iiinova — where your digital self keeps evolving

Reposted by Jack Iwashyna

Rebecca Solnit @rebeccasolnit.bsky.social · 30/09/2026

Time for this classic again.

146156205219

Reposted by Jack Iwashyna

Nicole Bedera @nbedera.bsky.social · 28/09/2026

One of my goals in writing this book was to get a copy in every college library so that survivors entering the Title IX system would know what they were getting into—and be able to use that knowledge however they wanted. But a lot of schools banned the book.

615979

Jack Iwashyna @iwashyna.bsky.social · 30/09/2026

“we must not alienate our capacities for harm reduction, and thereby our capacities for world building, to others” ~ @profcraft.bsky.social summarizing what she sees as overlaps between Barfield and @prisonculture.bsky.social

1124

Jack Iwashyna @iwashyna.bsky.social · 30/09/2026

More thought provoking @profcraft.bsky.social : “it was the community's ceding of public space that allowed violence to proliferate within it” and the organizing implications of that realization

Long quote:

important elements of Morrisonian democracy, that is, care for, dialogue with, and impassioned representation of the dead.
The organizations collective creation and maintenance of space to mourn themselves and to attend to individual and communal mourning, mental health, and well-being-this collective attention to the private lives of community members-was novel. But SOSAD also held novel ideas about public space and "the public" The sheer range of people and the amount of pub. lic space they organized— from teachers and students to police officers and the incarcerated, from the spots where children were slain to City Hall and every physical and sonic space in between—defies belief. Perhaps no organization in history has held and actualized a more expansive view of the public. As Barfield noted, SOSAD organized at funerals, but also at schools, in churches, and on buses; it organized the street and prisons; it organized funeral directors, teachers, students, administrators, bus drivers, inmates, and police officers.18 The organization thereby expanded the social roles and social spaces of democracy, constantly emphasizing the need for mass participation to transform communities.
Barfield was explicit about her belief that it was the community's ceding of public space that allowed violence to proliferate within it:

100

Jack Iwashyna @iwashyna.bsky.social · 30/09/2026

“You don’t notice the supply chain until it collapses” ~ @emilymandel.bsky.social

093

Jack Iwashyna @iwashyna.bsky.social · 29/09/2026

Should trainees’ upcoming grant proposals for October deadlines change references to NIH priorities around “AI” to now refer to “super intelligence”? And if they do not will this influence HHS political appointee review? Thoughts @jeremymberg.bsky.social?

240

Reposted by Jack Iwashyna

Helen Kennedy @helenkennedy.com · 29/09/2026

They are shutting this down by the end of the day.

Can the president build a giant triumphal arch in Washington
DC without congressional authorization?

No. Not on federal park or public grounds in the District of Columbia without express authority of Congress. I

131302284

Reposted by Jack Iwashyna

King Algamemnon @adamrothman.bsky.social · 29/09/2026

Interesting

America.gov

Can the president refuse to spend money appropriated by Congress?

No. Congress has the power of the purse. The President generally must spend funds that Congress has appropriated, unless a later law says otherwise.

1283

Jack Iwashyna @iwashyna.bsky.social · 29/09/2026

Philosopher intra-professional shade is hilarious "Rawls’s theory assumes background conditions in which basic human rights, including subsistence rights, have been realized, and concerns for fairness in life arise only on this foundation of rights fulfillment. ...

220

Jack Iwashyna @iwashyna.bsky.social · 29/09/2026

Reading @bermaninstitute.bsky.social's Prof Ruth Faden with an undergrad today: "Unfair patterns of advantage and disadvantage do not exhaust the categories of structural unfairness under our theory. Disadvantage does not magically materialize out of thin air...

Cover of Powers and Faden's Structural Injustice book, with a pile of steel chains on its cover

110

Reposted by Jack Iwashyna

Don Moynihan @donmoyn.bsky.social · 29/09/2026

This is true: I look at Labour's neglect of higher ed in the UK - a complete own goal that made the country worse off and undermined a major export industry.

836255

Reposted by Jack Iwashyna

Prof Jenny Rohn @jennyrohn.bsky.social · 29/09/2026

"My friend did not need me there as a doctor or expediter. She had plenty of doctors, some of the best in the world. She needed somebody to sit with her and swap stories about her kids." This is a lovely piece about doctoring - and needing not to, on occasion #MedSky

122

Jack Iwashyna @iwashyna.bsky.social · 28/09/2026

“social interaction was deeply taxing, like a sport for which she had not trained” ~ @emilymandel.bsky.social

060

Jack Iwashyna @iwashyna.bsky.social · 28/09/2026

I have to read @profcraft.bsky.social book in pieces and then mull — her way of blending symbolism, close reading, language, and activist pragmatics is not something I have tried to get my brain around before It is not an easy text, but I think a rich one

