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 😁

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

It's really not. Every politician who shows up at trans march gets booed, mooned, heckled. It's been that way forever. Trans march is a radical event for trans people, not politicians who want the spotlight. If they care about trans people, just do good work in office and let us have our space.

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Imogen Heapsort @imogenheapsort.bsky.social · 05/06/2026

All we get is an Ace Attorney poster in the background??

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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 · 04/05/2026

I agree, I don't mean to denigrate their importance. I just think it's easier for Repubs to understand the value of STEM research when it can be turned into a valuable product or treatment. Cutting NSF funding in half is terrible for everyone, and it's a fraction of the cost of the Iran war.

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

I don't think it's reversible at this point. We stripped funding from a generation of early career scientists. My friends who wanted to continue doing academic research have mostly left the country. Not taking social sciences, I mean people working on future cancer treatments.

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Imogen Heapsort @imogenheapsort.bsky.social · 07/04/2026

This is because it usually just drizzles. Days with real downpour are less common.

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Imogen Heapsort @imogenheapsort.bsky.social · 04/01/2026

You are one of my favorite youtubers. Thank you as always for sharing your academic expertise, your excellent sense of humor, and for your continued willingness to speak truth to power. I learn something interesting from every single video you create.

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

Weird how "law and order" looks a lot like masked gangs.

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Imogen Heapsort @imogenheapsort.bsky.social · 06/09/2025

Heartbreaking when you see a patient for DKA symptoms, check their records and see that they get admitted to the hospital every 10 weeks for DKA.

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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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Imogen Heapsort @imogenheapsort.bsky.social · 19/06/2025

Feels like we got the bad ending sometimes :( we had decades to address this but half of the country fought it tooth and nail

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Imogen Heapsort @imogenheapsort.bsky.social · 18/06/2025

I agree that the government should not be using signal to share information to external groups though, and they definitely should not be automatically sharing information from every single police interaction.

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Imogen Heapsort @imogenheapsort.bsky.social · 18/06/2025

Read the article again, it's a little confusingly worded. They knowingly had someone from DHS in that group. DHS is now working on mass deportations, which is how ICE found out. The problem isn't with signal, the problem is that they were sharing law enforcement information to a group chat.

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Imogen Heapsort @imogenheapsort.bsky.social · 18/06/2025

They were publishing all arrest info to a signal group that was being watched by someone at homeland security. Signal is not at fault here.

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Imogen Heapsort @imogenheapsort.bsky.social · 07/05/2025

Was watching one of your vods from six months ago and made me really happy to hear your supportive comments on trans people. Glad there are allies like you out there and makes me feel even better about watching your content 😁

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Imogen Heapsort @imogenheapsort.bsky.social · 01/05/2025

Sure, the CDC can't help states with lead poisoning investigation anymore, but maybe we'll get federally subsidized colon cleanses out of this.

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Imogen Heapsort @imogenheapsort.bsky.social · 27/04/2025

Expect price increases and shortages for: consumer electronics, apparel and footwear, home goods / toys, and food / snacks (like fruits and vegetables we import from Mexico off-season, avocados, mangos).

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Imogen Heapsort @imogenheapsort.bsky.social · 27/04/2025

Wish I could find the interview I listened to yesterday (NPR?), but an import-export specialist said we shouldn't have toilet paper shortages this time, but export rates are dropping like they were during covid. He expects us to notice shortages with back-to-school supplies in June.

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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 · 17/04/2025

They've gutted every protection put in place to prevent another 2008 financial crisis, and then some.

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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

Only 79.5% of children in Idaho got the DTaP (diphtheria, tetanus, pertussis) vaccine! I'm internally screaming! There are so many great things that RFK could focus on for public health, like our crappy food labeling, banning misleading ads or pharmaceutical ads altogether. Why are we doing this???

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

Relatedly, we are now seeing infant deaths from pertussis (whooping cough), a preventable disease that had its first vaccine licensed in 1914. We've been giving a combined vaccine (DTaP) since the 1940s but parents are increasingly getting exemptions from this and vaccine activists are targeting it.

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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 · 21/03/2025

If only the hundreds of thousands of children who died before the vaccine or their parents were around to speak to this. People don't understand how horrific and insanely transmissible measles was because we vanquished it 60 years ago.

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Imogen Heapsort @imogenheapsort.bsky.social · 10/03/2025

Correct. Most recently there was the very large 2019 Hviid et al study which again found no connection pubmed.ncbi.nlm.nih.gov/30831578/. We have studied the topic to death, and yet they still cling to this falsehood.

pubmed.ncbi.nlm.nih.gov

Measles, Mumps, Rubella Vaccination and Autism: A Nationwide Cohort Study - PubMed

Novo Nordisk Foundation and Danish Ministry of Health.

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Imogen Heapsort @imogenheapsort.bsky.social · 10/03/2025

Yes. If someone has legal residence, they are considered to have full constitutional rights (knightcolumbia.org/blog/ice-ack...). However, this administration does not care about what is "legal" anymore, as they have ripped out all the safeguards that could stop them.

knightcolumbia.org

ICE Acknowledges First Amendment Limits on Its Power to Remove Foreign Nationals

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Imogen Heapsort @imogenheapsort.bsky.social · 10/03/2025

We usually tell people that 10 = the worst pain you've ever felt, not necessarily the worst pain you can imagine. I find it more useful to ask how it compares to other pain in the past, as the "quality" of the pain can tell us something, like if it feels like kidney stones they've had before.

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Imogen Heapsort @imogenheapsort.bsky.social · 09/03/2025

Thanks, you are one of like five people to get this 😂❤️

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Imogen Heapsort @imogenheapsort.bsky.social · 09/03/2025

Also autistic. I take the number with a grain of salt because it's so subjective.

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Imogen Heapsort @imogenheapsort.bsky.social · 09/03/2025

Unsurprisingly, America (4.4% of the world population) uses 80% of the global opiate supplies.

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Imogen Heapsort @imogenheapsort.bsky.social · 09/03/2025

I really don't like "refused" in charts, I prefer to write "declined"

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Imogen Heapsort @imogenheapsort.bsky.social · 09/03/2025

I basically consider 7-10 to be the same tbh since different people use the pain scale differently. I am also autistic and think the pain scale is kinda dumb though somewhat useful. Charting is hard and we average about three patients / hour (with like a dozen patients at once), mistakes happen :(

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Imogen Heapsort @imogenheapsort.bsky.social · 09/03/2025

I watched a few minutes, that show is scary accurate for emergency departments. It's definitely come up at work before.

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Imogen Heapsort @imogenheapsort.bsky.social · 09/03/2025

I'm just a scribe, so I've only taken patient histories a handful of times. But from my experience, pain scale is only mildly useful compared to other elements of the history.

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Imogen Heapsort @imogenheapsort.bsky.social · 09/03/2025

This is a joke but I can think of multiple patients with autism diagnoses who responded this way.

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Imogen Heapsort @imogenheapsort.bsky.social · 09/03/2025

Not sure how I could be diagnosing people from the emergency department when I'm not even a healthcare provider.

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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 · 08/03/2025

I mean they literally burned down a Tesla dealership in France this week

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

A lot of first jobs in healthcare are hard and low pay but a way to get clinical hours and experience. EMS is tough but great exposure. They are trialing AI scribing at my work ☠️ The system is so gatekeepy. Numbers of doctors are kept artificially low by the # of residencies funded by the govt.

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