iiinova — where your digital self keeps evolving

Michael Burk, MD @mjburkmd.medsky.social · 05/10/2026

***LAST DAY TO GET REGISTERED TO #VOTE IN #TENNESSEE *** Check if you're registered, get info on your nearest polling or early polling locations or register to vote at vote.health/11067 or scan the QR code. Anyone else on #Medsky volunteer for vot-er.org ?

Vot-ER badge buddy showing a QR code to ensure you can register to vote.

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Michael Burk, MD @mjburkmd.medsky.social · 01/10/2026

What kind of impact does closing hospitals in rural America have on #ruralhealthcare outcomes? @jama.com just posted a new article about what happened in Texas. 12 more deaths from emergency dxs (MI/Stroke/Sepsis/Asthma&COPD) per 100k people PER YEAR. But this number doesn't mean much 1/x

A screenshot showing the key points and abstract from the article.

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Michael Burk, MD @mjburkmd.medsky.social · 18/09/2026

It would be funnier if he wasn't in charge of public health policy for over 300 million people.

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Michael Burk, MD @mjburkmd.medsky.social · 17/08/2026

Hey #Medsky and #Pulmsky check it out, another survey before the next cash grab by the ABIM, now coming for Interventional Pulmonology. As always, it's thinly veiled as a regulatory/safety measure. The AABIP already has certifications for those that want them.

Request for a survey from the ABIM regarding them probably adding $600-$1000 in fees per year for any physician doing Interventional Pulmonology.

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Michael Burk, MD @mjburkmd.medsky.social · 28/07/2026

Amazing show last night with #NoahKahan in Atlanta!!!

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Michael Burk, MD @mjburkmd.medsky.social · 07/07/2026

Hey #Medsky I have a stack of physical copies of @accpchest.bsky.social journal from the past few years that are sitting on my desk (after reading through them!). Before I throw them away, does anyone have any creative/constructive suggestions of something else to do with them other than recycle?

A picture of a large stack of medical journals sitting on a desk in a doctor's office.

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Michael Burk, MD @mjburkmd.medsky.social · 29/06/2026

When life gives you leftover steak and a post-call breakfast, you make something delicious. What are the #Medsky post call breakfast favorites?

An open faced bagel with cream cheese, thin sliced steak, a slice of fresh tomato from the garden, with an egg over easy, chopped onion, and chopped Serrano pepper on top. Coffee and berries on the side.

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Michael Burk, MD @mjburkmd.medsky.social · 30/05/2026

A panoramic view of sunrise this morning in #Sanibel Florida with the lighthouse and Ft. Myers Beach in the distance. #Photography

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Michael Burk, MD @mjburkmd.medsky.social · 25/05/2026

Here's a pic of what we took for games on our last vacation. Flamecraft is also there, in one of the travel boxes.

A stack of game boxes including Fluxx, Sobek, Beer and Bread, Martian Dice, Jaipur, and others

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Michael Burk, MD @mjburkmd.medsky.social · 05/05/2026

Hey #medsky and #pulmsky here's something to file away the next time someone trots out gibberish about #COVID deaths being over reported. An additional 155,000+ unrecognized COVID-19 deaths are estimated based on data published in JAMA April 3, 2026. Thanks for doing the math @jama.com

Image showing a condensed version of the full article

The second part of the image stating that "COVID-19 deaths were likely reported in a systematically inequitable way that hit the true extent of the pandemic, mortality, and inequalities". Doi: 10.1001/jama.2026.1032

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Michael Burk, MD @mjburkmd.medsky.social · 14/04/2026

I am digging the new #Figs line! What do you think #Medsky ;)

A farcical example of a scrub advertisement showing toga style scrubs. Not actually real.

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Michael Burk, MD @mjburkmd.medsky.social · 08/04/2026

Good morning from Midtown Nashville! 📷

A photo of downtown Nashville from St. Thomas Midtown Hospital, the sun is about to rise and there is a beautiful orange glow silhouetting the skyline with criss crossed plane contrails showing up a light pink.

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Michael Burk, MD @mjburkmd.medsky.social · 02/04/2026

Well, I suppose that is a reasonable point.

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Michael Burk, MD @mjburkmd.medsky.social · 01/04/2026

I am very excited and proud of my office #AprilFools jokes this year. #Medsky #Pulmsky

A fake pack of cigarettes branded for a pulmonary group for April Fools

A fake cigarette pack, 3d printed in the style of a vintage "Lucky Strike" cigarette pack, customized for a Pulmonary/Critical Care physician for April Fools 2026

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Michael Burk, MD @mjburkmd.medsky.social · 25/01/2026

Trees down and lots of ice near Concord rd and Edmondson Pike. #Tspotter

A large pine tree has fallen due to icing, obstructing a neighborhood road. A thick layer of ice covers the rest of the road.

