Great Birthday present from friends that truely understand me. đ€
he wasn't even looking at me and he found me
Sade Olutola

ellievsbear
Not today Justin

Andulka
đȘŒ

ç„æ„ / Permanent Vacation
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PUT YOUR BEARD IN MY MOUTH
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@thisismyhappieface
Great Birthday present from friends that truely understand me. đ€
New job, using a different nurse brain, dayshift, and have no clue whats going on.
I have exactly one (1) lifehack for every adult thing and that is âadmit your ignorance to customer service peopleâ
no, seriously! I know how nothing in adult life works, but I have learned it by calling up the customer service division of whatever agency I am having a problem with and then just asking about whatever the problem is, emphasizing my complete lack of knowledge about the thing.
my actual literal script for these interactions:Â âHi, my name is [name]. This is my problem: [problem]. I donât know how [adult thing] works. could you explain how [adult thing] works?â it fucking works every time.
me:Â I keep getting conflicting information as to whether my therapist is covered by my health insurance. I donât know anything about health insurance, so this is very confusing to me. could you explain why this might be happening? health insurance customer service:Â itâs because your normal health insurance is X company but your mental healthcare is subcontracted out to Y company, and Y covers your therapist but X doesnât. just always bill Y when you go to your therapist and youâll be fine.
me:Â I accidentally put the wrong date to pay my credit card off and Iâm afraid it will post before I get paid. this is my first credit card so I donât know what Iâm doing. could you tell me when it will post? customer service person:Â it will send a message to your bank today, but your bank wonât respond to it until tomorrow when you get paid, so youâre fine. and even if it does bounce, the fee is only $25 and you qualify for a waiver.
me: I went to an urgent care place that said theyâd take my health insurance, but now i have a big bill. I donât know how billing works: can you explain why the amount is so much for such a routine trip? customer service person: itâs because you were out of network at the time. however, since your insurance hasnât covered the cost of care, the urgent care people should refund you for the cost of the services you paid for. me:Â [gets actual check in mail for the $200 I spent on testing my pee]
I would not recommend this method for retail (for the love of god, do not tell a sleazy car dealer that you donât know how cars work), and sure, sometimes you have to speak to the manager or threaten a credit card chargeback or whatever you need to do. but 99% of the time, speaking nicely and admitting to needing help has worked wonders for me, and means I donât have to stew in terror over doing some adult thing Wrong.
Advice I wish I had had 17 years ago!!! đ€Šââïž might have saved myself some trouble, but can always use it now! hopefully it will help someone else too!
Alternate universe where I literally just to go to school forever (for free) so I can just learn about art and literature and history and languages for 100 years. No job skills. No credit requirements. No student loans. Just learning.
This would be amazing â€
Got a new hobby! đ€Šââïž
Advice for people in their 20s from someone whoâs just entered their 30s....
1. Donât waste time being fearful: go for that job that youâre certain youâre not gonna get. Whatâs the worse that can happen? You are rejected, but you gain interview experience. Self-doubt is really a waste of time.
2. Live in the present. Yes, it is important to plan for the future, but it is easy to put off living until it is too late. Make sure that you have no regrets about what you should have done. Do one exciting thing per year.
3. Know your worth. This applies to both work and relationships; never sell yourself short. No job or romance is more important than your self respect. Also, charge for any unique skills/services that you can offer.Â
4. Donât be afraid to leave bad situations. I left a stable but draining teaching job in order to protect my mental health. Even though this was a big risk, it was the best decision I ever made. NOTHING is more important than your mental health.Â
5. Most 20 somethings feel that they are underachieving. This is normal - especially in todayâs financial climate. Donât feel bad if you are still living at home and cannot afford to rent/buy. Iâm 30 and still living at home, saving to buy.
6. People will disappoint you, but most of the time, itâs not about you. Everybody has their own demons and traumas that make them behave in certain ways. If somebody disrespects you, assert your boundaries and keep it moving. Also, examine if there was anything you could have done to avoid the situation. But DO NOT let it eat away at you.
7. In love, nobody owes you anything. Even if they made a promise, they are their own personâŠEverybody has the right to change their mind and to leave a situation which is not beneficial for them. This is hurtful and hard to accept, but it is the truth.
