iiinova — where your digital self keeps evolving

Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 09/08/2026

Celebrating a birthday next week. Realized I only have a decade left before retirement from uni. What I do with that is up to me.

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 09/08/2026

I left an organization yesterday. No regrets. Feel lighter.

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Reposted by Iris Thiele Isip Tan MD, MSc

Culture Crave 🍿 @culturecrave.co · 20/07/2026

Australia is planning some of the world's toughest AI regulations • Water usage will be limited • AI data centers will be required to become net producers of energy • AI companies can't train on Australian creators' work without their permission • Proposals expected to be introduced in 2027

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Sophie Labelle @assignedmale.bsky.social · 07/08/2026

Your bad art is better than AI slop.

four frame comic. first frame shows a typical AI poster that says : All chatgpt flyers look the same, especially with this font! the text above it reads : I won't go to your event if the poster was made by AI. second frame shows a still frame from a Hank Green youtube video. text above reads : I won't read your post or email and I won't watch your video if they were made with AI. third frame shows an AI restaurant poster of burgers and chicken in a window. text reads : I won't patronize your shop or restaurant if it is advertised with AI. last frame shows an MS paint window with badly written : Your bad art is better than AI slop. text reads : if you can't take the time or make the effort to interact with me yourself, then why should I do it?

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 09/08/2026

Going back here … to learn from the hive.

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Carl T. Bergstrom @carlbergstrom.com · 08/08/2026

My friends are all like "what's the obsession with fountain pens, dude?" My brothers and sisters in Christ you just pick them up and start writing without 2FA or *anything*!

Black Pelikan 140 fountain pen atop notes for a mathematical model, written in brown ink.

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Helen Madamba @helenvmadamba.bsky.social · 16/05/2026

Psychological safety is being able to voice out your thoughts and ideas without fear of judgement or blame. It is difficult for multi-disciplinary conferences, but it is possible with an experienced facilitator or moderator. #HealthXPH

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Cyril Delfino @akolangto.bsky.social · 16/05/2026

Yeah..we all make mistakes, but not everyone is willing to accept that, and not everyone will take responsibility and sincerely apologize. #healthxph

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 16/05/2026

T3. I think it also means that for the person presenting, there must be respect for the number of hours of work and effort behind the presentation. Some higher ups are always looking for mistakes that they can focus on rather than the “meat” or outcome of the case.#healthxph

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Remo Aguilar @bonedocph.bsky.social · 16/05/2026

T3. Exactly why we have MS Con. For me I always try to look also beyond words. Their context, operating scenarios, challenges. Look for the common ground and start there. The HCS is unfortunately siloed into different services. #Healthxph

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 16/05/2026

T3. It would mean no aggressive insults hurled or refraining from even microexpressions during conferences. Every person is entitled to share what they learned, no matter how obscure the fact, or how little their experience is. That still counts. We don’t need “wow” all the time. #healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 16/05/2026

I’m glad I was able to think of a non-AI topic for this week’s #healthxph chat.

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 16/05/2026

T2. Yes, especially if in differences of opinion in the people who are managing the case. It would do well for the other doctor referred to not to criticize the treatment of the referring doctor WHILE the patient listening. My thing is, if you don’t agree, let the other know DIRECTLY.#healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 16/05/2026

#healthxph Psychological safety means there’s no judgment and options are explored so that the best way forward for the patient can be agreed on amicably.

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 16/05/2026

I included this question because I see it causes anxiety too for the trainees. what do I say… can the consultant back me up? what if the other services don’t agree? #healthxph

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 16/05/2026

T1. After a bad experience of being scolded in the past, some people would rather not risk the possible discomfort of public humiliation. For a trainee or a fellow, it might keep you quiet because you don’t want to be seen as someone who talks a lot.#healthxph

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 16/05/2026

T1. Apart from “not wanting to commit a mistake”, sometimes there is an endorsement that you don’t want to “stand out too much” that you’d be having people become “watchful” of your every move. #healthxph

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Remo Aguilar @bonedocph.bsky.social · 16/05/2026

Some would even take it as a cautionary warning lol! Like cge speak up..#Healthxph

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Helen Madamba @helenvmadamba.bsky.social · 16/05/2026

I just hope the healthcare team do not disagree in front of the patient, it might be difficult to arrive at a shared decision, unless at multi-disciplinary conference when pros and cons need to be weighed. #HealthXPH

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 16/05/2026

Let’s go to T3. #healthxph because at our national hospital, we get very complex cases, multidisciplinary conferences are needed often.

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Remo Aguilar @bonedocph.bsky.social · 16/05/2026

T1. Others, for example are more careful and contextualize or tries to see "the other's perspective" before speaking up. #Healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 16/05/2026

#healthxph we need people to speak up if anything is wrong … but how to do so without losing the patient’s trust or causing unnecessary alarm.

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Helen Madamba @helenvmadamba.bsky.social · 16/05/2026

Yes I think interprofessional collaboration matters to achieve the patient's best outcome. If there is conflict, the policy that overrides all other policies would be the patient's best interests #HealthXPH

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Cyril Delfino @akolangto.bsky.social · 16/05/2026

I guess it would, and it could definitely create confusion too. If our healthcare providers has disagreement, where do we go for clear guidance and direction? #healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 16/05/2026

I notice now that communication is sometimes confined to the EMR. I encouraged my endo fellows to speak directly to the gen med service and other co-managing services. #healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 16/05/2026

I realized at ward rounds that different services may have conflicting recommendations which can affect patient’s trust. Like who’s calling the shots here? #healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 16/05/2026

When members of the healthcare team disagree, how do patients react @akolangto.bsky.social ? #healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 16/05/2026

We are taught to think systems rather than individual blame in patient safety. But thinking about possible consequences makes health workers hesitate to speak up. #healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 16/05/2026

One doesn’t always have the confidence to speak up. What if you’re wrong? #healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 16/05/2026

#healthxph Sometimes one doesn’t want to make a fuss or be seen as overacting. That instinct though is overridden when patient safety is at stake.

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 16/05/2026

T1. Sometimes one hopes that someone else will speak up so you don’t have to. #healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 16/05/2026

Tanong mo, sagot mo. 🫣 #healthxph I think health workers hesitate to speak up because of seniority. We hate to question authority.

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 16/05/2026

Let’s start with T1. #healthxph The question says Filipino but any health worker can answer.

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 16/05/2026

This feels like the early days of #healthxph with no one to talk to 😬 but we just continue.

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 16/05/2026

I’ve not been on here when there’s no #healthxph chat. Been on X lately because of Alex Eala then now the local political chaos.

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 16/05/2026

#healthxph chat is inspired by rounds with endocrinology fellows who just started training.

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 16/05/2026

I feel like I’m speaking to the void 😅. Anyone can jump into the #healthxph chat.

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 16/05/2026

And it’s 9 pm Manila time. Time for #healthxph chat. who’s out there?

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 14/03/2026

It has been an interesting hour talking about AI physician avatars with you @helenvmadamba.bsky.social @stephaniemiaco.bsky.social . much to think about. enjoy the rest of the weekend! #healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 14/03/2026

Will patients become confused as to who they’re developing a therapeutic relationship with? Me or the avatar? #healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 14/03/2026

T3. it can go either way? will patients appreciate the personalization of lab result explaining via an AI avatar? Or will they think it’s laziness? #healthxph

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