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Dr. McPixie (gem)

@spurll.com

Family medicine resident living and working in Treaty One territory. Former software dev. Host of the Life, the Universe & Everything Else podcast. On Mastodon @spurll@ramshackle.town. Website: https://spurll.com Podcast: https://lueepodcast.com

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24.11.2024
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Latest posts by Dr. McPixie (gem) @spurll.com

Big mood!

Eight or nine years ago I looked around and realized that it wasn't only my company: most tech companies were just as fucked up. So I threw up my hands and signed up to do high school biology by correspondence.

This July I finish my residency and start work as an independent family doc.

07.03.2026 14:56 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

What if, instead of the thing we’ve studied and designed with professionals and told people about, we do something totally different that meets nobody’s needs.

06.03.2026 03:16 πŸ‘ 18 πŸ” 4 πŸ’¬ 2 πŸ“Œ 0
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Slurs Filled a Chat Created by a Republican Party Official in Florida

passive voice final boss grand champion honorable mention award for turning slurs into a sentient thing that can do actions www.nytimes.com/2026/03/05/u...

06.03.2026 03:51 πŸ‘ 2182 πŸ” 498 πŸ’¬ 39 πŸ“Œ 20
Quotation from an email blast from CJPME:
When Carney finally took questions at a press conference on Tuesday, he admitted that β€œit appears that these actions [the US-Israeli attacks] are inconsistent with international law,” and called the war a β€œfailure of the international order.” He even said that Canada had supported it with β€œregret.” However, he reaffirmed that it doesn’t matter either way, because Canada continues to support the war regardless.''

Quotation from an email blast from CJPME: When Carney finally took questions at a press conference on Tuesday, he admitted that β€œit appears that these actions [the US-Israeli attacks] are inconsistent with international law,” and called the war a β€œfailure of the international order.” He even said that Canada had supported it with β€œregret.” However, he reaffirmed that it doesn’t matter either way, because Canada continues to support the war regardless.''

Absolutely horrifying stuff. The government is full to the brim with cowards and warmongers. I have lost track of the number of times the Liberal government has crossed a bright red line that would prevent me from ever voting for them again, "strategic necessity" be damned.

05.03.2026 22:41 πŸ‘ 2 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

Browaty says lower speeds don’t keep people safer (wrong), that drivers already moderate speed themselves when they need to (wrong) and only raise blood pressure of families rushing around to things (a contradiction of last point, and maybe we’re worried about all that rushing on our roads!)

04.03.2026 16:06 πŸ‘ 18 πŸ” 3 πŸ’¬ 7 πŸ“Œ 9

NO COOKIE FOR DARIO!

04.03.2026 18:22 πŸ‘ 67 πŸ” 11 πŸ’¬ 2 πŸ“Œ 0

β€œResistance is futile,” a thing famously said by history’s good guys

04.03.2026 03:06 πŸ‘ 1125 πŸ” 200 πŸ’¬ 18 πŸ“Œ 5

What's scary about this story is the surveillance it hints at. This trans woman had changed her name, legally, but chose not to change her gender marker. She was apparently flagged in the DMV system as trans and her license was invalidated under a law that supposedly only concerned gender markers.

03.03.2026 12:16 πŸ‘ 6986 πŸ” 3159 πŸ’¬ 71 πŸ“Œ 48
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03.03.2026 12:53 πŸ‘ 334 πŸ” 45 πŸ’¬ 1 πŸ“Œ 0
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She’d Never Changed Her Gender Marker. Kansas Invalidated Her License Anyway. β€” Assigned A trans Kansas resident recently changed her name but not her gender marker on her license, fearing what Kansas may do if she did. The Kansas DMV still flagged her ID.

This story, from @natezuke.bsky.social, is absolutely wild. A trans woman who never changed her gender marker was issued a letter invalidating her license. At the DMV they cut up her license, which had an "M" marker.

www.assignedmedia.org/breaking-new...

03.03.2026 12:05 πŸ‘ 3592 πŸ” 1639 πŸ’¬ 72 πŸ“Œ 267
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Keep the Door Open: Defend Fair Residency Access in Ontario Ontario introduced a rule requiring International Medical Graduates (IMG) to have completed two years of Ontario high school to apply to the CaRMS R1 residency match. The Superior Court has paused the...

Most of my co-residents are IMGs, and they're great docs who provide excellent care.

While the court has put the policy on pause while it reviews the case, these residents need your support (and your dollars to continue to fight the good fight). www.fairaccess.ca

02.03.2026 23:41 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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I urge everyone to support international medical graduates in Ontario, where the Ford government is attempted to effectively IMGs from matching to residency. This is a violation of their Charter rights (and a transparently racist policy).

02.03.2026 23:41 πŸ‘ 2 πŸ” 0 πŸ’¬ 2 πŸ“Œ 0

Want to murder a Canadian citizen in Canada? If you have a big enough economy, we’ll find a way to forget pretty quickly.

