Good Morning, let's get this bread

Etched in the concrete, Houston TX

on one hand it is bad and wierd for people to try to listen to "appealing" music to rig their spotify wrapped

but also a while back my friend my friend showed me this song some guy she know made

and I accidentally left it playing on loop for the full 8 hours I was at school and I only have a week to prevent Da Swaggerz from being my 2021 top artist

WHAT

i dont want to talk about it

A little girl who was swishing her dress back and forth, causing the exposure to blur. 1860s.

Taken by Theo Lilienthal of New Orleans.

“A Family portrait during the Spanish Flu, 1918″

(via)

Fun things to say when someone tells you they’re going to go to the bathroom:

this is really trivial but surely thin women who talk about being shamed for being skinny are being deliberately obtuse… surely they know that when other women tell them how incredibly skinny they are and how they should eat a hamburger, that’s a veiled compliment / socially expected jealousy ritual, and not a sincere insult.. precisely because they do fit into the beauty standard and most of the world still wants women to be as thin as possible

Local fire department with the severe weather analogy we can all understand

happy pride month to lgbt people who are really boring. we deserve love too

i can domesticate him

-some ancient Egyptian staring at a cat, circa 7500BC

- Some ancient cat staring at an Egyptian, circa 7500 BC

The thing I wanna try the most in life is jabbing someone’s eyes in the middle of a fight

In second place, I want to fall in love

any significant term of imprisonment will destroy your life. even a few days in jail can leave you unemployed and homeless. what about a year? two? five? can you imagine trying to recover from losing a that much of your life to the trauma of confinement? can you imagine trying to rebuild a life from less than nothing? prison is cruel and inhumane

gucci is ugly and people who buy it are dumb

Rich people will just buy anything huh?

me at 3am in a 7-eleven about to buy some pringle’s and a big gulp

WHERE ARE YOU SUPPOSED TO SWIM IN THAT SWIMSUIT? JUST LAKES? 

I thought this was an exaggeration but these are also from the website:

The models look so pained

When you hit the Randomize button on the character select screen

Lmao what is this shit?

Gucci baby!

I have every right to harass you if you buy Gucci

Caravaggio living paintings by Ludovica Rambelli Theater

This never ceases to amaze me, no matter how many times I’ve seen it.

In order:

For the sake of comparison because these are not only amazing to look at, but really great likenesses. Love this.

Thought I’d add the references because DAMN

does anybody else remember that reality show where they gaslit a bunch of americans into thinking they were competing to marry prince harry but it was really just some guy

I am trying to spread awareness about the omission of clitoral neural anatomy from OB/GYN literature. The goal is to leverage social pressure in order to get it added to textbooks and board exams. The effect of this change would be improving female sexual medicine and protecting patients from preventable harm caused by ignorance of this anatomy.

Please reblog 🙏🏻

The most efficient solution would be to get the American Board of Obstetrics and Gynecology to add this anatomy to board exams. This would force OB/GYN textbooks to add it and OB/GYN residency programs to teach it. ABOG refuses. Textbook authors are resistant or unresponsive. Enough social pressure would force them to acknowledge and remedy this problem.

If anyone wants to sign up for Medium and clap for my article that would be awesome. If anyone wants to share this on Facebook, twitter, or Instagram, that’s awesome too. I posted it on Twitter here:

https://twitter.com/jessicaannpin/status/1019764547098423298?s=21

Someone else noted that I have spent years of my life on this. I have. But in the beginning, I gave up too easily because it was so hard for me to talk about vulvas and to face resistance and denial from medical leadership. I’ve only really been actively trying to communicate with OB/GYNs for 8 months.

I have tried contacting at least 200 OB/GYNs on Twitter and via email. I have contacted 20+ textbook authors. I have contacted countless OB/GYNs in leadership positions at ACOG, ABOG, and ACGME.

In my article, I quote a urologist who says vulvar anatomy is of “low interest to OB/GYNs.” In order to make it higher interest, I think female patients need to demand it. This is why I need to ask for claps and support. If you click on my article, you can read it and give me claps. I really think this will help.

I want to inspire doctors to want to be part of the solution rather than part of the problem. I think the more they become aware that I am educating patients, and the more I can get patients to believe me, the more inclined they will be to speak up. I need to inspire them to care more about patient safety and female sexual health than about politics or risk of offending colleagues.

For some reason even female OB/GYNs either deny or defend the omission. One said, “We already have to know so much so we shouldn’t have to know this too.” One said, “These nerves get to small and difficult to dissect as they enter the clitoris.” This is not true.

You’ve all heard about how the clitoral glans (the head - the part you can see) has many nerve endings. What this means is that the nerves leading up to it are quite large (at least - mm in diameter!). The descending body of the clitoris, which you can feel under the clitoral hood reaching from the glans up to the pubic bone, is 3.24 cm long on average, not including the glans. That means OB/GYN textbooks are leaving out 3 cm each of the two nerves that innervate the glans of the clitoris.

I personally had the innervation of my clitoris cut in a clitoral hood reduction performed without my consent during a labiaplasty - a minor procedure that was supposed to be safe in the hands of a very reputable OB/GYN surgeon. Consider also that one woman who contacted me had the dorsal nerves of her clitoris damaged in a repair she needed due to injuries sustained from sexual assault.

Vulvas can get injuries. There can be physical problems with the clitoris. In fact, it is possible that far more female sexual dysfunction is attributable to physical cause than we think. When “little is known” (which is in the intro of many a study of female sexual physiology), it is easy to dismiss nearly everything as in our heads. We are so emotional, after all (saracasm).

Thank you for the support.