iiinova — where your digital self keeps evolving

Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 25/01/2026

Random musing while ending an email (yes, sadly, a work email) with "Hope you had a restful weekend!": Is there even such a thing as a restful weekend to a healthcare worker (unless they specifically got or requested for a weekend off)?

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 15/01/2026

I’ve been so busy and constantly on-call lately that I can’t even shower in peace without thinking I’m hearing my work phone ring or ping with messages. 😅🥲 It’s just 15 days into the year and I feel like I’ve worked enough for at least 3 months.

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 02/10/2025

“You cannot get through a single day without having an impact on the world around you. What you do makes a difference, and you have to decide what kind of difference you want to make.” ― Jane Goodall

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 28/09/2025

Sorting through all the photos and videos we’ve taken has got to be one of my favorite AND least favorite things about coming from a holiday.

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Reposted by Joey Cuayo-Estanislao, MD

Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social · 23/09/2025

American Academy of Pediatrics statement on the 9/22 WH autism press conference: “Today’s White House event on autism was filled with dangerous claims and misleading information that sends a confusing message to parents and expecting parents and does a disservice to autistic individuals."

aap.org

AAP Statement on White House Autism Announcement

Today’s White House event on autism was filled with dangerous claims and misleading information that sends a confusing message to parents and expecting parents and does a disservice to autistic indivi...

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 29/07/2025

Gentle parenting IS NOT permissive parenting. It’s responsive, compassionate and authoritative (not authoritarian). It meets your child where they are developmentally, teaches them boundaries & natural consequences, and does NOT mean you no longer parent, guide &(appropriately) discipline your child

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 15/07/2025

The red herring. The violence. The utter disrespect.

Result of my July 14 Connections, where I solved the puzzle with one mistake: thinking one Connections group was members of the Spice Girls.

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Reposted by Joey Cuayo-Estanislao, MD

STAT @statnews.com · 25/06/2025

News: The American Academy of Pediatrics says it will no longer take part in the process of ACIP meetings. “We won’t lend our name or our expertise to a system that is being politicized at the expense of children’s health,” the group's president says. www.statnews.com/2025/06/25/c...

statnews.com

CDC vaccine advisory committee to review long-approved immunizations

A leader of the CDC's reconstituted vaccine advisory committee said the panel would start a review of long-approved shots.

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 25/06/2025

Went to a bookstore today and bought several books, none of which were for me. Our priorities truly shift once we’re raising a tiny human (and, hopefully, a life-long reader!).

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 24/04/2025

Whenever I see posts of people talking about how they were sick but still “showed up” (to work, a concert, etc), especially if they were unmasked and (likely) contagious (especially in a crowded place), I feel not so lowkey distressed. Have we really learned nothing? (Rhetorical / Also: Just sad)

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 14/04/2025

I don’t think anything stresses me out at work as much as patients who are very, very late on a fully (actually, over)booked clinic day. ESPECIALLY if they’re scheduled at the start of the day. If you are very, very late, all of the patients after you will also be seen much later than intended.

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 10/04/2025

Always a struggle to get professional makeup off! So far, the best makeup remover I’ve tried is the Banila Co Clean It Zero, but it can sometimes be difficult to find. Do you guys have any products you swear by for thorough makeup removal?

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 07/04/2025

"Treating children has the highest yield of all professions, the highest potential to support lifelong health and to lower the costs of health care over the long haul." - Dr. Sallie Permar When things start to get tough, this is such a humbling and grounding reminder. #Pediatrics #PedSky

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 04/04/2025

The exhaustion from the past few weeks is hitting me especially hard today. But there’s no time to rest. And the guilt when I do rest gets pretty intense.

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 26/03/2025

“The Party told you to reject the evidence of your eyes and ears. It was their final, most essential command.” — George Orwell, 1984

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 24/03/2025

Habitually pressing the lock button for my car at least twice every time because once is not locked enough.

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 23/03/2025

It always seems to come in threes, whether cases or admissions.

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 06/03/2025

The HPV vaccine is not just for women. Males and females ages 9 to 45 can get the cancer-preventing vaccine.

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Reposted by Joey Cuayo-Estanislao, MD

Kathleen Bachynski @bachynski.bsky.social · 04/03/2025

“Healthcare personnel often do not realize that in the U.S., HPV-related mortality far surpasses the mortality from tetanus, diphtheria, pertussis & meningococcal disease combined. Each year, about 4,000 deaths are the result of cervical cancer; most are preventable through pre-exposure vaccination”

chop.edu

Technically Speaking: Why HPV Vaccination Before Age 11 Years Is a Good Idea

Dr. Sean O’Leary, Chair of AAP’s COID, explains why AAP and CDC recommendations about HPV vaccine differ.

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Reposted by Joey Cuayo-Estanislao, MD

Rachel Maddow @maddow.bsky.social · 05/03/2025

“We urge the Administration to rescind this guidance…” www.childrenshospitals.org/news/newsroo...

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Reposted by Joey Cuayo-Estanislao, MD

Nunsense & Shenunigans @annaleehq.bsky.social · 04/03/2025

What an amazing story The man saved over 2 million lives This. This is how you want to live Helping people, not destroying them

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 25/02/2025

Randomly remembered my friends who turned to baking during the pandemic, especially those who made amazing ube cheese pandesal. Actually rather miss those.

