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@myelinmatters
The Dana Foundation is a private philanthropy that explores the connections between neuroscience and societyâs challenges and opportunities.

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hello, misa! i am the freshman premed who asked erbiumspectrum for advice. on that post you responded with your own insights, and you mentioned your father as well. thank you so much for your advice!
sleep is often highlighted as the most foundational, crucial aspect to learning effectively or being the most efficient student possible. as you have read, i tried to see how far my body could push itself but this ended up backfiring as i would fall asleep at random points of the day, and when break rolled around i was sick for half of it đ
i genuinely just feel like it is unavoidable to lack sleep in medical school and beyond. even the most high performing, efficient medical students and practicing physicians say that it is an inevitability anyone who wants to pursue the profession should get used to. i thought that by exposing myself early, i would be able to adjust, but again it has just massively backfired and my performance dropped. in the field i want to pursue, surgeons are working 70-110 hours a week. i am sorry to bother you with this but i really am lost and i dont personally know any doctors in my life. i really do want to prepare myself as much as possible, and grit i have realized is a quality i am lacking. i am trying to reach out to as many people as possible and today i thought of your dad, among others. how did he perform at such a high level while running on little to no sleep, especially during his residency? thank you so much :)
I AM SO SORRY!!! I DON'T KNOW HOW I MISSED THIS ASK I AM SO UTTERLY SORRY I JUST SAW IT TODAY!!!!
So I asked my dad and a few of my friends and cousins who are in the medical field, and I have slightly varying responses. My dad did his residency some 30-40 years ago, so he doesn't really remember anything from it. This post will be slightly long and disjointed because I am not necessarily the best one to talk about this, and I have my personal biases, so please take what I say with a grain of salt. I will try to mention all the places my biases play in, but in general, too. AND TW Suicide and depression. Please proceed with caution.
My dad had no choice but to study. He came from a farming household, and was actively encouraged to drop out of school at the age of 9 so he'd help in the fields. He ran away from home at 9 years old and thankfully, he received good government education free of cost. He studied enough to get a scholarship for university in a bigger city and he chose medicine. So he had to work hard, because failure wasn't an option for him. Once he finished his studies, he wanted to go home and start his residency there, but he couldn't because of political unrest (which I don't want to dwell into further cause my country's political situation now is essentially hopeless and I don't want unnecessary trouble for my dad at the age of nearly 60). He managed to get scholarship for his residency in the big city, but he had hardly any spending money, and the stamp of coming from a poor household is difficult to erase when everyone around you is rich. At that time, he obviously did not get to sleep well, take care of his health, nothing. He had no choice but push through and persevere for his future.
His side of the story cannot help you a lot, because his biggest motivator was to be able to make a living, not work in a challenging field. His cases now are generally not on the difficult side, and my dad prefers that. We make enough that he gave his only child private education and now higher education in a foreign country. I suppose you want to go into the field with noble pursuit, and I again, commend you for the efforts you are putting in for it.
But if you burn yourself out before you even reach the point of your residency, how will you be able to achieve what you want? Also residency is inherently different from studying. You can go about in a sort of autopilot after you have been there for a while, what you cannot do as a student. Being a student requires active mental participation which exhausts you in ways that is difficult to repair from. I'm not saying residency is only physical work, but it is slightly more of repetition than studying is, and honestly? When you are at that point, there's a sort of "well, we'll have to get through this one way or another" which helps you get past that sleep barrier. Is it healthy? Hell no. Does it work out? Yeah.
The other ones I asked were my friend and cousin who are more...GenZ? They've had horrible sleep schedules since their high school days, and they both also told me the same thing. It helps in a way that they're used to their body being active at unusual parts of the day, but it doesn't mean it necessarily helps with the exhaustion which follows. What I have gathered from this is that residency is difficult, regardless of if your body is prepared for it or not. When you're at the stage, your body has already made mental preparations for it, and it's slightly easier to get through it.
My dad says that had he not followed a strict sleep schedule during his teens and early 20s, his body would not have been able to handle the residency days. While I suppose this was my dad using a backhanded way of telling me to sleep on time, his words do sort of hold weight. This was also a horrible time to ask my dad this, because his colleague's son, who was admitted to essentially one of the most prestigious universities in the country, committed suicide a few days ago. All we know is that he could not handle the pressure that comes with being the top 200 minds in the country. In India, to get to these universities you have to study continuously for 3-4 years for 16-18 hours straight. I am not lying when I say that if you don't do this, you will essentially never get in. No amount of intelligence can get you to these universities, it is a matter of sacrifice of youth, happiness and a sense of self. This is where my own biases fit in, and I have never considered these institutes noble, or the amount of distress and effort it requires to get into these institutes praise worthy. It is commendable, and I applaud these kids, but in the end I will mourn for the childhood they lost over this even if they don't.
This brings me to my next point and again, these are my own opinions and they are heavily biased, but do not waste your youth away for something that you will have to face in your future. I am not saying you shouldn't focus on studying and doing your best, but it should never come at the price of your health. You cannot save lives if yours is at risk.
I'll make an analogy with my life and my mother's, which are vastly different from residency, but I have a point, I promise. My mother comes from a farming family herself, however she did not have the opportunity for education the way my dad it. She had to take up the job of an elementary school teacher in her mid 20s, in a village different from hers, and had to live in a rented room. My mother is extremely clean, and has very high standards of hygiene. The only washroom available to her and the other women living in that house was a shared washroom with the people who worked in the paddy fields, which had a thick layer of mud and debris in the bathing area (obviously because people working in the fields are also using the same bathroom). They had to fill water from a tap outside in a bucket, take the bucket in the makeshift tiny bathroom, with a pigsty attached to one of the walls. It was disgusting, and my mother said she does not even want to imagine what it felt like at that time. As for me, I was raised in comfort, if not luxury, and wouldn't even step on my bathroom floor without slippers on (I sound so spoiled, no? haha). During my internship, I had to live in a room which was humid and damp, in 40 degrees of the summer with mosquitoes, which is fine, I had been through it when I was a child. What was unbearable was the washroom which had cobwebs so thick they made up full fabrics, centipedes and millipedes always entering my room, and cockroaches which flew into my tshirt on multiple occasions. I almost wanted to quit. But I pulled through, I survived that place. And I know having a roof over my head and especially knowing that that life was temporary is one of the biggest motivators for me being able to push through, and again I know people live worse lives than that.
