iiinova — where your digital self keeps evolving

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 17/10/2026

I have a paper to write that's due tomorrow and I'm at work...

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 17/10/2026

Bro, shit is on fire here in SoCal. In the literal sense.

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 15/10/2026

Today is one of those days when I inexplicably feel down. Is it: 1. The personal stress of not being able to spend time with friends due to a busy professional life? 2. The loss of several patients that I knew? 3. The general unaffordability of everything? 4. All of the above

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 12/10/2026

The fact that there is now an immunization tracking assessment for MEASLES at work frustrates me to no end. It was practically eliminated in the United States. And then we dropped the ball cause we let loud, irrational voices take control instead of the science. It's so tiring.

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 08/10/2026

The bedside software used to chart and sign off orders is down.

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 07/10/2026

Educational content has been on the back burner, unfortunately. Hate to say it, but I've been prioritizing my DNP program on top of my IRL job. That being said, I totes bought the IV practice kit and I hope I can stream it this Saturday!

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Paul Dabs in Hospital

ALT: Paul Dabs in Hospital

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 05/10/2026

The fact that I got @annekesiempre.vtubers.social to get "My Blue Sky Home" stuck in her head is a testament to how FIRE the Ace Combat 8 OST is. The entire catalog has been on repeat while I'm at work, on my commute, or when I'm studying. It's that good. Keiki Kobayashi is THAT GOATED.

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 03/10/2026

My wife & I paid essentially double the amount for 1Gbps & an unlimited data package when Spectrum only charges us $90 for 2Gbps, unlimited data included. Spectrum has issues but goddamn did Cox have a stranglehold being the only game in town in my neck of the woods.

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 02/10/2026

To the lady who rear ended my little sister: I hope you're okay and not hurt. Lil sis is gonna be fine. But if I ever see you out and about, Imma chew you the FUCK out for putting her in danger.

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 01/10/2026

Is a sit-stand desk worth it? I'm thinking of investing in one. I figured it'd be a good way to force myself to stand and have correct body posture whenever I sing or record a script. Otherwise, would there be any other use for one? Any owners out there that can chime in?

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 30/09/2026

I still got some tinkering to do on OBS tonight after I get home from work. Unfortunately, I had so many dropped frames (up to 70%) during my last stream. I'm still very happy to share my new stream standby art work for my AC8 playthrough! See y'all tonight @ 8pm PST on Twitch!

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 29/09/2026

<<IT'S TIME>> Let's Play Ace Combat 8: Wings of Theve!! Live now on twitch.tv/rikosiempre

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 28/09/2026

Mind if I get real? Ace Combat has always held a special place in my heart. I grew up with the PS2 trilogy, borrowed from my best friend. He's still my wingman today. When the pandemic left me grounded, AC7 gave me a sky to escape to. I can't be a pilot. But I learned to fly.

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 27/09/2026

There is a NONZERO chance I will be blasting Macross music on stream while playing Ace Combat 8. (Maybe after my initial playthrough. I love Keiki Kobayashi's music & the AC OST). But DEFINITELY in AC Online. It's so close now. I can TASTE it. TOMORROW. AS SOON AS I'M HOME.

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 26/09/2026

Any interest in handcam streams showing how to do nursing skills? I have an idea.

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 26/09/2026

I've been putting the upgraded rig through its paces offline. Now the true test will be tonight to see if it can handle Vtubing! In anticipation of the release of Ace Combat 8, let's fly unto Skies Unknown one last time before becoming the Wings of Theve!! 7:30pm PST on Twitch

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 21/09/2026

Fun fact: 9/21 was supposed to be the due date for Maurice White’s son, Kahbran. Maurice founded, led, and co-sang for Earth, Wind & Fire. Kahbran arrived early on August 1. Sadly, “August 1st” just doesn’t have the same ring as "the 21st night of September."

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 19/09/2026

Guys, hear me out. I think I need to redecorate. It's only 30 miles out and $600...

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 18/09/2026

"Jeez Riko, why do you & @annekesiempre.vtubers.social get 2 nurse's weeks to celebrate?" Look, I don't make the rules. But if healthcare organizations want to celebrate nurses who specifically work with the kidneys, I'm not gonna complain. Happy Nephrology Nurse's Week!!

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 18/09/2026

On one hand: I want to play FE: Fortune's Weave after work (and maybe stream it!) On the other hand: I need to drive half an hour the opposite direction of home in order to pick up the Dagdan Collection from a GameStop that somehow wasn't pre-ordered ahead of time. Also homework.

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Marth Ponders in Super Smash Bros. Melee

ALT: Marth Ponders in Super Smash Bros. Melee

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 16/09/2026

Bro, my router decided to burn out yesterday during my classes. I spent 2hrs trying to troubleshoot before I had to run out & grab a new router. I get it. It works nonstop. But of all days, why during the day when I needed it the most? Murphy's Law works in mysterious ways...

static.klipy.com

South Park's Kyle Plugs In Power

ALT: South Park's Kyle Plugs In Power

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 11/09/2026

25yrs ago today, I was 10 when the optimism of the 90's was shattered. I didn't really understand then. Interconnected chains of human choices, environmental shifts, & cause/effect relationships led to the loss & trauma of countless lives over 25yrs. Choices that haunt us still to this day.

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 10/09/2026

What do you mean there's a live-action prequel miniseries to Ace Combat 8 coming out in 5 days?! They kept this under the rug the entire time? SASUGA PROJECT ACES

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 10/09/2026

What do you mean Paramount hasn't released a musical by the South Park creators and mother******* KDOT?! It's like they're allergic to creativity and money.

