Sayed Tabatabai, MD
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therealdoctort.bsky.social
Sayed Tabatabai, MD
@therealdoctort.bsky.social
6.6K followers 660 following 290 posts
Physician. Writer. Cherish your stories. Listen to each other’s. My debut book “These Vital Signs” is out now from HarperCollins. #MedSky.
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therealdoctort.bsky.social
Done with streaming. I wish there was a service where all the channels were available in one package from one company that connected to the back of your TV via a cable…
A screenshot of a series of emails from the Apple subscription hub for a variety of streaming services including HBO Max, Peacock, and Apple TV+. The emails are all titled “your subscription price increase.”
November 17, 2025 at 4:05 PM
therealdoctort.bsky.social
I’ve had the privilege to work with the best group of colleagues a doctor could ever ask for.

Here’s to the doctors, NPs, PAs, nurses, RTs, PT/OTs, SLPs, RDs, PCTs, and all the support staff that made everything possible.

Peace out SATX! Till next time…

(Y’all are some talented artists too!)
Photo of a piece of art, a card with a painting of me giving a peace sign while smiling, with a silhouette of the San Antonio skyline in the background, and the words “Peace Out San Antonio, NCB Crew” in a graffiti style.
August 31, 2025 at 6:41 PM
therealdoctort.bsky.social
Good thing AI is taking on the menial jobs so humans can focus on making art and creating t- wait, what?
Screenshot of a post by Variety. Two photos of Jennifer Lawrence and Keanu Reeves are beneath a block of text that reads: Lionsgate boss says the studio can use AI to adjust a movie's tone and rating, convert live-action into animation and create kid-friendly cuts: "Now we can say, ‘Do it in anime, make it PG-13.’ Three hours later, I’ll have the movie." The studio hopes its pact with AI startup company Runway allows directors the chance to “make movies and television shows we’d otherwise never make. We can’t make it for $100 million, but we’d make it for $50 million because of AI… We’re banging around the art of the possible. Let’s try some stuff, see what sticks.”
June 4, 2025 at 5:09 PM
therealdoctort.bsky.social
“No, I would not want to live in a world without dragons, as I would not want to live in a world without magic, for that is a world without mystery, and that is a world without faith.”

- R.A. Salvatore.
A photograph of a sunset over rolling hills, with a cloud formation partially obscuring it creating a silhouette that looks vaguely like the dragon from the Mortal Kombat games symbol, seen in profile, neck arched, mouth open. A photograph of a sunset over rolling hills, with a cloud formation partially obscuring it creating a silhouette that looks vaguely like the dragon from the Mortal Kombat games symbol, seen in profile, neck arched, mouth open. This view is more zoomed in, and the dragon shape is more evident.
June 4, 2025 at 1:17 AM
therealdoctort.bsky.social
This tactic is part of the foundation of toxicity in modern medical practice.

Physicians lack dedication, devotion, resiliency, you name it. The system is never at fault. The system must never change.

Our problem is we just went to medical school to take the easy route…
Tweet by Congressman Greg Murphy: “So troublesome to see so many young doctors complaining about how hard the job is. Your job is taking care of patients. It’s called dedication. It’s called devotion. If you wanted an easy life you should have chosen something else.” Reply by Tyler Olsen: “Have you listened to them explain what exactly is so hard about the job? Because it’s not patient care they’re complaining about.” Reply by theboxdoc: “He ran for Congress because medicine was too hard. I worked with him- he whined incessantly about the hospital, the system and the patients. The statement from him is ludicrous hypocrisy.”
May 24, 2025 at 12:28 AM
therealdoctort.bsky.social
Cartoon illustration of me as Darth Vader in a realistic but also stylized form, standing facing the camera, my cloak billowing about me, holding up a red light saber in my right hand and holding my helmet under my left arm, with Star Wars, Rise of Sayed, Coronaverse, written above it in the classic Star Wars font.
May 4, 2025 at 3:28 PM
therealdoctort.bsky.social
When you’re trying to do some teaching and are also easily distracted…
A photo of a whiteboard with one half showing treatments for various kinds of kidney diseases, and the other half with a list of movies and TV shows.
April 29, 2025 at 4:44 PM
therealdoctort.bsky.social
Hot coffee, cold showers
Someday you're gonna get your flowers
All your pills come over the counter
Yeah, they were so wrong about ya

Let 'em look at you now like you're Hannibal Lector
They wanted a villain, and you deserved better
Yeah, you deserved better

- “Too Pretty for Buffalo” by Baby Nova
April 24, 2025 at 5:30 PM
therealdoctort.bsky.social
An excerpt from the Nebula Award-winning novel, “Parable of the Talents.”

