Kurt Vonnegut wrote: “When I was 15, I spent a month working on an archeological dig. I was talking to one of the archeologists one day during our lunch break and he asked those kinds of “getting to know you” questions you ask young people: Do you play sports? What’s your favorite subject? And I told him, no I don’t play any sports. I do theater, I’m in choir, I play the violin and piano, I used to take art classes.

And he went WOW. That’s amazing! And I said, “Oh no, but I’m not any good at ANY of them.”

And he said something then that I will never forget and which absolutely blew my mind because no one had ever said anything like it to me before: “I don’t think being good at things is the point of doing them. I think you’ve got all these wonderful experiences with different skills, and that all teaches you things and makes you an interesting person, no matter how well you do them.”

And that honestly changed my life. Because I went from a failure, someone who hadn’t been talented enough at anything to excel, to someone who did things because I enjoyed them. I had been raised in such an achievement-oriented environment, so inundated with the myth of Talent, that I thought it was only worth doing things if you could “Win” at them.”

“I don’t think being good at things is the point of doing them.”

I need this quote framed in every room of my house, thanks.

by Fedor Lashkov

We’re only finding out recently that a lot of animals have colors and patterns that we cannot see because they’re outside of our visual range. It calls to attention how much of the world we can’t experience because our senses are limited. When we shine UV lights on them, they glow pink or blue, but these are the colors that we CAN see…. they could be a bunch of different colors, which we SEE as all pink. It’s also interesting to consider that most of these animals are not aware of having glowing patches on their bodies…. isn’t it also possible that we have skin or hair patterns that were not aware of? . . (There is actually some research out there to support the idea that our own skin fluoresces as well and that there are gender differences in the pattern and glow.) Other places to see my posts: INSTAGRAM / FACEBOOK / ETSY / KICKSTARTER    

wow

Most of the medical research was done on white males and their response to medicine. This is why medical books should only serve as a framework but clinical expertise matters more.

And this is why we need more black doctors.

There is a great instagram called Brown Skin Matters that has certified photos of different rashes and skin conditions. I find this VERY helpful. I just recently stumbled on it and it’s a nice, quick, resource. 

My partner and I discussed this yesterday. There is also a Dermatology for Skin of Color textbook by Kelly and Taylor but it unfortunately doesn’t have a ton of pictures. When i used to have access, Visual Dx did make a decent attempt to include examples on darker skin tones, but it’s expensive and my hospital doesn’t pay for access to it anymore. Strongly recommend sending in clinical images to Brown Skin Matters Instagram, Figure 1, and other apps/websites if you have them and have patient permission. We need to build these databases.

Typical Day in the Life of a Doctor on the COVID Ward (Stolen from Facebook with permission, multiple versions going around, this one by Pang Lam)

A lot of people have been asking me what it’s like being on the COVID wards in the hospital, so I figured I’d share what a typical day looks like for me:

6am - Wake up. Roll off of my pile of money that Big Pharma gave me. Softly weep as it doesn’t put a dent in my medical school loans

6:30am - Make breakfast, using only foods from the diet that gives me everlasting life by avoiding all fats, sugars, carbs, and proteins. For details buy my book and check out my shop.

7am - Get to work, load up my syringes with coronavirus before rounds.

8am - See my patients for the day. Administer the medications that the government tells me to. Covertly rub essential oils on the ones I want to get better.

9:30am - Call Bill Gates to check how 5G tower construction is going, hoping for more coronavirus soon. He tells me they’re delayed due to repairs on the towers used to spread the Black Plague. Curse the fact that this is the most efficient way to spread infectious diseases.

10am - One patient tells me he knows “the truth” about coronavirus. I give him a Tdap booster. He becomes autistic in front of my eyes. He’ll never conspire against me again.

11am - Tend to the secret hospital garden of St. John’s wort and ginkgo leaves that we save for rich patients and donors. 

12:30pm - Pick up my briefcase of money from payroll, my gift from Pfizer for the incomprehensible profits we make off of the free influenza vaccine given every year.

1pm - Conference call with Dr. Fauci and the lab in Wuhan responsible for manufacturing viruses. Tell them my idea about how an apocalypse-style zombie virus would be a cool one to try for the next batch.

