iiinova — where your digital self keeps evolving

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Endless Screaming @infinitescream.bsky.social · 27/02/2025

AAAAAAAAAAAAAAAAAHHHHHHHHHHHH

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ex-Lethality Jane @lethalityjane.bsky.social · 15/02/2025

The measles outbreak in Texas is reminding me of the public letter Roald Dahl wrote about losing his daughter to measles in 1962, just before the vaccine was publicly available.

Excerpt from a public letter Roald Dahl wrote encouraging people to vaccinate their children.

Olivia, my eldest daughter, caught measles when she was seven years old. As the illness took its usual course I can remember reading to her often in bed and not feeling particularly alarmed about it. Then one morning, when she was well on the road to recovery, I was sitting on her bed showing her how to fashion little animals out of coloured pipe-cleaners, and when it came to her turn to make one herself, I noticed that her fingers and her mind were not working together and she couldn’t do anything.

“Are you feeling all right?” I asked her.

“I feel all sleepy,” she said.

In an hour, she was unconscious. In twelve hours she was dead.

The measles had turned into a terrible thing called measles encephalitis and there was nothing the doctors could do to save her. That was twenty-four years ago in 1962, but even now, if a child with measles happens to develop the same deadly reaction from measles as Olivia did, there would still be nothing the doctors could do to help her.

On the other hand, there is today something that parents can do to make sure that this sort of tragedy does not happen to a child of theirs. They can insist that their child is immunized against measles. I was unable to do that for Olivia in 1962 because in those days a reliable measles vaccine had not been discovered. Today a good and safe vaccine is available to every family and all you have to do is to ask your doctor to administer it.

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Kate Oakland @kateoakland.bsky.social · 02/02/2025

Any other Brits initially scratching their heads wondering why wait until May… oh.

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Trish Greenhalgh @trishgreenhalgh.bsky.social · 26/01/2025

Vaccines do not cause autism. Keep saying things that have been demonstrated by robust science and are the subject or organised disinformation. Don’t just ignore the attempts to brainwash. #academicsky

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Julie Zebrak @juliezebrak.bsky.social · 23/01/2025

DEI in the federal government. At DOJ, I worked on "DEI" because I did a lot of recruiting and hiring. What that *actually* meant was finding ways to speak with diverse POTENTIAL applicants about the work of DOJ to encourage them to APPLY and to have our job openings reach broader communities. /1

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Kate Oakland @kateoakland.bsky.social · 05/01/2025

The door to the shed with the bike in is frozen shut. OH WELL

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Adam Schwarz @adamjschwarz.bsky.social · 03/01/2025

Dominic Grieve, ex Conservative Attorney General, excoriates Elon Musk for his baseless accusations against Keir Starmer.

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Kate Oakland @kateoakland.bsky.social · 03/01/2025

Lots of posts this morning re social care. My mother is in care, despite it being eye-wateringly expensive am I controversial in thinking that individuals *should* pay for their social care.. aging is a privilege?

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Kate Oakland @kateoakland.bsky.social · 02/01/2025

The first green shoots of the bulbs I put in at the end of summer. Snowdrops but also confused tulips (go back to sleep!)

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Brian Klaas @brianklaas.bsky.social · 01/01/2025

This is amazing: it’s incredibly windy in the UK right now, so only about 10% of the National Grid is currently being powered by fossil fuels.

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Kate Oakland @kateoakland.bsky.social · 31/12/2024

Slippers on, fire crackling, champagne poured. We will not see midnight hopefully! Happy New Year 🥳

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The BMJ @bmj.com · 31/12/2024

Surgeons showed significantly greater manual dexterity compared with physicians, nurses, and non-clinical staff when assessed using a buzz wire game. But had the highest rates of swearing www.bmj.com/content/387/...

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Kate Oakland @kateoakland.bsky.social · 28/12/2024

Great piece - ‘Rookie factor’ for doctors is an interesting one. Always wondered about the efficiency of how we manage ‘the take’. On one hand you need frequent, repetitive exposure to build up experience, but on the other trainees tell us there’s too much service provision..

bmj.com

“Rookie factor”: why healthcare workforce policy needs to embrace experience

What price experience? I have been working across several safety critical industries for years and in terms of the approaches that these industries take to workforce issues there are some stark differ...

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Kate Oakland @kateoakland.bsky.social · 24/12/2024

Final day of #ResearchAdvent I’m looking forward to writing. Because this means I’ve nearly completed something.. and I have the time to write. Not something I’ve been able to do this year. Or the last! But for now Merry Christmas

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Kate Oakland @kateoakland.bsky.social · 23/12/2024

#ResearchAdvent Day 23 In 6 months we will have gone live with our new EHR and when the dust has settled we’ll be basking in our DATA DATA DATA and probably wishing we’d done a couple of things differently

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Kate Oakland @kateoakland.bsky.social · 22/12/2024

GUESS WHO’S WATCHING FROZEN AGAIN 🫠

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Kate Oakland @kateoakland.bsky.social · 22/12/2024

#ResearchAdvent Day 22. Is it snoring to say a really good citation management tool?!

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Kate Oakland @kateoakland.bsky.social · 21/12/2024

To those of us in the Northern Hemisphere - happy Vitamin D Day!

