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This is why I get a professional massage every two weeks.

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#whiteness

#whitefeminism

#ableism

#oppression olympics

#privilege

Transcript: "This might sound like a hot take, but I feel like the Internet's obsession with uniqueness is causing legitimate brain rot in some people.

There's no reason why something like mental illness, for example, should be turned into this commodity where you like, get internet points or social currency by being different.

It's like, by trying to break the stigma, we've just come full circle, where now nobody knows what the hell any of these words actually mean.

So when you explain what a panic attack is, people are like "Oh, like that's like actually really scary." & "Not something I just experienced when I couldn't get Taylor Swift tickets".

And I know this is going to piss some people off so just brace yourself, but I see it the most in fellow white people - Especially people that are like upper-middle-class.

Look, I'm just gonna say it: whiteness gives us access to everything but oppression. That's the one thing we can't colonize. So what do we do? We turn oppression into social currency - Because we know if there's one thing we can do, it's make money off of something that doesn't belong to us.

And before the people that grew up on a cul-de-sac start to get offended in my comments, actually listen to what I'm saying: Don't intentionally misconstrue it because you want to be oppressed. Just be happy and lucky you aren't."

(x)

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Love these!

[ID: Illustration of a pin-up girl in a white dress with teal buttons and white heels riding on a red mobility scooter. She is also wearing a white bandana with teal polka dots, black thigh-high pantyhose held up with light pink garters, and bright red lipstick. She is white with short brown hair and brown eyes. Her eyes are wide and her lips are pursed. /end ID] 

[ID: Illustration of a pin-up girl in a wheelchair. She is wearing a straw hat, bright yellow tank top and jean shorts with a brown belt. She is white with dark brown eyes and hair that has been tied into twin tail braids with red ribbons. She is picking apples from a tree, but the basket on her lap has overturned and is spilling apples. She is distracted, looking at a yellow bird perched atop the antenna of a radio that is on the back of her wheelchair. /end ID] 

[ID: An illustration of a woman sitting on a stool at an ice cream parlor. She is wearing a white blouse which hangs off of the shoulders and exposes the tops of her breasts. She is also wearing a black skirt, yellow belt, and yellow heels. Her right hand is holding a wooden cane while her left hand is spilling vanilla ice cream from her cone onto her breasts. She has a surprised expression. /end ID] 

[ID: An illustration of a pin-up girl with a prosthetic left leg having a picnic. She is white with dark brown eyes and short, dark brown hair with a yellow ribbon on top. She has the same expression as the other pin-up girls with wide eyes and pursed, bright red lips. She is wearing a white blouse and yellow skirt with black belt, as well as thigh-high black pantyhose held up with white garters. She is holding a bottle with red liquid in it and has a straw sticking out of the top. Next to her is a picnic basket. In front of her are salt and pepper shakers and a hotdog on a blue plate. She rests on her knees on a blue and white, gingham-patterned picnic blanket. There are stains from where she has spilled the red drink on the blanket. She is holding her skirt up to reveal her thighs. /end ID] 

Artists of the original pin ups are Gil Elvgren (Mobility scooter and cane), Harry Ekman (Prosthetic leg), and an unknown artist who I spent quite some time trying to find (Wheelchair). If you happen to know this last artist, let me know! Edits are by me.

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Me, rolling into the weekend

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EIB = Exercise-Induced Bronchoconstriction.

LABA = Long-Acting Beta Agonist (e.g., formoterol)

SABA = Short-Acting Beta Agonist (albuterol)

For moderate persistent asthma, you can start with step 3.

LTRA (leukotriene receptor antagonist) example: montelukast; works by blocking the action of leukotriene D4 in the lungs resulting in decreased inflammation and relaxation of smooth muscle.

Omalizumab is a recombinant DNA-derived humanized IgG1k monoclonal antibody that specifically binds to free human immunoglobulin E (IgE) in the blood and interstitial fluid and to the membrane-bound form of IgE (mIgE) on the surface of mIgE-expressing B lymphocytes. Unlike an ordinary anti-IgE antibody, it does not bind to IgE that is already bound by the high affinity IgE receptor (FcεRI) on the surface of mast cells, basophils, and antigen-presenting dendritic cells. It’s a mast cell stabilizer.

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There's an update to this story from 2 months ago: https://www.hollywoodreporter.com/news/general-news/chrissy-teigen-miscarriage-abortion-john-legend-baby-jack-1235221899/

October was Pregnancy and Infant Loss Awareness Month, but we should talk about these losses year-round. We start this week with a patient perspective: two years ago, model Chrissy Teigen wrote openly about her and her husband's experience with the premature birth (and death) of their son, Jack. It is raw and honest.

