iiinova — where your digital self keeps evolving

Localizer, MD @localizedlesion.bsky.social · 01/09/2026

In my next grant I'm going to budget for someone to follow me around and massage my shoulders aggressively when they start to get tense (daily).

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Localizer, MD @localizedlesion.bsky.social · 27/08/2026

Me: I'm not one of those neurologists who gets hung up on terminology and will yell at you for calling something a CVA. Them: Oh good. Anyway, I have this patient with an MS "flare." Me:

static.klipy.com

Arthur's Clenched Fist Meme

Alt: Arthur's Clenched Fist Meme

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Localizer, MD @localizedlesion.bsky.social · 26/08/2026

Throwing things in the physician workroom is discouraged, right? Even just a little crumpled up ball of paper? Somebody just snorted derisively at a clip of Dolly Parton playing on the news. 😠

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Localizer, MD @localizedlesion.bsky.social · 09/08/2026

Baby was born full term. That's nuts. Intensely cool!

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they/them might be giants ☭ @babadookspinoza.bsky.social · 20/05/2023

I just need someone to tell me that everything is going to be okay and then give me $150,000.

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Localizer, MD @localizedlesion.bsky.social · 14/05/2026

My entire department is swooning over the AI tools to help them write notes faster, but I want nothing to do with it because of exactly is kind of insanity. I’d have to proof read every single thing it wrote so I might as well do it myself.

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public health guy @publichealthguy1.bsky.social · 25/04/2026

this account is run by a human at NASA JPL who only posts real images with their receipts. it only has 11k followers compared to the 200k the ai slop space account has

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The Map Center @mapcenter.com · 26/04/2026

It's a shame that "defend your culture" always means "hate strangers different from you" and never "enact anti-pollution laws so that you can go fishing with your grandkids the way your grandpa taught you."

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Localizer, MD @localizedlesion.bsky.social · 17/04/2026

Kid 1: *farts loudly right next to me* “I didn’t fart.”

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Localizer, MD @localizedlesion.bsky.social · 04/04/2026

Not sure what’s going on here, but feels like a metaphor for my work week

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public health guy @publichealthguy1.bsky.social · 28/03/2026

technically the first photon torpedo

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Siege @tellumsiege.bsky.social · 29/05/2025

The difference between cucumbers and pickles is jarring.

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Localizer, MD @localizedlesion.bsky.social · 25/03/2026

It’s everything. Sometimes body fluids, often just drinks, and sometimes water the origin of which you are never going to figure out.

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Localizer, MD @localizedlesion.bsky.social · 25/03/2026

Idea: Every institution has an email referee. If someone does an email “foul” (example: responding to an email with a question that was clearly answered in the original email) you forward the thread confidentially to the ref who adjudicates the foul. Everyone’s foul count is displayed publicly.

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Localizer, MD @localizedlesion.bsky.social · 24/03/2026

Parenting is just constantly asking, “Why is this wet?”

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phil mccrevice @jewkrainian.bsky.social · 23/03/2026

i think monday should fucking kill itself

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Localizer, MD @localizedlesion.bsky.social · 20/03/2026

Business idea: Service that will immediately connect you via audio or video call with an HCW in your same specialty because you need someone to rant to and comparable expertise is required to understand the rant. You pay $10-20 per call you place, discount if you sign up to be a listener.

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Localizer, MD @localizedlesion.bsky.social · 14/03/2026

Even if you get the headache you should feel better within a couple hours. But if you want an excuse to take the day off from all your responsibilities, feel free to tell everyone that some jerk stabbed you in the back today. (Said while performing a lumbar puncture)

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Tom Wallach @mdwallach.bsky.social · 04/03/2026

The reality that we just randomly decided a lot of people should die for no reason with no goal. Celebrate how successfully they are lighting money and lives on fire for the glory of mammon and Cthulhu

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Kelly @broadwaybabyto.bsky.social · 26/02/2026

The regime has killed three US citizens that we know of. They’ve killed countless immigrants in the camps. Now they’ve killed a refugee named Nurul Amin Shah Alam. He was blind, disabled and didn’t speak English. They abandoned him outside and he froze to death.

motherjones.com

Nurul Amin Shah Alam, Blind Rohingya refugee dumped by CBP, dies in cold

"They just left him."

