Iris Thiele Isip Tan MD, MSc
@endocrinewitch.bsky.social
Professor, College of Medicine University of the Philippines. Endocrinology | Health Informatics | Medical Education | Infodemic Management | AI. #HealthXPH. PhD by research student in health sciences. Views are my own. www.endocrine-witch.net
Reposted by Iris Thiele Isip Tan MD, MSc
I ask residents to explain what non compliant means when talking about patients. It usually end up with poor patient communication on the part of us. #Healthxph
T3. I find that gentle and consistent correction works. Letting residents and fellows know that saying “non-compliant” is not acceptable. And also explaining why. Some think that’s standard. #healthxph
Let’s go to T3.
#healthxph
#healthxph
November 29, 2025 at 2:00 PM
I ask residents to explain what non compliant means when talking about patients. It usually end up with poor patient communication on the part of us. #Healthxph
And just like that, the #healthxph hour is done. Thanks @bonedocph.bsky.social @stephaniemiaco.bsky.social @jkatzaman.bsky.social for joining me! Until next week …
November 29, 2025 at 2:00 PM
And just like that, the #healthxph hour is done. Thanks @bonedocph.bsky.social @stephaniemiaco.bsky.social @jkatzaman.bsky.social for joining me! Until next week …
I have patients who tell me they are “valedictorians” because their blood chem results which they think of as their “grade” have H all over (high). It may be helpful to follow the patient’s lead in the framing used? #healthxph
November 29, 2025 at 1:59 PM
I have patients who tell me they are “valedictorians” because their blood chem results which they think of as their “grade” have H all over (high). It may be helpful to follow the patient’s lead in the framing used? #healthxph
Reposted by Iris Thiele Isip Tan MD, MSc
T3. Context, awareness, empathy and listening a lot more. Might have a better influence on health outcomes. #Healthxph
November 29, 2025 at 1:55 PM
T3. Context, awareness, empathy and listening a lot more. Might have a better influence on health outcomes. #Healthxph
Words used elsewhere in conversation like “pasaway” creep into clinical care where the implication is heavier? We need to be conscious of the crossover. #healthxph
November 29, 2025 at 1:56 PM
Words used elsewhere in conversation like “pasaway” creep into clinical care where the implication is heavier? We need to be conscious of the crossover. #healthxph
Reposted by Iris Thiele Isip Tan MD, MSc
T2. Very very conscious ma’am, everything I say is measured out and deliberate. I always think of changing a person’s experience with Psychiatry for the better. #healthxph
November 29, 2025 at 1:51 PM
T2. Very very conscious ma’am, everything I say is measured out and deliberate. I always think of changing a person’s experience with Psychiatry for the better. #healthxph
T3. I find that gentle and consistent correction works. Letting residents and fellows know that saying “non-compliant” is not acceptable. And also explaining why. Some think that’s standard. #healthxph
November 29, 2025 at 1:52 PM
T3. I find that gentle and consistent correction works. Letting residents and fellows know that saying “non-compliant” is not acceptable. And also explaining why. Some think that’s standard. #healthxph
Reposted by Iris Thiele Isip Tan MD, MSc
Or well-meaning relatives who discourage a patient and guilt trip a patient about taking medications, because it is apparently “dependency-inducing.” #healthxph
#NotTrue
#NotTrue
November 29, 2025 at 1:44 PM
Or well-meaning relatives who discourage a patient and guilt trip a patient about taking medications, because it is apparently “dependency-inducing.” #healthxph
#NotTrue
#NotTrue
“Diabetes can’t be cured but can go into remission” That message can go over many ways, in my experience. #healthxph
November 29, 2025 at 1:45 PM
“Diabetes can’t be cured but can go into remission” That message can go over many ways, in my experience. #healthxph
Reposted by Iris Thiele Isip Tan MD, MSc
T1. I hate this word and would never use it, because it makes people think that all psych patients are “buang”. #healthxph
November 29, 2025 at 1:39 PM
T1. I hate this word and would never use it, because it makes people think that all psych patients are “buang”. #healthxph
Sometimes the language may be neutral but the way it is said may convey otherwise. Need to gauge how a patient might react, esp if it’s bad news. #healthxph
November 29, 2025 at 1:34 PM
Sometimes the language may be neutral but the way it is said may convey otherwise. Need to gauge how a patient might react, esp if it’s bad news. #healthxph
Reposted by Iris Thiele Isip Tan MD, MSc
There are time I lose steam, but I pause, gather myself and restate my language in a more compassionate manner. Needs lots of practice. #Healthxph
November 29, 2025 at 1:31 PM
There are time I lose steam, but I pause, gather myself and restate my language in a more compassionate manner. Needs lots of practice. #Healthxph
Reposted by Iris Thiele Isip Tan MD, MSc
One patient friend jokingly replied the same to me. We bought laugh at our silliness. #Healthxph
T2. Matigas ang ulo or hard headed for patients who do not follow prescriptions. I heard someone say, but we are ALL hard-headed anyway because we have skulls. 😜 #healthxph
Let’s start with T1.
#healthxph
#healthxph
November 29, 2025 at 1:28 PM
One patient friend jokingly replied the same to me. We bought laugh at our silliness. #Healthxph
T2. Thyroid cancer generally has good prognosis compared to other cancers. I have to be conscious of how I say “cancer” to patients because that word is really distressing as you can imagine. #healthxph
November 29, 2025 at 1:31 PM
T2. Thyroid cancer generally has good prognosis compared to other cancers. I have to be conscious of how I say “cancer” to patients because that word is really distressing as you can imagine. #healthxph
We’re discussing the language of illness tonight at #healthxph. Feel free to jump in.
November 29, 2025 at 1:25 PM
We’re discussing the language of illness tonight at #healthxph. Feel free to jump in.
T2. Matigas ang ulo or hard headed for patients who do not follow prescriptions. I heard someone say, but we are ALL hard-headed anyway because we have skulls. 😜 #healthxph
November 29, 2025 at 1:21 PM
T2. Matigas ang ulo or hard headed for patients who do not follow prescriptions. I heard someone say, but we are ALL hard-headed anyway because we have skulls. 😜 #healthxph
T1. I’ve to remember that saying “positive” or “negative” can be unhelpful as it can be confusing.
A negative micral test is a positive finding … see? #healthxph
A negative micral test is a positive finding … see? #healthxph
November 29, 2025 at 1:17 PM
T1. I’ve to remember that saying “positive” or “negative” can be unhelpful as it can be confusing.
A negative micral test is a positive finding … see? #healthxph
A negative micral test is a positive finding … see? #healthxph
Reposted by Iris Thiele Isip Tan MD, MSc
T1 From a patient view, words like noncompliant, failed treatment or poor historian feel loaded. They shift blame instead of curiosity. Clinical shorthand may save time, but it can quietly shame patients who already feel vulnerable. #HealthXPh
November 29, 2025 at 1:11 PM
T1 From a patient view, words like noncompliant, failed treatment or poor historian feel loaded. They shift blame instead of curiosity. Clinical shorthand may save time, but it can quietly shame patients who already feel vulnerable. #HealthXPh
Because what we say matters. #healthxph
November 29, 2025 at 1:09 PM
Because what we say matters. #healthxph
Are you online @akolangto.bsky.social @stephaniemiaco.bsky.social @hellokidneymd.bsky.social @helenvmadamba.bsky.social @docbuboy.bsky.social ? #healthxph
November 29, 2025 at 1:05 PM
And it’s 9 pm in Manila. Time for the #healthxph tweet chat.
November 29, 2025 at 1:01 PM
And it’s 9 pm in Manila. Time for the #healthxph tweet chat.