iiinova — where your digital self keeps evolving

Reposted by Shannon Castle MD

Georgene Smith Goodin @gsmithgoodin.bsky.social · 16/07/2026

8 years ago this kid spent 5 weeks @CHLA due to a traumatic injury. Excellent care left her wanting to be a doctor when she was discharged. Today she will be speaking about that experience at her first medical conference. With @sleighcastle.bsky.social

Young girl in pink scrubs getting ready to eat a crepe.

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Tressie McMillan Cottom @tressiemcphd.bsky.social · 25/01/2026

Charles Yang of Time for Three absolutely slaying me. I would lose my mind if I heard this live. Even crappy phone speakers made me scream and cry.

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Carlton Kirby @carltonkirby.bsky.social · 16/09/2025

🤣🥊

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Shannon Castle MD @sleighcastle.bsky.social · 15/09/2025

Me: “look at those lovely chairs by the lake set up so that people can get mosquito bites” Hubs: “you sound like @carltonkirby.bsky.social.” Highest compliment.

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Dr. Canuck, MD @drcanuckmd.medsky.social · 13/09/2025

It’s wild that Americans don’t get the link between lots and lots of people having guns and lots and lots of people getting shot.

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Senator Bernie Sanders @sanders.senate.gov · 11/09/2025

The murder of Charlie Kirk is part of a disturbing rise in political violence that threatens to hollow out our public life. A free society relies on the premise that people can speak out without fear or humiliation. No more political violence.

youtu.be

In Wake of Charlie Kirk Murder, Sen. Bernie Sanders Addresses Rising Political Violence in America

YouTube video by Senator Bernie Sanders

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Shannon Castle MD @sleighcastle.bsky.social · 08/09/2025

A true national holiday. Love you @theonetruekat.bsky.social. The rest of y’all be safe.

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Thomas [DARK MODE], DO @tom.medsky.social · 06/08/2025

I'm seeing a lot of big accounts missing the mark on this story. HHS through BARDA is cancelling contracts for mRNA vaccine research related to viral respiratory illnesses. This does not affect mRNA cancer research by NIH and Moderna. It's still bad news but let's try to keep our facts straight.

Screen grab of a section of the HHS press release which is black text on white background.

The wind-down affects a range of programs including:Termination of contracts with Emory University and Tiba Biotech.De-scoping of mRNA-related work in existing contracts with Luminary Labs, ModeX, and Seqirus.Rejection or cancellation of multiple pre-award solicitations, including proposals from Pfizer, Sanofi Pasteur, CSL Seqirus, Gritstone, and others, as part of BARDA’s Rapid Response Partnership Vehicle (RRPV) and VITAL Hub.Restructuring of collaborations with DoD-JPEO, affecting nucleic acid-based vaccine projects with AAHI, AstraZeneca, HDT Bio, and Moderna/UTMB.

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Ryan Marino, MD @ryanmarino.bsky.social · 06/08/2025

There is simply not enough to say about how bad this is. Not only will we miss out on cures for infections & things like pancreatic cancer, the US will fall behind in science, tech, economy, and while other countries will take this over it will still be slowed/delayed. It’s a national security risk!

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Shannon Castle MD @sleighcastle.bsky.social · 06/08/2025

My work parters are clinicians I trust implicitly with patients, and always have my back personally, but reached potentially new heights today when one emailed the Classics professors at Fresno State to clarify a group text discussion about conjugation of an Ancient Greek word.

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Shannon Castle MD @sleighcastle.bsky.social · 01/08/2025

Packed parking lot at climbing gym. 5 Subarus parked in the dirt on the side. Because they can?

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Reposted by Shannon Castle MD

Ida Bae Wells @nhannahjones.bsky.social · 22/07/2025

The images of children starved to death in Gaza should be the lead of every news program.

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Puff the Magic Hater @mskellymhayes.bsky.social · 14/07/2025

“When all the good in you starts arguing with all the bad in you about who you really are, never let the bad in you make the better case.” — Andrea Gibson

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The New York Times @nytimes.com · 08/07/2025

Los Angeles residents were outraged after dozens of federal agents marched through MacArthur Park, in one of the city’s most immigrant-heavy neighborhoods. Homeland Security officials said it was an immigration enforcement operation, though it was unclear if anyone had been arrested. trib.al/JYW5IsU

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Botanical Society of America @botsocamerica.bsky.social · 02/07/2025

The #Botany2025 Program is now available to view! Visit www.botanyconference.org and select the Program menu item. Don't forget that there is still time for registered attendees to add Lightning Talks or Recent Topics Posters to this year's conference through July 11th.