Written by Octavia Butler, published in 1998, and relevant as ever.
Screenshot of a quote: Choose your leaders with wisdom and forethought. To be led by a coward is to be controlled by all that the coward fears. To be led by a fool is to be led by the opportunists who control the fool. To be led by a thief is to offer up your most precious treasures to be stolen. To be led by a liar is to ask to be told lies. To be led by a tyrant is to sell yourself and those you love into slavery. - Octavia Butler, “Parable of the Talents.”
April 9, 2025 at 11:21 PM
therealdoctort.bsky.social
Measles? Check.

Trade war? Check.

Child labor? Uhh…
Screenshot of a news article from CNN: “Florida debates lifting some child labor laws to fill jobs vacated by undocumented immigrants.” By Jordan Valinsky, CNN. Screenshot of an excerpt of text from a news article. “Florida has been working for years to crack down on employers that hire undocumented immigrants. But that presented a problem for businesses in the state that are desperate for workers to fill low-wage and often undesirable jobs. Florida's Republican Gov. Ron DeSantis and the state legislature have a potential solution: children.”
March 27, 2025 at 1:40 AM
therealdoctort.bsky.social
I’m not gonna say the future is bleak, but the future is bleak.
Screenshot of a headline from the San Antonio Express News website dated March 20th, 2025. “Don’t do the shots” say parents of West Texas child who died of measles. “She is better off where she is now versus all the negativity and all the stuff going on.” By Annasofia Scheve, staff writer.
March 20, 2025 at 11:19 PM
therealdoctort.bsky.social
This reminds me of the time Elon said he would give $6 billion (2% of his wealth at the time) to the UN World Food Program if they could give him a plan to eradicate world hunger. In 3 days they gave a detailed report.

He never mentioned the report, and donated the money to his own foundation.
Screenshot of a tweet by “owl at the library” (@sketchesbyboze): Not to defend the robber barons but Andrew Carnegie, the richest man of his era, gave away 90 percent of his wealth and funded the building of 2,811 libraries, and I'm afraid the current crop of oligarchs isn't sending their best.
March 16, 2025 at 11:16 PM
therealdoctort.bsky.social
I remember the cystic fibrosis patients I took care of 20 years ago.

I also remember the dedicated HIV wards in the hospitals, and that Princess Diana made headlines for shaking hands with AIDS patients.

Progress has been incredible.

Miracles are where you choose to see them.
Screenshot of tweet from @AlecStapp “Too many people take biomedical innovation for granted.” Below this is a screenshot from an article on the Atlantic.com. Highlighted is the text: “A child born with cystic fibrosis in the 50s could expect to live until age 5. In the 70s, age 10. In the early 2000s, age 35. With Trikafta came a quantum leap. Today those who begin taking the drug in early adolescence, a recent study projected, can expect to survive to age 82.5 - an essentially normal lifespan.”
March 15, 2025 at 2:30 AM
therealdoctort.bsky.social
“So what are your thoughts on America? Americans?”

“I don’t know, maybe you will be taking offense.”

“No, I want to know, seriously.”

“I don’t know, I think there is … confusion. Confusion here.”

“How so?”

“Americans really not know who they are.”

