#By lack of healthcare
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Survivorship bias. We think of older media as inherently superior to new media because the only older media still around is the stuff people thought was good. When really, older media has simply been curated by time.
i do think theres something sad about how largely only the literature that's considered especially good or important is intentionally preserved. i want to read stuff that ancient people thought sucked enormous balls
#Things being curated by time also applies to generations of people#But more often in reverse#There are really cool boomers#Boomers who fought tooth and nail for civil rights#For lgbt rights#For women's rights#To disentangle capitalism from politics#To oppose unjust wars and american imperialism#And they were killed by cops#By economic oppression#By lack of healthcare#By the very issues they fought against#Over time a given generation trends towards conservatism#Not because people turn evil as they get older#But because those members of a generation empowered by the oppressive power structures#Have a longer life expectancy than those they oppress
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When you be disabled, making less money than the previous year and have the medical records to prove it and the government denies you insurance assistance because you don’t have kids …. wha….
#they said i qualified except for the fact… I don’t have kids#LIKE ? make it make sense ??? 😭#I’m not upset because I have treatment to stay stable even if o pay out of pocket every three months I can work with that for now#but the fact they denied me for that#also it looks like I’m not the only one#even people with tumors who can no longer keep up with full time jobs get denied if they don’t have kids#thanks America 🦅#no offense also but my uterus had me hospitalized for two years and on a wheelchair to the point doctors suggested just removing it#having kids would kill me fr#aside from being aroace i have a medical excuse for not wanting them 💀#but Les gooooo#les gooooooo!! yay!!#pix habla#I’m not upset I’m just shook 😭 I swear#I had to share because it’s so silly#the interview guy felt embarrassed telling me too and kept apologizing and I was like hey dawg it’s ok man I get it it’s not your fault#like he struggled to tell me the reason was the lack of kids and I’d hate to be in his shoes 💀 hope he’s ok#that’s why healthcare based jobs suck idk if I’ll even go back to that field of work >> the nonsense you have to say out loud sometimes is#so bad…
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If you could live anywhere in the world where would you live and why? Or would you want to/rather stay where you live currently?
I definitely would not want to stay where I currently am.
I suppose somewhere in Europe would be nice. Though I am worried about the rise of the European far-right, both as a fan of democracy and freedom and also as a Jew.
#I also would've liked to move to the US before Trump took over#though the lack of universal healthcare would be a huge barrier
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We're having a super fun time in Alberta right now. The UCP has released some very concerning anti-trans legislature that if passed could come into effect next year and seriously harm trans and gender diverse youth in particular.
#I can't stop thinking about this teacher who can't come out but keeps showing up to these rallies#if your own existence as a teacher isn't safe I can't imagine having to navigate the support (or lack there of) for your queer students#heartbreaking#it's already hard for people to get the support and healthcare they need#why are we making it even harder#alberta
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Whether or not the adage that chronic stress is as bad as smoking is or true or not, hearing that and knowing that a huge stress factor is often one's continued financial, housing, and food security really should radicalize more people. The idea of stress being damaging to long and short-term health should make you stop and wonder what contributes to stress in the first place, and if preventative measures would inevitably be a net benefit to the overall health and wellbeing of everybody
#politics#mental health#obviously strss is an inevitable consequence of Being Alive#but chronic stress has chronic origin (unstable housing/lack of food/job insecurity or shortage/lack of healthcare/ect ad infinitum)#i just remember being told that (chronic/intense) stress is as bad as smoking and that sticks out to me#even if it's not true... doesn't that make you WANT to think deeper about that?#doesn't that make you want to consider what leads to such poor mental health that it destroys you from the inside out?#because to me it sticks out as something to radicalize you#and obviously smoking isn't magically ~Good~ because there are worse things out there/'just as bad' things#what i am trying to say is: if you take the concept of stress seriously then you need to interrogate WHY people are stressed#because it isn't just 'for no reason' or for 'small anxiety-inducing' things
