Frau Doktor Doctor

Medical Historian & Med-Peds Physician

[genterie]

[tschussle]

Flamingoes are my favorite.

[medicinasanguis]

Let‘s talk about: the fear of not being good enough

I‘m at the beginning of adulthood and still I do have my insecurities. One of them is the fear of not being good enough also known as atelophobia. 

Sometimes I‘m having that feeling where I don‘t feel smart enough, not productive enough, not self confident to make this work - and no matter how much I may have already proven otherwise.

I‘m pursuing a career where no fear is allowed: self confidence, professionality and emotional strength are essential to do a good job. When I look at my classmates I see those attributes in many of them but not in me. Why is that? Why can‘t I be more optimistic about myself and start believing in myself instead of comparing to others?

Society sets invisible markers of success: Are you successful in your job? Are you married? Are you healthy and have a beach body? We compare ourselves to those we feel have already reached these goals, even if they just want to show us their good parts and even if their reality may be different.

On top of that social media has a huge impact on us: The modern woman is a successful in her job with a husband and children. She always looks at her best and does her duties with absolute ease. Social media creates a nearly unreachable image of perfection and thus we‘re comparing ourselves while feeling self-doubt and shame due to our imperfection. There is a lot of pressure caused by media to carry on our shoulders because someone is better, working harder, giving more.

Longing for perfection is a self-destructive viscious circle because there is no such thing as perfect. Everybody has insecurities and bad days. Everybody suffers once every while. And we are all aware of that, but why do we still want to achieve the impossible? Why do we still put so much pressure on ourselves though we know there is a bigger truth?

Because we know what we are capable of and we want to make sure that we meet our own expectations.

Dear readers, being ambitous and pursuing success is a good thing, but please don‘t be devastated when things don‘t turn out as you want them to be. Focus on your achievements, on your strengths and try again. Every one of us has a dark side: we all struggle, make mistakes sometimes and have our insecurities. Success has two faces but the mostly we only show the bright side.

[tschussle]

This reminds me of the dream or rather nightmare I had that I didn't know how to perform neurosurgery...while I was still in high school. Becoming a neurosurgeon was a childhood dream; I ended up changing my mind and now have my dream job as a Med-Peds PCP taking care of adults with developmental disabilities and/or medical complexity AND organizing in health humanities spaces. I had a crippling bout of self-doubt when I was a resident, afraid I wasn't going to be a good team leader before I had ever done it. Then I sat myself down for a stern pep talk: all my mentors and advisors thought I was ready, so I needed to believe them and their combined years of expertise. Which isn't to say that anxiety doesn't sometimes try to poke its head into my joy, but I promised myself in 2026 that I would leave imposter syndrome in the past. I've made it. We're doing it. Let's support each other.

[chronicillnesshumor-deactivated]

[fablepaint]

every goddamn day

[tschussle]

This is why I get a professional massage every two weeks.

[runcibility]

Transcript: "This might sound like a hot take, but I feel like the Internet's obsession with uniqueness is causing legitimate brain rot in some people.

There's no reason why something like mental illness, for example, should be turned into this commodity where you like, get internet points or social currency by being different.

It's like, by trying to break the stigma, we've just come full circle, where now nobody knows what the hell any of these words actually mean.

So when you explain what a panic attack is, people are like "Oh, like that's like actually really scary." & "Not something I just experienced when I couldn't get Taylor Swift tickets".

And I know this is going to piss some people off so just brace yourself, but I see it the most in fellow white people - Especially people that are like upper-middle-class.

Look, I'm just gonna say it: whiteness gives us access to everything but oppression. That's the one thing we can't colonize. So what do we do? We turn oppression into social currency - Because we know if there's one thing we can do, it's make money off of something that doesn't belong to us.

And before the people that grew up on a cul-de-sac start to get offended in my comments, actually listen to what I'm saying: Don't intentionally misconstrue it because you want to be oppressed. Just be happy and lucky you aren't."

