iiinova — where your digital self keeps evolving

Sayed Tabatabai, MD @therealdoctort.bsky.social · 01/09/2026

They don’t call me Med Lasso for nothing! 🙏❤️

Sayed Tabatabai, MD @therealdoctort.bsky.social · 01/09/2026

I have this habit of telling my office staff I believe in them. It started as a pep talk thing, but now it’s just how I end almost every conversation with my staff. “I believe in you!” Found this note on my desk after a brutal drive through Texas traffic with a long clinic day ahead. We got this!

Photo of a note written neatly on a piece of paper on my desk. It reads:

“I believe in you!” - Dr T voice :)

1192

Sayed Tabatabai, MD @therealdoctort.bsky.social · 25/08/2026

It’s okay to say you got nothin’…

Screenshot of a news article from the Miami Herald. Headline reads: “Scarlett Johansson changed her magnesium supplement routine after a spray left her feet feeling dry.” Beneath the headline is a photo of actress Scarlett Johansson smiling.

050

Sayed Tabatabai, MD @therealdoctort.bsky.social · 23/08/2026

I’m honored to have had some small part in your beautiful writing. Thank you for sharing this.

111

Sayed Tabatabai, MD @therealdoctort.bsky.social · 23/08/2026

A thought on this sunny Sunday. In March of 1973, a man identified only as “Mr. Nadeau” wrote to famed author E.B. White, writer of “Charlotte’s Web,” and “Stuart Little.” Nadeau wrote to say he was in despair, and had lost faith in the future of humanity. White replied…

Photo of a letter from EB White:

North Brooklin, Maine
30 March 1973
Dear Mr. Nadeau:
As long as there is one upright man, as long as there is one compassionate woman, the contagion may spread and the scene is not desolate. Hope is the thing that is left to us, in a bad time. I shall get up Sunday morning and wind the clock, as a contribution to order and steadfastness.
Sailors have an expression about the weather: they say, the weather is a great bluffer. I guess the same is true of our human society-things can look dark, then a break shows in the clouds, and all is changed, sometimes rather suddenly. It is quite obvious that the human race has made a queer mess of life on this planet.
But as a people we probably harbor seeds of goodness that have lain for a long time waiting to sprout when the conditions are right. Man's curiosity, his relentlessness, his inventiveness, his ingenuity have led him into deep trouble. We can only hope that these same traits will enable him to claw his way out.
Hang on to your hat. Hang on to your hope. And wind
the clock, for tomorrow is another day.
Sincerely,
E.B. White

14917

Sayed Tabatabai, MD @therealdoctort.bsky.social · 20/08/2026

‘Instead of “blueberries kill you” just say there’s a “reasonable probability of death.”’ “Wait, isn’t that the same thing?” “No! Now it’s…. reasonable.”

static.klipy.com

Mad Men: Don Draper's 'My Pleasure' Smile

Alt: Mad Men: Don Draper's 'My Pleasure' Smile

070

Sayed Tabatabai, MD @therealdoctort.bsky.social · 18/08/2026

You’re right. But when you slash oversight budget and staffing for things like inspections etc, the relative risk of issues goes up. My analogy is an airline cutting maintenance spending, and a plane blowing out an engine but landing safely. Yeah the pilots saved it, but there’s deeper issues.

041

Sayed Tabatabai, MD @therealdoctort.bsky.social · 18/08/2026

Can’t hurt you if the cyclospora diarrhea from the salad makes you poop it out super fast?

170

Sayed Tabatabai, MD @therealdoctort.bsky.social · 10/08/2026

How to ask a colleague for a recommendation.

Screenshot of a text conversation:
Friend: Are they gonna show you what I wrote?

Me: Lmao no, but if I don’t get this job I’ll pretty much know who to kill

Friend: (mimicking an interview) Question
"”What can this candidate improve on?"

Me
"Nothing"

Question
"What can you tell our manager about the candidate"

Me
"You are lucky to have him"”

Me: That’s the spirit

0160

Sayed Tabatabai, MD @therealdoctort.bsky.social · 09/08/2026

Truth. It’s always been difficult for me to fathom how quickly we, as a nation, seemed to move past that entire time. And now attempts are being made to rewrite history.

