#General medicines

[deadbaguette]

Penelope, Diomedes, and Odysseus design sketches but you can tell I have a favourite (Penelope)

Just getting something down so I can have a good reference for the future when I draw them together again

[metamatar]

November 11, 2023—Hospitals in Gaza have been under relentless bombardment over the past 24 hours. Al-Shifa Hospital complex, the biggest health facility where staff for Doctors Without Borders/Médecins Sans Frontiéres (MSF) are still working, has been hit several times, including the maternity and outpatient departments, resulting in multiple deaths and injuries.

The hostilities around the hospital have not stopped. MSF teams and hundreds of patients are still inside Al-Shifa Hospital. MSF urgently reiterates its calls to stop the attacks against hospitals, for an immediate ceasefire, and for the protection of medical facilities, medical staff, and patients.

“We are being killed here, please do something," texted one of MSF's nurses from the basement of Al-Shifa Hospital this morning, where he and his family were sheltering from the incessant bombing. “Four or five families are sheltering now in the basement, the shelling is so close, my kids are crying and screaming in fear.”

"The situation in Al-Shifa is truly catastrophic," said Ann Taylor, MSF's Head of Mission in Palestine. "We call on the Israeli government to cease this unrelenting assault on Gaza’s health system. Our staff and patients are inside Al-Shifa Hospital, where the heavy bombing has not stopped since yesterday.” [...]

MSF denounces this death warrant on civilians currently trapped in Al-Shifa Hospital signed by the Israeli military. There needs to be an urgent and unconditional ceasefire between all warring parties; humanitarian aid must be supplied to the entirety of Gaza now.

At Al-Quds Hospital, MSF has lost contact with a surgeon who is working and sheltering there with his family. Other health facilities, including Al Rantisi Hospital, which MSF has also supported in the past, were reportedly surrounded by Israeli tanks.

(emphasis mine)

[sirsmacks]

got a bit too tired to finish this one so ill just post it, ill probs clean it up at some point

[brighteuphony]

On the way back from Tea Country with Chakra-poisoned Kakashi tryna "casually" fish for some info before Sakura comes in with the one-hit KO on accident.

So she's got some complicated feelings for Kakashi as well, though they're a lot milder than what she feels about Sasuke.

There's a moment in my AU where Sakura goes through a deep reflection ritual, in which she has to face Inner Sakura -who is representative of all the ugly truths her day-to-day self hasn't been able to face- and come to terms with who she is.

During that time, she's got to face the music.

The music:

Sasuke is the last prodigal son of a clan that was brutally butchered. He's a genius with one of the most powerful dojutsu out there (that he has no idea how to use) and is coming in hot with more baggage than an airport terminal.

Naruto is not normal. She doesn't know what he is (as in-canon, she finds out after the time-skip and the Sakura from above is right on the cusp of Shippuden), but there's nothing normal about a kid who can pull wild orange chakra and who can fight Gaara's tailed beast and come out on top. He's got the personal attention of the Hokage, but the entire village has banded against him for some reason. He's special.

Kakashi is a war veteran turned Jounin and an infamous ANBU captain (I headcanon that some ANBU names are leaked specifically to generate a healthy level of fear/caution among other villages- which is why we know of Itachi/Kakashi/Shisui very publically) and is ALSO the last prodigal son of an old noble clan.

(No way a bookworm like Sakura didn't consume every publically available scroll on Konoha clans).

It doesn't take the big brains to figure out that he got team 7 specifically to help deal with Sasuke's trauma/teach him about the Sharingan, and put a leash on Naruto (and in the future, when she finds out that Madara was able to control the Kyuubi with the Sharingan as well as the knowledge that Kakashi was Minato's student it becomes even clearer why he got the Sasuke/Naruto combo.)

And Sakura? Sakura is a civilian. No clan, no dojutsu, nothing to her name except great chakra control. She's the literal meat in the meat-grinder of the military machine of Konoha, the acceptable sacrifice in a group of otherwise invaluable shinobi. She's just a...girl. (And it doesn't help that she was obsessed with Sasuke instead of training, furthering the gulf between her and Kakashi.)

