iiinova — where your digital self keeps evolving

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TransActual @transactualuk.bsky.social · 17/08/2026

Can you help us reach more people than ever before? Respond to our Trans Lives Survey today, and share on your social media, so we can get a full picture of the experiences and views of trans people in the UK. Take the survey here: form.typeform.com/to/BRppksJ3 #TransLives #TransSurvey #Trans

A pink and blue graphic with a black and white cartoon of some people on the bottom.

Text reads: TransActual is launching its biggest survey for the trans community yet!

TRANS LIVES SURVEY

2026

We want to hear about your experiences as a trans person living in the UK.

It's quick, anonymous, and will help us campaign for our community!

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Mark @medic-m-a-c.bsky.social · 11/08/2026

Mixing it up with a ride out to do some chores today

Man in a yellow top, blue helmet and sunglasses cycling with a blurred backdrop of the Humber bridge South tower

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Mark @medic-m-a-c.bsky.social · 08/08/2026

We are back on our feet and loving it 😄

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Anaesthesia @anaesjournal.bsky.social · 24/07/2026

For patients with a low likelihood of survival, admission to ICU may risk a negative dying experience. A technologically mediated death marked by distress, uncertainty and grief is unlikely to be a good death, regardless of circumstances. #ICU #MedTwitter doi.org/10.1111/anae...

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Royal College of Anaesthetists @rcoanews.bsky.social · 30/06/2026

Anaesthetists aren’t optional. They're essential. Today, we launched our UK State of the Nation report for 2026, which sets out the challenges facing our members and the wider anaesthetic workforce – and the actions needed to address them. Read more: ow.ly/5NQt50Zielz #Medsky #Ansky

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Mark @medic-m-a-c.bsky.social · 12/06/2026

It's been just over 6m since I fractured my tibia & had to stop running but, after a period of "patient reflection", I've finally been given the green light to start again! First outdoor run (-walk-run) this morning was an absolute joy & reminds me why exactly I've missed this #runningmakesmehappy

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Mark @medic-m-a-c.bsky.social · 19/05/2026

🇬🇧 British Political Spectrum Quiz My result: Social Democrat Economic: collectivist Social: progressive Sovereignty: strongly cosmopolitan Military: hawkish Authority: libertarian Constitutional: centrist Take the quiz: quiz.jmoxley.co.uk

quiz.jmoxley.co.uk

British Political Spectrum Quiz

Find out where you sit on the British political map across six dimensions.

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John Oxley @joxley.jmoxley.co.uk · 18/05/2026

Right - you all thought that quiz was too US-centric. So I've vibe-coded something far more British. Specifically British, because I am *not* making a Northern Irish Political Compass. From taxes to the monarchy, answer the questions and see where you sit. quiz.jmoxley.co.uk

quiz.jmoxley.co.uk

British Political Spectrum Quiz

Find out where you sit on the British political map across six dimensions.

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Mark @medic-m-a-c.bsky.social · 07/04/2026

A glorious spring day is so good for the soul

Smiling male cyclist in sunglasses with cropped short hair. Dressed in yellow long sleeved cycling jersey with a dark grey under layer. The background is composed of fields and blue skies on a lovely spring day

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Mark @medic-m-a-c.bsky.social · 05/04/2026

Rob speaks great sense, as always, on this issue.

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Rob Fleming @robjimfleming.bsky.social · 01/04/2026

1/ SAS doctors, a thread... This week, the papers are covering the fact that "senior doctors" are balloting for industrial action. This includes Consultants, and SAS doctors. While most folks know about the former, I suspect few readers could actually describe what a SAS doctor is.

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Mark @medic-m-a-c.bsky.social · 19/03/2026

Well, didn't it just feel like spring has finally arrived today?

Smiling cyclist in a blue helmet and sunglasses, wearing a white t-shirt with the phrase "Go!" emblazoned across in red lettering. The background scene is of a gravel road running through fields

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Sam @sstry.bsky.social · 09/03/2026

Would just like to remind anyone who may be having a hard time that better times will come even if it doesn’t feel like it now 💙

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Emma Monk @monkemma.bsky.social · 01/03/2026

OK, the Gorton and Denton by-election, I have some thoughts! Let's take a look at some of the FACTS and burst a few of the more ridiculous takes doing the rounds But first up, can we acknowledge just what bad losers Reform are?!🤣 Right, let's get started... 🧵 1/

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Mark @medic-m-a-c.bsky.social · 08/02/2026

Happy Sunday guys - hope the day pans out exactly as you want x

A smiling man with moustache and close cropped hair standing in front of a yellow helicopter. The sunrise has left the lightly clouded sky looking lovely with a pink and orange pastel hue

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Robin Ince @robinince.bsky.social · 26/01/2026

The Daily Telegraph writes about how BREXIT was a bad idea and Joe Rogan is sad that ICE are killing people - you fuckers are the makers of this sort of world

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Mark @medic-m-a-c.bsky.social · 21/01/2026

Go, Osteoblasts, Go!

