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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 03/08/2026

I saw this interesting article about conversations on scrubs, wearing them outside the hospital and what they signify... and I looked at my line of work and thought about how I prefer them for comfort and security. What are your thoughts? doctorsonsocialmedia.com/wearing-scru...

doctorsonsocialmedia.com

The Debate Over Wearing Scrubs Outside Work Isn't Really About Scrubs | SoMeDocs: Doctors on Social Media

What do scrubs actually symbolize once a physician leaves the hospital? A new discussion-provoking article from SoMeDocs.

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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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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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Reposted by Stephanie Miaco, M.D.

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

Good evening ma’am iris and #healthxph team! Just joining in, we just had a family dinner after the burial, so I’m late. But joining in to catch up!

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 09/05/2026

T3. To be perfectly honest, there is no substitute to getting enough energy and motivation that from a good night's sleep, where you feel safe and free from worries. Stimulants can only do so much for short bursts. Have something that fills you with purpose, to keep motivated.#healthxph

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Reposted by Stephanie Miaco, M.D.

Jim Katzaman - Persevering Writer @jkatzaman.bsky.social · 09/05/2026

I might have water, iced or hot tea or hot chocolate -- whichever my wife brings. Remember, there's really no idea stimulation going on because for the most part I'm making articles from what you and others say in "interviews." #HealthXPh

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 09/05/2026

T2. I have a funny story... I had a full day of work, with back to back meetings, I thought I wouldn't have energy for a pickleball training session at the end of the day. Guess what, I attended that...had a lot of fun, AND ended up not sleeping until 4 in the morning! #EnergyBoost #healthxph

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 09/05/2026

I'd like to begin the third topic for tonight... T3. #healthxph

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 09/05/2026

T2. In the mornings, personally, I like to water my plants... it always gives me an energy boost to see green things, and to feel the "life" of things growing. I always think the lifting of the bucket (i don't use a hose for plants further down), as a weight training activity. #healthxph

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 09/05/2026

I'd like to start with T2... (but feel free to keep sharing your thoughts on T1) #healthxph

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 09/05/2026

Please just keep refreshing your page, sometimes it takes a while for posts to load... #healthxph

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 09/05/2026

T1. When I was in residency, a co-resident would swear by a vitamin C drink, where you dissolve a tablet in water, and he swore it kept him sharp and focused for the workday! #healthxph

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 09/05/2026

T1. My favorite is coffee from UCC... even the sachets are very good for me, I love their taste, and they are a quick fix. For coffee shops, I get the Matcha Espresso Fusion from Starbucks... matcha balances out the coffee effect, so you don't have a spike, and correspondingly crash. #healthxph

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 09/05/2026

For everyone who's joining in, I had this inspo for this article from a recent illness, where I was having a hard time keeping my energy levels up... As a regular coffee drinker and a person who loves the outdoors, I got curious of how other people would keep themselves "stimulated"! #healthxph

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 09/05/2026

Hello everyone on tonight's #healthxph tweetchat! Hi, @endocrinewitch.bsky.social @bonedocph.bsky.social @helenvmadamba.bsky.social @docbuboy.bsky.social and other friends online? Let's hang out! Tonight's topic will be on #stimulants!

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 02/05/2026

T3. Perhaps I am being too simplistic about this, but we can qualitatively measure patient satisfaction via their honest feedback. They become free to express themselves when they feel comfortable with you and have good rapport. This feedback is priceless in terms of what you can do. #healthxph

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 02/05/2026

T2. Supposedly, the more we immerse ourselves in EMRs, and scheduling via these apps, the more it should be that things get easier. If patients are able to follow instructions and get smooth processing with their requests, that would be better. #healthxph

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Reposted by Stephanie Miaco, M.D.

Helen Madamba @helenvmadamba.bsky.social · 02/05/2026

I remember watching a reel about how nurses are kind, but they're not nice. Patients might be satisfied if they feel their wishes and requests are granted, but for health care providers patient satisfaction should be if their health care needs are met. Sometimes there can be mismatch. #HealthXPH

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 02/05/2026

T1. I have a pretty simple metric … like, in therapy if they feel comfortable in your therapeutic relationship and they keep coming back because they feel that your work together is significant in bringing about positive change. And conversely, as the #HCW, you would want to cont collab. #healthxph

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 02/05/2026

I think we need to keep refreshing our pages/ posts to keep up… sometimes @bsky.app gets slow to process. #healthxph

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 02/05/2026

Hello #Healthxph fam and friends! Stephanie from dumaguete city, signing in for tonight’s tweetchat!

