iiinova — where your digital self keeps evolving

Richard Ferro, MD MSc @richferro.com · 07/09/2026

Ok this campaigning for @bsky38.com is getting out of hand

Campaign text:

Friend, it’s Jerry Santiago (@jcsalterego.bsky.social).

The Bluesky establishment is doing everything they can to block my progress in the Bluesky 38 leaderboard and stall our momentum. We are just 1,000 votes shy of our critical midnight deadline, and I cannot close this gap alone.

I need you with me in this fight. If we lose traction now, we risk falling behind when it matters most.
Will you pitch in your votes right now to help us show Bluesky that I’m not going down without a fight?

Click here to vote for Jerry: bsky38.com

Reply STOP to quit. Paid for by Jerry for Bluesky.

Richard Ferro, MD MSc @richferro.com · 04/09/2026

Going to be posting this on Instagram later to encourage medical students at the @lmsanational.medsky.network #LMSA2026 conference to join @medsky.network and the Atmosphere! Let’s do this, pura vida!

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Richard Ferro, MD MSc @richferro.com · 04/09/2026

This take might be a little spicy but there’s a lot of parallels between current AI advocacy and the pro-life movement Read this quote below but replace “unborn” with “AI”

"The unborn" are a convenient group of people to advocate for. They never make demands of you; they are morally uncomplicated, unlike the incarcerated, addicted, or the chronically poor; they don't resent your condescension or complain that you are not politically correct; unlike widows, they don't ask you to question patriarchy; unlike orphans, they don't need money, education, or childcare; unlike aliens, they don't bring all that racial, cultural, and religious baggage that you dislike; they allow you to feel good about yourself without any work at creating or maintaining relationships; and when they are born, you can forget about them, because they cease to be unborn. You can love the unborn and advocate for them without substantially challenging your own wealth, power, or privilege, without re-imagining social structures, apologizing, or making reparations to anyone. They are, in short, the perfect people to love if you want to claim you love Jesus, but actually dislike people who breathe. Prisoners?
Immigrants? The sick? The poor? Widows? Orphans? All the groups that are specifically mentioned in the Bible?
They all get thrown under the bus for the unborn."

- Methodist Pastor David Barnhart

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Richard Ferro, MD MSc @richferro.com · 04/09/2026

I really really like @mu.social’s Newsroom page and I hope other platforms build something like this in the future

Newsroom page on Mu that shows New York Times headlines “what Gloria Steinham can teach us.”

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Richard Ferro, MD MSc @richferro.com · 03/09/2026

“If history shows anything, it is that there's no better way to justify relations founded on violence, to make such relations seem moral, than by reframing them in the language of debt—above all, because it immediately makes it seem that it's the victim who's doing something wrong.”

Debt - The First 5000 Years by David Graeber

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Richard Ferro, MD MSc @richferro.com · 31/08/2026

I guess that explains why there’s a dog sized hole in our backyard garden

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Richard Ferro, MD MSc @richferro.com · 27/08/2026

Welcome to Bluesky. Please familiarize yourself with the following accounts to understand the range of opinions it is acceptable to express.

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Richard Ferro, MD MSc @richferro.com · 24/08/2026

After 5 years, it’s the oldest plant I’ve ever owned. So proud of my fiddle leaf fig 🥹

Fiddle leaf fig, small and sitting by a tv monitor

Fiddle leaf fig, tall and sitting by the stairs

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Richard Ferro, MD MSc @richferro.com · 23/08/2026

Since there’s been some conversations re: moderation around here Here’s a preview for something I’ve been working on for the last few months

Moderation panel with a number of icons including lists, keywords, domains, and labels

Moderation keywords panel, with toggles that activate trigger warning and hiding terms

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Richard Ferro, MD MSc @richferro.com · 22/08/2026

In light of some concerns regarding increased anti-immigrant posting on the Atmosphere, we're introducing two new labels to @moderation.latinsky.app, "Anti-Immigrant Harassment" and "Anti-Indigenous Harassment". His the subscribe button to report harmful/hateful content to the labeler.

