noise dept.
pixel skylines
ojovivo
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izzy's playlists!
blake kathryn
we're not kids anymore.
Keni
macklin celebrini has autism
Stranger Things
Cosimo Galluzzi
d e v o n
will byers stan first human second
let's talk about Bridgerton tea, my ask is open
2025 on Tumblr: Trends That Defined the Year
if i look back, i am lost
DEAR READER
Andulka
Alisa U Zemlji Chuda
"I'm Dorothy Gale from Kansas"
seen from United States
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seen from Malaysia
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seen from France
seen from Türkiye
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@wildgreenthing
Superman desperately scanning the street during a fight to find the most morally acceptable car to throw at his opponent, knowing that not everybody has insurance, and loss of transportation can ruin a life -
A wave of incredible relief washes over him as he spots the hard geometric lines and silver paintless sheen of a Cybertruck.
movies about apocalypses: it’s every man for himself!! you can’t trust anyone, it’s a wasteland of solo travelers and sad families, we’re alone out here
humans irl: *pack bond with strangers*
*pack bond with large carnivores*
*pack bond with robots in space thousands of miles away*
Apocalypse preppers who fantasise about all our artificial rules and governments falling away in times of chaos seem to forget that we invented those rules and governments. Over and over. When you put humans near each other, they group up and make a society; that’s why those governments exist. Do they think we magically stop doing that in dangerous situations? Because… we don’t.
hopepunk doesn’t have time for your racist doomsday hard-on, carl.
being a rabbot shipper who cannot fucking stand hucklerobby means that every damned day on this site is a fucking struggle
This might have already been said but:
As much I'm loving all of The Pitt fanfiction, I've noticed a lot of people don't seem to understand how the med school and residency system works and it's annoying me. The basic order goes med student->resident->fellow->attending.
If you are a med student, you do not yet have your licence to practice medicine and have not matched to your specialty. If you are working, then you are completing a rotation, which is usually 4-12 weeks, depending on the specialty. Other healthcare disciplines (physiotherapy, occupational therapy, respiratory therapy, etc) refer to these as work placements. You do not get paid for these placements; actually, you pay to complete these placements. Whittaker and Javadi are med students.
At the end of your fourth year, in the States, you would write the United States Medical Licensing Examination(USMLE). In Canada, you write the Medical Council of Canada Qualifying Examination (MCCQE). The USMLE is completed in three steps. Steps one and two are typically written when you are a med student; step three is written at the end of your first year of residency. Provided you pass steps one and two, you are now a resident. Residents are doctors. Residency is a three to seven year training period in a specialty, e.g., emergency medicine, psychiatry, pediatrics, etc. You are matched into your specialty. Matching is, to my understanding, just the most complicated job hiring system in the world. The most important bit to know from a writers perspective is that there is a really good chance that a resident does not have a say in their specialty. A person preparing for residency will go on interviews and rank their preferred specialties and workplaces (meaning the hospital they complete their residency at), and then the hospitals and the departments decide to accept them or not. If you do not get matched, you can go through a process called SOAP, which places you with positions that did not get filled. The only way to change your specialty is to re-start the residency process from scratch. Santos is a first year resident, meaning she would have only passed the steps one and two of the USMLE that spring. This means she is most likely matched into emergency medicine. Although I learned recently that some surgery residencies have their residents complete a year of emergency medicine before starting in the OR. My personal headcanon is that Santos was soaped into emergency medicine, and that is why she was like that in the beginning. Mel and McKay are second year residents, which means they have been working as doctors for at least a year and already have emergency medicine as their specialty. They most likely would have completed all three steps to the USMLE It is mentioned in the first episode that Mel did her first year at a VA hospital which is apparently a common thing to do in the states. Mohan is a third year resident. I think this makes Robbie's comments to Mohan about switching to psychiatry really mean cause he's basically telling her to consider re-starting her residency when she's more than halfway finished. Collins, Langdon, and Garcia are fourth year or senior residents. Emergency medicine has a four year residency, so this means that they are almost done with their residencies. Surgery can have a five year or longer residency, so Garcia might still be a resident in the next season. Due to Langdon having to take most of the year away from work, he will have to re-start his fourth year.
After your residency is completed, you have the option to complete a fellowship. Not all specialties require a fellowship. These are take anywhere from 1 to 3 years. Emergency medicine does not require the completion of a fellowship, although there are a lot of options available. These are basically highly specialized training on topics in your specialty. For example, John Hopkins offers a fellowship in combat medicine for those specializing in emergency medicine.
After all of that: congratulations, you are now a doctor in attending aka an attending doctor. This means no more exams, just a re-licencing test every 5 years. You can take on residents and med students of your own to supervise, or not. No one is going to make you. You can also easily move now as you do not have to stay with the hospital you matched to for your residency. Getting a job goes back to the much more normal and not as stressful process of a job instead of the hellscape that is the residency matching program. Robbie, Abbot, Shen, Parker, and Walsh are attendings.
(Edit: Parker is a senior resident. I think I saw Parker's energy and assumed she was already an attending)
Most EDs in the US will also employ physician assistants or physician associates (PAs). PAs are utilized differently in different environments and states, so I'm speaking from my experience and location.
