Loading Bar of Nanks

Hugh Nanks, 19. Melbourne, Australia. Paramedic Student, part time cinema worker and I have the odd opinion. I will post progress photos of gym stuff just trying to develop upper body strength for rugby.

[justsomeantifas]

them: SURVIVAL OF THE FITTEST MEANS HUMANS MUST BE INDIVIDUALLY SELF-SUFFICIENT AND COMPLETELY INDEPENDENT

biologist:

[systlin]

Like literally the only reason we didn’t go extinct is because we are aggressively social creatures who community organized and helped each other when faced with disasters that drove other species over the brink. 

 (Like we’re so aggressively social that we looked at APEX PREDATORS and went ‘they look soft! Friend????’)

(The answer was yes because wolves are also aggressively social and they adopted the strange tall not-wolves just as eagerly.)

[kelssiel]

humans @ wolves: holy shit these things are so cute i wonder if they’ll let us pet them?

wolves @ humans: holy shit these things are so cute i wonder if they’ll pet us?

[igglooaustralia]

In Bed with the Bae

Her: Babe I wanna have a baby

Me: When?

Her: Right now… *Climbs on top of me*

Me: *Throws her off*

*pulls out Calendar*

Me: Uh uh. Look here.. right now it’s September and approximately 9 months from now it’ll be around June, which means there’s a strong chance our baby could be a Gemini. Too Risky. Let’s not.

[justc4llm3murphy]

It was supposed to be a chest cold

It was supposed to be a chest cold. My patient with no medical history, in the prime of her life, complaining of persistent cough. She looked fine. She was supposed to be discharged after a breathing treatment. It was supposed to be fine. The doctors assured her she would go home that night. They were so sure. Then the x Ray came back. White out on one side. It was supposed to be pneumonia. She was supposed to stay overnight. I joked that the doctors jinxed her. Spirits were high. Patient felt better after some pain meds. She was only supposed to stay for a night. Then she was only supposed to stay for two-three nights. Her pneumonia was bad, after all. But let’s get a CT scan to be sure. It was supposed to be pneumonia, maybe a pulmonary embolism at worst. But it wasn’t. The mass took up an entire side of her chest, encapsulated all mediastinal structures, put pressure on vital circulatory structures. Areas of probable metastasis. My patient was laughing and talking with her family and I was looking at her death warrant. No one expected it. It wasn’t supposed to be like this.

[flyingeagleclaw]

I hate that moment.

[md-admissions]

Just reading this, I could feel my heart sinking. The absolute worst part of this profession.

[dxmedstudent]

That indescribable feeling when you look at a blood test or imaging and see that it’s not just bad news, but Bad News. I’m so sorry.

[mynotes4usmle]

Myocardial infarction

3 cardinal signs:

Elevation of ST segment

Inversion of T wave

Deep & wide Q wave

With reciprocal changes in the leads facing the opposite wall:

Depression of ST segment

Tall, upright T waves

Changes do not appear at the same time. It happens in this order:

Elevation of ST segment stays for 2-3d and gradually goes back to base level in 1-2w

T wave becomes inverted after 2 days, and remains like that for 3w, and gradually becomes flat and then upright over 2-3m

Q wave = muscle death, appears after 1 week, and gradually deepens and remains permanent. Size proportional to size of infarct.

Timeline:

1°d: ST segment elevation + tall T wave

2-3°d: ST segment still elevated + T wave slowly becomes inverted

7°d: ST segment starts returning to base level + T wave inverted + Q wave starts appearing, it deepens. (If ST segment stays elevated >6m, think of development ventricular aneurism)

3°w: Q wave fully developed + T wave starts becoming flat

End of 3m: only Q wave stays the same, ST segm and T wave return to normal. If the size of the infarct was small, Q wave goes back to normal.

Coronary Arteries, branches & supply:

Localization of infarct:

[fichty-deactivated20190307]

[saysshetalksstoangelss]

[teen]

sharing a bed is so much more significant when you’re not able to do it every day  waking up and being able to reach across and touch them, feel the warmth of their body 

[vegyta-deactivated20181007]

My kink is people underestimating me and ending up wrong and embarrassed

[lizzylearns]

5 Tips for Staying Productive

1. Get ahead on your work. There is always something you can be doing. A great way to stay productive is looking forward a few weeks in your schedule and seeing what’s coming up. This is especially handy when you know you’ll have a few tests in one week. Staying ahead of your work allows you the freedom to focus more on one or two subjects without getting behind in the rest. 

2. Take breaks. Short, frequent breaks can help you stay productive and not get tired as quickly. You don’t want to burn out on your assignment and then rush through the rest of it. Also, it’s a good idea to break up large amounts of reading over a few days, so you don’t have to do it all in one massive tiring chunk. But, it’s important to set a time limit on your breaks. If you leave it open-ended, you may never get back to work. 

