarre. Part of the whole music exam experience is the whole 'underheated church hall' bit.

Andrew J @em-dr-jacklin.bsky.social · 30/09/2025

Great crisps? Or greatest crisps?

Andrew J @em-dr-jacklin.bsky.social · 23/09/2025

Pro-tip: I'll fill out a reference for anyone I've ever supervised but you have to remember unless you were the worlds most memorable person all I've got to go on is your electronic portfolio. So if there is no evidence in there you'll get some kind words but I can't do much else....