But my point is what my parents usually say, "when it happens, you'll adjust." And they were right, if you had told me a year earlier that I would have to go through that, I'd probably stress the fuck out of it. But well, it's over. I did cry myself to sleep when the first cockroach flew into my tshirt, by the second time I had the killing spray in hand and didn't even yell. You will get used to it, it will work out.
I think this was my extremely long winded way of saying, don't push yourself to the point of your body breaking down. Stressing yourself out from this stage will only hamper and dim your motivation to excel. Do enough to get to the next stage of your dreams, study for applying to unis, study in the unis to get into your field. Once you get to your residency, well- it will suck. it will be extremely difficult, but you will get through it. When you're at that stage, you'll push yourself through. ALSO REMEMBER, that if you feel like it's too much, step down. NOTHING is more important than your health. And not reaching your dreams does not make you a bad person, or a failure. It just means you know where to draw the line, and where to prioritize yourself, which is a very important quality if you want to live your life. You have one chance at life, don't give the joy of it up for something impending in the future. Go out, hang out with friends. Hang out with your family if you're close to them, trust me. It's these memories which will get you through the difficult times. Your career does not define your life, you do.
if you read about any biology you can quickly lose touch with what is astonishing and miraculous vs what is mundane, from animals that steal chloroplasts to become photosynthetic, to cloning technology being old hat, to trees that didnât biodegrade for tens of millions of years, to naturally occurring lateral gene transfer between vastly different species, to the creation of gametes from adult cells, to the ability of some cancers to induce blood vessel growth, to desert shrimp that lie dormant for years, to the sensitivity of human touch receptors, to the fact that human hardware has a latent ability to see UV but their corneas block those wavelengths, to birds that echolocate and live in caves, to human skin being covered in enzymes that destroy RNA, to individual trees becoming genetic tapestries branch by branch, to life forms that gain energy from the electron potential of metals in their environments, to plants that recognize their siblings and adjust their behavior accordingly when growing next to them, to metamorphosis
which is to say. All of it is miraculous. and all of it is mundane. biology is Chaos vs. Order locking horns forever
I was trying to understand the Nazis' idea of "Degenerate art," so I have been reading through Max Nordau's book "Degeneration" which is freely available on Project Gutenberg. It was published in 1892. Nordau himself was Jewish but also racist, in conformity with what passed for "science" in those days.
It is a really interesting insight into how fascism and eugenics developed, and how entwined both of those things are with the history of psychiatry.
Nordau believes in a Lamarckian idea of evolution where if an organism's body is damaged or altered by the environment, those acquired traits can be passed onto offspring. This is very important for understanding the arguments of the book.
Nordau thinks that modernity is damaging the bodies and minds of humans, making them perpetually exhausted and weak, which makes them susceptible to "degeneracy," the decline of health, morality, and reason through regression to an animal-like state. His explanations for how this works, which I assume from his citations are basically what experts thought at the time, are fascinating to read. He gives theories for how the brain and the senses work that are a little bit right but dreadfully limited and mostly wrong.
Many of Nordau's main points, though, are basically identical to today's arguments about art, morality, sexuality, and censorship.
Furthermore, the social and human phenomena he describes, including psychiatric phenomena, are much more familiar and easily mapped onto modern concepts than I thought.
I wish I could find it again, but there was a book from...1904? maybe 1914?...describing the treatment of mentally disabled kids in an asylum, that I found online.
It was STRIKING to me how the descriptions of the kids matched perfectly to modern descriptions of ADHD and autism. This book also contained numerous descriptions that seemed unmistakably, obviously like ADHD or autism.
But the labels they used were: "mental defectives," "imbeciles," "idiots," and other things even more offensive.
What is so interesting is that Nordau describes, and singles out, what are popularly considered harmlessly quirky or even positive traits of neurodivergence, and identifies them as part of "degeneracy," categorized along with more noticeable or stigmatized forms of mental disability. He especially emphasizes sensory hyper- and hypo-reactivity as a trait of "degeneracy" in many places.
Here's an example of his descriptions:
âImbeciles (weak minds) present, in graduated intensity, the phenomenon of fugitive thought (Gedankenflucht), i.e., the incapacity to retain, or to unite in a concept or judgment, the representations automatically and reciprocally called into consciousness in conformity with the laws of association, and also that of reverie, which is another form of fugitive thought, but which differs from it in that the particular representations of which it is composed are feebly elaborated, and are therefore shadowy and undefined, sometimes so much so that an imbecile, who in the midst of his reveries is asked of what he is thinking, is not able to state exactly what happens to be present in his consciousness. All observers maintain that the âhigher degenerateâ is frequently âoriginal, brilliant, witty,â and that whereas he is incapable of activity which demands attention and self-control, he has strong artistic inclinations. All these peculiarities are to be explained by the uncontrolled working of association.â
This book made me consider the possibility that what we now call ADHD was actually significantly more disabling and stigmatized in the early 20th century, because criminality and mental illness are so closely linked in here, and it is highly visible how traits like impulsivity and emotional dysregulation were extremely costly to have.
At one point he gives a really detailed description of synesthesia, including grapheme-color synesthesia:
Sounds are said to awaken sensations of colour in many persons. According to some, this was a gift of specially finely organized nervous natures; according to others, it was due to an accidental abnormal connection between the optic and acoustic brain-centres by means of nerve filaments[...]That it is a question of purely individual associations brought about by the accident of associated ideas, and not of organic co-ordinations depending upon definite abnormal nervous connections, is made very probable by the fact that every colour-hearer ascribes a different colour to the same vowel or instrument. We have seen that to Ghil the flute is yellow, to L. Hoffmann (whom Goethe cites in his Farbenlehre) this instrument is scarlet. Rimbaud calls the letter âaâ black. Persons whom Suarez mentions heard this vowel as blue, and so on.
And he is REALLY pissed off about it.
In any case, it is an evidence of diseased and debilitated brain-activity, if consciousness relinquishes the advantages of the differentiated perceptions of phenomena, and carelessly confounds the reports conveyed by the particular senses. It is a retrogression to the very beginning of organic development. It is a descent from the height of human perfection to the low level of the mollusc. To raise the combination, transposition and confusion of the perceptions of sound and sight to the rank of a principle of art, to see futurity in this principle, is to designate as progress the return from the consciousness of man to that of the oyster.
