iiinova — where your digital self keeps evolving

Cristal Laquindanum-Tan, MD, MBA @millennialpedia.bsky.social · 22/04/2025

"MDs posting professional content on socmed positively impacted pt adherence & tx effectiveness. MDs sharing personal life-related content on socmed were associated w/ lower pt adherence & poorer tx outcome." Sun, et. al 2024 doi.org/10.3389/fpub... Wonder if it's the same in my country

doi.org

Frontiers | Social media stethoscope: unraveling how doctors’ social media behavior affects patient adherence and treatment outcome

ObjectiveThe exposure of the content posted by doctors on social media has the potential to influence how patients perceive and judge doctors. It is necessar...

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Reposted by Cristal Laquindanum-Tan, MD, MBA

Edgar V. Lerma 🇵🇭 @edgarvlermamd.medsky.network · 19/04/2025

Treatment algorithm for nephrotic syndrome (NS) in children from onset ca. 2025 from @kdigo.org #Nephpearls #NephSky 👉 kdigo.org/guidelines/n...

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Cristal Laquindanum-Tan, MD, MBA @millennialpedia.bsky.social · 18/04/2025

Hello #NephSky! Trying to look for accounts to recommend for Filipino #Nephrologists to follow. I'll be speaking in the PSN Convention next week and would love to connect them here. I see Dr @edgarvlermamd.bsky.social's posts here and in X :)

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Cristal Laquindanum-Tan, MD, MBA @millennialpedia.bsky.social · 11/04/2025

LLM Prompt: On Tuesdays at 10 AM, send me at the most a 3-point summary of the latest news in AI. Keep it brief, and keep an eye out for especially-surprising stories. Also include medical or health related AI news including pediatrics-related AI news. Include sources. #digitalhealth #pediatrics #AI

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Reposted by Cristal Laquindanum-Tan, MD, MBA

NEJM.org @nejm.org · 09/04/2025

Acute otitis media occurs almost exclusively after a viral upper respiratory tract infection. Children with mild or moderate symptoms can be treated with antibiotics or closely observed. Learn more in a new Clinical Practice article: nej.md/4iewDVV #MedSky #PedSky #IDSky

Clinical Practice
Otitis Media in Young Children

Figure 3. Manifestations of Acute Otitis Media.

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Cristal Laquindanum-Tan, MD, MBA @millennialpedia.bsky.social · 09/04/2025

Tumor lysis syndrome PUK up, Calm down Hyperphospatemia Hyperuricemia Hyperkalemia Hypocalcemia Prevention: hydration and Allopurinol (moa: blocks conversion of xanthine to uric acid) #medpearls

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Cristal Laquindanum-Tan, MD, MBA @millennialpedia.bsky.social · 07/04/2025

Children with Down syndrome (DS; trisomy 21) have a 10 to 20 times greater risk of developing AML compared with children without DS. -Uptodate

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Reposted by Cristal Laquindanum-Tan, MD, MBA

Yuri Quintana @yuriquintana.com · 20/03/2025

Archive of the CDC Website restoredcdc.org/www.cdc.gov/

restoredcdc.org

Centers for Disease Control and Prevention

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Cristal Laquindanum-Tan, MD, MBA @millennialpedia.bsky.social · 28/02/2025

You know you're getting old when what you learned in training are now changing. TB updates (from 2020): it's now TPT not IPT, genexpert>afb smear, no more CategoryI, II etc but just Regimen I & II, shortened regimen 4mos instead of 6 for uncomplicated TB. Congrats @kiefferferraris.bsky.social!!

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Cristal Laquindanum-Tan, MD, MBA @millennialpedia.bsky.social · 07/02/2025

Is there already a starter pack for #Filipino health professionals? Both based locally and abroad would be a good way to connect :)

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Cristal Laquindanum-Tan, MD, MBA @millennialpedia.bsky.social · 06/02/2025

Brings us back to the "old days" when you have to wait for a week for a new episode haha. I think it's a wise move because that 1 hr is so full already and you can't even watch it as white noise - anything more than that will really mimic healthcare burnout 🫠🤪

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Cristal Laquindanum-Tan, MD, MBA @millennialpedia.bsky.social · 04/02/2025

Given Mebendazole 500mg chewable tab but child doesn't want to chew? Place tablet in a spoon, add about 2-3 mL of clean drinking water. Tablet absorbs water w/in 2 minutes, turning into a soft mass (semi-solid consistency) which can then be swallowed. #pediasky #pharmasky #medsky

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Cristal Laquindanum-Tan, MD, MBA @millennialpedia.bsky.social · 04/02/2025

I got distracted with what's happening with the world, but now I'm back here and hopefully for good. Going back to why I'm in this platform in the first place, to share and learn from my colleagues in the pediatrics and health informatics field. Lezgo!

