Monterey Bay Aquarium
ojovivo
KIROKAZE
almost home
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izzy's playlists!
Cosmic Funnies
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Aqua Utopia｜海の底で記憶を紡ぐ
2025 on Tumblr: Trends That Defined the Year
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Alisa U Zemlji Chuda
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Kaledo Art
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@medinmexico
television history
i’ve been trying to explain this sketch to people for years
there is literally no way to explain this sketch it’s just a thing you have to see and even then I’m not sure why it’s so funny
Everyone forgets that this is a parody of a scene in The OC. It’s not even far off from the original scene. And that’s the music used in the scene.
I thought The OC was just a hospital drama
Ebenezer Scrooge: Goes outside
500 Muppets: There goes Mr Asshole! There Goes Mr Bitch!
I just realized that homeschooled evangelical christian kids aren't allowed to have a dinosaur phase and made myself sad
Oh no, they are. They very much are. The stories I could tell you...
Oh no...please do!!!
Buckle up.
So most creationists aren't what you see in Arrested Development where they think dinosaur fossils are fakes planted by Jews. Those freaks do exist, but they're a wacky fringe even among creationists. The flat earth kind that other creationists write whole articles distancing themselves from.
The majority of creationists, the ones who sell books and open theme parks, love dinosaurs. It's an obsession. They see them everywhere. Weird vaguely described creature in the Bible? Dinosaur. Dragon legends around the world? Also dinosaurs. Grendel? Dinosaur. Any ambiguous literary reference or ancient carving that could conceivablly be compared to a dinosaur is taken as evidence that non-avian dinosaurs lived much more recently than They want you to believe. It's not uncommon for them to think they're still out there, in fact. Most dinosaur or pterosaur cryptids are perpetuated by creationists. They go on missions to Central Africa to spread the gospel and hunt for living sauropods. Missions plural. They keep doing this. They bring dinosaur books as well as Bibles and have the local villagers point out which ones they recognize.
Of course, there's a racist element to this part because an African villager pointing out a dinosaur is only remarkable if you assume they're ignorant of paleontology or the pop culture around it. But they're not. They have TV and internet. They've seen Jurassic Park. But they know the weird white people go apeshit when they draw a sauropod with a stick in the mud for their camera crew.
They've created a whole mythology for dinosaurs with entire museums devoted to their lore. I remember a traveling exhibit I saw as a kid that speculated about how dinosaurs were brought on Noah's ark as babies to save space. They had a replica based on supposed eyewitness accounts of the ark on Mt Ararat. How a wooden structure survived for thousands of years, I don't know, but that's the least of their worries.
That's nowhere near the most elaborate example either. There's a whole Ark Encounter theme park where you can go inside a life-sized model of the ark and see museum quality dinosaur models in pens accompanied by completely made-up info about how Noah cared for each animal. They also have dioramas of dinosaurs fighting giants in an arena because we all remember that part of the Bible.
The guy who created this masterpiece is Ken Ham, who was also responsible for Genesis 3D, which was, as the name suggests, going to be a 3D animated retelling of the book of Genesis. Whether or not they planned on including the story of Onan is unclear, but they had people crowdfund individual scenes, and one of them was "Adam meets the Apatosaurus."
Ken Ham is a rock star in the creationist world, most famous for debating Bill Nye. Other greats include Ray Comfort of "behold the atheist's nightmare" fame, Duane Gish after whom the "Gish gallop" debate tactic was named, and Kent Hovind, AKA "Dr Dino" who believes peach pits cure cancer and was arrested for tax evasion. I'm not as familiar with him, but @gailyinthedark could probably fill you in. All of these people have devoted most of their careers to imaginatively reconciling the existence of dinosaurs with young earth creationist ideology.
TL,DR: most homeschooled evangelical kids are allowed and even encouraged to have dinosaur phase, if not a lifelong dinosaur obsession, it's just going to be way weirder than most people's.
I forgot an important piece of lore: the Chinese fake fossil trade.