02.03.2026 13:12 πŸ‘ 114 πŸ” 34 πŸ’¬ 7 πŸ“Œ 1

shockingly people are capable of simultaneously,

1. Hating their government

2. Hating the people who bomb and sanction their country, making regular life impossible and murdering members of their family, even more

01.03.2026 17:31 πŸ‘ 6892 πŸ” 1132 πŸ’¬ 62 πŸ“Œ 23

Poem in the Shape of the Poet Beating Henry Kissinger to Death with Their Bare Hands by Felix

25.02.2026 17:47 πŸ‘ 5306 πŸ” 1937 πŸ’¬ 28 πŸ“Œ 68
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Β«TEVA a du sang sur ses mainsΒ»: cette pharmacienne accusΓ©e d’encourager un boycottage des mΓ©dicaments israΓ©liens La professionnelle a diffusΓ© plusieurs vidΓ©os en soutien aux Palestiniens

Bravo. Free Palestine. www.journaldemontreal.com/2026/02/26/t...

27.02.2026 05:31 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

My god, they keep finding new ways to do Nazi shit. Leave trans people alone. This is vile.

26.02.2026 12:12 πŸ‘ 11 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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Amazon Change Means Wishlists Might Expose Your Address Amazon is allowing gift senders to choose items from third-party sellers, which could open recipients up to new privacy risks.

If you have an Amazon wishlist, Amazon's just decided it's going to reveal your address to gift buyers from 25 March. There appears to be no actual reason to do this.

www.404media.co/amazon-wishl...

25.02.2026 23:47 πŸ‘ 49 πŸ” 31 πŸ’¬ 3 πŸ“Œ 10
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What is Bonesmashing? Inside the Extreme Looksmaxxer Technique As looksmaxxing enters our lexicon, the practice of bonesmashingβ€”tapping your face with a hammer to shape your bone structureβ€”is trailing close behind.

Wait they are literally hitting themselves in the face with hammers. Why is everything so stupid. www.gq.com/story/what-i...

24.02.2026 12:53 πŸ‘ 2285 πŸ” 306 πŸ’¬ 242 πŸ“Œ 261
a digital collage with a pink, purple, green, yellow, and teal gradient overlaid on all the images. the images include a horse carrying a bucket, a cluster of mushrooms, a grub, a birds talon, a cicada, five spiders, two flower buds, a hand with an eye over the back of it, and a microscope slide of atoms. there is white text that reads "get weirder or die miserable." the background is black and there is a slightly grainy texture

a digital collage with a pink, purple, green, yellow, and teal gradient overlaid on all the images. the images include a horse carrying a bucket, a cluster of mushrooms, a grub, a birds talon, a cicada, five spiders, two flower buds, a hand with an eye over the back of it, and a microscope slide of atoms. there is white text that reads "get weirder or die miserable." the background is black and there is a slightly grainy texture

get weirder 🫡

23.02.2026 22:40 πŸ‘ 10767 πŸ” 4651 πŸ’¬ 28 πŸ“Œ 36
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Jeffrey Epstein And His Network Of Rich Freaks Were Obsessed With The Chiropractor | Defector As the number of powerful, wealthy people revealed to have associated with Jeffrey Epstein increases, so too does the coherence of their collective excuse: They only knew Epstein as a genius of math a...

The feeling of having known something to be true, deep within your very being, only to have it confirmed as such. There's just nothing like it: defector.com/jeffrey-epst...

24.02.2026 03:37 πŸ‘ 3375 πŸ” 609 πŸ’¬ 88 πŸ“Œ 94
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The left doesn't hate technology, we hate being exploited: aftermath.site/anthropic-clau...

19.02.2026 14:30 πŸ‘ 1122 πŸ” 291 πŸ’¬ 12 πŸ“Œ 56

My "rare vibes detector" is going off

21.02.2026 17:21 πŸ‘ 184 πŸ” 33 πŸ’¬ 1 πŸ“Œ 0

Not only is this a betrayal to core campaign promises, he’s using neoliberal rhetoric to paint libraries as β€œcosts” rather than capacity.

i.e. what @moneyontheleft.bsky.social calls Neoliberal Public Finance.

moneyontheleft.org/2025/10/10/d...

21.02.2026 01:26 πŸ‘ 627 πŸ” 264 πŸ’¬ 5 πŸ“Œ 10

This is totally non-standard for any publication. Every pub everywhere pretty much cleans up uhms, uhm, and vocal tics like that, which EVERYONE DOES.

This is extremely intentional.

If I was writing this I’d probably do the quote β€œthis is of course a very longstanding policy of the United States”

16.02.2026 20:15 πŸ‘ 1481 πŸ” 351 πŸ’¬ 28 πŸ“Œ 14
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Wow Signal

17.02.2026 18:48 πŸ‘ 9286 πŸ” 3914 πŸ’¬ 97 πŸ“Œ 36

so now AI marketing has convinced people that they don't know how to write text messages, quick emails, stuff they've done for goodness knows how long. but no, now you're supposed to feel insecure about your ability to do that stuff. and the "corrected" version is the version without your humanity

17.02.2026 16:59 πŸ‘ 78 πŸ” 13 πŸ’¬ 3 πŸ“Œ 0

"Nazis were just regular people" is not a statement meant to evoke empathy or to excuse their crimes. It is a statement of warning.

The capacity to be part of and perpetrate atrocities is not limited to "monsters," it is wholly human. It is what we must always be aware of.

21.02.2026 05:02 πŸ‘ 4036 πŸ” 1393 πŸ’¬ 22 πŸ“Œ 15

This doesn't seem worth having a Discord account

22.02.2026 00:00 πŸ‘ 3802 πŸ” 2147 πŸ’¬ 50 πŸ“Œ 92