I'll be participating in #TwitchTogetherforGood to raise awareness & donations for the Immune Deficiency Foundation! It'll be my first time trying to stream after work daily, but it's for a good cause! Just gonna need a little more coffee to get through my days Donate here: tilt.fyi/LkcAjLj19B

Today is a "Why do I even bother" kind of day. Hate to say it, but I'm feeling down for multiple reasons. Too much on my mind. I hope I'll feel better eventually. But who's to say. Just trying to be real with y'all. Then again, here I am, telling it to the void.

HEYY! Our First Year Festival is happening right now on @celesaurion.bsky.social's Twitch channel! So many of your favorite IRIAM talents are performing! Over 90+ talents performing all throughout the day! 🔗in the comments to see it! You might see your favorite nurse/ (self-proclaimed) bard...

Quick reminder for anyone out there seeing those Medicare Advantage plan commercials. Medicare Advantage plans offer no substantial cost savings and, possibly, worst health outcomes, over traditional Medicare (Joszt, 2024). Please consider the cost-benefit analysis when looking

Guess who's going to be an IRIAM Early Access Streamer?! MY WIFE, @annekesiempre.vtubers.social!! You've seen her in chat! You've heard her snark! Now my Sweet Potato will be joining myself, as well as a whole plethora of us FS & EAS Vtubers on IRIAM! I hope to see y'all there for her debut!

Reflection: I love my parents. They raised me to the best of their ability with all the love they can, despite their own flaws. They aren't perfect, but I love 'em. But I do fear turning into them. Or, to be more precise, reflecting the flawed parts of them as I grow older. I hope to be better.

Live @ 8pm PST for Karaoke on IRIAM!! The personalized mini-gift for each Vtuber is live for the one year anniversary event!! Stop on by and span some furry potatoes!!

Today is Veterans' Day. A significant portion of the patients that healthcare workers care for are veterans. However, getting them access to the care they need is frought with barriers, ranging from systemic to cultural (Ein et al., 2024). Honor them by advocating for them.

One of the most harrowing things I've experienced as a fresh nurse from school is talking to MDs. Sure, you can get all the practice communicating from nursing school, but nothing really prepares you for another person's people skills. Trust. #Nurses & #doctors are people, too. #Medsky #Nursesky

Mama Siempre is traveling to the Philippines this weekend. It's unfortunate, but she needs to go for some important family matters despite the encroaching typhoon. She's supposed to be back next week, but I worry immensely. All I can do is pray for her safety.

Covering at another clinic for a few hours cause of upper management shenanigans. They usually wouldn't have me cover at another location unless they are that desperate. Especially considering how expensive I can get. At least I get travel differential for my trouble.

Can't believe I haven't shared this yet! During the whole debacle with VShojo & the fallout with the stolen funds, @akaririni.bsky.social was taking commissions in order to donate the proceeds to the Immune Deficiency Foundation. I was lucky to request a commission from her! #scrubsketches

It's Oshi Day today! I'm sure I'm no one's oshi, but I'd like to share who MY oshis are! Ironmouse is my kami-oshi! She inspired me to become an educator in this space! Athy is my o(wl)shi! She inspired me to take the plunge! If a fellow RN can become a Vtuber, then so can I!

Working on a community study about health & chronic illness in the Vtuber space! This quick anonymous survey (written by @SCICRYP1) isn’t the main study (The Vtuber Health Census) that we're working on. It’s to help shape it! #Vtubers & fans, your input means a lot! forms.gle/GmLTMvgEQZex...

So...any of you who wore a nurse outfit for Halloween. I'm expecting you on the floor. If you're gonna wear the uniform, you gotta do the work. IV placements. Blood draws. Deescalting aggressive patients & their family. Being given the run around by health insurance. The works.

The longer I'm in the Vtuber community, the more I realize that the venn diagram between Vtubers & people living with chronic disabilities/illness is essentially a circle.

