If I had a nickel every time a patient of mine was screwed over by UHC cause of prior auth BS & lack of access to care, I'd have $6 billion cause that's how much they profited off obfuscation & prior auth denials while taking their money in this last financial quarter. #nursesky #medsky

Since I will be starting the DNP program soon, I gotta make studying a habit again. Today, I'll be starting "The Study Shift", a regular study session for myself & others who would like to tune in with questions about health, nursing, or other topics. Hope you see y'all! #nursesky #Vtubers

Monthly labs came in for the clinic's patients and all of the nephrologists and their mothers are here rounding. Gotta love Mondays. #nursesky #medsky

As much as we bemoan it in our jobs, accountability is necessary, especially with patient care. I don't enjoy busting out audit forms to my staff cause I KNOW some of them are gonna take it the wrong way. But it's necessary cause all of us will inevitably make mistakes. #nursesky #medsky

Good News: Finally back in the saddle as clinic manager again! Meaning, more time I can actually be a Vtuber on my off time! Bad News: HOLY CRAP, I HAVE SO MUCH MANAGER STUFF TO CATCH UP ON. Funny News: Guess what I'll be trying on stream on IRIAM tonight @ 7pm PST?

Your boi is at home sick today. I figured it was only a matter time until I get under the weather from all the hours at work. Given my sinuses are a stuffy mess and my back is hurting, I think Imma just stay in bed today. Stay healthy out there folks!

New SaikenMD keychain came in! Got to add on all of my favorite doctors to my stethoscope case! Although, I can't help but feel that one of these is not like the other... #ArtNOVAe #shioriponart #yourARTeries

Sorry it's so late, @spectralanomally.bsky.social! To celebrate my cuz's new model, I commissioned this from @karaarts.bsky.social! Med students are the future of healthcare, & I look forward to your bright future as an MD! Can't wait to work together some day!! #SpectralSketches #medsky

Thank you for all the congratulations & messages of support from my announcement yesterday! I hope I'll make a great NP! Funnily enough, I'm subbing in for one of my PCTs today. No matter how far I advance, the basics of patient care are always gonna be at the core of what I do. #nursesky #medsky

You're boi is gonna be a DOCTOR... ...of Nursing Practice!! It'll be a three-year program, but I'll be worth it to become a Nurse Practitioner. I'm hoping by reaching the highest level of nursing clinical expertise, I can create systems level change & educate future nurses!! #nursesky #medsky

Lots of discourse about military recruitment in Vtubing got me thinking about how I talk about being an RN in the community. Yes, it’s stable & meaningful, but there are other jobs that pay the same without the stress & heartache. I’ll always keep it real about my experience.

It's one thing to talk about the nursing shortage. It's another thing to experience it. Of course I want to help out. But when you're mentally stretched thin & you can't do the job you were hired to do when you're too busy working the job of 2 other folks? It gets to you. #nursesky #medsky

Upper management is screwing me over. I agreed to cover at another clinic on Sat in exchange for a day off this Tues. NOW, they want me to cover another clinic AGAIN for Tues & Wed, pushing my day-off until Thurs. Then back at my home clinic on Fri. What a mess.

Your boi & @annekesiempre.vtubers.social are heading to #Vmaidinvasion!!

Happy Easter to all! Loving thy neighbor is at the core of this holiday. How do you show love? Show up! Don't just say it. Be there! Be available! Listen with compassion & perspective. Love is not just an emotion, but an active choice to care for others. Dare to Care!!

Good News: I finally had a Friday off in the longest time!! So rested! Bad News: I'm working from 7:30am to 9pm at another clinic today... Worse News: Your boi is opening his clinic at 3:30am on Monday. So my Sunday day off is essentially shot... Such is life. #nursesky #medsky

The #Holostars situation got me feeling. They essentially were forced to become indie in all but name. They're amazingly talented, but market demands & company direction led to this. It's very disheartening as a male #Vtuber in this space, even if I never want to go corpo myself. It sucks.

Not only am I the best Peer-to-Peer clinician for all your insurance denial claims, I also know how to totally use a K̶n̶i̶f̶e̶ ̶&̶ ̶F̶o̶r̶k̶ Scapel & Bone Saw!! When was the last time I performed surgery? Yes! IRIAM @ 7PM PST for Claims Review Twitch @ 8PM PST for TRAUMA ████

It's the new financial quarter!! Do you know what that means? Time to review your health insurance claims!! Doesn't it feel like gambling every time you visit the dockter? Rest assured that with Mr. Dr. Rico Suave, BLT reviewing your claims, there's always a winner! 🔗 below!!

Tonight @ 6:30pm PST!! We didn't get onto the #IRIAM #OffKai Flyer, but we want reward our scrubs for believing in us!! We're running our raffle TONIGHT!! Catch us live on IRIAM & 🟣!!

Today is Transgender Day of Visibility. It bears reiterataing: Gender Affirming Care IS Healthcare! Cooney et al. (2025) found that Gender Affirming Care not only improves the health outcomes of Trans folks, but public health as more people become engaged in their own health! 🔗⤵️ #nursesky #medsky

Can't say that I'm not dissappointed @annekesiempre.vtubers.social & I didn't place for the #IRIAM event, but them's the breaks. We tried our best. All we can do is try better next time. For what is the greatest teacher, but failure? And failure is an old friend. Thanks for believing in us.

Can I be real for a bit? #IRIAM is such an accessible platform for #Vtubing. You only need a phone! I believe we can use it for education, alongside entertainment. The more eyes on @annekesiempre.vtubers.social & I, even as small as a flyer placement, it can mean we can teach to more folks!

