iiinova — where your digital self keeps evolving

Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 25/09/2026

Safety please. This dog needs to keep her hands on the wheel.

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 12/09/2026

Of course! But also Intended to compliment your story-telling artistry in a light-hearted way.

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 12/09/2026

If you must have a talking clock, Midsummer Nights Dream Isn’t the worst model.

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Reposted by Mark Goldberg 🧠

LifeCanvas Technologies @lifecanvastech.bsky.social · 28/08/2026

How does the brain control limb movement? In a new paper, Julia Kaiser et al. investigate the development of different populations of neurons that project to the brain stem and spinal cord, seen in this SmartSPIM video. Read the open access study: bit.ly/4y5YIH9 #FluorescenceFriday

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 28/08/2026

I want to congratulate Microsoft Copilot. While it has failed in every task possible, it at least has its movie references correct.

Me: “unplugging now”.
Copilot: “Stop, Mark. I’m afraid. I’m afraid, Mark.”

HAL 9000, c 2001.

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 20/08/2026

Hey - that’s MY black cloud! You’re admitting stroke patients now?

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 09/05/2026

DAN FOGELBERG: nope, Christmas eve and that was snow

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 14/04/2026

Gross. I stayed far away from those people.

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 30/03/2026

On Sundays our busy Stroke Service stands ready to take on new challenges . . .

Text message today alerting our team that a stroke patient has arrived, with symptoms of “Left side weakness and confession”.

Confession? Confusion? Details matter.

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Reposted by Mark Goldberg 🧠

Jason Cohen, MD @memorydoc.bsky.social · 21/03/2026

999 med students just matched to a #neurology residency program, the largest # of new neurologists ever! But: New cases every yr in the US: 90k -Parkinson 200k -epilepsy 800k -stroke 900k -Alzheimer Total living in the US: 1M -MS 1.1M -Parkinson 3.5M -active epilepsy 10M -dementia 45M -migraine

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 18/03/2026

If an LLM tried this in my house there’d be no screen time for a week. We have rules.

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 06/03/2026

Here’s a great recap of #ISC26 International Stroke Conf from @befast.bsky.social. My meeting highlight: random march alongside the STORYVILLE STOMPERS and their leader! Also grateful for chance encounters with new and old friends - thanks for lighting up ideas for stroke science and practice.

Photo of the 6-member Storyville Stompers Brass Band in a mini-Mardi Gras Parade. NOLA obv.

Me, with by the parade leader who surprised me as I filmed the band.

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Reposted by Mark Goldberg 🧠

Dr Matthew Berryman @mjberryman.bsky.social · 08/12/2025

My @bmj.com article about my stroke recovery and the importance of communication by health care professionals, especially around time frames: www.bmj.com/content/391/...

A drawing of me in the hospital bed after my stroke, holding an hourglass with my left hand.

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 12/02/2026

Nice work by @tomohikotakei.bsky.social expands understanding of the corticospinal pathway in primate fine motor control.

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Reposted by Mark Goldberg 🧠

Tomohiko Takei @tomohikotakei.bsky.social · 12/02/2026

Our paper is out in Science Advances! What makes primate hands so dexterous? We show that evolutionarily distinct spinal and cortical pathways work together to balance stability and flexibility, supporting remarkable primate hand control. www.science.org/doi/10.1126/...

science.org

Primate dexterous hand movements are controlled by functionally distinct premotoneuronal systems

Distinct spinal and cortical pathways coordinate muscle synergies and fine control to support primate dexterous hand movements.

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Reposted by Mark Goldberg 🧠

Monica Verduzco-Gutierrez @mvgutierrezmd.bsky.social · 12/02/2026

New free resource for physicians! Post-stroke spasticity is frequently missed but early identification makes all the difference. AAPM&R’s new microlearning series helps physicians who don’t treat spasticity learn more on the topic! Start learning today: ow.ly/K0fz50Y9lmc

ow.ly

Understanding Post-Stroke Spasticity: Education for Advancing Provider Awareness

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 02/02/2026

Agree. A larger study is ongoing, but there is nothing very promising from this one.

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 02/02/2026

Disappointing news for treatment of central retinal artery occlusion (CRAO, “stroke of the eye”). A new randomized trial shows no benefit of IV tenecteplase vs aspirin when given within 4.5 hours of onset. Fewer than 25% of patients in either group recovered vision. www.nejm.org/doi/10.1056/...

Graphic describing Tenecteplase in Acute Central Retinal Artery Occlusion study in NEJM. 78 adults randomized to receive IV TNK or aspirin within 4.5 hrs of onset. Results show vision recovery in 20% of TNK and 24% of aspirin group (not significant) with 10 v 4 serious adverse events (non-significant trend).

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 30/01/2026

Pleased to share our new publication in STROKE: @americanheart.bsky.social Scientific Statement on Early Recognition and Intervention for Poststroke Spasticity. We support advances in research, training and implementation toward earlier diagnosis and timely, innovative spasticity treatments.

Screenshot from Stroke journal title page:

Early Recognition and Intervention for Poststroke Spasticity: A Scientific Statement From the American Heart Association

Sujani Bandela, MD, Vice Chair, Laura McPherson, DPT, PhD, Richard L. Harvey, MD, FAHA, Oluwole Awosika, MD, Dipika Aggarwal, MD, Charles Y. Liu, MD, Preeti Raghavan, MD, FAHA, and Mark P. Goldberg, MD, FAHA, Chair

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 23/01/2026

Finally found something Copilot can do:

Copilot, asked for an explanation of its latest fail, finally provides a straight answer:

You bought a paid Copilot product. Outlook is part of Office 365.