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As a PCP with a strong interest in nutrition, I would LOVE being able to prescribe food like medicine.

The Medical Industry in the US needs a dispensary for prescribed diets.

I’m talking about prepackaged and preprepared or easy-to-prepare meals, snacks and fluids as a part of outpatient care.

You can’t just give a patient a list of dietary restrictions and a 30 minute appointment with some vague guidance and then send them on their way. I’ve been watching a family member the last three weeks be miserable on a liquid diet for pre-surgery and the biggest struggle isn’t the diet itself, it’s that the list the doctor and dietitian gave her is only some suggested guidelines and half of the recommended things she can have on the list aren’t available anywhere. Also, when I say the guidelines are vague - her doctor during the pre surgical meeting yesterday chastised her for buying low-sodium broth, when the reason she bought low-sodium is because in her last meeting with the dietitian, low-sodium was verbalized as a positive. Also the low-sodium broth met all the other requirements on the list?

1) dietitians and nutritionists should be responsible for putting together a comprehensive meal plan with specifics and instructions - it should be a perfectly reasonable expectation that a person who’s job is to understand how our bodies are affected by what we eat, and what effects the things we eat have on our bodies, be able to provide comprehensive recipes that are tailored to patients diets. Cause guess what - people expect chefs to be able to do it on the fly in professional kitchens. You think working with and around dietary constraints hasn’t become one of the hottest selling skills the last 8 years?

You can’t tell me that it’s reasonable to expect an overworked line cook to do that and not a dietitian or a nutritionist.

2) There are too many patients who, once they are sent home, go off whatever necessary food restrictions they’re meant to be on because they don’t have the proper support or knowledge or experience to maintain their nutritional health. If we want health care to be wholistic, we need to make medically required diets and food restrictions more accessible for outpatient care.

Like - imagine being able to pop over to the pharmacy (or have a delivery!! We can do that, think about all the meal kit deliveries traveling around right now) or some kitchen dispensary near a hospital complex, turning in a script and getting one or two weeks worth of portioned meals, everything is measured out with easy use instructions and dates/times, because you just had surgery and can’t do certain strenuous activities, but popping a frozen meal to heat up in the microwave or the oven isn’t too strenuous - or maybe you’re on your chemo cycle, and those are so fucking miserable already but at least you don’t have to worry about figuring out what to put in a calorie-dense smoothie because it’s already thrown together in a sealed cup (nice fat straw included) you can dump in a blender tomorrow and right back into the disposable cup to drink - or maybe you’re on a liquid diet for five weeks and then on limited soft foods for four weeks after that, but at least you don’t have to worry about hunting down the only things you can have in four different grocery stores.

And maybe doctors will have less recurring patients when, if sending them home, they know that the patient will have more of a chance staying on their medical diet during recovery because they have more accessible options, rather than a vague list of instructions.

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<3

The entire coronary circulation (blood vessels that supply the heart)

Source: brazilianheartsurgery

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The Heart Block Poem

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Anatomical Sculptures Composed From Delicately Arranged Flowers by Camila Carlow

Guatemalan artist Camila Carlow completed a stunning and delicate flower sculpture series titled Eye Heart Spleen, which is composed of 13 images, which symbolize human organs. Carlow’s personal statement reads: 

The most fascinating and intricate of biological structures, yet we rarely pay heed to the organs inside our body. Regardless of whether we fill ourselves with toxins or nourishing food, whether we exercise or not—our organs sustain us, working away effortlessly and unnoticed.

In a similar way, plants flourishing in the urban environment are a testament to nature’s indifference to our goings on. They grow out of the sides of buildings, in brick walls and between the cracks in concrete, despite of the traffic and pollution.

Click on the images to find out what organ each sculpture represents. 

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<3 <3 <3

Anatomical Embroidery

Ambroidering on Etsy

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Our system is broken.  It is cruel.  It is dehumanizing, degrading, and it’s vile nature is so, so unnecessary.

We need universal healthcare today in America.  We needed it 40 years ago.  It’s cheaper, it’s simpler, it’s more efficient, it’s more effective and it is so, so, so much less cruel than what we have.

Additional sources/references:

Universal Healthcare Cost in America would be cheaper by trillions of dollars

The US has worse life expectancies than socialized healthcare countries

We have worse generalized healthcare results

We have the most expensive care

Our system is so cruel and unique that doctors from other countries literally can’t believe what happens here

I can’t tell you where or how to activate to help solve this.  There are politicians, groups, and activists pushing for this in so many ways.  I can tell you when, though.

Now.

