iiinova — where your digital self keeps evolving

Dhruv Srinivasachar MD @therealdsrini.medsky.social · 27/09/2026

How is my little sister now a wife?!?!!!!?!

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 25/09/2026

Any advice on being a good brother-in-law?

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 25/08/2026

This but trade medication side effects with being on the palliative service...

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 12/08/2026

A profound and comprehensive look into shame as an overarching experience of autistic folk (particularly those in medicine, where autism is still treated as a disorder and patients are infantilized), and what we can do to break the cycle.

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Reposted by Dhruv Srinivasachar MD

Lady Levain @breadbae.blacksky.app · 12/08/2026

Autism has always existed. They just didn’t have a name for it. The science wasn’t advanced enough back then. Same with ADHD. It’s why your granny said your cousin Tina’s kid was “touched.”

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 11/08/2026

Reflecting on a needed escape to meet with friends and colleagues at the PHM 2026 meeting, and realizing that I am appreciated by multiple folks outside my current institution... And that maybe I'm not crazy...

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 08/08/2026

Inspired by the morning plenary from @docwithbowtie.bsky.social!!! So many lessons that we can take back to advance care as #PedsHM #HMSky

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 08/08/2026

I would leave if only I could find a reason I'm mean because I grew up in New England I got dreams, but I can't make myself believe them Spend the rest of my life with what could have been And I will die in the house that I grew up in I'm homesick. -Noah Kahan, unintentionally describing me

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 06/08/2026

Session at capacity and lots of good discussion on use of generative AI tools in inpatient peds (an issue that is highly salient in the last year or so)!! #PHM26 #HMsky

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 06/08/2026

Ready for my first ever speaking slot at a national conference!!! #PHM26

A front-facing selfie of the poster, wearing a black suit with gray-blue shirt and a Navy colored bow tie with multi-colored stripes.

A mirror photo of the poster in his conference hotel room, wearing a black suit with gray-blue shirt.

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Reposted by Dhruv Srinivasachar MD

Shematologist, MD @shematologist.medsky.social · 28/07/2026

Dear insurance companies, If you don’t cover super important medications, the patient more times than not will end up in the ER and then the hospital and I’m pretty sure those stays cost a lot more than the medication you wouldn’t pay for. Sincerely, Your biggest hater

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 17/07/2026

The central tension physicians at all levels of training (including attendings) have to face: Control in the pursuit of excellence? Or entrustment to allow for learners to demonstrate their skills even if management is not optimal? Timely as I reflect on this past year and set goals for this year

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 17/07/2026

Either separated bike lanes or dedicated car-free trails!

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 01/07/2026

New interns?! 1 year since starting at CHMC?! A speaking spot for the #PHM26 conference?!

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 30/06/2026

Only 2 owned but quite a change: 2014 Toyota Camry SE V6-6 speed automatic 2025 Hyundai Ioniq5 Limited AWD-1 speed reduction gear I have driven a 2023 Hyundai Sonata N-Line with an 8 speed dual clutch and a Palisade hybrid with a 6 speed automatic with electric motor assist as well...

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 30/06/2026

And SCOTUS confirms it. *Deep sigh of relief*

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Reposted by Dhruv Srinivasachar MD

The Autistic Coach | Mati (he/they) @theautisticcoach.bsky.social · 24/06/2026

Stop calling confident autistic people aggressive. Stop calling knowledgable autistic people intimidating. Stop calling passionate autistic people loud. Stop calling quiet autistic people slow. Stop calling worried autistic people paranoid.

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 22/06/2026

A year since you crossed the rainbow bridge, and I miss you so much...

The dearly departed cocker and poodle mix sleeps on a leather couch. He passed 1 year ago this past weekend.

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 29/05/2026

THE @jbcarmody.bsky.social GIVING GRAND ROUNDS AT CHMC?!?!?! AND I GET TO MEET HIM IN PERSON?!?!?!

