While social media platforms, in general, have facilitated rapid dissemination of medical and scientific advancements, Twitter has been particularly unique in its ability to attract, engage, and grow communities of academics and science communicators. The Journal of Hospital Medicine has been at the forefront of leveraging Twitter to build an engaged community. It started with our Twitter-based journal club (#JHMChat) and continued with the development of visual abstracts and longer-form Twitter posts (#JHMTweetorials).1 We have also developed a wildly successful digital media fellowship, now in its fouth year, and published practical guidance for individuals and organizations navigating the social media sphere.2-4 This, however, is a more personal story, one that describes my foray into social media and my hopes for its future. In the Fall of 2020, I realized that my sleep had gone from an amazing 9 h per night to an abysmal—by my standards—6 h per night. I love sleep. I love naps. This change was distressing and affected my wellness. There is no doubt that life has been stressful. In late 2019, just a few days before my pediatric hospital medicine board certification exam, I stopped at a red light and was struck by another vehicle. My car's front axle broke, rendering it undrivable and unfixable. A week later I fell and suffered a concussion. My symptoms of hyperacusis, nausea, dizziness, and difficulty with balance were sufficiently severe that my recovery involved 3 months of vestibular rehabilitation. Then, in the Spring of 2020, just as I felt that life was returning to normal, the coronavirus disease 2019 (COVID-19) pandemic created another major disruption. As an infectious disease and hospital medicine physician whose research focuses on respiratory infections, the pandemic hit the sweet spot of my expertise. However, the Spring and Summer of 2020 were chaotic as I (and all of us) juggled a new series of challenges, including a radically different work environment, shortages of basic medical supplies, fear of infection with a pathogen of which we knew little, and human tragedy at a massive scale. The state of knowledge around the care of patients with COVID-19 was rapidly evolving. Much of the information we gleaned about management first appeared on social media, which I hesitated to use. I had had a Twitter account for years but had not tweeted much. I'm a private person, and social media's public-facing nature did not vibe (or so I thought) with my personality. I increased my use of social media to keep up with the latest medical advances, and then, in service of wellness and personal growth, I decided I would embark on a public self-improvement project with a dual purpose: (1) Improve my sleep quality and duration, and (2) increase my comfort with social media. As I look back now, the isolation thrust upon us by the pandemic certainly influenced my decision to take a public approach. Gone were many of the small interactions with colleagues over the course of the day. At work, we were typically masked and distanced and often working remotely when not on clinical service. Meetings were almost exclusively virtual. The cancellation of some national society conferences and the migration of others to virtual platforms heightened this seclusion. I craved connection. I partnered with trusted experts in quality and sleep, Drs. Michael Tchou, Sonya Tang Girdwood, and Vineet Arora, used the hashtag #iREST (I Recommend Essential Sleep Time, coined by Dr. Arora) to bring together others who might also be interested. I developed a SMART aim and a sleep bundle, and defined outcomes, processes, and balancing measures, while using a data tracking and sharing mechanism developed by Dr. Tchou to display my sleep progress visually. I started the project on September 6, 2020.5 By the project's end in late December of that year and 60+ posts later, I had achieved both of my goals. There were also several unanticipated benefits. First, while I used Twitter less, the quality of my engaged improved dramatically; communication was bidirectional and relationships developed or were solidified. To my great surprise, social media became fun! Second, one of my sleep bundle components, avoiding social media after 8:00 p.m., was life changing. I replaced doom scrolling with reading as my prebedtime ritual. I read more books during the 3-month project than I had in the previous 2 years. I have not quite kept up the finish a book every other week pace, but I now routinely read prebedtime. Finally, the benefit for which I'm particularly grateful is the engaged community that developed over the course of the project. This community provided support and encouragement and shared knowledge and wisdom. I also discovered that my public journey to improve wellness had inspired others. Social media had somehow become a catalyst to improve health. Alas, social media continues to evolve, and not always for the better.6 The recent changes have been disheartening, and it is unclear whether Twitter can remain a platform for exchange of ideas and information, robust dialog, and meaningful connection. And, if not, whether another platform can take its place. In May, I embarked on another personal improvement project—improving my exercise consistency. After some deliberation, I decided to again post my improvement work publicly on Twitter to hold myself accountable and to draw on the support and expertise of the #MedTwitter (and beyond) community.7 For this brief moment, it feels like “old Twitter.” Join me at #iHEALTH (I am for Higher Exercise Activity Leading to improved Health). We are not through quite yet. The author declares no conflict of interest.