#dear diary extras

[citylighten]

Old & Young

[prince-liest]

Claws my way into consciousness.

My last night shift (of this rotation) is finally over!!

Things that suck: My one day off this week is ostensibly Sunday. I finished my shift at 7am on Sunday. I am back to day shifts starting 9am on Monday. Haha. This is fine.

Silver linings: All my day shifts are 9 hours days instead of 10 hours, and Tues/Weds are FM program stuff (clinic plus an afternoon of didactics) which are comparatively much more chill than the emergency deparment. Also, still being in my 20s means that if I set myself up well for it, I'm pretty good at switching between days and nights even when they only give me one day for it. (So far.) (It's still not fun, though.)

I've been told that a lot of residency is "getting comfortable with being uncomfortable" and while it initially made me prickle to hear, I'm starting to actually settle into that, because it's very true. Almost every single thing I have done this rotation so far, from simple to complicated, has been something that I've never done (and often never even seen done) before, and that's uncomfortable! But every time I think, "Oh, god, a pediatric patient with nebulous kidney problems that I don't know how to address, I don't want to go take that one!" the follow-up thought is: "Well, it would be really hard to fuck it up so badly my attending couldn't fix it, and how else am I gonna learn?" And then after that I get, like, five vomiting infants in a row and suddenly seeing a baby isn't inherently terrifying and also now I know every possible way to prescribe a baby Zofran, haha.

That said, there's only so long I can consistently maintain that level of ambient stress, so I'm looking forward to my next rotation, which is orthopedic surgery and allegedly a chill 8-5 with weekends off. Shoutout to all the seniors in the ED who continue to be quite nice and supportive, and also understanding of my stress levels and confusion. (And also to the psych resident I keep having night shifts with as the only other non-EM intern around! Solidarity!!)

[idollete]

fernando contigiani eu te desafio a não ser um covarde e postar foto com camisa de time 🫵🏻🫵🏻🫵🏻🫵🏻💥💥💥💥🤓🤓🤓🤓

mas tô manifestando a derrota porque aqui o futebol argentino não se cria hein

[ssongsboo]

ive been using this video as a good luck charm and i am dead serious when i say it works

[calamarr]

love seeing the shock and wonder in my classmates when I introduce them to the Humongous Fungus for the first time

[menkhu]

wait. ok. hold on.

[winterf4iryy]

you would think with the amount of films and tv shows that have come out in the time of the internet and fandoms and online discourse etc people would know how to put a spoiler warning on a post

[citylighten]

In honor of today, May 4, being the day Dear Diary began I'm posting my very lengthy, very personal playlist for Sal & Eve. Originally made in 2022, there are 52 57 songs are compiled here! The songs are largely primarily Pop, Rap and R&B. Some of this music is new! But some you may remember from the early 2000s.

[centralpark1981]

look at this hat my brother got for me at his job hee hee hoo hoo ✌️❤️

[cr33pycut3]

Tag Dump!

[saddie-to-baddie]

2.20.23

Today's the day I've been dreading! I'm getting my broken tooth removed/ bone graft. I haven't looked up what a bone graft specifically entails because I don't want to build it up in my head but it doesn't sound fun.

And my appointment isn't until 3pm, so I'll already have all day to let the anxiety build up. I'm trying very hard to stay calm about it and keep myself distracted 🙃

I know I can get through the procedure, but not knowing exactly what the after care/healing is going to entail makes me so nervous. I'm especially nervous that they mentioned it will take ~6 weeks to heal, and I'm trying to start a new medication for Multiple Sclerosis that will essentially knock down my immune system.

In my head, that means I'll either risk complications in healing by starting the medicine, or I will have to wait to start it and risk spiraling into a flare up from the stress response. AH!

On a positive note though, in ~6 weeks I'll have a complete smile again. I've been trying not to be self conscious about it since it's off to the side, but when I smile really big, it's noticeable.

[pink-lemonadefairy]

the trouble of having hyperhidrosis and wanting to enjoy the summer sun

[burningflash]

Hey everyone just saw the Breeders with my parents wow oh wow so cute and fun! We had such a great time, the band was amazing truly good good good experience. Rock on!!!

[juicydangler]

My migraines are usually silent these days but they didn't used to be, I used to get stabby squeezy horror pain for days. I can usually tell when they're about to arrive because my typing accuracy goes way down and malapropisms & aphasia go way up. Then I'll see a sparkly dot and it goes pop and I pull over and enjoy the light show while I think the weirdest shit a human brain can think, then I'm usually ok after a few hours, although for a while they were happening in clusters where I'd get as many as six in a day for 3-5 consecutive days.

So that's how I found out migraine conditions can evolve over time, brains are funky.

For me, and for a lot of people, about half in double-blind studies iirc, megadosing B vitamins reduces the length and severity by half, I can never remember which B vitamin/s have been studied for this so I just power chug berocca. I also colour shifted my monitors +green -blue by about 5-15% depending on the brand, based on that article about green light that went around a few years back. I'm pretty sure it helped a lot, the frequency and severity tapered down drastically over a few months after I did it, probably not a coincidence because when I got a new monitor and didn't adjust it enough I got a spike which stopped when I adjusted it more. Not enough to make everything look super green but still not ideal for colour picking without pantone references or something.

Seeing as you know a lot about migraines, I was wondering if it's normal to have auras and malaise without the pain? And if you do, does it last more than a day? I tend to have migraines with the headache pain, but every once in a while it's like my body sucks and I need days of sleep. Thanks for being so helpful to everyone.

Those are sometimes called “silent migraines.”

I get them sometimes, and yeah they can last as long as regular migraines.

Headache is only one symptom of a migraine attack but not everyone gets them, it’s just more common to experience a headache with a migraine than not.

[citylighten]

🔧Fashion with Adriano 🔧

Bonus. 70S AU that has no place in here but I still like it.

[sunlitglycerin]

knuckle tats that say

I B U PR O F E N