$An x-ray image of my left knee showing signs of good fracture healing at my proximal tibia$

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Mark @medic-m-a-c.bsky.social · 07/01/2026

Things I regret doing today - using the body composition machine at the gym. It was not the positive motivator I expected it would be. Pandora's box should remain unopened in the future 🙄

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Mark @medic-m-a-c.bsky.social · 25/12/2025

Merry Christmas to you all - I hope the day brings you much joy and happiness, wherever you may be xxx

Small Christmas ornament - a stylised version of me in green scrubs with a black stethoscope around my neck, a clipboard in my hand and a red heart containing the words Dr Mark - nestled in the branches of my Christmas tree

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Mark @medic-m-a-c.bsky.social · 23/12/2025

Bad news - I've done a very comprehensive job of trashing my left tibia so can't run for an extended period. Already pretty depressed by the news & can feel my fitness dropping off rapidly after just a few weeks. #runsky - help me out: what can I do to maintain my aerobic base for the next 6 months?

$A coronal MRI view of my left knee showing a large stress fracture of my proximal tibia with diffuse marrow oedema in keeping with an acute injury$

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Mark @medic-m-a-c.bsky.social · 16/12/2025

Soooo, I have been walking and trying to train on a fractured tibia. That explains a lot 😬

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Mark @medic-m-a-c.bsky.social · 15/12/2025

Hate not being able to run at the moment - knee problem persists and all of the progress I've made in the last 6 months is falling away. It's so miserable

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Rob Fleming @robjimfleming.bsky.social · 10/12/2025

I have a task for anyone reading this, to be completed tomorrow. Do something nice for a stranger. Do this not because you expect anyone to reciprocate, or to know, but because it might make the world a better place. Random acts of kindness might be the thing that saves humanity. You never know.

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Mark @medic-m-a-c.bsky.social · 30/11/2025

Seems I've trashed my knee and I'm getting big time sad that I can't run. Any tips on how I can make (what I think is) pes anserine bursitis recover as quickly as possible?

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Mark @medic-m-a-c.bsky.social · 17/11/2025

Is there anything better than watching people you care about achieve success in the things that they've worked hard on? It fills my heart with joy 😊

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Jack @jackwjb.bsky.social · 03/11/2025

I guess friendly reminder needed that November exists and under no circumstances is it Christmas yet

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Mark @medic-m-a-c.bsky.social · 02/11/2025

Sunday has been pretty perfect

Image taken from Strava showing me mid way through a half marathon distance run. I am smiling in front of a small suspension bridge with the sun streaming through the cables. My pace is listed as 5:01 minutes per km with a total distance of 21.92km and a time of 1hr 50 mins

A picture containing waffles and maple syrup served by "next door" - a Hull cafe

Sunset at Hull marina with golden skies and my smiling face

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Rob Fleming @robjimfleming.bsky.social · 01/11/2025

Just recorded a talk for a webinar this week. There was a time I gave a SAS careers talk every couple of weeks. I chalked up 30 one year, which now seems bonkers. Alternative career pathways still need parity of esteem folks, even if I say it slightly less often than I used to. #SASsix

Alternative career pathways slide, showing the routes a SAS career might take.

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Mark @medic-m-a-c.bsky.social · 22/10/2025

Crazy weather makes me do crazy things

Picture taken from Strava showing statistics for a half marathon distance run overlaid on a picture of me in sunglasses and running gear.

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Mark @medic-m-a-c.bsky.social · 12/10/2025

These autumn morning runs are getting a bit fresh but the conditions can make for some wonderful views

Tree backlit by a street light on a very misty morning

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Mark @medic-m-a-c.bsky.social · 09/10/2025

I love my portfolio career - don't let anyone ever tell you that the only way to be happy in medicine is to jump on the treadmill to consultant jobs!

