iiinova — where your digital self keeps evolving

Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 27/08/2026

Found out a family left a phone recording (audio only) while I was doing a procedure in a patient room. I'm not at all worried, because I'm not an ass hole to patients ever--but that's just gross and weird. End rant.

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Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 14/08/2026

Excellent word for it. It still is. I can't wrap my brain around the world anymore. It has been a 6 year long nightmare. I would like to say "I don't know how we got here" but I do.

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Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 14/08/2026

Yes. 100% this. Not even just willing to--they gleefully did it.

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Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 26/07/2026

A story in 4 photos... Some observations... -Strap anchors are trash -The person at the hardware who has helped me the last two weekends deserves a raise -Floating shelves are actually pretty easy to hang when you have the right tools/hardware -My house is about to get a bunch of floating shelves

A counter full of floating shelves and tools

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Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 24/07/2026

...but I'm not even sure that really answers the question. It made for really interesting conversation and I would love to get some thoughts on how you'd explain this to a 10 year old. 😊

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Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 24/07/2026

His mom (a nurse) explained what life support typically means (relative to the hospital). At which point he asked if his brother was on life support. None of us (several nurses and myself) have any idea how to separate the two other than acute/unstable vs chronic/stable...

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Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 24/07/2026

I have kind of an interesting dilemma for all my medical folks. My good friend has a medically complex kid trach/vent/g-tube etc. He's outlived his life expectancy by YEARS and is doing great Her son asked why someone should go on life support (heard it somewhere).

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Arrianna Marie Planey, PhD MA @arrianna-planey.bsky.social · 15/07/2026

I'm tired of the hypervigilance that comes with knowing that public health is being dismantled and preventable outcomes are becoming more prevalent.

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Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 10/07/2026

Silly consults are exhausting, but come on.

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Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 10/07/2026

Sometimes when other consultants in the hospital are dicks, I enjoy being disgustingly nice and appreciative for their time and expertise. Mmkaythanks buddy. 😘

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Vitamin Bee 🐝 @vitaminpac1.bsky.social · 25/06/2026

If anyone out there is writing a healthcare romance novel I give you permission to use “wetter than the last wipe in a purple top container”

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Darth Doctor Pete MD FAAP @darthdrpete.bsky.social · 04/06/2026

Pediatrician Here 👋🏻 Cherry Picking the one study that you Think supports your conspiracy theory while simultaneously ignoring decades of evidence and data to the contrary is Peak logical fallacy.

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Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 29/04/2026

One of my attendings referred to the cost of a medication to the patient as the "financial toxicity" and this is one of my new favorite terms.

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Elizabeth Cronise McLaughlin @ecmclaughlin.bsky.social · 11/04/2026

Listen up: I am one of those rare sex assault victims who actually took the guy who did it to court. It was a local scandal that put my initials on the front page of the local paper (not my whole name because I was a minor). You have no idea what happens to women on the stand or in the press.

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Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 10/04/2026

It's absolutely maddening. Don't even get me started on all the "alternative" therapies that people seem to think cures cancer.

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Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 09/04/2026

Weird, working in oncology, one of the things we talk about the most is how important eating regularly is.... SIIIIGGGGGHHHHHH

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Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 04/04/2026

We have a new Thai food truck in town. This is BIG news in rural Maine. To order, you can send them a facebook message, which I did today. Got a message back a few minutes later that said "it's ready, my mom just finished cooking it!" ...if that didn't melt my cold dead heart 🥹

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Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 29/03/2026

SAY. IT. LOUDER. I don’t even see kids anymore and I still chant this every day to someone who inevitably asks. We do a TERRIBLE job educating folks on general health topics (including many healthcare professionals)

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Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 21/03/2026

Gentle bites. 🤭 Minnie just pats your face gently when she wants attention. If you continue to ignore her (I would NEVER 😜) you get a gentle pat with one little claw.

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Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 21/03/2026

Sounds like Clyde. She routinely comes from another room just to bite me—then turns around and leaves. Cats, man.

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Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 18/03/2026

All of this. It doesn’t matter until it’s an inconvenience for them… This [literally everything] is so incredibly maddening.

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Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 17/03/2026

This level of willful ignorance is going to take generations to overcome

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Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 15/03/2026

ATTENTION!! The rural medpups (and Clyde) met cousin Telos today! 😍🥰😍🥰

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Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 04/03/2026

To clarify, I am definitely not criticizing anyone, but I don’t think it gets emphasized to the same extent it exists!

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Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 04/03/2026

I don’t think the education around antibiotics and thrombocytopenia is adequate… I feel like that’s half our consults. 😛

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Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 26/02/2026

I would pay large amounts of money to see this go down.

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sher12.bsky.social @sher12.bsky.social · 14/02/2026

Not sure who needs to hear this but the voter fraud rate is a mere 0.000003%. Anyone telling you otherwise is making shit up so they can take away your right to vote.

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Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 15/02/2026

Uhh is that wine? Through a vine?!?!

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Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 25/01/2026

“I’m not mad” and “are you ok?” Are not things domestic terrorists say…

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Ryan Marino, MD @ryanmarino.bsky.social · 20/01/2026

Maybe reducing healthcare coverage and increasing drug prices while also increasing preventable diseases and shuttering healthcare facilities will end up working out well

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Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 20/01/2026

That all makes sense. Such a horrible situation. I hate this for the family. The patient as well, obviously

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Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 20/01/2026

I’m so sorry. I’ve run into this a few times working in oncology and it is heartbreaking. Can they advocate for compassionate extubation/comfort care? Our palliative team does a really nice job with these situations. I’m so so sorry

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Rural(ish)Heme/OncPA @ruralfmpa.bsky.social · 15/01/2026

Anyone else still reflexively saving N95’s after use “just in case”? Just me? 🤣🤣

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Dr. Canuck, MD @drcanuckmd.medsky.social · 14/01/2026

Right wingers during COVID: “Do not comply!” Right wingers after a mother was murdered: “She should have just complied.”

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Christopher Webb @cwebbonline.com · 10/01/2026

A Black man was killed by ICE (off duty) in Los Angeles on New Year’s Eve. And like Renée Good, he was an American citizen. But most people have not heard about Keith Porter. I need y’all to realize this. Black people experience this lack of visibility all the time when it comes to being victims.

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Charles Gaba ✡️ @charlesgaba.com · 03/01/2026

And once again: ALL OF THIS COULD HAVE BEEN AVOIDED IF A TINY PERCENT MORE OF THE POPULATION HAD JUST FILLED IN A LITTLE OVAL NEXT TO THE BLACK LADY’S NAME. We ALL fucking warned EVERYONE, but too many didn’t listen or shrugged it off.

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