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@agreekdoctor
Sun babies.
My blog is 7 years old today
Tumblr just informed me that this blog is 7 years old now.
Itâs bittersweet, because Tumblr is not the same since they gutted the adult postings that enabled this to become a unique platform. Many of the people that I joined Tumblr specifically to see and to reach have left since then.
Consequently, I donât post here as much as I used to. Iâm still looking for another community to join. But I will still post here from time to time, just not as often.
Some things it is A-OK to say to your doctor:
No
Wait
StopÂ
(These are full sentences! You do not need to say any more)Â
I am not comfortable.Â
I am not comfortable, I would likeâŚÂ
you to wait a moment.
another person in the room.Â
everyone else out of the room.Â
a doctor/nurse of my same gender to preform this test/procedure.Â
the person who came with me to this appointment in the room.Â
you to explain everything before you begin.Â
you to tell me what you are doing as you go.Â
to do this another day.Â
I want to get a second opinion before we proceed.
I donât understand, please repeat that.Â
I donât understand, please explain more simply.Â
Please say that slower/spell that, I want to do some research myself.
I would like to talk to [someone in my life, ie my parents to SO] before making this decision.Â
No, I do not need to talk to [anyone] before making this decision, I am confidant on my own and am ready to proceed.Â
What are the side effects of this medication/procedure? What are the potential complications?Â
Why are you recommending/prescribing this specific thing?Â
What other treatment options are there? Why are you choosing this?
Would your treatment plan be different if I were a man/woman older/younger had kids, etc? Why are you choosing this one then?
IS there anything I should know about this treatment you have not yet told me? Â
I understand you say not to, but If I choose to do X, against medical advice, what risks am I running? (ie taking recreational drugs while on medication)
How much will this cost?Â
Are there any less expensive options/tests we can run first?Â
Is there a generic of this medication you can prescribe instead?
I think you are not understanding me, I saidâŚ
You are not listening to me, please let me finish describing my symptoms.Â
You are not understanding how much pain I am in, let me clarifyâŚÂ
I do not think it is anxiety/depression/my weight/etc, what else could it potentially be?Â
I think by assuming it is anxiety/depression/my weight/etc you are ignoring some symptoms. Please listen again and letâs discuss what else it could be.Â
Please write in my chart that you are not testing for X and why not.Â
I am in enough pain/this is detrimental enough to my life that non-treatment is not an option. If you can not treat this/figure out what is wrong, to whom can you refer me?
Please write (or help me write) a summary of what we did today so I donât forgetÂ
What are our next steps?Â
If [what you are recommending] is ineffective, what would my next steps be? What other doctor should I talk to?Â
What is the best way to contact you if I have additional questions or issues?Â
Remember, a doctor is a person YOU pay because they know a lot about bodies in general, to help you figure out whats best for YOUR body. It is still your body, not theirs! They know about medicine but you are the expert in your body. Donât let them act like they own you. Donât leave if youâve still got questions, donât stay if youâre uncomfortable, and feel free to insist on ANY information you want.Â
ask questions, advocate for yourself. Be aware!!
The Tyranny of âthe Normalâ: Why the BMI has always been a hot ton of oppressive bullshit
A few years ago I was getting a pap smear. The doctorâwhom I had just met that morningâhad me in those cold metal stirrups and was rooting around in my vagina when she asked, ever so casually, âso, do you know what the BMI is?â
I laughed.
As if a woman who has been fat all of her life might have never heard of the BMI.
The thing is, we all know about the BMI. Itâs a simple chart that measures our height against our weight, right? The number that comes out of that equation places us into categoriesâunderweight, normal, overweight, obese.
The BMI is supposed to be a value-neutral way to assess bodies across populations.
Except that, did you know that the BMI has never been neutral?
Adolphe Quetelet (1796-1847), a French statistician, came up with the system we know today as the Body Mass Index. But Quetelet, influenced by early 19th century astronomers (!), charted human height and weight in an effort to establish ânormalityâânot health, or anything to do with medical risk at all. Quetelet believed that by constructing âlâhomme moyen,â (the âaverage manâ) through his chart, one could determine at what point bodies could be identified as deviant (by the way, Quetelet was also super interested in criminology and his work influenced the super shitty and oppressive fields of phrenology and eugenics). The chart shows that variances in body size more or less fall into a bell curve.
He noted in his work that artists have long used a similar way of looking at bodies: âdeviations more or less great from the mean have constituted [for artists] ugliness in body as well as vice in morals and a state of sickness with regard to the constitutionâ. Quetelet noted from the get-go that the BMI is not understood in neutral terms, but is instead inscribed with cultural meaning.
So, Queteletâthis genius-level polymath with zero interest in health and 100% interest in categorizing certain bodies as ânormalâ and the rest as âdeviantââcreated this nifty chart that even he knew was not value-neutral.
Then, in the early 20th century, life insurance companies decided to adopt Queteletâs index as an indicator of mortality. The chart was a way for them to justify charging deviantsâpeople at either end of the bell curveâmore money for insurance.
You guys, the BMI is about capitalism.
