Shireen Heidari, MD
@shireenheidari.bsky.social
Teacher, palliative doc, storyteller, human. Often outside with my husband & our dogs or curled up with a book. Holding space for joy even as the world is on fire. #hapc PD @ Stanford. she/her. Opinions are my own #Medsky #dogsofbluesky #medhum #Swiftie
Pinned
This was Dani, beloved pup. We lost her in 2019. But we got a few weeks of temporary steroid magic after a scary ER visit and CPR conversations. This is her story 🐾❤️ and ours
www.jpsmjournal.com/article/S088...
#dogsofbluesky #hapc #medsky #meded @jpsmjournal.bsky.social @granaghan.bsky.social
www.jpsmjournal.com/article/S088...
#dogsofbluesky #hapc #medsky #meded @jpsmjournal.bsky.social @granaghan.bsky.social
Took an intro wheel pottery class this past month with @granaghan.bsky.social - so very cool. Pup is curious whether they’re for her. Imperfect but beautiful, proud of how these turned out! Creative outlets 😍 #medhum #hapc #bordercollie #dogsofbluesky 🐾🪴
November 2, 2025 at 12:59 AM
Took an intro wheel pottery class this past month with @granaghan.bsky.social - so very cool. Pup is curious whether they’re for her. Imperfect but beautiful, proud of how these turned out! Creative outlets 😍 #medhum #hapc #bordercollie #dogsofbluesky 🐾🪴
This year we combined the GeriPal Fall fellowship and alumni picnic with palliative care kids camp and we had a blast! Here’s to a beautiful day, community, and joy. #hapc #medsky
@stanforddeptmed.bsky.social
@stanforddeptmed.bsky.social
October 6, 2025 at 12:43 AM
This year we combined the GeriPal Fall fellowship and alumni picnic with palliative care kids camp and we had a blast! Here’s to a beautiful day, community, and joy. #hapc #medsky
@stanforddeptmed.bsky.social
@stanforddeptmed.bsky.social
Reposted by Shireen Heidari, MD
I first wrote this as a series of voice notes in between home hospice visits during my HPM fellowship last year. I didn’t expect these visits to impact me quite the way they did.
@jpsmjournal.bsky.social #MedEd #HPM #hapc
@jpsmjournal.bsky.social #MedEd #HPM #hapc
September 24, 2025 at 2:45 PM
I first wrote this as a series of voice notes in between home hospice visits during my HPM fellowship last year. I didn’t expect these visits to impact me quite the way they did.
@jpsmjournal.bsky.social #MedEd #HPM #hapc
@jpsmjournal.bsky.social #MedEd #HPM #hapc
Reposted by Shireen Heidari, MD
In the latest CHEST Exhalations article, "Permission to Cry," Shireen N. Heidari, MD (@shireenheidari.bsky.social ), reflects on the perceptions of physicians expressing emotions.
Read the full article in the September issue: www.doi.org/10.1016/j.ch...
#JournalCHEST #CHESTHumanities
Read the full article in the September issue: www.doi.org/10.1016/j.ch...
#JournalCHEST #CHESTHumanities
September 9, 2025 at 11:43 PM
In the latest CHEST Exhalations article, "Permission to Cry," Shireen N. Heidari, MD (@shireenheidari.bsky.social ), reflects on the perceptions of physicians expressing emotions.
Read the full article in the September issue: www.doi.org/10.1016/j.ch...
#JournalCHEST #CHESTHumanities
Read the full article in the September issue: www.doi.org/10.1016/j.ch...
#JournalCHEST #CHESTHumanities
My essay on crying in @accpchest.bsky.social today! #medsky #meded #hapc
"But the lesson didn’t have to be that tears were a source of shame. Our humanity was part of what drew us to train to be healers in the first place" ❤️🩹
www.sciencedirect.com/science/arti...
@stanforddeptmed.bsky.social
"But the lesson didn’t have to be that tears were a source of shame. Our humanity was part of what drew us to train to be healers in the first place" ❤️🩹
www.sciencedirect.com/science/arti...