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 03/02/2025

Does anyone else still take physical notes / use a physical chart in their clinic/practice? I still prefer just writing (pen to paper) during patient encounters/visits because having a screen in front of me / between me and the family feels more impersonal, especially since my patients are children.

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 21/01/2025

Studies have found that providing kids with comprehensive sex ed leads to later age of sexual debut, improved knowledge about their bodies and healthy relationships, decreased risk-taking and risky behavior, and decreased frequency of unprotected sex (once they do engage in it).

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 20/01/2025

I always feel extra compelled to learn a third (and even fourth) language whenever I encounter patients who have difficulty communicating in English. I've tried learning a few languages via DuoLingo in fits and starts, but not even the threatening owl has been able to help me stick to it.

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 06/01/2025

It’s always a great time to catchup on your child’s/family’s vaccines.

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 04/01/2025

Maybe a good and motivating goal (and more achievable too, versus the previous 10,000 steps a day) for ourselves? Good for physical and mental health :) Source: jamanetwork.com/journals/jam...

Screenshot of a metaanalysis that found that taking 5,000-7,000 steps a day can help lower the risk of depression.

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 02/01/2025

2023 & 2024 rushed by like a blur, and while I'm proud of what I've accomplished as a doctor and as a mother during those years, I feel like I also lost a part of myself, the part that knew to take time for myself and my hobbies, the part that knew to switch off now and then, for my own well-being.

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 02/01/2025

Happy new year! May we never tire of fighting for good, accessible and evidence-based medicine and health practices 🩷 to another year of caring for others and remembering to care also for ourselves.

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 24/12/2024

I need more Muji things available at our local Muji stores (namely their different sunscreen options and their food).

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 23/12/2024

I don’t know if I’ve had so many karaoke parties in a row til this December. 😵‍💫😂 I’m running out of karaoke songs. Any suggestions/favorites/karaoke go-tos?

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 20/12/2024

Completed the HPV doses of two tween/teen brothers (10yo and 13yo) today. Proud of them and their parents! 🩷

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 20/12/2024

It would be nice (and many leagues less terrifying) not to be on the timeline where anti-intellectualism is so prevalent.

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 19/12/2024

Correlation does not equate to causation. And the people who need to understand that will likely, tragically, and frustratingly never do.

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Reposted by Joey Cuayo-Estanislao, MD

Shematologist, MD @shematologist.medsky.social · 14/12/2024

I’ve cared for infants who stopped breathing w/ pertussis. School aged kids who died of flu or COVID. And many of my patients can’t be vaccinated because they’re on chemotherapy or are immune compromised. Vaccinations save lives of those who get them & those who cannot. It’s that simple.

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 10/12/2024

I miss being able to purchase programs and opt to just use them forever until I have to upgrade my machine. Now it’s just endless subscriptions.

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 09/12/2024

Imagine Wrapped but for our Kindles. I’m not sure how I’d feel about being called out for rereading certain books an n amount of times this past year.

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 05/12/2024

Anxiety peaked earlier today when I couldn’t find my planner. Friend asked why I didn’t just use an app to keep track of all my tasks. While I do use an app for my schedule, I’ve also always kept a physical planner to keep tabs on both my schedule and tasks. It just feels more correct that way.

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 03/12/2024

I don’t know why I always feel a little worried and unsettled going back to work after taking a (rare) leave/vacation. But then I see and talk to my patients again and it suddenly feels like sitting back into a familiar chair/bed.

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 23/11/2024

Taking a wee break from the madness. Hello from Ginza!

A photo of a street corner in Ginza, Tokyo

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Reposted by Joey Cuayo-Estanislao, MD

Mark D. Levine @marklevinenyc.bsky.social · 22/11/2024

This is the most important chart published in America this week. (By @dylanlscott.bsky.social)

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Reposted by Joey Cuayo-Estanislao, MD

Shematologist, MD @shematologist.medsky.social · 21/11/2024

Top three hematology pearls for pediatricians #medsky #hemesky 1. Serum iron level is useless 2. Thrombocytosis is reactive 99% of the time 3. Percentage values on WBC differential don’t matter, only absolute values

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 21/11/2024

In lighter news, I’m contemplating a version of Spotify Wrapped, but it’s just me ranking the top bandage designs for the year, as determined by my patients.

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 21/11/2024

Vaccines have saved more lives than any other medical invention and innovation in history. And yet it’s constantly demonized and politicized. It’s still such a wild reality to me that people will refuse vaccines because of people who have agendas that thrive and survive on vaccine misinformation.

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 19/11/2024

It’s so frustrating how much easier (and lucrative) it is to scare with spicily worded disinformation than to assure and empower with actual data and facts.

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Joey Cuayo-Estanislao, MD @pediadocjoey.bsky.social · 17/11/2024

TIL about The Scully Effect, where the depiction of Agent Scully from the X-Files as a high-achieving, even-keeled woman in STEM (radical then in the 90s!) inspired young girls who saw the show to pursue a career in science, technology, and/or medicine. Maybe I’m due for an X-Files marathon.

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Reposted by Joey Cuayo-Estanislao, MD

Ryan Marino, MD @ryanmarino.bsky.social · 16/11/2024

Measles requires 95% vaccination rates for herd immunity. It has a 16.2% case fatality rate for unvaccinated children under 5 years and 24% for children under 9 months (who are unable to be vaccinated). 30% of the survivors experience severe complications like blindness, deafness, or encephalitis.

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