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diseases in english are like “oh you have conjungitivitistittis. :)”

german meanwhile is like “you have hurty tummy syndrome :////”

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100 Reasons NOT To Kill Yourself

1. We would miss you. 2. It’s not worth the regret. Either by yourself if you failed or just simply left scars, or the regret everyone else feels by not doing enough to help you. 3. It does get better. Believe it or not it will eventually get better. Sometimes you have to go through the storm to get to the rainbow. 4. There’s so much you would miss out on doing. 5. There is always a reason to live. It might not be clear right now, but it is always there. 6. So many people care, and it would hurt them if you hurt yourself. 7. You ARE worth it. Don’t let anyone, especially yourself, tell you otherwise. 8. You are amazing. 9. A time will come, once you’ve battled the toughest times of your life and are in ease once again, where you will be so glad that you decided to keep on living. You will emerge stronger from this all, and won’t regret your choice to carry on with life. Because things always get better. 10. What about all the things you’ve always wanted to do? What about the things you’ve planned, but never got around to doing? You can’t do them when you’re dead. 11. I love you. Even if only one person loves you, that’s still a reason to stay alive. 12. You won’t be able to listen to music if you die. 13. Killing yourself is never worth it. You’ll hurt both yourself and all the people you care about. 14. There are so many people that would miss you, including me. 15. You’re preventing a future generation, YOUR KIDS, from even being born. 16. How do you think your family would feel? Would it improve their lives if you died? 17. You’re gorgeous, amazing, and to someone you are perfect. 18. Think about your favourite music artist, you’ll never hear their voice again… 19. You’ll never have the feeling of walking into a warm building on a cold day 20. Listening to incredibly loud music 21. Being alive is just really good. 22. Not being alive is really bad. 23. Finding your soulmate. 24. Red pandas 25. Going to diners at three in the morning. 26. Really soft pillows. 27. Eating pizza in New York City. 28. Proving people wrong with your success. 29. Watching the jerks that doubted you fail at life. 30. Seeing someone trip over a garbage can. 31. Being able to help other people. 32. Bonfires. 33. Sitting on rooftops. 34. Seeing every single country in the world. 35. Going on roadtrips. 36. You might win the lottery someday. 37. Listening to music on a record player. 38. Going to the top of the Eiffel Tower. 39. Taking really cool pictures. 40. Literally meeting thousands of new people. 41. Hearing crazy stories. 42. Telling crazy stories. 43. Eating ice cream on a hot day. 44. More Harry Potter books could come out, you never know. 45. Travelling to another planet someday. 46. Having an underwater house. 47. Randomly running into your hero on the street. 48. Having your own room at a fancy hotel. 49. Trampolines. 50. Think about your favourite movie, you’ll never watch it again. 51. Think about the feeling of laughing out loud in a public place because your best friend has just sent you an inside joke, 52. Your survival will make the world better, even if it’s for just one person or 20 or 100 or more. 53. People do care. 54. Treehouses 55. Hanging out with your soul mate in a treehouse 55. Snorting when you laugh and not caring who sees 56. I don’t even know you and I love you. 57. I don’t even know you and I care about you. 58. Because nobody is going to be like you ever, so embrace your uniqueness! 59. You won’t be here to experience the first cat world emperor. 60. WHAT ABOUT FOOD?! YOU’LL MISS CHOCOLATE AND ALL THE OTHER NOM THINGS! 61. Starbucks. 62. Hugs. 63. Stargazing. 64. You have a purpose, and it’s up to you to find out what it is. 65. You’ve changed somebody’s life. 66. Now you could change the world. 67. You will meet the person that’s perfect for you. 68. No matter how much or how little, you have your life ahead of you. 69. You have the chance to save somebody’s life. 70. If you end your life, you’re stopping yourself from achieving great things. 71. Making snow angels. 72. Making snowmen. 73. Snowball fights. 74. Life is what you make of it. 75. Everybody has a talent. 76. Laughing until you cry. 77. Having the ability to be sad means you have the ability to be happy. 78. The world would not be the same if you didn’t exist. 79. Its possible to turn frowns, upside down 80. Be yourself, don’t take anyone’s shit, and never let them take you alive. 81. Heroes are ordinary people who make themselves extraordinary. Be your own hero. 82. Being happy doesn’t mean that everything is perfect. It means that you’ve decided to look beyond the imperfections. 83. One day your smile will be real. 84. Having a really hot, relaxing bath after a stressful day. 85. Lying on grass and laughing at the clouds. 86. Getting completely smashed with your best friends. 87. Eating crazy food. 88. Staying up all night watching your favourite films with a loved one. 89. Sleeping in all day. 90. Creating something you’re proud of. 91. You can look back on yourself 70 years later and being proud you didn’t commit 92. Being able to meet your Internet friends. 93. Tea / Coffee / Hot Chocolate 94. Sherlock season three. 95. Cuddling under the stars. 96. Being stupid in public because you just can. 97. If you are reading this then you are alive! Is there any more reason to smile? 98. being able to hug that one person you havent seen in years 99. People care enough about you and your future to come up with 100 reasons for you not to do this. 100. But, the final and most important one is, just, being able to experience life. Because even if your life doesn’t seem so great right now, literally anything could happen