@stanforddeptmed.bsky.social
Permission to Cry
www.sciencedirect.com
September 9, 2025 at 5:11 PM
My essay on crying in @accpchest.bsky.social today! #medsky #meded #hapc
"But the lesson didn’t have to be that tears were a source of shame. Our humanity was part of what drew us to train to be healers in the first place" ❤️🩹
www.sciencedirect.com/science/arti...
@stanforddeptmed.bsky.social
"But the lesson didn’t have to be that tears were a source of shame. Our humanity was part of what drew us to train to be healers in the first place" ❤️🩹
www.sciencedirect.com/science/arti...
@stanforddeptmed.bsky.social
Reposted by Shireen Heidari, MD
Back on my writing kick - reflecting on the difficult decision to leave emergency medicine. #MedEd #hapc
www.doximity.com/articles/cfc...
www.doximity.com/articles/cfc...
6 a.m., 2 p.m., and 10 p.m.
6 a.m., 2 p.m., and 10 p.m.
www.doximity.com
September 2, 2025 at 9:00 PM
Back on my writing kick - reflecting on the difficult decision to leave emergency medicine. #MedEd #hapc
www.doximity.com/articles/cfc...
www.doximity.com/articles/cfc...
Reposted by Shireen Heidari, MD
9 CDC Directors going back to 1977 speak out. What RFK Jr has done to our nation’s public health system "should alarm every American."
It "is unlike anything we have ever seen at the agency, and unlike anything our country has ever experienced." www.nytimes.com/2025/09/01/o...
It "is unlike anything we have ever seen at the agency, and unlike anything our country has ever experienced." www.nytimes.com/2025/09/01/o...
Opinion | We Ran the C.D.C.: Kennedy Is Endangering Every American’s Health
www.nytimes.com
September 1, 2025 at 11:23 AM
9 CDC Directors going back to 1977 speak out. What RFK Jr has done to our nation’s public health system "should alarm every American."
It "is unlike anything we have ever seen at the agency, and unlike anything our country has ever experienced." www.nytimes.com/2025/09/01/o...
It "is unlike anything we have ever seen at the agency, and unlike anything our country has ever experienced." www.nytimes.com/2025/09/01/o...
Weekends are for naps apparently. This little pup turned three this week 😍🐾 #dogsofbluesky #weekend
August 30, 2025 at 5:36 PM
Weekends are for naps apparently. This little pup turned three this week 😍🐾 #dogsofbluesky #weekend
Reposted by Shireen Heidari, MD
Here is a full list of all #Medsky accounts by specialty:
Ophtho: 231
Geri: 310
Derm: 330
Rheum: 393
Urology: 432
Anesthesia: 493
Ob/Gyn: 505
Heme: 505
IM: 588
Neph: 878
Palliative: 882
Rads: 918
ID: 969
FM/PC: 1,102
Cards: 1,177
Surgery: 2,340
Psych: 2,441
Onc: 2,815
Immuno: 2,988
Peds: 2,999
Ophtho: 231
Geri: 310
Derm: 330
Rheum: 393
Urology: 432
Anesthesia: 493
Ob/Gyn: 505
Heme: 505
IM: 588
Neph: 878
Palliative: 882
Rads: 918
ID: 969
FM/PC: 1,102
Cards: 1,177
Surgery: 2,340
Psych: 2,441
Onc: 2,815
Immuno: 2,988
Peds: 2,999
August 26, 2025 at 10:46 PM
Reposted by Shireen Heidari, MD
In agitated delirium refractory to haloperidol , increased dose haloperidol was no better than placebo. Lorazepam, alone or with haloperidol, significantly reduced agitation, lowered rescue med use, and showed no survival or adverse event differences.
pubmed.ncbi.nlm.nih.gov/40742738/
pubmed.ncbi.nlm.nih.gov/40742738/
Proportional Sedation for Persistent Agitated Delirium in Palliative Care: A Randomized Clinical Trial - PubMed
Clinicaltrials.gov Identifier: NCT03743649.
pubmed.ncbi.nlm.nih.gov
August 17, 2025 at 1:22 PM
In agitated delirium refractory to haloperidol , increased dose haloperidol was no better than placebo. Lorazepam, alone or with haloperidol, significantly reduced agitation, lowered rescue med use, and showed no survival or adverse event differences.