View of Latinsky Moderation labels

Anti-Immigrant Harassment
Content that aims to demean, intimidate, or exclude people based on their actual or perceived foreign birth, national origin, citizenship, or immigration status. Such content includes but is not limited to verbal abuse, intimidation, misinformation, and broad generalizations about the immigrant community.

Anti-Indigenous Harassment
Content that aims to demean, intimidate, or exclude people based on their indigeneity, race, ancestry, or culture. Such content includes but is not limited to verbal abuse, intimidation, misinformation, and broad generalizations about the indigenous community.

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Richard Ferro, MD MSc @richferro.com · 15/08/2026

This is a WIP I’ve been wanting to build for an extremely long time, since the first time I made the @medsky.network and @stemlabels.xyz labeler. In the same way Ozone has supported community moderation on the Atmosphere, it’s my hope that Nitrogen will improve algorithms on the Atmosphere.

Nitrogen Sidebar, with icons for “Dashboard”, “Feeds”, “Posts”, and “Moderation”

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Richard Ferro, MD MSc @richferro.com · 13/08/2026

Troubleshooting the @qbank.study interface before public launch and spending time drafting the official question bank for the platform (there will be no AI generated questions) Can you guess what the answer is #Medsky?

$A 12-year-old boy is brought by his parents to a pediatric urgent care because of 3 weeks of progressively worsening left-sided groin pain. His parents report that he has had increasing pain during the family’s evening walks, and his teachers have reported that he has been unable to sit for prolonged periods while at school. He is currently taking ibuprofen 2 to 3 times daily for pain control for the last week with minimal improvement. He reports no recent illnesses. He was recently diagnosed with prediabetes and was in an after-school PT program prior to the onset of his pain symptoms. The patient is 150 cm (4 ft 11 in; 55th percentile) tall and weighs 70 kg (155 lbs; >95th percentile); BMI is 31.3 kg/m2 (99th percentile). Temperature is 37.0° C (98.6° F), pulse is 90/min, and blood pressure is 133/80 mm Hg. Physical examination reveals antalgic gait and reduced range of motion on flexion and internal rotation of the left hip. While supine, the left hip involuntarily externally rotates and abducts when the hip is passively flexed to 90 degrees. The cremasteric reflex is present on exam, with no visible swelling of the scrotum and no tenderness to palpation of the testicles. The remainder of the physical exam findings are normal. Which of the following is the most likely underlying pathology associated with the patient’s condition? A. Slippage of the femoral epiphysis from the femoral neck B. Autoimmune-mediated destruction and inflammation of the hip joint C. Transient inflammation of the synovium of the joint D. Avascular necrosis of the femoral head E. Microfractures of the tibial tubercle apophysis$

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Richard Ferro, MD MSc @richferro.com · 11/08/2026

I follow the same rule for this video that everyone follows for the Tom Holland “Umbrella” Lip Sync Battle video

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Richard Ferro, MD MSc @richferro.com · 31/07/2026

According to @mackuba.eu’s PDS Leaderboard, @medsky.network is now at #134 with 12 accounts, tied with hellthread.pro and memo.dog

Medsky position in the top PDS list on the Atmosphere, at #134 with 12 accounts, next to hellthread.pro and memo.dog

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Richard Ferro, MD MSc @richferro.com · 29/07/2026

This is like when I finally deleted safari and started using chrome

Download page for Blacksky Community on Test Flight

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Richard Ferro, MD MSc @richferro.com · 21/07/2026

I guess I have to write some questions now don't I

Dashboard for a testing platform on AT Protocol, there is a navy blue sidebar that says "Dashboard", "Question Bank", "Flashcards", and "Explore"

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Richard Ferro, MD MSc @richferro.com · 18/07/2026

So I built something this week. You know how students spend thousands of dollars paying for question banks to study for exams like the MCAT and the USMLE? ... Yeah, let's change that. Coming soon to the Atmosphere.