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Cristal Laquindanum-Tan, MD, MBA @millennialpedia.bsky.social · 09/12/2024

"Children with dengue who have platelet count <50,000/mm3 with minimal or no active bleeding should not be given prophylactic platelet transfusion" #Dengue PIDSP CPG #pediatrics #IDsky #pedsky #MedSky

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Cristal Laquindanum-Tan, MD, MBA @millennialpedia.bsky.social · 05/12/2024

If LLMs get their training data from the internet... imagine your teens to early 20s self in your blogger era 🤪🫣 I can't even remember my username and password for the very old "hidden/anonymous" blogs, but I'm sure it's in the internet void 🫠

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Cristal Laquindanum-Tan, MD, MBA @millennialpedia.bsky.social · 25/11/2024

“The best teaching of medicine is that taught by the patient himself” - W. Osler Grateful for patients and the things they teach me until now.

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Reposted by Cristal Laquindanum-Tan, MD, MBA

Scott McGrath @smcgrath.phd · 23/11/2024

A favorite podcasts of mine, Hard Fork w/ @kevinroose.com and @caseynewton.bsky.social, talk to @adamrodmanmd.bsky.social about his RCT study published in JAMA showing GTP-4 beat both physicians (No AI) AND physicians using GPT in diagnostic reasoning. I highly suggest you check it out! 🧪 🩺🖥️ #MLSky

jamanetwork.com

Large Language Model Influence on Diagnostic Reasoning

This randomized clinical trial evaluates the diagnostic performance of physicians with use of a large language model compared with conventional resources.

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Reposted by Cristal Laquindanum-Tan, MD, MBA

Ilan Schwartz @germhuntermd.bsky.social · 23/11/2024

What if physicians were paid to NOT prescribe unneeded antibiotics? 🤔 Clinicians in 🇯🇵 were paid ~$5.7 when rationale provided to not prescribe 💊 for kids <3y with acute URTI or gastro There was sustained ⬇️ in ABx (~20%) over 4 yrs w/o signals of harm academic.oup.com/cid/advance-...

A visual abstract for the article. A figure shows a KM curve with the intervention group having fewer total ABx which continued for 4 years

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Reposted by Cristal Laquindanum-Tan, MD, MBA

Shematologist, MD @shematologist.medsky.social · 14/11/2024

Arguably, the greatest advance in healthcare in the past 100 years was the widespread vaccination of children.

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Cristal Laquindanum-Tan, MD, MBA @millennialpedia.bsky.social · 20/11/2024

Prompted GPT to generate portrait image of a child, then an adult, w/chickenpox & these are the results. Tried to "edit" w/ prompts to rotate the image of the child and to remove those rashes on the shirt but I guess polkadot chickenpox shirts go well with the skin rashes 😅 #medsky #pedsky #AI #GPT

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Cristal Laquindanum-Tan, MD, MBA @millennialpedia.bsky.social · 20/11/2024

Among children with enterovirus (specifically coxsackie) is Isoprinosine effective in decreasing symptoms? #pediatrics #MedSky #PedSky

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Reposted by Cristal Laquindanum-Tan, MD, MBA

Mohammad Bilal, MD @bilalmohammadmd.bsky.social · 17/11/2024

Doing #ScholarlyWork during #MedicalTraining can be challenging, especially without prior research training. One way to be successful is to convert your day-to-day work to scholarly activity. What are some of your tips ? #MedEd #Training #MedSky #ScholarlySunday

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Reposted by Cristal Laquindanum-Tan, MD, MBA

Eric Widera, MD @ewidera.bsky.social · 18/11/2024

Medicine focuses a lot on the question “will this help my patient” but not on the question “when will it help my patient.” The latter becomes important as we age. We’ve developed a “time-to-benefit” tool on eprognosis.ucsf.edu to help answer this question. Here is a snapshot #MedSky #FOAMed #meded

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Reposted by Cristal Laquindanum-Tan, MD, MBA

PharmacistDaz (He/Him) @pharmacistdaz.bsky.social · 18/11/2024

If you are posting images on your social media, then please provide alt text for them. These can be easily generated from any LLM with a prompt along the lines of that below

Black text on a dark background displaying a prompt generating concise, informative alt text for an image, focusing on clarity & key visual elements

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Reposted by Cristal Laquindanum-Tan, MD, MBA

Tatiana Prowell, MD @tmprowell.bsky.social · 16/11/2024

Wondering why so many people have mycoplasma (aka walking pneumonia) lately? Here’s a clue. Just published: after propensity matching, those w/ prior #COVID19 infection were about 3x more likely to get mycoplasma than those without #COVID: www.thelancet.com/journals/lan... #MedTwitter #MedSky

thelancet.com

Lancet

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Cristal Laquindanum-Tan, MD, MBA @millennialpedia.bsky.social · 19/11/2024

It's hand, foot, and mouth disease, but sometimes the rashes also appear on the elbow (as pictured), and the diaper area Here, elbow papules appeared first and then not quite noticeable, but when you know where to look, faint red papules are starting to form between fingers, too #medsky #pedia

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Cristal Laquindanum-Tan, MD, MBA @millennialpedia.bsky.social · 18/11/2024

We're 1 step forward 2 steps back when we believe things like giving raw milk to children. Whyyyy.