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HCSA Union General Secretary @gensechcsa.bsky.social · 26/09/2025

Calling all SAS, LED & IMG #doctors, for far too long your roles have been undervalued Do you need a sense of belonging? We support #SASsix calls for change and as the #HospitalDoctorsUnion, we can influence as our membership grows Be part of that change & join us #SAScampaign @sascollective.com

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Mark @medic-m-a-c.bsky.social · 07/10/2025

Mark vs cyclist - still managed to finish my half, although the unintended break at 18km ruined my pace somewhat

A picture showing injuries sustained while running - laceration to the left elbow and a scraped and bruised left knee

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The Association of Anaesthetists @assocanaes.bsky.social · 06/10/2025

It’s the start of #SASWeek25 🎉 Each day we’ll be sharing dedicated content to celebrate the work of SAS anaesthetists. So, if you're curious about the benefits of a SAS career, looking for advice on stepping into leadership roles, or ready to explore our SAS Handbook - we've got you covered.

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Mark @medic-m-a-c.bsky.social · 06/10/2025

Night shifts do have their moments of magic

Yellow air ambulance helicopter on the helipad at night. The pad is lit by green marker lights and the Helicopter is illuminated by a full moon in the sky above

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Mark @medic-m-a-c.bsky.social · 04/10/2025

Did I think I knew better than the weather forecast and go for a run when the winds were at their most blowy? Why don't we ask my bruised face 😭

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Rob Fleming @robjimfleming.bsky.social · 02/10/2025

The @rcoanews.bsky.social were kind enough to ask me to write an article about "lessons learned from SAS leadership". I hope they don't mind me sharing it here. rcoa.ac.uk/bulletin/aut...

rcoa.ac.uk

Lessons learned from SAS leadership

Dr Robert James Fleming from Sherwood Forest Hospitals reflects on his career to date and all the lessons he's learned along his journey.

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Mark @medic-m-a-c.bsky.social · 02/10/2025

First of the month, first half marathon distance 🏃🏃🏃

Smiling man on the footpath of the Humber bridge - South tower visible behind. Overlaid on the image are stats from Strava indicating that he has completed a half marathon with a pace of 5:17/km and a total time of 1h54min

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The Association of Anaesthetists @assocanaes.bsky.social · 01/10/2025

Applications for Future leaders in anaesthesia open today! Find out more about our new funded leadership development programme designed in partnership with @bayesbchool.bsky.social for Resident Doctors, SAS Doctors/NCHDs, and early-career Consultants 👉 buff.ly/lF6rBLN

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Mark @medic-m-a-c.bsky.social · 30/09/2025

And just like that, September is over. I really need this year to slow down a bit - I'm having a hard time keeping up!

Smiling runner in blue shirt with illuminated running torch. Photo taken at London's St James' Park in front of horse guards parade with the London eye, illuminated in purple, visible in the background

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Ed Davey @eddavey.libdems.org.uk · 13/09/2025

Appalled by the violent scenes of police being attacked at the Tommy Robinson rally today. Those responsible should face the full force of the law. These far right thugs do not speak for Britain.

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Mark @medic-m-a-c.bsky.social · 07/08/2025

Finding out that a surgeon you have real respect for already is a quiet trans ally making the world better one gender affirming surgery at a time is such a genuinely lovely thing 🏳️‍⚧️ #transrightsarehumanrights

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Royal College of Anaesthetists @rcoanews.bsky.social · 06/08/2025

Starting CT1 this week? Welcome to #TeamAnaesthesia We’re here to support you throughout your training and beyond. Here are some useful resources to help you in the first few months🧵

Image of a woman with long blonde hair smiling. Text says: Welcome to #TeamAnaesthesia

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Lou Calvey @loucalvey.bsky.social · 27/07/2025

Skegness, one of your absolute finest people right here. Buy her a drink whenever you see her.

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Mark @medic-m-a-c.bsky.social · 25/07/2025

My new running vest is boss 🦕🦖

Smiling man in running shorts and vest - the vest is blue and covered with cartoon dinosaurs

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Mark @medic-m-a-c.bsky.social · 24/07/2025

A week of long days covering the CEPOD list is wearing thin...

Pablo Escobar (portrayed by actor Wagner Moura in the Netflix show Narcos) stands in an empty swimming pool, hands behind his back and looking dejected. Text at the top of the image reads waiting for any patient on the emergency list to arrive

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Mark @medic-m-a-c.bsky.social · 16/07/2025

Getting out in the fresh air at the moment is very much like playing with fire - will I come back sunburned or soaked to the skin? Only the weather gods really know

Selfie: Me in an orange running vest looking directly at the camera with a relatively neutral expression while soaked to the skin

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