Like, he is absolutely seething.
hello pals!! this is a masterpost of half (or so) of the reference posts i reblogged/made. i tried uploading this masterpost as just one big masterpost but i had over 250 links so that failed and here i am again. here is part one, encapsulating studying + certain subjects which will be followed by part two (slightly more general) here! enjoy â¨
studying, school, + learning
what iâve learnt throughout my years of being a student
notes, studying, and self-study resources
self-study resources
starting a studyblr
college + uni
how to get studying
online study guides
good habits
exams!
study management
school is starting soon
back to school (1)
back to school (2)
back to school (3)
back to school reminders
50 things to know for back to school
get prepared for a new school year
school resources
final grade calculator
writing emails to professors
cheap textbooks etc!!
save money on textbooks
school
first week of school stuff
testing effect
make studying fun
high school tips
101 study tips
types of learners
lazy kidâs guide to good grades
catching up on missed work
university tag
igcse resources
sat tag
act tag
ap tag
ib tag
a-level revision tips
diy school supplies
test taking tips
a complete guide to studying (well)
time to study!
groupwork (1)
groupwork (2)
tips tag
study effectively from textbooks
studying better
surviving your least favourite class
studying a subject you hate
success
doing research
understanding the question
pomodoro
study tips
tactile learning
how to concentrate
concentration
exam day
ultimate study masterpost
study tips for exams
school survival
studying on the go
how to read academic journal articles
how to study smart
how to remember anything in 3 steps
distraction-free studying
motivation
my study instagram + study blog
+ motivation links
motivation masterpost
stay motivated
get that homework done!
reaching goals
getting motivated
motivation through anime
writing
writing tag
recover an unsaved draft
uni writing resources
add citations!
annotating (1)
annotating (2)
advice for writing papers
writing helps
essay writing tips
how to write an essay
writing term research papers
active vs passive voice
writing masterpost
academic writing resources
essay checklist
reduce your word count
essay writing links
how to write and execute a huge piece of work
summary writing
the discursive/argumentative essay
the narrative essay + the descriptive essay
note-taking
note-taking in class
cornell note-taking
cornell (2)
lecture notes
illustrating notes
banners
maintaining good notes
note-taking
sticky notes
flashcards
colour-code + highlight effectively
colour-coding
studying from textbooks
study guides
upgrade your notes
illustrate your notes
mind maps
note-taking for different lecture types
ribbon drawing
smart highlighting
lettering ideas
how i take notes
note-taking tips
aesthetically pleasing notes
fake cursive notes
languages + literature
the ultimate english masterpost
shakespeare
literature masterpost
annotating
studying a foreign language
100+ legal sites to download literature
approaching poetry analysis
write a killer unprepared text essay
literary analysis research papers
classics
how to ace lit
reading lit
write a rhetorical analysis essay
practice oral comprehension!!
how i study for english lit
poetry analysis (1)
poetry analysis (2)
how i learn languages
self-studying languages
languages tag
how to open a new book
literary devices
literaty devices w/ printables
literature masterpost
grow your vocab
a guide to vocab
language learning tips + resources
SUPER IMPORTANT FOR POLYGLOTS
tips + tricks for learning a language
chinese
english
french
german
greek
italian
japanese
korean
latin
maltese
polish
russian
spanish
swedish
humanities + other subjects
studying humanities subjects
gathering materials for a humanities research paper
philosophy
philosophy tag
psychology tag
politics + government
women of wwi
ap world history
coding
design resources
sciences + math
how to memorise diagrams
biology (1)
biology (2)
studying biology
biology help
biology note-taking
anatomy + physiology
physiology
physics
ap physics
chemistry (1)
chemistry (2)
chemistry note-taking
studying chemistry
maths tag
how to study for math
how to study math (1)
how to study math (2)
math (1)
math (2)
math (3)
10 tips to excel in maths
avoid carelessness in calculations
succeed in math without really trying
math resources and links
algebra (1)
algebra (2)
precalculus
geometry
space + astronomy (1)
space + astronomy (2)
hope this helps + please check out part 2 as well!! ilysm đÂ
ps here is a list of all my masterposts just in case đ
- helena xx

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A quick post by a lazy student : How to read academic journal articles
As an upper division psych student, many of my classes require literature reviews and research projects with sources from peer reviewed articles and empirical research. I thought Iâd make a quick post about how to read journal articles in the fastest + most effective way possible!Â
My first tip is to make sure your articles are from trusted sources. Use academic databases like EBSCO, SpringerLink, or even Google Scholar! If you are a university student, check out the resources and databases you have access to!Â
How do I search a Database?Â
Top Ten Database Search Tips Searching in Databases
The parts of an article
+Abstract; The abstract is essentially a summary of the article. It will go over the hypotheses, testing/research methods, as well as any important results
+Intro; The intro usually gives background information and any related information to the topic of study
+Method;Â The method section explains how the research was conducted.Â
+Results; Pretty self explanatory. This section goes results of the experiment and should include quantitative data.Â
+Discussion; This section discusses how the results relate to the hypotheses, the significance of the study, alternative explanations, etc.Â
+References; The references section is a list of sources the researchers used to write their article.Â
How the hell am I supposed to know if this 18 page article is useful or not?Â
1. Read the Title and the Abstract. This should tell you how relevant it is to your topic of study. If it seems like it might be helpful, go to the intro.Â
2. Go the last paragraph of the Intro section. This should give you the exact hypotheses of the study. Still seems helpful? Continue to step 3.Â
3. Skip to the first paragraph of the Discussion section to see how well the data supports their hypotheses.Â
Okay, what next?Â
Once youâve done this, you have a general understanding of the hypotheses and the results. After that, youâre going to want some evidence. This should be in the Methods and Results section of your article. This is where youâll find a good amount of information for your lit. review or research paper.Â
Iâm still not sure if this article is useful or notâŚ
ask yourself:Â
1. What are their hypotheses?
2. Do their results prove/disprove their hypotheses?
3. What is their evidence?Â
If you canât answer those easily, itâs time to move on to the next article.Â
if anyone has figured out how to keep the momentum going while also experiencing genuine contentment and satisfaction in their lives. i would love to know
Donât go to medical school.
I donât necessarily rescind this statement but⌠prospective med students should know the ugly however statistically unlikely it is
I am not sure I would want my children to go into medicine, if I have any. Iâm not saying I wouldnât support them, but Iâm not sure that this life is something I could recommend to people I love. I have a younger sister in med school (who will excel whatever she does, anx has the brains and guts to leave if she wishes), and a younger brother who I hope goes into a field that makes him happy.
