iiinova — where your digital self keeps evolving

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Ross Smith @ross1ross.bsky.social · 25/06/2026

It’s estimated that 10% of meta’s revenue comes from scam ads. No accountability and no consequences. What a ripoff. Whilst their activities cost Australians dearly, the billions in revenue is structured so they pay minimal tax. One could argue that Meta is a net liability to Australia

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Ross Smith @ross1ross.bsky.social · 07/09/2026

Around 10% of meta’s income comes from scam ads and most of these tech giants expatriate most earnings from Australia. One could argue that these platforms leave Australia with a net deficit both directly and including the secondary costs of the adverse affects of their platforms. Time to act.

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Ross Smith @ross1ross.bsky.social · 07/09/2026

Exactly. Here’s a theory:I get a feeling some people are psychologically inclined to have positive ‘responses’ from being angry about something and when they are exposed to the likes of Facebook and they themselves become the product, the algorithm knows how to feed this unconscious desire.

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Ross Smith @ross1ross.bsky.social · 25/06/2026

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Abbey @abbeyarletto.bsky.social · 23/06/2026

When reality surpasses fiction! Top: fictional forecast for August 2050, broadcast by French TV in 2014 to warn about the consequences of global warming. Bottom: Real French forecast for yesterday, June 22, 2026.

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Ross Smith @ross1ross.bsky.social · 07/05/2026

What we perceive to be a more pleasant architectural style is a fascinating topic . There must be so many levels of unconscious bias going on that it’s impossible to unravel why you prefer one style over another

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Eric Topol @erictopol.bsky.social · 05/05/2026

Yes again. Last week CDC. Now FDA. Blocking evidence of vaccine safety. www.nytimes.com/2026/05/05/u...

nytimes.com

F.D.A. Blocked Publication of Research Finding Covid and Shingles Vaccines Were Safe

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Ross Smith @ross1ross.bsky.social · 25/04/2026

Heading for a weekend camping trip and the first thing we come across is the biggest goanna I’ve ever met - you have to look closely. Probably 2m in length. As my English mother-in-law says: living in Australia is like living in a zoo

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Ross Smith @ross1ross.bsky.social · 12/04/2026

In these turbulent times there's nothing more uplifting than seeing a pod of dolphins whilst sailing in through entrance to Sydney harbour on an autumn afternoon. North head in the background

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Dr. Glaucomflecken @glaucomflecken.bsky.social · 07/03/2026

Hey I did a fun thing with @warren.senate.gov about breaking up giant healthcare conglomerates

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paulusthewoodgnome @paulusthewoodgnome.bsky.social · 05/02/2026

This extended interview from yesterday's Late Show between Stephen Colbert Ian McKellen is sheer delight from beginning to end. And the end will blow you away... youtu.be/2l2RqzVG4ag?...

youtu.be

"There's Nothing I Enjoy More Than Acting In The Theater" - Ian McKellen EXTENDED INTERVIEW

YouTube video by The Late Show with Stephen Colbert

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Eric Topol @erictopol.bsky.social · 29/01/2026

The largest randomized trial of medical A.I. —Over 100,000 women in Sweden —radiologist + AI vs 2 radiologists, in follow-up —AI added led to 29% more cancer detected, 44% reduced workload, and —Less cancer dx in subsequent 2 years, and, when found, less aggressive thelancet.com/journals/lan...

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Ross Smith @ross1ross.bsky.social · 24/01/2026

Thank you Mr Rafter for for your observations from 1957 - I wonder what you would think of the views now of Mr Trump.

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Ross Smith @ross1ross.bsky.social · 10/01/2026

I’m pleased to hear this! But if we had a Time Machine in 2024 and read this - we would have thought - whhhhaaaatt?

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Ross Smith @ross1ross.bsky.social · 30/12/2025

If you’re visiting Sydney - check out the Butcher’s Brew Bar in Dulwich hill for some great music . Excellent with Adam Pringle and friends tonight .

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Ross Smith @ross1ross.bsky.social · 30/12/2025

I was on that trail a few weeks ago - I’ll always check that I have a full compression bandage from now on.

