iiinova — where your digital self keeps evolving

Reposted by Shireen Heidari, MD

Taylor Nichols, MD MS @tnicholsmd.com · 09/10/2026

If you’re a medical professional in California, you need to know about CA Bridge Connect - a hotline to help connect patients to same day or next day MAT. Call = 1-800-944-1807 Text = 1-833-308-0461 Save the number. Save lives. Have timely resources. Reduce burnout.

cabridgeconnect.org

Meet Taylor Nichols, the CA Bridge Connect Lead Prioritizing Physicians - CA Bridge Connect

Taylor Nichols is one of CA Bridge Connect's newest Leads dedicated to expanding access to addiction treatment across the state.

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American College of Chest Physicians @accpchest.bsky.social · 16/09/2026

New podcast! Dr. Shireen N. Heidari @shireenheidari.bsky.social joins Moderator Dr. Abhishek Bhardwaj to discuss her article, “Permission to Cry,” and the process of managing burnout and giving yourself permission to show up as yourself while working in health care. www.chestnet.org/guidelines-a...

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Shireen Heidari, MD @shireenheidari.bsky.social · 18/08/2026

Tomorrow Wednesday 8/19 at noon Pacific - intro to advance care planning with #palliativecare #hapc fellow Dr. June Chabayta 1st of 2 sessions re: how to talk with people close to you about what you might want in case of serious illness. Open to all stanfordmedicine.zoom.us/meeting/regi... #meded

What's right for you? an advanced care planning workshop. a process that includes talking to those close to you about the type of care you would want if you became too sick to speak for yourself. Register today

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Shireen Heidari, MD @shireenheidari.bsky.social · 18/07/2026

July is here & so are the new Hospice & Palliative Fellows! We are so excited to welcome them. This year our pediatric colleagues have also launched a fellowship - here’s to educational collaboration opportunities 🥳 @stanforddeptmed.bsky.social @stanfordneuro.bsky.social @stanfordemed.bsky.social

A group of 5 HPM fellow physicians standing in front of a large fountain in sun outside Stanford hospital

A group of physicians (emergency medicine, family medicine, internal medicine, neurology, pediatrics) and educational coordinators standing in sunshine

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Shireen Heidari, MD @shireenheidari.bsky.social · 20/06/2026

Cuteness overload. Ready for soccer drills and play time always. #bordercollie #dogsofbluesky

Two black and white border collies on grass with orange ball between them

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Shireen Heidari, MD @shireenheidari.bsky.social · 23/05/2026

So proud of these physician leaders and scholars and their workshop today - encouraging us to continue focusing on curiosity and compassion when it can be easier to make snap judgments. @stanforddeptmed.bsky.social #meded

Group of physician scholars in front of balloons spelling out LEAD

Group of doctors standing in front of slide that says Compassionate Curiosity in the era of cancel culture

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Michael F. DuBois @michaelfdubois.bsky.social · 10/04/2026

I wrote and posted this to Instagram a couple of days ago and it became my most-read poem ever. I’m honored I get to feel big feelings alongside you all. I’m posting it here too and want to use this space more consistently. Hello friends ❤️

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Josh Shepperd @joshshepperd.bsky.social · 01/04/2026

What if we just went back to reading a bunch of books and thinking about them together, and that was the class? With syllabi no longer than three pages.

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Shireen Heidari, MD @shireenheidari.bsky.social · 04/04/2026

The cutest little pup, completely passed out with not a care. The best ❤️🐾 #dogsofbluesky #bordercollie

Dog sprawled upside down asleep on couch with feet in air

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Shireen Heidari, MD @shireenheidari.bsky.social · 07/03/2026

This was a hard week to be Iranian-American. There was also connection, joy, reunions, collaboration w/many incredible hospice & palliative people from across country & world. Soaking up joy alongside sorrow, & hoping to be small part of creating a kinder more compassionate world. #hapc #hpm #hapc26

Four people outside in San Diego eating lunch at the AAHPM conference

Two smiling people (recent fellowship alumni) standing in front of poster at conference

Stanford HPM Fellowship and team reunion dinner in San Diego

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AAHPM Early Career SIG @earlycareersig.bsky.social · 24/02/2026

Who else is going to be at #hapc26 in San Diego next week? We've been hard at work planning events for students, residents, trainees, and early career attendings again this year. Personally? I'm super excited for dueling pianos 😎. Hope to see you there!