PAs are able to see patients independently, under a written supervision agreement with a physician (although some states are removing that requirement.) We assess, diagnose, test, and treat in a variety of settings, including the ED, ICU, general medical floors, surgery, and outpatient offices. Pretty much anywhere a physician works, PAs can work, too. Some places require that the physician poke their head in at least once during the visit but in my practice, I only need to track down a physician if I have a question for them. They don't even need to be in the building, just reachable.
Like medical school, PAs receive a graduate-level education. Most programs require some level of patient care experience prior to admission--nursing, paramedic, medical assistant, etc. Typically PA programs are 2-3 years long, earning a master's degree, although there are some doctoral level programs out there now. The first year is typically a year of full-time classroom work, and the second year is full-time clinical rotations, about 4-5 weeks each. We sit for a national certifying exam (delightfully called the PANCE, pronounced 'pants') which earns us the letters PA-C, and then get licensed on a state level. We repeat the exam every 10 years, and have to complete a certain amount of continuing education every 2 years to maintain our certifications.
Historically, PAs were military corpsmen (medics) who received additional training in order to practice medicine stateside. This began in the 1960s, when there was a shortage of general medical practitioners as more people moved into specialty care. Nowadays, the profile of PAs has shifted more toward students with a traditional education background.
PAs, by education, generalists; we can work in different fields throughout our career without needing to do extra training. We learn the specifics of our field by doing. At the start, there's usually some shadowing, then taking on a lighter case load, and then building up to a full panel of patients/cases. (There are elective residencies and specialty certifications that people can get, but these are not required and are really just things to make you more attractive to employers.)
PAs are HEAVILY utilized in the ED where I'm from, even in places with EM residents. Where I was, most of the bigger cases, like arrests or critically ill patients, went to the residents because they were there to learn. Other than that, cases were evenly split--whoever was available would take the next patient.
One area of difference, though, was that only PAs staffed the 'fast track' area, which is basically what McKay is doing this season. This is where patients who could be moved through the department quickly were seen: UTIs, musculoskeletal injuries (my hospital was not a trauma center, so we really didn't have any major injuries), lacerations, mild respiratory illnesses, etc.
Lastly, a note about our name: historically, we are called physician assistants (no apostrophe-s, no capitalization) but recently our professional/national title was changed to physician associate. This was done to convey that we work with physicians; we do not just assist them. That being said, while it was adopted on a professional/national level, my state hasn't changed it yet, so I still have to introduce myself/sign things as a physician assistant. But mostly I just say PA :)
If you made it this far, thanks for reading, and I'm always happy to talk more! I've been a PA for 9 years and absolutely in love with it.
im always suuuuper chill when i see that service unavailable page
Red Hood Incorrect Quotes Pt 63
Tim: Jason, I did something terrible.
Jason: It's okay, I have a shovel.
Tim: Wait, what? What do you think I did?
Jason: It doesn't matter, Tim. No one will ever know.
Cashier, to Tim: I'm sorry, I'm afraid we don't do business with your...
Jason: With your what?
Cashier: We don't believe in...
Jason: Finishing your sentences, grandma? Is that what you don't believe in?
Cashier: Sodomy is a sin.
Jason: You know what else is a sin? *takes out knife*
Jason, lunging: Stabbing a fucking bitch! Okay, that's a sin-
Tim: *drags Jason out*
I SEETHE LIGHT!!! IVE BEEN PRAYING FOR THIS DAY
The Old Guard 2 Update Is HERE!!!! A placeholder page!! YESSS!
why do you have short nails?
homo reasons
just like them short
male raised to believe nails must be short
neurodivergent reasons
digital artist reasons
mixture of reasons (explain in tags?)
other reason (explain in tags bc i am picking my brain thinking of reason lmao)
they're not short
thought you might like this
Bruce forwarding Wayne Enterprises advertisement emails to Tim for him to deal with only to realise too late he's actually been sending them to Jason.
He only finds out as he's driving down town and sees a giant billboard reading 'Wayne Enterprises. Our CEO is getting plowed by Superman. Can you say the same for yours?'
Suprisingly, the share price goes up.
(1) Tim knew this was happening. He could have stopped it. Instead he smoothed the way to ensure that Jason's efforts would see print.
(2) This leads to a campaign in Gotham that "Brucie Can Do Better." Because Superman is, of course, from Metropolis and that Cannot Stand. If Brucie Wayne wants a hero, Gotham has a homegrown one he can screw around with: Batman.
(3) Not only does Bruce start to receive letters asking him to break up with Superman and start seeing Batman instead or letters talking up Batman while talking trash about Superman, but Batman starts getting encouraged to ask out Mr. Wayne. Like, criminals will, mid-fight, ask Batman if he's seeing anyone and talk about how he can't let Metropolis win over Gotham by dating Bruce.
(4) Every other bat and bird is 100% into this joke and will banter with the mooks, sharing that Batman is, in fact, single. And discussing ways he could woo Bruce Wayne or that Brucie could woo him.