Okay so eventually the medical community caught on, and studies were conducted in order to confirm that this NOT value-neutral categorization system could at least show us that some things were true about the different categories across incredibly large populations (but not at the level of the individual).
So again, a chart that was created to measure normalcy and deviance, which was acknowledged from the beginning as not being free of bias, was adopted by one industry as a way to make money, and then another as a âneutralâ predictor of health risk??
Right. Okay.
Fat studies and disability studies academics have written about the BMIâand its construction by Queteletâat length. Disability activist and theorist Lennard Davis calls Queteletâs index âa symbol of the tyranny of the normâ. The norm, he argues, is even far more oppressive than the ideal: whereas the ideal is understood by most to be unattainable, the norm is something to aspire to, a âhegemonic vision of what the human body should beâ.
Rosemary Garland-Thomson, another disability theorist, argues that the superiority of the ânormalâ body (white, male, able-bodied, thin, etc.) appears ânatural and undisputedâ.
This is important. Because of the BMI, because of work by people like Quetelet, because of the way we value bodies culturally, what we think of as normal is actually just a social construction that seems natural because it has been hammered into our heads over and over again for the last 200 years. First by artists, then by astronomy-obsessed statisticians, then by money-hungry insurance companies, and, finally, by the medical-industrial complex.
Of course, it doesnât take all this research to know that ânormalâ is a fucked up oppressive concept. But it was definitely fun to see the look on the doctorâs face when, still knuckles-deep into my vagina, I told her just how much I knew about the BMI.
 (Note: information from here, here, and here.)
Food policing and fat shaming at restaurants
To start off, Iâve experienced food policing and not so subtle fat shaming at a restaurant when I was heavier. It was years ago and I still remember it. Me and my ex were at TGIF, and decided to order some mozzarella sticks to start with. Our waitress actually had the gall to say, âDo you really need that? Itâs fried and so unhealthy. I donât think you should order thatâ. This pissed me off to no extent. I immediately got a manager and explained to him how I didnât come here to eat just so a server can be condescending and judgmental about my order. I told him it made me feel like she doesnât think I have a right to eat there. The manager apologized, and I told him that the waitress can pay for mozzarella sticks, and that she will not be getting a tip, and maybe she should learn to keep her mouth shut about what people order. The manager agreed and said he would speak to her immediately. I know he spoke to the waitress because when she came back to our table, it was obvious she was pissed.Â
Now, Iâve lost a lot of weight, and funnily enough I am now a server. And thanks to that server bitch from TGIF, I know exactly what not to do. I take care of my diners, and never comment on what they order except to say âGood choiceâ or âThatâs one of my favorites. Youâre going to love it!â Or, âIâve actually never had that one. Will you let me know if itâs good?â You know, basic fucking courtesy and decency to another human being.
And what bothers me is what happens when someone who struggles with disordered eating or an eating disorder has a server who makes judgmental comments on what theyâre ordering? That could seriously fuck them up even more!
So, to servers out there. Keep your fucking mouth shut on what your customers order, and be fucking grateful that theyâre coming to eat at your restaurant. And to the diners, if a server fat shames, tries to make you feel bad on what you order, or food polices, GET A MANAGER IMMEDIATELY!!! And donât leave a tip, because what that server did was unprofessional and extremely rude, and maybe theyâll rethink their judgemental attitude when they donât get tipped.
Wayfaring (seeing an elderly male with balance and prostate problems): how many times do you get up at night?
Patient: oh itâs much better now. My son is a computer nerd and he set something up in my room so I can lay in the bed and tell Google to turn on my light and my heater!
Wayfaring: thatâs great! So we donât have to worry about you stumbling in the dark!
Patient: yeah but now if I could get Google to pee for me Iâd be able to sleep a whole night.
âOK Google, go to the bathroom for me.â
While there are still some of us left- PLEASE READ ABOUT FEDEX!
So most of you may or may not know, that Johnny owns a ground shipping company that contracts through FedEx ground. So that means he owns routes down here with his business partner. That being said, THIS IS A PSA FOR EVERY ONE of my friends who doesnât quite understand how much goes into getting a package to your front door.
1. Chewy boxes are f&$king terrible. They are HEAVY AF and always break open. ESPECIALLY the cat litter. Itâs a nightmare. You can buy food and supplies cheaper- check if your store does price matching to chewy. I promise you, you can find the food cheaper.
2. If you donât receive your package that needs a signature, itâs because you took to long to answer the door. The driver has 100+ stop most days. They really truly donât have time to wait longer.
3. The pay is great doing this but it takes a toll on your body. If you see a driver struggling to get your 100lb+ TRAMPOLINE OR COUCH OR TREADMILL (seriously!??!? A fu&$king treadmill???)package to you- HELP THEM (if you are able). Hand trucks help but packages are awkward. And if itâs raining those wheels will sink.
4. Honestly, stop ordering giant bulky things that weigh a ton. I canât tell you what itâs like to see people struggle at a job that doesnât pay health insurance because they contract to smaller businesses.
