2024.4.15 Draw
he wasn't even looking at me and he found me
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@the-bacon
2024.4.15 Draw
The only reason I'm getting this schoolwork done is because the textbook is wrong and I'm going to fight it.
I think we could really make inroads at dismantling the two gender system if we simply implement ranked choice gender
I am the exact target audience for this joke.
I've always had chronic fatigue. I remember being twelve, and an adult mentioned how I couldn't possibly know how tired they felt because adulthood brought levels of exhaustion I couldn't imagine. I thought about that for days in fear, because I couldn't remember the last time I didn't feel tired.
Eventually I came to terms with the fact that I was just tired, and I couldn't do as many things as everyone else. People called me lazy, and I knew that wasn't true, but there's only so many times you can say "I'm tired" before people think it's an excuse. I don't blame them. When a teenager does 20 hours of extracurriculars every week and only says "I'm too tired" when you ask them to do the dishes, it's natural to think it's an excuse. At some point, I started to think the same thing.
It didn't matter that I could barely sit up. It was probably all in my head, and if I really wanted to, I could do it.
When I learned the name for it, chronic fatigue, I thought wow, people that have that must be miserable, because I am always tired and I cannot imagine what it would feel like if it were worse.
Spoiler alert, if you've been tired for a decade, it's probably chronic fatigue.
Once I figured that out though, I thought of my energy as the same as everyone else's, just smaller in quantity. And that might be true for some people, but I've figured out recently that it absolutely isn't true for me.
I used to be like wow I have so much energy today I can do this whole list for sure! And then I'd do the dishes and have to lay down for 2 hours. Then I'd think I must gave misjudged that, I didn't have as much energy as I thought.
But the thing is - I did have enough energy for more tasks, I just didn't go about them properly.
With chronic fatigue, your maximum energy is obviously much smaller than the average person's. Doing the dishes for you might use up the same percentage of energy that it takes to do all the daily chores for someone else.
If someone without chronic fatigue was to do all the daily chores, they would take breaks. Because otherwise, they're sprinting a marathon for no reason and it would take way more energy than necessary. We have to do the same.
Put the cups in the dishwasher, take a break. Put the bowls in, take a break. So on and so forth. This may mean taking breaks every 2-5 minutes but afterwards, you get to not feel like you've run a marathon while carrying 4 people on your back.
Today, I had a moderate amount of energy. Under my old system of go till you drop, I probably could have done most of the dishes and wiped off the counter and then been dead to the world for the rest of the day.
Under the new system, I scooped litter boxes, cleaned out the fridge, took the trash out, cleaned the stove, and wiped off the counter and did all the dishes. And after all that, I still had it in me to make a simple dinner, unload the dishwasher, and tidy the kitchen.
It was complete and utter insanity. Just because I sat down whenever I felt myself getting more tired than I already was.
All this to say, take fucking breaks. It's time to unlearn the ceaseless productivity bullshit that capitalism has shoved down our throats. Its actively counterproductive. Just sit down. Drink some water. Rest your body when it needs to rest.
There will still be days where there is nothing to do but rest, and days where half a load of dishes is absolutely the most I can do. But this method has really helped me minimize those, which is so incredibly relieving.
This is what I learned when I learned about pacing. Pacing strategies are *core* to chronic fatigue syndrome management. I'm good at it until I'm not, because sometimes social pressures and trauma get to me and then I pretend I'm fine only to lay in bed for several days to recover.
why must reductress hurt me in this way
ok a) lmao me too girl, and
b) once burnout hits you CANNOT work that hard, by your standards, so odds are it actually hit a while ago and you just âpowered throughâ because thatâs what youâre used to doing. So now, every day, youâre hitting your limit and thinking âwtf man i used to be able to do this, i used to be competent, clever, diligentâ and like yeah. you were. and that burns glucose. welcome to the dumb bitch zone.
