Sade Olutola
đȘŒ
Kiana Khansmith
One Nice Bug Per Day
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romaâ
Cosmic Funnies
Show & Tell
Not today Justin
almost home
taylor price
d e v o n
tannertan36
we're not kids anymore.
Product Placement
he wasn't even looking at me and he found me
sheepfilms
Jules of Nature
TVSTRANGERTHINGS
Game of Thrones Daily
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@paracartography
The Hungarian settling of SzĆdliget is often called âWitch Villageâ due to itâs eerie atmosphere. It is a small waterside town with only a couple of inhabitants, and fog gathers on the lake most nights.
Surely itâs called âWitch Villageâ because of all the fucking witches? I mean, look at that place!
Flower shop AU
Person A owns a flower shop and person B comes storming in one day, slaps 20 bucks on the counter and says âHow do I passive-aggressively say fuck you in flower?â
Omfg
MY TIME HAS COME
so youâd need a bouquet of geraniums (stupidity), foxglove (insincerity), meadowsweet (uselessness), yellow carnations (you have disappointed me), and orange lilies (hatred). it would be quite striking! and full of loathing.
im no Florist but I thought Iâd try my hand at such a beautiful gift of absolute loathing
It go better..
This is definitely the bouquet S_R would send.
This is the best bumper sticker Iâve ever seen #utena
oh my god
Haha @amazingexplodingwoman
âno, no, no, dwarves are art deco; elves are art noveau.â
(via yonderly4me)
Ok, this is how Iâm explaining it next time I run a roleplaying game.
May the 25th. All journeys from one world to another pass, however briefly, through Carcosa.
Along the shore the cloud waves break,
The twin suns sink behind the lake,
The shadows lengthen
In Carcosa.
Strange is the night where black stars rise,
And strange moons circle through the skies,
But stranger still is
Lost Carcosa.
Songs that the Hyades shall sing,
Where flap the tatters of the King,
Must die unheard in
Dim Carcosa.
Song of my soul, my voice is dead,
Die thou, unsung, as tears unshed
Shall dry and die in
Lost Carcosa.
â"Cassilda's Song" in The King in Yellow Act 1, Scene 2
Lake Baikal, Russia by: Alexander Ermolitskii
kinkshamemyass.mp3
The way his face goes from âfuck that hurtâ to âfuck that was hotâ in the first panel... Yeah, I emphasize with that.
I bought this coat, and then I became the Queen of Hearts. Coat: Torrid, size 5. Dress: eShakti, custom. Boots: Ted & Muffy, custom. Socks: Sockdreams. Vanity: to die for.
With that coat, youâre the Queen of whatever you want to be.
What would you do? You choose what path your character takes in Episode â download the app now!
âclimb you like a vineâ
the ads for these games are usually confusing and awful but this one is just pure and sweet and good
Whereâs the âGet down here damnitâ option?
ANONYMOUSLY MAKE ME BLUSH
Go ahead. Do your worst.
this is either gonna be a terrible decision on my part or nothingâs gonna happen haha
Iâll only post the successful ones.
!!!!!!!!!!!!!!!!
Someone got the task of âbuild a waterslide for ottersâ. I wonder if they wanted paying for it, or if the knowledge that the otters would love their waterslide was enough.
four horsemen of the apocalypse
Ah yes. Pestilence, Famine, War, and Blep.
Inspired by various tumblr posts.
Humans quickly get a reputation among the interplanetry alliance and the reputation is this: when going somewhere dangerous, take a human.
Humans are tough. Humans can last days without food. Humans heal so fast they pierce holes in themselves or inject ink for fun. Humans will walk for days on broken bones in order to make it to safety. Humans will literally cut off bits of themselves if trapped by a disaster.
You would be amazed what humans will do to survive. Or to ensure the survival of others they feel responsible for.
Thatâs the other thing. Humans pack-bond, and they spill their pack-bonding instincts everywhere. Sure itâs weird when they talk sympathetically to broken spaceships or try to pet every lifeform that scans as non-toxic. Itâs even a little weird that just existing in the same place as them for long enough seems to make them care about you. But if youâre hurt, if youâre trapped, if you need someone to fetch help?
You really want a human.
you know fantasy dragon soulbonding fic i want more of that where the humans are the dragons, like, weâre huge, weâre old, weâre scrappy as hell, and if you are small and cute enough we would be delighted to carry you around on our backÂ
When you became a doctor, did you not swear an oath to, among other things, try to prevent disease as much as treat it? Refusing to advocate weight loss to obese patients breaks that oath; how do you justify continuing to practice medicine? Serious question.
First of all, I apologize for taking so long to answer your post. When I received it I was still out of town. Second, I wanted to write something thoughtful and I needed time to not write something out of anger. Anger that you would accuse me of doing harm by not mindlessly insisting on weight loss as the ultimate solution to a fat personâs health problems.
