iiinova — where your digital self keeps evolving

Imogen Heapsort @imogenheapsort.bsky.social · 30/06/2026

Today's my first day of medical school! Feels neat to be able to say that I'm a med student now 😁

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Imogen Heapsort @imogenheapsort.bsky.social · 04/05/2026

I got into med school. I'm gonna be a doctor 😭

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Imogen Heapsort @imogenheapsort.bsky.social · 28/08/2025

Some people are too young to remember the last AI Winter and it shows

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Imogen Heapsort @imogenheapsort.bsky.social · 19/08/2025

Med school interview with my top choice school in three weeks ><

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Imogen Heapsort @imogenheapsort.bsky.social · 16/08/2025

I'm now the primary author for WikiEM's nitrous oxide toxicity page 😵‍💫 about half done with my edits for it, tox doc at work gave me some great suggestions.

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Imogen Heapsort @imogenheapsort.bsky.social · 07/07/2025

Really glad to see Republicans take the doctor shortage seriously by uh... capping the amount of federal loans med students can take out to a level below what the average med student takes out.

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Reposted by Imogen Heapsort

Kevin Hall @kevinh-phd.bsky.social · 16/04/2025

After 21 years at my dream job, I’m very sad to announce my early retirement from the National Institutes of Health. My life’s work has been to scientifically study how our food environment affects what we eat, and how what we eat affects our physiology.

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Imogen Heapsort @imogenheapsort.bsky.social · 16/04/2025

I'm in my 30s, why am I still having nightmares about cramming for organic chemistry?

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Dr. Tom Frieden @drtomfrieden.bsky.social · 10/04/2025

For 75 years, every time any U.S. state has requested epidemiologic assistance (an “Epi-Aid”), CDC sent disease detectives. Now, Wisconsin has asked for help to address newly discovered lead poisoning in Milwaukee. But all CDC experts in lead poisoning were just fired.

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Imogen Heapsort @imogenheapsort.bsky.social · 01/04/2025

I hope I can just bury myself in medicine for the next few years but mentally preparing to spend the rest of my career trying to convince people to get vaccinated after HHS publishes a horrifically unscientific paper that links vaccines and autism, despite this being heavily studied and disproven.

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Imogen Heapsort @imogenheapsort.bsky.social · 01/04/2025

Saw a Hampton hump in the wild a few days ago. Rare radiology marker that can sometimes be visible in patients with a pulmonary embolism.

Chest X-Ray imaging. On the far left side there is a dome-like opacification to the lung.

Image source: https://www.ccjm.org/content/89/5/236

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Reposted by Imogen Heapsort

Edward Nirenberg @enirenberg.bsky.social · 29/03/2025

Peter Marks’s resignation letter. Everyone should read this.

Peter Marks, MD, PhD
Director, Center for Biologics Evaluation and Research U.S. Food and Drug Administration
10903 New Hampshire Avenue
Silver Spring, MD 20903
March 28, 2025
Sara Brenner, MD, MPH
Acting Commissioner of Food and Drugs
U.S. Food and Drug Administration
10903 New Hampshire Avenue
Silver Spring, MD 20903
Dear Dr. Brenner:
It is with a heavy heart that I have decided to resign from FDA and retire from federal service as Director of the Center for Biologics Evaluation and Research effective April 5, 2025. I leave behind a staff of professionals who are undoubtedly the most devoted to protecting and promoting the public health of any group of people that I have encountered during my four decades working in the public and private sectors. I have always done my best to advocate for their well-being and I would ask that you do the same during this very difficult time during which their critical importance to the safety and security of our nation may be underappreciated.
Over the past years I have been involved in enhancing the safety of our nation's blood supply, in advancing the field of cell and gene therapy, and in responding to public health emergencies. In the last of these, during the COVID-19 pandemic I had the privilege of watching the vision that I conceived for Operation Warp Speed in March 2020 in collaboration with Dr. Robert Kadlec become a reality under the leadership of HHS Secretary Azar and President Trump due to the unwavering commitment of public servants at FDA and elsewhere across the government. At FDA, the tireless efforts of staff across the agency resulted in remarkably expediting the development of vaccines against the virus, meeting the standards for quality, safety, and effectiveness expected by the American public. The vaccines undoubtedly markedly reduced morbidity and mortality from COVID-19 in the United States and elsewhere. Many of these same individuals applied learnings from the pandemic during a flawless response helping…

