a chronotope

✨ Please reblog the polls to make them reach out to as many people as possible, but KEEP IT SPOILER-FREE to make people listen to the music with an open mind 💖 Artists and titles will be revealed after the poll's conclusion, check the original post for an update! ✨

Without exploiting anyone.

Museum of Natural History (New York City) - Childhood favorite. Field trip nostalgia. Still love it.

Like, that's all there is to it. The US will say shit about China that's inaccurate and fearmongering, but when we address that misinformation we should acknowledge that China is not some underdog we should be rooting for, it's a massive state that's genuinely terrible in other, accurate ways because it is a capitalist authoritative system.

There are differences, of course. Like the US tries to uphold a vague pretense of democracy and human rights and is a little more restrained about putting minorities in concentration camps (but still doing some of it), while China has been less aggressive about starting wars in other countries and drone bombing countries it claims not to be at war with. But it would be ridiculous to look at that and decide that one of these is a Good Guy. They are states. They are not on our side. Not ever.

I think about that exchange now and then, some times more than others. Why do we do the things we do? What do we really believe in? My next clinic patient is one I’ve known for many years. He is visiting me today via Zoom. I always look forward to talking to him. 2 of

As soon as the visit begins, I notice that his camera is angled off-center so I can’t get a clear look at his face. I ask if he can adjust it, but he says he’s having technical issues. No problem. I can adapt. It isn’t just the camera though. Something feels off today. 3 of

Almost immediately I can tell that he sounds subdued. He isn’t cracking his usual jokes. I’m comfortable with silence, even in the heart of a busy clinic day. Silence is often where the healing happens. After asking how he’s doing, I let the silence between us grow. 4 of

The question, when he asks it, is one I don’t expect. “Doc, which kills you faster? Blood pressure you don’t control, or blood sugar you don’t control?” The surprise on my face must register, because he explains further. “I just can’t afford all these medications anymore.” 5 of

He continues. “The way I see it, doc, I only need to stick around 4 or 5 more years. That’s how long my pet dog has left, then I ain’t got no more family and it’s me all on my own. So I figure maybe take the diabetes ones and skip the blood pressure? Or every other day?” 6 of

As I review his meds and start discussing our options with him, he adds one last remark. “And I’m real sorry doc. I know we go back a ways, but I can’t afford my co-pay. I’ll pay you later. Promise.” And just like that, I understand why his camera is angled. 7 of

And just like that, I’m again struck by the cruel illusion of what I do. The system I’m part of. This patient did everything right; got insurance, paid his taxes. And he still has to barter years of his life. And he can’t bring himself to look me in the eyes as he does so. 8 of

Our healthcare system is too often unethical, immoral, unsustainable. The insurance paradigm is focused on revenue generation. It strips the basic human dignity from patients, to the point where they can’t even make eye contact anymore. I know that I’m part of this system. 9 of

He’s old enough to be my father. Some part of me imagines that he is my father. Tears threaten my vision, as a hot anger floods me. Now I wish I could angle my camera away. I ask him if I can write about him. Because people need to know. His response lingers with me. 10 of

“Sure you can doc. But people already know. Lots of people deal with this. It ain’t that people don’t know. It’s just that nobody cares. Nobody gives enough of a damn to change anything. Nobody… cares.” The visit ends. My Zoom window closes. His window closes too. 11 of

I feel it. There’s something insidious here. A casual cruelty we’re all complicit in. “I can’t go to rehab, insurance won’t cover it.” “Insurance won’t pay for that medication.” “I can’t afford any of this.” “I’m uninsured.” This isn’t right. None of this is right. 12 of

Twenty years ago, I gave a medical school interview. I wore my best suit. I sat up straight. I said I believed in medicine. I meant it. Some part of me once burned brightly, but that fire is down to flickering embers. Our lives mean more than this. More than this.

The two Big Rules when instructing younger students was- 1. Compliment before Critique 2. Don’t say ‘but’, say ‘now’

Praise kids on what they get right first, especially if they are struggling. Like OP said, kids don’t like to engage with people who make them feel bad. They need encouragement when learning new things.

Number two boils down to this. If you tell a kid a compliment, then say “but you need to fix this”, that ‘but’ completely negates your compliment. It’s gone. It was canceled out like adding a negative to a positive. Using “hey, that punch is looking great, now let’s focus on your stance” doesn’t verbally cancel out the progress they’ve made. It’s like they’ve checked off something on their list of stuff to work on.

1. We need to attract students!!

2. What do young people like? WEBSITE STUFF

3. Hire million dollar consultants to change the website for no fucking reason which somehow makes everything broken