iiinova — where your digital self keeps evolving

Sierra (she/her) @hi-sierra.bsky.social · 05/07/2026

Anyways be more transgender now and forever

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Sierra (she/her) @hi-sierra.bsky.social · 02/06/2026

Concept One of those "a trans woman peed here and no one got hurt" stickers as mouth tape

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Quinnie @bittenbovine.bsky.social · 21/04/2026

if i have cheerios in oat milk, is that a kind of oyakodon

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helen @homotoptheory.northsky.social · 21/04/2026

am i allowed to add "IT systems experience" to my resume if i just walked my girlfriend through rolling back her linux kernel and running an update over a video call to fix her laptop's network controllers not working?

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Akephallus @cryptotheism.bsky.social · 17/03/2026

Wrong. Torture.

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Jeff Sharlet @jeffsharlet.bsky.social · 25/01/2026

Alex Pretti's gun is like Renee Good's car: irrelevant to the central fact that they were murdered by ICE. ICE wants us to debate whether Pretti should have been carrying because that avoids the central fact. Pro-carry, anti-carry--that has as much to do w/ his murder as his fashion choices. Zero.

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Sierra (she/her) @hi-sierra.bsky.social · 25/01/2026

Okay pedantic self callout time: The "one gene, one protein" is something I said to introduce a concept, and intended to at least make a quick note on to correct later but didn't get to. Splicing is a thing!!! I know that this is super unnecessary but IT WAS BOTHERING ME

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Bimbo Mentality Podcast @bimbomentality.bsky.social · 25/01/2026

Bimbo Mentality is a pro-oversimplifications podcast.

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Sierra (she/her) @hi-sierra.bsky.social · 25/01/2026

Just wanna additionally note that there are a LOT of oversimplifications in stuff I said! So if you know some biology and catch a thing that makes you go "well hm wait" then I hope it's clear that those moments are there to convey a initial concept to build off of!

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Bimbo Mentality Podcast @bimbomentality.bsky.social · 25/01/2026

Out today! Molecular biologist and informatician @hi-sierra.bsky.social joins the Bimbos to talk about cell research technology, DNA and RNA sequencing, and the implication of stem cell research on the career of professional wrestler Ray Mysterio.

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Bimbo Mentality Podcast @bimbomentality.bsky.social · 12/01/2026

Out today! Experienced thru-hiker Arizona Hays joins the Bimbos to talk about her experience taking a 5-month long hike across the Pacific Crest Trail in the summer of last year. Emma gets to learn about hiker bros, and Bug gets to start a beef with Bill Bryson. Links in pinned!

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Sierra (she/her) @hi-sierra.bsky.social · 08/01/2026

Hey so remember how I said this 8 months ago and then last week RFK and his HHS cronies lowered the vaccine recommendations for infants with 0 scientific basis

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Sierra (she/her) @hi-sierra.bsky.social · 02/05/2025

To drive it home to cis people- this kinda feels like a canary in the coal mine for public health at large. This is brazen. I expected bias, but not brazen neglect of science. This will be mirrored with vaccines, food safety, &more.

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Mbsolheim @mbsolheim.bsky.social · 08/01/2026

10,000 people honoring Renee Nicole Good at the site of her murder

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onion person @junlper.beer · 07/01/2026

“in america, you deserve to be murdered by the state if you have gender pronouns in bio”

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helen @homotoptheory.northsky.social · 15/11/2025

i would make such a good tradwife

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maia arson crimew 🏴 @crimew.gay · 13/11/2025

these are both expired passwords and i am sharing them for purely educational and humorous reasons

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maia arson crimew 🏴 @crimew.gay · 13/11/2025

IDF soldiers have very mature email account passwords

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helen @homotoptheory.northsky.social · 22/10/2025

soup mode achieved

bowl of rice soup garnished with scallions and sesame

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Sierra (she/her) @hi-sierra.bsky.social · 23/10/2025

If I'm gonna be back on bsky might as well post a timeline 2023->2024->2025

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Sierra (she/her) @hi-sierra.bsky.social · 23/10/2025

Was just thinking about the disastrous effects of ocean acidification 😔 if only an environmental scientist would take me out for a sustainable meal and talk about ways to mitigate carbon emissions to comfort me 6'0" btw #trans #transgender #transselfie

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Sierra (she/her) @hi-sierra.bsky.social · 22/10/2025

The transsexual posts to the ether. "Spit your shit Sierra" says the gimmick account. The ringing of the slightly malfunctioning phone charger tickles her eardrums. The tortoise slumbers in the corner, preparing for the winter.

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Sierra (she/her) @hi-sierra.bsky.social · 22/10/2025

Actually it's cultural appropriation to call yourself clocky if you're under 5'10" :/

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Quinnie @bittenbovine.bsky.social · 29/08/2025

I'm going to one of these later

Illustration of early sea file. Coral, trilobites, etc

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helen @homotoptheory.northsky.social · 10/07/2025

my beautiful girlfriend @bittenbovine.bsky.social: “people over thirty calling themselves twinks is ageplay”

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The Onion @theonion.com · 29/05/2025

Fish At Pretty Good Place In Its Life Right Now theonion.com/fish-at...