(x)

[reddeadcoquette]

@inneskeeper

[tschussle]

#whiteness

#whitefeminism

#ableism

#oppression olympics

#privilege

[disabled-is-not-a-dirty-word]

[ID: Illustration of a pin-up girl in a white dress with teal buttons and white heels riding on a red mobility scooter. She is also wearing a white bandana with teal polka dots, black thigh-high pantyhose held up with light pink garters, and bright red lipstick. She is white with short brown hair and brown eyes. Her eyes are wide and her lips are pursed. /end ID] 

[ID: Illustration of a pin-up girl in a wheelchair. She is wearing a straw hat, bright yellow tank top and jean shorts with a brown belt. She is white with dark brown eyes and hair that has been tied into twin tail braids with red ribbons. She is picking apples from a tree, but the basket on her lap has overturned and is spilling apples. She is distracted, looking at a yellow bird perched atop the antenna of a radio that is on the back of her wheelchair. /end ID] 

[ID: An illustration of a woman sitting on a stool at an ice cream parlor. She is wearing a white blouse which hangs off of the shoulders and exposes the tops of her breasts. She is also wearing a black skirt, yellow belt, and yellow heels. Her right hand is holding a wooden cane while her left hand is spilling vanilla ice cream from her cone onto her breasts. She has a surprised expression. /end ID] 

[ID: An illustration of a pin-up girl with a prosthetic left leg having a picnic. She is white with dark brown eyes and short, dark brown hair with a yellow ribbon on top. She has the same expression as the other pin-up girls with wide eyes and pursed, bright red lips. She is wearing a white blouse and yellow skirt with black belt, as well as thigh-high black pantyhose held up with white garters. She is holding a bottle with red liquid in it and has a straw sticking out of the top. Next to her is a picnic basket. In front of her are salt and pepper shakers and a hotdog on a blue plate. She rests on her knees on a blue and white, gingham-patterned picnic blanket. There are stains from where she has spilled the red drink on the blanket. She is holding her skirt up to reveal her thighs. /end ID] 

Artists of the original pin ups are Gil Elvgren (Mobility scooter and cane), Harry Ekman (Prosthetic leg), and an unknown artist who I spent quite some time trying to find (Wheelchair). If you happen to know this last artist, let me know! Edits are by me.

[tschussle]

Love these!

[chaoticgoodgremlim]

Me, rolling into the weekend

[mcatmemoranda]

EIB = Exercise-Induced Bronchoconstriction.

LABA = Long-Acting Beta Agonist (e.g., formoterol)

SABA = Short-Acting Beta Agonist (albuterol)

For moderate persistent asthma, you can start with step 3.

LTRA (leukotriene receptor antagonist) example: montelukast; works by blocking the action of leukotriene D4 in the lungs resulting in decreased inflammation and relaxation of smooth muscle.

Omalizumab is a recombinant DNA-derived humanized IgG1k monoclonal antibody that specifically binds to free human immunoglobulin E (IgE) in the blood and interstitial fluid and to the membrane-bound form of IgE (mIgE) on the surface of mIgE-expressing B lymphocytes. Unlike an ordinary anti-IgE antibody, it does not bind to IgE that is already bound by the high affinity IgE receptor (FcεRI) on the surface of mast cells, basophils, and antigen-presenting dendritic cells. It’s a mast cell stabilizer.

[teachingrounds]

October was Pregnancy and Infant Loss Awareness Month, but we should talk about these losses year-round. We start this week with a patient perspective: two years ago, model Chrissy Teigen wrote openly about her and her husband's experience with the premature birth (and death) of their son, Jack. It is raw and honest.

I had no idea when I would be ready to write this. Part of me thought it would be early on, when I was still really feeling the pain of…

[tschussle]

There's an update to this story from 2 months ago: https://www.hollywoodreporter.com/news/general-news/chrissy-teigen-miscarriage-abortion-john-legend-baby-jack-1235221899/

[femchef]

The Medical Industry in the US needs a dispensary for prescribed diets.

I’m talking about prepackaged and preprepared or easy-to-prepare meals, snacks and fluids as a part of outpatient care.