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i literally just woke up so thisis like word vomit but. the rest of the world are watching america and we’re all just so fucking BAFFLEDDDDD and like. its almost frustrating as an outsider to see this most powerful, influential country be so reminiscent of a bygone era like the US is SO influential over the rest of us we cannot escape US news or anything and sometimes i just think like. why. why should the rest of us let a country with so much backwards thinking have so much impact on us ??? idk
#does anyone understand what i mean#the guns the lack of healthcare even the fact abortion is one of the main election points is INSANE#i dont even know how the problem can be fixed because it needs to happen in US schools#education is so god damn important and we’ve seen recently education is lacking severely#i feel so fucking bad for all the good people of the US like over 60 million americans dont want this and have to live with it#have to live in a shit ass situation because the stupid uneducated hateful people outnumber them its CRAZYYYYY
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me: *talking about something weird and gross that's been going on with my body lately but that I haven't been able to find any scholarly/scientific articles on*
my gynecologist: don't worry that's perfectly normal
me:
((OP is a trans man, terfs will be blocked on sight))
#i could only find like a handful of reddit posts with people asking about the same thing but nobody had any answers :/#it eventually went away on its own. but like. the lack of trans-inclusive OBGYN information is not comforting.#ftm#trans#transgender#trans man#trans masc#transmasc#is that one word or two?#🤷#trans healthcare#transgender health#transgender healthcare
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#literally this#extremely sad how adhd isn’t recognized n severely underdiagnosed in women#only got diagnosed w it n other things as an adult#n now it’s much harder to develop coping mechanisms but#we move lol#a win is a win#so if u guys are ever wondering why kiki rambles about bs that nobody cares about#n then over thinks n deletes all posts#or is v sensitive#n takes forever to yield any fic bc never satisfied w work#✨adhd brain✨#also friends#gentle reminder to pls advocate for yourself#like you know your body and mind more than anyone#and if you feel like something is lacking or you need help#pls push for it#bc sometimes the healthcare system is#yk#but yeah#it’s super scary but there’s also so much relief in receiving a diagnosis#like you made it this far without knowing#the only thing that changes once you receive the diagnosis is that you have more access to tools than you’ve ever had maybe#yeah#anyways#love you all#n i hope you’re happy and healthy#n i hope you have a support system#and if you don’t currently you will in the future#if you ever need to talk or anything#im here
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nice. of course the k-12 education system is underfunded, leading to constant teacher shortages, inadequate facilities, and subpar student outcomes. healthcare access is alarmingly poor, with an unneeded high uninsured rate that leaves many without normal, essential medical services, and even with recent medicaid expansion, mad issues still remain. health outcomes are fckn dismal, with high rates of chronic diseases and preventable deaths. obesity levels are among the worst in the nation (no wonder with all the food insecurity and lack of healthy lifestyle options around there). income inequality is out of control. they got many of their citizens living in poverty with almost zero prospects for improvement. on top of these issues, oklahoma has one of the highest incarceration rates in the country, driven by harsh sentencing laws and systemic failings which targets black and poor (because of course (because america)). all on top of a legacy of racial injustices. i mean the tulsa race massacre. need i say more? but yea they should totally spend 1bil on entertainment. that's a totally reasonable thing to do smfh.
#underfunded education#teacher shortages#inadequate facilities#poor student outcomes#healthcare access issues#uninsured rate#medicaid expansion problems#poor health outcomes#chronic disease#preventable deaths#obesity crisis#food insecurity#income inequality#poverty#lack of opportunities#high incarceration rates#harsh sentencing laws#systemic injustice#racial inequality#tulsa race massacre#misplaced priorities#government spending criticism
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Wooo, the past two days have reminded me that I really enjoy medicine! It's just the emergency department that isn't for me, almost as if I chose family medicine for a reason, haha. (Also apparently our local ED is a shitshow. I wouldn't really know, as it's my only point of reference, and as far as I know most EDs in underserved areas are shitshows. At any rate, I lost a patient for 3 hours the other day because someone moved them without telling me and updated the chart incorrectly, and I hunted for them all around THRICE without finding them, and signed them out as Left During Treatment until someone finally called me like, "Heyyy... so did you send X to the pharmacy...?" and I was like, "They're STILL HERE???"... ANYWAY.......)