and c), lmao, me too girl
fuck b) came for me harder than the first post did god damn
I gave my soapbox speech about how weight loss is mostly bullshit to two different patients in a row yesterday and so help me Iâm pretty sure one of these days someone is going to say âbut SURELY you agree Iâd be HEALTHIER if I lost weight!â bc you can see the disbelief in their eyes. And like. Sure, maybe! You might see some improvement in biomarkers like LDL and A1c, and your knees would probably feel better. But you would be amazed at how much more good you can do for yourself by focusing on things you can actually meaningfully change without resorting to making yourself miserable. Eat more fresh fruits and vegetablesâitâs hard bc theyâre more difficult to prepare and more expensive per calorie and go bad faster than other foods, but theyâre what we evolved eating the most of so theyâre what our bodies need the most of. And walk around more; sure, cardio is great for you, but if it sucks so bad you donât do it, it isnât doing shit for you. And we evolved to walk very very long distances, a little bit at a time, so our bodies respond actually very well to adding walks into our schedules, which is vastly easier than adding workouts that are frankly designed to be punishing when the definition of punishing is âmakes you less likely to do it again in the future.â
You get one life. It is shorter than you can begin to imagine. Donât waste it hating yourself because somebody is going to make money off that self-hatred. You deserve better than to be a cash cow for billionaires who pay aestheticians and dermatologists to make them (or at least their trophy wives) look thin and beautiful no matter what they actually do.
And ONE MORE THINGâlisten. We are NOT evolved to lose weight, we are evolved to hoard it. We came about in a world of famines. Not only does your brain have MULTIPLE failsafes built in SPECIFICALLY TO PREVENT WEIGHT LOSS, but there are epigenetic factorsâfactors that are not DNA but travel with it and affect how it is expressed. So if your parents or grandparents lived through a famine, like, oh, say, the Great Depression, YOU are more likely to gain weight and more likely to have difficulty losing it. AND! We live in a world highly affected by industrial pollutionâthere is no corner of the world free from it, micro plastics and industrial chemical pollution have been found literally everywhere ever studiedâand many of those pollutants affect our endocrine systems. Looking at records of lab animals going back to the 1960s, where we have excellent records of what genetically essentially identical animals ate, we know that LAB ANIMALS FED THE SAME AMOUNT OF THE SAME CHOW WEIGH MORE NOW THAN THEY DID THE IN SIXTIES. So no. Youâre not fat because your willpower is somehow busted. (Willpower, fun fact, can be depleted! By DEPLETING BLOOD SUGAR! Baumeisterâs work in the 2000s demonstrated that.) Youâre fat because your body wants you to live, and because the ultra rich have knowingly poured poison into the world because they donât care if you die.
So YOU need to care if you live. And how you live. Please love yourself, because the billionaires will never give a shit about you. Weight Watchers has a 96-99% failure rate. Weight loss is a scam that makes billions of dollars every year. Love yourself too much to fall for that. Donât wait until youâre thin to love yourself or to start living, because a) that day may never come and b) itâs okay if that day never comes. You are worthwhile and enough right now. I promise you that.
Did I mention that all studies on the subject are very clear--like, we do not need more studies on this, which is a bananas thing for a scientist to say--exercise does not lead to weight loss. It just doesn't. Anyone who tells you it does is wrong. It's good for you because it's good for you, not because it makes you thin. It improves your blood vessel health; it improves your heart health; it improves your body's ability to manage blood sugar; it improves your muscular health. It does not make you thin.
Reducing calories can reduce weight, but your body, as previously mentioned, is trying REAL HARD not to lose weight. I see a lot of recommendations for 1200 calorie a day diets. Google "starvation study" and look at how much the men in that study were given. It was over 1500 calories a day, and they were miserable. They became skeletal. They felt awful, depressed, foggy--because your brain is the single biggest user of calories in your body. It is so metabolically active that your brain uses around 30% of all the calories your body uses. Guess what happens when you starve your brain? You feel like shit. You feel stupid and depressed. Don't starve yourself. It doesn't work and it makes you feel awful and you will get rebound weight gain above whatever you lost, guaranteed, and then you'll blame yourself for "letting yourself go" because our society is built on lies.