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Imogen Heapsort @imogenheapsort.bsky.social · 08/03/2025

I can tell a patient is autistic because you ask what their pain is from 1-10 while they're in excruciating pain from kidney stones and they're like "this is entirely subjective, how would I even know what a 10 feels like if I've never experienced it?" and every neurotypical person just tells you 11

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Imogen Heapsort @imogenheapsort.bsky.social · 07/03/2025

I'm so tired and stressed, my anxiety has been terrible. I'm not sure if I should limit my political news consumption (which is all extremely stressful and depressing) or if it's better to stay on top of the terrible things that happen every day.

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Imogen Heapsort @imogenheapsort.bsky.social · 04/03/2025

New pseudoscience from the CDC website, courtesy of chief idiot HHS secretary. The evidence supporting Vitamin A treatment is largely in countries where the average person may be suffering from vitamin deficiencies. The primary recommendation of the CDC should be MMR vaccination, full stop.

Updated Vitamin A recommendation for treatment of children with measles, from CDC website.

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Imogen Heapsort @imogenheapsort.bsky.social · 03/03/2025

I like how different medical specialties have different "vibes". I'm still pretty torn on EM vs psychiatry, and thinking a bit about IM or FM... but I love my EM colleagues, it's like a specialty just for ADHD types like me. The tox community is full of the nicest brilliant nerds you'll ever meet.

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Jace D. Flatt, PhD, MPH (They/He) @jaceflatt.bsky.social · 01/03/2025

Another NIH grant rescinded - The Epidemiology of Alzheimers Disease and Related Dementias in Sexual and Gender Minority Older Adults: Identifying Risk and Protective Factors - 1K01AG056669

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Imogen Heapsort @imogenheapsort.bsky.social · 02/03/2025

I was featured in this episode and won for best answer! The next time I get down about applications and med school, I'm just going to listen to Dr. King saying that I'll be "undoubtedly a great healthcare professional some day in the future" 😭

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Imogen Heapsort @imogenheapsort.bsky.social · 01/03/2025

Most interesting thing I've seen recently was a young patient with thyrotoxicosis secondary to unmedicated Graves Disease. HR of like 140, most recent labs had TSH of like 0.01, so anxious they were about to burn a hole in their bed from shaking. I felt so bad for them!

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Imogen Heapsort @imogenheapsort.bsky.social · 01/03/2025

My prereqs are from a decade ago, so just getting an interview is really reassuring - means at least someone is taking me seriously. I just wish this process wasn't so grueling and soul crushing. Having to wait a year between cycles with very limited feedback stinks.

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Imogen Heapsort @imogenheapsort.bsky.social · 01/03/2025

Med School interviews went fine, but I was so sick with a URI the week leading up to it that I couldn't actually speak until the day before. I wish I'd been able to practice more, but have to assume I didn't get in and keep planning for the next cycle.

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Imogen Heapsort @imogenheapsort.bsky.social · 10/02/2025

Med school interviews this week, I'm so nervous lol ><

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Imogen Heapsort @imogenheapsort.bsky.social · 31/01/2025

I hope I get into med school this cycle. Being a medical student might be the only thing that protects me in the coming years.

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Imogen Heapsort @imogenheapsort.bsky.social · 31/01/2025

The fear and anxiety are palpable in the emergency department today.

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Imogen Heapsort @imogenheapsort.bsky.social · 28/01/2025

I got a med school interview at my top choice school!

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Imogen Heapsort @imogenheapsort.bsky.social · 22/01/2025

Reassuring to hear the doctors at my hospital all discussing how to get foreign visas in case they need to flee the country.