No matter what rotation we're currently on, the family medicine residents do 1.5 days of clinic a week, and half a day of didactics. ED shifts can't be interrupted, so mine are all lined up so that I have all of Tuesday in clinic, and Wednesday split between clinic/didactic. I've basically gotten only half a day off so far in the past two weeks due to the night shift schedule, but this litte two-day family medicine interlude has felt like a break in its own way, haha. Now that I'm getting a better hang of the EMR, clinic just feels very nice, and it's exactly what I want to be doing. And as part of our didactic, we spent a couple of hours today doing sports physicals for the nearby college, which was neat! Got free pizza after, too, eyy.
One small thing I really wish was standardized is that anybody on inpatient service and emergency medicine rotations had an official break, at least 30 minutes per shift (which is not a lot considering shifts are 8-10 hours for ED and 12 hours for inpatient service). Most other rotations (including even inpatient pediatrics) have an hour designated for lunch, but two of the most grueling ones don't, and what ends up happening is that even if my seniors have told me not to worry and to take a 30 minute lunch in the ED, I feel guilty doing it because everybody else is scarfing down a 10 minute sandwich at their computers while staring at the patient charts and I feel bad taking even 15 whole minutes because it's noticably 5 minutes longer than the EM resident took! And it's the same thing for my coresident that's currently on inpatient service. It's just a long time to go without a dedicated break and it's part of what makes those services exhausting.
Anyway, today and yesterday were both good and I have some things I'm sooo excited for! I got into contact with the new endocrinologist that works with our program because she does trans health care and we're going to start a trans health clinic together. The only real question, which my program director is going to be talking over with her, is figuring out how I can participate in that longitudinally, because unfortunately it doesn't count for my family medicine continuity clinic, and there are some rotations where the hour requirements apparently don't allow me so much as to take a half-day per month for a different service (lookin' at you, inpatient service - which is 6a-6p, 6 days a week, so they'd also be breaking duty hour restrictions if they put the clinic half day on one of my single weekly days off lol).
Regardless, we'll figure something out! I really, really want to do this and my PD is excited about it, so I think they will try to make something work. I'm kinda crossing my fingers that they do allow me to take one half-day per month for this even on inpatient service.
#personal#dear diary#residency#ICU and OB might also lack breaks but we don't have ICU until spring and I haven't asked my coresident on OB if he gets official breaks#a lot of people have said to me “oh we don't have trans healthcare here because we don't have the population for it”#and I'm like “.........you do tho. you really do. they're just not COMING TO GET HEALTHCARE because it's not accessible or welcoming!!!”#like I'm sorry I have seen local trans patients and I have literally worked with trans people in the hospital THE TRANS PEOPLE EXIST#anyway I'm so hyped for this
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Continuing my Dorley reread and in many ways Dorley is a comedy and one of the most horrifying ways in which Dorley is a comedy is the comedy of watching Steph's idiot self be convinced that she can pull one over on a cult to get transition services from them without herself getting radicalized by said aforementioned cult
#genuinely her lack of self-awareness as she's actively talking herself into being okay with kidnapping is HILARIOUS and also horrifying#theres a lot in here about the inertia of abusive institutions#and how they perpetuate themselves by forcing a lot of otherwise good people to be complicit in them in order to be able to live their live#and how difficult-to-impossible it is to reform that because it's not by a single malicious design so much as a massive pileup of bullshit#and in the case of Dorley it's exaggerated to hell but we've all had to jump through insane hoops at the whims of abusive institutions#in order to get basic fucking healthcare#dorleyposting
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in a hell of my own making or whatever
#spiralling hard for days on end about self-dx and common experiences and relatability and points of comparison#bc the healthcare system has failed me categorically and internalized ableism is Here#and above all- hEDS relatability culture. you know exactly what i mean by this. party trick culture. '23 signs you grew up with' culture#unofficial criteria everyone meets but me and lack of recognition for spectrums and. anyway#i'm really not feeling good about it for more than 5min at a time this week#no validation i get is enough bc i still just don't feel like i Relate to the Common Experience ppl with my disorder seem to have#and the fear is i meet the criteria technically but get told they just don't See heds holistically so no dx no support no community#and i just feel like the clown i am forever#are these fears realistic?? no i'm just uncertain and have comparing myself to others disease#but i'm scared anyway and definitely a clown#ok bye#p
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Scroll down a bit...