We also cannot and should not ever suggest that anyone can lose more than 5-10% of their body weight and keep that off. It's just not possible. Bariatric surgery is a WHOLE other can of worms, I don't have the energy to explain why I almost never recommend it to my patients, but just know that if anyone has ever suggested you lose more than 10% of your body weight through behavioral changes, they are bullshitting you.
Getting a lot of notes on this post! Many of them are people going "oh thank God" and then there are people going "but SURELY you agree I'd be healthier if I lost weight!" and people going "well I lost weight so it IS possible!" and like. Buddy. That's like two people out of the 10,000 notes on that. You are that rare statistical exception. Feel morally superior if you want to. (Right up until you hit that health problem that leads you to gain weight and suddenly realize, with great shock, that it WASN'T immorality that led you to be sick and fat.)
Lotta people asking me medical questions! No! Ask your doctor. Real professionals need a lot more details than you're going to send me in an ask. Giving you medical advice without knowing your chart and being your doctor puts me at actual legal risk.
Also people going "cite your sources!" No! I spent 10 years working in research before I went back to med school. You know how I find papers on stuff? Google! Learn to fucking Google! If you can find research that convincingly demonstrates that exercise leads to weight loss, shoot it my way, because on my way in to work last week I was listening to a national conference board prep lecture and the speaker very specifically told thousands of family physicians, out loud in words, "Exercise does not lead to weight loss," so you can either assume you know more than me and go prove it, or shut the fuck up.
Also people saying, "Wait, I thought I could lose weight, and now you're telling me I can't?" No. I'm telling you that weight is not the benchmark for how healthy you are, and if you let your eating disorder tell you that thinness is the only thing that makes you valuable as a person, that is a very different disorder--that you can recover from--than being fat.
Also people with just no reading comprehension going "you're saying there are ZERO benefits to weight loss?" to which I say go re-read the first two paragraphs of my first post.
I am literally an expert--on the brain, on bodily health--and if what I'm saying is unsettling, you need to think real hard about why. Examine your attitudes towards fatness. Ask yourself whether you'd still like yourself if you were fat. Ask yourself what you have to offer the world besides thinness. Why do fat people being happy threaten you? Why would you be happier in a world where fat people deserved the things fatphobia does to them? How much of your self-esteem is based on being thinner than someone else?
Okay, I am ADDING THE BARIATRIC SURGERY POST HERE. You can STOP ASKING ME FOR IT.
Hallo!! I really appreciate your blog and how open and invested you are in wellbeing outside of medical fatphobia and other ways medicine as
You know what, while I'm at it, my post about Ozempic/Wegovy:
Because my most popular post is about weight loss and how it's a crock, I get a lot of questions about various things, including bariatric s
And let's address the only two meaningful criticism of my original post series:
The Baumeister research on willpower as a depletable resource is probably BS. People have tried to replicate it and they can't. In my defense, I didn't know that because I finished my master's in 2010 and that conference where I watched his presentation was in like 2009, so I'm out of the loop. However, this criticism is valid. And kind of a bummer? I liked feeling like I was accomplishing something with a little treat. Ah, well.
The men in the Minnesota starvation study were given over 1500 calories a day in a setting where they were burning substantially more than that. Yeah! Grown men do! I have a patient who literally walked into my clinic room and was like "I don't know WHY I'm so tired" and it turns out he's working and also working out while on an 800 calorie a day diet, so it's worth talking about how much grown men should be eating, because they deserve to feel like human beings too--but if you want to get into whether 1500 calories a day is a reasonable amount for a human woman to eat, it's fucking not! ALSO, calorie science is a load of horseshit in the first place. Bomb calorimeters are still, as far as I know, the standard, and the question of "how much energy does this put out when literally burned" has VIRTUALLY NOTHING to do with "is this good for me to eat."