See, the earliest known examples of feathered dinosaurs (except Archaeopteryx but we'll circle back to that) were discovered in China, hence their names like Sinosauropteryx, Sinornithosaurus, Dilong, etc. So creationists don't like that because they've been cheerfully maintaining for years that there is no connection between dinosaurs and birds because no dinosaur fossil up to that point has preserved any trace of a feather. So naturally, they deny these fossils are genuine. Conveniently for them, there are shady fossil peddlers in China who have sold fakes. In reality, paleontologists are very aware of this and are highly skeptical of any Chinese fossil that wasn't directly dug out of the ground. But that ambiguity is enough for the creationists to spin a narrative that the "evolutionists" are conspiring with the evil Chinese fake fossil mafia, like how they use the Piltdown man (another famous hoax that was never widely accepted) against human evolution but probably more racist. I'm not sure how this narrative developed after feathered dinosaurs started turning up elsewhere like in Madagascar and North America. In any case, they still deny dinosaurs had feathers and the Ark Encounter's dromaeosaurids are notably naked.
They have two schools of thought regarding Archaeopteryx: one holds that it's a fake made by adding feathers to a Compsognathus fossil (despite the only superficial resemblance between the two), while the other accepts its existence but denies any relation to dinosaurs and chalks all saurian characteristics up to coincidence. It's a just a bird, guys. God gave it a recognizably deinonychosaurian skeleton for the aesthetic.
Given the blatant contradictory nature of these two "theories," this is a highly divisive issue within the creationists community with some online creationist book stores refusing to carry books that perpetuate the hoax model. I haven't followed creationist theory in some time by now, but I'm curious as to how they're handling the dinosaur-bird thing in light of more recent evidence.
Two more big lore drops:
1) All animals, including theropod dinosaurs, were created as herbivores.
Here is an illustration from Paul S. Taylor's The Great Dinosaur Mystery and the Bible (yes, that is an actual title):
For those using screen-readers, it depicts two Dilophosaurus (the dinosaur that killed Nedry in Jurassic Park) munching on veggies.
At the time (1989), Dilophosaurus was thought to have thin, delicate crests and very weak jaws. The conventional explanation for this was that it specialized in small prey like fish and lizards. Michael Crichton got more creative in Jurassic Park, famously speculating that Dilophosaurus was venomous.
Creationists, on the other hand, took this as evidence that Dilophosaurus, along with all other theropods, was created as a herbivore.
See, creationists take every word of the Bible super literally (except for the ones that don't support their theology), so when Genesis 1:30 says "and to every beast of the earth, and to every fowl of the air, and to every thing that creepeth upon the earth, wherein there is life, I have given every green herb for meat," they take it as fact that all animals are naturally vegan and carnivorism is a result of Adam's curse.
To prop up this extraordinary claim, they point to living herbivores with sharp teeth like fruit bats, gorillas, and pandas. What they miss is that only the canines of these animals are sharp. Their food-processing teeth are still adapted to chew vegetable matter. They don't in any way compare to the blood-letting teeth of a carnosaur or the bone-crushing jaws of a tyrannosarid.
2) Fire-breathing hadrosaurs.
Let me circle back to the dinosaur-dragon connection as well as influential creationist Duane Gish.
Gish had a remarkable theory about the origin of the fire-breathing dragon myth. Leading experts hold the opinion that fiery breath originated as a symbol of the fires of hell or simply volcanic activity, but such abstract symbolism is beyond the literal mindset of the creationist. Gish set out to kill two birds with one stone and solve the mysteries of the fire-breathing dragon and what hadrosaurs did with their crests.
That's right, he posited that the hollow chambers in these crests acted as combustion chambers like those on a bombardier beetle.
Here we have an illustration by Earl and Bonita Snellenberger from Gish's Dinosaurs by Design of a Parasaurolophus immolating an attacking Ceratosaurus. The anachronistic nature of the encounter is the very least of our problems.
This would have no doubt been spectacular to witness in those dinosaur arena battles depicted in the Ark Encounter.
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"My brain hurts."
(staggers away moaning)
Y’ever read something and have understanding that has eluded you interminably suddenly stop, curl up, and snuggle neatly into a fold in your brain because a new way opened to it?
