“Medicine is a science of uncertainty and an art of probability”- Sir William Osler
“I have no idea what’s going on” - me most days
$LAYYYTER
Three Goblin Art
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DEAR READER
Cosimo Galluzzi

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@wellhello-do
“Medicine is a science of uncertainty and an art of probability”- Sir William Osler
“I have no idea what’s going on” - me most days
Oh my god this is why I’m not a critical care pharmacist
Omg this was literally my thoughts every time I had a level 1 trauma. It’s like I’d hear the word “intubate,” and suddenly start second guessing myself on how to multiply with decimals.
Or every time a peds case came into the ED. Calculating and re-calculating that lidocaine infiltration dose. Never trusting the results. AAAAAAA
Hyperkalaemia ECG changes in 15 seconds.
High levels of potassium destabilise the cardiac membrane causing arrhythmia’s which lead to cardiac arrest. This can be a real life-saving opportunity if you can catch and treat it!
I made this as an experiment while learning a bit more about After Effects to animate my medical illustration. Hope it’s useful!
I appreciate this
He cookin
is that…a cat dryer..
I’m dying that’s so cute
The women all reply with “Actually enjoy my fucking life in safety for ONE day.”
At Planned Parenthood, we believe reproductive health care IS health care — and that health care is a human right. Everyone deserves health care that’s free of shame, stigma, or judgment.
Research has shown that pleasure affects nutrient absorption. In a 1970s study of Swedish and Thai women, it was found that when the Thai women were eating their own (preferred) cuisine, they absorbed about 50% more iron from the meal than they did from eating the unfamiliar Swedish food. And the same was true in the reverse for the Swedish women. When both groups were split internally and one group given a paste made from the exact same meal and the other was given the meal itself, those eating the paste absorbed 70% less iron than those eating the food in its normal state.
Pleasure affects our metabolic pathways; it’s a facet of the complex gut-brain connection. If you’re eating foods you don’t like because you think it’s healthy, it’s not actually doing your body much good (it’s also unsustainable, we’re pleasure-seeking creatures). Eat food you enjoy, it’s a win-win.
what
no seriously
what?
Me, shoveling garlic chips into my mouth at 3am: I’m absorbing so many fucking nutrients right now
I spend so much time talking to people about enjoying food. Sitting. Eating with friends. Chewing food. It matters.
Reblog if you ARE a woman in STEM, SUPPORT women in STEM, or ARE STILL BITTER about Rosalind Franklin not getting credit for discovering the structure of DNA and the Nobel prize going to Watson and Crick instead.
Compare me to a gas station and you’ll get that quality of service
Me: *explains that, due to the holidays, the office will only be open til 5pm on Wednesday this week and next week, instead of til 7, for patient to lick up her narc script* (keep in mind that we are only open past five once a week, and it’s resident clinic only)
Patient: *goes on rant about how doctor’s offices should be open 24 hours and patients should be able to directly call their personal doctor’s cell phone whenever they want*
Me: *gently attempts to explain that their is a primary care physician shortage and it just isn’t possible staffing-wise. Doesn’t even bother with the entitled bit about the personal cell phone access*
Patient: “You guys make enough money, you should have to work more. Besides there are plenty of med students.”
Me: “Ma’am, med students can’t work without supervision. Neither can residents. And I’m sorry, but I already work 80 hours per week regularly, and I don’t even get paid enough to do THAT.”
Patient: *stubbornly repeats that physicians should have to work more* “Gas stations and grocery stores are open 24/7, and isn’t my health more important than that?”
Me: “Ma’am, I paid more money than I’ll be able to make back in my first ten years practicing in order to do this job. You don’t need to pay for a college degree to work in a gas station or a supermarket. If you’re willing to accept that level of expertise for your healthcare, that’s a problem. And if you really need a physician 24/7, there are emergency rooms and urgent cares.”
Patient: *repeats bit about needing access to her personal physician’s direct line because an urgent care “doesn’t know her.”*
Me: “Ma’am, you’re talking about a narcotic script. The pharmacy won’t fill that at 2 in the morning, so it won’t help you if you can get your doctor to write your prescription then. Your Rx will be waiting at the front desk once I get the results of *lab test with recent abnormalities that caused the PCP to hold the med*”.
Patient: “Oh, since I’m here, I need Xanax so I can sleep at night. I’ve been using my daughter’s and it works.”
Me,completely fed up: “Ma’am, I will not prescribe you an opiate and a benzo simultaneously. You will stop breathing and die overnight, I’ll lose my license, and there will be one less overworked physician to staff your 24/7 Family Medicine office.”
Patients’ daughter: *starts cracking up*
Me:
dang, my colleague, you deflected everything she threw at you like
I love how she implied that you have to work more than 24/7, because health is more important than running a gas station. And it is, it totally is, but one individual cannot work every hour that exists. You just can’t expect a particular doctor to always be at work; we are, in fact, people who have to live our own lives once in a while. It reminds me of when you’re on a night shift and get called to discuss a patient’s care with their relatives at like, 10pm just before visiting time ends, and you have to politely explain that you’ve never met the patient. And all you can tell them about their care is what is in the notes, because you’re not their regular doctor, you’re the night team. And the that night team of a couple of doctors is covering like a few hundred patients, only the sickest of which get handed over to you. I get that how the system works is completely not something patients or their relatives will intuitively know. I expect most people to have no idea how it works. But you can’t fundamentally expect the day doctor and the night doctor to be the same person because we have to sleep, sometimes. Or, you know, chill in our coffin for a few hours in the daytime.
