woa,, mushrooms

clinical medicine is simple, basically the way it works is 99.999% of doctors don't know anything at all, so they only treat the 10–15 most common problems in their specialty. this might sound bad, but actually it's better, because 99.999% of patients don't have any complex medical problems anyway, which we know because they've never been diagnosed with anything except the 10–15 most common problems in the relevant specialty, because in order to be evaluated for something else they would have to be referred to one of the 0.001% of doctors who occasionally know something about some other condition, but they can't get that referral because they obviously don't need it because they've only been diagnosed with simple problems that the other 99.999% of doctors evaluate. so as U can see it's really about ensuring every patient gets the best possible care.

the "empathy fatigue" stuff is also very revealing because when you examine health professionals' self-reporting on the matter there is a specific type of person they describe losing empathy for- unsurprisingly, it's people with particularly chronic health issues and disability, drug users, people who "refuse to take care of themselves" and especially anyone with a health condition perceived to be "their own fault". very often what they describe as "empathy fatigue" is actually just the mask slipping on the seething contempt they already held

Said it in replies but it's generally good life advice. If you are someone who struggles with food palatability and will regularly just not eat because nothing seems good, make sure your house always has some fruits with long shelf life (apples, peaches, plums, pineapple are all excellent for this) and a soup stock that you know you like.

Having a low activation energy way to get sugars and a low effort way to get salts and hot food will save you more often than you think. Both keep long enough that you won't need to restock until you feel better.

And goldfish or pretzels. Sometimes a crunchy texture makes eating easier =)

Snack foods are good to have in general but it is really important that you be able to eat something high in sugar and something hot, neither of those substitute those roles.

Love all the yanks in the notes going like "yuropoors don't understand in the states we have use our cars everyday or else we would DIE" yea right I'm sure the good folks in Laos, Peru, Senegal and Rwanda understand that they can just use footpaths and widespread robust public transport to compensate for their petrol prices being like twice as expensive as in the US. They would understand that the US is the only place in the world where car ownership is a life-or-death trade and the only place in the world where unemployed disabled people need to get groceries. Those folks probably have higher wages than the US too so in the end those higher petrol prices even out, right?

whats cool about being trans is my parents are totally right. i did kill their beautiful son. im the thing that animates his corpse in an ever more convincing parody of a happy girl. i devoured him from the inside out and now there is nothing left of him and he is dead dead dead and there is only me, with my hollow eyes and dark eyeliner and long hair, and my big smile. my limp, effeminate gestures belie the marionetting of the boy they loved. my fagginess is his death. already his body becomes a fitter home for my parasitism in full; the tits, the hips, the thighs. sorry about your kid. thanks for the biomass <3

gosh this vaccine is fucking me up I should've done this weeks ago when i had more time to wallow in pain

I have never shivered as badly as I did last night. heated mattress pad on space heater running head under my covers violently shaking for at least an hour. zoo wee mama. i probably fried some brain cells with the fever I must have had. I should really get a thermometer at some point

and on the third day she rose feeling relatively normal