2pm - A patient starts asking me about getting rid of toxins. I ask her if she has a liver and kidneys. She tells me she knows “the truth” about Big Anatomy and that the only way to detoxify herself is to eat nothing but lemon wedges and mayonnaise for weeks. I give her a Tdap booster.

2:45pm - Help the FBI, CIA, and CDC silence the masses. Lament the fact that I can only infringe on one or two of their rights. Oh well, there’s always tomorrow.

4pm - One of my rich patients begins to crash. Laugh as I realize I’ve mismatched her spirit animal and zodiac moon sign. I switch out the Purple Amethyst above her bed for a Tiger’s Eye geode. She stabilizes. I throw some ginkgo leaves on her for good measure

6pm - Go onto YouTube and see coronavirus conspiracy videos everywhere. Curse my all powerful government for how inept they are at keeping people from spreading “the truth”

6:10pm - Go onto Amazon and see that a book about “the truth” is the #1 seller this week. Question the power of my all powerful government. Make a reminder to myself to get more Tdap boosters from the Surgeon General next time we talk. 

7pm - Time to go home. Before I leave, sacrifice a goat to Dr. Fauci and say three Hippocratic Oaths.

9pm - Take a contented sigh as I snuggle under the covers made of the tinfoil hats of my enemies, realizing that my 4 years of medical school and 3 years of residency training have been put to good use today.

Fun little thing about medieval medicine.

So there’s this old German remedy for getting rid of boils. A mix of eggshells, egg whites, and sulfur rubbed into the boil while reciting the incantation and saying five Paternosters. And according to my prof’s friend (a doctor), it’s all very sensible. The eggshells abrade the skin so the sulfur can sink in and fry the boil. The egg white forms a flexible protective barrier. The incantation and prayers are important because you need to rub it in for a certain amount of time.

It’s easy to take the magic words as superstition, but they’re important.

The length of time it takes to say a paternoster was a typical method of reckoning time in the Middle Ages. It’s likely that whoever wrote this remedy down was thinking of it both as a prayer and a timespan and that whoever read it would have understood it the same way.

I wonder if this shows up in other historical areas besides medicine?

I ask because I have a very Italian, very Catholic friend who was once describing how she makes pizzelles. They’re cooked in a specific press, similar to a waffle iron, long enough to get light and crispy but not burnt, and in her own words: “I don’t know the exact time it takes to cook them in seconds, but I usually do either two Hail Mary’s or an Our Father and a Glory Be.”

I would be extremely surprised if medieval people didn’t use prayers while cooking. You don’t want to roast an egg for too long, have it explode, and get hot yolk in your eye. :P 

I know that church bells were definitely used as timekeepers. 

Before oven thermometers existed, one way to check the temperature of your oven was to stick your hand inside and recite an Our Father. The length of time before you snatch your hand out was timed by how far you’d gotten in the prayer. The shorter the time, the hotter the oven. So you knew that if you wanted a hot oven to bake bread, you wanted your hand out by “kingdom” (for example) but to slow cook a stew, you might want the oven cool enough to get to “trespasses”.

This popped up in “Nanny Ogg’s Cookbook” as well, though there the timing method wasn’t prayer but X verses of “Where Has All The Custard Gone?”

Other timing methods are “a while” (approx. 35 mins) and “a good while” (variable, up to 10 years, which the book suggests is a bit long to let batter rest before making pancakes…)

All absolutely standard, and also varied from region to region. The use of prayer was more common than most, since the Catholic church had a monopoly on… well, pretty much everything. And all the prayers were in Latin, and at a specific cadence, so the effect is similar to watching the second hand on a clock today.

it’s important to note that to the medieval people the prayers were important because of timekeeping AND god. like, i think as modern people we do tend to want it to be “just timekeeping, they weren’t just superstitious idiots, they had a good reasonable scientific reason!” but it’s also important to remember just how culturally steeped in a mystical religion they were, a relationship with christianity entirely unlike the modern relationship found in modern american culture even amongst the most religious people. i have no doubt that in the medieval mind, they were aware of the prayer being the time it took but also if there had BEEN another way to measure that time, the prayer would have been held to be preferable and important in its own right because of the importance of spiritual assistance in worldly things like bread-baking

Definitely, this is a great point! I was talking to somebody in the comments who was saying that medieval medicine was mostly bunkum because it involves spirituality, supposedly meaning it couldn’t also have logical basis behind it. But that’s a really modern way to see it. To the medieval worldview, those things aren’t contradictory. They’re part of each other. Think about how many medieval Christian scientists were monks, nuns, and priests.