“I’m listening.”
March 3, 2025 at 12:04 AM
therealdoctort.bsky.social
Benjamin Franklin:
Screenshot of a quote by Benjamin Franklin from his autobiography. “In 1736, I lost one of my sons, a fine boy of four years old, by the small-pox, taken in the common way. I long regretted bitterly, and still regret that I had not given it to him by inoculation. This I mention for the sake of parents who omit that operation, on the supposition that they should never forgive themselves if the child died under it: my example showing that the regret may be the same either way, and that, therefore, the safer should be chosen.”
February 26, 2025 at 8:16 PM
therealdoctort.bsky.social
"Keep, ancient lands, your storied pomp!" cries she
With silent lips. "Give me your tired, your poor,
Your huddled masses yearning to breathe free,
The wretched refuse of your teeming shore.
Send these, the homeless, tempest-tost to me,
I lift my lamp beside the golden door!"

Emma Lazarus
11/2/1883
atrupar.com Aaron Rupar @atrupar.com · Feb 25
Trump: "We're gonna be selling a gold card. You have a green card, this is a gold card. We're gonna put a price on that card of about $5 million and that's going to give you green card privileges, plus. It's gonna be a route to citizenship, and wealthy people will be coming into our country."
February 26, 2025 at 4:47 PM
therealdoctort.bsky.social
Now hollow fires burn out to black,
And lights are fluttering low:
Square your shoulders, lift your pack
And leave your friends and go.

O never fear, lads, naught’s to dread,
Look not left nor right:
In all the endless road you tread
There’s nothing but the night.

A.E. Housman

#burnout
February 20, 2025 at 4:30 PM
therealdoctort.bsky.social
Always be fighting Cardiology.
Photo of a sign saying “This computer is reserved for our cardiologists. Thank you!” An enterprising nephrologist had scribbled in “and Dr T” after the first sentence. Photo of Internet comedy sensation Glaucomflecken in his nephrologist attire with salt shakers on his belt.
January 27, 2025 at 9:09 PM
therealdoctort.bsky.social
Ahh, sweet San Antonio. Where a tiny dusting of snow turns the town into a set from The Last of Us…
Photo of a normally bustling road that is deserted, covered in a few small patches of snow, with an overcast sky.
January 21, 2025 at 3:35 PM
therealdoctort.bsky.social
It wasn’t TikTok users who were hacked into giving up the blueprints to America’s most advanced stealth fighter.

If TikTok is so risky for its ties to the Chinese, why is Rednote freely available?

This is just another in an endless parade of calculated distractions in the United States of Amnesia.
January 19, 2025 at 5:30 PM
therealdoctort.bsky.social
It even looks like his hair.
Screenshot from an ad for “24K Gold Toothpaste.” A dollop of gold sparkling toothpaste shaped suspiciously like Donald Trump’s hairdo on a golden toothbrush. “Anti Inflammatory, Anti Bacterial” says the text underneath.
January 2, 2025 at 3:15 AM
therealdoctort.bsky.social
“For last year's words belong to last year's language,
And next year's words await another voice.”

-T.S. Eliot, “Four Quartets.”

Here’s to leaving what needs to be let go, and holding on to what needs to be kept.

Happy New Year everyone.
December 31, 2024 at 10:38 PM
Reposted by Sayed Tabatabai, MD
npr.org
Only about 300 to 400 people a year give a kidney to someone they never met. It's an act of generosity so unusual, a neuroscientist studies the people who do this.
Giving a kidney to a stranger? Researchers call it 'extraordinary altruism'
Only about 300 to 400 people a year give a kidney to someone they never met. It's an act of generosity so unusual, a neuroscientist studies the people who do this.
www.npr.org
December 26, 2024 at 6:39 PM
therealdoctort.bsky.social
The Killers released a Christmas song every year for over a decade. All proceeds from those singles went to charity. Those songs are now all together on an album: “Don’t Waste Your Wishes.”

Check it out if you want some different Christmas tunes! They’re bangers.
Image of the cover of “Don’t Waste Your Wishes” by The Killers. Silhouette of a tree against a night sky with stars, and mountains in the background.
December 24, 2024 at 5:12 PM
therealdoctort.bsky.social
“Talent isn’t as rare as you might think. There are incredibly talented people everywhere, carrying their gifts within them. The problem is, and always has been, opportunity. So many others could do what I do. Fate chose me.”

“Nobody chose you. Luck is like lightning. It strikes, or it doesn’t.”
December 23, 2024 at 8:52 PM