IF that isn’t enough:

Depression Hotline: 1-630-482-9696 Suicide Hotline: 1-800-784-8433 LifeLine: 1-800-273-8255 Trevor Project: 1-866-488-7386 Sexuality Support: 1-800-246-7743 Eating Disorders Hotline: 1-847-831-3438 Rape and Sexual Assault: 1-800-656-4673 Grief Support: 1-650-321-5272 Runaway: 1-800-843-5200, 1-800-843-5678, 1-800-621-4000 Exhale: After Abortion Hotline/Pro-Voice: 1-866-4394253 Child Abuse: 1-800-422-4453 UK Helplines: Samaritans (for any problem): 08457909090 e-mail jo@samaritans.org Childline (for anyone under 18 with any problem): 08001111 Mind infoline (mental health information): 0300 123 3393 e-mail: info@mind.org.uk Mind legal advice (for people who need mental-health related legal advice): 0300 466 6463 legal@mind.org.uk b-eat eating disorder support: 0845 634 14 14 (only open Mon-Fri 10.30am-8.30pm and Saturday 1pm-4.30pm) e-mail: help@b-eat.co.uk b-eat youthline (for under 25’s with eating disorders): 08456347650 (open Mon-Fri 4.30pm - 8.30pm, Saturday 1pm-4.30pm) Cruse Bereavement Care: 08444779400 e-mail: helpline@cruse.org.uk Frank (information and advice on drugs): 0800776600 Drinkline: 0800 9178282 Rape Crisis England & Wales: 0808 802 9999 1(open 2 - 2.30pm 7 - 9.30pm) e-mail info@rapecrisis.org.uk Rape Crisis Scotland: 08088 01 03 02 every day, 6pm to midnight India Self Harm Hotline: 00 08001006614 India Suicide Helpline: 022-27546669 Kids Help Phone (Canada): 1-800-668-6868, Free and available 24/7 suicide hotlines; Argentina: 54-0223-493-0430 Australia: 13-11-14 Austria: 01-713-3374 Barbados: 429-9999 Belgium: 106 Botswana: 391-1270 Brazil: 21-233-9191 China: 852-2382-0000 (Hong Kong: 2389-2222) Costa Rica: 606-253-5439 Croatia: 01-4833-888 Cyprus: 357-77-77-72-67 Czech Republic: 222-580-697, 476-701-908 Denmark: 70-201-201 Egypt: 762-1602 Estonia: 6-558-088 Finland: 040-5032199 France: 01-45-39-4000 Germany: 0800-181-0721 Greece: 1018 Guatemala: 502-234-1239 Holland: 0900-0767 Honduras: 504-237-3623 Hungary: 06-80-820-111 Iceland: 44-0-8457-90-90-90 Ireland: 1800-247-100 Israel: 09-8892333 Italy: 06-705-4444 Japan: 3-5286-9090 Latvia: 6722-2922, 2772-2292 Malaysia: 03-756-8144 (Singapore: 1-800-221-4444) Mexico: 525-510-2550 Netherlands: 0900-0767 New Zealand: 4-473-9739 New Guinea: 675-326-0011 Nicaragua: 505-268-6171 Norway: 47-815-33-300 Philippines: 02-896-9191 Poland: 52-70-000 Portugal: 239-72-10-10 Russia: 8-20-222-82-10 Serbia: 21-6623-393 Spain: 91-459-00-50 South Africa: 0861-322-322 South Korea: 2-715-8600 Sweden: 031-711-2400 Switzerland: 143 Taiwan: 0800-788-995 Thailand: 02-249-9977 Trinidad and Tobago: 868-645-2800 Ukraine: 0487-327715 Uruguay: 095 73 8483 You will be missing out on every single wonderful thing yet to happen to you.

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Which is why this PCP will always sign your disability placard application.

It is okay to use accomodations even if they're preventative. You don't have to already be in some high level of pain to use a handicap parking spot. If you have a placard and walking causes more pain, it's completely valid to want to reduce potential pain. Accomodations are not a reward for suffering, they're there for what you need, whatever the reason.

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I have tapped a baby’s bladder before (or, at least attempted to in the NICU). It’s wild to stick a needle there.

Remember that urine is not sterile (unless it is obtained via suprapubic tap).

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Never to late to learn/save for next year!

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