iiinova — where your digital self keeps evolving

iiinova is part of the Atmosphere — an open, public network where you own your identity.

Kyle Swanson, MD, FAANS, FCNS

@kiswanson.medsky.network

10.5K followers 7.4K following 6.8K posts

Neurosurgeon, among other things. Views, of course, are my own. Be Excellent To Each Other. He/Him. scholar.google.com/citations?user=u… Brookfield/Milwaukee, Wisconsin

Posts Replies Media

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 08/10/2026

What an adorable pup…our mango does the same

Curled up blonde Golden Retriever sleeping

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 06/10/2026

ICECUBE schematic
SOUTH POLE Neutrino observatory
50 m
Ice Top--
IceCube Laboratory
Data is collected here and sent by satellite to the data warehouse at UW-Madison
86 strings of DOMS, set 125 meters apart
Amundsen-Scott South Pole Station, Antarctica A National Science Foundation-managed research facility
1450 m
60 DOMS on each string
IceCube
detector
DOMs are 17 meters apart
Digital Optical
Module (DOM)
5,160 DOMs
deployed in the ice
DeepCore
2450 m
Antarctic bedrock
Figure 3. A schematic illustration of the IceCube Neutrino Observatory. Figure credit:
IceCube Collaboration.

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 06/10/2026

Puzzle pieces

Two Golden retrievers, one blonde one reddish, laying next to each other on a wood floor sleeping

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 06/10/2026

Sandwich posting

Fat Boy premium vanilla ice cream sandwich box

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 05/10/2026

My wife is performing a psychological experiment where she adds another pet to our house every 6 months until I break. We adopted this sweet guy Murray to be a friend for Mango. He is a truly good boy

Murray, a golden retriever mix going a big stretch

Murray, a Golden retriever mix, and mango, a golden retriever touch noses, looking like they are kissing

Murray and mango, cute golden retriever pups, laying down

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 03/10/2026

Calamity ware plate with an angry mammoth

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 03/10/2026

Golden retriever sleeping on her back

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 01/10/2026

Surgery and tile-based radiation therapy versus surgery and stereotactic radiation for newly diagnosed brain metastases (ROADS): a randomized, open-label, phase 3 trial

Surgery and tile-based radiation therapy versus surgery and stereotactic radiation for newly diagnosed brain metastases (ROADS): a randomized, open-label, phase 3 trial
Efficacy: median follow-up of 12.9 months
N = 230 patients were randomized (1:1) to
resection +tile-based RT (R+TBRT) or resection + stereotactic RT (R+SRT)
Primary Endpoints:
Surgical Bed Recurrence (SBR) and Surgical Bed Recurrence Free Survival
3882338822
95% Cl: 0.01-0.46;
P-.0070 |
RaTERT
Mots ane surely
Na a Pak Cane
Surgical Bed Recurrence
Median time-to-SBR
• R+TBRT: not reached
• R+SRT: 17.4 months
HR: 0.06; 95% Cl: 0.01-0.46; P= .0070
HR: 0.48;
95% CI: 0.30-0.76;
P- .0021
Relevance:
Cesium 131 tiles are a novel therapy that reduces local recurrences after surgical resection and may be the preferred therapy.
Relevance statement written by Thomas E. Stinchcombe,
JCO Editor-in-Chief Designate.
Surgical Bed Recurrence Free Survival
Median SB-RFS
• R+TBRT: not reached
• R+SRT: 10.9 months
HR: 0.48; 95% CI: 0.30-0.76; P= .0021
Safety
• At 12 months, the cumulative incidence (95% CI) of RN was 5.3%(1.7-12.2) on R+TBRT| versus 5.7%(1.8-13.0) on R+SRT (HR: 0.85; 95% Cl: 0.31-2.36; P= .76)
• Neither incidence of LMD, nor LMD-free survival were significantly different between arms
• Treatment-related adverse events ›grade 3 were similar: 21 patients 20.0%) (R+TBRT)
versus 18 patients (21.7%) (R+SRT)
• All reported Adverse Events (AEs), serious AEs, or ≥ grade 3 treatment-related AEs were balanced between the treatment arms
Figure Caption: Kaplan-Meier estimate of freedom-from-surgical bed recurrence
(A), cumulative incidence of surgical bed recurrence (B).
Censored data are denoted with a "+".
• Abbreviations: AE, adverse events; Cl, confidence interval; HR, hazard ratio;
LMD, leptomeningeal disease; R+SRT, resection with stereotactic radiation therapy; R+TBRT, resection with tile-based radiation therapy; RN, radiation necrosis; SBR, surgical bed recurrence; SB-RFS, surgical bed recurrence free surviv…

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 29/09/2026

What a derp

Golden retriever sitting with tongue hanging out to one side looking derpy

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 29/09/2026

www.ovid.com/10.1227/neu....

