Remo Aguilar
@bonedocph.bsky.social
Healthcare | Orthopedic Surgeon | Co-Founder #HealthXPh | I use education, technology and lifelong learning to change peoples lives #healthcareleadership #learningdevelopment
Thank you Jim! You gave a lot of very pragmatic advice there! Thank you for joining this chat! #Healthxph
I can spout slower, Remo, if it helps your journaling. #HealthXPh
January 17, 2026 at 2:08 PM
Thank you Jim! You gave a lot of very pragmatic advice there! Thank you for joining this chat! #Healthxph
This is also what I like about our chats here- deeper engagements something I so missed in the socmed of today. and people of course.Thank you @endocrinewitch.bsky.social @jkatzaman.bsky.social #Healthxph
Thanks for moderating @bonedocph.bsky.social Remo! Though not many participate in the #healthxph chat these days, I look forward to our convos … time and space to reflect and catch up. That is still valuable!
January 17, 2026 at 2:05 PM
This is also what I like about our chats here- deeper engagements something I so missed in the socmed of today. and people of course.Thank you @endocrinewitch.bsky.social @jkatzaman.bsky.social #Healthxph
I heard someone say that getting old or wise isn't about being right (or wrong). It's about getting less people killed or harmed in helping them live a quality life. #healthxph
T3 Starting over doesn’t require shrinking yourself. It requires separating confidence from certainty. Keep your standards, ethics and decision-making muscle intact—just loosen your grip on being right. That’s how experts evolve without erasing themselves. #HealthXPh
January 17, 2026 at 2:01 PM
I heard someone say that getting old or wise isn't about being right (or wrong). It's about getting less people killed or harmed in helping them live a quality life. #healthxph
"disciplined novice". I like that. IMO, what experience or expertise really translate into is the efficiency of your judgment and not so much about skill set. You get to see the forest and not just trees. #Healthxph
T3 You don’t start over as a beginner—you start over as a disciplined novice. Be humble about the new domain, ruthless about applying your hard-won judgment, and clear on where expertise transfers. Curiosity earns trust early; discernment proves value fast. #HealthXPh
January 17, 2026 at 1:57 PM
"disciplined novice". I like that. IMO, what experience or expertise really translate into is the efficiency of your judgment and not so much about skill set. You get to see the forest and not just trees. #Healthxph
Louder please. So I get to write it in my journal! Thank you Jim! #Healthxph
T3 You don’t start over as a beginner—you start over as a disciplined novice. Be humble about the new domain, ruthless about applying your hard-won judgment, and clear on where expertise transfers. Curiosity earns trust early; discernment proves value fast. #HealthXPh
January 17, 2026 at 1:53 PM
Louder please. So I get to write it in my journal! Thank you Jim! #Healthxph
A flexible, back up of a "backup plan" Nicely said Jim! Thank you #Healthxph
T2: The financial crisis is managed with math and margin: extend runway, lower fixed costs, preserve benefits and avoid irreversible moves. #HealthXPh
January 17, 2026 at 1:50 PM
A flexible, back up of a "backup plan" Nicely said Jim! Thank you #Healthxph
T3. How do you start over as a beginner while still being the expert? #healthxph
January 17, 2026 at 1:49 PM
T3. How do you start over as a beginner while still being the expert? #healthxph
Goes without saying, "we are not our work" . I'd also would like to think that we are just adding a skillset or shifting to a career role that better fit the mind and body. #healthxph
T2 The identity crisis is managed with honesty: you’re not losing who you are, you’re shedding a role that once fit. Grief is normal; clinging out of fear is optional. #HealthXPh
January 17, 2026 at 1:48 PM
Goes without saying, "we are not our work" . I'd also would like to think that we are just adding a skillset or shifting to a career role that better fit the mind and body. #healthxph
Although I have yet to see an MD here walking naked on streets out of poverty, still this is an important topic. How would you? #healthxph
T2. How do you manage the financial and identity crisis of letting go? #Healthxph
January 17, 2026 at 1:43 PM
Although I have yet to see an MD here walking naked on streets out of poverty, still this is an important topic. How would you? #healthxph
Hah! In our UPCM class, there lawyers, priests, artists, businesspeople, entrepreneurs etc totally unrelated to health! And they were thriving! Very cool! #healthxph
Celebrating thirty years from med school this year too. Calls for introspection! #healthxph
January 17, 2026 at 1:41 PM
Hah! In our UPCM class, there lawyers, priests, artists, businesspeople, entrepreneurs etc totally unrelated to health! And they were thriving! Very cool! #healthxph
after knowing the telltale sign of a mid career shift, lets go to the most anxiety inducing part. T2 next! #healthxph