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Michael Burk, MD @mjburkmd.medsky.social · 20/11/2025

Dear #MedSky, my wife chose violence this morning when I texted her post call to let her know how my night was. I feel simultaneously very seen and very called out :)

A text between a post call physician and his spouse, saying "I am going to need sleep today" and the reply "That would be the title of your autobiography 😆"

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Michael Burk, MD @mjburkmd.medsky.social · 14/11/2025

I could absolutely see tripping through a cord (nailed a few of those myself), falling into something, or etc. In the ICU it never happens essentially because they are way up and almost behind our monitor setup. I may need to go physically look and see where they are in some of the older wards.

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Michael Burk, MD @mjburkmd.medsky.social · 13/10/2025

Updating some of my slides for my resident lecture today... It's no fun if you don't occasionally add some Easter eggs. I think they're going to laugh, but the question is whether it's because it's funny or just giving #hellofellowkids :) #Meded #Medsky

Part of a slide both throwing shade at tOSU and taking a funny stab at injecting Gen Z slang into the lecture

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Michael Burk, MD @mjburkmd.medsky.social · 01/08/2025

IDK, maybe it's me, but a hippie in overalls, DJ biceps, and a grooving black due tearing up the guitar playing pleasant but generic indie pop should not have the word "Goth" in the band name lol. I knew a lot of goth kids in HS, and man, this ain't them. #LiveMusic 🎵

Three very much not goth dudes playing in a band calling themselves "Goth Babe".

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Michael Burk, MD @mjburkmd.medsky.social · 09/07/2025

The #AMA has a lot of nerve sending something like this out after letting Trump's bill guy Medicaid and medical education. If "This is how we fight" is what they call fighting, I'm pretty sure my 6 year old daughter could take them out with her Nerf battle axe. #Medsky

A mailer from the AMA trying to tell people how they think that they are actually fighting for physicians. Unfortunately, instead of actually winning the most important battles for their members and patients they are changing boiler plate language and giving awards for burnout reduction programs while the rest of the house is being engulfed in flame.

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Michael Burk, MD @mjburkmd.medsky.social · 06/07/2025

I hadn't either. But I tried it last night on a whim and it worked out great:

Strip steak next to grilled mushrooms, pineapple, and rhubarb on a bed of grilled bell and banana peppers all on a white plate with blue flowers, sitting on a white stone countertop.

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Michael Burk, MD @mjburkmd.medsky.social · 06/07/2025

As disastrous as things are going in America, sometimes the simple things are nice, even just for a moment or two. Love me some fresh rhubarb with salt and pepper. It tastes like every summer of my childhood.

A photo of some fresh, peeled, sliced rhubarb on a paper plate with salt and pepper for dipping.

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Michael Burk, MD @mjburkmd.medsky.social · 26/06/2025

A small thing of beauty and an homage to Dale Chihuly, a brilliant artist, who graced the medical school I went to with a 15ish foot blown glass double helix and the children's museum I grew up with (and have been fortunate to share w/my kids) with a gorgeous 3+story installation. #Medsky #Pulmsky

A rendered image of a set of colorful glass lungs in the style of Dale Chihuly, on a black background.

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Michael Burk, MD @mjburkmd.medsky.social · 19/05/2025

I keep telling myself to post more here and contribute to the community, so here we go. I wanted to have a bunch of lungs in different artistic mediums and styles to hang in my office. After not finding anything already existing, I started experimenting. I hope people enjoy them. #Pulmsky #Medsky

A rendered image of a set of blown glass lungs on black background, the outer glass has a cool bluish white tint, but the central airways have a soft orangish glow. The cartilage rings are accentuated while the distal airways are more whimsical.

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Michael Burk, MD @mjburkmd.medsky.social · 18/04/2025

I decided to subscribe to @gqmagazine.bsky.social again after stopping in medical school. I want to catch up w/trends, etc. As a thank you, they sent me a bucket hat? I don't want to be rude but coming from GQ I'd think it was an April Fools joke that was just late in the mail. Are these on trend?

A black bucket hat with GQ embroidered on it in white thread.

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Michael Burk, MD @mjburkmd.medsky.social · 15/03/2025

I know that running clinical trials is hard, thankless work. But I'm reading the #RENOVATE RCT and I don't see a stratification or comparison of obesity in groups comparing NIV versus high flow nasal cannula, and that seems to me like it would be the mother of all confounders. 1/3 #Medsky #Pulmsky

Image of part of the abstract from the RENOVATE RCT from JAMA Mar 2025

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Michael Burk, MD @mjburkmd.medsky.social · 14/02/2025

I think maybe this guy is in the pocket of the divorce lawyers association.

An ill advised press release from the Indiana attorney general stating that the most romantic gesture of all on Valentine's Day is to look for unclaimed property with your significant other.

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Michael Burk, MD @mjburkmd.medsky.social · 29/12/2024

New snarky medical magnet set for Christmas, complete with starter snark. I feel like @lindseyburk.bsky.social gets us #Medsky

A stainless steel plate with magnets requesting the ER doc stop empirically dumping social admissions to the ICU or they will wish the ICU doctor would have left AMA.

