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A woman who says she was repeatedly denied adequate emergency care last spring is blasting the Newfoundland and Labrador health-care system, saying she's been left psychologically scarred after being told several times that her gangrenous appendix was simply anxiety or constipation. Joy Spence, 21, said she visited emergency departments at two hospitals in St. John's over the course of nearly two weeks this May. What began as weakness and abdominal pain on her right side quickly deteriorated into blacking out from the agony in her torso. But no matter how dire her symptoms got, doctors kept sending her home. "They would just tell me, 'Your bloodwork's normal, there's nothing we can do.' They would send me home, then same thing again," she said. "I would go back again. They would get me to do the bloodwork, say everything's normal." Ultrasound and CT scans apparently turned up nothing, but Spence, in such severe pain, says she had no option but to keep returning to the hospital, where she says she was eventually left screaming in a waiting room, ignored by hospital staff. "If somebody doesn't help me, I'm going to die," she recalls wailing, watching doctors and nurses pass her by. At one point, she was dismissed outright by a walk-in clinic nurse, she adds. "Somebody said to me, 'I don't know what you expect me to do,'" she said. "'You're a healthy 21-year-old young female.'" One night, she says, her boyfriend had to help her into an ambulance. Spence was in so much pain she couldn't stay conscious and stand on her own. "I remember the man in the ambulance telling me … how often he sees other young women going into the hospital and seeing them be misdiagnosed and not taken seriously," she said, speaking through tears. "He said that he would do his best to … get things going for me."

They nearly killed this woman by blowing off her symptoms. Other women have since come forward to say their symptoms were also ignored. One woman died because no one would listen to her. And yet the head of emergency departments insists that there is no sexism in the hospitals.

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Young people have GOT to stop talking about conservatives like they're scary menacing monsters. Yes the policies they back are horrifically destructive but that's entirely because of how individually stupid, fearful, emotionally stunted, weak willed and catastrophically gullible they are. That all is what made them become right wing to begin with. Just the most easily manipulated zombie sheep on earth.

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Having a sorcerer (pharmacist) put wards over me (vaccinate me) before I go into battle (a place with many people)

As someone who works with social history for a living, I feel like I’m the aggressive opposite of an anti-vaxxer

I fucking LOVE vaccines, friends. Give me the science stab. I’m so ready. it’s a beautiful day to not die of a Bajillion and one diseases that carried off like half the population before they had even reached age 10, and a significant portion before they made it to old age, 150 years ago

I go to the old cemetery. I see the vast numbers of infant and child and young adult graves. And then I go to my doctor and get injected with Potion of Fuck That Noise. This is beautiful and miraculous and I do not remotely understand how some people can reject it – not just for themselves, but for their children

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I know I’m in the minority here, but I’m so proud of her for this. We’re much stronger with trans congresspeople who are doing their job than with trans congresspeople who are being distracted from their job by Republican trolling.

The longer we stay visible and the more we are things other than trans, the more normalised we are, and the sillier people look for having a problem with us.

You don’t deal with bullies by making them your priority. You deal with them by deprioritising them to the point where they become irrelevant. If you’re normal, competent, and awesome, and everyone loves you, eventually hate becomes a bad look, and a hater reduces their own electability.

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2024: Stuðlagil ravine on the river Jökla. Lucky the drone was handy as we had come down on the west side and you can see bugger-all from the farm there. Best to approach on the eastern side, park at Stuðlafoss, and then walk the remaining 2km up to the canyon.

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I know it's unfair vilification and stuff but it's also a lot of fun to see old media and stuff where people were SO scared of big animals like lions, sharks, crocodiles and wolves were fully expected to just come and eat you the moment you stepped into their territory. In older media we also made that assumption about gorillas and in still older we thought it'd be whales. But some animals that will actually fuck you up got left behind. Boars will kill you and eat you. They're way more likely to do so than any of those other things actually. Hippos, obviously, got off like bandits always being depicted as cute and dopey. And then there's the squids. Not giant kraken size squids. The eight foot squids that hunt in packs and will fuck you up if you fall in the water at night. I can't BELIEVE people slept on that. It's like all they cared about were the huge deep sea ones we never see. The medium size wolf pack squids were right there.

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You can go to any frat party and find this couple as long as your group meets the ratio requirements

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Hi! This is kind of a weird question but how/why was influenza (and other diseases that we have vaccines for now) so deadly 100-200 years ago? Obviously vaccines help tremendously, and probably immunity over time, but are there other reasons that the flu was a much bigger deal a century ago? Sorry if this is oddly specific, but my current project is historical. Thank you!

This is a very interesting question and there are a couple of different ways of looking at it.

Let's start with influenza:

[Note: it's surprisingly difficult to get good worldwide flu data, so I'm going to use US numbers for the purposes of this post.]