It scares me that I have to worry about the wellbeing of all my friends in medicine. That I have to fight for my own sanity. And that though there are things I love about medicine, enough to stop me from leaving, I wish for better for those that I love. I want them to be happy, to feel valued and supported. To feel like they are living their best life. And that can be a hard thing to achieve in our line of work.
When I hear about classmates of classmates committing suicide on a monthly basis, something needs to change
I think this is a really important takeaway.
Yes, we should be proud of ourselves when we beat insurmountable odds to move forward in this field. Yes, we should have lots of quality exposure to be sure this is what we want.
But we shouldnât congratulate ourselves for surviving in a broken system, and then turn around and perpetuate it to those coming after us. (One of my seniors brushed my concerns off with âthatâs residency.â) This system, especially in GME, is set up to beat the joy of patient care out of us.
Medicine is a calling. You put almost a decade of work and huge sacrifice into it, only to find out in the course of a week that you may not get to practice? Forget being squeezed out of your specialty, what about not being a clinician at all?
Whenever stories break about another physician/student suicide, seldom do we actually see the dark side. We know someone died, we see there may have been cries for help, but the critically important details are left out. Notes are sometimes left and the contents are rarely discussed, which is understandable but tragic as I would bet there are a lot of answers about the way medical education failed them in a time of need.
My point is, we need to air the dirty laundry of medical education if thereâs any hope in making it better and safer. My wife and I developed serious reservations about sending out kids to med school in the current climate⌠not because we became cynics about patient care, but because we worry theyâll be destroyed and become another statistic brushed under the rug.
Precisely. So many people who are good doctors, and came into it with lots of determination, passion, skill and desire to help people, still end up burning out and leaving. Whilst itâs fair to warn people of the reality (I believe schoolkids should be given the information to make more informed choices about their careers), that totally doesnât excuse any line of work from being stressful and bad for you. It doesnât excuse training pathways that basically leave you stranded and basically just âtrainingâ yourself. It doesnât excuse poor working conditions. It doesnât excuse having to stay late. Or bullying. Or lack of support. Or just being expected to do too many things. Or how the system makes you personally responsible for all its failures. Or how (and I quote multiple people I know) problems are basically ignored unless you get to the point of having a breakdown. Because itâs just not good enough to say âthatâs just how it isâ. Excuse me. We restart hearts that stopped. We stitch up mangled limbs. We save babies dying of sepsis. We give people years of lives they would otherwise have lost. We restore quality of life. We restore equilibrium to minds that are hurting. We make death comfortable, and bring peace to the suffering. We work small miracles on a regular basis. And you think weâre going to take âthatâs just how it isâ ?!? We make the difficult possible every day. If we can do that, then thereâs no excuse; we (as a society) can make medicine better for the people in it.
Clerkship Pearl #90
âFailureâ is like saltâit can be unpleasant on its own but it is necessary in some quantity for survival, and it is essential for you to truly appreciate and savour your successes. You need a pinch of salt to make even the sweetest treats, so try not to throw your âfailuresâ away and instead embrace them as key ingredients to the good things you experience in life.
It is 100% possible for things to be too salty, though, so perhaps this requires a reframing of your perspective on what âfailureâ means to you. You might find that you are mistaking sugar for salt.
This gets more and more important for me to remember as time goes on, because the more I know and the further on I am in my training, the higher the stakes when I DO fail.
This is really hard for me to think/write about, but here goes.
I failed an exam this week. Itâs one of those exams that everyone tells you should be fine because it assesses things âyou do everydayâ. Itâs supposed to be like a milestone of success in our program; passing means you are a âcompetent residentâ. Everyone is expected to pass.
The basics: you have an hour with a patient/family to get a history and do a physical exam, then you have to formulate a case summary and a prioritized problem list for this patient. The entire encounter is observed.
Sounds simple enough; like they kept telling us, â[we] do it every dayâ with every consult, every clinic encounter.
Everyone tried to encourage us. âYouâre set up for success today!â, âthe examiners are all really nice!â, âthe patients were specifically selected to be great!â.
So this makes it all the more crushing when you receive, âUnfortunately, you did not pass your exam today.â
I think I promptly went through 4/5 stages of grief:
1) Denial. How? How did this happen? This couldnât have happened, Iâm at least competent. Iâm supposed to be on the journey of striving toward excellence.
2) Anger. Why did they spend all that time telling us that this would be easy/relaxed/okay? It seems really backwards that our program has been trying to be progressive and provide timely, specific feedback but I did this exam first thing in the morning and they didnât tell me the result until after 5PM on a Friday, and the onus is on me to chase down the feedback for why I failed? Of course, canât do that until the following Monday, and so I can spend the entire weekend replaying every moment I can remember of the exam picking apart every little thing I did wrong or every thing I missed or every thing I should have done better and just get more and more angry at myself for being incompetent. Iâm angry that this is a requirement we do in our third year of residency, when it feels too late to change the way Iâve developed my clinical assessment strategy, and makes me feel like everything Iâve done until now was worthless. I am angry I spent so much time and energy organizing practice cases up until now and feeling like I was making progress only to fail the actual examâwhat was the point of doing all those practice cases then? Was I really improving or was I just fooling myself?
3) Bargaining. Maybe Iâm looking at this the wrong wayâmaybe the feedback will be helpful. Maybe I can turn this into a learning experience. Maybe this is one of those moments where âwhat doesnât kill you makes you strongerâ. Maybe theyâll be open to an actual discussion about what I can do better. Maybe⌠maybe I donât belong here. Maybe I was never meant to be a doctor. Maybe Iâm just not good enough, and Iâll never be good enough. Maybe this is a good thing, telling me that spending any more time or energy trying to be something Iâm not is just going to be a waste.
4) Depression. I donât want to go back to work. How am I supposed to show up and see patients after Iâve essentially just been told that everything Iâve been doing in my training must have been wrong, or insufficient, or just not good enough for the last 3 years? How am I supposed to do a consult when Iâll be second-guessing myself over and over and over until nothing ends up done? How can I trust myself to care for anyone when I must have been screwing everything up all along? Honestly, the thought of attending a clinic or doing a shift right now makes me feel like Iâm going to vomit. I donât know what the process is to ask for time off secondary to âcomplete lack of motivation to get out of bed because what I thought was my purpose in life has been violently derailed by an exam that my peers seem to have been able to pass easilyâ. I kind of want to curl up and hibernate for the foreseeable future since clearly I have no other contribution to the world at this point.
