Don't blog/tweet anonymously. Tweet before you blog. Bloggers should meditate [of course]. Don't use emoticons. Don't “dis” patients. Mind your HIPAA (often misspelled "HIPPA"). You have to have a social media presence. I could go on.
I blog anonymously because I want to. I started blogging and tweeting at the same time and I'm doing fine. I use emoticons because sarcasm and satire are difficult to convey in a tweet or email. I find they help me express myself and avoid misunderstandings.
Occasionally, patients who do silly things should be dissed. I rarely do it myself but if others do, it's their business. Also, this can be funny.
Digression: HIPAA is a major nuisance. It's one of the most annoying and misunderstood federal laws ever enacted. Really, are there large numbers of people trying to look at my patients' x-rays so I need to go through logins to get into the PACS? It's not a HIPAA violation to exchange patient information in the process of caring for said patient. But many times doctors and hospital medical records people stubbornly refuse to tell you vital information needed in emergency situations.
I don't want to have a social media presence for my practice. I don't need it. I don't have the type of practice that would benefit by it.
So do me a favor; don’t tell me what I should or should not do online.