*INHUMAN SCREECHING*

M Y    T I M E    H A S    C O M E

You guys don’t understand how excited it made me to read this post, I literally wrote my master’s thesis on this exact topic.

STORY TIME

Sometime in the 10th century in Anglo-Saxon England (for context, this is before the Norman Conquest and near-ish to the reign of Alfred the Great), a dude named Bald asked another dude name Cild to write a book. Not just any book. A leechbook, which was essentially the medieval version of WebMD for practicing doctors. BUT NOT JUST A LEECHBOOK. This leechbook was gonna be the damn Lamborghini of leechbooks. This thing was going to be split into two parts, the first dealing with external medicine and the second dealing with internal medicine—something that was unheard of at the time. It was going to be organized (head to toe, like all the good leechbooks were). It was gonna be nice (leather and vellum). It was gonna use all the best ideas (from all over the known world). And the whole thing was going to be written in Anglo-Saxon. Now, a few medical books had been compiled in Anglo-Saxon before, but none like this. This one was going to be EPIC. And it was—and still is.

Bald’s Leechbook (also goes by the more boring but more informative MS Royal 12 D XVIII over in the British Library) contains a lot of medical remedies. A lot of them rely on things like prayers and chants and odd charms, like one for a headache, which recommends plucking the eyes off a living crab, letting the crab back into the water, and wearing the eyes about your neck in a little sack until you feel better. However, it’s worth pointing out that the really wild remedies, the stuff that makes absolutely no freakin’ sense, is most often recommended to treat ailments that are hard to treat even today—migraines, toothaches, cancer. These things are really painful or deadly and, without modern medicine, almost impossible to treat. So are you going to make up some nonsense to make your client at least feel like they’re doing something, and hey, if it sort of works, it works? Of course you are. You want to help people. Even if it sounds crazy, what else are you going to do? You have to try something, and the people who are suffering are willing to try anything.

But there’s also things that make complete sense. To echo concepts that have been mentioned by commentators above, there is a recipe that calls for the recitation of the paternoster while boiling a honey-based salve meant to treat carbuncle. The book instructs the physician to bring it to a boil, and sing the paternoster three times, and remove it from the fire, and sing nine paternosters, and to repeat this process two more times. A century ago, historians read the use of the paternoster as a magical incantation, but today, most agree that in lieu of a stopwatch, the paternoster is just meant to make sure you don’t burn the honey.

BUT THAT ISN’T NEAR THE COOLEST THING.

Now, this book was compiled by a master physician (we don’t know if it was Cild himself or if Cild was the scribe for an unnamed author) who was compiling recipes that had been written down for some time, and had, as many things do, gone through various permutations over the years. Many came from Greece or the western Mediterranean, and had been adapted for local English horticulture and herbs. Some came from around what is now Germany, and some ideas came from farther away in the Middle East (King Alfred was a sickly king; some scholars believe that he had his physicians seek out cures from all over the world in an attempt to treat himself). But there is one recipe that has only ever been identified in England. Not only has this recipe only ever been identified in England, it’s only ever been identified in this one manuscript. When translated into modern English, it reads as follows:

For those who don’t know and/or are lucky enough to have never had one, a “wen” or a stye is a bacterial infection that manifests like a boil or a cyst that on the eyelid. They hurt something awful, and can cause larger infections of the eye. They are usually caused by Staphylococcus aureus. 

With me? Okay. Fast-forward to 1988. A former biologist turned historian called M.L. Cameron decides to take a look at this old medical leechbook to see what he can see. He takes a good look and says “Lads I do believe these Anglo-Saxon leeches weren’t nearly so daft as we thought they were” (he did not and probably would never actually say that, I’m paraphrasing). Cameron was particularly interested in the recipe above. As a scientist, he knew a few things:

What an interesting find.