Kakashi was absolutely not built to handle her- in fact, Kakashi has NO idea how to relate who hasn't gone through a mountain's worth of trauma or someone who hasn't been ingrained in the shinobi-as-a-tool lifestyle, and even then, he's not fully equipped to handle people who have (lmao Sasuke). Not to mention the man is a prodigy- he has no idea how to teach people who have to work hard to get somewhere in life. How do you teach someone if you've never had to 'work hard' to get there yourself?

So, Sakura understands that Kakashi was put in one of the most ridiculous situations of his career- a situation he had NO idea how to handle. She can forgive him for that. BUT, she can't forgive him for not trying his best.

Sakura spent a lot of time coming to terms with the fact that she rushed into the Chidori/Rasengan combo without a single idea of what she would do, but...Kakashi was a big reason for that.

She was HIS responsibility, and he fumbled that bag. Whatever his reasoning, whether it was to 'protect' her, or whether he thought she was worthless, whatever: he should have TRIED.

Kakashi was an adult with resources aplenty. He recognized that she had stellar chakra control but never bothered to teach her genjutsu or direct her to teachers who could pick up the slack.

And after the accident, he abandoned her again. Being forgotten in lieu of Sasuke and Naruto hurt...but she could heal. Being abandoned as some kind of martyr to Kakashi's failures as a teacher? It's gonna take a while for Kakashi to make that up to her...if he can muster the courage to face her.

Sakura finally understands why he preferred the memorial stone to the living. He already failed the dead, and it's easier to wallow in self-flagellation than it is to try and step up for the living.

Sakura stopped being a coward some time ago, and when Kakashi finally does the same, she'll forgive him.

Thank you so much for sticking with this wall of text! And thank you so much anon for the question! Once again, I really appreciate all the kind words people have been throwing my way. <3 <3 <3

[valtsv]

i'm glad "cool facial scar" is such a common trait in people's ocs because i have a scar that's been there as long as i remember just beneath my lip that i always hated as a kid but now whenever i look in the mirror and see it i think to myself "oh it's my oc trait" and i feel better about it

[gray-thistleclan]

THE GATHERING PT2

Gray-Thistleclan is now at war with Deep-MurkClan

[spacedocmom]

Doctor Beverly Crusher @SpaceDocMom You're allowed to be angry at your disabilities and/or illnesses. You don't have to be, but you're allowed to be. Never let anybody police your emotions about your health. I'm here for you to support however you feel about all of it in any given moment. emojis: black heart, blue heart, masked 1:10 PM · Sep 4, 2023

[sas-afras]

i kinda don’t get people who characterize maccready as like… secretly generous, or having a heart of gold or anything. like don’t get me wrong i don’t think he’s downright malicious or anything, but the dude is absolutely a selfish jerk once you get past the charming facade. that’s the part that’s compelling!

like, he’s nice enough and open enough with the player once you get high enough affinity with him, but his reactions to player actions still point to him being a jerk overall. the sosu just happens to be in His Circle of people he can be vulnerable with. that includes you, his son, and maybe daisy. everyone else can kick rocks, the same way it was in little lamplight

he HAD to grow up with that kind of “us vs the world, every man for himself” mentality in the capitol wasteland. doing so otherwise gets you killed or taken advantage of, which is just protracted death anyways. having grown up in a place where slavers run rampant, people are all pushing each other further down just to boost themselves up and live one more day, and it’s literally impossible to make renewable food sources because the ground is so poisoned i genuinely don’t blame him for ending up a little tight fisted. the fact that he was the mayor of little lamplight just meant that he ended up being able to accept a few people as His To Protect instead of being a total lone wolf.

the way he reacts to the players open generosity isn’t just for show, he Actually Dislikes when you give stuff away without expecting anything in return. you might need that thing and now its just gone!! that person might see you as a sucker! you give an inch and they’ll take a mile! and it makes sense for his character to be like that considering everything. i don’t get why people want to change that into him just being kind of tsundere.

i understand that having your babygirl blorbo comfort character be a canonical asshole in ways that aren’t just kinda charming can be offputting, but like…. the way he treats the sosu is a very notable exception to the rest of his life & it’s a much more interesting dynamic imo. especially if you’re playing a goody two shoes martyr. but that’s just me

[dxmedstudent]

What do GPs do?

For the past few years, there's been a constant undercurrent of hostility towards the medical field in mainstream media, particularly GPs. Especially from certain conservative former doctors who write in to the Torygraph.