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Shannon Castle MD @sleighcastle.bsky.social · 17/06/2025

Anyone else’s day start with the family group chat popping off about getting tickets to Primus? Just mine?

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Shannon Castle MD @sleighcastle.bsky.social · 15/06/2025

I would like to thank my dad on this fathers’ day, plus a couple of home plumbing issues as a child, for teaching me enough that I was able to quickly find our water main and shut it off last night. Basics but… clutch.

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Shannon Castle MD @sleighcastle.bsky.social · 13/06/2025

Me climbing last night with a field biologist and an F-18 pilot. In the middle of someone’s complaints about their day someone else looks around and says “you guys ever think about how the three of us had WILDLY different days?”

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The New York Times @nytimes.com · 11/06/2025

Gov. Gavin Newsom made the case in a televised address Tuesday evening that President Trump’s decisions to send military forces to immigration protests in Los Angeles have put the U.S. at the precipice of authoritarianism. trib.al/EpbF098

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Georgene Smith Goodin @gsmithgoodin.bsky.social · 09/06/2025

I was at that protest. We marched from Mariachi plaza. It was totally peaceful until they started lobbing tear gas and flash bangs directly into the crowd.

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Raphael Mimoun רפאל מימון @raphmim.bsky.social · 09/06/2025

Nothing more LA than this woman selling dirty dogs in between rubber bullets and tear gas

Street vendor in the middle of a protest

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Shannon Castle MD @sleighcastle.bsky.social · 09/06/2025

I think the rest of the country doesn’t understand LA, doesn’t appreciate LA, and underestimates LA. It does not need to be liberated. #vivalosangeles

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Jacob Soboroff @jacobsoboroff.bsky.social · 07/06/2025

live from the huge spontaneous anti-ICE protest after the agency used military-style tactics during a series of raids in Los Angeles today.

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Peter Nguyen @dptbirder.bsky.social · 08/06/2025

Going to entice a couple of folks with this Black Phoebe playing around with a couple of pill bugs 📷🪶 Also, Watch some tennis 🎾

Black Phoebe on a branch with two pull bugs

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James Queally @jqwritesstuff.bsky.social · 08/06/2025

In the last 20 or so minutes I’ve seen LAPD officers shove women to the ground without provocation, rip a sign out of a man’s hand and then swing a baton into his leg and raise a less-lethal launcher to aim directly at a protester (which I’m 99% is a major policy violation.)

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Alyssa Burgart, MD, MA (BurgartBioethix) @alyssaburgart.com · 25/01/2025

Healthcare workers: Now is a great time to plan ahead before you’re face-to-face with an ICE agent. I’ve compiled 14 tips for healthcare workers ⬇️

poppiesandpropofol.com

Be a Strong Link for Immigrant Patients 🔗

Enhance the ethical care of all patients when immigration agents enter hospitals

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Shannon Castle MD @sleighcastle.bsky.social · 26/05/2025

Gorgeous weekend in the backyard aka the Sierra National Forest. Truck parked next to me yesterday at a crag had a note on it that said “hey guys, I tried to join you but I got really lost on the trail and couldn’t find my way up.” Good things are hard to find I suppose. Friends help.

View looking south from rocks south of Madera peak. Many mountains.

View through some rocks. Would like a better camera. It’s an iPhone shot.

Burnt trees, rocky ridge line in back— shuteye and chiquito dome

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The One True Kat @theonetruekat.bsky.social · 22/05/2025

Frank, the Black Phoebe, has snacks on offer. 🪶

A handsome black bird with a white undercarriage has snacks.