Riko's Rankings of Medical Devices/Equipment! Thanks to @scicryp.bsky.social & @spectralanomally.bsky.social for hanging out! @invictus227.bsky.social raided us during stream! Thanks for the raid, boss! We raided out to @bluebellscript.bsky.social! Feel free to agree or disagree in the comments!

TONIGHT @ 7pm PST on #IRIAM & the 🟪 site. It'll be my first time making a tier list, so what better way than to rate medical devices & equipment! Drop the equipment you want me to rate in the comments & let's see how it stacks up! No meds! (That'll be a different day!)

OF COURSE I have to work at 3:30am this morning cause a nurse called off right as I got home from my own time off last night. Bruh, I just want to sleep a bit more.

The past several days with @annekesiempre.vtubers.social have really been relaxing. I think I really needed it, not having to worry bout work, personal life, or Vtuber stuff. Remember folks: social connections & touching grass work wonders for your physical & mental health!

Guess who's off for the rest of the weekend? @annekesiempre.vtubers.social & I took a road trip to see some friends of ours! It's nice not to be in the clinic occasionally. It's been a rough couple of days at work, so being able to unplug & relax a little is a nice change of pace.

I don't normally comment on the discourse regarding what gender a Vtuber wants to present themselves as. It really is a personal choice with how someone wants to express themselves. But food for thought: Assigning your own worth solely on metrics is gonna mess with your head.

I love being a nurse. I look forward to providing care & helping others. It's hard work, but it's good work I can be proud of. Today, tho? Holy shit, do I want to pop off & crash out. Being a clinic manager can blow chunks some days cause it tests my patience & temper.

I understand that with Halloween, & the online space in general, there's a prevalence of the "sexy nurse" outfits & the like. By all means, if that's what you're into, you do you. I ain't judging. Just don't mistake the fantasy with the lives of real, working professionals. /1

Gonna be visiting Lola Siempre at her final resting place today. She basically raised me while my parents were working hard to provide. It was her that instilled the values & morals that I hold with conviction to this day. She was far from perfect. But she taught me how to love. Miss you, Lola.

"Fear is natural. Courage is chosen. Horror tests the line between them." Join me tonight with @runearuin.bsky.social, an IRL Mental Health Trauma Specialist, as we discuss fear & courage in the face of horror while we bumble our way through Phasmophobia! Tonight @ 8pm PST!

You know how important communication is in healthcare? It can make or break it. In the US, there is no centralized database of where patients go, who they saw, or what care they received. It's all made of these different entities with their own information & records. /1 ➡️

I really did consider going to TwitchCon SD. But decided against it. Maybe in the future. But can I be real with y'all? Not really my scene? IDK. Is that weird? Like, I can go to anime cons just fine & enjoy myself. But what do I know. Networking has never been my strong suit.

ONE OF OUR PATIENTS IS GETTING A KIDNEY TRANSPLANT TODAY!!! RIGHT BEFORE WE WERE SUPPOSED TO START DIALYSIS TREATMENT!! IT'S NEWS LIKE THIS THAT MAKES THE JOB WORTH IT!!!

The fact that the regional Senior VP of our company who is in charge of hundreds of clinics, has no clinical background & only has an MBA blows my goddamn mind. Shouldn't it be healthcare providers be the ones in charge of healthcare companies? Or am I wrong in that assumption?

It's Indigenous Peoples Day. Despite the hardships the native people have been through on this land I call home, they have remained resilient & proud in the face of all of it. A reminder that we are all immigrants, or descendants of them, to native land, seeking a better life.

I'm cooking up my first long form educational video. A fair amount of writing has been put into this. Now, it's just a matter of recording the thing. I'll probably release a teaser sooner or later. I've had this video in my head for the past year. Time to actually make it.