Iâm stuck in this stage right now. Still a little shell-shocked, still rattled, and still nauseous at the thought of returning to clinical duties. I feel like the entire sleep debt Iâve accrued throughout undergrad, medical school, and residency thus far has slammed right into me like a freight train and I just want to go to sleep and never have to worry about waking up.
I know Iâm being dramatic; I think eventually, Iâll feel better. Iâll be able to spin this in a positive light, because hopefully the feedback will actually be helpful and I will be able to figure out a way to better myself. Hopefully, this experience (this failure) will just be another handful of salt over my shoulder when all is said and done.
But for now, it feels like an endless ocean of salt water and I canât find the will to keep myself afloat.
a strange dream of mine
(perhaps merely a fantasy):
someone sees through our eyes
just for one shift
they see the monitors beeping, the parents weeping,
the children--looking like they might only be sleeping
the clock,
the way numbers look different when you call them out
after the phrase
"time of death"
then they see the family that screams
your next patient--climbing all over the gurney
they have been waiting for several hours.
you send them home,
they curse your name, your family,
(your own children)
because you had the audacity
to "do nothing".
next, they see the dirty looks
from all the parents pacing the hallway between patient rooms
as you rush toward the bathroom
and as you sit on the toilet, head in your hands,
they see you cry,
they see you wash your face,
they see you take one more second to steel yourself
put your PPE back on
and go back to work
with those venomous stares
stabbing you in the back with every step you take
toward the next patient you need to see.
then, the end of the shift--
returning home in a blur;
no one knows how you got there,
least of all, yourself
how you stare at the shower floor until next thing you realize
you've dragged yourself into bed
your partner turns over, half-asleep,
"how was your shift?" they say, groggily
"fine," you reply, quiet
you stare at the ceiling until it's time to go back to work
and do it all again.
and someone seeing through your eyes--
that's when they wake up
would they be surprised? shocked? horrified?
this is where the fantasy ends
because i'm too afraid to know
on whose behalf that silent witness
feels their heart break
(most of the time
when we lose sleep after a shift
we're the ones that feel most strongly
that we didn't do enough
and we saw it all
firsthand)
-- thoughts from the front lines 2023

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When I say Iâve been dealing with school-induced anxiety throughout my whole academic career, Iâm really being serious - my parents told me I used to ask them all the time if it was difficult to learn how to read and write, and worry if Iâd ever get the hang of it like my older sister had done. Soon enough I started stressing about homework, exams and extracurricular activities, and it hasnât changed much since, but I learned how to overcome it.Â
I admit I get good grades, and the reason I work so hard it is because I worry about my future. Therefore, being concerned about your performance is a crucial part of succeeding, but once that concern turns into obsession and something that often overwhelms you, it means that itâs become something unhealthy - and that is whatâs going to damage your performance. This kind of anxiety has become a big thing not only among college students but also the younger ones, who are still struggling to graduate and get into university, and unfortunately, most donât know how to manage it.Â
Anxiety and stress can lead to major health problems such as depression, fatigue and many behavioral, sleeping, respiratory and mood issues. Personally, Iâve been dealing with insomnia, mood swings, chronic migraines and some other things due to school-induced anxiety and stress, but thankfully Iâve been feeling much better once I decided to do something about it and care more for my well-being by building new healthy habits and getting rid of bad ones.
Todayâs education system still has a lot to improve and we do need desperately to talk more about mental health in schools, but for now, lâd like to share some tips that have personally helped me how to stay on my feet and keep my head held up high despite the many bumps on the road.
Keep organized all year long
The one thing that will save you that one week filled with deadlines and exams is your level of organization. How do you store your notes, scored past exams and completed exercises? These are crucial during a revision session, and if theyâre not in hand once itâs time for that, it can further worsen your mood. Having everything in place for when you need it will make you feel in control, which is exactly how you want to feel. Hereâs a few steps to help you putting everything in their rightful place:Â
Keep a thin plastic folder on your bag, and whenever youâre given a sheet, place it inside the folder at the end of the class.
Once you get home, organize all the sheets inside the folder. You can do it every other day or every weekend if itâs troublesome to do it every day. If you use a binder for the corresponding class, place it there. If you use a notebook and donât like gluing papers onto the pages, consider buying one of those thick folders with multiple compartments - this way, you can place the sheet in the classâ compartment and find it easily once you need it.
Regularly throw away papers you donât need anymore - having useless stuff around might cause even more stress.
Have a space in your room which is exclusive for your books, binders/notebooks and all other school material so you always know where to put things and where to find them.
I want to stress the importance of a pencil case - it might seem like silly remainder, but I know a lot of people who just donât have them. It doesnât need to be fancy; some of my friends use ziplock bags as pencil cases, and they work just fine. It just helps you keep your pens, pencils, highlighters and whatever else you need in one place.Â
Keep up with your calendar
This is like the second part of the whole âkeep organizedâ tip. I seriously canât stress this enough. Dates are important; please keep track of them. The best way to do so is by having a calendar on your wall and a planner with you all day.Â
Again, it doesnât have to be anything fancy. Iâll have some free printables of calendars and planner pages below, but you can make your own monthly calendar out of a A4 sheet (which is what I usually do), and you can find some pretty cheap planners out there.
Just to make sure itâs clear, Iâm talking about planners, not bullet journals. While bullet journals are great to keep up with tasks and such as well, the advantage of planners is that you can write down things that will happen in weeks by turning a few pages since the dates are already printed for you. While you can write down reminders in the bullet journal, you might forget to check later, while the planner will remind you once you get there. The calendar on the wall is also a great way to keep up with reminders.Â
Like mentioned above, even though itâs not essential, keeping a bullet journal is an awesome hobby, and can be a really good friend if youâre serious about boosting your productivity and keeping up with daily tasks. Iâll leave some in-depth posts about it below as well!Â
Remember to write down everything on your planner: when your homework/essay/project is due, the date of your test, any holidays, etc. It will be super helpful once you need to plan your study schedule before a exam season.
If you prefer having an app that can do that for you, I highly recommend the My Study Life app.