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Tim Lyons @picketer.bsky.social · 29/12/2025

She is one very, very lucky walker. Someone had a compression bandage, a phone had signal and ......... helicopter medics got to her with antivenom in 50 minutes.😱

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Ross Smith @ross1ross.bsky.social · 21/12/2025

A spot of fishing on the beach in summer. Never actually caught anything in all our attempts but that’s probably not the main reason.

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Society for Intravenous Anaesthesia @sivanaesthesia.bsky.social · 26/11/2025

Nice view of the famous Liverpool skyline from up here! Both cathedrals, and the Radio City tower are visible. Bit chilly right now though. Liverpool is a brilliant city. We are looking forward to welcoming our delegates at tomorrow's Annual Scientific Meeting #SIVA25. See you there!

Liverpool skyline after dark. The two cathedrals are visible at the horizon, with the Radio City tower to the right.

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Stu Marshall @hypoxicchicken.medsky.social · 20/11/2025

This is just all gold. Stop everything now and read about hippos.

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Stephen McDonell @stephenmcdonell.bsky.social · 14/11/2025

OK. It's Friday and I think you lot need some lift-up music. Here's a thread to get you into the weekend, starting with this. Crank it up! www.youtube.com/watch?v=IyVP...

youtube.com

SAINT MOTEL - My Type (Official Video)

YouTube video by Saint Motel

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Stephen McDonell @stephenmcdonell.bsky.social · 24/10/2025

Very interesting from Bloomberg re Central Ctte meeting just finished in #China. Only 168 of 205 delegates turned up. You'd need a pretty good excuse not to be there. Of 37 "missing", one dead + ten had been officially purged. Where were the other 26? Also purged? www.bloomberg.com/news/article...

bloomberg.com

China Plenum Turnout Hits Lowest in Decades as Xi Widens Purges

A recently-concluded conclave of top Communist Party officials saw its lowest attendance rate since the years of the Cultural Revolution more than half a century ago, suggesting President Xi Jinping’s...

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Ross Smith @ross1ross.bsky.social · 05/10/2025

Very insightful comments on how to come to terms with the diminution of physical facility as one ages - from rich roll who is recovering from major back surgery.

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Ross Smith @ross1ross.bsky.social · 05/10/2025

University student submissions requires authors to specify if and how AI was used in their generation. If one make a statement proven to be false, the submission is failed and there may be other consequences. In corporate submissions shouldn’t that mean a full refund, not a ‘partial refund’. AFR

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Ross Smith @ross1ross.bsky.social · 19/09/2025

Interesting statement regarding the perceived veracity and responsibility of ChatGPT.

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Zack Labe @zacklabe.com · 06/09/2025

Visualizations with the latest Earth monitoring data: 📈📉 + Global climate indicators: zacklabe.com/climate-chan... + Polar climate indicators: zacklabe.com/arctic-sea-i... + United States climate indicators: zacklabe.com/united-state...

zacklabe.com

Climate change indicators

All data are referenced at My visualizations: Arctic Climate Seasonality and Variability Arctic Sea Ice Extent and Concentration Arctic Sea Ice Volume and Thickness Arctic Temperatures Antarctic Se…

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Eric Topol @erictopol.bsky.social · 12/08/2025

Does A.I. support of physicians lead to their deskilling? A new report of gastroenterologists doing colonoscopy for polyp detection, with and without A.I., raises the possibility www.thelancet.com/journals/lan...

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Ross Smith @ross1ross.bsky.social · 10/08/2025

Yes, amusing, if you ask some western Australians they may consider this to be the ideal map of Australia.

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Shai @shaiuk.bsky.social · 10/08/2025

Effort from openart.ai I see what you mean.

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Ross Smith @ross1ross.bsky.social · 09/08/2025

I tried asking the same thing for Australia with the wonderful new chat gpt 5 - I guess it’s technically correct but not quite what I was expecting when I asked it to “create a map”

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The Chaser @chaser.com.au · 17/07/2025

"There is so much more to consider than you think going into it" chaser.com.au/general-news...