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 27/09/2026

Golden retriever sitting on green field with blue sky and wispy white clouds

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 26/09/2026

Happy international rabbit day!

White Lion head rabbit in a basket

Tan angora rabbit

White Lion head rabbit and tan angora rabbit sitting together

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 23/09/2026

From university Wisconsin 25 years ago

African American student photoshopped into picture for the university of Wisconsin brochure

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 21/09/2026

Goodnight

A meditation room with candles and a meditating monk. A calligraphy Enzo around the word “Interbeing”. Another calligraphy with “I have arrived, I am home”

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 20/09/2026

I take it the Packers are doing great

Eric @kurly99.bsky.social • 1h
Just the dumbest fucking team not named the Browns in the NFL. Can't fire LaFleuer, though. Some other team would hire him.

BadgerPharm37 @badgerphar...
Are you serious right now?
• 1h

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 18/09/2026

A snuggle of golden retrievers

Three Golden retrievers snuggled up in the back seat of a car

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 13/09/2026

Finally, the beast sleeps

Golden retriever flopped over on the floor sleeping

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 12/09/2026

Sure Jan

Ariana Jasmine @arianajasmine__
On September 15, 2001, Balbir Singh Sodhi was planting flowers outside his Arizona gas station when Frank Roque pulled up and fatally shot him. Roque wanted revenge for 9/11 and mistook Sodhi, a Sikh man, for a Muslim because of his turban.
Sodhi became the first person killed in a post-9/11 retaliatory hate crime, marking the beginning of a devastating wave of violence against Muslims, Sikhs, Arabs, South Asians, and other brown Americans.

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 11/09/2026

But not tired enough to stop being.. you know…racist

JD Vance: “we were tired of being called racists for noticing that our country was becoming dirtier and poorer”

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 11/09/2026

Drs. Yanagisawa and Mignot received the 2026 Albert Lasker Award for Basic Medical Research for their pivotal work in the discovery of the orexin (hypocretin) system and its role in narcolepsy.
2026 ALBERT LASKER AWARD FOR BASIC MEDICAL RESEARCH
The Legacy of Orexin (Hypocretin) Research in Narcolepsy and Beyond
Basic Discovery of Orexin (Hypocretin) Peptides and Receptors (1998)
Orexin Neurons Project to Multiple Neuronal Systems
Murine sagittal section
SYNAPTIC
Orexin neurons
are located in the lateral hypothalamus
Genetic and Functional Validations through Animal Models 1999)
Canine Model, HCRTR2 Mutation
Orexin
receptor type
POSTSYNAPTIC
NEURONI
& Orexin-A
Peptide
Orexin
receptor type 1
٢٧٧٧
Orexin-B
peptide
Murine Model, Hort Knockout
No orexin peptides produced
-Mutant receptor
6000
000,
Narcolepsy symptoms
Narcolepsy-like symptoms
C Biomarkers and Pathophysiological Mechanisms in Human Disease (2000 to Present)
Putative Autoimmune Mechanism Leading to Orexin Deficiency
Previous exposure to influenza antigens or other pathogens results in T-cell reactivity against orexin neurons
Narcolepsy Caused by Orexin Deficiency
Autoantigen
T cell
CD8
T cell
Cytokines
Microglia
Apoptosis signals
Destruction or malfunction of neurons
Orexin loss
4Orexin
D
Therapeutics (2014 to Present)
Reduce narcolepsy symptoms
Antagonists of both receptors for insomnia
Agonists of orexin receptor type 2 for narcolepsy
00）.
Low levels or no orexin-A
Diagnosis made with a lumbar
CSF sample

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 07/09/2026

Firefly Grove park in Wauwatosa - the same one with Mama Rosa, the Danbo troll

Mama Rosa troll

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 07/09/2026

Watch out… the hill giants are awake

A giant head and hand made from sticks in a green grass hill with blue sky and clouds above

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 03/09/2026

They grow up so quick!

A golden retriever sitting with tongue hanging to the side in front of a big back to school sign with a giant apple picture

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 02/09/2026

Little Wisconsin tree frog

A tiny green tree frog being held by a child

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 02/09/2026

Window bun

A fluffy tan angora bunny sitting on an window ledge with a tree in the yard beyond

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 01/09/2026

You pay attention to me!

Brown and white tabby domestic short hair cat sitting between me and my laptop

Brown and white tabby domestic short hair cat sitting sitting on my desk next to my laptop

Brown and white tabby domestic short hair cat sitting sitting on my desk next to my laptop getting scritches

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 30/08/2026

Happy Bunday!