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Becky Hammer @beckyhammer.bsky.social · 09/02/2026

Iconic moment as he says "God Bless América" and then names every country in South, Central, and North america in order For the rest of the hemisphere, América doesn't mean the U.S. It means evveeerrybody

Benito carrying a football with musicians carrying flags behind him

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drmaligator.medsky.social @drmaligator.medsky.social · 26/01/2026

We didn’t just lose a man. We lost a nurse. A protector. A healer. And the hardest truth of all: he spent his life running toward danger for others — and in the end, that is what killed him.

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drmaligator.medsky.social @drmaligator.medsky.social · 25/01/2026

“Ask any doctor who worked with him and they will tell you: he protected. He taught. He defended women colleagues. He bought coffee for broken interns. He made the ICU more human. That is what great nurses do. They don’t just carry out orders. They carry the unit.” -A physician friend of Pretti

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Will Stancil @whstancil.bsky.social · 24/01/2026

in case you're curious about how angry Minnesota is about ICE, it was -20 today

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Jacqueline Sweet @jsweetli.bsky.social · 10/01/2026

The doctor who was prevented from administering aid was indeed a medical doctor. He doesn't wish to speak to the media but I know his identity and can confirm the person who tried to help Renee Good and was prevented to by ICE is indeed an internal medicine doctor in Minnesota.

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Shireen Heidari, MD @shireenheidari.bsky.social · 06/01/2026

Beautiful writing from my teammate Dr. Niki Vora in @nejm.org this weekend! ❤️‍🩹 "I do contain multitudes, and their boundaries are permeable. I am a physician. I am a sister. And at my core, I am the physician I am because I’m my brother’s sister." #hapc #hpm #MedHum @stanforddeptmed.bsky.social

nejm.org

My Brother’s Sister | NEJM

When she finds herself caring for a patient the same age and with the same rare disease as her brother, a physician discovers the impossibility of compartmentalizing her various identities.

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Shireen Heidari, MD @shireenheidari.bsky.social · 28/12/2025

Holiday cheer and stuffed squeaky toys. Border collie shenanigans 😍🐾 #dogsofbluesky #puppylove

Black and white border collie looking at camera holding lamb chop toy comically in mouth

Black and white border collie playing tug with stuffed toy

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Shireen Heidari, MD @shireenheidari.bsky.social · 03/12/2025

What an incredible way to start December! Thank you to everyone who makes our fellowship program possible. Excited to announce the Stanford Hospice & Palliative Medicine Class of 2026-2027! @stanforddeptmed.bsky.social @stanfordhealthcare.bsky.social @aahpm.bsky.social #hapc #hpm #palliative

Stanford Hospice and Palliative Medicine Fellowship Class of 2026-2027 banner, with photos of 5 individuals. Their names are Dr. June Chabayta, Dr. Bryan Cortez, Dr. Lisa Goldberg, Dr. Jessica Shen and Dr. Kristen Vossler.

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Shireen Heidari, MD @shireenheidari.bsky.social · 02/11/2025

Took an intro wheel pottery class this past month with @granaghan.bsky.social - so very cool. Pup is curious whether they’re for her. Imperfect but beautiful, proud of how these turned out! Creative outlets 😍 #medhum #hapc #bordercollie #dogsofbluesky 🐾🪴

Small turquoise pottery cup held in hand

Small turquoise pottery ring dish held in hand with small dog approaching with curiosity

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Shireen Heidari, MD @shireenheidari.bsky.social · 06/10/2025

This year we combined the GeriPal Fall fellowship and alumni picnic with palliative care kids camp and we had a blast! Here’s to a beautiful day, community, and joy. #hapc #medsky @stanforddeptmed.bsky.social

Group of people standing under trees outside

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Reposted by Shireen Heidari, MD

Diana Halloran, MD @dianahalloran.bsky.social · 24/09/2025

I first wrote this as a series of voice notes in between home hospice visits during my HPM fellowship last year. I didn’t expect these visits to impact me quite the way they did. @jpsmjournal.bsky.social #MedEd #HPM #hapc

