banner
LightNews
bonedocph.bsky.social
Remo Aguilar
@bonedocph.bsky.social
57 followers 82 following 380 posts
Healthcare | Orthopedic Surgeon | Co-Founder #HealthXPh | I use education, technology and lifelong learning to change peoples lives #healthcareleadership #learningdevelopment
Posts Media Videos Starter Packs
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 4d
T3. Leadership should be on top. If it is between two different units, he/she should talk to both superiors of the unit. #healthxph
endocrinewitch.bsky.social
Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 4d
Oops time is almost up. Here’s T3. #healthxph
1
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 4d
T2. Should be two way - from top to bottom and vice versa . Organizational level is the ideal but its very hard to implement unless the one on top pushes for it. #Healthxph
endocrinewitch.bsky.social
Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 4d
T2 up next! #healthxph
1 2
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 4d
The whistleblower policy. I remember this was an integral part in the safe surgery checklist. Mentioned by atul gawande in complications. #Healthxph
endocrinewitch.bsky.social
Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 4d
T1. It’s also possible that the healthcare worker does not know where to bring his/her concern esp if the reporting processes are not discussed often or routinely evaluated. #healthxph
endocrinewitch.bsky.social
Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 4d
Let’s go to T1. Feel free to jump into the convo anytime! #healthxph
1 2
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 4d
Happens usually when hierarchy or seniority is emphasized in organizations. #Healthxph
endocrinewitch.bsky.social
Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 4d
T1. I think it’s fear of retribution lest one be called NOT a team player or too righteous. #healthxph
endocrinewitch.bsky.social
Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 4d
Let’s go to T1. Feel free to jump into the convo anytime! #healthxph
1 1
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 4d
T1. Leadership, Hierarchy and maybe personality types. But the first two are usually the bigger challenges. #Healthxph
endocrinewitch.bsky.social
Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 4d
Let’s go to T1. Feel free to jump into the convo anytime! #healthxph
1 1 1
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 4d
Interesting topic here! Curious about answers to the qs. Let's get this rolling! #Healthxph
endocrinewitch.bsky.social
Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 4d
Hello Remo! #healthxph
1 2
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 4d
Hi @endocrinewitch.bsky.social . Hello everyone! #Healthxph
endocrinewitch.bsky.social
Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 4d
Good evening from Manila! #healthxph
Here’s the pre-chat blog post.

www.endocrine-witch.net/2025/10/11/s...
Speaking Up for Patient Safety
We can keep patients safer by identifying problems and speaking up about them. But apparently, this systematic review found that previous literature have not really operationally defined “spe…
www.endocrine-witch.net
1 2
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 11d
Hi, this is bonedoc! Informing everyone that there will be no #healthxph chat this Saturday Oct 4, 2025 9PM mla time. We will resume next saturday of course. Thank you and enjoy weekend everyone!
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 18d
T2. I think that service to the country should be at the core of all med schools curriculum in the country. Standardization of curriculums is a must so state owned med schools prioritize graduates who will remain in the country. #healthxph
helenvmadamba.bsky.social
Helen Madamba @helenvmadamba.bsky.social · 18d
Let's move to T2. How should these "doktor para sa bayan" be trained differently from other medical students? #HealthXPH

Where a lot of medical school graduates go abroad to practice, how do we train these doctors to serve the country?
1
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 18d
T1. The Five Star physician comes to mind here. But we have to define who or what parasabayan md is. Most doctor started out with service to the nation at its core. Though this may change along the journey. #healthxph
helenvmadamba.bsky.social
Helen Madamba @helenvmadamba.bsky.social · 18d
let's start with T1. #HealthXPH

