iiinova — where your digital self keeps evolving

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.

000

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

Thanks Ma’am Iris! I loved your topic!#healthxph

110

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

021

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

051

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.

041

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

Hahaha women don’t “mansplain” to other women. 😆 #healthxph

030

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

031

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

Now I’m curious… personally I think one is only deemed “arrogant” if the opinion holder has no knowledge of who you are and what you can do. #healthxph

020

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

Whoa! That’s pretty amusing… especially if you were an expert on something. Was it along the lines of… “mansplaining”? 😅#healthxph

120

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

011

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

241

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!

020

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

For plants doc? You mentioned something about tilapia earlier... #healthxph

120

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

Okie! Do drop the link here! :-) Next up to moderate, Ma'am Iris! @endocrinewitch.bsky.social :-) #healthxph See you all again, next week!

020

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

hahaha! I am not surprised. Everything was down to a science, it was so cool to learn new things. #healthxph

000

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

000

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

021

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

This is super cool! I have always wanted to start something like this... #healthxph

120

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

020

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

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

220

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

Yes, i would have to agree... (we get our rest whenever we can). #healthxph But for the nights of great sleep, I think it is an unbeatable thing!

110

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

Do you use this as a stimulant and energy source, Jim? I'm curious, what do you drink when you write, to get the ideas flowing? #healthxph

120

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

Regular physical activity with weights, and foot pounding (when you climb the stairs) makes for stronger bones, and increases BDNF *Brain Derived Neurotrophic Factor*, which helps in neuroplasticity, and the survival, growth and maintenance of neurons. #healthxph

010

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

110

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

120

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

How convenient! #healthxph The commute can be a huge energy drain... I know it is, for me. I'd much rather walk to work, but right now, I can't.

020

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

020

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

This is a pretty place, doc H! Where is this at? #healthxph

110

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

120

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

This is a luxury...not rushing to commute, and being able to enjoy a slow morning. Morning routines are also great stimulants! #healthxph

120

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

020

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

That is 16 degrees in Celsius (which is comparable to an airconditioned room at the lowest setting)...days here could get from 25 degrees to 30... #healthxph

110

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

Hello Jim! How's Maryland this time of the year! :-) Haha, I hope tonight's talk is "stimulating"! :-) I hope all is well! #healthxph

110

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

110

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

Hello Doc H! :-) All the way there in Leyte? What's happening on that side of the pond? #healthxph

110

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!

010

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

120

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

Hi Doc Remo! @bonedocph.bsky.social I only saw this post of yours after multiple refresh presses. #healthxph

020

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

010

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

021

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

120