220

Jack Iwashyna @iwashyna.bsky.social · 28/09/2026

Prof @profcraft.bsky.social’s description of Ida B Wells’ work is amazing and worth quoting at length, because #goals: The multivalent strategy [Wells] put together through faith, encounter, observation, and tinker…

Text:

Because of this, and alongside her "reanimation" labor, she was
ulucased community
able to perform her miracles, not only to reanimate the dead, but to bringto life a new era of Black protest politics, which included the work of caring for and "bringing out the dead," in politics, of standing with and acting with the
dead in Black politics.
The multivalent strategy she put together through faith, encounter, obser-vation, and tinker-a concerted project of political education in endared Black public and trolling in counterpublic ones, expanding the frame of the lynching photo in service of the antilynching cause, counting the dead and undertaking a rigorous accounting of their lives, their possessions, and dispossessions as mourning practice, saying their names as part of the work of "bringing out the dead"-is worthy of consideration by political theorists.
For example, in our own age of national, scientific, social scientific, racial, and gendered misinformation it is important to note that Wells may well have told the truth more freely than anyone before or since, but she also understood that the truth sincerely told was not always the best response to a lie.

110

Jack Iwashyna @iwashyna.bsky.social · 27/09/2026

While running a brothel ‘may have been sufficient to qualify her by the letter of the law as a "dissolute" person, her status as a wealthy, white businesswoman who owned multiple properties exempted her, in practice, from vagrancy.’ ~ Katie Hemphill The more things change…

Cover of “Bawdy City: Commwrcial sex and regulation in Baltimore 1790-1915”

060

Jack Iwashyna @iwashyna.bsky.social · 27/09/2026

Email from a young scientist:🧪🩺 “How important is language scrubbing for these proposals? I'm reviewing everybody's biosketches, and I noticed that some of x’s listed contributions to science (which are all very important works) include buzzwords that could be flagged by current administration”

Email saying How important is language scrubbing for these proposals? I'm reviewing everybody's biosketches, and I noticed that some of [petri dish emoji blocking name] listed contributions to science (which are all very
important works) include buzzwords that could be flagged by current administration

130

Reposted by Jack Iwashyna

Mayor Zohran Kwame Mamdani @mayor.nyc.gov · 26/09/2026

Being a leftist means taking big shots. And making them.

271146362717

Reposted by Jack Iwashyna

Don Moynihan @donmoyn.bsky.social · 27/09/2026

Vought is breaking the law but he is not “going rogue.” At his confirmation hearings, Vought told Republicans he would do this and they voted for him anyway. If they want to stop him, they still can via impeachment. They won’t.

7833181102

Jack Iwashyna @iwashyna.bsky.social · 26/09/2026

Kittens are also excellent conversational material post-op

Two curled up kittens like c’s at each other

280

Reposted by Jack Iwashyna

NEJM.org @nejm.org · 26/09/2026

In a new NEJM Voices blog post, @iwashyna.bsky.social reflects on the challenges of stepping outside of the clinician role to support a friend on her post-op journey. Read the full post and sign up for email alerts: nej.md/4yXMgK7

021

Reposted by Jack Iwashyna

McSweeney's @mcsweeneys.net · 26/09/2026

"Ever wonder why women over fifty become invisible? It’s not because society no longer values them; it’s because they’ve changed into superior lizard beings who can smell misogyny and then wedge themselves into a tight crevice until the threat passes." buff.ly/F8vQT1N

buff.ly

I Can’t Wait Until I Turn Fifty and Morph into a Lizard Person

“Ever wonder why women over fifty become invisible? It’s not because society no longer values them; it’s because they’ve changed into superior lizard beings ...

012329

Reposted by Jack Iwashyna

Colette Delawalla, PhD @cdelawalla.bsky.social · 25/09/2026

“Colette, you curse so much. Maybe you should to—“ I am OVERFLOWING with rage & y’all are fortunate I’ve decided to drop some f-bombs on socials, do peaceful activism, and occasionally smoke a cigarette instead of light shit on fire. Everyone is being WAY too chill abt the state of the world.

1310013

Jack Iwashyna @iwashyna.bsky.social · 25/09/2026

“She’s scared of nothing but the passenger side” (Ethel Cain) is just a heck of a perfect pop song lyric

000

Reposted by Jack Iwashyna

Gabriel Bosslet @gbosslet.bsky.social · 25/09/2026

Damn this piece by @iwashyna.bsky.social is just so very good I know MedTwitter is dead but pieces like this make me wish it weren't voices.nejm.org/doi/full/10....

voices.nejm.org

Ann Patchett Reminded Me to not Always Be a Doctor

Reflections on the challenges of stepping outside of the clinician role to support a friend on her post-op journey

3239

Reposted by Jack Iwashyna

Ari B Friedman @abfriedman.com · 25/09/2026

Jack, you're a treasury of wisdom.