Fast-forward again to 2015. A paper is published by a team from the University of Nottingham, who’ve been working on an ‘Ancientbiotics’ project to investigate ancient medical remedies and see if they actually work. They’ve turned their sights to the Anglo-Saxons, and are, as was Cameron, particularly interested in this recipe for an eye salve. Without boring you with the finer details of the experiment and its various trials (read it yourself!) I will spoil the ending by telling you that they discovered a few things:

Now, as an advocate for modern medicine and sound scientific method, I’m not about to say that we should go throwing this salve on everything in 2019, because it is, if anything, just a starting point for modern scientists. This salve is still incredibly crude by modern standards and comes with a lot of potential problems. But as a historian… it works, you guys, it really works.

Medieval physicians were not idiots. They believed in magic, they believed in all things supernatural, they believed in all those things that are ‘unreasonable’ or unpopular today, and they practiced them too. But they also interacted with the real world with brains and intellects as sharp if not sharper than yours and mine. They were smart, they studied, they talked to each other in Latin and Greek and Arabic and Anglo Saxon. They made old recipes better and came up with brand new ones. They tried dumb stuff and they tried smart stuff. They didn’t have access to even the smallest fraction of the information we have at our fingertips today, and yet they created things like this. 

To this day, no one knows who created the eyesalve recipe. And no one truly understands why this is the only copy of it. If it worked so well, why isn’t it plastered to the headings of every medical textbook from Alfred to Victoria? Speaking personally, I would argue that it has to do with language. Not so long after Bald’s Leechbook was written, the French invaded England and took over. Latin and French became the language of the court, and while Anglo-Saxon lived on throughout the country, and certainly lay doctors would have used Anglo-Saxon books daily, the language of formal English medical education was Latin. Oxford and Cambridge were late to the medical ed game after Salerno, Bologna, Paris, and Montpellier, and naturally fell in step with continental schools as a result, using Latin almost exclusively, and sometimes Greek or Arabic. 

Point being, by the time medical licenses and medical college degrees are a thing in England, not only does almost no one of university-eligible class speak Anglo-Saxon anymore, no one has use for those Old English texts, because they don’t get you your degree, and you can’t make a living as a doctor without a degree and doctor’s license. And no one’s going to translate an old Anglo Saxon text into Latin when Avicenna’s newest old hit, now in Latin, is fresh off the boat from France.

All that to say:  Never write something off because it’s old. 1,000 years is a long time ago, but human ingenuity and intelligence are hardly modern inventions. The science of the world hasn’t changed; only our tools and our perspective.

Thanks for coming to my TED talk

Further reading:

I remember watching the behind the scenes on this show. The creator of the show said that they got so much fan mail saying this show was the most realistic hospital show.

My parents both worked in the medical profession my whole life, and when I was watching them come home, I could see echoes of what this show did. All other medical shows were so much about the drama. This one nailed it. It nailed the good, the bad, and everything in between.

Also, I read that Scrubs was more medically accurate than House, Grey’s Anatomy, and every other medical show on TV

The official Medblr response to non-healthcare people objecting to our online jokes and complaints. 

Stocks Reservoir - England (by Matthew Savage) 

‘Rat Park’ -Stuart McMillen

You’ll never think about drug addiction the same way again after reading this comic.

What I found absolutely impressive and stunning about this comic is the way the artist explained the identification and elimination of the confounding factors in the Rat Park study. This is one of the hardest parts of experiments to explain to the public, and I think it was just brilliantly done.

This is one of the most important pieces of research done in the last 50 years. 

Read this!

A beautiful experiment and so simply explained for even the most naive layman to understand. I love it.

Dear Men Writers

Lesser known facts when writing women:

Feel free to add your own.

- Bras leave red marks on the skin under and around boobs and it is a magical experience when taken off.

- Make up can take anywhere from 5 to 25 minutes depending on how skilled you are.

- Taking hair out of a ponytail after wearing it for hours does not make it perfectly straight when it comes down.

- Hair when wet sticks to the skin it no longer flows, idiot.

-When women with long hair kiss, turn around, do anything, their hair falls in the way.

- Stockings are itchy and tear like wet paper bags.

- Pantyhose, tights, leggings, and stockings are each different. - Waxing hurts and leaves red skin for a while afterwards while shaving leaves stubble - Most can’t run in heels unless they have been VERY worn - Insecurity in appearance doesn’t mean “buy me a drink” - EVERYONE HAS DIFFERENT TASTES IN EVERYTHING

-Having large breasts sucks. It sucks beyond belief.  If a garment happens to fit your large chest, odds are it won’t fit the rest of you. Underboob sweat is real and terrible. Bending over for extended periods of time will tweak your back out. Running can be painful due to boob turbulence. Bras are hella expensive. Big breasts are not fun.