3. Work hard all week, relax more on the weekends. Put in the extra hours during the school week, and you’ll be able to have a much more enjoyable weekend. Your friends will probably want to hang out over the weekend more than the school week anyway, so it’s great to actually be able to take a break and do things with them rather than staying home to catch up on all the work you neglected. 

4. Don’t do unnecessary work. Learn what works best for you and tailor your study style to the class. If you know you can make an A in a class without doing the readings, then DON’T DO THE READINGS. It’s important to delegate your time wisely, or you will constantly be stressed and overworked. Be careful though, sometimes this can backfire. Pick and chose your workloads with a lot of consideration. 

5. Be proud of all of your work. If you just look towards a bigger picture goal- such as graduation or getting an A in a class- you will feel much less accomplished throughout the semester, even if you’re doing a lot of work to achieve your goal. Make smaller goals and be proud that you achieve them. Focus on the work that gets you to the accomplishment, not the accomplishment itself. 

[pez-uzi-deactivated20160424]

Places where reality is a bit altered:

• any target • churches in texas • abandoned 7/11’s • your bedroom at 5 am • hospitals at midnight • warehouses that smell like dust • lighthouses with lights that don’t work anymore • empty parking lots • ponds and lakes in suburban neighborhoods • rooftops in the early morning • inside a dark cabinet

[solareveille]

playgrounds at night

rest stops on highways

deep in the mountains

[ghostfiish]

early in the morning wherever it’s just snowed

trails by the highway just out of earshot of traffic

schools during breaks

those little beaches right next to ferry docks

bowling alleys

[genesisdoes-moved]

unfamiliar mcdonalds on long roadtrips

your friends living room once everybody but you is asleep

laundromats at midnight

[coolpepcat-deactivated20190924]

what the fuck

[ringingofraevolution]

galeries in art museums that are empty except for you 

the lighting section of home depot

stairwells

[doomgeneration1995]

•hospital waiting rooms •airports from midnight to 7am • bathrooms in small concert venues

[midtownsparker]

I just got the weirdest feeling I swear

[aidn]

reblog if ur kinda cold and pretty tired

[prekrasnoe-mgnovenie]

[onetiredotter]

One of the best out takes from any television show, ever. 

[probablynappingtbh]

HE FUCKING STRAIGHT-FACED THAT

[kimpossibooty]

This man is a guardian of the galaxy

[jykinturah]

you can just see the split second where everyone is processing what he said

[pettyrevenge]

This story happened several years ago when I worked in a small town 2-man hardware store.

One of the services we offered that you can’t get at the big city box stores is window repair. Basically, you could bring in your sash with a broken pane and we’d replace any broken parts and the glass. Total cost was the price of the glass plus $3 labor… we certainly weren’t getting rich off of the deal but that type of service kept our customers happy and coming back.

One day a man who only shopped with us once or twice a year brought in a small aluminum framed window off of his storm door which had a broken glass and corner clip busted. I put his name on some masking tape and stuck it on the broken glass, told him how much it would be (I don’t remember exactly but it was around $8.50), told him it would be ready the next day, and then set it on the work counter to fix when we weren’t busy with customers.

About 2 weeks later he shows up for the window. I go to the back to get it, put it on the work counter, and go back to the cash register to ring it up for the total I quoted earlier. All of the sudden he starts throwing a fit saying that’s way to much for a piece of glass. I explained how it’s $3 labor plus the price of the glass. He then goes into a tirade about how the big box center in the city 20 miles away sells glass for a lot less and I should drop my price to meet theirs. Now I knew my competition and I knew for a fact 1) our glass was cheaper, 2) they don’t cut the glass, and 3) they would never go to the trouble to repair the window, let alone do it for $3.

I stand my ground with him and tell him it’s $8.50. Oh hell no, he’s having nothing to do with that. He wants it cheaper. Finally, I figure shit, I have lost nothing if he never came back so I walked the few steps back to the work counter, grab a hammer, and smash the glass with 5 or 6 good blows right in front of him. The glass covered the work counter which was no big deal to me, it happens all the time. I will never forget the look on his face when I handed him his frame and tell him, “no charge.”

He just stood there looking at me in disbelief. I thanked him for the opportunity to earn his business and told him, “You’re just going to have to go to that big box store to get it fixed now. They’ll save you lots of money.”

[perrfectly]

I like how sleeping next to someone means more than sex sometimes, the body’s way of saying ‘I trust you to be by my side at my most vulnerable time,’ you have no defenses when you are asleep, you tell no lies

Eric Shaw (via perrfectly)

[marcalcock]

[waandering]

[welcometothe-black-parade]

Are you flirting with me or am I overanalyzing all of our interactions: a novel written by me

[artmilf]

i hate the boys who have tumblrs that are all ass pics and weed and codeine like chill out elliot you drank one beer once and threw up cause it was too much fuck you