Someone who works on CNN's front page did a thing, I bet.
(A little while ago these two headlines were close enough together to get them in the same screenshot, but the second one was moved down before I got around to actually taking the screenshot.)
#us politics#us healthcare#gun violence#gee what could the motive have possibly been#such a mystery#the guy's wife apparently said he'd been getting death threats lately#“something about a lack of coverage”#I mean yeah *technically* violence isn't the answer#but it sure would be nice if some other insurance execs would look at the reaction this shooting has gotten and do a moral inventory#you know ask the question “is there anything about the way I conduct business that would lead strangers to celebrate my death?”#and act accordingly#I mean I'm sure the guy's family are grieving and that's unfortunate#and if anyone is @ing the widow or otherwise shoving their schadenfreude in the faces of the grieving then that would cross a line#but these people have been systematically blocking the development of single-payer or even a public *option* for decades now#and *countless* people have died because of that too
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Article: GOP Senate Candidate: No One Worries About Dying Due to Lacking Health Care
GOP Senate Candidate: No One Worries About Dying Due to Lacking Health Care
Lies! Approximately 26,000 people a year die because they ration medication, avoid expensive tests, and delay care until it's too late.
(See stats below.)
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No one should DIE so shareholders can profit. It's wrong. It's unethical.
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I thought if I came home and immediately got into bed I could salvage something resembling decent sleep before I leave for the airport at 4:30 AM but it turns out that I am still in fact bound by bedtime rules and also being bouyed by excitement at seeing my hometown again so suddenly even just for two days. So I guess I'm here in bed not sleeping.
#Weirdly more efficient to fly back to my old doctor and get these cysts taken out of my head#Chicago Healthcare is... Lacking in my experience. To put it mildly.#My mom tells me now and then that I belong somewhere closer to home where she can help when I need#And whether she means Oklahoma or Georgia the answer is still 'I'm all but illegal there' so#Mundane adventures
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shoutout to my stepmom for trivializing the impact of the election because ‘some people are really suffering’ because a really really tragic freak accident happened to one of jack’s classmates
#like. yes. of course. a family losing their 10yo child is fucking horrifying. and they deserve so much love and support.#but then being like ‘well trump being elected only means unpleasant things Could happen to small portions of the population.’#she specifically was like. ‘like. the tiny amount of people who are.. uhh.. L.. GB.. T.. Q? MIGHT have a harder time.’#‘but that’s nothing compared to the loss of a child.’#and i’m like. girl idk how to tell you this#but that’s not….. like . the point?#and also. plenty of people will be separated from their kids by border control and deportation.#by violent hate crimes and increased suicide rates.#and homelessness and starvation and a lack of access to healthcare#and unsafe illegal abortions or violent partners they will be attached to forever by an unwanted child.#like. politics does in fact have real ramifications for vulnerable people.#but. it’s easy for her to feel removed from it. in her white upper class christian bubble.#to her it’s just words. just debates. that you shouldn’t have over dinner.#izzy.txt
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