Putting a tampon in isnt a quick bend-poke-done kinda deal. It involves cubicle yoga, messy hands, numerous curse words as you realise it isnt in correctly and have to take it out and start again with a new one.

Yes to all of this.  But also:

If her hair is in an updo, one does not simply remove a hairpin to send her hair cascading down her back.  No.  If her hair is an updo, it will take at least an hour and an extra set of hands to remove the 137 bobby pins that are holding her hair in place.  Furthermore, there’s probably a can’s worth of hairspray in there, intended to withstand category 2 hurricane winds.  There’s no cascading happening here - the best you can hope for is a misshapen nest of hair to clump and poof unattractively in the back while it still remains flat against her scalp.

This is one of the funniest posts I’ve seen in a while (especially if you read all the comments), but also really depressing because at 42 I still judge myself as having failed for not matching up to all these mythical stereotypes despite knowing they’re impossible

^^^This though

The odds of a woman having smoothly shaved legs and armpits are directly proportional to the amount of skin her clothing bares and/or the amount of fucks she gives at that particular moment.

GLASSES ARE NOT COSMETIC.  If we whip them off, we do not become gorgeous fashion models.  We become squinty.

-most women wear bras. Yes, even when they are trying to dress sexy. Because bras make boobs look perkier and rounder, which is something men apparently find sexy, so being a seductress or femme fatale is not an automatic reason for a female character to not be wearing a bra.

-a good bra will hide headlights, or at the very least drastically reduce their noticeability. A women with enough pointy nipple issues will opt for a padded or molded bra to hide them.

-women’s nipples do not automatically become hard pyramids visible through any and all layers of clothing the second they become even slightly aroused. They are not the female equivalent of boners. And even if their nipples do get hard, the bras they are almost certainly wearing (because even a goddamn succubus with big, honkin’ knockers for seducing men is gonna have those painful puppies in some kind of boob sling) should keep those pointy nipples from being visible to every other character in the scene, JIM BUTCHER. YES, EVEN LARA RAITH WOULD WEAR A BRA ONCE IN A GODDAMN WHILE.

- Wearing a bra that doesn’t fit HURTS.  It’s not sexy to wear a bra that’s “two sizes too small”, it’d make your clothes hang oddly and you’d have a weird, uncomfortable “quad-boob” effect and your back would hurt, BEN AARONOVITCH.

Also, after removing a too small bra, there’s gonne be angry red lines on the boobs and ribs and the lady is not going to want them to be touched by anyone for a good long while

-Not all women wear heels. Those things hurt and are hard to balance in. They can also mess up your feet and back pretty bad.

-Lips aren’t just naturally red “as if she’d been drinking wine but they were just like that without makeup cause she’s so perfect,” my dear little Kvothe from ‘Name of the Wind’. Also, girls do not naturally smell like fruit or flowers, it’s either perfume or something she’d been eating recently.

I’ve been appreciating this post but now it’s back very specifically calling out my problematic faves and I don’t think those male authors realize how much it totally takes me out of the story for a moment when they commit these errors. It does nothing useful for the plot and is annoying for half of the audience

Is it weird that I’m female and wasn’t aware of a solid third of these?

I mean, all writes take note. I basically live in man land when it comes to protagonists so I don’t know half these things despite being a woman

(Most) Women do not look at themselves in the mirror and compare their breasts to fruit. Any sort of fruit. Especially melons. Please save us from the melons.

Also we are not aware of our breasts at all times. I do not walk down a flight of stairs and think “oh golly my breasts are bouncing so much right now”. They are as much as natural part of our bodies as arms. Do you constantly think about how your arms are moving? Sure you may be aware of them, but paying full attention? Doubtful.

Also: women working out are almost never sexy. They’re not glowing or glistening or (kill me) *sparkling*. They are red and sweaty and gross just like all the dudebros doing their time with the dumbbells. Stop ogling fictional women at the gym, TOM WOLFE.

I love this post.