What attributes do you expect a "doktor para sa bayan" to have and how do they manifest these characteristics?
2
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 18d
Hello #healthxph ! Remo here joining chat from Physician night celebrations. #parasabayan
2 1
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 25d
Keep your thoughts coming! Appreciate all of these. An inspiration. :) Thank you @jkatzaman.bsky.social @stephaniemiaco.bsky.social @helenvmadamba.bsky.social for joining this #healthxph chat. Have a good weekend everyone. Let's give time to ourselves and our families!
3
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 25d
Oh, I almost forgot. Technology really helped me/us too. The various nudges on my watch / phone did remind me of what I need to do to change those unhealthy practices-diet, sleep, movement. #healthxph
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 25d
Here's our T3: As a Collective, What Can Physician Societies and the Government Health Sector Do to Help Physicians Do Better in This Regard? #Healthxph
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 25d
My meeting and computer table is elbow high, so I'm forced to stand many minutes in the office. I go down to the wards via stairs during work breaks as an alternate to gym times. #healthxph
helenvmadamba.bsky.social
Helen Madamba @helenvmadamba.bsky.social · 25d
I remember the FIT HEART minute breaks for offices and work areas... or FORCING employees to stand from their desks every 30 minutes... policies like these can address sedentary lifestyles. #HealthXPH
1
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 25d
Used the tool on myself and ugh! I didn't like my assessment. #healthxph
helenvmadamba.bsky.social
Helen Madamba @helenvmadamba.bsky.social · 25d
....and now I can relate when they express body aches and pains. I have to deal with herniated disc and severe arthritic pains. The physical symptoms affect mental health, and that too impacts patient care... #HealthXPH
1
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 25d
A must. Very simple, but not easy to do. #healthxph
helenvmadamba.bsky.social
Helen Madamba @helenvmadamba.bsky.social · 25d
Retreats and reflections are also helpful to identify what changes we need to implement (physical, mental, psychosocial, financial, spiritual) to live simply, prioritizing needs over wants, to weigh the best strategy to providing patient care. #HealthXPH
1
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 25d
Interesting and well meaning Indeed. #healthxph
stephaniemiaco.bsky.social
Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 25d
T3. In my community, the NOMS have different health conscious groups, and they have different health activities on many days of the week. :-) #healthxph
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 25d
Here's our T3: As a Collective, What Can Physician Societies and the Government Health Sector Do to Help Physicians Do Better in This Regard? #Healthxph
2
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 25d
When I was still with the hospital admin, I pushed for gym/exercise time during work, office furnitures that promote standing and movement, team outdoor or sport activities. When I cannot win on policy, I start practicing my own. #healthxph
jkatzaman.bsky.social
Jim Katzaman - Persevering Writer @jkatzaman.bsky.social · 25d
T3: Physician groups and government can promote work-life balance, fund wellness programs and reduce systemic stressors. Policy support plus collective advocacy makes it easier for doctors to sustain healthy lifestyles and provide better care. #HealthXPh
1 1
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 25d
First, Physician wellness education is a must and not just an option. Second, working environment standards must be set. We advised patients against long hours of work, proper nutrition and even sleep or exercise. But our own work environment doesn't seem to allow us. #Healthxph
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 25d
Here's our T3: As a Collective, What Can Physician Societies and the Government Health Sector Do to Help Physicians Do Better in This Regard? #Healthxph
1
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 25d
While individual physician effort are key improtant factors in changing these, the collective action of our societies and healthcare environment will either make or break individual efforts. #healthxph
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 25d
Here's our T3: As a Collective, What Can Physician Societies and the Government Health Sector Do to Help Physicians Do Better in This Regard? #Healthxph
1 4
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 25d
I feel you doc. Same for my patients with LBP and osteoarthritis. It's kind of pretentious of me to advise weight loss and diet and move and exercise when I do not mirror those same practices. #Healthxph
helenvmadamba.bsky.social
Helen Madamba @helenvmadamba.bsky.social · 25d
Yes, it is difficult for me to advise my patients to lose weight when I myself am struggling with the fight against the weight. #HealthXPH and it is a viscious cycle.
1 2
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 25d
Here's our T3: As a Collective, What Can Physician Societies and the Government Health Sector Do to Help Physicians Do Better in This Regard? #Healthxph
2
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 25d
Mayo Clinic’s Program on Physician Well-Being has developed evidence-based assessment tools, including the Well-Being Index, which measures six dimensions of distress and well-being. This optimize physician satisfaction and performance, offers practical self-assessment strategies. #healthxph
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 25d
Here's T2: What Can the Physician Do to Identify Their Own Lifestyle Changes to Improve Patient Outcomes? #healthxph
1 1
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 25d
Well, I got my own slap in the face feedback when I advised a friend, overweight patient with LBP and osteoarthritis to lose weight and move/exercise. I got that head to toe body scan look. I doubted my friend did follow my advise. #healthxph
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 25d
Here's T2: What Can the Physician Do to Identify Their Own Lifestyle Changes to Improve Patient Outcomes? #healthxph
1 2
bonedocph.bsky.social
Remo Aguilar @bonedocph.bsky.social · 25d
Here's T2: What Can the Physician Do to Identify Their Own Lifestyle Changes to Improve Patient Outcomes? #healthxph
1 1