January 17, 2026 at 1:39 PM
after knowing the telltale sign of a mid career shift, lets go to the most anxiety inducing part. T2 next! #healthxph
T2. How do you manage the financial and identity crisis of letting go? #Healthxph
January 17, 2026 at 1:38 PM
T2. How do you manage the financial and identity crisis of letting go? #Healthxph
Gold advice! I like the transferable skills- or parallel skills perhaps. I felt like I didn't actually leave orthopedics because we have sub subspec of sports med which really aligned with my health and fitness lifestyle orientation now. #Healthxph
T1 Practical first steps: name what isn’t working (role, pace, incentives, values), audit your transferable skills, then create slack—time, savings, optionality—before making any visible move. #HealthXPh
January 17, 2026 at 1:37 PM
Gold advice! I like the transferable skills- or parallel skills perhaps. I felt like I didn't actually leave orthopedics because we have sub subspec of sports med which really aligned with my health and fitness lifestyle orientation now. #Healthxph
Agree. It's not anymore achievements that mattered to me. Alignment of values and fulfillment in other neglected aspects of life, was more important now for me. #Healthxph
Life’s too short to keep doing things that don’t bring you fulfillment. I’ve built a team of grad students. Just this week alone, I was able to pass off three speaking engagements to them! #healthxph
January 17, 2026 at 1:32 PM
Agree. It's not anymore achievements that mattered to me. Alignment of values and fulfillment in other neglected aspects of life, was more important now for me. #Healthxph
A1. It's a build up for me. Slow steady that led to clear signs of not only physical but mental and social exhaustion. That kind of stuff where even our definitions of grit and resilience couldn't stand without killing you. #Healthxph
T1. How do you know when it’s time to shift, and what are the practical first steps? #Healthxph
January 17, 2026 at 1:30 PM
A1. It's a build up for me. Slow steady that led to clear signs of not only physical but mental and social exhaustion. That kind of stuff where even our definitions of grit and resilience couldn't stand without killing you. #Healthxph
Yeah. Multiply yourself! An educators dream! #Healthxph
Life’s too short to keep doing things that don’t bring you fulfillment. I’ve built a team of grad students. Just this week alone, I was able to pass off three speaking engagements to them! #healthxph
January 17, 2026 at 1:27 PM
Yeah. Multiply yourself! An educators dream! #Healthxph
Yup. Met doc Ted Everest Esguerra last POA convention. and AP llaneta of PGH DEMS. the'yre the guys leading this med subspec. #Healthxph
I didn’t even know we have wilderness medicine pala @bonedocph.bsky.social ! #healthxph
January 17, 2026 at 1:25 PM
Yup. Met doc Ted Everest Esguerra last POA convention. and AP llaneta of PGH DEMS. the'yre the guys leading this med subspec. #Healthxph
T1. How do you know when it’s time to shift, and what are the practical first steps? #Healthxph
January 17, 2026 at 1:23 PM
T1. How do you know when it’s time to shift, and what are the practical first steps? #Healthxph
Let's get the discussion going. I chose this topic because it resonates well with me and maybe for others who maybe in the same path in the future. T1 next! #Healthxph
January 17, 2026 at 1:23 PM
Let's get the discussion going. I chose this topic because it resonates well with me and maybe for others who maybe in the same path in the future. T1 next! #Healthxph
Thanks! This is like new to me. Haha I wanted to get #healthxph opinion on this. Or maybe comfort of some sort.
I read the blog you wrote...so timely... #healthxph
January 17, 2026 at 1:20 PM
Thanks! This is like new to me. Haha I wanted to get #healthxph opinion on this. Or maybe comfort of some sort.
and mentally speaking I wasn't yet into this year. The happy part ...hehe #Healthxph
Hahaha you got a point there :)
#healthxph
#healthxph
January 17, 2026 at 1:18 PM
and mentally speaking I wasn't yet into this year. The happy part ...hehe #Healthxph
Hi steph! Wow. Busy work! How are you doing? #healthxph
Hello Doc Remo! :-) #healthxph
January 17, 2026 at 1:17 PM
Hi steph! Wow. Busy work! How are you doing? #healthxph
Hello @jkatzaman.bsky.social happy new year! Very cold there right! Glad you're here. #Healthxph
Joining #HealthXPh from Maryland to talk with @bonedocph.bsky.social about mid-career shifts.
January 17, 2026 at 1:16 PM
Hello @jkatzaman.bsky.social happy new year! Very cold there right! Glad you're here. #Healthxph
Pweda pa po. Feb pa ang chinese new year! #healthxph
Hello #healthxph! Is it too late to say Happy New Year? I was absent last week.
January 17, 2026 at 1:13 PM
Pweda pa po. Feb pa ang chinese new year! #healthxph
Hi Doc Airis! #healthxph
Hello #healthxph! Is it too late to say Happy New Year? I was absent last week.
January 17, 2026 at 1:11 PM
Hi Doc Airis! #healthxph