>>107680711@saikenMD is addressing a recent interaction with Takanashi Kiara (a popular VTuber from Hololive), where she publicly tagged him seeking an explanation for a symptom during a stream. He clarifies that while he understands it might have been intended as a lighthearted joke, he chose to respond seriously due to ethical, professional, and legal boundaries as a licensed physician.
Key excerpts:
- He emphasizes that he can't provide diagnoses or treatment advice online without a full patient workup (e.g., reviewing charts, exams, labs, imaging). "Actual doctors who are interested in keeping their licensure and not getting sued know their limits."
- He's not upset with Kiara herself, who has been open about her health struggles, but frustrated with clip-farming channels that edited the exchange misleadingly—using clickbait titles, thumbnails suggesting emotional distress ("gonna cry"), and out-of-context clips to portray him as unhelpful or inconsistent.
- He contrasts this with casual jokes among friends, noting Kiara's larger platform and corporate status make it different. His advice boils down to: "go to a doctor who can review her chart, examine her in person, and make a diagnosis."
- The post quotes a reply from @7shinta7 defending the original as a joke and criticizing the clip's title, to which @saikenMD responds by explaining his perspective in a post-pandemic world where trust in medical professionals is already strained.
This appears to stem from a broader VTuber community discussion, highlighting tensions between online entertainment, medical ethics, and content creation practices like clip
This post highlights ongoing issues in online creator spaces, especially VTubers: the blurred lines between jokes and serious requests, the risks for professionals like doctors engaging publicly, and how edited clips can fuel misinformation or drama. @saikenMD positions himself as responsible, prioritizing real-world medical standards over online expectations. Community reactions largely back him, criticizing clip farmers for exaggeration, though a minority sees it as overblown. If this ties into broader VTuber drama, it underscores how health discussions can escalate quickly on platforms like X.