Me: *walks into room at 4AM* Hi, I'm the supervising pediatric emergency doctor. I've heard about you from Dr [resident] and I just want to make sure that we have all the details straight, so-- Parent: It's been 8 hours and no one has seen or done anything for my child. Me: I'm sorry for the wait, but we can get things going if I can just-- Parent: Is it normal for a child with a fever to wait 8 hours to be seen? Me: Unfortunately, yes, when the emergency department is very busy and many children are very sick. Parent: How can that be okay?! My child has had a fever and no one came to see her-- Me: We are here now and we'd like to help, would it be okay for me to do a check so we can make a plan? Parent: You should be concerned! Me: ...I am concerned, which is why I want to do this check to figure out what we can do to take care of your child. Parent: Why didn't anyone do anything before? Me: ...The nurses cannot order tests or medications for patients until the doctor has-- Parent: LAST TIME we came here, the nurses just gave us a cup for her to get a urine sample as soon as we got here, and I've never had to wait this long and I've been here many times. Me: I'm glad that your experience previously has been as such, but unfortunately tonight there have been many children needing care. Parent: You have absolutely no bedside manner, you know that? Absolutely none. You have no compassion for a parent that's been waiting here with their child for 8 hours, I haven't slept, and no one came to see us. Me: I'm sorry you had to wait. I'd like to assess your child to help you now, if you'd like. If not, that's your choice. Parent: Of course you have to do something! I've been waiting here--I am not just going to go back home with nothing. --Exam done, tests ordered, parent again questions wait times and rants, there are many other kids in the department who have ALSO waited 8 hours to be seen, I have multiple acute respiratory patients on escalating oxygen therapy that I am now overdue to reassess, oncology patient comes in with fever and needs acute assessment, blah blah blah emergency department blah--
Nursing note x2 between triage and my resident's first assessment: Parent up to nursing station asking about wait time, writer expressed we are unable to estimate due to acuity of department. Parent upset; writer offered to reassess pt now, parent refused as child is sleeping.
...You have been here for 8 hours and no one came to see you.
I have no bedside manner.
20 year old beginner: one year of learning flute and butterfly knife skillz :)
Fun fact: Adults actually learn those “You need to practice!” skills better than children do.
Kids tend to want to do literally anything aside from learning this skill my parent is forcing me to learn.
Adults actually can sit down and practice things for hours on end. Adults WANT to practice to get their skills better. Adults deliberately set aside time every day to practice. Even if it’s just 20 minutes, it’s productive growth and not wiggling in your chair mournfully watching birds out the window.
Anything from Drawing to Weaving to Violin to fuckin flipping bufferfly knives like a pro - choose a skill and LEARN, dammit! None of that ‘Children’s brains are more malleable’ bullshit. Brain squish is not the end-all of learning!
Watching adult learners pick up a new skill is one of the most inspiring things I’ve seen online. There’s a narrative that if you don’t pick something up as a kid, you can’t get really good at it because you’re already behind, and your adult brain somehow can’t compete. But though you might achieve things later, it’s not to say that you can’t achieve great things in your chosen pursuit, at any age. You’re not competing with others; you’re just trying to be the best person that you can be. And that has no deadline, and no sell-by date. You’re never too old to try something new or to do better. :)
I just ordered a Nintendo Switch with some leftover moonlighting money that I should be saving for my upcoming move. Oops? Merry Christmas to me!
If you can game online with people I totally suggest we get a Tumblr gaming group going and I need to know usernames. Is that a thing? Like on Xbox where you can add friends?
Discord would be perfect for that! @dxmedstudent and I were talking about a medblr discord anyway, which would accomplish both goals since so many medblrs also play vijer gamz.
I think these are best kept separate, since “so many” doesn’t mean “all”. and because everyones taste in games is different, it may end up in conversations only third of participants is interested in at any given moment.
Could always have two? One for general chat and one for gaming.
We could all be Dr. Mario and duke it out.
“I have great news: End-stage renal disease is not sexually transmitted”
- Nephrologist, answering a patient’s spouse’s sincere question about their chances of needing dialysis now that their spouse is on it
They were very relieved to hear this
The educational system is broken.
Beginning of next month will be 5 years since my heart attack.