You can’t just give a patient a list of dietary restrictions and a 30 minute appointment with some vague guidance and then send them on their way. I’ve been watching a family member the last three weeks be miserable on a liquid diet for pre-surgery and the biggest struggle isn’t the diet itself, it’s that the list the doctor and dietitian gave her is only some suggested guidelines and half of the recommended things she can have on the list aren’t available anywhere. Also, when I say the guidelines are vague - her doctor during the pre surgical meeting yesterday chastised her for buying low-sodium broth, when the reason she bought low-sodium is because in her last meeting with the dietitian, low-sodium was verbalized as a positive. Also the low-sodium broth met all the other requirements on the list?

1) dietitians and nutritionists should be responsible for putting together a comprehensive meal plan with specifics and instructions - it should be a perfectly reasonable expectation that a person who’s job is to understand how our bodies are affected by what we eat, and what effects the things we eat have on our bodies, be able to provide comprehensive recipes that are tailored to patients diets. Cause guess what - people expect chefs to be able to do it on the fly in professional kitchens. You think working with and around dietary constraints hasn’t become one of the hottest selling skills the last 8 years?

You can’t tell me that it’s reasonable to expect an overworked line cook to do that and not a dietitian or a nutritionist.

2) There are too many patients who, once they are sent home, go off whatever necessary food restrictions they’re meant to be on because they don’t have the proper support or knowledge or experience to maintain their nutritional health. If we want health care to be wholistic, we need to make medically required diets and food restrictions more accessible for outpatient care.

Like - imagine being able to pop over to the pharmacy (or have a delivery!! We can do that, think about all the meal kit deliveries traveling around right now) or some kitchen dispensary near a hospital complex, turning in a script and getting one or two weeks worth of portioned meals, everything is measured out with easy use instructions and dates/times, because you just had surgery and can’t do certain strenuous activities, but popping a frozen meal to heat up in the microwave or the oven isn’t too strenuous - or maybe you’re on your chemo cycle, and those are so fucking miserable already but at least you don’t have to worry about figuring out what to put in a calorie-dense smoothie because it’s already thrown together in a sealed cup (nice fat straw included) you can dump in a blender tomorrow and right back into the disposable cup to drink - or maybe you’re on a liquid diet for five weeks and then on limited soft foods for four weeks after that, but at least you don’t have to worry about hunting down the only things you can have in four different grocery stores.

And maybe doctors will have less recurring patients when, if sending them home, they know that the patient will have more of a chance staying on their medical diet during recovery because they have more accessible options, rather than a vague list of instructions.

[tschussle]

As a PCP with a strong interest in nutrition, I would LOVE being able to prescribe food like medicine.

[mednerds]

The entire coronary circulation (blood vessels that supply the heart)

Source: brazilianheartsurgery

[tschussle]

<3

[allheartcare-deactivated2016010]

The Heart Block Poem

[bloopz]

Great diagram to remember some rhythms.

[heynursern-blog]

I always have to think about Heart Blocks for a minutes. This is a great way to remember it.

[culturenlifestyle]

Anatomical Sculptures Composed From Delicately Arranged Flowers by Camila Carlow

Guatemalan artist Camila Carlow completed a stunning and delicate flower sculpture series titled Eye Heart Spleen, which is composed of 13 images, which symbolize human organs. Carlow’s personal statement reads: 

The most fascinating and intricate of biological structures, yet we rarely pay heed to the organs inside our body. Regardless of whether we fill ourselves with toxins or nourishing food, whether we exercise or not—our organs sustain us, working away effortlessly and unnoticed.

In a similar way, plants flourishing in the urban environment are a testament to nature’s indifference to our goings on. They grow out of the sides of buildings, in brick walls and between the cracks in concrete, despite of the traffic and pollution.

Click on the images to find out what organ each sculpture represents. 

[sosuperawesome]

Anatomical Embroidery

Ambroidering on Etsy

[tschussle]

<3 <3 <3

[reasonandempathy]

Our system is broken.  It is cruel.  It is dehumanizing, degrading, and it’s vile nature is so, so unnecessary.

We need universal healthcare today in America.  We needed it 40 years ago.  It’s cheaper, it’s simpler, it’s more efficient, it’s more effective and it is so, so, so much less cruel than what we have.