I think the first thing to understand is that unlike many other infectious diseases, influenza is substantially different every year. That means that the immunity that you build in 2017 from either the flu or the flu shot won't necessarily help prevent you from getting the flu in 2023. By then it will be a different enough virus that your previous immunity won't be as helpful. Though it might make it a little milder. But keep reading, I'll give you some fun facts to share at parties:

We name flu (A) viruses based on two different proteins on the surface of the virus. The proteins are "H" and "N". There are 16 different "H" proteins, and 9 different "N" proteins that we currently know of. The combination of the two forms the "name" of a particular flu virus. Think H1N1, or H5N6, or any other combination. Each combination has their own attributes, which contributes to how infectious or deadly they are in any given year. And which ones circulate are different every year.

Just mathematically, that's a lot of substantially different flu viruses. Hundreds of them, in fact. And you have to build immunity to each one individually. You could, say, build immunity to H2N5, but that would do little to save you from next year's H4N3. And not only that, but within a single type there are many smaller variations. For example, say you got H5N3, but then it went and mutated. If you then got exposed again, you might have some immunity to new!H5N3, but it could also be just different enough that you still get sick.

Like I said above, different types of flu virus are deadlier or spread faster than others. H5N1 (a type of avian flu with a human mortality rate of 52%) is terrifyingly deadly but fortunately doesn't spread particularly well, while H1N1 (the star of both the 1918 and 2009 flu seasons) spreads rapidly and kills primarily young adults (weird, since flu usually kills babies and old people).

This is why in 2009 we did the whole "close the schools vaccinate the teens hide the president" routine. Because if it was *that* H1N1 we were all about to be screwed in ways we had never experienced before. Fortunately it wasn't, but thank goodness we did it. Also if you got vaccine #2 in 2009, you are also protected against the 1918 strain of H1N1. You're gonna be a hit at parties with that one.

Now, if you look at only deaths (not the best measure, but one with some emotional punch), within the last decade alone we have years where 12,000 people died of flu in the US (2011-2012) and years where that number is as high as 61,000 (2017-2018). These numbers are similar throughout recent history (relative to population), but then you get years like 1968 (where 100,000 people died in the US) and 1957 (where 116,000 died), and then sometimes you get these wild whopping years like 1918 where 675,000 died (equivalent to 1,750,000 people dying in today's US population). These fluctuations have happened since Hippocrates was around, and probably long before that, and there's really nothing to suggest it's getting any milder in any statistically significant way.

Now, outside of these natural fluctuations, we do have some ways of driving down these numbers. We do have a vaccine. It is different every year, based on our prediction of what the most likely or dangerous types of flus will be this year. Fortunately, you do get to keep this immunity for some time, so you can look at the flu vaccine as a personal collection of different flu viruses you have immunity to- you can collect 2-3 different ones every year in one shot and you didn't even have to catch them!! Yay! Unfortunately, since we never reach herd immunity with the flu vaccine, and we can't perfectly predict and incorporate all the strains that will circulate in a given year, while you do get some protection, it's not ever perfect. But it *is* still worth it.

We also have other feats of modern medicine as backup to the flu vaccine. We have oxygen, antiviral drugs like tamiflu, immune modulating drugs, and technology like ventilators to help keep people alive in ways we would not be able to in previous generations. So that's also an advantage. Unfortunately, these don't always work either, and we are still at the whim of those yearly fluctuations in influenza virus deaths.

And really, if you ask any epidemiologist, covid is just a little trial run for the next Big One. Which is both extremely likely to be a flu virus and which we're statistically overdue for.

TL;DR: The flu isn't getting milder so much as it varies wildly in severity every year. The next major flu pandemic is probably going to be in our lifetimes, so start collecting your flu immunity now if you haven't yet. New collections drop every August and are available until April. Get em' while they're hot. This year's included a 2009-like strain of H1N1 and a delightful H3N2 number from Hong Kong.

As for All the Other Vaccine Preventable Illnesses:

*ahem*

Yes, it's vaccines. It's obviously vaccines. Its basically only vaccines. Anyone who has ever told you it's not vaccines is lying. No other major discovery of modern medicine has ever saved as many lives, prevented as many disabilities, and created as many opportunities for a life well lived as vaccines have. No antiviral drug, no antibiotic, no ventilator can even hold a candle to vaccines. The answer is f*cking vaccines*.

I hope I have made myself clear.

Enjoy this table:

*Yes I do have a masters degree in public health and am a registered nurse that interacts with the public regularly, how did you know?

-Ross @macgyvermedical

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Japanese embroidery artist, Narumi Takada. Step on fresh snow (2021) Footprints painstakingly executed in straight stitch, satin stitch, and backstitch; snow created with punch needle and cut loops.

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Positive affirmations:

I deserve a halberd

I should be given a halberd

People want me to have a halberd

I can be trusted to own a halberd

I will be given a halberd one day

People will think my halberd is incredibly hot

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thinking about that post saying that Trump is the candidate sent by god to be the president but to accelerate America's destruction rather than anything positive

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why tf would there be a “degrading” clothing section in your weirdass terf fantasy world

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