Local man put more thought into Hottest 100 vote than he did for the election

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Ross Smith @ross1ross.bsky.social · 09/07/2025

One of the best concerts I've seen in the last 2 years - #Wilco at #TheEnmore in Sydney. Also reflecting on the similarities of working in an operating theatre and being in a band. Egos have to be suppressed in the moment so everyone can perform to their best. Concentration and integration of

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Ross Smith @ross1ross.bsky.social · 07/07/2025

I am not an expert - but with that rate of change in any natural phenomenon - (10-fold in around 3 hrs it looks like )- one is going to need some very sophisticated warning systems or alternatively create exclusion zones for human habitations in high risk areas.

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Ross Smith @ross1ross.bsky.social · 07/07/2025

Early morning dog walk - brisk , cold but the sunlight reflecting off the gumtrees on a winter morning in Sydney is uplifting.

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Michael E. Mann @michaelemann.bsky.social · 23/05/2025

Here's the latest comparison of global surface temperature observations (red) with IPCC climate model simulations (through March 2025, via @hausfath.bsky.social):

plot comparing global surface temperature observations ("Berkeley Earth" project--red) with IPCC ("CMIP6") climate model simulations (black is average over all models; blue shading shows spread among models)

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Finbarr Bermingham @fbermingham.bsky.social · 28/06/2025

Whacked on the BBC Glasto coverage to see what they were showing instead of Kneecap and caught Amy of Amyl & the Sniffers giving a pro Palestine speech... Beeb editors playing whack-a-mole

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Ross Smith @ross1ross.bsky.social · 21/06/2025

The power of music - walking into the Conservatorium of music Sydney for a workshop and hearing an individual practising their scales is uplifting. How does music work it’s magic?

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Trish Greenhalgh @trishgreenhalgh.bsky.social · 05/06/2025

As the Leng review starts to wind up, I remind you of the systematic review done by myself and @martinmckee.bsky.social earlier this year. No evidence of efficacy in most roles PAs are currently deployed in, no direct evidence of safety, no evidence of cost-effectiveness. www.bmj.com/content/388/...

bmj.com

Physician associates and anaesthetic associates in UK: rapid systematic review of recent UK based research

Objective To summarise research on the efficacy and safety of UK physician associates and anaesthetic associates in the context of an ongoing policy review. Design Rapid systematic review. Search st...

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Dr Pieter Peach @pieterpeach.com · 18/06/2025

Only way I can continue to use Bluesky while not being overwhelmed by the news firehose from the US (I feel for you all) is by sticking to the Anaesthesia feed. Muting posts with words relevant to the US isn’t enough. Wouldn’t have been able do this over on Twitter. #Ansky bsky.app/profile/did:...

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Nicholas Chrimes @chrimesy.com · 15/06/2025

Still easy for things to be inadvertently dropped into this/other compartments. In VIC, NMBAs on anaesthetic trolleys are kept in separate closed containers. I'd previously assumed this was standard everywhere.

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Nicholas Chrimes @chrimesy.com · 15/06/2025

We also did similar for high risk vasoactives as well as keeping drugs more likely to cause harm with error (vasoactives, heparin, etc) in 2nd drawer and more commonly used agents less likely to result in serious substitution errors (except NMBAs which are stored in separate box) in top drawer.

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Stephen McDonell @stephenmcdonell.bsky.social · 02/06/2025

In a parliamentary democracy I’ve always wondered why anyone thinks they have the right to “defect” to another party without leaving parliament and then being re-elected in the name of another party?

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Eric Topol @erictopol.bsky.social · 02/06/2025

Our ability to accurately determine an individual's risk for heart and vascular disease is getting transformed —New A.I. transformer model www.thelancet.com/journals/lan... —Meta-prediction www.nature.com/articles/s41...

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Ross Smith @ross1ross.bsky.social · 02/06/2025

Really enjoyed listening to these session from the Euroanaesthesia meeting in Lisbon .

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Stephen McDonell @stephenmcdonell.bsky.social · 27/05/2025

And this is bad because…?

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Dr. Glaucomflecken @glaucomflecken.bsky.social · 03/05/2025

Also, congrats to the Aussies for rejecting any semblance of Trumpism. I’m happy for you!

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