8. Learn to enjoy your own company. Your 20s can be a lonely time as your social sphere narrows, due to employment, finances and exhaustion. Use this time to find out more about yourself and do the things that you enjoy. There is something liberating about eating at a restaurant alone.Â
9. Be kind, donât gossip or overshare. I am still working on this one. It is really difficult to be kind and positive in a world full of annoying people. However, your attitude will influence how you are being perceived. If you are unkind, people will laugh at your jokes but they will never trust you. They will never trust you not to treat them as you treat other people. Remove yourself from toxic people, and only share negativity (sadness/anger/depression) with a therapist and one other person that you trust. If you overshare negative feelings, you may be stereotyped as being full of drama. Furthermore, people will want you to stay in a negative place because itâs entertaining and makes them feel better about their own lives. Just donât do it.
10. You cannot win every battle. Within conflict, it is tempting to try to force others to agree with your perspective. However, most people are set in their ways, and find it difficult to change their views and behaviours. This is especially important when dealing with toxic family members. You may never get the apology and empathy that you seek, so it is important to accept that every battle cannot be won, and gain validation internally, rather than externally.
100000000%
Sometimes my boyfriend really does get me!
So I applied for a new job. It's a step up from being a floor nurse and a bridge to management. As I was freaking out about putting the application in...
Me: lol true but I just worry. That's a lot of responsibility and pressure!
My Ginger: so is taking care of 2 pts that can try to die at anytime
My Ginger: You're just used to that.
Way to help me put it into perspective dude. Fingers crossed interview is wednesday!
LIFE TIPS PT. I
if it takes less than two minutes, do it now
always carry a water bottle!! youâll (obviously) drink more water but youâll also save money on buying drinks when youâre out on hot daysÂ
if you notice something you like about someone, tell them. genuine compliments are way too few and far between.Â
when you meet someone, repeat their name back to them. itâll help you remember it (bc i am the worst at zoning out and immediately forgetting someoneâs name)
give yourself a time limit to get work done. youâll do more up against a 30 minute timer than if you have all day to get something done
also: be specific with your goals. if you want it done by winter, say youâll do it one november 15. itâs easy to let time slip by.Â
no oneâs forcing your friends to hang out with you. they want to be around you. donât try to convince yourself otherwise.Â
never under estimate the power of a hot meal if youâre feeling unmotivated. take a break and make a grilled cheese dude
always keep $20 in your car for emergences
have a binder/folder to keep all your financial/important documents together. even if you donât organize them beyond that itâll make them so much easier to find when you need them
donât sleep w makeup on!! keep a travel size thing of makeup wipes by your bed for nights that youâre too exhausted to wash your face for real
if youâre studying/working and canât focus, go outside and take a walk around the building. stare at the sky for a minute. it helps.
networking: when you meet someone, put some notes in with their contact. remembering their kidsâ names will make you stand out
fold your clothes while theyâre still warm + you wonât have to iron later
get that chair out of your room. we all know your dirty clothes are sitting in it more than you are.
instead, stick some hooks on your closet door for those sorta-clean, sorta-dirty clothes that you wanna wear again
keep a running list on your phone of songs you hear that you like, books you want to read, etc
write down all your friends birthdays!!Â
if you canât sleep, try to imagine something in great detail. design your dream house. plan your wedding. whatever makes you happy + relaxed
get dressed as soon as you get up, even if you arenât going anywhere. itâs hard to feel productive in sweat pants.
if you donât ask, the answer is always no
thrift stores are super trendy lately, but they really are great for finding high-quality clothing for cheap.
donât read the comments section. especially if itâs something you actually care about.
fresh veggies go bad fast, so if you canât get to the store often have a couple frozen bags of your favs on hand!!
also, pasta is crazy cheap and easy to make into a meal. add some olive oil and those frozen veggies and bam, grown up meal in no time.
be intentional with your friendships. if you want to see someone again, set a date instead of the old âletâs get coffee sometime!â that never actually happens
libraries exist!! and theyre fantastic!!!Â
if youâre buying anything, always google â_______ couponsâ while youâre in line. you can usually find one, esp at chains!!
if itâs not something you need, put it back and sleep on it. if you want it bad enough to go back and get it a day or two later, itâs (probably) worth the money.
also, think if youâll enjoy it for the same amount of time if took to earn that money. doesnât work with everything (food, experiences), but for things like clothes/technology/home goods, it can help you save some $$$
you donât have to do something if it makes you unhappy. sure, there are times that you have to suck it up and power through, but 99% of the time you have to option to say no and get outta there.Â
be kind. seriously you hear it a lot but it is so important.Â
Really good advice. I am not great at following most of it but in the past 2 years have tried really hard to do #3! Seeing people smile like that makes being a weirdo worth it!