Resources:
emmastudiesâ 2019 yearly calendar printables
emmastudiesâ 2019 monthly calendar printables
emmastudiesâ weekly planner printable
studydiaryofamedstudentâs printables (habit tracker, weekly planner, meal planner, month planner)
jackiejapaltureâs exam study kit printables (exam schedule, finals week schedule, weekly planner, essay planner, definitions sheet, notes sheet)
bullet journal tutorial by studypetals
Exercise
You donât have to lift heavy weights or run a marathon, and you donât have to exercise every day either. Try to exercise three days a week, the way you like the most. Exercising is an extremely efficient way of releasing stress and maintaining a body that is body healthy physically and mentally. If done in the morning or before a study session, it can even improve your concentration.
You can go on walks outside! Create a playlist with your favorite songs, put on some comfy sneakers and just go. It can actually be quite pleasant and not difficult at all.
You can enroll on a gym if you donât like walking outside, and maybe even ask a friend or a family member to start going with you if you donât like being on your own.
If neither of those ideas sound appealing to you, you can try doing some home exercises. There are plenty of easy workout videos for you to follow online. These include pilates, yoga, but also some pretty intense bodyweight and cardio ones.Â
Yoga is one of the best physical ways to release stress. I donât do it regularly but my sister convinced me to try it a few times and itâs amazing. There are a bunch of yoga videos online, such as morning and bedtime routines, that have really helped me start the day in a good mood or manage to help me sleep once itâs over. There are some that are even targeted to when youâre feeling very anxious or stressed.
Resources:
Yoga for anxiety and stress
Yoga for bedtime
Total body stretch
Apartment-friendly cardio workout
Eat healthy
Eating healthy doesnât mean you have to go on a diet or try to lose weight. I know plenty of people that are quite thin or donât really want to lose weight, but who eat really crappy food. Eating bad food can have several bad side effects other than making you gain weight, such as acne, low energy, mood swings, insomnia, and many other things. That doesnât mean you canât eat that cookie daily, but eating processed food for every meal definitely wonât do you good on the long run. Here are some practical tips:
Try to have lots of veggies with at least one of your meals
Try leaving junk food and soft drinks exclusively to the weekend
Eat your favorite fruits for snacks
Sometimes buying your breakfast instead of making it when you âdonât have the timeâ itâs even more time consuming; Iâll leave some really good and ridiculously easy recipes bellow!
12 healthy smoothies
5 lazy, quick & healthy meal recipes (vegan)
5 healthy lunch ideas for school & work
Drink water
Again, so important! Keeping your body hydrated has so many advantages, especially when it comes to your mood. You need to replace the huge amounts of water you loose everyday by drinking it all back, and help maintain the balance of body fluids - theyâre responsible for things such as digestion and transportation of nutrients. And so, drinking water can help you relieve fatigue, keep concentrated and think more clearly, which are essential things for a student.
It can be hard if youâre not used to it, so you can start small, with 1 liter (33 oz).
Try to slowly increase you intake to 2 liters (which is about eight 8-ounce glasses of water, and hence why people say you should drink about 8 glasses of water per day)
Measuring the quantity in glasses can be quite troublesome sometimes throughout the day, so what I like doing is bringing my water bottle everywhere. I have a 600ml bottle and my goal is to drink 3 liters daily, so I have to drink 5 bottles.Â
To keep on track and remember how much Iâve already drank, I use the Drink Water app. Itâs really simple to use, and you can adjust your goal accordingly! Iâm not sure if itâs available for Android, but you can easily find similar apps for any phone!
Communication
If you think you need it, please open up about whatâs been going through your mind to someone you trust. If you donât feel like talking to a family member of friend, look for a teacher you trust at school. You can even search for your schoolâs psychologist - most have it, and theyâre generally the nicest people out there, and would be very happy to hear what you have to say and give really good advice.Â
Finally, please consider seeking professional help. Therapy really does help; talking out loud with a professional who knows exactly what to do to help you will certainly be a good option. When my anxiety was really bad, I used to go to a psychologist weekly and she helped me made the right decisions and keep going! I donât need her assistance anymore, but Iâll always be grateful for her help, and proud of myself for deciding to keep visiting her even when I didnât feel like it.Â
Resources:
International helplines
Take a break
Sometimes the healthiest way to put yourself back together is taking a few steps back and letting go for a while. Maybe a day. Maybe an entire weekend! Take the time to read a book, hang out with your friends, binge-watch your favorite TV show⌠the ideas are endless. Just donât do anything school-related.
Of course, if youâre near exam season this would be hard, but if you keep organized all year long, Iâm sure an opportunity will arise - to take it!
Keep going!
Never forget that you can do it! No matter how difficult it seems, you can always keep going as long as youâre not overworking yourself and seeking unhealthy coping mechanisms. By keeping organized and taking care of your health, youâll see that your daily routine will become easier and your mind will clear up, so donât give up!
âWhen you reach the end of your rope, tie a knot in it and hang on.â â Franklin D. Roosevelt
How to Read a Scientific Article
THE THREE-PASS APPROACH
The key idea is that you should read the paper in up to 3 passes, instead of starting at the beginning and plowing your way to the end.
Each pass accomplishes specific goals and builds upon the previous pass:
The first pass gives you a general idea about the paper.
The second pass lets you grasp the paperâs content, but not its details.
The third pass helps you understand the paper in depth.
At the end of the first pass, you should be able to answer the 5 Cs:
Category: What type of paper is this? A measurement paper? An analysis of an existing system? A description of a research prototype?
Context: Which other papers is it related to? Which theoretical bases were used to analyze the problem?
Correctness: Do the assumptions appear to be valid?
Contributions: What are the paperâs main contributions?
Clarity: Is the paper well written?
Purpose of the Sections of Empirical Articles
Section â Use it for
Abstract â This is a great section to read to find out if the article will be relevant to your own research.
Introduction â This section gives you an overview of work that has been done on topics relating to the hypothesis of the article, and will often lead you to other relevant work that has been done in your area of interest.
Method â This section will help you understand the design of the experiment. This is particularly useful if you'd like to replicate the study.
Results â The results will tell you what the author/s found in the course of their experiment.
Discussion â The discussion section is typically easier to read than the method and results section, and it will help the reader understand the implications of the results of the experiment.
References â This is a great place to look to find articles that are related to the one you are reading. If you're looking to build your own literature review, the references are a great place to start.