pubmed.ncbi.nlm.nih.gov/40742738/
pubmed.ncbi.nlm.nih.gov/40742738/
The happiest of pups #dogsofbluesky #Friday 🐾❤️
July 26, 2025 at 2:53 AM
The happiest of pups #dogsofbluesky #Friday 🐾❤️
Sunset fire hair refresh 🌅🔥😍
July 1, 2025 at 12:22 AM
Sunset fire hair refresh 🌅🔥😍
Celebrating another year of hospice and palliative care fellows graduating 🥳😭😍 very proud of this amazing cohort and can’t wait to see what comes next! #hapc @stanforddeptmed.bsky.social
June 30, 2025 at 2:57 AM
Celebrating another year of hospice and palliative care fellows graduating 🥳😭😍 very proud of this amazing cohort and can’t wait to see what comes next! #hapc @stanforddeptmed.bsky.social
Reposted by Shireen Heidari, MD
*new interns, residents, and fellows start on July 1
*~11,000 house staff in US hospitals are on J-1 visas
*these doctors are the backbone of rural & urban safety-net hospitals
*most of these doctors go into primary care after training, often in the same community
www.intealth.org/pdfs/J-1_US_...
*~11,000 house staff in US hospitals are on J-1 visas
*these doctors are the backbone of rural & urban safety-net hospitals
*most of these doctors go into primary care after training, often in the same community
www.intealth.org/pdfs/J-1_US_...
May 29, 2025 at 4:21 AM
*new interns, residents, and fellows start on July 1
*~11,000 house staff in US hospitals are on J-1 visas
*these doctors are the backbone of rural & urban safety-net hospitals
*most of these doctors go into primary care after training, often in the same community
www.intealth.org/pdfs/J-1_US_...
*~11,000 house staff in US hospitals are on J-1 visas
*these doctors are the backbone of rural & urban safety-net hospitals
*most of these doctors go into primary care after training, often in the same community
www.intealth.org/pdfs/J-1_US_...
Gave in and replaced the well loved and often patched narwhal with a new one today. They wasted no time getting to joyfully tugging it about.
#dogsofbluesky #bordercollie #hapc 🐳🐾❤️
#dogsofbluesky #bordercollie #hapc 🐳🐾❤️
May 9, 2025 at 5:29 AM
Gave in and replaced the well loved and often patched narwhal with a new one today. They wasted no time getting to joyfully tugging it about.
#dogsofbluesky #bordercollie #hapc 🐳🐾❤️
#dogsofbluesky #bordercollie #hapc 🐳🐾❤️
Reposted by Shireen Heidari, MD
The 19 richest U.S. households saw a $1 trillion wealth increase in 2024, a rise that exceeds the size of Switzerland’s economy.
These 19 households now control $2.6 trillion in wealth — almost as much wealth as the bottom 50% of American households.
If this isn't an oligarchy, what is?
These 19 households now control $2.6 trillion in wealth — almost as much wealth as the bottom 50% of American households.
If this isn't an oligarchy, what is?
April 28, 2025 at 4:51 PM
The 19 richest U.S. households saw a $1 trillion wealth increase in 2024, a rise that exceeds the size of Switzerland’s economy.
These 19 households now control $2.6 trillion in wealth — almost as much wealth as the bottom 50% of American households.
If this isn't an oligarchy, what is?
These 19 households now control $2.6 trillion in wealth — almost as much wealth as the bottom 50% of American households.
If this isn't an oligarchy, what is?
Reposted by Shireen Heidari, MD
Breaking: Harvard's response to the government's threat of withholding research grants to exert control over universities 👇
Research grants are not political weapons. The stakes are not abstract: Every $ withheld is a delayed cure, a patient or family left behind.
www.harvard.edu/research-fun...
Research grants are not political weapons. The stakes are not abstract: Every $ withheld is a delayed cure, a patient or family left behind.
www.harvard.edu/research-fun...
www.harvard.edu
April 14, 2025 at 5:56 PM
Breaking: Harvard's response to the government's threat of withholding research grants to exert control over universities 👇
Research grants are not political weapons. The stakes are not abstract: Every $ withheld is a delayed cure, a patient or family left behind.
www.harvard.edu/research-fun...