130

Sayed Tabatabai, MD @therealdoctort.bsky.social · 08/08/2026

Thank you for your lovely kindness towards me and my little book. And I’m sorry for what you went through. What we all went through. Truly. You’re not alone. 🙏

140

Reposted by Sayed Tabatabai, MD

Megaholt 𓅃 @megaholt.medsky.social · 08/08/2026

Once again, @therealdoctort.bsky.social has me ugly crying while reading a few pages of his book (I keep trying not to admonish myself for not reading it faster, but it’s difficult to read through tears)… You and I hit our walls with regard to the pandemic at roughly the same point in time, friend.

282

Sayed Tabatabai, MD @therealdoctort.bsky.social · 28/07/2026

“We leave something of ourselves behind when we leave a place, we stay there, even though we go away. And there are things in us that we can find again only by going back there.” -Pascal Mercier

Screenshot of a tweet on Twitter by “@hedgieMarkets”

“🦔AI companies are bulk-buying rare books, scanning them through high-speed machines that cut the spines off, and shredding the originals. A service called ISBNdb facilitates orders of up to a million books and keeps buyers anonymous. Pre-2022 books are premium because they're free of AI-generated text. A federal judge ruled the practice is fair use because eliminating the original means only one copy exists at a time. Anthropic hired the former head of Google Books partnerships to obtain "all the books in the world."

My Take
This got to me. A bookseller told 404 Media that rare books with almost no surviving copies are being fed into this pipeline. Books that survived wars, fires, and centuries of handling are being shredded so an AI can learn to write a better marketing email.”

2133

Sayed Tabatabai, MD @therealdoctort.bsky.social · 22/07/2026

Science fiction is sometimes wrong, but mostly it’s just early.

2252

Sayed Tabatabai, MD @therealdoctort.bsky.social · 19/07/2026

“The Odyssey” is spectacular filmmaking. Beautiful, terrifying, visceral, tactile, even the most mythical elements seem fully realized. There’s a moment that shattered me, and I can’t forget it. A meditation on all that we are, all that we carry, and all that we can’t leave behind. 10/10.

Photo of Matt Damon as Odysseus from The Odyssey. He looks weary, in armor, looking up at something off-screen. He is bearded and his beard and hair are scraggly.

1141

Sayed Tabatabai, MD @therealdoctort.bsky.social · 16/07/2026

Wildfire smoke is contaminating the air. Fruit and vegetables have parasites. Bread rolls have glass inside. Sam Neill died. It’s been a week.

0224

Sayed Tabatabai, MD @therealdoctort.bsky.social · 28/06/2026

You’ve revived your last Creedence Clearwater.

011

Sayed Tabatabai, MD @therealdoctort.bsky.social · 21/04/2026

I really enjoyed sitting down with Dr. Saba Fatima and having this conversation. I honestly wasn’t sure which way things would go or what exactly we’d end up talking about, but sometimes the best conversations start that way. youtu.be/rJzuKf-57iU

youtu.be

E43:The Patient Beyond the Chart: Listening to What We Miss(w/Dr Sayed Tabatabai)

YouTube video by Muted in Medicine

160

Sayed Tabatabai, MD @therealdoctort.bsky.social · 03/04/2026

Thank you for your kindness, and sharing this amazing song!

120

Reposted by Sayed Tabatabai, MD

Megaholt 𓅃 @megaholt.medsky.social · 15/02/2026

Re-reading @therealdoctort.bsky.social’s book and a line stuck out: “The dawning realization hits me: I have been learning how to ride a bike by reading about it.” Funny thing about that…I taught myself a bunch of the basics of figure skating by watching it on TV and by reading it in a book.

My twin (in a purple coat and light pink pants) and I (in dark pink everything) on the tiny ice rink that was our flooded front yard as little kids, in our tiny skates.

181

Sayed Tabatabai, MD @therealdoctort.bsky.social · 15/02/2026

Remarkable! Thanks for the shout out 🙏

110

Sayed Tabatabai, MD @therealdoctort.bsky.social · 14/02/2026

Since nobody is being held accountable, and capital only understands the language of capital, is there a comprehensive Epstein boycott/don’t-vote-for list yet? Or is it basically almost every major corporation and politician?

