Lightning over the many small keys south of Flamingo in Everglades National Park
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almost home

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he wasn't even looking at me and he found me
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Lightning over the many small keys south of Flamingo in Everglades National Park
For better or for worse-Addendum
Sorry, this is just an add on to the last little cat story. I’ve had a few questions about the last image so did a little addendum to explain it! That’s all!
Thank you
#pascalcampion
Huhuhu
Sometimes, you cry. In Japan, you laugh.
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it’s the third month of third year, and my patient is dead.
Keep reading
more thoughts around this:
my director said our goal as doctors is not to prolong life or stave off death, but to help people live the best lives they can. i’ve heard that dozens of times but it’s much easier to remember when the patient is 89 and has no regrets and is choosing to go peacefully at home: much harder when the patient is young and suddenly ill and all you want for them is more time. also much harder when you actually can’t prolong life, and it feels like you’re giving up by force rather than by choice. but i think this view - helping people live the lives they want to live rather than simply longer lives (although that is what some people want) - vibes a lot more with my values, as someone who a) has always been extremely critical of life-prolonging technology and research, b) has been suicidal for most of her life and whose primary healing mechanism has been fighting to make my life feel livable and worth living for.
so i’m trying to remember that. i’m trying to remember that healing can only come from a place of love, not fear. i’m trying to remember my limits and my boundaries, while remembering this line from naomi shihab nye:
I want to be famous in the way a pulley is famous, or a buttonhole, not because it did anything spectacular, but because it never forgot what it could do.
Simon Matzinger
Moonrise over the Fairholme Range in Banff.
A place that draws crowds from near and far for its unmistakable views and is extremely popular for photographers.
This is one of Canada’s most photographed scenes, yet if you go at night, you might still have it all to yourself. ;) — view on Instagram https://ift.tt/2HGeu4r
it is beautiful, it is endless…
visualldreams
It’s super easy to kill cancer, it’s not killing the patient that’s the tricky part.
Air
Full version: https://youtu.be/kpXKOCggL4Q
Music by e.sanchillo
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Attitudes in medicine
I know there’s still a way to go, but can I just say how happy I am that the ‘medicine should be your whole life’ attitude is declining in medicine. Firstly, there’s the reduction in hours, although it can still be tough sometimes. Still, I’m 5 months into being a doctor and the most hours I’ve worked in a week was 66.
Working overtime used to be expected, and ‘part of the job’. I work on surgery at the moment, which is supposedly one of the most toxic and workaholic areas of medicine, and when my registrars leave they always say ‘make sure you leave on time!’ to me - sometimes they’ll even text to check we have. When I was on haem and my senior found out I’d been coming in early to do the list, he was outraged and said he didn’t mind if the ward round starts 10-15 mins late, I shouldn’t come in early.
We’re actively encouraged to exception report to the hospital, if we’re often having to stay late (which means we either get paid back in money or time off for the extra hours we did).
And when I was at an academic day, someone tentatively asked if it would be frowned upon to take a year out and go travelling etc. And the professor was like ‘30 years ago we’d have probably said no. But now, we want you to actually have lives outside of medicine and be well-rounded people! Yes, go on holiday!’
Can we get a yaaaaas
Trying to stay focused until Friday…
mood
This is the most real example of how it feels. This. This is exactly how it feels.
In traditional Irish folktales, the elves only understand/respect Gaelic: the English language revolts them, so don’t expect to be winning any of those famous riddle contests or song tournaments in English. I’ve idly considered making one of those memes where it’s like [THE IRISH] *brofist* [THE JEWS] and the point of agreement is “our language is magic,” but the joke would take too much explaining to be funny. A lot of Irish Gaelic is structured around speech and the power of language. There isn’t, for example, a word for “yes” or “no.” In order to answer a direct yes/no question, you have to use a form of the verb that was used to ask the question. So basically, if the question is–say–”did you murder your wife” then there is no way to simply say “Yes, Your Honor” or “No, Your Honor.” Your minimum required effort involves using the verb that was invoked in the question: “I murdered,” or “I didn’t murder.” Of course you can just as easily, in just as few syllables and maybe fewer, change the verb. “I was framed,” maybe. Which is to say that the most basic speech acts in Irish involve constructing a narrative, assenting to others’ narratives or challenging them, and most crucially elaborating on the narratives that have already been established.
(I chose murder just to be a colorful example, but actually I need to go back to my language reference books and check because I bet this interacts interestingly with the tendency in Irish for the narrator never to be the subject of her own story. You’re always the object, in Irish: you can’t drop a plate, for instance, the plate drops itself at you. You’re not thirsty but a powerful thirst is on you. You didn’t murder that woman but she very well might have gotten murdered in your general vicinity.) You see this lots of other places in the language too. For instance there’s also no word for “hello” or “goodbye.” If you want to greet somebody your required minimum is to cough up a formulaic blessing: Dia duit, God be with you. Here’s the thing. The second person can’t just be like “yup, uh huh. dia duit.” No. The stakes have been raised. The second person’s required minimum answer is now Dia’s muire duit, God and Mary be with you. If a third person joins they have to invoke St. Patrick on top of the two already mentioned. I’m not kidding. At four people you do hit a limit where you’re allowed to just say “God be with all here,” but in the very traditional country pubs it’s an insult to cross the threshold without saying at least that to cover everyone inside. Actually worse than an insult; basically a curse. That’s the burden you bear when you start speaking a magic language.
That puts a lot of conversations I’ve had with rural Irish people into a far better context. Because even when speaking English they will speak in this structure, knowing that context makes so much more sense now.
The way Irish structures the speaker as *positional* is also deeply insightful. Not just because the speaker is the object of a narrative- though that is unique and fascinating too- but also because that narrative happens in a conceptual *space* around speaker and subjects. Tá brón orm, sorrow is on me. If I’m missing my coat it’s apart from me; my accomplishments are beneath me; my careers and skills are in me; if I’m to do something, it’s on me to do that. If I welcome you to my home, I’m putting the welcome in front of you.
We distinguish between temporary and permanent and habitual forms of being, even in English. The only other place I know that does this is AAVE. Marcus be playing the drums; aye lads, he surely does be playing them.
You can’t say please or thank you or I love you; those are powerful ideas, and you must put a little effort into articulating them. Le do thoil, with you will. Go raibh maith agat; very roughly “a good is at you.” (Good on you, mate; good going!) I love you, Christ if there’s not dozens of ways to say it, but none simple. The simplest I know translates most closely to “my heart is at you.”
Great addition! A lot of people are also chiming in to say that the Irish language is called Gaeilge, not Gaelic. I am 43 and American, and when I studied Irish in school the class was literally called “Irish Gaelic” (though the teacher just called it Irish and that’s usually how I think of it too). So like, I hear you all that “Irish Gaelic” is wrong, but it is the way I was taught twenty-five years ago. Aithním go raibh dearmad orm, I find that a mistake was on me.
It’s my birthday today! Over the years, I’ve always been motivated to strive further, dream big dreams, and make things happen. I’m still not where I want to be yet, but looking back, I’m come SO far from where I first started. It’s wild to think about how many mountains I’ve climbed in just the past few years, and I’m really proud of myself! Thank you all for being here on this journey with me as I keep on climbing. 💛
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you’ve gotta stat romanticizing your life. you gotta start believing that your morning commute is cute and fun, that every cup of coffee is the best you’ve ever had, that even the smallest and most mundane things are exciting and new. you have to, because that’s when you start truly living. that’s when you look forward to every day.
live your life like a ghibli movie where literally everything is charming and beautiful
Good advice