A tan angora bunny on a bench next to the table…so fluffy

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 30/08/2026

The creatures you meet in the house

Tan angora and white lion head bunnies sitting together on the landing of some stairs

Tan angora and white lion head bunnies sitting together on the landing of some stairs closeup

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 17/08/2026

The scene of the crime, the evidence, the suspect

Blue ink stain on carpet with a hand holding a chewed blue pen, with golden retriever head sticking through railing near by

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 16/08/2026

You know guys…after playing Axis Allies World War 1 1914, I have come to the conclusion this war was a bad idea. Someone should let the Kaiser know

Axis and Allies World War 1 1914 board game set up

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 09/08/2026

A new pillow

A brown and white tabby domestic short hair cat with his head resting on top of an air quality sensor glowing green

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 08/08/2026

What a beautiful golden girl!

A golden retriever sitting in wild flowers with a house in the background

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 07/08/2026

Found the package thief

Golden retriever sitting on her dog bed with her paw on top of a package

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 05/08/2026

Bunny on the loose

An Angora bunny sitting in an open door way

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 04/08/2026

My own stools, Sir, are gigantic and have no more odor than a hot biscuit.
Dr. John Harvey Kellogg - The Road to Wellville

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 04/08/2026

My own stools, Sir, are gigantic and have no more odor than a hot biscuit.

Dr. John Harvey Kellogg - The Road to Wellville

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 31/07/2026

My 10 year old is really putting our 3D printer to good use

A white and blue 3D printed hang on the door sign saying “DON'T
COME IN!
I'M 3D-
PRINTING.” With a stick figure sitting on a toilet

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 29/07/2026

They should have used this picture of Douthat smiling

To-MANY COOKS KILLER
From adult swim

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 27/07/2026

They are plotting something

A blond hair boy and golden retriever both sitting in chairs at a table facing away from the camera

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 24/07/2026

This is cray cray … the iPhone vs the Cray 2 supercomputer

Retro Microcomputers, W... • Join Jon Preizler • 1d • %
•••
X
Here's an eye opener:
iPhone 14 vs. Cray-2 Supercomputer
Peak Speed:
• Cray-2 (1985): 1.9 GLOPS (1.9 billion operations/sec)
• iPhone 14: ~1,500+ GFLOPS (FP32) + 15.8 TOPS Al Engine
• Difference: iPhone is 800x to 1,000x faster in raw compute.
RAM / Memory:
• Cray-2: 2 GB
iPhone 14: 6 GB LPDDR4X
• Difference: iPhone has 3x more RAM.
Power Draw:
Cray-2: 150,000 to 200,000 Watts
• iPhone 14: ~5 Watts peak
• Difference: Cray-2 used roughly 30,000x to 40,000x more power.
Weight & Footprint:
• Cray-2: 5,500 Ibs (2,500 kg); ~16 sq ft room footprint
• iPhone 14: 0.38 Ibs (172 g); 5.78" × 2.82"× 0.31"
• Difference: Cray-2 is 14,500x heavier.
Launch Price:
• Cray-2: ~$17.5 Million (~$50M+ today)
• iPhone 14: $799
Difference: Cray-2 cost over 20,000x more.

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 17/07/2026

Upgrading to multicolor plastic doodad production with the Bambu labs A1 was surprisingly easy

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 16/07/2026

Climate change in action

Purple air map showing absolutely terrible air quality adverse the Midwest

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 12/07/2026

Giving gutter racists opinion pieces now

Lyman Stone 石來民0
@lymanstoneky
X.com

The Somali community is a scourge on the republic. I have been saying this for years. The rampant fraud is just icing on the cake. We should indeed be reviewing if Somalis e.g. lied on naturalization forms, and deport any with deportable offenses.

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 09/07/2026

Sitting like a true lady

Golden retriever puppy sitting awkwardly on a step and barking

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 07/07/2026

This ref and his head set reminds me of Lobot from Star Wars

Lobot from Star Wars - bald man with head set over ears

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 05/07/2026

Some impressive air particulate levels

Elevated air particulate levels on map in DC

Matthews Memorial Baptist church
Just now * Outdoors
US EPA Guidance
Everyone
Avoid all physical outdoor activities.
Sensitive Groups
Remain indoors and keep activity levels low. Follow tips for keeping particle levels low indoors.
437 Hazardous

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 05/07/2026

Happy Birthday America! Hopefully you grow up and live up to your promises

A young kid, seen from behind, holding American flags, sitting in a chair, watching a firework fountain in front of him

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 30/06/2026

White bunny on a leash with harness

White bunny on a leash with harness

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 30/06/2026

To be a house cat

Two cats lounging, one on a bean bag chair the other on top of a cat tree

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 26/06/2026

The tale of Mango in two pictures

Adorable golden retriever, looking happy and innocent

Remains of shredded Onion paper strewn across the living room