4258

Sayed Tabatabai, MD @therealdoctort.bsky.social · 13/02/2026

Paying my taxes, quivering with incandescent rage.

2231

Sayed Tabatabai, MD @therealdoctort.bsky.social · 11/02/2026

He could have spent 10 seconds on it but he was gracious and kind. Wishing his friends and family peace. Please remember to get your colorectal cancer screening done beginning at age 45 if you don’t have specific risk factors (check with your doctor). 2

1120

Sayed Tabatabai, MD @therealdoctort.bsky.social · 11/02/2026

RIP James Van Der Beek from colorectal cancer. Little side story. One of the nurses I work with, loved Dawson’s Creek so much she named her daughter Dawson. In 2020 I asked James to record a little message for them both (via Cameo) to help cheer them up in the depths of the COVID pandemic. 1/2

1232

Sayed Tabatabai, MD @therealdoctort.bsky.social · 02/02/2026

"Part of how they make you obey is by making obedience seem peaceful, while resistance is violence. But really, either choice is about violence, one way or another." -Charlie Jane Anders, “The City in the Middle of the Night.”

0195

Sayed Tabatabai, MD @therealdoctort.bsky.social · 25/01/2026

Positive aspect of the snowstorm. I finished 10,000 words of my novel last night. Gimme caffeine, and no other options, and I will FINISH THIS BOOK.

3310

Sayed Tabatabai, MD @therealdoctort.bsky.social · 25/01/2026

Yeah, just check your direct messages and replies to make sure someone isn’t using it to swindle other people.

120

Sayed Tabatabai, MD @therealdoctort.bsky.social · 25/01/2026

Not really me lol, but I did notice when my account got swiped.

120

Sayed Tabatabai, MD @therealdoctort.bsky.social · 25/01/2026

I finally have access to my Twitter/X account again! For the past 5 days my account has been hacked. If you received any messages from “CoachSelena75” or “CoachSophie” your account may have been compromised. Sorry to everyone who suddenly got deluged with crypto posts and Elon retweets.

272

Sayed Tabatabai, MD @therealdoctort.bsky.social · 22/01/2026

Thanks, I’m not overly optimistic. You’d think this would be easy on Twitter’s side. Account suddenly changes everything after 13 years and a hacked account notice is put in. That should trigger something automatically. Oh well… sigh.

010

Sayed Tabatabai, MD @therealdoctort.bsky.social · 22/01/2026

FYI to anyone who follows my main account on Twitter/X “therealdoctort,” unfortunately the account has been hacked and the name has been changed. I’ve reached out to @X to try and regain control. Please disregard any posts or messages coming from that account until I can get it back. Thanks.

2141

Sayed Tabatabai, MD @therealdoctort.bsky.social · 16/01/2026

I’m still writing. One massive story. Hopefully I can finish it in 2026.

051

Sayed Tabatabai, MD @therealdoctort.bsky.social · 16/01/2026

Then I achieved my purpose. Thank you 🙏

120

Sayed Tabatabai, MD @therealdoctort.bsky.social · 16/01/2026

“…And hope returned to him. For like a shaft, clear and cold, the thought pierced him that in the end the Shadow was only a small and passing thing: there was a light and high beauty for ever beyond its reach.” J.R.R. Tolkien, “The Lord of the Rings.”

Image of a lone white star shining in the night sky high above a jagged mountain range wreathed in dark clouds.

26712

Sayed Tabatabai, MD @therealdoctort.bsky.social · 16/01/2026

Awww thanks! Also… what spurred this realization? 😂

120

Sayed Tabatabai, MD @therealdoctort.bsky.social · 07/01/2026

Flu is surging at record levels. Measles is exploding, an outbreak in South Carolina just passed 200 hospitalized cases. ICE just shot and killed a U.S. citizen. We overthrew Venezuela for their oil and wanna “buy” Greenland. National debt is $38 trillion. Healthcare is crumbling rapidly now.

Screenshot of a headline, “OpenAI suggests ChatGPT play doctor as millions of Americans face spiking insurance costs: ‘in the U.S. ChatGPT has become an important ally.”

5233

Sayed Tabatabai, MD @therealdoctort.bsky.social · 27/12/2025

Thank you for the kind words. I miss writing too. The sci-fi book is coming along slowly but surely. I hope to share some of it this year.

110