One of the charges levelled against GPs is that they are purpotedly ruining the NHS by not working enough hours. They need to be making more time for appointments and are all shirking.

How do GPs work?

GP work is measured in sessions, defined by the BMA as a 4h 10 minute time slot. 3 hours of this is meant to be clinical time, with some admin time for tasks - meant to be at least and hour. Typically, a whole day will involve a session in the morning and a session in the afternoon.

What do GPs do? The BMA breaks it down here. I also find articles by GPs can be useful for explaining. When not talking to patients, we are sending referrals or liaising with specialists about their care. We are checking blood test results and other investigations that were carried out by the practice, and then informing patients. We are filling prescriptions- each time a patient asks for their prescription to be refilled, a doctor or pharmacist is checking the order and whether it is safe to give, abd whether we are monitiring blood tests and keeping the patient safe. We are reading letters from specialists and actioning their recommendations.

However, in reality, multiple surveys reveal that GPs spend significantly more time working than what they are directly paid for. Whilst a 6 session GP should be spending around 24 hours at work, it's closer to 38 hours on average. GPs report spending up to 40% of their working time on admin - much of it being unpaid time outside of the hours they are contractually hired for. I and most GPs I know routinely stay late at work in order to make sure patient care is completed. We're in before 9am and leave between 7 or 8pm.

Add to that that many might have further responsibilities, especially if they are a partner in the practice.

Funnily enough, full time in general practice is considered to be 8 sessions. That's 4 long days. Gone are the days when anyone would consider a 5 day working week for GPs, because the workload is increasingly intense and sessions generate more paperwork than they used to.

Demand Is Increasing

GPs may be moving towards working less sessions, but that's because our work is getting more complex. As patients live longer, with more complicated combinations of illnesses and treatments, and we exist in a society that has progressively defunded social care and benefits, and impoverished our most vulnerable patients, there are more calls on our time abd attention than ever before. Stripped hospital services are increasingly rejecting our referrals, often inappropriately and against actual guidelines. Services are being pushed onto GPs via shared care agreements that would once have been handled by specialist teams in clinic. Services that we heavily rely on to serve our patients are sometimes defunded or disappear as contracts end or are transferred to new providers. Long wait lists lead to exasperated patients repeatedly seeing their GPs to manage issues that can't be managed well in the community.

There's a narrative in the media that appointments are impossible to get, but in reality, nationally GP surgeries are providing more appointments per month than they did before the pandemic. For example, 25.7 million appointments (excluding Covid vaccinations) were delivered by GP practices in December 2023, an increase of 9% compared to pre-pandemic. Practices are trying to find how to offer more appointments on a budget and how to improve access and find alterantive ways to serve patients; for example online forms, so that phone lines are freed up for vulnerable patients. Many practices are also offering longer appointments as many patients have complex needs.

Let's talk Pay

People also assume GPs are rich, but that's not really the case, especially given most of us wrent working full time. Average pay for a session is somewhere between 10k and 12k a year for each session a week that you work, depending on things like seniority and location. So for example, a 5 session GP earning 10k per session can expect to earn 50k a year. That's barely above the London average salary of 44k for a job that requires medical school, often an additional bachelor's degree and then at least 5 years of postgraduate training at minimum. That's more comfortable than a lot of vulnerable people, but it's nowhere near what most people think. Even if someone is paid higher per session and working more sessions, the average is still closer to 80 or 90k for salaried GP roles.

I've found figures that suggest the average GP salary is just over 100k, but that includes people doing separate private work or being partners, where in reality these are different roles that are paid differently. Partners are effectively shareholders in the practice. Locum or private work is much more lucrative and needs to be considered separately from a standard salaried role.

Some Partners may be earning £100k-150 in a good year, but that will be after working a LOT of overtime outside of their clinics, abd is in line with hospital specialists. The proportion of GPs earning more than that are miniscule. And honestly, if someone is working a ton of extra hours with their local LMC or med school or deanery, or doing a ton of locum work in evenings and weekends, I'm happy for them to be earning more money than me. Extra work and hours should be rewarded.

The Gender Aspect

I think we need to address the fact that complaining about doctors choosing to work less than what is defined as full time, often goes hand in hand with people complaining about women having the temerity to work in medicine. Apparently we're devaluing the profession by making it too female, going part time and having children. Why us ut that nobidy cares about whether men are going less than full time to look after their kids, and whether fathers are missing out on their children's upbringing?