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Michael Burk, MD @mjburkmd.medsky.social · 24/12/2024

Merry Christmas Eve #Medsky! Thank you to everyone who is working and taking call on the holiday so that your partners can be with their families.

An image of Christmas wreath greenery in the shape of a set of lungs, on a deep khaki background, suspended in the middle by a red ribbon.

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Michael Burk, MD @mjburkmd.medsky.social · 19/12/2024

#Nashville news coming in harsh for those of us hoping for a white Christmas:

A map of TN with two tones of blue for different counties labeled for chance of having a white Christmas. The two labels are "0% chance" and "Also 0% chance"

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Michael Burk, MD @mjburkmd.medsky.social · 13/12/2024

Having a GI bug is approximately zero fun. I haaaaaate being sick. I don't know if it's a doctor thing or what, but it's not just the "feeling bad" part, just conceptually I hate it.

Indiana Jones in a plane telling his pilot Jacques that he not only hates snakes (including Jacques' pet python 'Reggie' who is sharing a seat with Indy and also who may have been the original snake on a plane), but for emphasis yelling that he really hates them.

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Michael Burk, MD @mjburkmd.medsky.social · 21/11/2024

Proof: these were plastered all over the workroom on Sunday :)

A picture of a doctor stating: I spent the weekend with THE WOLF.

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Michael Burk, MD @mjburkmd.medsky.social · 20/11/2024

If you see this, post a concert pic! Here's @guster.bsky.social performing an acoustic encore at the #Ryman in Nashville

The band Guster performing unplugged on stage at the Ryman auditorium in Nashville, TN Sept 2024

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Michael Burk, MD @mjburkmd.medsky.social · 15/11/2024

My new #ILD lecture for our residents is coming along swimmingly! #Medsky

An objectives slide for a PowerPoint presentation on interstitial lung disease with parody objectives.

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Michael Burk, MD @mjburkmd.medsky.social · 08/11/2024

Friday 📷 #photography break! Sunset and moonrise in one panorama with storm clouds on the horizon, shot at the southern most point of #Sanibel, FL. If you've never been, they're still rebuilding after the hurricanes, but it's well worth the visit. Much of the island is a nature preserve.

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Michael Burk, MD @mjburkmd.medsky.social · 26/10/2024

Here's a fall photo break to cleanse your timeline. I took this shot of the Louisville, KY skyline at sunset from the rooftop of what was then the VA hospital. #Photography 📷

A shot of the Louisville, KY skyline at sunset. In the fall, shot from the east, with fall foliage in the foreground, skyline in middle, And pastel blue and pink skies at the top.

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Michael Burk, MD @mjburkmd.medsky.social · 20/10/2024

Tap/click on my label and it should take you to it:

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Michael Burk, MD @mjburkmd.medsky.social · 18/10/2024

#Photography Friday! Here's a black and white photo I took of a seaplane in Alaska. 📷

A black and white version of a seaplane I took in Alaska

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Michael Burk, MD @mjburkmd.medsky.social · 04/10/2024

Say what you will about AI, one thing I have been able to make it do is generate some beautiful fairly beautiful artistic renderings of the lungs in various styles. I've been doing it for a cover page for my resident lectures now for over a year. #PCCM

A more impressionist artistic rendering of a set of lungs, red and blue with almost wispy feathered styling on a khaki background with subtle blue marbling.

An art noveau rendering of the lungs, a golden frame with gossamer in layover two additional lobes made of perhaps overlaid and compressed flower petals, on a forest green background.

A more 1920s style borderline anatomical sketch of the lungs, 3 color mimeograph/print, on a faded dark green background with gilded era inlay.

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Michael Burk, MD @mjburkmd.medsky.social · 28/09/2024

If you've never been to the Ryman Auditorium in Nashville, it's a fantastic place to see a show. #Music #LiveMusic #Nashville #Guster

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Michael Burk, MD @mjburkmd.medsky.social · 20/09/2024

Ketamine fans of the world, unite!

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Michael Burk, MD @mjburkmd.medsky.social · 19/09/2024

Nice: Bluesky now has over 10 million users, and I was #198,568!

A virtual certificate with text "Celebrating 10M users on Bluesky, #198,568, Michael Burk, MD ‪@mjburkmd.bsky.social‬, joined on Jul 1, 2023"

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Michael Burk, MD @mjburkmd.medsky.social · 20/08/2024

What's a picture of a place that means something specific to you? This is a picture of an Indiana sunset from way out in the country where I grew up, wondering what it would be like to be a doctor and if I would ever really get there one day. #photography

Photo of a sunset transitioning from the golden hour to the blue hour. Green fields of alfalfa in the foreground give way to a tree line in the lower middle, with deep orange fading to dark orange, then darkening blue/black clouds further up.

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