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Kate Oakland @kateoakland.bsky.social · 20/12/2024

#ResearchAdvent Day 20 (check me) I’d like to meet someone who has used a Sengstaken-Blakemore. ACTUALLY used one, not just talked about one. Because they have some serious 🍒 iydk don’t google it.

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Kate Oakland @kateoakland.bsky.social · 20/12/2024

Just watched the ‘Making of do they know it’s Christmas’ doc on iPlayer .. SO nostalgic. Despite the 80s hair & make up they look so.. normal?

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Kate Oakland @kateoakland.bsky.social · 18/12/2024

Day 18 #ResearchAdvent I’m inspired by.. two names in GI bleeding risk scores: Tim Rockwell (a surgeon no less) and O. Blatchford. In my field they were the first to use GI bleeding data to look at objectively predicting risk. They did it in upper, I did it in lower.

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Dr Bendor Grosvenor FRHistS @bendorgrosvenor.bsky.social · 17/12/2024

I don't see many long threads on here, but I'll try one - it's about Holbein's Ambassadors, his 1533 masterpiece in the National Gallery. It's often presented as a great mystery, but I think once we understand the circumstances in which it was made, its meaning becomes clearer. 1/

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Charlotte Summers @charlottesummers.bsky.social · 18/12/2024

Agree. Was talking to some v sensible non-scientists at the weekend who had no idea hydroxychloroquine did not work as had only heard news it was effective.

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Kate Oakland @kateoakland.bsky.social · 17/12/2024

Day 17 #ResearchAdvent Nourishment. Rest. Health. Chicken. Kiev. Sandwich.

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Kate Oakland @kateoakland.bsky.social · 16/12/2024

#ResearchAdvent Day 16 Public engagement is really difficult. Even for medical guidelines it’s very difficult to get patient engagement if you’re researching.. *checks notes*.. very unglamorous topics #rectalbleeding

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Dr Linda Dykes @drlindadykes.bsky.social · 15/12/2024

A nice thread to circulate to non-medical followers ⬇️ to which I’d add: 1) yes you can take analgesics before coming to ED, and 2) if you’ve injured an upper limb (especially below the elbow) take rings off asap! 3) take a mobile phone power bank to ED 4) wear a facemask!

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Kate Oakland @kateoakland.bsky.social · 15/12/2024

Day 15 #ResearchAdvent My favourite place to study was the library @ Chelsea & Westminster Hospital. Hidden in the basement, nearly always empty and not far from patients or a very good cup of coffee. I don’t get to go there anymore. Is it still there? Still lovely?

chelwest.nhs.uk

Imperial medical library

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Kate Oakland @kateoakland.bsky.social · 15/12/2024

One night in winter 2011 whilst working in A&E in a large London NHS Trust we cleared the board. No one in majors, no one in minors, resus sorted. We celebrated by having massive cups of black coffee. I wonder.. does this ever happen any more?

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Kate Oakland @kateoakland.bsky.social · 14/12/2024

#ResearchAdvent day 14 In 3 years I’ll look back and I think.. did I really believe that NHS EHRs would be optimised and that audit was going to be paperless? That we could (appropriately) share data electronically? But since it’s now, not 3 year’s time, I continue to hope! 🖥️🩺

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Kate Oakland @kateoakland.bsky.social · 13/12/2024

A late #ResearchAdvent day 12! Appreciation for.. statisticians. Especially though who work with doctors who’ve already had a go at the analysis.. and made a bit of mess 😉

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Kate Oakland @kateoakland.bsky.social · 12/12/2024

Has she had a steak sandwich though?

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Fionna O’Leary @fascinatorfun.bsky.social · 12/12/2024

Really excellent blog about the emerging bird flu risks. And now add the Trump presidency into the mix, attacking public health, science and in a country with a 330 million population with large international travel connections.

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Kate Oakland @kateoakland.bsky.social · 11/12/2024

Day 11 #ResearchAdvent I’m excited about.. upper GI bleeding! In 2007 gastros in the UK collected data on UGIB.. reviewing interventions and outcomes, which led to the conception of new guidelines. gut.bmj.com/content/60/1... In 2022 we repeated this study - the results will be out in 2025!

gut.bmj.com

Acute upper gastrointestinal bleeding in the UK: patient characteristics, diagnoses and outcomes in the 2007 UK audit

Objective To describe the patient characteristics, diagnoses and clinical outcomes of patients presenting with acute upper gastrointestinal bleeding (AUGIB) in the 2007 UK Audit. Design Multi-centre ...

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Kate Oakland @kateoakland.bsky.social · 11/12/2024

So much Covid around and yeesh it seems nasty. Anecdotal reports of toothache with it too..?

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Kate Oakland @kateoakland.bsky.social · 10/12/2024

#ResearchAdvent Day 10 About methodology.. On BlueSky for less than a month and already a stuck record.. .. TRIPOD!

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Trish Greenhalgh @trishgreenhalgh.bsky.social · 10/12/2024

Just a reminder: All vaccines used in public health have been rigorously tested. Their benefits greatly outweigh their risks. While a few people have a medical reason for not taking vaccines, most people (and the population overall) will benefit. Doctors who claim otherwise are irresponsible.

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Kate Oakland @kateoakland.bsky.social · 09/12/2024

#ResearchAdvent day 9 PUBLICATION 👾👾 One of my papers made the cover of a journal and the artwork that was produced is so beautiful! The artist managed to bring themes of GI bleeding and cholera into this fabulous design

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