Comment from a patient after repeatedly asking why they were taking [heart medication] and them saying that they had nothing wrong with their heart.
I don't want insulin, it's addictive.
Patient with glucose levels of over 500.
Oh, and also I've had a bunch of diarrhea.
Patient who came in because she was feeling kinda run down and had a mild fever, and decided to say this just as she was getting up to walk out the door.
This is why you should always ask if there is anything else they might have forgotten.
Why do I bother writing detailed notes?
Supposedly it’s in case my patient gets admitted and the hospitalists will need to know all about them. We are on the same EMR and all my notes are accessible to them. I have overviews written on every chronic diagnosis so someone else looking in the chart can have a quick idea of how well their problems are controlled and why they are managed the way they are.
And yet….
I have a patient with congenital deafness who does not sign. She also has some physical disability from previous strokes. She’s completely competent to make her own decisions and is extremely neglected, and I’ve been seeing her about every other week since I started my job to try to get her issues straightened out and connect her with the resources she needs. She was admitted this weekend for a fairly straightforward illness and rather than READING my multiple notions in the chart that she is communicative and of normal intelligence they honed in on her history of traumatic brain injury and deafness and assumed she was noncommunicative. Her brain injury was over 20 years ago and she talks and communicates fine. But by the chart it looks like they are only communicating with her abusive husband about her care.
As a result of this distant brain injury and her strokes she has had seizures in the past. She’s on a tiny dose of medication for them and hasn’t had a seizure in several years, which is also noted clearly in her chart. Yet they also gave her a loading dose of seizure meds because her level was “sub therapeutic”. Ummmmm how bout ask when she last had a seizure? Treat the patient, not the number.
I have also been unsuccessful in getting any hospitalist to send her to rehab after her hospitalizations even though I have sent notes and called asking them to do so. They don’t understand that her elderly husband is not willing or able to take care of her and because she only has Medicaid they’re not really willing to try to find a rehab bed that accepts Medicaid.
Ugggghhhhhh, it irritates me.
MEDBLR YOUNG’UNS: if you are presented with a complicated patient like this, READ THEIR CHART and call their PCP. I promise you no outpatient PCP will resent you calling them to ask for specifics on how to take better care of their patient. And we would certainly appreciate the update about their situation.
Update: I wrote this post several months ago and it got buried in drafts. The patient did end up eventually going to rehab on about her 5th hospital admission in a 3 month span. While in rehab she developed osteomyelitis from a poorly cared-for diabetic ulcer and then developed a DVT and PE. She died about 2 months ago and was only 59. This patient feels like one of my biggest failures in medicine thus far. I worked extremely hard to get her all the resources she needed, but unfortunately the system is just set up to make things more difficult for people like her.
I hate that this happened.
I saw this painting in the Saint Martin cathedral and couldn’t help but to share it. The best part is the docs eyes practically popping out of his head while staring at the gangrenous foot
I can relate to that doctor.
What it’s like to be married to a doctor, when you are a doctor
Right now our schedules haven’t lined up in a while. When I’m on nights they’re on days. I could be on a long shift and they’re not.
it’s a lot of waking and up realizing either they haven’t come home yet or they left before you got up.
I really miss my other half right now.
I’m sorry about that, must be tough :(
I hope your schedules line up soon.
I loved these books.
A patient had a rectal temp of 86.3°F (30.1°C) heart rate of 34, and BP of 50/20 when he presented through triage yesterday. The funny thing is, he was conscious, at baseline mental status, in no acute distress, and was perfusing with an O2 sat of 100%. Literally only sent in because the primary care was concerned when they got a temporal temp of 88 degrees.
Patient had history of thyroid cancer, and our differential list consisted of myxedema coma, Addison’s disease, and sepsis being at the bottom of the list. He immediately received levophed and methylprednisone, as well as a bair hugger, warmed fluids, and tons of blankets.
Never coded him. Never paced him. Got him to ICU with a MAP and heart rate of 70 thanks to the levophed. Temp was still low 90’s by the time he got there, but was improving.
I can honestly say those were the most drastic vitals I’ve ever seen in a conscious human.