(5) Since Superman doesn't have an address, a group of young citizens in Gotham pool their money to take out a full page ad in the Daily Planet that is an open letter to Superman telling him he doesn't deserve Bruce Wayne and that he should break up with him immediately.
(6) Lois finds this all incredibly hilarious and during her next impromptu interview with Superman, she asks about Bruce. The wounded look Clark sends her is captured on film and gets memed.
(7) Bruce wants to remove the billboard. His Board refuses. Business has never been so good. Tim makes a motion to entrust outreach and public relations to Jason full-time.
(8) For this reason and this reason only, Jason has regrets.
9) The billboard is across the street from the local LexCorp subsidiary.
Daryl Cagle, November 23, 2003
Going to add something here as a few people in the notes don't know the significance of the date here, or think this might be a dig at Sesame Street somehow - on November 18th, 2003, there was an absolutely landmark legal case in the state of Massachusetts that ruled that civil unions in that state needed to be given the same rights as marriage. This was HUGE - gay marriage was not legally recognized in any state at the time, and civil unions were the closest you could get. This is a WONDERFULLY hopeful, sweet comic drawn five whole days after an enormous, major step forward for gay marriage POSSIBLY being legal. Massachusetts wouldn't even properly legalize gay marriage until May 2004, and it was the first state to do so.
You can Google Goodridge v Department of Public Health for more details.
“There was a girl from Kenari...”
Me: I’m going to start watching Andor yet again.
Also me, 3 minutes into the episode: Okay time for a new Kenari theory because I remain obsessed with how little sense the everything about it makes, in a show that is so very tightly woven.
Kenari, where all the adults died in a “mining disaster” (see: Jedha) and all the kids possibly (presumably?) died in the aftermath of the ship (leaking poison gas [carrying poison gas? see: Geonosis]) crash and subsequent investigation.
There were no survivors on Kenari, we’re told. Maarva says.
Everyone died, Xanwan reads.
People have heard of Kenari. Kind of. Grimly. Certainly no one knows anyone from Kenari. But there was a girl from Kenari, according to Cassian’s friend, she was working at the brothel. She’s moved on, he’s told. No one gives real names. Pick a name for yourself.
What if Maarva’s right? There were no survivors on Kenari. Cassian cannot exist. We’ve always said Fest.
What if “from Kenari” is a rebel/resistance code to identify one another?
Because no one is actually from Kenari, they can’t be. Except. Cassian is from Kenari. Running around looking for survivors from Kenari that anyone who’s heard of it knows can’t exist.
How compelling. It must mean something. He must be meant for something.
“You said he wanted to meet me.”
Special people are hard to find.
every friend group should include…
original post by @tovezza
50% Brasso is made of the purest and finest husband material, 50% if yur looking for a best man for your wedding look no further, Brasso is here XD
listen.
okay.
i immediately latched onto brasso. my ass was like hello.
the big, burly man but soft, you know. covers for you when you murder a couple of cops, he gives the best hugs, cares a lot about his community and friends, and will beat a fascist with your dead mom's brick.
no one's doing it it like him.
get you a man in your life like brasso.
“There will be times when the struggle seems impossible. I know this already. Alone, unsure, dwarfed by the scale of the enemy. Remember this. Freedom is a pure idea. It occurs spontaneously and without instruction. Random acts of insurrection are occurring constantly throughout the galaxy. There are whole armies, battalions that have no idea that they’ve already enlisted in the cause.
Remember that the frontier of the Rebellion is everywhere. And even the smallest act of insurrection pushes our lines forward. And then remember this: the Imperial need for control is so desperate because it is so unnatural. Tyranny requires constant effort. It breaks, it leaks. Authority is brittle. Oppression is the mask of fear. Remember that.
And know this, the day will come when all these skirmishes and battles, these moments of defiance will have flooded the banks of the Empire’s authority and then there will be one too many. One single thing will break the siege. Remember this. Try.”
(Karis Nemik’s manifesto)
↳ ANDOR, S01xE12 | Rix Road
“There will be times when the struggle seems impossible. I know this already. Alone, unsure, dwarfed by the scale of the enemy. Remember this. Freedom is a pure idea. It occurs spontaneously and without instruction. Random acts of insurrection are occurring constantly throughout the galaxy. There are whole armies, battalions that have no idea that they’ve already enlisted in the cause.
Remember that the frontier of the Rebellion is everywhere. And even the smallest act of insurrection pushes our lines forward. And then remember this: the Imperial need for control is so desperate because it is so unnatural. Tyranny requires constant effort. It breaks, it leaks. Authority is brittle. Oppression is the mask of fear. Remember that.
And know this, the day will come when all these skirmishes and battles, these moments of defiance will have flooded the banks of the Empire’s authority and then there will be one too many. One single thing will break the siege. Remember this. Try.”
(Karis Nemik’s manifesto)
↳ ANDOR, S01xE12 | Rix Road
The Andor finale is going to be like a surprise party for Cassian coming back to Ferrix, only no one at the surprise party knows each other and no one at the surprise party planned this party, and also the party is a funeral.