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Reposted by Imogen Heapsort

Ketan Joshi @ketanjoshi.co · 21/01/2025

Bluesky has been flooded with automated reply bots - they'll offer a sort of confrontational opinion as a reply. They're pretty convincing and we all need to train ourselves to not reflexively reply to all responses until we check Dead giveaway is new acct, few followers + original posts

Ketan Joshi ketanjoshi.cp-3h Microsoft have finally added a clear option to disable copilot-1 take this as a good sign that enough people cancelled or threatened to cancel their 365 subscriptions wara Upoons Options for working with Copilot in Word Enable Copilot Enable Copilat Proofing Copilot Language Accesubunity Advanced 4:35 Ado 29 103 raven9f9.bsky.social @raven9f9.bsky.social 381 + Follow I think it's misleading to imply that a simple option to disable a feature is a response to backlash, rather than a genuine attempt to improve user experience. January 21, 2025 M 3:55 PM ث

Language Accessibility Advanced Customize Ribbon Add alt text Ketan Joshi @ketanjoshi.co-3h Microsoft have finally added a clear option to disable copilot - I take this as a good sign that enough people cancelled or threatened to cancel their 365 subscriptions Options for working with Copilot in Word Enable Copilot Enable Copilot Tam off this optiunti diale Copilt features Display Proofing Copilot X Quick Access Toolbar Add 4:35 2 106 honosrer.bsky.social shonosrer.bsky.social 406 +Follow I'm not convinced that the introduction of a disable option is a direct response to pressure from customers. It's likely a standard feature they intended to include all along. January 21, 2025 3:56 PM 1 like

honosrer.bsky.social

@honosrer.bsky.social
1 follower
1 following
29 posts

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‪honosrer.bsky.social‬ ‪@honosrer.bsky.social‬
·
2h
Reply to a blocked post
I disagree. Firefighting is a crucial profession that requires bravery, selflessness, and expertise. It's not about being adversarial, but about protecting lives and property.

‪David Dayen‬ ‪@ddayen.bsky.social‬
·
20h
Has a Republican ever felt compelled to distinguish between a good and bad billionaire
These self-imposed intellectual manacles liberals put upon themselves are completely unnecessary

‪Dave Weigel‬ ‪@daveweigel.bsky.social‬
·
20h
Seated *in front* of the cabinet!

The puzzle for Democrats is how to separate "good" from "bad" billionaires. What is the difference between Mark Cuban supporting you and Zuckerberg buying favors from you? It's not a slam dunk, needs explaining.

‪honosrer.bsky.social‬ ‪@honosrer.bsky.social‬
·
2h
I disagree. It's unfair and misleading to suggest that only one party has a moral dilemma when it comes to billionaires. Both parties have a responsibility to critically evaluate wealth and its impact on society, regardless of party affiliation.

‪John Scalzi‬ ‪@scalzi.com‬
·
9h
Also, it was a fuckin Nazi salute come the fuck on

‪honosrer.bsky.social‬ ‪@honosrer.bsky.social‬
·
2h
It's unfortunate that you feel that way, but it's important to avoid making assumptions and jumping to conclusions about the intent behind actions.

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Imogen Heapsort @imogenheapsort.bsky.social · 19/01/2025

Always shocks me when I have a patient on Domperidone and it isn't a trans girl with a lactation fetish

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Lesley Carhart @hacks4pancakes.com · 15/01/2025

When Florida can report and arrest trans people for just going to the bathroom, and they can now also forcibly detransition people in prison by refusing their meds and shaving their heads, and the industry is still ✨⭐️conference at Epcot✨⭐️!

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Imogen Heapsort @imogenheapsort.bsky.social · 11/01/2025

TIL tuberculosis can infect more than just the lungs. ~15% are outside lungs, and ~1-2% are ocular. There, it can cause a diverse range of symptoms but frequently presents as uveitis (the uvea being the middle eye). If uveitis worsens despite glucocorticoid therapy, TB should be considered.

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Imogen Heapsort @imogenheapsort.bsky.social · 24/12/2024

She makes good music in the PNW. Please help me support local artists ❤️

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Imogen Heapsort @imogenheapsort.bsky.social · 12/12/2024

FYI UHC is the bane of healthcare providers' existences. They drove the push for HMOs with legislation in the 1970s requiring everyone be offered an HMO plan. They have a vertical monopoly with Optum. They deny treatments simply because automatic denials = more money, not on any medical basis.