As women, many of us are still facing sexism in our working lives. Whilst still having to deal with the fact that even uf we earn more and work longer hours than our menfolk, we usually end up doing the majority of the childcare and housework. Women in medicine are more likely to go less than full time because we are more likely to feel compelled to take on unpaid labour at home. Like our non medical sisters.

For reference, the full time nursing week in the NHS is 37.5h - with some variation between 36-40h depending on where you work. Working part time would benefit nurses, too. The nursing workforce is mostly women, and yet there's not the same outrage about their working hours or going less than full time, because women being nurses is expected. People don't seem to care about nurses' working conditions or the stresses they are under, and honestly most articles ignore the financial stresses or difficulties of most NHS workers because they are normally focused on doctors as a resource that they want to exploit maximally.

We aren't out there trying to police what hours other professions work - or at least, we shouldn't be. So why does the public feel entitled to dictate what hours doctors should be working? It's not like people are being paid for hours they aren't working!

[uwmspeccoll]

Native Knowledge

Medicine Generations: Natural Native American Medicines Traditional to the Stockbridge-Munsee Band of Mohicans Indian Tribe, published in 2013, is part of our Native American Literature Collection. Misty Cook (Davids), M. S., of the Stockbridge-Munsee Community, wrote the book and is also credited with the photography.

The Stockbridge-Munsee Community, a band of the Mohican Indian Tribe, has a profound cultural heritage that has always placed a strong emphasis on traditional medicine. For generations, the knowledge of plant medicine has been passed down as an oral tradition that traces its roots back to the native lands of both Mohican and Munsee ancestors. Jeanette "Granny" Gardner, Cook's ancestor, is responsible for keeping much of this knowledge alive.

This knowledge comes together in her book, which contains 58 Native American herbal medicines. It serves as a guide to learning about and how to use the Medicines, and it also includes the history of the Medicines as passed down through her family's lineage of Wolf Clan Medicine people. At its core, this book is a testament to the resilience and wisdom of the Stockbridge-Munsee Community. It stands as a vital document, preserving and sharing the invaluable knowledge of traditional Native American medicinal practices for future generations in the community and beyond.

View other posts from our Native American Literature Collection.

-Melissa (Stockbridge-Munsee), Special Collections Graduate Intern

[echoes-in-echoclan]

Maybe that burrow with the sick stink is connected to whatever HeronClan and Kestrelstar have... who knows...

But the good thing is Raggedghost made a full recovery!

Moon 0 

Moon 13 - Moon 15

[theshadowrealmitself]

My favorite type of oc/scenario is:

Hero who’s like, universally beloved, even tho they aren’t the type of hero who usually is

They wear a dark hood, rarely speak, and if they do it’s obviously an altered voice, and they always do what’s right but in a gruff way, they��d like to be nicer, but unlike some of the other heroes who have super speed, life threatening situations just don’t give them enough time to be polite and sweet

So they know they’re respected, they’ve been at this job for awhile and they’re good at it, but they have no idea they’re beloved, even by the villains

Till the one time they go undercover as a villain

[aivoluptulicious]

An experienced pharmacy clerk, feeling hot in the aisle. Doubling down on medicine?

[pigeon-butch]

I certainly have my own concerns about the treatment of moo deng but um. well i think some of you may just be racist

[spacedocmom]

Doctor Beverly Crusher @SpaceDocMom If everybody ate exactly the same food in exactly the same amounts and exercised exactly the same, we'd all still have very different bodies. emojis: black heart, blue heart, masked 1:07 PM · Sep 1, 2023

[cutieclangen]

Moon 9, Part 2

I got the page completed on time! I worked hard the last couple days to finish it. Look at Primrosetuft! What a hero <3

Rowankit needs to learn how to speak with tact.. Poor Beechkit has it hard enough already. I'm cheering you on Beechkit! You're strong and can do whatever you set your mind to, little one.

Honorable mentions:

Sunpaw thinks she had a vision from StarClan and discusses her thoughts about it with Alderfur while out training.

Primrosetuft appreciates how Alderfur always seems to ask how she’s doing.

Crowheart and Pebblewhisker take Snailpaw out hunting, sharing his training while Fawnstar is recovering.

Snailpaw is dreaming of someday making his Clan proud.

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