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Quinnie @bittenbovine.bsky.social · 21/05/2025

1 like = 1 big swing of a heavy mallet I let Helen get in on me

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helen @homotoptheory.northsky.social · 21/05/2025

i need this

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Sierra (she/her) @hi-sierra.bsky.social · 03/05/2025

Felt cute or something. You know the drill.

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Dr. Kalen Zeiger (they/he) @kalenzeiger.com · 02/05/2025

Email from Planned Parenthood (@ppfa.org) just now. I am very grateful to the institutions who are holding the line on transgender care.

Greetings,
Your health is our highest priority, and we believe your body is your own. We're honored to provide gender- affrming care including transgender hormone therapy - at Planned Parenthood North Central States (PPNCS), and we wanted to reach out to assure you that we continue to provide this care.
Planned Parenthood North Central States

You may be hearing about orders and legislation that could impact access to transgender hormone therapy. While greatly disturbing, these orders are being contested in courts around the country and the impact on existing laws are unclear. Rest assured, PPNCS is still providing transgender care at all our health centers and by telehealth. Regardless of what you hear, please keep any upcoming appointments. We will update our website if there are any changes to our services: ppncs.org/TransCare, If you have any questions, our Care Coordinators are here to help. They can provide support, connect you with community resources, find answers to your questions, and more. To reach a Care Coordinator, you can send an email to lgbtqcare@ppncs.org or schedule a time to talk by phone by calling 1.800.230.PLAN (7526).
As always, we're here for your sexual and reproductive care needs, including birth control, STI care, mental health treatment, and more. We're in-network for most insurance plans and often have same-day and next-day appointments available.
Thank you for entrusting us with your care. Were here for you!
Sincerely,
Nicole Chaisson, MD, MPH Director of Gender Affrming Care Planned Parenthood North Central States

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Science Magazine @science.org · 02/05/2025

The HHS report “is a rejection of decades of science, evidence, and direct experiences by young people, their doctors, and their families.” scim.ag/3Gx74Cn

scim.ag

Researchers slam HHS report on gender-affirming care for youth

Critics say the report, which declines to disclose its authors, contradicts decades of scientific research

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onion person @junlper.beer · 01/05/2025

they’re going to try to start conversion therapy to double prong attack children that are autistic and transgender and it’s going to traumatize a new generation of kids in a way we aren’t ready for

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Dave Levitan @davelevitan.bsky.social · 02/05/2025

Zuck’s “three friends” thing jumped this directly into my brain

2019 Merman_Melville tweet reading:

“Being a billionaire must be insane. You can buy new teeth, new skin. All your chairs cost 20,000 dollars and weigh 2,000 pounds. Your life is just a series of your own preferences. In terms of cognitive impairment it's probably like being kicked in the head by a horse every day”

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Alejandra Caraballo @esqueer.net · 02/05/2025

All of this for speaking up against genocide. Fascism is here.

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Sierra (she/her) @hi-sierra.bsky.social · 02/05/2025

I'm genuinely baffled now. This HHS report is way different than what I thought it would be, and way different than it's British predecessor, the Cass report.

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Sierra (she/her) @hi-sierra.bsky.social · 02/05/2025

This right here is one of the scariest bits to me, and one of the most brazen ways the report admits what it is. It's an explicit rejection of evidence from public health policymaking.

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Erin Reed @erininthemorning.com · 01/05/2025

I'm at 1 health

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Lying @lying.bsky.social · 02/05/2025

This is the key concern. The Cass Review was a complete sham on its face, but it's held as sacrosanct by both the current UK government and its precedent on the opposite side of the aisle. Ultimately, the reviews don't have to be credible, they just have to be justification to do what they want.

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Dr. Kalen Zeiger (they/he) @kalenzeiger.com · 02/05/2025

Seems like a good time to post this again. A template for responding to pushback against the medical necessity of gender-affirming care. I have a feeling we'll be seeing this more and more, unfortunately. If you would like the word doc template of this, let me know.

Dr. Kalen D. Zeiger's Templates.

