iiinova — where your digital self keeps evolving

Stephen Makin @stephenmakin.bsky.social · 16/07/2026

Anyone got a TIA clinic proforma i can steal?

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Stephen Makin @stephenmakin.bsky.social · 02/07/2026

My dogs can’t really understand why I can turn the wind off in the car but not the garden.

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Stephen Makin @stephenmakin.bsky.social · 28/06/2026

I live in a house built in 1849, does that count?

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Reposted by Stephen Makin

Tom Gauld @tomgauld.bsky.social · 31/05/2026

A cartoon about book festivals for @theguardian.com

Panel 1
Caption: The town is famed for its year-round book festival, but for one weekend in summer, it closes.
The literary people leave on a fleet of coaches and the tents are dismantled.

Image: Workers take down a tent. A bus departs.

Panel 2
Caption: The unbroken parade of bookshops on the high street move novels and tote bags to back rooms and fill their shelves with everyday items

Image: A bookshop with shelves containing eggs, loo roll, a coffee pot, a bucket, bleach, a pineapple, etc

Panel 3
Caption: With no talks, signings, or workshops to attend, the townsfolk gather on the green, conversing uncertainly on non-literary topics.

Image: people on the green with speech bubbles labelled "The weather", "Football", and "Proposed Ring-road"

Panel 4
Caption: Everyone enjoys the novelty, but agrees that one weekend is enough. On Monday morning the festival resumes with a kev-note address from Robert Macfarlane.

Image: A fascinated audience watches Robert talk, a projector shows a book with a bird on the cover.

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Stephen Makin @stephenmakin.bsky.social · 25/05/2026

You think you’re camping in the middle of nowhere. Meanwhile the neighbourhood WhatsApp group is talking about who is going to have a word.

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Stephen Makin @stephenmakin.bsky.social · 23/05/2026

Interesting- it’s 11 degrees here,

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Reposted by Stephen Makin

Jane Shanahan @janeshanahan.bsky.social · 23/05/2026

Anticholinergic Burden & CKD www.kireports.org/article/S246... Conclusion: Anticholinergic burden was associated with greater risk of CKD progression. Suggests it could contribute to a decline in renal function & highlights importance of medication review in CKD management

kireports.org

Anticholinergic Burden and Progression to Kidney Replacement Therapy

The cholinergic system exerts nephroprotective effects through antiinflammatory and vasoregulatory pathways. However, the impact of anticholinergic medications on chronic kidney disease (CKD) progress...

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Stephen Makin @stephenmakin.bsky.social · 20/05/2026

Big floof meets little floof. Millie is our newest lodger. We let her keep a pet human too.

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Stephen Makin @stephenmakin.bsky.social · 19/05/2026

You know you’ve been talking to much about your job plan when your phone autocorrects you to say ‘Going to the GIM for a workout’

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Stephen Makin @stephenmakin.bsky.social · 08/05/2026

Took Bonnie to vote yesterday. Shout out to the polling team who let her in, petted her, and held her whilst I voted. She’d vote for EVERYONE

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Stephen Makin @stephenmakin.bsky.social · 04/04/2026

Today I have discovered that anyone can go to the dog lounge on the ferry You don’t need a dog. You can just go in and make friends

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Reposted by Stephen Makin

Alasdair MacLullich @amaclullich.bsky.social · 03/04/2026

"It's just the dementia progressing." A very dangerous phrase in clinical care. Acute change in someone with dementia? That's #delirium until proven otherwise. ↳ Don't put the stick in the patient's wheel. #Delirium

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Stephen Makin @stephenmakin.bsky.social · 02/04/2026

I wish I wasn’t so easily distracted by pretty expensive things that go up in the air. Fireworks. Lunar missions. They just cheer me up and distract me from wars.

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Stephen Makin @stephenmakin.bsky.social · 29/03/2026

Watching the whole ‘no kings’ protest with interest. Can’t help thinking King Charles isn’t that bad really.

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Reposted by Stephen Makin

Alasdair MacLullich @amaclullich.bsky.social · 27/03/2026

Why are we building complex AI systems to detect delirium from casenotes when we could just... do a 2-minute bedside test? The 4AT exists. It's well-validated (33 studies). It's free. Sometimes clinical medicine doesn't need machine learning. #delirium

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Reposted by Stephen Makin

Trish Greenhalgh @trishgreenhalgh.bsky.social · 27/03/2026

Incredible substance here from @chrischirp.bsky.social. The 2nd wave of COVID-19 in the UK was a) devastating and b) avoidable. Take time to play the clip of Prof Kevin Fong who breaks down when describing the scale of death and its impact on ICU staff. christinapagel.substack.com/p/the-uk-cov...

christinapagel.substack.com

The UK Covid Inquiry has laid bare the avoidable horror of the second Covid wave

It is becoming ever clearer both how devastating the second wave of winter 2020/21 was, and how much of that devastation could have been avoided.

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Stephen Makin @stephenmakin.bsky.social · 26/03/2026

The news seems to be the US’s ‘duck about and find out moment’

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Stephen Makin @stephenmakin.bsky.social · 23/03/2026

Dogs enjoyed running around like mad things, Bella the Newfoundland got a large amount of twigs in her Floof. Next weekend off I need to make my annual pilgrimage to Greens Nursery in Narin to buy Brassica seedlings. Then time to plant potatoes.

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Stephen Makin @stephenmakin.bsky.social · 23/03/2026

A successful weekend in the walled garden. Onion sets and broad beans are planted, some daffodils are out. First veg has germinated. Not sure what as I forgot to label! Either spinach or radish. Mini Cabbages transplanted into cold frame.

