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Kiana Khansmith
AnasAbdin
we're not kids anymore.
he wasn't even looking at me and he found me
d e v o n
"I'm Dorothy Gale from Kansas"
Lint Roller? I Barely Know Her

@theartofmadeline
Keni

❣ Chile in a Photography ❣
Alisa U Zemlji Chuda
wallacepolsom
ojovivo
2025 on Tumblr: Trends That Defined the Year
PUT YOUR BEARD IN MY MOUTH
Claire Keane
RMH

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@labasworld

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Step 1 part 1...
… is here! Boards part 1 (aka usmle) will start in about two and a half hours. Then I have the rest of the day off, will do some OPP tomorrow, then Wednesday I have my COMLEX. Then I move to Rotations city on Friday to start third year on tuesday!
Let’s do this.
Don’t let the darkness of others dim your light
Ever

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eunoia / a relaxing mix that will help you to get focused + motivated while studying
[ listen here ]
Justin Trudeau doesn’t want a cookie for being a male feminist. So maybe the Twitterverse should stop with these reactions.
make me choose: anon asked: the haunting of castle malloy or the silent spy?
you, with the naivete of a child - “institutions are inherently corrupt”
me, sagely - “have you never heard of old friends senior dogs sanctuary”

Anya is live and ready to show you everything. Watch her strip, dance, and perform exclusive shows just for you. Interact in real-time and make your fantasies come true.
Free to watch • No registration required • HD streaming
Almost 7 hours of instrumental magic for your favourite nook in the library, couch with a book, or chair at your desk.
Day 1 of dedicated and I’m already totally overwhelmed with how much I have to get through even just this week. But, this playlist (and a literal ton of tea) got me through undergrad, and it’ll help get me through this now.
Occasionally
I learn something about medicine that makes me feel like I have been lied to my whole medical educational career.
Examples:
Realizing the PPV for a really commonly used medical test is actually really low….
Realizing there are well studied alternative remedies that can perform as well (or out perform) certain medications…
I think that information gets misrepresented sometimes. Or maybe it’s just one of those “the more you understand” type things where I just misunderstood things in the beginning because I didn’t have all the pieces to put together.
Anyone else have this feeling of being lied to at some point about medical info?
ANYWAY This is a great example of late night blogging from my phone. sweetheart needs to stop working nights so I can actually fall asleep at normal people times instead of lying in bed and thinking about weird stuff.
Sorry in advance for piggybacking on your post, @ladykaymd. But I have this feeling every day of my life! That I guess is where the advantage of growing up with a hippie mother with a lot of healthcare skepticism comes in.
Medicine lies just like any other giant, homogenous group of people does – it’s made up of a lot of people who don’t know everything, and don’t question authority quite enough.
This is the danger of scientism and dogma. Thinking that knowledge must be correct or true because it comes from a place of authority is the definition of dogma, and the institution of medicine is just another opportunity to be dogmatic. Except this time with a lot of social clout, and people’s lives in your hands.
Most of the time it’s no big deal. e.g. Doctors are NOT trying to kill you when they give vaccines. e.g. We DO need to treat your diabetes even though you don’t have any bothersome symptoms right now.
But there are many many times when doctors trusting their med school education, or a biased set of evidence, or what their mentor told them to do, hurts patients. Like when we told women not to breastfeed, or that C-sections are just as safe as vaginal births. When we told families that there was no risk in prescribing antidepressants to adolescents. When we bolstered the idea that “the more tests the better”, and weren’t thoughtful about when to test and when not to. And this is not to mention the more clear-cut, and historic (widely publicized), examples, like Tuskegee, lobotomies, and Henrietta Lacks.
The point is, medicine is susceptible to dogma just like anything else and I think it’s our responsibility as doctors to do the math (like ladykay did) and keep our ears pricked for times when institutionalized bias, obscure motivations, and misinterpreted numbers are misleading us.
It’s also why I hate the distinction between “traditional” and “alternative” medicine – because it encourages us to dismiss on the whole an entire set of practices as ineffective, or non-evidence-based, when the distinction between these practices and the ones we use are more or less arbitrary. There are practices within traditional medicine that are dangerous or ineffective, and ones which are safe or effective. There are practices within alternative medicine that are dangerous or ineffective, and ones which are safe or effective. In both cases, we should use our brains to figure out which is which rather than somebody else’s labels.
This whole conversation is also why I really want all doctors and future doctors to read The Structure of Scientific Revolutions by Thomas Kuhn. It’s a philosophy of science book that discusses the formation of new ideas within the scientific world, and how the whole process is based on certain dogmas he calls normal science, and that progress depends on someone paying attention to when anomalies build up so that a paradigm shift can occur. I think this whole concept is so important for doctors because being the dinosaur that holds onto old ideas just because “that’s how it’s always been done” means hurting patients.
Okay, y’all. I think I’m finished with my rambling rant. Just…question everything, medblr bbs. Please?
Piggiebacking on a piggie back- in ND school we had a “how to analyze research” class first quarter of first year because “alternative medicine” research is often so poorly done. While I try to be as moderate as possible both because conventional medicine has saved my life and because I risk being dismissed as a “witch doctor” the instant I say something too counter to the establishment, I find that the dogma is very strong about even tiny things. So yes. -Keep your eyes open -Remember that statistics can say whatever you want them to say unless you’re also a whiz with raw data and numbers -RCT isn’t god, and an appalling number of practice setting decisions are based on RCT that no one has been able to replicate - and most of the research is done on a population you aren’t treating. Polypharmacy, female patients, a patient that isn’t reacting the way you expect them to react….the list goes on. - so don’t forget about skepticism, art, and tradition while you evaluate these things.
I’m blogging ( more like surfing tumblr) way past my bedtime, and I unfortunately don’t have enough time to read all the fascinating comments, so i’m reblogging for my futur self to read.Â
And also for the people to whome I will appear in the dashboard.Â
by georgj007
You don’t have to want it every second of every day. It doesn’t have to consume your mind. It’s ok to not work towards your goals 24/7. It doesn’t make you any less dedicated, it just makes you human.
- Why me? - That is a very Earthling question to ask, Mr. Pilgrim. Why you? Why us for that matter? Why anything? Because this moment simply is. Have you ever seen bugs trapped in amber? - Yes. - Well, here we are, Mr. Pilgrim, trapped in the amber of this moment. There is no why.
Slaughterhouse-Five by Kurt Vonnegut, 1999 (via 1000bestbooks)

Anya is live and ready to show you everything. Watch her strip, dance, and perform exclusive shows just for you. Interact in real-time and make your fantasies come true.
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I know you’re sad, so I won’t tell you to have a good day. Instead, I advise you to simply have a day. Stay alive, feed yourself well, wear comfortable clothes, and don’t give up on yourself just yet. It’ll get better. Until then, have a day.
What to do when you just feel blah
1. Accept it; don’t fight it. Trying to understand and fight those heavy painful feelings, will usually weigh you down and drain away your energy. 2. Be nice to yourself. Don’t make things worse by beating yourself up. You didn’t choose your feelings. It’s already tough enough! 3. Do that one thing that’s nagging on your mind the most. It will help to boost your feelings and release some energy. 4. Think about the little things that help to bring you pleasure – like walking in the sunshine or smelling fresh spring flowers. 5. Remind yourself that this will pass, and something will get better. You just need to hang in there, and wait it out for now.