Happening in 30mins!! Hibiscus Blac & I will be screening @immunedeficiency.bsky.social's film, "Compromised : Life Without Immunity" on Twitch! After the screening, we'll be discussing the film, immune deficiency, & how plasma donation works. I hope to see you all there! twitch.tv/rikosiempre

I'll be donating plasma again today! It is International Plasma Awareness Week, after all! Speaking of, as a part of Hibiscus Blac's birthday donothon, we'll be screening the documentary, "Compromised" on both of our channels tomorrow! We hope you can stop by & learn with us!!

Highlight of my night Mousey watched the "Music Box of Fate" Community Charity Cover during her stream. I was honored to help, even if it was for the smallest of parts in the choir. But great acts are made up of small deeds. And every penny earned is worth it for those in need.

Another callout, another day pulling double duty for the clinic...

New #scrubsketches by @/06nareki.bsky.social!! Saw a lot of my fellow IRIAM streamers with their art, and I really dig it!! Look at them big yaoi hands!!

I'm hoping to be more consistent in content creation this month. I can't promise a schedule, cause my IRL job makes that a near impossibility. What I CAN promise is an effort to stream more & release scripted content more regularly this month. That being said, LET ME INTRODUCE:

I always get a little tickled whenever I give doctors their vaccinations at my clinic. Like, I KNOW that they probably have their own doctor or PCP they go to that can give it to them. "Riko, can you give me a flu jab since I'm here?" "BET, Doc." Gives me a sensible chuckle.

SOON. APPLICATIONS OPEN UP IN 2 DAYS. Cross your fingers for me, folks!! #nursing #nursesky #medsky #vtubers

Last work day of the week. Do you also cope with stressors of life with a fistful of coffee and pained resilience? Or is it just me? 🎨: @dreamplanes.bsky.social #scrubsketches

Call me naive, but I choose to believe in people. It’s easy to be cynical, but that’s no way to live. People mess up. Absolutely hold their actions accountable. But people are also kind, honest, & trying their best. We’re human. We stumble. But we try anyway. That still matters.

Got Filipino BBQ & Veggie Lumpia for potluck today at the clinic. Our social worker is moving to another city. Hence the potluck. She told me I was one of the most compassionate nurses she's ever had the honor to work with. That'll probably carry me for the rest of the week.

Had to wake up early so I can head to the dentist after work today. I got a sneaking suspicion my wisdom tooth has been causing me this jaw pain for the past few days. The temperature sensitivity is the worst part of it all. Ya boi misses his dairy-free ice cream.

Anger is there to protect you. It can motivate us to address injustices, protect our boundaries, & advocate for our needs. But healthy anger encompasses compassionate practices that don’t cause suffering for others or for ourselves. If you get angry, it's because you care.

Did you know? I've been a #Vtuber now for a year! I started off making shorts content, them I expanded from there! Vtubing comes in many viable forms! You don't need to just stream to consider yourself one. No debut, no hype buildup. I just went & did it with PNGs & a mission!

A quick rant from earlier: DOC. Just cause you want us to accept the patient NOW, doesn't mean we're just gonna ignore policy & procedures. Of course, we want to start treatment! But we have to do our due diligence as much as YOU have to. BOTH of our asses are on the line!

What happened in Utah & Colorado yesterday was a reminder that gun violence will always be a #publichealth issue. The sheer impact it has on its victims & survivors is immeasurable. We know how to prevent it. We know how to treat it (Gramlich, 2025). But yet, we remain unmoved.

Tonight @ 7:30pm PST on #IRIAM & the 🟪 site. In observance of World #SuicidePrevention Day, I asked my friend & fellow health educator, @aejis.bsky.social, to chat with me tonight about Mental Health First Aid & how you can help someone in need. It's a tough topic, but it matters.

Today is #SuicidePrevention Day. I live with Major Depressive & Generalized Anxiety Disorder. There have been times when I thought it was better if I was gone. But I continue. WE continue. Every day can be a challenge. But we can live & fight our sorrow. You're not alone.