The Anatomy of a Scientific Paper
Some initial guidelines for how to read a paper:
Read critically: Reading a research paper must be a critical process. You should not assume that the authors are always correct. Instead, be suspicious. Critical reading involves asking appropriate questions.
Read creatively: Reading a paper critically is easy, in that it is always easier to tear something down than to build it up. Reading creatively involves harder, more positive thinking.
Make notes as you read the paper. Use whatever style you prefer. If you have questions or criticisms, write them down so you do not forget them. Underline key points the authors make. Mark the data that is most important or that appears questionable. Such efforts help the first time you read a paper and pay big dividends when you have to re-read a paper after several months.
After the first read-through, try to summarize the paper in one or two sentence.
If possible, compare the paper to other works.
Write a review that includes:
a one or two sentence summary of the paper.
a deeper, more extensive outline of the main points of the paper, including for example assumptions made, arguments presented, data analyzed, and conclusions drawn.
any limitations or extensions you see for the ideas in the paper.
your opinion of the paper; primarily, the quality of the ideas and its potential impact.
The guide below details how to read a scientific article step-by-step.
First, you should not approach a scientific article like a textbookâ reading from beginning to end of the chapter or book without pause for reflection or criticism. Additionally, it is highly recommended that you highlight and take notes as you move through the article.
Skim the article. This should only take you a few minutes. You are not trying to comprehend the entire article at this point, but just get a basic overview. You donât have to read in order; the discussion/conclusions will help you to determine if the article is relevant to your research. You might then continue on to the Introduction. Pay attention to the structure of the article, headings, and figures.
Grasp the vocabulary. Begin to go through the article and highlight words and phrases you do not understand. Some words or phrases you may be able to get an understanding from the context in which it is used, but for others you may need the assistance of a medical or scientific dictionary. Subject-specific dictionaries available through our Library databases and online are listed below.
Identify the structure of the article and work on your comprehension. Most journals use an IMRD structure: An abstract followed by Introduction, Methods, Results, and Discussion. These sections typically contain conventional features, which you will start to recognize. If you learn to look for these features you will begin to read and comprehend the article more quickly.
 Read the bibliography/references section. Reading the references or works cited may lead you to other useful resources. You might also get a better understanding of the basic terminology, main concepts, major researchers, and basic terminology in the area you are researching.
Reflect on what you have read and draw your own conclusions. As you are reading jot down any questions that come to mind. They may be answered later on in the article or you may have stumbled upon something that the authors did not consider. Here are some examples of questions you may ask yourself as you read:
 Have I taken time to understand all the terminology?
Am I spending too much time on the less important parts of this article?
Do I have any reason to question the credibility of this research?
What specific problem does the research address and why is it important?
How do these results relate to my research interests or to other works which I have read?
6. Read the article a second time in chronological order. Reading the article a second time will reinforce your overall understanding. You may even start to make connections to other articles that you have read on this topic.
Identify Key Information
Whether you are looking for information that supports the hypothesis in your own paper or carefully analyzing the article and critiquing the research methods or findings, there are important questions that you should answer as you read the article.
What is the main hypothesis?
Why is this research important?
Did the researchers use appropriate measurements and procedures?
What were the variables in the study?
What was the key finding of the research?
Do the findings justify the authorâs conclusions?
Sources: 1 2 3 4 5 6 â More: Notes & References â Writing Resources PDFs
hello pals!! this is a masterpost of half (or so) of the reference posts i reblogged/made. i tried uploading this masterpost as just one big masterpost but i had over 250 links so that failed and here i am again. here is part one, encapsulating studying + certain subjects which will be followed by part two (slightly more general) here! enjoy â¨
studying, school, + learning
what iâve learnt throughout my years of being a student
notes, studying, and self-study resources
self-study resources
starting a studyblr
college + uni
how to get studying
online study guides
good habits
exams!
study management
school is starting soon
back to school (1)
back to school (2)
back to school (3)
back to school reminders
50 things to know for back to school
get prepared for a new school year
school resources
final grade calculator
writing emails to professors
cheap textbooks etc!!
save money on textbooks
school
first week of school stuff
testing effect
make studying fun
high school tips
101 study tips
types of learners
lazy kidâs guide to good grades
catching up on missed work
university tag
igcse resources
sat tag
act tag
ap tag
ib tag
a-level revision tips
diy school supplies
test taking tips
a complete guide to studying (well)
time to study!
groupwork (1)
groupwork (2)
tips tag
study effectively from textbooks
studying better
surviving your least favourite class
studying a subject you hate
success
doing research
understanding the question
pomodoro
study tips
tactile learning
how to concentrate
concentration
exam day
ultimate study masterpost
study tips for exams
school survival
studying on the go
how to read academic journal articles
how to study smart
how to remember anything in 3 steps
distraction-free studying
motivation
my study instagram + study blog
+ motivation links
motivation masterpost
stay motivated
get that homework done!
reaching goals
getting motivated
motivation through anime
writing
writing tag
recover an unsaved draft
uni writing resources
add citations!
annotating (1)
annotating (2)
advice for writing papers
writing helps
essay writing tips
how to write an essay
writing term research papers
active vs passive voice
writing masterpost
academic writing resources
essay checklist
reduce your word count
essay writing links
how to write and execute a huge piece of work
summary writing
the discursive/argumentative essay
the narrative essay + the descriptive essay
note-taking
note-taking in class
cornell note-taking
cornell (2)
lecture notes
illustrating notes
banners
maintaining good notes
note-taking
sticky notes
flashcards
colour-code + highlight effectively
colour-coding
studying from textbooks
study guides
upgrade your notes
illustrate your notes
mind maps
note-taking for different lecture types
ribbon drawing
smart highlighting
lettering ideas
how i take notes
note-taking tips
aesthetically pleasing notes
fake cursive notes
languages + literature
the ultimate english masterpost
shakespeare
literature masterpost
annotating
studying a foreign language
100+ legal sites to download literature
approaching poetry analysis
write a killer unprepared text essay
literary analysis research papers
classics
how to ace lit
reading lit
write a rhetorical analysis essay
practice oral comprehension!!