Good job keep @annekesiempre.vtubers.social & I together, everyone! Now we just need to reach Top 50!! As a reminder, we have our Steam Gift Card Raffle you can enter for the Flyer Event! To make it fair for our console homies, if you don't have Steam, we can also do other platforms too!

Tonight @ 8pm PST (11pm EST) on #IRIAM! Let's have some fun tonight! You wanna earn this CUTE crochet hyrax made by my wife, @annekesiempre.vtubers.social, by being a top donor? Stop by tonight & maybe you'll hear me speak like (BUT LEGALLY DISTINCT FROM) a certain popular childhood character!

We're in the running!! My only ask is that y'all keep @annekesiempre.vtubers.social & I together for the rest of the event!! We're still striving for higher rankings! We already got a lot of entries for our Steam Gift Card Raffle & community awards, but we'd love to see more of you! #IRIAM #OffKai

Guess who had an emotional roller-coaster after the DNP program interview yesterday?! #nursesky #medsky

Just got home from the DNP program interview. Overall? I think I made a good impression! Out of the hundreds of applicants, they picked me for a reason, right? I'll be talking about it later & taking any questions y'all might have about the DNP! 6pm PST only on #IRIAM! #nursesky #medsky

Myself & @annekesiempre.vtubers.social will be working hard for the #IRIAM x #Offkai flyer event! So we got some rewards lined up! Due to the nature of our jobs, streams will be guerilla, but keep an eye out on our socials! Don't separate us on the flyer! Keep us together in the standings!

So, like, we can do the FUNNIEST thing, AGAIN. Slap me & my wife, @annekesiempre.vtubers.social, there. Just a dude & his lovely wife in scrubs standing beside a colorful cast of Vtubers! IT'D BE FUNNY! My only ask is that y'all keep us together in the poster! Only on @iriam-us.bsky.social!

Just had my yearly eval with my administrator. He wrote one of my greatest strengths was my empathy & how I use it to elevate the work we do, the care we administer, & in leading our team. I know I get told that from other folks, but to have it in writing is something else. #nursesky #medsky

Born to play video games and watch anime. Forced to get up early for work in 6.5hrs.

Okay, the butt chewing wasn't as bad as I thought it could be!! More like a mild gnaw! Still! We GOTTA do better for next month, lest I get torn to shreds.

Today's the time of the month I get my butt chewed out by upper management... Wish me luck, everyone. Art by @/dreamplanes.bsky.social

I figured out the Keychain idea!! It's a hanging thing of hand sanitizer too! So it serves a dual purpose!!

Sometimes when I sit & listen to the Blues, I imagine that it's my childhood friend, Jordo, playing the guitar. That man loved the Blues. He was a prodigy. The way he played hit you to the core. He should've been one of the greatest Blues musicians of our time. Miss you, bro.

Saw a video of NVIDIA promoting hospital automation. It had the gall to mention staff shortages & how it can be solved by automation. In certain aspects, I can understand the usage to assist in diagnosis, data analysis, & research. But automating healthcare to save a buck? BS. #nursesky #medsky

Keychain on the cane: Yes or No?

I have no words... My day off is canceled tomorrow cause of this... March is causing Madness in me alright, that's for sure.

Bro, thank God for Prozac cuz NGL, I had some FEELINGS about my current work stress that I would've crashed out on without it. Not to say my complaints aren't legit, (cause bet your butt they are), but, HOLY CRAP, saving a dime at the expense of sanity is poor business strategy. #nursesky #medsky

Upper management had to pull the covering RN for the floor for tomorrow to work at another clinic. Shift starts at 6am tomorrow. I have to pick up my family from the airport at 9pm TONIGHT. It would be funny if I didn't embody this meme so often. 🎨 by @/dreamplanes.bsky.social #nursesky #medsky

Very happy to debut my new casual outfit for my 1 year on #IRIAM!! Shout outs to @mdotrage.com for the fit! If you want to wear their original fits on your Vtuber avatar, 🔗is below! Special thanks to my Art-Mama & Rigger-Papa, @ranmaii.bsky.social & @slenderVT for bringing it to life!! #vtubers

Gonna be on #IRIAM @ 10am PST (1pm EST) to showcase the new fit for my 1 year anniversary on the platform!! Despite the rough times & emotional ups & downs, both as a Vtuber & IRL, without IRIAM, I wouldn't have been able to make so many new friends! Let's celebrate together! #vutbers #envtuber

1 more day until my #IRIAM streaming anniversary & premiering my new outfit!! If you've been to some anime cons in North America, you may recognize the fit! It's one of my favorites to wear on blustery days! Want one for yourself? Why not check out @mdotrage.com? 😎?

2 more days until my 1 year anniversary on #IRIAM! Very excited to show off the new outfit! Fun fact: aside from my bard attire, I own every piece of clothing that my avatar wears! The Pinoy flag & blood type patches are my personal touches to this jacket! Gotta rep, ya know?

Almost there, everyone!! I'll get that DNP yet! #nursesky #medsky #vtubers

A second power outage has hit the clinic... #nursesky #medsky #nurselife

As a clinic manager, I wear many hats. Sometimes multiple hats a day. PCT today. Floor RN tomorrow. Charge Nurse & Care Coordinator all the time. Usually I don't mind covering for my staff occasionally. But when it's been like this since December? I only have so much in me... #nursesky #medsky

6 more days until my 1 year anniversary on #IRIAM! I'm not just celebrating with some new kicks, but a brand new outfit! I figured a more casual, modern look is in order, compared to my usual professional scrubs & my adventuring bard attire. Can you guess who made the jacket? #vtubers

It'll be a year next week on Sunday since I started streaming on IRIAM!! To celebrate, I got...new shoes?! Y'all fans of the Nike Air Jordan 1 Chicago? You might recognize them if you're a fan of Spider-Man!! Especially Miles Morales!!