iiinova — where your digital self keeps evolving

Gareth Nickless @nicklessg.bsky.social · 09/10/2025

I wonder what their desktops look like?

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Gareth Nickless @nicklessg.bsky.social · 11/05/2025

Let me guess, you cleaned your car then within 5mins - 🐦💩

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Gareth Nickless @nicklessg.bsky.social · 10/05/2025

I think the DOACs switching highlights this challenge well. After switching numerous patients from apixaban to edoxaban, apixaban later became cheaper. No plans to switch everyone back but was the original switching work worth it in terms of 💷 saved?

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Gareth Nickless @nicklessg.bsky.social · 27/04/2025

Saw a few weeks ago that someone wanted to re-start #pharmfoods on here so I give you Italian chicken melt with roasted new potatoes. Wash He's down with a Lidl Pulia Red (only £7 from Lidl)

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Gareth Nickless @nicklessg.bsky.social · 23/04/2025

I think that some use email as "evidence", hence why they cc others in. When you try to email someone with an out of office on, in the first instance Outlook does flag this. Maybe this should prompt the sender to re-think whether this (and their next 20 emails are necessary)

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Gareth Nickless @nicklessg.bsky.social · 15/04/2025

Might as well jump on the Nigella bandwagon - her Guinness chocolate cake is 👌

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Gareth Nickless @nicklessg.bsky.social · 28/03/2025

Watching Bluey in Spanish with the kids was interesting!

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Gareth Nickless @nicklessg.bsky.social · 21/03/2025

I've always enjoyed my trips there but have no desire to go back whilst Trump was in charge. In 2010, missed a connection in Washington despite having around two hours to get through immigration - Homeland Security are a shambles, half the desks were shut!

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Gareth Nickless @nicklessg.bsky.social · 15/03/2025

I think the track changes document may have attempt but failed to show this

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Gareth Nickless @nicklessg.bsky.social · 15/03/2025

I'm not surprised those surveyed don't understand the changes. The Charter is written in that type of language that the Plain English Campaign hates so much!

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Gareth Nickless @nicklessg.bsky.social · 12/03/2025

My understanding from the roadshow event is that this will be up for discussion once / if the majority vote yes to Royal College. The choice of Royal College of Pharmacy vs Royal College of Pharmacists is also an area that hasn't been given enough attention for debate in my humble opinion.

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Gareth Nickless @nicklessg.bsky.social · 07/03/2025

That trumps my patient with TSH reported as >150 from a few weeks ago!

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Gareth Nickless @nicklessg.bsky.social · 21/02/2025

Have you seen: Cobra Kai (now finished as planned so no risk of investing time on a series only to see it get cancelled) You Supacell?

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Gareth Nickless @nicklessg.bsky.social · 03/02/2025

Gotta start saving money somewhere

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Gareth Nickless @nicklessg.bsky.social · 29/01/2025

There's also the short-term (some cancer treatment regimes) Vs long-term.polypharmacy issue to manage...

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Gareth Nickless @nicklessg.bsky.social · 29/01/2025

Think this reflects how we like to standardise everything. As you've alluded to, some LTCs may require no (Coeliac disease) or only one medicine (hypothyroidism) whereas others may start with four or five meds (heart failure, post-MI).

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Gareth Nickless @nicklessg.bsky.social · 17/12/2024

👍 Reminds me of this one I took at Liver Xmas markets on Sunday evening

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Gareth Nickless @nicklessg.bsky.social · 13/12/2024

And we need to hear from the GPhC about how the process has "worked" - number records reviewed, number candidates with problems with their submissions. RPS produce annual credentialing reports to share learning. GPhC policy states they'll share generic feedback but I've never seen any.

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