Multiple choice question selection window for an online exam

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Richard Ferro, MD MSc @richferro.com · 14/07/2026

I wish for an easy-to-use AT protocol feed hosting architecture that can sustain 50+ for-you/mutuals style personalized feeds on my own server *SNAP*

One Wish Willow box from the movie Obsession

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Richard Ferro, MD MSc @richferro.com · 13/07/2026

Getting a lot of feelings today about Sam Neill's passing, and while my mind immediately raced to thinking about him as Alan Grant, I'm also reminded of his amazing performance in Hunt for the Wilderpeople. If you haven't seen this movie, please watch it and let it warm your heart in his memory.

Hector Faulkner (played by Sam Neill) and Ricky Baker (played by Julian Dennison) in Hunt for the Wilderpeople

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Richard Ferro, MD MSc @richferro.com · 13/07/2026

I remember watching the first episode of Peaky Blinders with my dad when it came out, and the episode was great, but it wasn’t until Sam Neill’s Inspector Campbell had his first big scene that we turned to each other and said “this just got good” RIP to the legend

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Richard Ferro, MD MSc @richferro.com · 11/07/2026

Hey #Pharmsky and #Nursesky! The Medsky servers just made an update and now when you sign up or migrate your account, you can choose between 3 different default handles, including .pharmsky.network and .nursesky.network! Get your handle now by migrating your account at move.medsky.network!

Change Handle window on the Medsky/Blacksky settings page, displaying the dropdown menu of available handles for accounts on the Medsky PDS: .medsky.network, .nursesky.network, and .pharmsky.network

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Richard Ferro, MD MSc @richferro.com · 10/07/2026

Obsession further reinforces my feelings about this Letterboxd review I read for Companion

Letterboxd Review for Companion by Reyna Cervantes: “I think men should be born into prison and have to earn their way out.”

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Richard Ferro, MD MSc @richferro.com · 10/07/2026

Fluttering butterfly wings on refresh maybe? 👀

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Richard Ferro, MD MSc @richferro.com · 09/07/2026

Looks like Bluesky finally updated the hosting provider option on their login page! That means for people on the Blacksky/Latinsky or the Medsky server, Bluesky will recognize the hosting provider when you log in without having to enter it manually. HUGE improvement for non-Bluesky accounts.

Confirmation window when logging on, that says

“Your username and password will be shared with medsky.network. If you don't recognize this provider, double-check your username.”

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Richard Ferro, MD MSc @richferro.com · 08/07/2026

This is the first drawing I did of the Latinsky logo, it’s been on my wall for nearly a year now Grateful for the communidad and familia ❤️ Latinsky para siempre

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Richard Ferro, MD MSc @richferro.com · 08/07/2026

The Swiss coach looks like a man who’d order a hit on someone that would be carried out by this guy

Turkish shooter Yusuf Dikeç at the 2024 Paris Olympics

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Richard Ferro, MD MSc @richferro.com · 04/07/2026

Kevin thinks France is beating Paraguay today 😭

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Richard Ferro, MD MSc @richferro.com · 04/07/2026

For context these are the fireworks and how they were set up on the field at BMO after the Angel City game I took this probably 1-2 minutes before the accident

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Richard Ferro, MD MSc @richferro.com · 26/06/2026

My heart goes out to the Tico in a sea of USA and Turkey fans waving the Costa Rican flag at last night’s FIFA game in LA Pura vida, Hermano ❤️🇨🇷

Person waving the Costa Rican flag in a crowd at a sports stadium

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Richard Ferro, MD MSc @richferro.com · 13/06/2026

Goodbye verification Hello Masters in Health Policy and Management

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Richard Ferro, MD MSc @richferro.com · 13/06/2026

An interesting revalation I’ve had after watching the Backrooms movie & learning more about liminal spaces is that it made me realize many of the places in Spirited Away, one of my all time favorite movies, are *perfect* examples of liminal spaces, and may be the reason I love the movie so much

The empty train station in spirited away

Corridor leading to yubaba’s office on spirited away

Hallway of the bathhouse in spirited away

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