Written by Australian doctor Rachel Heap, aimed at anti-vaxxers explaining the risks of neglecting to vaccinate children
I will reblog Pro-vax messages until the day I die.
A way I havent seen the argument presented before...maybe this one will change a few minds...đ€
Please please please vaccinate if you are able, to protect those who cannot.
Brahhhh
tag urself im the back trunk of a chevy impala selling bootlegs in the food court
Welcome to Macys....
Have you ever wondered what kind of magical girl you might be? Wonder no more. Anyone regardless of age, gender, ethnicity, or species can be a magical girl if they choose :)
So I saw other people generating all sorts of generators, and I decided to make my own as a present for medblrâŠ
Iâd love to see if it works :)
Yup, that's me, the unit drunk whisperer. .
A long time ago, I made a comic about what your choice of stethoscope says about you, but what about the colour you choose? Do brighter colours mean a more carefree personality? Are those with all-black stethoscopes medics the goths among us? Do the rainbow finishes bestow superpowers?
Itâs like med horoscopes!
Mine is all black in case anyone was doubting.
Mine is raspberry pink because yay bright colours!
Mineâs purple, but engraved with music notes because it was a present and my parents are nerds! So I feel itâs sensible with an undercurrent of not so sensible.
I love love love the reblogs with everyoneâs additions! They totally made my day today. Itâs exactly like med horoscopes, only you get to decide what it says about you, ;) Mine is plum-coloured, with standard silver metalwork and grey cuffs and earpieces. And I love it. But if it ever needed replacing, Iâd probably go for something brighter. You might suggest thatâs because I feel mroe confident, but I wonder if itâs because Iâve given up being taken seriously XD
Ok wait Iâm adding a picture to this because I wanna see everybodyâs cool coloured steths, so get your cameras ready.
This is mine, featuring pink/purple staining from when my nametag was a patient fall risk band, compared to the current type and screen wristband, and my bent to shit ear arms from slamming it in the car door twice
Itâs slightly discoloured where the rubber is hardened from contact with skin oils, and thereâs the odd stain from biro pens, but you canât really tell because itâs a dark colour. The only drawback light colours seem to have is that they pick up dirt, dust and ink stains more easily; or rather, it shows up more on them. Iâm still envious of their brightness, though! Name tag just about helps make it visually easier to tell apart from the many other limited edition plum steths rolling around. At the time, the cardio III only came in âseriousâ colours like navy, black, burgundy, dark green or *exciting* plum, but now itâs out in all sorts of bright colours. Perhaps Iâll get a more exciting name tag. Not pictured, the bit of the earpiece which has fallen out, and incensed one of my consultants so much that she refused to believe I could hear anything because she couldnât. Through the earpieces (despite the missing chunk, they still fit my ears just fine, and I continue to diagnose murmurs with them, so whatever). Still, Iâll replace the earpieces as soon as I can.
Mine's Caribbean Blue...with vent tubing as a protector!
And thatâs tea
Being one of these women I feel this, but reading the comments made me more stressed....I get that there are a lot of contributing factors to what causes this debt, but please dont make sweeping assumptions. I'd hate for you to hurt yourself and then my "female degree" choice self might have to save your life.
Trying to help another nurse out when her patient is a wreck...
When you walk into another nurse's room and their "style" is very much not like your "type A style". Usually followed by a "have you tried this way?" While picking up the room, arranging sheets, untangling lines đ
I never made a post about draft horses. :T They are the gentle giants of the horse world, sometimes growing as large as 20 hands and over 2000 lbs. The tallest horse in the world is an American-type Belgian horse named Big Jake (I think???).
A very big (but good) boy!
Despite their size, draft horses are known for their quiet, even temperaments, which make them good work horses. They were originally bred to pull wagons and plows, and they still do that. The most famous draft horses are probably the Budweiser Clydesdales, i.e. the horses in those Superbowl commercials that make us cry every goddamn year.
Draft horses can be ridden, and they are often crossed with lighter breeds, such as Thoroughbreds and Quarter Horses, to create tall, sturdy-boned, quiet sport horses.
Such horses were a common sight during foxhunts, as âhotterâ breeds, like Arabians and Thoroughbreds, tend to lose their minds a bit in the chaos of the hunt. Draft horses can also be crossed with Mammoth Jack donkeys to create draft mules, which are also used to pull plows for the Amish.
Mammoth Jack donkey:
Draft Mule:
There are a lot of draft breeds, some more common than others. Many of the common ones are easy to tell apart from the others, but theyâre all large-boned and tall, except for the draft ponies, such as Halflingers and Norwegian Fjord horses.