This was like reading the verbal version of Neo dodging bullets in the Matrix go OFF girl
I am on a Nephrology elective
I am hoping to become a
(wait for it)
Nephromancer
I am also on a Nephrology elective.
And I have somehow fallen in love with the demon kidney.
And might want to devote my life to the demon kidney.
Pls send help.1
I have infiltrated the nephopmancers. They don’t seem to have realised that I am nowhere near as brainy as them. Send help.
Okay, physicians and their awe of the kidney have become officially hilarious to me and I will do my best to protect their adorable selves from ever needing to renally dose adjust again.
too much maths im out
DBT strengthening statements
AKA intern year self talk survival guide
The cat is named Sämpy if anyone is interested, she is very famous in Finland. Amazing ball of fluff! The owner is also very talented at photography.
Photography by Riikka Hedman
Thank you for this addition
Dear Normal-Headed People
I really doubt that any normal-headed folks are ever going to read this, but on the off-chance that someone searches for ‘things you shouldn’t say to your schizophrenic friend/spouse/co-worker’, here you go.
1. ‘Have you taken your meds?’ - Unless I am literally covering the windows in newspaper, turning off every wifi-enabled device in the house, or something equally blatantly insane, don’t fucking ask this question. I’m allowed to have the entire spectrum of human emotions like anger, sadness, melancholy, excitement, or fear just like everyone else, and they aren’t reasons to immediately assume I’m off my meds or having an especially bad day. I’m schizophrenic, not a child, and you aren’t my goddamn caretaker.
2. ‘You’re delusional/crazy.’ - Not agreeing or not believing something I say is not the same as me being in a delusional state. This isn’t something to say offhandedly or joke about, or use as a method of playing practical jokes to make me think I might actually be experiencing delusions. This is also NOT the thing to say when trying to be dismissive over something we’re casually talking about.
3. ‘You need to calm down.’ - This doesn’t work with your significant other, your sibling, or your parents, so why the fuck do you think it will work with me? Especially if I’m actually in a state that suggests I actually might need to calm down? At best, telling someone to ‘calm down’ is condescending, and at worst, saying ‘calm down’ is actively attempting to make a not-calm person even worse. Which are you going to be?
4. ‘You don’t need medication, you just need ________’ - Get fucked. No seriously. Unless you are literally that person’s psychiatrist, you have no business suggesting that a schizophrenic doesn’t need their meds. Ever. SCHIZOPHRENIA IS AN ORGANIC BRAIN DISORDER. YOU CAN SEE IT ON A FUCKING MRI. There is no alternative medicine, snake oil, exercise routine, prayer ritual, or bullshit meditation center that is going to suddenly cure an organic brain disorder, because if organic brain disorders could be cured with whatever bullshit you’re suggesting, nobody would have Alzheimer’s, MS, or Parkinson’s anymore either.
5. ‘You don’t have schizophrenia, you have ________’ - Again, get fucked. Schizophrenia is the last thing that any well-adjusted, normal human being actually wants to have. If there were any other potential diagnosis, there’s a good chance we’ve already ruled it out. Unless you went to medical school with a specialization in psychiatry, and are actually qualified to suggest a new or alternative diagnosis, shut the fuck up.
6. ‘You really don’t seem that crazy/look sick.’ - This always feels like a compliment at first, but underneath it is a suggestion that because I don’t ‘look crazy’ I’m somehow either not schizophrenic or that my issues, when I have them, shouldn’t be taken seriously. There’s a good chance that a schizophrenic that doesn’t ‘look crazy/look sick’ is either currently stable, properly medicated, or just very good at keeping their shit together in public. We also aren’t fucking obligated to tell you when we are experiencing symptoms in our day-to-day lives.
7. ‘What do you hear?/What do your voices say?’ - Not all of us have auditory hallucinations, and not every schizophrenic with auditory hallucinations actually has ‘voices’ they can single out or identify. What’s more, the folks who do hear voices often experience them saying very negative, unpleasant, sometimes very hurtful things. If you heard someone constantly calling you stupid, or useless, or fat, or worthless, or suggesting even worse things, would you feel like constantly repeating that shit to someone else because they feel like being a tourist?
8. ‘This is my friend X, they’re schizophrenic.’ - If someone trusted you enough to actually tell you about their diagnosis, you keep that shit to yourself unless it is absolutely medically relevant that someone else be told. That is not your goddamn information to share or even hint at with others, ever.
I’m sure there are more, but these are the ones I’ve personally experienced and have a special hatred for. Your mileage may vary.
you’ve gotta stat romanticizing your life. you gotta start believing that your morning commute is cute and fun, that every cup of coffee is the best you’ve ever had, that even the smallest and most mundane things are exciting and new. you have to, because that’s when you start truly living. that’s when you look forward to every day.
live your life like a ghibli movie where literally everything is charming and beautiful
Good advice
Now this is my aesthetic. Except my life is a bit… bloodier.