Additional sources/references:

Universal Healthcare Cost in America would be cheaper by trillions of dollars

The US has worse life expectancies than socialized healthcare countries

We have worse generalized healthcare results

We have the most expensive care

Our system is so cruel and unique that doctors from other countries literally can’t believe what happens here

I can’t tell you where or how to activate to help solve this.  There are politicians, groups, and activists pushing for this in so many ways.  I can tell you when, though.

Now.

[boykeats]

[ID 1 to 8: tweet thread from Sayed Tabatabai, MD @/TheRealDoctorT dated Sept. 16, 2020. thread reads:

“Why do you want to be a doctor?”

I answer without hesitation, “I want to help people.”

“There are many ways to help people.”

“I want to save lives.”

“There are many ways to do that too. So I’ll ask you again, why do you want to be a doctor?”

“Because I believe in it.” 1/

I think about that exchange now and then, some times more than others.

Why do we do the things we do?

What do we really believe in?

My next clinic patient is one I’ve known for many years. He is visiting me today via Zoom.

I always look forward to talking to him. 2/

As soon as the visit begins, I notice that his camera is angled off-center so I can’t get a clear look at his face.

I ask if he can adjust it, but he says he’s having technical issues.

No problem. I can adapt.

It isn’t just the camera though.

Something feels off today. 3/

Almost immediately I can tell that he sounds subdued. He isn’t cracking his usual jokes.

I’m comfortable with silence, even in the heart of a busy clinic day.

Silence is often where the healing happens.

After asking how he’s doing, I let the silence between us grow. 4/

The question, when he asks it, is one I don’t expect.

“Doc, which kills you faster? Blood pressure you don’t control, or blood sugar you don’t control?”

The surprise on my face must register, because he explains further.

“I just can’t afford all these medications anymore.” 5/

He continues.

“The way I see it, doc, I only need to stick around 4 or 5 more years. That’s how long my pet dog has left, then I ain’t got no more family and it’s me all on my own. So I figure maybe take the diabetes ones and skip the blood pressure? Or every other day?” 6/

As I review his meds and start discussing our options with him, he adds one last remark.

“And I’m real sorry doc. I know we go back a ways, but I can’t afford my co-pay. I’ll pay you later. Promise.”

And just like that, I understand why his camera is angled. 7/

And just like that, I’m again struck by the cruel illusion of what I do.

The system I’m part of.

This patient did everything right; got insurance, paid his taxes. And he still has to barter years of his life.

And he can’t bring himself to look me in the eyes as he does so. 8/

Our healthcare system is too often unethical, immoral, unsustainable.

The insurance paradigm is focused on revenue generation. It strips the basic human dignity from patients, to the point where they can’t even make eye contact anymore.

I know that I’m part of this system. 9/

He’s old enough to be my father. Some part of me imagines that he is my father. Tears threaten my vision, as a hot anger floods me.

Now I wish I could angle my camera away.

I ask him if I can write about him. Because people need to know.

His response lingers with me. 10/

“Sure you can doc. But people already know. Lots of people deal with this. It ain’t that people don’t know. It’s just that nobody cares. Nobody gives enough of a damn to change anything. Nobody… cares.”

The visit ends.

My Zoom window closes.

His window closes too. 11/

I feel it.

There’s something insidious here.

A casual cruelty we’re all complicit in.

“I can’t go to rehab, insurance won’t cover it.”

“Insurance won’t pay for that medication.”

“I can’t afford any of this.”

“I’m uninsured.”

This isn’t right. None of this is right. 12/

Twenty years ago, I gave a medical school interview.

I wore my best suit. I sat up straight.

I said I believed in medicine. I meant it.

Some part of me once burned brightly, but that fire is down to flickering embers.

Our lives mean more than this.