5. Wintertime/crappy weather sucks for drivers. Please leave your porch lights on so they can see. And know that if a driver gets stuck on your driveway or road- ITS NOT ON PURPOSE. The trucks are heavy and WEIGHED DOWN BY YOUR IMPULSE PURCHASES, KAREN. Also, take care of you driveways- let drivers know if your driveway is bad or hazardous- leave a sign on your mailbox or something. I can tell you that drivers feel terrible when this happens.
6. MAKE SURE YOUR HOUSE IS CLEARLY MARKED AND/OR your mailbox has clear numbers. They arenât freaking wizards people. If the driver canât find your house he/she canât deliver your package. Iâve seen drivers become Sherlock Holmes trying to figure out addresses.
7. LOCK UP YOUR AGGRESSIVE DOGS OR JUST YOUR DOG IN GENERAL OR POST A SIGN. I straight up watched a dog be aggressive with Johnny the other day then turn around and be incredibly sweet to me. Maybe your dog doesnât like certain genders, maybe it doesnât like certain smells, like the smell of the countless other dogs that the driver may encounter.
8. THE DRIVER DIDNT DAMAGE YOUR BOX- seriously, itâs cardboard and it goes through miles of crap and is handled by 100 people. most drivers will try to repair damaged boxes so they donât have to waste precious time trying to redeliver.
9.THIS IS THE MOST IMPORTANT ONE. There is a difference between FedEx express and FedEx ground. Express uses actual FedEx workers. Whereas Ground uses contractors. My husband (and his business partner) is a small business owner- they buy the trucks,pay for the fuel, the maintenance, and they hire the drivers. And they pay the drivers. The scanners they use are rented. If you threaten to sue someone because a wheel got into your yard and damaged a little grass etc. then you are threatening a small business. Not FedEx. Itâs not a quick payday from a major corporation- itâs the money that pays hard workers and families. That keeps local economies growing. And know that during the holidays - your FedEx driver is probably working 12 hours a day and most of them still manage to say hello and be friendly. Most of them have great memories- they remember names and addresses and locations because itâs vital to be as efficient as possible in this job.
I cannot tell you the immensity of consumerism that I see on a daily basis when I help my husband. Your house and your package isnât the only one in the world. Please have some patience and empathy with your FedEx driver. Please be kind â¤ď¸
Thank you all!
Lmao đ THAT NOISE (@animals.hilarious)
I say some funny things in my sleep. Apparently when Iâm only half asleep I give weird answers. The other night my wife asked me if I wanted ice cream. When I said yes she asked if I would help give the cats some whipped cream. This is what I said:
âDo we just want to see if drawing the cat would be enough and then they had wanted to do it you know for charity and now they wanna do it because it looks cute. Can we double check with them to see if you know theyâre still you know when they order stuff, are they still doing it basically because of the cat? You know? Are they still paying extra to the company because the cat needs to be cleaned up or something beforehand. Find out that way.â
Desperate for data on its competitors, Facebook has been secretly paying people to install a âFacebook Researchâ VPN that lets the company suck in all of a userâs phone and web activity, similar to Facebookâs Onavo Protect app that Apple banned in June and that was removed iâŚ
I know the link says âteensâ but this âresearchâ is open to people ages 13 to 35. If youâre participating in this research, know that EVERYTHING you do with your phone is being tracked. INCLUDING STUFF THATâS ENCRYPTED.
Literally any other colour wouldâve been a better choice guys.
Iâd like to point out that the colour red has more positive than negative meanings.
im sorry but this reply absolutely killed me
red can mean whatever the heck you want it to mean, that is never going to change that this straight up looks like they DRAGGED A BLOODY BODY ACROSS THE FUCKING FLOOR đ
Behind the Medic: Name game
Cranquis: Hey, whatâs the name of that new cardiologist?
Colleague: Dr Hartman.
Cranquis: Ok, thaâ wait.
Colleague:
Cranquis:
OK, medblr, new meme. What specialty would you have to do, if it was loosely based on your name or surname? I canât explain mine because of anonymity, but it would unfortunately have to be orthopaedics.
I would actually be a pharmacist due to the pun on my name I get constantly.
...urologyâŚ
@dxmedstudent, the surname specialty meme is genius for the anon-heavy herd that is #medblr, and I love it.
Based on my real-life last name, I would be a psychiatrist specializing in drug and alcohol rehab.
Me, too, @cranquis ! Goooooooo Team Shouldâve-Done-Addiction-Medicine!
Pediatrics.
Could someone explain this? I have no idea how people are getting âtheirâ specialty based on their real name. Maybe try using Smith as an example?
So for instance, if your last name was Hammerstein, your destined specialty might be Orthopedics. Eyer = Ophthalmology. McCracken = Manipulative Medicine.
ProctologyâŚđŚ
Based on my last name Iâd probably be a urologist, since my surname has to do with mining stones.
I have no idea what mine would be, since itâs a typical 10+ letter long Greek name, the first two parts of which are derived from Turkish.
But I know of a urologist named Richard Tapper.
Oh my God. Star Trek murdered a mansplainer.
Pansy decided she needed to climb on my shoulders and groom me the other day. She must like the taste of fresh hair spray.