So, now no one can complain I didn't address those issues. I am actually grateful to the people who pointed out the Baumeister thing. I'm just annoyed at people going "he was BARELY hungry enough that he CUT HIS OWN FINGERS OFF AND DIDN'T KNOW WHY" as if that is, you know, in any way a defense for why we continually hear advice to go on a 1200 calorie a day diet.
To address two extremely common complaints on this post:
âIf you wonât add sources, how do we know youâre telling the truth??â YOU DO NOT. GO LOOK IT UP!!!! I HAVE TOLD YOU REPEATEDLY THAT THESE ARE ALL AVAILABLE VIA GOOGLE WITH SIMPLE KEYWORD SEARCHES. TRY âmicroplastics deep oceanâ or âfat lab animals.â THEY ARE RIGHT! FUCKING! THERE! Do not just trust somebody on the Internet. LEARN TO READ THINGS. Learn what makes a good source vs a shitty one. I quite literally once had a non-medical friend from research degree grad school send me a medical âpaperâ (it was not peer reviewed) about how vaccines cause autism. It had approximately 50,000 references and looked very official. She was worried it might be legit. I started LOOKING UP THE REFERENCES and Iâll be damned! None of them said what they were being represented as saying. NONE of them. Learn how to evaluate sources or you are doomed to be lied to with abandon.
âOh great, I was already depressed about being fat and you made it worse!â The FUCK I did! I told you the truth! Society made you depressed about being fat. Iâm showing you where all that cognitive dissonance is coming from. If truth makes you depressed, you need to figure out how to live with that truth and then grab the world that made it this way and throttle it into submission. I devoted my entire fucking life to medicine because I was so mad about homophobia and biphobia and transphobia. Get yourself an ACTUAL LIFE with MEANINGFUL GOALS. Being thin doesnât count! Sure, your life is easier if youâre thin, but you have very little control over that. You DO have control over who you choose to become. Be someone you can respect. You donât need to LOVE yourself, you need to RESPECT yourself.
RESPECT YOURSELF ENOUGH TO LEARN TO GODDAMN READ SCIENCE! I taught many MUCH less motivated undergrads than you to do it, I KNOW you can.
I FINISHED my latest project.
I really love this drawing.
now I can continue with my homework.
hopefully.
My focus is all over the place
BUT EFFORT SHALL BE MADE
WIP available for supporters on my Ko-Fi
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i feel like we're missing a possibility here
you need to get it out of your mind that psychosomatic illness is just âmaking up symptomsâ when itâs actually much more like your body is being actively poisoned by chemicals released from your brain
if youâre so stressed that youâre puking your guts up every morning, are unable to eat or keep anything down, you canât look at light without feeling infinitely worse and feel exhausted and in pain all the time (or whatever your particular stress induced symptom set is) youâre not just feeling like that because youâve willed it into being. your body is begging for relief from the constant barrage of stress hormones and it requires the fundamental source of stress to go away, not just distracting yourself from the symptoms
just because the root is psychological doesnât mean the result isnât an entirely physical process.
Repost from 2023
but really-- would anyone want a printable pdf version of this one? I think it would be a cute lil valentine to share, no?
i just know that the ethics classes in magical fantasy realms would be off the rails
philosophy undergrads when an evil wizard invents another new way to torture people
i just wanna immortalise @aconstantstateofbladerunner's tags on this one
We know a lot about it. So why does it seem so difficult for people to understand?
An interview with Ed Yong on fatigue related illnesses like ME/CFS and Long Covid. If you read any of his reporting, I strongly recommend it. It's so humanizing.
Experimenting with line, form, and color
shout out to the artists who's "art studio" is just their ugly ass cluttered bedrooms. those aesthetic art studios in instagram with hundreds of perfectly organized copic markers are not real it can't hurt you
Medical condition: gets worse without sleep
Medical condition: makes it harder to sleep
*cries in me/cfs*