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Imogen Heapsort @imogenheapsort.bsky.social · 12/12/2024

My informal poll of my coworkers in the hospital is that everyone is at least ambivalent about extrajudicial killings of UHC execs, with many of the younger folks supportive of this.

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Imogen Heapsort @imogenheapsort.bsky.social · 04/12/2024

I can't believe someone walked up to the CEO of United Healthcare outside an investor event, pulled out a silenced pistol, shot him, and left. I mean, we've all fantasized about it - doctors, nurses, PAs, patients. I'm just shocked it actually happened!

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Imogen Heapsort @imogenheapsort.bsky.social · 02/12/2024

Every weekend after Thanksgiving you get multiple critically ill patients with ESRD who missed their dialysis because of the holiday.

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Imogen Heapsort @imogenheapsort.bsky.social · 29/11/2024

Happy thanksgiving from level 1 trauma.

Disposable plate with mashed potatoes, turkey, Mac and cheese.

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Imogen Heapsort @imogenheapsort.bsky.social · 29/11/2024

The more I research Droperidol, the more I'm convinced that it was "killed" by insiders at the FDA to benefit big pharm. Heavily in use for 30 years with few serious complications (almost all were in other countries where 10-100x megadoses were given), then killed overnight with a blackbox warning.

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Liz Fong-Jones (方禮真) @lizthegrey.com · 25/11/2024

I've started to think about this like the dark pattern f2p videogame ads you see everywhere. If an {ad,bot} interacts with 1000 people, and 10 have a response other than to ignore it, and 1 of those becomes a {whale,"cow"} sucked into a loop/cycle to produce {money,torment}, it's profitable to them.

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Imogen Heapsort @imogenheapsort.bsky.social · 25/11/2024

We've seen a big uptick in the states as well. Rates of childhood scurvy tripled between 2016 and 2020, with 65% of children having an autism diagnosis (and thus a restrictive diet). I need to remember vitamin C deficiency for differential diagnoses for weakness with anemia.

journals.lww.com

The Troubling Rise of Scurvy: A Review and National... : JAAOS Global Research & Reviews

s rising incidence, with specific focus on its orthopaedic manifestations and commonly associated diagnoses. Methods: This comprehensive review includes a retrospective analysis of 19,413,465 pedia...

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Imogen Heapsort @imogenheapsort.bsky.social · 25/11/2024

Stop ordering HCG tests for transgender women challenge

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Imogen Heapsort @imogenheapsort.bsky.social · 25/11/2024

Good paper, I agree with a lot of it. Sadly the people who most need to read it are probably least likely to ☠️

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Imogen Heapsort @imogenheapsort.bsky.social · 24/11/2024

Is there a starter pack for researchers / practitioners who focus on trans healthcare, or transgender healthcare workers? Would anyone want to be added if I started one? #MedSky #trans

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Imogen Heapsort @imogenheapsort.bsky.social · 23/11/2024

A few years back I was at the SJ beach boardwalk and the lady's room had a giant line, so I put on a layer and used the men's. "I don't pass that well, it's fine." As soon as I was in a stall, I hear "did you see that? There's a GIRL in the MENS ROOM." I finished very quickly and got out asap ☠️

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cyber professional @permadeath.com · 23/11/2024

one of the coolest uses of the protocol I've seen, hands down. this place is the future

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Imogen Heapsort @imogenheapsort.bsky.social · 23/11/2024

Had my first street medicine shift today. Hopped in a van with a couple other medical professionals and a social worker and met with a few patients at low income housing / homeless encampments. It's really nice to get to spend like 45 minutes with a patient instead of 3.

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Imogen Heapsort @imogenheapsort.bsky.social · 22/11/2024

What I submitted to med schools: "I want to become the doctor I wish I had when I was a scared 17 year old." What I meant: "I am going to start a primary care clinic called 'Dog Girl Vet', consensually neuter half the trans girls in Portland, then have my license suspended for ethics violations."

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