I never understood why men feel the need to address all this telltale “feminine” awareness when writing women. Like once in grad school one of my male colleagues wrote from a female character’s POV and was like sure to notice how her feet felt in high heels and all the women’s lifestyle magazines on the coffee table and also that like, her breasts were “heavy” or some shit. I write male characters all the time. Not once have I ever stopped to make sure they notice the weight of their own balls or been hyper aware of their chest hair or some bullshit like that. ????? why????????

Love this. I’ve been cackling to myself for good 20 mins reading all the comments as well but the last reblog had me dying like can you imagine!!

“Chad was late. He had an important meeting to get to and was mad at himself for oversleeping.

He quickly washed and brushed his teeth and then ran downstairs, his balls bouncing playfully in his pants.

Do I have time to make a coffee? he thought. He decided he did so went into the kitchen and switched the kettle on. As he was waiting, he noticed his thick, curly chest hair was poking through the button gaps of his shirt. He giggled to himself and tucked his manly fuzz back in, hoping it wouldn’t happen during the meeting.”

Men, do you see how jarring and stupid this is!?

I want a home mostly just to welcome people into it. There will be bowls of candy for guests, and the cookie jar is full. I’ll always say “I was just about to make a coffee/tea/cocoa, would you like one?” when somebody walks in. There’s lemonade and iced tea made fresh on hot days. Once it hits That Hour and they start saying they really should be going, I’ll remind them that the futon is always open, and I’m making cinnamon rolls tomorrow. There’s champagne and sparkling juice hidden on a high shelf just in case somebody announces their engagement or their pregnancy or their new job while they’re here. There is an extra chair in the living room, at the table, and on the deck, and it’s for you. I want to be able to say “if you’re ever in trouble, come to me.”

Anatomy of the majestic snout of the seas ~

This is actually pretty exciting. They’ve found a way to turn plastic into food.

Mushrooms are such amazing things. Most are decomposers, meaning they break stuff down into its original components. Some break down dead wood, or animals, others can break down toxic waste, and apparently this one can break down plastic. How cool is that?

due to personal reasons i will be happy

Most bang-for-buck things every intern should know before starting inpatient wards

Source. A collection of Meddit resources and advice on what bread-and-butter topics interns would most benefit from brushing up on/memorizing prior to the beginning of their internship. 1) Fluids. How and when to use them, dosage, timing and other pearls.

2) Nausea. When to treat, how to treat and at what dose.

3) Standard pn orders: pain killers, sleep aids and antiemetics aka how to reduce nighttime calls from nurses by 25%

4) “Reflex” antibiotic choice for routine inpatient infections.

5) Initial work-up and treatment of dyspnea. (more realistic to approach by symptoms as, unfortunately, you first have to diagnose whats wrong. E.g. heart failure, pulmonary edema, embolism, COPD, pneumonia).

6) Initial work-up and treatment of oliguria/anuria.

7) A sensible initial approach to suspected ileus.

8) Blood. When, how, why to replace.

9) Pain. Optimal management without inducing narcosis.

10) Potassium. When, why and how to shift or replace.

11) Hyponatremia. Most common electrolyte disturbance, commonly mismanaged.

12) Resuscitation aka commit the ACLS algorithms to memory.

Would love a video series, interactive cases etc.

13) Basic EKG interpretation.

Whole EKG video courses

EKG video cases

– If you like Dr. Mattu’s cases (and you most certainly will) he is still posting every single week on his new site https://ecgweekly.com. It costs 4 starbucks coffees a year and is going to save someones life.

Practice EKGs with answers

EKG blogs

EKG resource libraries

14) Know when to order ABGs and how to interpret them.

Bonus 15) Basic CXR interpretation

CXR video lecture course

Step-by-step guides to basic CXR interpretation

All inclusive resources

Bonus 16) Overnight o-shit-what’s-that Head CT interpretation

Hey, self: review before NCLEX. Xo, me.

Oh hell yes

For future reference.

Must. Study.

Scheduled to post right before intern year starts. Gulp.

Reblog to save a life. You got this, bbs.

we need it all

reblogging this for my future self. you welcome.

Things I routinely forget and scramble to relearn.

My top three feminist exploitations of male-default language. (Insp)

happy international women’s day!

An Incomplete List of the Animals my Grandpa brought home over the course of his 67-year marriage to Gandma:

The marriage only ended because thier time on earth did. He never kept an animal Grandma wouldn’t allow and if anything she was worse about it. She was the one who brought home a tarantula.

OK this is adorable.