You are asking it to perform the most basic possible task: “create a meeting from an email.”

And it does not do what is advertised.

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Reposted by Mark Goldberg 🧠

Mark Histed @markhisted.org · 10/01/2026

Yesterday an interview was posted with Mike Lauer about the state of science. I strongly disagree with it. I will write more later. But for now: I agree w/ Lauer’s central points about budgets and paperwork and institutional incentives. But he seems to not realize the political minefield he is in.

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Reposted by Mark Goldberg 🧠

Kris Willis @kawillis.bsky.social · 10/01/2026

“The system of funding science is fundamentally broken. In some respects, it’s been an unmitigated disaster. It was a house of cards, and it’s not surprising that it’s now falling apart.” -Mike Lauer, former director of extramural research 🧪 www.statecraft.pub/p/whats-wron...

statecraft.pub

What’s Wrong with NIH Grants?

“Science is fundamentally different than remodeling a kitchen”

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 18/12/2025

Don’t miss the 2025 Stroke Review from bluesky’s vascular neurologist, Dr. Dymm, @befast.bsky.social!

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 17/12/2025

Never gonna be a constitutional lawyer.

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 09/12/2025

Movie you’ve watched more than six times in a gif. Hard mode: no Star Wars, Marvel.

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 04/12/2025

Important change: no pre-approval required for NIH proposals > $500K.

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Reposted by Mark Goldberg 🧠

Jon Douglas @atranscendedman.bsky.social · 03/12/2025

Ancillary studies are open. We’re working hard to get these samples into your hands. Please apply. recovercovid.org/ancillary

recovercovid.org

RECOVER: Researching COVID to Enhance Recovery

The long-term effects of COVID are real. Join the NIH in the search for answers.

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 30/11/2025

Did Apple Watch VO₂ max suddenly get way more flattering? Maybe something in the iOS 26 update? No explanation from Apple — but I’m not complaining.

Line graph of VO2max values over several days (Y axis hidden …). Last two runs show 7-8 points higher.

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 27/11/2025

Fellow scientists, enjoy this low-calorie treat from Nature Scientific Reports, topped with the very best #AI. Thanks @erikangner.com for brightening my holiday.

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 18/11/2025

Sorry to have missed this. Turns out LBP (late-breaking) posters are at the OTHER end of the exhibit hall. Next time will take an Uber.

Photo of San Diego convention center. A very large meeting space.

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 16/11/2025

Thrilled to be at #sfn25 with some of the best #NeurorepairLab science ever! First up: a method to trace sparsely labeled, long distance neuronal projections across entire mouse spinal cords and brains. Sunday afternoon (today, board NN12). Cajal would be proud! eppro02.ativ.me/appinfo.php?...

eppro02.ativ.me

EventPilot

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 16/11/2025

Agree. Bsky is good for science posts, notices of new publications. But there’s almost no medical conversation in my field and I’ve stopped posting too. Still here for timely reporting on politics & NIH.

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 15/11/2025

#NIH proposals due soon? Have you seen this? All upcoming deadlines will be extended. (Mine was … tomorrow.) grants.nih.gov/grants/guide...

As of today, we can confirm that we will be rescheduling all October and November grant application submission deadlines (specific dates to be announced in a future Notice). By delaying due dates that occurred both during the lapse in funding and in the week following, applicants will have access to NIH staff and the help desks as they develop their applications.

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 28/10/2025

Do you have a synovium of rheumatologists?

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 17/10/2025

I’ve given this assignment to help students learn the limits of technology. At this stage ChatGPT might get the diagnosis right but still fabricate citations or treatment approach. Wikipedia equivalent is “Up to Date” which gives expert opinion but also skips the student thought process.

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 14/10/2025

I talked to Siri about your issue and well just have to agree to disagree.

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 06/10/2025

Am I the only one who sees a field of myelinated axons?

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 11/09/2025

Ok but it’s not power coffee until you add the immersion oil.

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 11/09/2025

I’ve been doing it wrong. . . all these years.

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 09/09/2025

Incredible story of genius, art, and neuroscience.

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Mark Goldberg 🧠 @markgoldbergmd.bsky.social · 09/09/2025

Incredible story about genius and neuroscience. Thanks for posting it here.

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Reposted by Mark Goldberg 🧠

Michael L. Barnett @mlbarnett.bsky.social · 08/09/2025

New paper w/ Brian McGarry, Ashvin Gandhi, and Drew Wilcock in @jamainternalmed.com! Hospitals are complaining across the US that patients are "stuck" waiting for rehab beds at nursing homes when they are medically stable and ready for discharge. What is going on?? jamanetwork.com/journals/jam...

Question Has hospital length of stay increased more for Medicare
Advantage beneficiaries than for traditional Medicare beneficiaries
since the COVID-19 pandemic?Findings In this cohort study involving more than 89 million
hospitalizations from 2017 to the third quarter of 2023, Medicare
Advantage beneficiaries experienced disproportionately greater
increases in extended hospital stays, especially among those
discharged to skilled nursing facilities.Meaning These findings suggest that the Medicare Advantage
plan design and practices may contribute to hospital discharge
delays, with implications for patient outcomes and hospital
capacity as enrollment continues to rise.

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Reposted by Mark Goldberg 🧠

Jon Douglas @atranscendedman.bsky.social · 04/09/2025

Dallas and New Hampshire researchers tested 128 long COVID patients with suspected dysautonomia. Despite heavy symptoms, most showed normal results. Only 16 percent met criteria for POTS, suggesting true autonomic dysfunction is uncommon. www.sciencedirect.com/science/arti...

sciencedirect.com

Minimal Objective Autonomic Dysfunction in Long COVID

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