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American College of Chest Physicians @accpchest.bsky.social · 10/09/2025

In the latest CHEST Exhalations article, "Permission to Cry," Shireen N. Heidari, MD (@shireenheidari.bsky.social ), reflects on the perceptions of physicians expressing emotions. Read the full article in the September issue: www.doi.org/10.1016/j.ch... #JournalCHEST #CHESTHumanities

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Shireen Heidari, MD @shireenheidari.bsky.social · 09/09/2025

My essay on crying in @accpchest.bsky.social today! #medsky #meded #hapc "But the lesson didn’t have to be that tears were a source of shame. Our humanity was part of what drew us to train to be healers in the first place" ❤️‍🩹 www.sciencedirect.com/science/arti... @stanforddeptmed.bsky.social

sciencedirect.com

Permission to Cry

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Diana Halloran, MD @dianahalloran.bsky.social · 02/09/2025

Back on my writing kick - reflecting on the difficult decision to leave emergency medicine. #MedEd #hapc www.doximity.com/articles/cfc...

doximity.com

6 a.m., 2 p.m., and 10 p.m.

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Atul Gawande @agawande.bsky.social · 01/09/2025

9 CDC Directors going back to 1977 speak out. What RFK Jr has done to our nation’s public health system "should alarm every American." It "is unlike anything we have ever seen at the agency, and unlike anything our country has ever experienced." www.nytimes.com/2025/09/01/o...

nytimes.com

Opinion | We Ran the C.D.C.: Kennedy Is Endangering Every American’s Health

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Shireen Heidari, MD @shireenheidari.bsky.social · 30/08/2025

Weekends are for naps apparently. This little pup turned three this week 😍🐾 #dogsofbluesky #weekend

Black and white dog curled up on chair sleeping with sunlight streaming through window behind

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Christian Sinclair @ctsinclair.bsky.social · 26/08/2025

Hey #palliative, looking good! #hapc

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Shireen Heidari, MD @shireenheidari.bsky.social · 30/08/2025

Latest decompression - paint by numbers kits. Much more relaxing than I thought it would be and helpful given the state of well, everything happening in our country right now. #Saturday #hapc

Paint by numbers canvas with sunset and mountains partially painted

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Reposted by Shireen Heidari, MD

Eduardo Bruera @brueraeduardo.bsky.social · 17/08/2025

In agitated delirium refractory to haloperidol , increased dose haloperidol was no better than placebo. Lorazepam, alone or with haloperidol, significantly reduced agitation, lowered rescue med use, and showed no survival or adverse event differences. pubmed.ncbi.nlm.nih.gov/40742738/

pubmed.ncbi.nlm.nih.gov

Proportional Sedation for Persistent Agitated Delirium in Palliative Care: A Randomized Clinical Trial - PubMed

Clinicaltrials.gov Identifier: NCT03743649.

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Shireen Heidari, MD @shireenheidari.bsky.social · 30/06/2025

Celebrating another year of hospice and palliative care fellows graduating 🥳😭😍 very proud of this amazing cohort and can’t wait to see what comes next! #hapc @stanforddeptmed.bsky.social

A group of people standing on the grass smiling

Five people linking arms smiling in front of a congrats banner

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Reposted by Shireen Heidari, MD

Prasad Jallepalli, MD, PhD @prasad.bsky.social · 29/05/2025

*new interns, residents, and fellows start on July 1 *~11,000 house staff in US hospitals are on J-1 visas *these doctors are the backbone of rural & urban safety-net hospitals *most of these doctors go into primary care after training, often in the same community www.intealth.org/pdfs/J-1_US_...

intealth.org

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Shireen Heidari, MD @shireenheidari.bsky.social · 09/05/2025

Gave in and replaced the well loved and often patched narwhal with a new one today. They wasted no time getting to joyfully tugging it about. #dogsofbluesky #bordercollie #hapc 🐳🐾❤️

Two stuffed blue narwhals, one shredded slightly, one new, sitting on wood floor

Two dogs playing tug with stuffed narwhal

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Inequality Media @inequalitymedia.bsky.social · 28/04/2025

The 19 richest U.S. households saw a $1 trillion wealth increase in 2024, a rise that exceeds the size of Switzerland’s economy. These 19 households now control $2.6 trillion in wealth — almost as much wealth as the bottom 50% of American households. If this isn't an oligarchy, what is?