More than this.“ /end tweet thread

ID 9: tweet from Albert Lee @/AlbertLee2020 from April 29, 2021 reading, “In America, you and your doctor can both agree that you need a surgery but you have to get permission from a third-party for-profit insurance company or it can’t be paid for. It’s called freedom.” /end ID]

link to sayed tabatabai’s tweet thread

link to albert lee’s tweet thread

[zukosgay]

diseases in english are like “oh you have conjungitivitistittis. :)”

german meanwhile is like “you have hurty tummy syndrome :////”

[zukosgay]

going to a doctor in english: my esophagus seems to be inflamed and my trachea is itchy

going to a doctor in german: uwu dokteur, my eat-tube and breathe-tube are hurty :[[

dokteur: ahhh, yes, that is the eat-tube-and-breathe-tube-itchy-hurty-syndrome, here have some ibuprofen

[the-illusion-of-sanity]

“i need to go see the otolaryngologist” “oh you mean the throat-noses-ears-doctor?”

[zukosgay]

birth control vs. antibabypillen

[toes-or-not]

getting a ride 2 tge hospital in an ambulance vs. getting a ride 2 the sickhouse in a sickwagon

[from-ib-to-asshai]

English speakers: I have a concussion

Germans: I have a B R A I N V I B R A T I O N

[unscharf-an-den-raendern]

Oh, I’ve been waiting for a post like this cause I love this:

Diarrhea - Throughfall

Vericoses - Cramp veins

Mucosa - Slime skin

Anorexia - Skinny addiction

Anthrax - Spleen fire

Sinusitis - Next to nose caves inflammation

Tetanus - Wound rigid cramp

Gingivitis - Teeth flesh inflammation

Diabetes - Sugar disease

[e-v-roslyn]

I never want to hear anyone call gums “teeth flesh” ever again.

[octopuscato]

I’m pretty sure you also don’t want to know that the German word for “nipples” is “breast warts”. You’re welcome.

[deadinparadice]