The Belgian
There are two Belgian horses, one thatâs popular in Europe and another thatâs very common in the US.
This is the European-type âBrabantâ Belgian, which tends to be very thick boned and roan in color.
This is the American-type Belgian, which is lighter-boned and always sorrel/palomino in color:
Here is a Brabant Belgian mare pulling some shit:
A lot of draft horses really do enjoy pulling stuff, as much as a horse CAN enjoy doing anything thatâs not eating grass and farting. Horse pulls are a common sight in Middle America, often done using Belgian horses. Hereâs one of a team pulling 9200 lbs. They pull for a very short period of time, often only a few seconds.
Next up is the Percheron, which has a similar body type to the Belgians but are always black or dapple. They can be slightly more spirited than Belgian horses, with some demonstrating high stepping action.
They are not to be confused with Friesians, who have much more âfeatheredâ legs and feet (long hair around the lower legs) and are lighter-boned. Friesians also donât come in dapple colors, like the horse at the top of this post.
Clydesdales
Clydesdales are recognizable because they are a) always bay colored and b) almost always have four white socks and a blaze on their faces. They also have much more feathering on their legs than Percherons or Belgians. Clydesdales are more common in parades and the like because they tend to be slightly lighter than Percheron and Belgians, and because of this, theyâre more agile and âshowyâ. You probably would not want to plow with a Clydesdale. You could, but their feathering means their feet get dirty much easier than a Belgians might.
Shire Horse
Shires come in a variety of colors, usually black or bay, and they are probably the most âfeatheredâ horses of the popular breeds. Theyâve got lots of fur on their feet.
Gypsy Vanner Horses
Gypsy Vanner horses got their start pulling Roma wagons, but now theyâre mostly used in fantasy photoshoots, and you can see why. They are beautiful horses, definitely not the type youâd want toiling in the muck. They are almost always paint colored, which distinguishes them from Shire horses.
These are the main, most popular and commonly seen full-sized draft breeds, at least in the US. However, there are also draft ponies, the most popular of which is the Halflinger, which resembles a shrunken Belgian horse. They are ALWAYS sorrel/palomino colored, but their frame can vary. Some Halflingers are lighter-boned and more suitable for riding. Others are thicker-boned and better for pulling.
The other unmistakable draft pony is the Norwegian Fjord, easily recognized by the black stripe in the center of its mane, like a reverse ice cream sandwich.
This can lead to some creative hair cuts
So there you go. Thatâs a somewhat comprehensive review of draft horse breeds. Here is a size comparison for funsies, with the average riding horse in the middle.
the bigger they are the bigger they are
@emmathepaintdragon
This just elevates my fear of horses
Learned something new! đ
when you and your coworker realize you've been scheduled for ACLS after working all night
Especially after having the manic psych pt for 2 days
But we trudge on none the less ... why?
And then comes the megacode...
Life of nightshift! (And yes we both passed)
10 ways to be a better doctor, without picking up a medical book.
Wherever the art of medicine is loved, there is also a love of humanity. - Hippocrates
We all know we need to study, but thatâs pretty obvious. This post is about the other side of medicine.The side that you canât necessarily get from a book. Thereâs no âsecretâ to becoming a good doctor, at least not one anyone hands out to you, but there are skills and ways of looking at things we can try as we go along.
Learn to observe other people, rather than judge them. This means take time to learn about lives far removed from your own. Watch documentaries, read their stories and try to engage with how other people may experience the world in a very different way than you do. This is important, because your patients are going to come from all walks of life, and itâs hard to serve people if you cannot see them as anything other than a body, or the other. I even think that reality TV has its place in this; yes, it is sensationalised and probably has a script that does not address nearly enough issues, but it still allows some people a voice that would otherwise never be heard.
Related to this; you are so lucky to live in an age where people can share their experiences freely over the internet. Your forebears could go their entire lives without meeting a patient with a particular condition. Whereas now there are support groups and information pages; places where people wish to openly share their experiences so that others understand what they face. Seek out the words of the marginalised and the sick. Read blogs by different marginalised groups, including people with illnesses and the disabled. Read, but do not comment. Or at least, do not comment as a clinician; they do not need or want your medical opinion, or your defense of medicine in general. If you must comment, do so as a sympathetic human towards another. You are not there to teach them, but to learn. Online, there is a need for both of us to carve out spaces to vent, but it is usually best if we do not intrude on each other. Give them the space to process and to heal.