131

Reposted by Jack Iwashyna

Joanna Hart @joannahart.bsky.social · 25/09/2026

May we always strive to the one who is present, not the fixer, when the moment calls. ❤️

222

Jack Iwashyna @iwashyna.bsky.social · 25/09/2026

Hey 🩺, Quick consult: Any data on the incidence of parental addiction among clinicians? What fraction of docs or nurses or med students are children of people who struggled with addiction? I found Kenna and Wood 2009 www.tandfonline.com/doi/pdf/10.1... and I must be missing mor recent data

tandfonline.com

Family history of alcohol and drug use in healthcare professionals: Journal of Substance Use: Vol 10 , No 4 - Get Access

133

Reposted by Jack Iwashyna

Segun Olusanya (He/Him) @drfreeze.bsky.social · 25/09/2026

This is excellent

021

Jack Iwashyna @iwashyna.bsky.social · 25/09/2026

'As I read, I worried: oh crap, would I have tried to get Eddie roomed faster, maybe jumped the line for a little “professional courtesy”? Eddie would have been appalled.'

041

Jack Iwashyna @iwashyna.bsky.social · 25/09/2026

"About 60% of nurses work in the acute care setting" ~ fascinating statistic at Nursing Workforce 2.0: Powering Hospital Care in an AI-Enabled Era conversation

000

Reposted by Jack Iwashyna

Pookleblinky @pookleblinky.bsky.social · 25/09/2026

Reminder that in Canada upon becoming an engineer you get an iron ring made of a collapsed bridge, purposely designed to be uncomfortable, to remind you that your ethics demand you give a fuck even about the boring grudgework of such as double-checking your math. en.wikipedia.org/wiki/Iron_Ring

en.wikipedia.org

Iron Ring - Wikipedia

2073412287

Reposted by Jack Iwashyna

Frog and Toad Bot @frogandtoadbot.bsky.social · 25/09/2026

“I am feeling much better now. Toad,” said Frog. “I do not think I need a story anymore.” “Then you get out of bed and let me get into it,” said Toad, “because now I feel terrible.”

Frog gets up out of bed and Toad gets in.

From "The Story"
In *Frog and Toad Are Friends*

014115

Jack Iwashyna @iwashyna.bsky.social · 24/09/2026

Great conversation @nejm.org with Drs Kemi Doll, Jacqueline Shreibati, and Tom Lee about ways to make a career more truly your own events.nejm.org/events/815

events.nejm.org

NEJM Group Live-Streamed Health Care Events

Advancing medical knowledge from research to practice

001

Jack Iwashyna @iwashyna.bsky.social · 24/09/2026

OMG Roy Brower personally doing lung grand rounds today…

110

Jack Iwashyna @iwashyna.bsky.social · 24/09/2026

Great fellow pccm grand rounds today about ILD during pregnancy, reminding us that prednisone and prednisolone do not cross the placenta

111

Jack Iwashyna @iwashyna.bsky.social · 24/09/2026

“This [CT] is compatible with the plain film, and doesn’t really add that much” 😱

020

Jack Iwashyna @iwashyna.bsky.social · 24/09/2026

“A planned executive order that would have greatly enhanced White House influence over grants at the National Institutes of Health is “looking dead,” according to one person familiar with the decision and Sen. Susan Collins (R-Maine)” Via @aniloza.bsky.social www.statnews.com/2026/09/23/n...

statnews.com

White House plan to increase control of NIH grants appears 'dead'

A planned EO that would have greatly enhanced White House influence over grants at the NIH is “looking dead,” a source said.

0112

Reposted by Jack Iwashyna

public health guy @publichealthguy1.bsky.social · 23/09/2026

that's a good skeet

012422

Jack Iwashyna @iwashyna.bsky.social · 23/09/2026

What a day. I really do get to work with the best people.

140

Jack Iwashyna @iwashyna.bsky.social · 22/09/2026

Oh yeah, Michelle Sharp is interviewing Ann Patchett in Hurd Hall

150

Reposted by Jack Iwashyna

Segun Olusanya (He/Him) @drfreeze.bsky.social · 22/09/2026

Sigh Can we fix the devices already please?

193

Reposted by Jack Iwashyna

Pam Herd @pamherd.bsky.social · 22/09/2026

The vast majority denied SNAP are denied for procedural reasons. Even 4 in 10 of those with NO INCOME in the previous year are denied, with 80% of those denied for *procedural reasons*, or, effectively, missing paperwork. And The One Big Beautiful Bill is making this so much worse.

3185114