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 08/09/2026

My instructor's feedback: "My only suggestion is in the future consider replacing informal phrases such as 'a hot mess,' & 'corporate feudalism,' with more neutral language. Your argument is strong enough to remain persuasive without these expressions." LOOK. I HAD STUFF TO SAY.

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 07/09/2026

You know the assignement with all those references I posted about yesterday? (11 references, FYI). We had to include a systems map as a part it. Considering @coffeecatvt.bsky.social thought my reflection was more manifesto, I wonder if the map will provide some levity for the instructor. #nursesky

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 06/09/2026

The assignment: "Using this week's readings, class activities, and at least ONE additional scholarly source, reflect on the current state of the U.S. healthcare system." The submissions: Ohh boi. I got some stuff to say... #nursesky #medsky

List of references for an assignment, formatted in APA style.

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 05/09/2026

I may be late posting, but it's never too late to care! Proud to announce that I'm part of the Founding 500 for Vtubers for Love! Big thanks to @gamesforloveorg.bsky.social for the opportunity to bring joy to kids in the hospitals! Can't wait to hold my charity event soon! #gamesforlove

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 03/09/2026

I'm the only outpatient RN in my DNP program. It kinda reflects the state of US Healthcare. A lot of our resources are poured into the hospitals. When we focus on being more reactive than proactive, it reflects how care is triaged. Unfortunately, prevention doesn't net profit.

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 02/09/2026

One of our required readings for this semester is "Everything is Tuberculosis". In the first few chapters I've read, it's eye-opening how TB has influenced culture, politics, & healthcare throughout history. All wrapped around a personal story that countless still live with to this day.

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 01/09/2026

New month, new...PC(ish)? Finally finished upgrading my PC! Special thanks to @annekesiempre.vtubers.social for putting up with me & crunching the numbers to make it possible! As much as I loved the entire ASUS Gundam collab parts, they were showing their age. Can you spot the differences? 😉

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 29/08/2026

I am amazed at the talent on display that folks put into their applications for The Wildcard Club. Part of me wishes that I had the bandwidth to dedicate that much time to my own creative skills. But I gave it my best effort with what I have right now. I can be proud of that.

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 28/08/2026

Guess who's using their singing chops sustained by off the clock karaoke to apply to the #wildcardclub?! I worked pretty hard on this submission. Every talent in the club inspires me & I hope I'll be able to work with them! I'm not throwing away my shot!! 🔗 in the comments!!

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 27/08/2026

Bro, I can't man. Not Peter Cullen. "Fate rarely calls upon us at a moment of our choosing." Fate called upon Peter, Tim, and Dolly the past three days. Honor their memories by following their examples. Be the person you were meant to be, and "be strong enough to be gentle".

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 26/08/2026

Tim Curry IS GONE TOO?!?! This year officially sucks. First our Dolly, now our Curry?! REST IN PEACE TO THE GOAT.

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 25/08/2026

Terrible news to hear today. Dolly Parton was a national treasure. Not only did she help children become literate around the world, but she fought for public health, helping to fund COVID-19 vaccine research. I'll fight ANYONE who says otherwise. Rest in Peace, Dolly.

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 25/08/2026

First day of classes for my DNP program!! Ready to learn!!

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 24/08/2026

The fall season is upon us again & school is starting back up. Please remember to get yourself immunized against preventable disease. Protect your community by protecting yourself.

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Vaccines For All: Global Equality

ALT: Vaccines For All: Global Equality

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 22/08/2026

Days like today remind me how much US Healthcare can grind you down. Profit always gotta go up for shareholders, but God forbid we have funding for enough staffing & coverage to ensure PCTs, RNs, & MDs aren't burnt out. Let's not even talk about private equity getting involved...

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 20/08/2026

After getting textbooks, paying the bills, putting money in savings, & going over our monthly budget like a responsible adult, @annekesiempre.vtubers.social let me order parts! I still plan on using my case, AIO, & PSU, but the CPU, RAM, & MB were in need of an upgrade. GPU will have to wait tho.

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 18/08/2026

One more week until I start my Uni's #DNP program! Sometimes the imposter syndrome hits & I wonder if I really have the education, experience, & wherewithal to handle it. But like @annekesiempre.vtubers.social, said to me: They chose me cause they saw something in me. So I'll believe in that.

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 17/08/2026

Simple & Clean is hard to listen to now. I was SUPER stoked about all the KH announcements from the weekend. But Hayden's passing at such a young age & leaving behind her daughter, makes it all the more tragic. All I can do is pray for peace & love for Hayden's loved ones.

static.klipy.com

Paopu Fruit Sokai: Kingdom Hearts Fan Art & Scene

ALT: Paopu Fruit Sokai: Kingdom Hearts Fan Art & Scene

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 14/08/2026

Happy 2nd Wedding Anniversary, @annekesiempre.vtubers.social!! Can you believe that we've been married 2 years now? It's always a blessing to be by your side, especially in those quiet moments in between the hustle & bustle life throws at us. Thank you for being the best part of my world!!

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Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 13/08/2026

I caught and cooked dinner!! It ain't a five-footer, but I was mighty proud of it! Tonight's dinner was Glazed Mahi Mahi Tuna with fresh veggies and rice. @annekesiempre.vtubers.social and the in-laws were mighty happy!!

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