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Stephen Makin @stephenmakin.bsky.social · 20/03/2026

Thought, I am lazy. I have no reason to be tired! Oh it’s day 12.

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Stephen Makin @stephenmakin.bsky.social · 20/03/2026

I love trials that disprove pointless dogma

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Stephen Makin @stephenmakin.bsky.social · 20/03/2026

Have discovered @iszi.com ‘s new podcast on Egypt! Thats going to keep me going whilst I transplant my plants brassica seedlings

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Stephen Makin @stephenmakin.bsky.social · 19/03/2026

This week we learnt that in the far north the AA won’t come out for a ‘petrol in diesel incident. We also learnt that Campbell, who fixes cars behind the black stairs can.

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Reposted by Stephen Makin

Orkney Library & Archive @orkneylibrary.bsky.social · 18/03/2026

The Orkney Women Doctors Research Group will be holding an event at Orkney Library & Archive THIS Saturday (21st March). There will be a display of artefacts and archival material relating to early women doctors and their lives. It's FREE to attend so drop in any time between 11am and 3pm.

A poster about an Orkney Women Doctors Research Group event on Saturday 21st March.

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Stephen Makin @stephenmakin.bsky.social · 18/03/2026

Dogs are amazing. Another species who will love you in a way you would never have thought possible!

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Reposted by Stephen Makin

Trisha Elliott @trishaelliott.bsky.social · 15/03/2026

On Mothers Day, I often think about all the trainees, young doctors and medical & nursing students that I’ve known over the years. I’m not their biological mother, but that doesn’t stop me from being very proud of what they’ve achieved. Supporting the next generation is about much more than genes.

media.tenor.com

a woman in a yellow jacket with the words you guys are amazing

ALT: a woman in a yellow jacket with the words you guys are amazing

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Stephen Makin @stephenmakin.bsky.social · 15/03/2026

You know, the best decision I ever made was a 10 year fix rate mortgage in 2023. Right up there with getting married.

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Stephen Makin @stephenmakin.bsky.social · 12/03/2026

But I only feel like myself when I’ve got a ward, and a slot on the on-call rota.

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Stephen Makin @stephenmakin.bsky.social · 12/03/2026

Ive tried talking firmly to my immune system and telling it to stop!!

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Stephen Makin @stephenmakin.bsky.social · 12/03/2026

First on call since July. Had a brief pause whilst my body tried to kill me. It’s got bored now so…

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Reposted by Stephen Makin

Alasdair MacLullich @amaclullich.bsky.social · 12/03/2026

Family members: You are the expert on your loved one's baseline. If staff say "just having a bad day," respectfully insist: "This is not normal for them. I need a delirium assessment."

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Reposted by Stephen Makin

Alasdair MacLullich @amaclullich.bsky.social · 11/03/2026

Families know the patient best. "This isn't like her normal self" is very commonly the first sign of #delirium. Staff: take this observation seriously & assess immediately for delirium with a tool like the 4AT.

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Reposted by Stephen Makin

Uncle Duke @uncleduke1969.bsky.social · 11/03/2026

“Ma’am, my partner and I have done a thorough inspection of your property, and I’m afraid you’re going to need a new flowerbed, several bushes, and you will most likely need to reseed the lawn. If you want, we can work up an estimate and get back to you.”

Two completely mud-covered dogs rest in front of a pair of doors.

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Stephen Makin @stephenmakin.bsky.social · 11/03/2026

After a lovely week of spring it’s getting windy again.

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Reposted by Stephen Makin

Alasdair MacLullich @amaclullich.bsky.social · 10/03/2026

"It wasn't until a geriatrician reviewed my mother's medications that we found the cause of her sudden confusion. A new sleeping pill... Within two days of stopping it, she was back to her old self." #delirium

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Stephen Makin @stephenmakin.bsky.social · 08/03/2026

Have decided to stop doom scrolling on Facebook. Doom scrolling seed catalogues instead.

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Reposted by Stephen Makin

Alasdair MacLullich @amaclullich.bsky.social · 23/02/2026

🧠 Delirium = the only dedicated delirium journals. 👍100% open access. 👍Ultra-low fees ($20 submission, $280 publication). 👍All study types welcome & rapid 4-week peer review. #delirium #medtwitter

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Stephen Makin @stephenmakin.bsky.social · 22/02/2026

Very relieved. I’m no longer a sole practitioner. There’s another therapy dog in Caithness. Meanwhile Bella would be happy to chat to any dogs looking to train their humans to be consultant geriatricians.

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Stephen Makin @stephenmakin.bsky.social · 15/01/2026

On a Scottish stroke audit meeting. Bella wants to know why no mention of therapy dog services!

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Stephen Makin @stephenmakin.bsky.social · 15/01/2026

My wife is registered with a single handed GP with a list of 2500. He and his team know everyone inside out (literally). Appointments always available with in 2 days.

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Stephen Makin @stephenmakin.bsky.social · 02/01/2026

Vile weather today. Spent most of it inside playing Brass Birmingham and Castles of Burgundy

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Stephen Makin @stephenmakin.bsky.social · 15/11/2025

My wife woke me up this morning at six to remind me it was time to go to the gym before work. It’s Saturday and a rest day

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Stephen Makin @stephenmakin.bsky.social · 29/10/2025

I’ve been a 6am person for a while- I didn’t think their would be many 5am hours people

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Stephen Makin @stephenmakin.bsky.social · 29/10/2025

Who are all these crazy people in the gym at 5.30 am. I thought I’d have the place to myself

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