Research grants are not political weapons. The stakes are not abstract: Every $ withheld is a delayed cure, a patient or family left behind.
www.harvard.edu/research-fun...
Reposted by Shireen Heidari, MD
Here is the situation if I’m understanding it correctly:
1. They are deporting lawful immigrants erroneously to prisons overseas
2. They are claiming no recourse to return these individuals
3. They say they are open to deporting citizens in the same way
1. They are deporting lawful immigrants erroneously to prisons overseas
2. They are claiming no recourse to return these individuals
3. They say they are open to deporting citizens in the same way
April 14, 2025 at 4:45 PM
Here is the situation if I’m understanding it correctly:
1. They are deporting lawful immigrants erroneously to prisons overseas
2. They are claiming no recourse to return these individuals
3. They say they are open to deporting citizens in the same way
1. They are deporting lawful immigrants erroneously to prisons overseas
2. They are claiming no recourse to return these individuals
3. They say they are open to deporting citizens in the same way
Reposted by Shireen Heidari, MD
A colleague, a surgeon at a VA, was informed their job will now be in a contract role rather than as an employee with benefits. Veterans will suffer from these changes in the name of “efficiency”
VA employees got an email telling us there is another window to sign up for deferred resignation, 4/7-30 (the first notification was 4/11🙄). This is to get from 470,000 employees to 398,000. This will “result in better customer service and convenience for everyone the department exists to serve” 🙄🤮🤦🏻♂️
April 13, 2025 at 6:01 PM
A colleague, a surgeon at a VA, was informed their job will now be in a contract role rather than as an employee with benefits. Veterans will suffer from these changes in the name of “efficiency”
Reposted by Shireen Heidari, MD
I noticed some shrinkflation at the grocery today. Then @shireenheidari.bsky.social suggested I check the old box. Dishwasher pods are up 25%. 📉
April 13, 2025 at 8:30 PM
I noticed some shrinkflation at the grocery today. Then @shireenheidari.bsky.social suggested I check the old box. Dishwasher pods are up 25%. 📉
Reposted by Shireen Heidari, MD
My uncle, who invests,
says don’t worry
the markets will recover,
he says we should all learn
from the pandemic:
the markets suffered
but the markets recovered,
and I suppose he is right,
but what I learned
from this pandemic
is that the markets recover
but many people never do.
says don’t worry
the markets will recover,
he says we should all learn
from the pandemic:
the markets suffered
but the markets recovered,
and I suppose he is right,
but what I learned
from this pandemic
is that the markets recover
but many people never do.
April 8, 2025 at 10:36 PM
My uncle, who invests,
says don’t worry
the markets will recover,
he says we should all learn
from the pandemic:
the markets suffered
but the markets recovered,
and I suppose he is right,
but what I learned
from this pandemic
is that the markets recover
but many people never do.
says don’t worry
the markets will recover,
he says we should all learn
from the pandemic:
the markets suffered
but the markets recovered,
and I suppose he is right,
but what I learned
from this pandemic
is that the markets recover
but many people never do.
Reposted by Shireen Heidari, MD
So far there have been three measles deaths in under six weeks in the ongoing US measles outbreak.
Prior to this year there had only been three measles deaths in the United States in total in the entire last thirty years.
Prior to this year there had only been three measles deaths in the United States in total in the entire last thirty years.
Third measles death
This is not normal. For three reasons.
yourlocalepidemiologist.substack.com
April 7, 2025 at 2:44 PM
So far there have been three measles deaths in under six weeks in the ongoing US measles outbreak.
Prior to this year there had only been three measles deaths in the United States in total in the entire last thirty years.
Prior to this year there had only been three measles deaths in the United States in total in the entire last thirty years.
There is so much chaos and joy with these two goofballs. Soaking up the last few moments of the weekend. #dogsofbluesky #hapc 🐾🥰
April 7, 2025 at 5:18 AM
There is so much chaos and joy with these two goofballs. Soaking up the last few moments of the weekend. #dogsofbluesky #hapc 🐾🥰