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Reposted by Stephanie Miaco, M.D.

Remo Aguilar @bonedocph.bsky.social · 25/04/2026

Of course, lifelong learners are curiosity junkies (pardon my term). They look at things with the freshness of a beginner. #Healthxph

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 25/04/2026

T3. I've always had this habit of asking questions and maintain a healthy curiosity for every thing I encounter... while I may not document it all,I would always have a way to ask questions and ponder on them. It is habit that has helped me learn a lot in my career. And then I integrate. #healthxph

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 25/04/2026

T2. My approach to this is interpersonal feedback, when it comes to patient care. Like, if they themselves feel that there is improvement from the interactions, and there is consistency in how they show up and take care of themselves, I'd say that that was a job well done for me. #healthxph

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 25/04/2026

T1. Portable soft skills could be on the communication and need to maintain voracious updating on the research, but what identity I can attribute to my current specialty is the proclivity to thinking in a non-linear fashion, with a tolerance for ambiguity. #healthxph

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Reposted by Stephanie Miaco, M.D.

Remo Aguilar @bonedocph.bsky.social · 18/04/2026

Because systems has a life of its own. You can build and optimize one, but no one single person has control over it. I don't intend to anyway so I just go to my next project that interest me. #Healthxph

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 18/04/2026

And that ends our chat for tonight! :-) Thank you Doc Remo @bonedocph.bsky.social and Doc H @helenvmadamba.bsky.social for joining! I appreciate your thoughts on this! :-) #healthxph

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Reposted by Stephanie Miaco, M.D.

Helen Madamba @helenvmadamba.bsky.social · 18/04/2026

On top on learning skills to advance the art of our craft, we need to learn to "read the land" and be sensitive to political cues because although we are non-partisan, Health is Political. #healthXPH not everyone needs to know what you are doing.

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 18/04/2026

T3. I'd tell myself not to try to do everything for everyone...but to listen more to older people have done it, and to not be afraid of what others may think or feel, but to prioritize what must be done. #healthxph And also, of course, to get more sleep. Because it really does make things easier.

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 18/04/2026

And now, T3... T3. If you could be outside your body, and mentor yourself as a young person, what would you advise, or, what would you do differently, knowing what you know now, at present? #healthxph

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 18/04/2026

In my article, I talked about how burnout can mean different things for physicians and healthcare workers at different stages. It is fascinating how changes in our body (and situations) can affect what causes burnout (and our perception of it) at different stages. #healthxph

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Reposted by Stephanie Miaco, M.D.

Remo Aguilar @bonedocph.bsky.social · 18/04/2026

T1. My general guides navigating burnout- 1. Get out of that environ 2. Reflect on the situation by seeking consults - personal advisers, and yourself. 3. Try to find a way of testing if you coming back on such situations will make a realistic impact 4. Back vs. walk away #Healthxph

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 18/04/2026

T2. I've been working as a doctor and as a mental healthcare worker for a number of years now, enough to say I'm in the middle stages of my career... For this part of my life, I would say my experience of burnout is more mental, and part physical, because I do feel more aggravated 1/1

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 18/04/2026

T2 is up!! T2. In the middle stages of your career (if you are in it right now)what was burnout like for you, and how did you deal with it? Do share your anecdotes. (Add #healthxph to your post to participate!) :-)

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 18/04/2026

T1. When I was a medical student and a resident, my experience of burnout was, being physically tired, and bored. Bored, because during these times, I begin to feel like tasks were tedious, and it was the same thing everyday: You work, you get corrected, you learn. #healthxph 1/2

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 18/04/2026

Let's do T1! :-) T1. In the early stages of your career (i.e. medical school/ internship/residency) what was burnout like for you, and how did you deal with it? Do share your anecdotes. (Add the hashtag to your post, to participate!) #healthxph

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 18/04/2026

Hello #healthxph fam and friends! I'm Steph from Dumaguete, Philippines, moderating tonight's tweetchat on Burnout at different stages. Who is online? #healthxph members @bonedocph.bsky.social @endocrinewitch.bsky.social @helenvmadamba.bsky.social @docbuboy.bsky.social hello!

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Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 18/04/2026

Topic for tonight's tweetchat!! :-) #healthxph medium.com/@stephmiaco/...

medium.com

Medium

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