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Reposted by Shannon Castle MD

Nelson Flores @nelsonlflores.bsky.social · 21/05/2025

Kudos to this woman for speaking up and disrupting the normalization of asking citizenship status doing routine screenings at the hospital. Those of us who are US citizens all need to disrupt this normalization by refusing to answer and inquiring into why they are asking. share.inquirer.com/gwBasP

share.inquirer.com

A retired nurse cancels her surgery at Temple Hospital after being asked about her citizenship

A Temple spokesperson, without identifying the patient by name, said she was asked about citizenship in error. It appears uncommon for healthcare providers to inquire about status.

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Shannon Castle MD @sleighcastle.bsky.social · 22/05/2025

So fun to hear Ken talk last night! Also I think I have now heard at least 5 firsthand stories of the quality of the famous Yosemite plane crash spoils. Learn from your elders! #history #fresno

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Shematologist, MD @shematologist.medsky.social · 18/04/2025

For herd immunity against measles, 92-95% of the population must be vaccinated. As a live vaccine MMR can’t be given to pts who are immune suppressed (including pts receiving chemo/radiation or immunosuppression) And it’s not effective in newborns. So if you CAN get it, we REALLY need you to.

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Shannon Castle MD @sleighcastle.bsky.social · 17/05/2025

I was brave enough to debate the great Jim Davis at the Central CA trauma symposium. I brought props.

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Shannon Castle MD @sleighcastle.bsky.social · 09/05/2025

APSA FOMO tempered by Glacier Point bikes only day. Work, head to Yose! Was great to run into people from the bay and LA in the middle of CA here. TT still hates pictures.

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Shannon Castle MD @sleighcastle.bsky.social · 26/04/2025

Call weekend: currently thankful for the or unit clerk who just forced me to drink a bottle of water because she’s tired of me being dehydrated on Sunday and asking repeatedly why I have a headache.

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Shannon Castle MD @sleighcastle.bsky.social · 24/04/2025

I’m sitting on my couch crying about a Dutch woman I don’t know. Epic.

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Shannon Castle MD @sleighcastle.bsky.social · 20/04/2025

Please compare this to the men’s podium. Women! Strong enough to race AND enjoy the beer. Puck remains my fave.

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Rhea Liang @liangrhea.bsky.social · 14/04/2025

In just a few days! Such an important topic, can't wait 🤗. #Sustainability #ClimateChange 🌏🌊🔥🌳

The Impact of Natural Disasters on the OR Thursday, April 17 | 3:00-4:00 pm US CT Join us for a free webinar! Panelists will examine the impact of natural disasters on patterns of acute surgical presentations and the surgeon's role in disaster response

MODERATOR Rhea Liang, MBChB, FACS General and Breast Surgeon Clinical SubDean, Bond University Gold Coast, Australia
PANELIST Sally Butchers, MD, FRACS General Surgeon Lismore, Australia
PANELIST Howard I. Pryor Il, MD, FACS Trauma Systems Medical Director, Texas Children's Hospital Houston, Texas
PANELIST Ifereimi Waqainabete, MD Professor, The University of Fiji - Suva Campus Fiji

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Shannon Castle MD @sleighcastle.bsky.social · 14/04/2025

Springtime weekend in the backyard aka Sierra National Forest.

River/reservoir winding through green hills

Multiple snow capped mountain peaks in distance, granite dome land in front, visible burnt trees

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George Takei @georgetakei.bsky.social · 07/04/2025

A reminder that if the government can send migrants to a prison camp without any due process, it can send U.S. citizens there, too. I know because this happened to me and my family in 1942.

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Physicians for a Healthy Democracy @physiciandemocracy.medsky.social · 26/03/2025

America’s golden age has just begun…

Florida debates lifting some child labor laws to fill jobs vacated by undocumented immigrants

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WuTangIsForTheChildren @wutangforchildren.bsky.social · 27/03/2025

Meanwhile in Florida….absolute insanity with these proposed child labor laws

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Chris Hayes @chrislhayes.bsky.social · 26/03/2025

This guy is in one of the worst prisons in the world with no way out and may spend the rest of his life there because, it appears, he has an autism awareness tattoo in honor of his little brother. www.motherjones.com/politics/202...

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Alice (SHE/HER) Sato, MD PhD @asato4kids.bsky.social · 27/03/2025

If a trainee came to me with an idea for a research study, I would have them do a literature review to focus the question being asked and verify the science behind it. Can’t imagine that a thoughtful student would complete that review and think this plan makes any sense.

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