Listen to peopleâs stories. As a med student, your job is to learn, but itâs also to listen to patients. You have no idea how much of a privilege it is for people to trust you with their deepest secrets. Letting them share their story is sometimes an important part of making people feel better; do not underestimate this power. In busier times you might be tempted to skip over the talky bits, but remember, if at all possible, your job should be to try to make people feel better, as well as make them better.
Read books. Pick up a Russian classic, or Dickens, or Shakespeare, or Aeschylus or Terry Pratchett or Harry Potter, or whatever you enjoy, but take your time to explore the human condition as others have seen it. Perhaps even write your own. I think itâs interesting that med schools sometimes prefer you to have done all sciences for A level, when really I think I learned as many useful things in, say English class as I did in physics. This doesnât just refer to books, by the way, but to the arts in general. See plays, enjoy musicals, mull over poetry, and let yourself wonder about human nature.
Take a life drawing class. Or just look up some artist drawing reference and have a go. You donât have to be in front of a naked person if thatâs too awkward, there are lots of perfectly artistic references online that arenât inherently sexual. This isnât just about drawing; it doesnât even matter if the pictures that come out arenât very realistic. The important thing here is to learn to observe the body as a collection of shapes and become familiar with its undulations. Our job relies a lot on observation, and for that we need familiarity. Itâs also about seeing the body as more than a sexual form; nudity does not have to be either embarrassing or sexual. For many people, the only experience they have of other peopleâs nude bodies is through sexual contact, and there can be a lot of emotions or awkwardness attached to this, particularly for the younger or less experienced students. The more comfortable you are with the human body, the more comfortable your disrobed patients will feel when you examine them.
Play some video games. Play sports. Play an instrument. Draw. Pick up juggling. Knit. Do something you enjoy, but work on your manual dexterity and spacial awareness. Itâs particularly useful if you want to be a surgeon, but itâs fun even if you donât. Your job will be a very tactile one; we rely on our hands to examine, to carry out procedures and to operate. Thereâs nothing like the feeling of absolute precision you get when you nail a procedure, or do something just right. Also, hobbies are important.
Teach others. Part of our job is actually teaching the next generation of doctors, so the more comfortable you learn to be with imparting your knowledge, the better. This doesnât have to be medical, and it doesnât have to mean powerpoint slides or big talks. Sometimes itâs explaining a topic to your friend in a different way so that they can understand it better. Sometimes itâs taking a wannabe med student through the application process, or sharing your experiences. Teaching takes many forms.
Observe your seniors. Think about their actions, reflect on what they did well, and what you could learn from them; we can gain a lot of skills through observing our seniors in how they interact with patients, for example. Sometimes we also learn what not to do, and thatâs also a really valuable lesson. There are doctors we wish we could one day be like, and doctors we vow we will never become. Remember both, as you go along.
Talk with your peers and reflect. We learn from experience; but we can also learn from each other. Iâm not just talking about technical knowledge, though I approve of opportunistic learning wherever we may find it. I mean learn about their experiences. What worked, what didnât, what you or they might do differently next time. The kinds of close friendships you form with friends or colleagues, in which you can truly share your worst fears and your biggest worries about your practice; these are the friendships to cherish. Reflection doesnât always need company; self-reflection is an important part of our training, and that starts here. You donât have to write it down, you donât have to tell anyone, if you donât want. But reflecting on what youâve done, how it went, and what you can learn from it is an important part of our growth. If you think you could have done better, donât beat yourself up; formulate a strategy for doing better next time; these are habits we form through trying again and again.
Keep an eye on whatâs happening in the medical world. And I donât just mean things like âanother statin has been invented that cuts stroke risk by 0.01% compared to current best treatments. I mean that you should take an interest in current events on a wider scale. How is politics affecting healthcare? How are marginalised groups affected? Whatâs happening with your contracts and working conditions? Are there any cases in the news (whether patients or doctors), and what is going on with them? How will they affect your practice? So many things that go on in the world could have a huge effect on your life as a practicing doctor, so donât let them pass you by.
I donât usually head in the clickbaity direction, but I couldnât pass it up when I realised I had ten points. Thereâs obviously a lot more about becoming a doctor than whatever can be contained in any list, but I hope this has given some food for thought. At the very least, I want you to remember that itâs not just about memorising medical textbooks.Â
Terrific advice.
Wonderful advice for nurses too. Adapt to nursing practice and for ways to help docs, and improve communication!