Sayed Tabatabai, MD
@therealdoctort.bsky.social
6.5K 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
This is so beautiful, I’m so honored.

Thank you. Truly.
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.
therealdoctort.bsky.social
Thank you. I appreciate you.
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.”
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.
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.”
therealdoctort.bsky.social
There was Character Development (TM), and food was served in a high stress manner by people with confusing relationships talking over each other and 2/3rds of the dialogue was focused on “haunting” and being “haunted” and people gazed longingly at .. things… and there were flashbacks… of events…
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.
therealdoctort.bsky.social
Thanks for supporting me! And sorry it is a very short book… may I suggest “The Way of Kings” by Brandon Sanderson. It is not a short book.
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
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.”
therealdoctort.bsky.social
I will always love Ted Lasso, but I also think closure isn’t a bad thing. Shows (and movies) that get extended for a sequel after a season finale that had pretty decent closure to the main storyline, always make me nervous. Just make it a spinoff or something.
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.”
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.
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.
therealdoctort.bsky.social
I’m so sorry, but also grateful that you got so much more time with him.
therealdoctort.bsky.social
So happy to hear this! Wishing you both the best of health, especially her! 🙏🙏🙏
therealdoctort.bsky.social
I’m so sorry.

Thank you for your kindness JC 🙏