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Marisa Kabas @marisakabas.bsky.social · 21/02/2026

sleepmaxxing and pillowmogging

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Localizer, MD @localizedlesion.bsky.social · 21/02/2026

Learned something new about Nancy Reagan today

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Localizer, MD @localizedlesion.bsky.social · 13/02/2026

Another example - there was an episode of TNG where Worf suffered a spinal cord injury and the only way to restore his ability to walk was a dangerous experimental surgery.

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C.A. Pinkham @eyepatchguy.bsky.social · 13/02/2026

Elon Musk genuinely has to be regarded as one of history’s pre-eminent mass murderers

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Localizer, MD @localizedlesion.bsky.social · 13/02/2026

I primarily meant that what he’s done is sufficiently evil to justify punishment of that magnitude. I don’t know what the best mechanism to employ would be, but I hope he is made to pay dearly.

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Localizer, MD @localizedlesion.bsky.social · 13/02/2026

I think the calls for prison time are entirely appropriate.

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Localizer, MD @localizedlesion.bsky.social · 13/02/2026

The harm this will cause is incalculable. The ramifications go far beyond the infections that could be prevented. One example - a vaccine against EBV could potentially prevent multiple sclerosis.

Leah Libresco Sargeant ®
@LeahLibresco
"Moderna's CEO announced the company will no longer invest in new Phase 3 vaccine trials for infectious diseases: 'You cannot make a return on investment if you don't have access to the U.S. market.' Vaccines for Epstein-Barr virus, herpes, and shingles have been shelved."

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✪ Beware the Gray Ghost ✪ @jongraywb.blacksky.app · 12/02/2026

All my flibberties gibbetted

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Localizer, MD @localizedlesion.bsky.social · 12/02/2026

You’re also intensely witty and hilarious

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Localizer, MD @localizedlesion.bsky.social · 12/02/2026

Trying really hard not to go through an entire sleeve of Girl Scout cookies while trying to finish up my notes from today.

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Localizer, MD @localizedlesion.bsky.social · 11/02/2026

Can you imagine how much good this can do in terms of both 1) enriching and beautifying the world around us and 2) stabilizing the lives of individual artists??

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southpaw @nycsouthpaw.bsky.social · 10/02/2026

The choice to frame this rhetorically as a negotiation *with ICE and DHS* rather than, you know, a decision about their future made by their rightful superiors in the popularly elected legislature is, to me, incredibly grating.

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A.R. Moxon @juliusgoat.bsky.social · 10/02/2026

Schumer: ball’s in your court Republicans: stab the ball, tear it apart, set it on fire, rip up the court and sell the turf to Bahrain Schumer: hey you guys are out of balls Republicans: we’re gonna kill your families Schumer: ok we’ll pass funding for new balls but you’ve GOT to read the rules

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Coach Finstock @coachfinstock.bsky.social · 10/02/2026

They're building concentration camps with my tax money Chuck. They're torturing children. They're murdering innocent people on the street. What are you doing.

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Localizer, MD @localizedlesion.bsky.social · 07/02/2026

What percentage of those pictures do you actually go back and look at?

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Localizer, MD @localizedlesion.bsky.social · 07/02/2026

I feel like I could do a whole ethnographic observation study on people who take lots of pictures of slides at conferences.

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Kelly @broadwaybabyto.bsky.social · 06/02/2026

The public made noise for Liam Ramos and it got him released from Dilley. Now we must make noise for 7 year old Diana Crespo. Her parents were taking her for emergency medical care when ICE grabbed them, and she’s rotting in the camp sick and exposed to measles. Get them out!

Photo of 7 year old Diana Crespo sitting with her parents at a table in a restaurant. Her dad is giving a thumbs up.

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Localizer, MD @localizedlesion.bsky.social · 05/02/2026

Agreed on all counts, including big concerns about the stats. Primarily looking forward to what we’ll learn from the results regardless of whether any BTKis are viable options.

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Localizer, MD @localizedlesion.bsky.social · 05/02/2026

I doubt I’ll be surprised by the results, and even if they’re positive I’ll have big questions. But I still think the conversations we have around them are valuable (and fun).

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