how i study for english lit
poetry analysis (1)
poetry analysis (2)
how i learn languages
self-studying languages
languages tag
how to open a new book
literary devices
literaty devices w/ printables
literature masterpost
grow your vocab
a guide to vocab
language learning tips + resources
SUPER IMPORTANT FOR POLYGLOTS
tips + tricks for learning a language
chinese
english
french
german
greek
italian
japanese
korean
latin
maltese
polish
russian
spanish
swedish
humanities + other subjects
studying humanities subjects
gathering materials for a humanities research paper
philosophy
philosophy tag
psychology tag
politics + government
women of wwi
ap world history
coding
design resources
sciences + math
how to memorise diagrams
biology (1)
biology (2)
studying biology
biology help
biology note-taking
anatomy + physiology
physiology
physics
ap physics
chemistry (1)
chemistry (2)
chemistry note-taking
studying chemistry
maths tag
how to study for math
how to study math (1)
how to study math (2)
math (1)
math (2)
math (3)
10 tips to excel in maths
avoid carelessness in calculations
succeed in math without really trying
math resources and links
algebra (1)
algebra (2)
precalculus
geometry
space + astronomy (1)
space + astronomy (2)
hope this helps + please check out part 2 as well!! ilysm đÂ
ps here is a list of all my masterposts just in case đ
- helena xx
do you have any advice for reading journal papers? sometimes the material is so dense I find them difficult to read!
some of these coincide with general study tips but here's a list from my experience:
Printing out papersâI tried using a computer and it just doesn't work for me
Reading in the order of abstractâintroductionâconclusionâresults/discussionâmethods. Reading the conclusion towards the beginning helps me connect things more easily
Having a "scrap" notebook to just jot down thoughtsâIt can be important stuff or just figuring out basic concepts or doodling. Allowing my brain to wander helps me process what I'm reading. Nothing needs to be neat or organized since I write up notes after anyways
Having a "scrap" notes doc for citations or links with brief descriptions of what it is. You can also use this to copy/paste important quotes and put a link/pg #. I get overwhelmed having too many tabs openâif you are not reading for a specific research project this is not usually necessary and can be too much if you are just starting to read journal papers
I recommend looking up things you are unsure of, even if they seem elementaryâhowever if it's taking too long, just put a question mark and come back to it... Its a process to know your limits
Having a pomodoro-like timerâmine is set to 32m, with 8-16m breaks. Reading continuously makes it harder (at least for me). Sometimes I'll put it down and restart the next day if it feels like a bunch of jumble
Changing environment, being in public study spaces (e.g. library) helps me focus and other people studying puts pressure on me to not constantly check my phone
Check if your school has a journal club in your subject area. It can seem like a lot at first but it exposes you to the language and eventually you'll be able to connect the dots. Also don't be afraid to ask questions, journal clubs are specifically made for discussion of papers!
You can also ask questions to professors in that field, whether in class or by email (although a lot of professors tend to not be great at answering emails)
Trying to do too many things at once will overwhelm me so its mostly me finding ways to organize my brain. It's going to be different for everyone but hopefully some of these helps!
My current reading is centered around the same topic so I started with an overview paper (like a "review" paper) then I started reading more specific papers. Reading about the same topic goes faster since you are familiar with the language / concepts.
I will say some physicist (or some STEM people) are not... the greatest writers so it does make it a little bit more difficult to read. It's okay if it takes you a few days to read a paper, as with most things you'll get better/faster with practice.
i can not and i mean i can not stress this enough⌠make a bibliography as you do your research. i mean, make a fully formed, correctly cited bibliography as you work. just do it. i know i know youâre being lazy or you hate making citations or youâll just get to it later or you donât want to get distracted etc etc etc
whatever your reasons just make the fuckin bibliography
and while im at it⌠put the footnotes in properly as you are writing. just⌠do it. for future you. please. for your sanity. do it.
A great resource to help you compile your bibliography is mybib.com. It formats your bibliography for you and you can choose your referencing style too! It can also help you find references that would otherwise take you ages to find. (Itâs also free)
If youâre in physics or STEM, usually you use LaTeX for papers. LaTeX/Overleaf has a system where you just need to add information to a *.bib file and itâll format it all for you in the bibliography style of your choice! Overleaf has a lot of documentation and its good to just start it so you have some idea before you start a paper. So as you go along you can make very rough notes with citations in an Overleaf doc and have all your bibliography information already stored. Also, a lot of paper sites have an option to either copy or download a *.bib file. Just search for âcitationâ or something similar on the site so then you can just copy and paste it into your own *.bib file!

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Other advice posts that may be of interest:
How To Stop Procrastinating
How To Study When You Really Donât Want To
Active Revision Techniques
do you have any book or essay recs that are eye-opening or ones that challenges your thought process if u get what I mean
100%, here is writing that shifted something inside me:
Books
Figuring by Maria Popova: about how genius and creativity is a human project; she looks at all these ways in which ideas connect with each other; the book is just a really beautiful exploration of how the search for truth and beauty is a human project. She also runs a blog which is very good
The Lonely City by Olivia Laing has forever changed how I think about loneliness for the better, and I can only hope to have something as beautiful to say someday
Invisible Women by Caroline C Perez: I'm putting this here more because it could put in numbers and quantify the levels of gender disparity, and to my mind, give a sharper edge to the conversation that was feeling very abstract and theoretical to me
Ducks, Newburyport by Lucy Ellman: this is a difficult read, mostly because the book is a 1,000-page stream of consciousness that is basically one long sentence. I loved it, and at the end of it I remember going wow, you thought this book up
A similar feeling came from reading The Indian Ideology by Perry Anderson, but I want to point out that this is a book that requires a reasonable level of familiarity with the discourse on secularism, democracy and social justice in India
The Tribe by Carlos Manuel Alvarez: essays, part-memoir, part-notes from journalism, about Cuba in the 2010s and especially after Castro died. It was such an excellent glimpse into what living during and through this shadow of the Cold War could be like
I'm currently reading Second-Hand Time by Svetlana Alexievich, which does a similar thing with Russia after the collapse of the Soviet Union and until the mid-2010s. It's very very interesting and heartbreaking and emotive and informative all at once seeing how the Russian people thought about the end of the Cold War
Essays (there are definitely more, but Iâm the worst at remembering names)
Geographies of knowing, geographies of ignorance by Willem van Schendel
The Trouble with Wilderness by William Cronon
Marrying Libraries by Anne Fadiman (if this is not what love is, I don't want it)
Justice as Fairness: Political not Metaphysical by John Rawls
Fences by Zadie Smith (I read this in her collection, Feel Free but I think you can find it online too)