iiinova — where your digital self keeps evolving

Greg Bryson @glbryson.bsky.social · 23/08/2026

No Canadian wants to be here. But since the Trump administration has put us here, we’ll go full Gordie … Midterms are coming.

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Greg Bryson @glbryson.bsky.social · 16/08/2026

And you may ask yourself, "Well, how did I get here?"

A cantaloupe abandoned among a display of adult absorbent briefs.

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Greg Bryson @glbryson.bsky.social · 31/07/2026

A biking route app I use now has a feature that identifies active wildfires, air quality, and wind direction. But do tell me more about how climate change is a hoax.

Screen grab showing the new Ride with GPS Wildfires layer.

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Greg Bryson @glbryson.bsky.social · 20/07/2026

Scully knows she’s not allowed on the couch. She doesn’t care.

Scully the Lab curled up on a couch she’s not allowed on. Dog hair, don’t care.

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Greg Bryson @glbryson.bsky.social · 12/07/2026

Unsure if this is good or bad news given that this was reposted by @rnaguru.bsky.social, the guy who analyzes Ottawa’s wastewater for COVID, influenza, monkeypox, etc.

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Greg Bryson @glbryson.bsky.social · 05/07/2026

Then there’s Haaland in Norway’s team pic.

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Greg Bryson @glbryson.bsky.social · 02/07/2026

If you want to learn about digital rights management and develop the urge to tax tech companies back to the Pleistocene …

Cover of “Enshittification. Why Everything Suddenly Got Worse and What to Do About It” by Cory Doctorow

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Greg Bryson @glbryson.bsky.social · 02/07/2026

That “reducing the 10-30% mortality associated with critical care admission” didn’t make the top-10 sounds a lot like Wald’s plane.

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Greg Bryson @glbryson.bsky.social · 12/06/2026

In Ottawa Hospital-affiliated sites (care team model) patients get sedation. Not much. But some. From our experience, selection bias works the other way. Sicker patients done in hospitals with anesthesia providers. Can’t speak for the rest of the province. Covariate adjustment detailed below.

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Greg Bryson @glbryson.bsky.social · 25/05/2026

Happy Towel Day to all who celebrate.

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Greg Bryson @glbryson.bsky.social · 30/03/2026

Cannot recommend this highly enough.

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Greg Bryson @glbryson.bsky.social · 01/03/2026

"Absence of early benefit suggests that routine preincision, single-shot TAP blocks in this mixed surgical population provide little analgesia." journals.lww.com/anesthesiolo...

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Greg Bryson @glbryson.bsky.social · 27/02/2026

Post a pic you took, no context, to bring some zen to the feed.

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Greg Bryson @glbryson.bsky.social · 01/02/2026

I had a 20-something guy with +++ induction and maintenance requirements sit bolt upright and broadcast to a full PACU, "Whoa! I've done some crazy shit in my time but that was fahhhhbulous." Best part was he did it in the voice of Crush from Finding Nemo.

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Greg Bryson @glbryson.bsky.social · 01/02/2026

Our old green masks + cleaning solution smelled like Canadian Tire. Our new brightly coloured plastic ones? I dunno, maybe Lego.

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Greg Bryson @glbryson.bsky.social · 02/01/2026

No cheating, repost with the most recent photo of your pet.

Scully is concerned that Dear Spouse and Daughter have left the house without her.

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Greg Bryson @glbryson.bsky.social · 01/01/2026

From Wintering by Katherine May

The year will move on no matter what, but by paying attention to it, feeling its beat, and noticing the moments of transition-perhaps even taking time to think about what we want from the next phase in the year - we can get the measure of it.

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Greg Bryson @glbryson.bsky.social · 28/12/2025

The Calverley oxygen knob is a great example of human factors in medicine. Controls for nitrous oxide and air were not only different shapes but they were recessed relative to 02. All colour-coded, although US and ISO coding systems vary. Now it's screens 🙄 www.woodlibrarymuseum.org/museum/calve...

02, N20, and air flowmeter controls on an older anesthetic machine.

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Greg Bryson @glbryson.bsky.social · 23/12/2025

Always thought of us as more Dudley than Snidely, but with the tariffs and 51st state nonsense I can twirl my moustache.

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Greg Bryson @glbryson.bsky.social · 06/12/2025

I associated our overdosing of rocuronium to the "aerosol preventing" intubations of the COVID era. In Boston, it seems it was sugammadex. Just for fun, ask a trainee or colleague for the ED95 of roc. journals.lww.com/anesthesiolo...

Interrupted time series plot showing marked increase in rocuronium dose following introduction of sugammadex.

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Greg Bryson @glbryson.bsky.social · 06/12/2025

On the morning of 1917-12-06 the Mont Blanc, a French ship laden with munitions, collided with the Imo in Halifax Harbour. The resulting explosion killed 1,782 and injured nearly 9000 more.

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Greg Bryson @glbryson.bsky.social · 19/11/2025

My father was an aerospace engineer who was a contractor on the shuttle program. Udvar-Hazy took me right back to being a 7 yo flying model rockets with his Dad. Priceless.

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Greg Bryson @glbryson.bsky.social · 11/11/2025

“Short days ago We lived, felt dawn, saw sunset glow, Loved and were loved, and now we lie, In Flanders fields.”

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Greg Bryson @glbryson.bsky.social · 09/11/2025

Not sure I’m ready for this but it’s November in Canada. Can’t say it’s unexpected.

Light dusting of snow in my backyard. Cut leaf maple holding its colour.

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Greg Bryson @glbryson.bsky.social · 16/10/2025

Ketamine did, however, increase the incidence of side effects.

Table 2. Incidence of Adverse events from IMPAKT ERAS trial. Ketamine associated with ICU transfer OR 2.03, met early discharge milestones OR 0.68, debilitating hallucinations OR 2.69, debilitating dizziness OR 6.05.

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Greg Bryson @glbryson.bsky.social · 16/10/2025

Since 1846. Happy World Anesthesia Day.

William Morton demonstrates ether anaesthesia 16 October 1846 Boston, MA, USA

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Greg Bryson @glbryson.bsky.social · 27/09/2025

No better way to spend an afternoon.

Dear spouse riding the Prescott Russell Trail on a beautiful fall day.

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Greg Bryson @glbryson.bsky.social · 27/09/2025

Small effect size but interesting, especially the effect on bleeding - transfusion. Big cases first?

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Greg Bryson @glbryson.bsky.social · 21/08/2025

Retirement gets a little bit closer on a day like today.

Greg’s new bike overlooking the sunny Ottawa Valley from Champlain Lookout.

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Greg Bryson @glbryson.bsky.social · 08/08/2025

Canadian anesthesiologists doing their part at work. Canadians as a whole have some work to do.

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Greg Bryson @glbryson.bsky.social · 26/07/2025

Scully has entered the chat.

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Greg Bryson @glbryson.bsky.social · 02/07/2025

I'll be 60 in a few weeks and it's not worth retraining at this point. I'm fortunate that I no longer take call and am in a group big and collegial enough to hand off cases outside my diminished skill set. But I'm not-so-quietly pissed off at what my work environment has done to my skills.

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