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Reposted by Shireen Heidari, MD

Scott Hadland, MD @drscotthadland.bsky.social · 14/04/2025

Breaking: Harvard's response to the government's threat of withholding research grants to exert control over universities 👇 Research grants are not political weapons. The stakes are not abstract: Every $ withheld is a delayed cure, a patient or family left behind. www.harvard.edu/research-fun...

harvard.edu

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Maya Sen @mayasen.bsky.social · 14/04/2025

Here is the situation if I’m understanding it correctly: 1. They are deporting lawful immigrants erroneously to prisons overseas 2. They are claiming no recourse to return these individuals 3. They say they are open to deporting citizens in the same way

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Reposted by Shireen Heidari, MD

Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 13/04/2025

A colleague, a surgeon at a VA, was informed their job will now be in a contract role rather than as an employee with benefits. Veterans will suffer from these changes in the name of “efficiency”

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granaghan.bsky.social @granaghan.bsky.social · 13/04/2025

I noticed some shrinkflation at the grocery today. Then @shireenheidari.bsky.social suggested I check the old box. Dishwasher pods are up 25%. 📉

Two boxes of Cascade pods of identical size side by side on a grocery shelf. One contains 57 pods and the other 47.

Two boxes of Cascade pods of identical size side by side on a kitchen counter. One contains 62 pods and the other 57.

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Plague Poems @plaguepoems.bsky.social · 08/04/2025

My uncle, who invests, says don’t worry the markets will recover, he says we should all learn from the pandemic: the markets suffered but the markets recovered, and I suppose he is right, but what I learned from this pandemic is that the markets recover but many people never do.

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Ryan Marino, MD @ryanmarino.bsky.social · 07/04/2025

So far there have been three measles deaths in under six weeks in the ongoing US measles outbreak. Prior to this year there had only been three measles deaths in the United States in total in the entire last thirty years.

yourlocalepidemiologist.substack.com

Third measles death

This is not normal. For three reasons.

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Shireen Heidari, MD @shireenheidari.bsky.social · 07/04/2025

There is so much chaos and joy with these two goofballs. Soaking up the last few moments of the weekend. #dogsofbluesky #hapc 🐾🥰

Two black and white border collies sitting on a colorful rug looking at camera

Two black and white border collies outside looking happy with tongues hanging out, one with eyes closed

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Margaret Russell @drmargaretrussell.bsky.social · 05/04/2025

I have been told so many times, "Doctors shouldn't be political" Respectfully: NO "Politics" is rooted in the Greek word "Polis" meaning "City" - the same as "Policy" Everything we do in a society is "Political" Silence isn't neutrality: it is endorsement of the powerful

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Shireen Heidari, MD @shireenheidari.bsky.social · 03/04/2025

Making medical decisions for someone you love in crisis moments is rough, whether it's a human or a dog. Grateful to @jpsmjournal.bsky.social for a space to share Dani's story www.sciencedirect.com/science/arti... @stanforddeptmed.bsky.social #dogsofbluesky #hapc #medsky #meded

Senior golden and white dog looking at camera, some of the hair on her arm is shaved from an IV placement. To right of image is a human man with glasses looking at her

gold and white dog staring off in distance, with rainbow llama next to her

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Agolf Twitler Slayer @slayeragolf.bsky.social · 02/04/2025

CDC was gutted today, entire departments wiped out, including much of the global HIV program. Career scientists and doctors lost their jobs overnight. This isn't just bureaucracy; people will die from preventable diseases, and public health will suffer for years. A massive step back for science.

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Sari Beth Rosenberg @sari.bsky.social · 02/04/2025

Senator Booker broke Senator Thurmond’s record for the longest speech on the Senate floor. Thurmond used his time to stand in the way of progress. Booker is using his to stand for it. This is powerful. This is the America we’re fighting for. This is our moral moment & we must all answer the call.

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