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Reposted by Dhruv Srinivasachar MD

👻 YSUBoOoOooOooo 👻 @bassoonysu.bsky.social · 28/05/2026

Common traits of ADHD (explained by ducks). Really important explanation of time blindness at the beginning for the people out there who say everyone who shows up late is just being a selfish asshole. It's not easy to be on time when you have to fight your own brain to organize yourself to leave.

youtube.com

Common Traits of ADHD (explained by ducks)

YouTube video by diplomaduck

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 17/05/2026

Is human's birthday?!-Clemmy Yes. Yes it is.

A tabby cat sits and looks backwards in surprise.

Pink azaleas in bloom, marking the OP's birth month of May

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 28/04/2026

And yet the question about "how do we get people to pursue pediatric research careers" that is the main thrust of @pasmeeting.bsky.social only scratched the surface of this...

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 27/04/2026

Glad that there's a Pro/Con on shortening fellowships in peds subspecialties @pasmeeting.bsky.social ... But people are forgetting that #MedPeds exists, IM fellowships dual train (e.g. Pulm/Crit, Heme/Onc), and #PedsHM still has a scholarly output requirement as a 2 year fellowship

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 26/04/2026

Inspiring panel discussion on advocacy in pediatrics @pasmeeting.bsky.social featuring @drannieandrews.com. Not everyday that you meet a colleague running for Senate!!

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 26/04/2026

One other bonus of @pasmeeting.bsky.social being in Boston... Getting to ride the @mbta.com new Red and Orange line trains!

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 25/04/2026

How fitting that on my sedation month the next session I'm attending @pasmeeting.bsky.social is on building a sedation service... Important since it's part of #PedsHM training

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 24/04/2026

And working to ensure that future folks going through the same path I did don't have to unnecessarily suffer.

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 24/04/2026

Fascinating session on digital tools, including generative LLMs, on #PedsHM as my first for @pasmeeting.bsky.social . Fitting considering my fellowship research...

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 24/04/2026

From the opening addresses @pasmeeting.bsky.social ... A clarion call for addressing the challenges in the #PedsSky workforce... But no mention of #MedPeds or other combined trainees?

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 24/04/2026

I think this is the first time I've been to the "new" convention center in Boston since it was built? Even though I grew up in New England for the first 18 years of my life and intend to return after fellowship... @pasmeeting.bsky.social

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Reposted by Dhruv Srinivasachar MD

Dr. Lawren is Openly Ya Ya @lwpedsmd.blacksky.app · 17/04/2026

"American Board of Pediatrics Board of Directors recently approved a model that serves as the foundation for moving pediatric subspecialty training toward a competency-based approach...that creates a 2 year, clinically oriented pathway.” Good & make Adolescent 1 yr! www.abp.org/news/press-r...

abp.org

Ensuring Readiness for Practice: Advancing Competency-Based Subspecialty Training | The American Board of Pediatrics

A growing body of evidence indicates that the current training paradigm for pediatric subspecialty training, which is exclusively focused on completion of a fixed duration of time, does not consistent...

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 10/04/2026

Amplifying for a fellow Medsky colleague!!!

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 01/04/2026

I'm finally done with my inpatient service month...

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 25/03/2026

Multiple diagnostic turns, loads of hospital discharges, and a research project in process?!

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 18/03/2026

Double boarded and an IRB approval for my first independently designed research project?! What is this, opposite day?

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Reposted by Dhruv Srinivasachar MD

Robert Reich @rbreich.bsky.social · 16/02/2026

-A living wage -Guaranteed healthcare -The right to join a union -The right to vote -The right to choose when, how, and with whom you start a family -The right for you and your family to live free from gun violence These are the foundations of real freedom.

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 30/01/2026

Food for thought... Reflecting after 6 months in my Peds Hospital Medicine fellowship...

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Reposted by Dhruv Srinivasachar MD

Journal of Hospital Medicine @jhospmedicine.bsky.social · 21/10/2025

What do pediatric hospital medicine fellows want in their first job? Work-life balance, mentorship, & competitive comp top the list. 🔗 doi.org/10.1002/jhm.70054

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Dhruv Srinivasachar MD @therealdsrini.medsky.social · 27/01/2026

Important with the increasing number of patients surviving well into adulthood with conditions that just a decade ago were life-limiting in childhood...

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