Mar 17, 2025
Re: Medical Necessity of Gender-Affirming Care
This letter serves to explain that gender-affirming medical care, including but not limited to hormonal therapy and surgical interventions, is well-established and recognized as a medically necessary treatment for individuals diagnosed with gender dysphoria and/or gender incongruence.
Qualifications and Expertise
I am <YOUR TITLE. NAME / NAME, CREDENTIALS>. I am a <JOB TITLE> at <ORGANIZATION NAME>. I have been performing psychosocial and diagnostic assessments for Gender Dysphoria (ICD-10 F64.0) and Gender Incongruence (ICD-11 HA60) and writing World Professional Association for Transgender Health (WPATH) based letters of support for gender-affirming care since <APPLICABLE DATE>. I have a <YOUR HIGHEST APPLICABLE DEGREE> and am a <YOUR LICENSE TYPE> in the state(s) of <STATE(S) YOU ARE LICENSED IN>.
Recognition of Medical Necessity
Gender-affirming care is both supported and recognized as medically necessary by leading healthcare organizations, including but not limited to:
The American Medical Association (AMA), has made the official statement that “Gender-affirming care is medically necessary, evidence-based care that improves the physical and mental health of transgender and gender-diverse people” (Press Release: AMA reinforces opposition to restrictions on transgender medical care, 2021).
The American Psychiatric Association (APA), has stated that the APA “supports access to affirming and supportive treatment for trans and gender diverse youth and their families” and “opposes all legislative and other governmental attempts to limit access to these services for trans and gender diverse youth” (APA Official Actions, Position Statement on Treatment of Transgender and Gender Diverse Youth, 2020). Remainder truncated, continues with American Psychological Association (APA), American Academy of Pediatrics (AAP), Endocrine Society, and World Health Organization (WHO).

Dr. Kalen D. Zeiger's Templates, second page of a template. List continues midway through sentence:

Legislation: Guidance and Practice with statements in support of transgender access to quality health care (2023).
The World Professional Association for Transgender Health (WPATH), whose Standards of Care for the Health of Transgender and Gender Diverse People, Version 8 (SOC-8) are the globally recognized guidelines for “medically necessary gender-affirming health care for transgender and gender diverse people” (WPATH SOC-8, Statement 2.1, pp. S16-S17, 2022).
This list is not comprehensive or exhaustive.
Established Medical Standards
The necessity of gender-affirming hormonal therapy, surgery, and other care is based on clinical research demonstrating that such interventions reduce gender dysphoria, improve mental health outcomes, and enhance overall well-being. The Endocrine Society’s Clinical Practice Guidelines and the WPATH SOC-8 both establish that gender-affirming medical interventions are not elective or cosmetic but are instead necessary for the health and functioning of transgender individuals.
Clarification of <PUSHBACK TOPIC>
<IF THERE IS A SPECIFIC POINT OF PUSHBACK, ADDRESS IT HERE. IF NOT, REMOVE SECTION>
Conclusion
Given the widespread consensus in the healthcare community, gender-affirming care, including but not limited to hormonal and surgical interventions, should be recognized as medically necessary intervention. Failing to acknowledge this necessity contradicts established healthcare standards and guidelines.
If further information is required, I am happy to provide references to additional medical literature, guidelines, and standards of care.

Signed,

Your Signature

<YOUR NAME AND CREDENTIALS>

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Sierra (she/her) @hi-sierra.bsky.social · 02/05/2025

I'm really hoping that this is the case, but part of me is getting more scared by this. The fact that the report is so unscientific is a warning sign that scientists and medical professionals are being cut from the conversation entirely, and this admin is comfortable admitting that.

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Erin Reed @erininthemorning.com · 10/04/2025

Zooey is doing WORK in Montana and teaching everyone several lessons: 1) You can stand on your values as a Democrat and not harm trans people. 2) Doing so can actually move hearts and minds in a traditionally conservative state. 3) There is value in having representation in our halls of power.

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Emmett Macfarlane 🇨🇦 @emmettmacfarlane.com · 09/04/2025

They have and are literally doing things in every box. This isn't just journalistic failure by the NYT, it is disinformation.

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damniel spookradski @self.agency · 08/04/2025

in case you're wondering, "what's the harm in claiming an extinct species has been brought back from the dead" when it most certainly has not, our interior secretary is already using it to justify taking animals off the endangered species list

The mission of the U.S. Fish and Wildlife Service is to work with others to “conserve, protect, and enhance fish, wildlife, plants, and their habitats for the continuing benefit of the American people.”

The Department of the Interior is excited about the potential of “de-extinction” technology and how it may serve broader purposes beyond the recovery of lost species, including strengthening biodiversity protection efforts and helping endangered or at-risk species.

The Endangered Species List has become like the Hotel California: once a species enters, they never leave. In fact, 97 percent of species that are added to the endangered list remain there. This is because the status quo is focused on regulation more than innovation.

It’s time to fundamentally change how we think about species conservation. Going forward, we must celebrate removals from the endangered list - not additions. The only thing we’d like to see go extinct is the need for an endangered species list to exist. We need to continue improving recovery efforts to make that a reality, and the marvel of “de-extinction” technology can help forge a future where populations are never at risk.

Since the dawn of our nation, it has been innovation – not regulation – that has spawned American greatness. The revival of the Dire Wolf heralds the advent of a thrilling new era of scientific wonder, showcasing how the concept of “de-extinction” can serve as a bedrock for modern species conservation.

The Dire Wolf revival carries profound cultural significance as it embodies strength and courage that is deeply encoded within the DNA of American identity and tribal heritage.

Breakthroughs of this nature will inspire leading minds and future generations of innovators to chase the impossible, capture it, and unleash its potential!

The Department of the Interior looks forward to a vibrant future full of innovation that advances core missions such as wildlife conservation.

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