#med ed

[shrinksinsneakers]

🧠💊 Withdrawal isn't about drug half life — it's about neuroadaptation

We need to shift the narrative: It’s not how fast a medication leaves the body that determines withdrawal symptoms — it’s how long the brain takes to adapt to less of it.

⏳ Some people experience symptoms for months or even years as their brain recalibrates.

In my latest video, I break down why withdrawal persists long after a drug is "out of the system" — and what that means for tapering strategies and patient care.

📺 Watch now to rethink what you know about medication withdrawal.

#Psychiatry #WithdrawalAwareness #Deprescribing #Psychopharmacology #Neuroadaptation #MentalHealthEducation #PsychMedTaper #SSRIWithdrawal #SNRIWithdrawal #BrainHealth #ResidencyTraining #MedEd #ClinicalPearls #DoctorLife #PsychMeds

[gigayak]

Unlocking Uveitis mysteries - History, Examination, or Lab Tests?(Pingu X Indiana Jones X Fast Show)

All three of history, examination and lab tests have important roles to play in diagnosing Uveitis. 

This short (featuring a league of extraordinary defectors including Pingu, the Fast Show tailor, Indiana Jones and Sherlock Holmes) focuses on the importance of uncovering the patient's history to identify potential underlying triggers or associated diseases

[tracklessreason]

You'll see a post about how being disabled is hard and you don't get any aesthetic disability aids, and you'll think "Oh yeah, it sucks, people stare more and get uncomfy because your problems haven't been bedazzled to their liking"

But then the very first tag will be some shit like "fucking hate people with hEDS over this"

And suddenly, you aren't relating or sympathizing anymore, because this is the third time this week that someone in the cripple punk tag has blamed your diagnosis for ableism, without seeming to care that saying people with EDS are less inconvenienced because they have "the pretty disorders" is really fucking ableist.

And then you start to wonder if cripple punks actually think physically disabled people are a community, or if they think they should be able to handpick who qualifies as being disabled enough.

[nikonuee]

Shang Qinghua should make the Xianxia version of Redbull.

Maybe he can't get Coffee in this world (Why Oh Why did he not write in coffee-) But He'll eat his own paperwork (And maybe go down for attempted murder-) if he doesn't start getting more caffeine in his system to deal with tax season!

So, some herbs and ill-advised monster parts (The feathers of the 3-headed celestial bull being a key ingredient had him ugly laughing when he figured *that* out-) mixed in with his tea later and viola! DIY energy supplements! Yippee!

He is defs going to use this responsibly!

(Spoiler: he doesn't and when he eventually crashes and gets brought to Mu Qingfan. He gets the reaming of his life about untested medicines and then bullied into allowing MQF into helping refine it because like HELL the doctor is giving up those stimulants!)

[igottasnapback]

this is your reminder to

hydrate

eat a snack or meal

take your meds if you haven't yet

I love you. take care of yourself.

[choixsimple]

Hey you with the chronic hypermobility and/or orthostatic intolerance issues

If you have a menstrual cycle, has anyone told you how it affects your chronic illnesses?

Probably not so I'm gonna!

First here's a basic chart showing the large fluctuation in hormones during your cycle:

If you have hypermobile joints, the level of estrogen in your body will heavily impact the stretchiness of your connective tissue. During ovulation, estrogen has a huge spike, which will make you extra stretchy! You are more prone to injuries, subluxations, dislocations, and general joint issues during this time. There's also a smaller increase in the week before your period, which can also affect joint laxity.

If you have orthostatic issues (or even if you don't, tbh), you'll be interested to hear that both estrogen and progesterone affect your heart rate. Generally your resting heart rate will be higher in the days before your period due to rising progesterone levels, and then drop back to normal after your period starts and progesterone levels fall. Estrogen is also at its lowest level during your period, and with low estrogen levels comes a higher number of heart palpitations and potentially a higher heart rate, depending on the person.

This combo of low estrogen and high (and then low) progesterone, plus the whole bleeding thing, means you're extra susceptible to dizzy spells, presyncope, and fainting in the few days right before your period and the first couple days of your period (and if you have a heavy flow, this can continue longer). It also means you might feel a lot more stable, less dizzy, have less heart palpitations etc around ovulation due to the extra estrogen.

There are a bunch of other bodily functions, chronic illnesses, etc that are affected by hormone levels during our cycles, and there are some good resources online about what these hormones do — I didn't even talk about FSH or LH, the two other big hormones that are part of our cycle! But I didn't want to get too far into the weeds in this post.

PS there's a theory that the reason more AFAB people (even many without a uterus or menstrual cycle, AFAB hormones are Kind Of A Bitch) get diagnosed with things like chronic fatigue syndrome, hypermobile disorders w/chronic pain, POTS etc is because we have a built-in flare up every month (sometimes two, if you flare up at both your period and ovulation). So it's just much more noticeable in AFAB people because AMAB folks don't have to deal with those built-in flare ups every 2-3 weeks.

[mellybeanking]

Javadi’s sitting stint with Harrison accidentally snowballs into her baby/dog sitting for half the ED

[aropride]

what they dont tell u about getting ur food intake back to normal after spending a long time being malnourished/having an ed/generally eating really badly etc. is ur body actually wants to eat way more than u thought and having to get food every few hours is really fucking annoying!!!!!

[dumgum04]

Quick Eddy doodle

[ultrakillingmyself]

I can’t stop making sequels to drawings

[gigayak]

Don't let this be a cat-astrophe 

[okaybutmakeitgayer]

Frost usually wakes up in the morning early. It gives him time to meditate, to think in the quiet. He has a routine set and everything. Yet sometimes that routine is interrupted when he wakes to his pain acting up. Sometimes it’s cramps. Sometimes it’s that pain in his legs. Sometimes he just feels like crap. Instead of getting up, Frost will stay there in his bed. Gricko will come find him after a certain point if they aren’t already in the same space. They barely talk, few words exchanged between the two, as Gricko moves to be beside Frost, offering a healing spell for some relief. And they’ll just stay there for a while.

[entropyvoid]

Golden Hour (+ lineart below cut)

I took a picture of the lines for once and did some basic crappy photo editing on my phone, so you could probably print this out and use it as a coloring page or something if you so wish lol. Do with it what you will.

[dkettchen]

[reblog-house]

I'm trying to study but I just doodled the little guys and now I'm unable to study because I can't glance at them without becoming extremely happy. Particularly Ed. I see Ed and go YOU GO YOUUUUU

Smaller Isaac and Johnny because I realized I was running out of space lol. This is my first time drawing all (but Isaac) in years, but I'm liking them. These are not my fully realized face designs, though. Just doodles. Haven't checked my Current Isaac Drawing I'm Making as I doodled him, so he's somewhat different here from how I actually interpret him.

But.

AUGH little guys. Holding them. At first Isabel was smiling but. Thought a mildly concerned expression was better.

Max is chillin for once, not putting on his aloof persona.

Johnny is trying to look cool.

Ed is happy. Because. !!!!!!

And Isaac is. Because.. we all know why.

[cheswirls]

the dynamic potential for maomao and senku is off the charts actually.... turning them around in my brain