hi yeah i know ive been on this medication for 8 years but i need-- yeah. yeah 3 more months please. I'll call you in 3 months to beg for 3 more months, thanks. Bye. Love you.

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@queern-bn
hi yeah i know ive been on this medication for 8 years but i need-- yeah. yeah 3 more months please. I'll call you in 3 months to beg for 3 more months, thanks. Bye. Love you.
ok i do like being a nurse. Despite the things
despite the horrors
More about Nora!
Research finds many hand dryers operate at noise levels that are harmful to children. Nora Keegan is the 13-year-old student who did the stu
I love it when a researcher from a marginalized group proves an important point.
Weirdly, the more bored and resigned I sound about getting a medical thing checked out the more efficiently they check it out. Like, "Hi, I have had 4 pulmonary emboli and I'm having leg pain which is probably not a clot but I'd feel very stupid if it was and I didn't get it checked out."
ER doctor: you mean if I just send you for a leg ultrasound right now and it's clear you'll leave?
Me, picking up my book: yeah, I'm just gonna read until we get it done
Fastest ER visit ever (it was not in fact a clot but I sure would have felt dumb if it had been)
Or, "hey so this test result came back weird and so I think we have to rule out a benign pituitary tumor."
The more specific I get with what I need the faster they order tests. For the RA diagnosis it was, "hey this is probably some weird post viral arthralgia but could we do an arthritis panel since I've got 27 affected joints?"
If the doctor says something dismissive or they don't know, I ask for them to refer me to someone with more expertise in this area.
I had to go through three different practices to find a spinal surgeon who did not tell me that operating on me would be too dangerous because I'm fat. But the third one was like, "Oh, I'm not worried about you coding, there's just a risk that it won't work. But it has a hundred percent failure rate if we don't try."
I did not code. The surgery worked. Was it perfect? No. Did it drastically improve my quality of life? It gave me my fucking life back. I can sit. I can be out in the world and not in blinding pain.
It is so important to not take dismissals and such as the final answer. I got so much bullshit for so many years. It nearly killed me twice, people blowing off clots as muscle pain or "depression".
Track your symptoms. Make a list. Talk about how it affects your quality of life. Ask for physical therapy, ask for second opinions. If you have an idea of what might be wrong, ask them to help you rule it out. Also ask for patient assistance, nonprofit hospitals have it. You might have to go through their labs and their doctors but it can cover an awful lot.
Take a friend with you, or a family member. My pcp asks if I want a chaperone (I don't) but literally having an extra person with you can help.
Being me feels like a full time job sometimes, medically, but no one else is stepping up to it, you know?
I reblogged this yesterday, but I want to reblog it again. Diabetic ketoacidosis turns your blood acidic and will essentially burn you from the inside out.
The stories you hear of people dying from rationing, this is what happens to their body.
Affordable insulin isn’t just a right, it’s a necessity.
No one should have to die like that when it’s preventable with access to proper medication.
sdxfcgvzdxfcgvhzdxfcgvhbjnkmlcgvhbjnk science
#the reason that lab safety regulations are the way they are is because literally all chemists are like this #as in 100% of them #no exceptions (via @prokopetz)
OCD things that you don't hear about:
episodes of paranoia, delusions, and dissociation
cyclical thoughts/spirals
magical thinking
episodes that can be very similar to psychosis or mania
attributing human emotions to inanimate objects
dermatillomania and trichotillomania
false sensations (like bugs crawling on skin)
paying way too much attention to very small things
physical health issues caused by compulsions
symptoms that are "problematic" (doing things that are considered "wasteful", needing reassurance or validation from others...)
extreme, deep, dreadful fear of things that can't truly be explained
disconnect between emotional and cognitive/logical responses or thoughts
contamination fears
problems with addiction and dopamine regulation
other people trying to force exposure therapy onto you without your consent and it making your anxiety way worse
list making
last night i had nightmares all night that i had forgotten about a patient entirely and they were coding/otherwise critical and i couldn't answer any questions about them and never assessed them or anything so i didn't know their baseline. every time i woke up i fell back asleep and just had another of these dreams
If you haven’t heard, today PolyCystic Ovarian Syndrome has been renamed to Polyendocrine Metabolic Ovarian Syndrome. This change reflects that this is not a reproductive “problem” but a whole body disease.
For reference, from the WHO website:
(Text: PCOS affects an estimated 10-13% of reproductive-aged women. It is estimated that up to 70% of women with PCOS worldwide do not know they have this condition.)
The Lancet link about shift to PMOS. Spread this to everyone who works in health care now. People with uteruses and ovaries are in agony - yes, the whole body suffers a crisis every fkn month - and health care should help
A question I get asked a lot while working at a public library is "how do you deal with homeless people?"