100 Reasons NOT To Kill Yourself

1. We would miss you. 2. It’s not worth the regret. Either by yourself if you failed or just simply left scars, or the regret everyone else feels by not doing enough to help you. 3. It does get better. Believe it or not it will eventually get better. Sometimes you have to go through the storm to get to the rainbow. 4. There’s so much you would miss out on doing. 5. There is always a reason to live. It might not be clear right now, but it is always there. 6. So many people care, and it would hurt them if you hurt yourself. 7. You ARE worth it. Don’t let anyone, especially yourself, tell you otherwise. 8. You are amazing. 9. A time will come, once you’ve battled the toughest times of your life and are in ease once again, where you will be so glad that you decided to keep on living. You will emerge stronger from this all, and won’t regret your choice to carry on with life. Because things always get better. 10. What about all the things you’ve always wanted to do? What about the things you’ve planned, but never got around to doing? You can’t do them when you’re dead. 11. I love you. Even if only one person loves you, that’s still a reason to stay alive. 12. You won’t be able to listen to music if you die. 13. Killing yourself is never worth it. You’ll hurt both yourself and all the people you care about. 14. There are so many people that would miss you, including me. 15. You’re preventing a future generation, YOUR KIDS, from even being born. 16. How do you think your family would feel? Would it improve their lives if you died? 17. You’re gorgeous, amazing, and to someone you are perfect. 18. Think about your favourite music artist, you’ll never hear their voice again… 19. You’ll never have the feeling of walking into a warm building on a cold day 20. Listening to incredibly loud music 21. Being alive is just really good. 22. Not being alive is really bad. 23. Finding your soulmate. 24. Red pandas 25. Going to diners at three in the morning. 26. Really soft pillows. 27. Eating pizza in New York City. 28. Proving people wrong with your success. 29. Watching the jerks that doubted you fail at life. 30. Seeing someone trip over a garbage can. 31. Being able to help other people. 32. Bonfires. 33. Sitting on rooftops. 34. Seeing every single country in the world. 35. Going on roadtrips. 36. You might win the lottery someday. 37. Listening to music on a record player. 38. Going to the top of the Eiffel Tower. 39. Taking really cool pictures. 40. Literally meeting thousands of new people. 41. Hearing crazy stories. 42. Telling crazy stories. 43. Eating ice cream on a hot day. 44. More Harry Potter books could come out, you never know. 45. Travelling to another planet someday. 46. Having an underwater house. 47. Randomly running into your hero on the street. 48. Having your own room at a fancy hotel. 49. Trampolines. 50. Think about your favourite movie, you’ll never watch it again. 51. Think about the feeling of laughing out loud in a public place because your best friend has just sent you an inside joke, 52. Your survival will make the world better, even if it’s for just one person or 20 or 100 or more. 53. People do care. 54. Treehouses 55. Hanging out with your soul mate in a treehouse 55. Snorting when you laugh and not caring who sees 56. I don’t even know you and I love you. 57. I don’t even know you and I care about you. 58. Because nobody is going to be like you ever, so embrace your uniqueness! 59. You won’t be here to experience the first cat world emperor. 60. WHAT ABOUT FOOD?! YOU’LL MISS CHOCOLATE AND ALL THE OTHER NOM THINGS! 61. Starbucks. 62. Hugs. 63. Stargazing. 64. You have a purpose, and it’s up to you to find out what it is. 65. You’ve changed somebody’s life. 66. Now you could change the world. 67. You will meet the person that’s perfect for you. 68. No matter how much or how little, you have your life ahead of you. 69. You have the chance to save somebody’s life. 70. If you end your life, you’re stopping yourself from achieving great things. 71. Making snow angels. 72. Making snowmen. 73. Snowball fights. 74. Life is what you make of it. 75. Everybody has a talent. 76. Laughing until you cry. 77. Having the ability to be sad means you have the ability to be happy. 78. The world would not be the same if you didn’t exist. 79. Its possible to turn frowns, upside down 80. Be yourself, don’t take anyone’s shit, and never let them take you alive. 81. Heroes are ordinary people who make themselves extraordinary. Be your own hero. 82. Being happy doesn’t mean that everything is perfect. It means that you’ve decided to look beyond the imperfections. 83. One day your smile will be real. 84. Having a really hot, relaxing bath after a stressful day. 85. Lying on grass and laughing at the clouds. 86. Getting completely smashed with your best friends. 87. Eating crazy food. 88. Staying up all night watching your favourite films with a loved one. 89. Sleeping in all day. 90. Creating something you’re proud of. 91. You can look back on yourself 70 years later and being proud you didn’t commit 92. Being able to meet your Internet friends. 93. Tea / Coffee / Hot Chocolate 94. Sherlock season three. 95. Cuddling under the stars. 96. Being stupid in public because you just can. 97. If you are reading this then you are alive! Is there any more reason to smile? 98. being able to hug that one person you havent seen in years 99. People care enough about you and your future to come up with 100 reasons for you not to do this. 100. But, the final and most important one is, just, being able to experience life. Because even if your life doesn’t seem so great right now, literally anything could happen

IF that isn’t enough:

Depression Hotline: [phone] Suicide Hotline: [phone] LifeLine: 1-800-273-8255 Trevor Project: 1-866-488-7386 Sexuality Support: 1-800-246-7743 Eating Disorders Hotline: [phone] Rape and Sexual Assault: 1-800-656-4673 Grief Support: 1-650-321-5272 Runaway: 1-800-843-5200, 1-800-843-5678, 1-800-621-4000 Exhale: After Abortion Hotline/Pro-Voice: 1-866-4394253 Child Abuse: 1-800-422-4453 UK Helplines: Samaritans (for any problem): 08457909090 e-mail [email protected] Childline (for anyone under 18 with any problem): 08001111 Mind infoline (mental health information): 0300 123 3393 e-mail: [email protected] Mind legal advice (for people who need mental-health related legal advice): 0300 466 6463 [email protected] b-eat eating disorder support: 0845 634 14 14 (only open Mon-Fri 10.30am-8.30pm and Saturday 1pm-4.30pm) e-mail: [email protected] b-eat youthline (for under 25’s with eating disorders): 08456347650 (open Mon-Fri 4.30pm - 8.30pm, Saturday 1pm-4.30pm) Cruse Bereavement Care: 08444779400 e-mail: [email protected] Frank (information and advice on drugs): 0800776600 Drinkline: 0800 9178282 Rape Crisis England & Wales: 0808 802 9999 1(open 2 - 2.30pm 7 - 9.30pm) e-mail [email protected] Rape Crisis Scotland: 08088 01 03 02 every day, 6pm to midnight India Self Harm Hotline: [phone] India Suicide Helpline: 022-27546669 Kids Help Phone (Canada): 1-800-668-6868, Free and available 24/7 suicide hotlines; Argentina: 54-0223-493-0430 Australia: 13-11-14 Austria: 01-713-3374 Barbados: 429-9999 Belgium: 106 Botswana: 391-1270 Brazil: 21-233-9191 China: 852-2382-0000 (Hong Kong: 2389-2222) Costa Rica: 606-253-5439 Croatia: 01-4833-888 Cyprus: 357-77-77-72-67 Czech Republic: 222-580-697, 476-701-908 Denmark: 70-201-201 Egypt: 762-1602 Estonia: 6-558-088 Finland: 040-5032199 France: 01-45-39-4000 Germany: 0800-181-0721 Greece: 1018 Guatemala: 502-234-1239 Holland: 0900-0767 Honduras: 504-237-3623 Hungary: 06-80-820-111 Iceland: 44-0-8457-90-90-90 Ireland: 1800-247-100 Israel: 09-8892333 Italy: 06-705-4444 Japan: 3-5286-9090 Latvia: 6722-2922, 2772-2292 Malaysia: 03-756-8144 (Singapore: 1-800-221-4444) Mexico: 525-510-2550 Netherlands: 0900-0767 New Zealand: 4-473-9739 New Guinea: 675-326-0011 Nicaragua: 505-268-6171 Norway: 47-815-33-300 Philippines: 02-896-9191 Poland: 52-70-000 Portugal: 239-72-10-10 Russia: 8-20-222-82-10 Serbia: 21-6623-393 Spain: 91-459-00-50 South Africa: 0861-322-322 South Korea: 2-715-8600 Sweden: 031-711-2400 Switzerland: 143 Taiwan: 0800-788-995 Thailand: 02-249-9977 Trinidad and Tobago: 868-645-2800 Ukraine: 0487-327715 Uruguay: 095 73 8483 You will be missing out on every single wonderful thing yet to happen to you.

[brain3at3r]

if u see this please re blog. never scroll past this. you never know who may need to read this.

[transgender4days-deactivated202]

REBLOG REBLOG REBLOG REBLOG REBLOG REBLOG REBLOG REBLOG REBLOG REBLOG

[thestarsdiary]

I will reblog this constantly for everyone to see it!This is importantant!💞

[fangirl-moment-x]

Didn’t see a helpline for India so here are a few:

1Life: 91-78930-78930 (24X7) [email protected]

Aasra: 91-22-27546669 (24X7) [email protected]

Vandrevala Foundation: 1860-266-2345 / 1800-233-3330 (24X7) [email protected]

SUMAITRI: 91-11-23389090 (Mon-Fri 2pm to 10pm and Sat-Sun 10 am to 10pm) [email protected]

Sneha India: 91-44-2464 0050 / 91-44-2464 0060 (24X7) [email protected]

Lifeline Foundation: 91-33-24637401 / 91-33-24637432

[hufflepuffyellie-deactivated201]

I just copied this and sent it to one of my best friends, and now he said he’s crying. I feel sorta bad that he’s crying but he said that he really needed to hear that, and now I’m about to cry

[damnjk]

I don’t care if it ruins your “theme” this is important.

[danandphileveryday]

Omg pls share 🙏🏻❤️

[eryn-n-g]

REBLOG REBLOG REBLOG REBLOG REBLOG REBLOG REBLOG

[kingantlion-deactivated20231130]

Never gonna stop reblogging this

[lifewithchronicpain]

It is okay to use accomodations even if they're preventative. You don't have to already be in some high level of pain to use a handicap parking spot. If you have a placard and walking causes more pain, it's completely valid to want to reduce potential pain. Accomodations are not a reward for suffering, they're there for what you need, whatever the reason.

[tschussle]

Which is why this PCP will always sign your disability placard application.