To start with I would like to state that I do not refuse to advocate weight loss, where it is appropriate to do so. I assume that you are operating on the false assumption that being fat automatically makes a person unhealthy. I can assure you that it does not.
âBut, what about the obesity epidemic? What about the diabetes epidemic? But what aboutâŠ?â I hear you ask.
There are lots of illnesses that have been statistically correlated with being fat. But the thing to understand is that correlation does not equal causation.
Lets use Type 2 diabetes and fatness as an example. Diabetes type 2 is an illness of insulin resistance. That means the body requires more insulin to produce the same sugar lowering effect than a nondiabetic body would need. Insulin is produced by cells in the pancreas called beta cells.
Contrary to popular belief, people donât just go from being nondiabetic to diabetic overnight. Rather there is a process that occurs. We have found that there are differences in a personâs beta cells that happen long before a person even begins to show signs of insulin resistance. Many people who go on to become type 2 diabetics will have higher levels of insulin circulating in their bodies for years before they even become prediabetic. One of the other functions of insulin in the body is to promote the storage of excess energy as fat. So, insulin makes people fat, and keeps people fat (makes it harder to lose weight).
Can you see where Iâm going with this? The question now becomes, are people diabetic because they are fat? Or are they fat because they are diabetic? This is an extremely important distinction to make.
When I see a diabetic person, fat or not, I tell them to make sure they get plenty of exercise and to watch what they eat to control their carbohydrate intake. What does this sound like? âDiet and exercise.â The difference is that I donât tell people to lose weight. Many of my patients who follow this advice do in fact lose weight, and that is fine. Many of my patients do not. That is also fine. They all have better control of their sugars, and in most cases, to similar degrees. I fail to see how not insisting on losing weight is âdoing harm.â
There are times when a personâs weight turns out to be a factor in their illness and where weight loss may help in treating it. In those cases, I do suggest some weight loss. But in NO case is it ever necessary for someone to get to their âideal body weightâ to help their condition.
Finally, letâs look at the idea of âdoing harm.â Did you know that studies (link and link) have shown that the medical profession as a whole is biased against fat people? That there are countless stories about people having serious illnesses going undiagnosed because they are fat and doctors refuse to look beyond that? That fat patients stop going to their doctors after being repeatedly made to feel ashamed for being fat by their doctors? For trying so hard to lose weight but not being âsuccessful?â That, to me is the real harm that is done. The psychological harm. The physical harm that results from not going to the doctor for a serious problem because the doctor will either ignore it or just embarrass them again.
Are you aware that the vast majority of people who lose weight are not able to maintain that weight loss over the long term? And that people can end up far fatter than they would have become otherwise due to the lose-gain cycle. That that cycle can also cause serious harm to a person?
I care about each and every one of my patients whether they are fat or not. Whether they are healthy or not. Fat patients get the same consideration given to their concerns as thin people. I donât simply dismiss things because a person is fat or tell them that losing weight is the ultimate answer. If my medical work up indicates that losing a small amount of weight may help, then I suggest it. Otherwise, it is not necessary.
Finally, before you try to tell me about all the research that shows being fat is unhealthy, I have a few of links to lots of evidence-based medical research that shows that being fat does not necessarily make one unhealthy.
Link
Link with lots of individual links to various studies.
And finally,
Another link to lots of individual studies.
Serious question? Serious answer.
There you go, folks. Straight from the horseâs mouth. I mean, if doctors were horses.
There are also documented instances of doctors doing outright harm by assuming that a patientâs health issue was because they were fat and not looking any further (like they would with a patient who doesnât fall into the âoverweightâ category):
This woman was told for years that she needed to lose weight, took 15 years to get a PCOS diagnosis
17 year old told her back pain was caused by her weight and she just needed to lose weight, ended up having a cancerous tumor in her leg and because the diagnosis was delayed, her entire leg had to be amputated
This woman was told for years she just needed to lose weight, turns out she had lung cancer
Fat women are less likely to be screened for breast and cervical cancer, and more likely to die from those cancers
And thatâs just scratching the surface, and doesnât take into account that telling patients to lose weight without addressing the underlying health issues that are making them fat, not only sets those patients up for failure (and the increasing stress that does things like raise blood pressure and in extreme cases can lead to adrenal fatigue), but also lets those underlying health issues go undiagnosed and untreated, which leads to them getting worse, including and up to death of the patient. Which is, you know, medical neglect.
How is that not doing harm?
The 17 year old girl mentioned above wasnât even officially âobeseâ by BMI standards. Which goes to show how fat phobia harms patients of ANY size.
I love all of these uncooperative marshmallows.