And the answer is, we don't.
The unhoused people who come here seeking refuge 99% of the time understand that they will be kicked out if they misbehave.
The people you have to watch out for are Jessica, who only came because the kid she didn't want had to visit for a homework assignment and she just *needs* to yell at her child for asking to borrow two books or stay an extra five minutes, or Michael, who came in to look at porn on our computers for whatever fucking reason, or Karen who just wanted to come by to throw a fit that the particular book she wanted was checked out and harrass our staff about our collection being too limited.
99% of the time, the people we need to ban are middle to upper-middle class white people while the homeless and mentally ill/disabled people mind their own damn business and are honestly some of the best patrons we have.
I bring this up because today we had a man come in. He stopped at the desk, pulled up a chair and said "I'm newly homeless and was living in my car. I'm disabled. It was impounded. It's raining. I don't have a phone and I don't know where to go tonight."
And we did what we could to help. He was incredibly kind and patient despite his obvious anxiety and stress, more than most able bodied, housed patrons are to us under much less dire conditions. I liked knowing that we were the first place he came.
We have so many people like this who come in everyday. Many are quiet and keep to themselves, but sometimes they talk to us.
They tell us about how they're taking a few courses on a scholarship they applied for from our library's computer at the local community college to get their diploma. Or ask about a manga or dvd or book we might have to help them pass the time.
One woman, who comes in daily with her tattered walker always says hello to me and likes to work on the new jigsaw puzzle with me when we set one out.
So like, treat unhoused people like people. Treat disabled people like people. I don't want my library to feel like the only safe space in the world, but I'm glad it can be one of them.
I'm so sick of hearing about how "the homeless are ruining everything" when they are some of the kindest, most respectful people here. Sometimes they mutter, might not have had a place to shower, and might need a little extra space for their backpacks but that's FINE. It Doesn't Matter Actually. None of that is a problem or any of my business to care about (unless they request help/services), and I also don't think it's any of yours.
The pittlings
i genuinely can't fucking deal with the larger internet anymore holy shit what the fuck are you people TALKING about. i am at my limit with this stupid bullshit. who the fuck cares if a man is hired to draw medical diagrams for young girls jesus christ we're pearl clutching about medical illustrations now? next you're gonna tell me male pediatricians shouldn't advise parents on their kids' vulva issues? male surgeons shouldn't be in the room when performing a procedure where a woman's breasts or vulva might be exposed? male researchers shouldn't conduct gynecological medical research? sure. better for men to live in ignorance and NEVER ally themselves with us to expand access to sexual education and reproductive healthcare i fucking guess. Twenty thousand likes. i hate it here KILL ME
THIS is the post that got me my first ever anon hate. i'd like to thank the academy tbh
also not related but can ppl on this post being like "yeah STOP being mean to men!!" pls stop cuz that's not the point of what i was saying 💀 i'm not mad bc someone was mean to a man i'm mad bc feminism is being hijacked by bioessentialist conservative Christian moralist bullshit where the goal seems to be the complete and total segregation of women from men instead of like, the material improvement of women's lives. i don't care if some intsta commenter is mean to men i care that feminism is culturally turning into Nu Conservatism
news about pcos today
Decades-long campaign powered by patient perspectives results in switch from PCOS – a name that caused confusion and undue suffering – to PM
a health policy paper has been published saying the name is officially updated to polyendocrine metabolic ovarian syndrome (PMOS)
polyendocrine= multiple endocrine factors
metabolic = affecting/affected by metabolism
ovarian = from the ovaries
essentially, instead of using the symptomatic term (many people with PMOS do not develop cysts) the new term widens the diagnostic area and makes it easier to diagnose, treat, and do research on people with PMOS (even atypical types, such as no cysts).
it may seem like a waste of time to change a name instead of focusing on research, but for a lot of medical professionals a name can be associated with a hard set collection of symptoms, so the name needs to change to acknowledge that the disorder is not well understood and has a broader, subtler, and often missed set of symptoms. for example ADD is considered an antiquated/unused term, and now comes under the ADHD umbrella. in healthcare names and terminology changes all the time, and this is a positive change. your local healthcare professional may not know about this unless theyre really up on the news though!
in case you want to read about the name change process that was published in the Lancet (one of the most impactful and well respected medical journals):
Polyendocrine metabolic ovarian syndrome (PMOS), previously named polycystic ovary syndrome (PCOS), affects one in eight women. However, the
Happy Smallpox Eradication Day.
the art of the (not) touch
In nursing school, we talk about the importance of learning to recognize when touch is helpful and therapeutic, and when it is harmful to our patient. One must use their judgement, and sometimes, it’s important to ask.