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Cristal Laquindanum-Tan, MD, MBA @millennialpedia.bsky.social · 18/11/2024

Sucks that we *still* have colleagues rabidly believing this. Evidence-based medicine, hu that? 😅

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Cristal Laquindanum-Tan, MD, MBA @millennialpedia.bsky.social · 18/11/2024

*sigh* How i wish we had this kind of surveillance here.

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Reposted by Cristal Laquindanum-Tan, MD, MBA

Machine Pun Kelly @kellyscaletta.bsky.social · 15/11/2024

It's up!!!! My Explainer video for BlueSky beginners. I cover how to find your Twitter followers, Starter Packs, Feeds, Lists, some handy-dandy tools, and BlueSky etiquette. Please watch and/or share with any newbies you know. I think it's helpful. www.youtube.com/watch?v=m_V2...

youtube.com

BlueSky for Beginners

YouTube video by Machine Pun Kelly

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Reposted by Cristal Laquindanum-Tan, MD, MBA

Kyle Swanson, MD, FAANS, FCNS @kiswanson.medsky.network · 17/11/2024

Looking for medical professionals to follow? Just added the 5th installment *Medsky Fast Five* #medsky 🩺🧪 Round 1 go.bsky.app/Qg2TA9p Round 2 go.bsky.app/9ziyYqt Round 3 go.bsky.app/9WQtZh6 Round 4 go.bsky.app/HRaNhEt Round 5 go.bsky.app/DvGjDh6 I’ll keep adding to the 5th (until it hits 150)

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Sarah Medeiros, MD, MPH 🩺🎙️ @drsarahem.bsky.social · 15/11/2024

Looking for #womeninmedicine to follow? 👩🏿‍⚕️🧑🏼‍🔬 We now have four starter packs to get you going! 🤗 Comment or DM if you don’t see yourself and would like to be added. #MedSky Pack 1: go.bsky.app/J1wqwu5 Pack 2: go.bsky.app/QWPZiaj Pack 3: go.bsky.app/5iN8fLP Pack 4: go.bsky.app/9HW9dAu

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Cristal Laquindanum-Tan, MD, MBA @millennialpedia.bsky.social · 16/11/2024

A patient's condition reminded me that as a PC pedia, I have to stay curious about my patient. Sometimes, the chief complaint is an acute viral illness, but since they don't see a doctor for well visits, some vital aspects of dev are missed Late teen, no menarche yet needing endo and OB consults.😔

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Reposted by Cristal Laquindanum-Tan, MD, MBA

Conrad Hackett @conradhackett.bsky.social · 15/11/2024

Disease prevalence in US states before & after vaccine introduction Graphic from Edward Tufte More graphics.wsj.com/infectious-d... 🧪

Graphic shows dramatic reduction in polio, rubella, mumps, measles, and hepatitis A cases after the introduction of vaccines for each disease.

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Reposted by Cristal Laquindanum-Tan, MD, MBA

Adam Ratner MD MPH @adamratnermd.bsky.social · 10/11/2024

The pediatric ID starter pack is here! Please suggest additions and also follow the PedsIDSky feed. #PedsIDSky #PedsID And also follow the amazing communities at #IDSky #EpiSky #PedSky! go.bsky.app/5M119ru

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Cristal Laquindanum-Tan, MD, MBA @millennialpedia.bsky.social · 16/11/2024

Oh wow, he did generations' worth of achievement at 34 yrs old 🤯 I wonder what makes us live far more years than people in the 18th century 🤔 hint: It works. It saves lives. #IDsky #pedsky #medsky

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Cristal Laquindanum-Tan, MD, MBA @millennialpedia.bsky.social · 15/11/2024

Hoping we get this soon in the Philippines because RSV is kicking our butt over here 🥲

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Alasdair Munro @apsmunro.bsky.social · 12/11/2024

MYCOPLASMA PNEUMONIAE This cheeky little intracellular bacteria seems to be up to mischief with kids in the USA at the moment A quick thread on this bug, what's going on, and what to do (or not do!) about it #IDSky #PedSky #PedsIDSky 🧪 1/🧵

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Cristal Laquindanum-Tan, MD, MBA @millennialpedia.bsky.social · 15/11/2024

Closely following what will happen to the US because, whether we like it or not, they have a big influence in our country (PH). We still haven't fully recovered from Dengvaxia misinformation induced anti-vaxxers. We don't need folks here saying "but my relative from the US said..." 😫

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Reposted by Cristal Laquindanum-Tan, MD, MBA

Gerald Butts @gmbutts.bsky.social · 15/11/2024

Twitter: now too dark for Stephen King.

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Cristal Laquindanum-Tan, MD, MBA @millennialpedia.bsky.social · 15/11/2024

Hello! Cristal as millennialpedia here 👋🏾 #medtwitter docs migrated yet to #medsky? So far looking good, slightly buggy, but it feels like OG Twitter... Looking for more #medtwitterPH #healthXPH folks there

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