DEAR READER


pixel skylines
he wasn't even looking at me and he found me

Kaledo Art
AnasAbdin

ellievsbear
RMH
🪼
Xuebing Du

JVL
noise dept.
PUT YOUR BEARD IN MY MOUTH
"I'm Dorothy Gale from Kansas"
Cosimo Galluzzi

@theartofmadeline
NASA

#extradirty

shark vs the universe

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@stiofan-mgc

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❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️
ᴇɴᴊᴏʏ ᴍᴏʀᴇ ʙᴏʏs ᴀɴᴅ ʙᴜᴛᴛs ᴀᴛ ᴀ ɢᴀʏ ᴏꜰ ʟɪꜰᴇ
so uh
i just discovered a youtube channel that does entirely live action remakes of spongebob episodes to get around the fact that you cant post the actual episodes
and theres actually a lot of effort put into this?????
holy shit
the commitment………. the acting…. the sound effects… the dance number at the end.. this is amazing
ᴇɴᴊᴏʏ ᴍᴏʀᴇ ʙᴏʏs ᴀɴᴅ ʙᴜᴛᴛs ᴀᴛ ᴀ ɢᴀʏ ᴏꜰ ʟɪꜰᴇ

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
WHOO lmao
WHERE IS THIS FROM?!
If ever there’s a tomorrow when we’re not together, there’s something you must remember.
All men now live through too much, and think through too little.
Friedrich Nietzsche, The Wanderer and His Shadow (via philosophybits)
Gay sex life, unlike straight sex life, is never a private matter. When a man and a woman walk hand in hand, it is their love that they make public. When two men walk hand in hand, it is their sex life that they make public… Our words are acts; our privacy is public. This reality stems from the nature of homophobia.
Rabbi Steven Greenberg
“Wrestling with G-d and Men: Homosexuality in the Jewish Tradition” (2004)
Farewell to Trinity
In cool evening twilight the expectant air of this city full of life, this charged atmosphere
Steps fall away into ponderous glide as I float across town from St. James’s to College Green.
Once more under the arch, the last time as a son of learning, I swallow the still of the Square, feel the calm excitement of long evenings.
Reflect and reminisce on a journey near close, opening onto a New Square. A new scene awaits my unhurried feet.
The Museum building sparkles as the cherry blossoms sway. Couples on benches embrace. I pass groups of two’s and three’s.
Drowning in welcome gratitude for the chance that found me; a boy from Kilbarrack, a doctor from Dublin, a student of Trinity.
Not once across these cobble stones did I forget their history. Now passing through with fond farewell I leave behind me Trinity.

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
Experience is simply the name we give our mistakes.
Oscar Wilde (via lunarix)
Geese guys! Geese!
Most bang-for-buck things every intern should know before starting inpatient wards
Source. A collection of Meddit resources and advice on what bread-and-butter topics interns would most benefit from brushing up on/memorizing prior to the beginning of their internship. 1) Fluids. How and when to use them, dosage, timing and other pearls.
Review of fluids (not how to use them per se) by Dr. Strong /u/ericstrong
Maintenance Intravenous Fluids in Acutely Ill Patients - NEJM.
Pretty thorough review of fluid management on openanesthesia.org
2) Nausea. When to treat, how to treat and at what dose.
3) Standard pn orders: pain killers, sleep aids and antiemetics aka how to reduce nighttime calls from nurses by 25%
4) “Reflex” antibiotic choice for routine inpatient infections.
http://www.bpac.org.nz/Supplement/2013/July/antibiotics-guide.aspx /u/ChristianM and /u/ive_been_up_allnight
5) Initial work-up and treatment of dyspnea. (more realistic to approach by symptoms as, unfortunately, you first have to diagnose whats wrong. E.g. heart failure, pulmonary edema, embolism, COPD, pneumonia).
6) Initial work-up and treatment of oliguria/anuria.
7) A sensible initial approach to suspected ileus.
8) Blood. When, how, why to replace.
9) Pain. Optimal management without inducing narcosis.
Managing cancer pain: Frequently asked questions: CCJM
10) Potassium. When, why and how to shift or replace.
A review on both potassium and sodium disorders by Dr. Strong /u/ericstrong (Not reposted in 12) hyponatremia but applies there as well) https://www.youtube.com/playlist?list=PLYojB5NEEakXVIAapcSEleP4doUdHVtld
11) Hyponatremia. Most common electrolyte disturbance, commonly mismanaged.
12) Resuscitation aka commit the ACLS algorithms to memory.
Current ACLS guidelines. https://www.acls.net/aclsalg.htm
Would love a video series, interactive cases etc.
13) Basic EKG interpretation.
Whole EKG video courses
A whole free youtube EKG video review course by meddit’s own u/ericstrong
An alternative EKG course that takes you through all the basics. This however has no free version and costs 96$ a year. The quality is amazing. Here are 6 basic sample videos on youtube. The paid course is available on http://www.ecgteacher.com/
I have to admit I haven’t used this course personally but his free youtube videos are on-point and he seems like a good teacher. Also behind paywall. Free youtube samples are here. The full course can be found here https://www.ecgacademy.com.
EKG video cases
Amazing case-of-the-week emergency medicine EKG videos on youtube by Dr. Amal Mattu
– If you like Dr. Mattu’s cases (and you most certainly will) he is still posting every single week on his new site https://ecgweekly.com. It costs 4 starbucks coffees a year and is going to save someones life.
Practice EKGs with answers
Watching videos isn’t enough, you still have to grind out EKGs to keep your game strong. Visit http://ecgmadesimple.com and http://ecg.bidmc.harvard.edu/maven/mavenmain.asp for this.
EKG blogs
I recommend signing up for some kind of RSS feed (e.g. https://feedly.com/) and subscribing to the following EKG blogs:
http://hqmeded-ecg.blogspot.is (Dr. Smiths ECG blog)
http://www.ems12lead.com
http://ecg-interpretation.blogspot.is
http://jhcedecg.blogspot.is
EKG resource libraries
Life in the fastlane has a nice resource to look up a specific EKG finding, criteria or concept.
http://www.practicalclinicalskills.com/ekg.aspx /u/collidge
14) Know when to order ABGs and how to interpret them.
Almost too detailed video lecture series on ABGs and how to interpret them by Dr. Eric Strong (/u/ericstrong)
Practice makes perfect. ABG interpretation generator. https://abg.ninja/abg
Bonus 15) Basic CXR interpretation
CXR video lecture course
Again, Dr. Eric Strong has an excellent video course for free on youtube
Step-by-step guides to basic CXR interpretation
The Radiology Assistant: Chest X-ray - Basic interpretation
Radiology Masterclass step-by-step basic CXR
University of Virginia’s step-by-step basic CXR
All inclusive resources
The art and science of thoracic imaging All inclusive resource for all things thoracic! Jokes aside amazing resource.
UPenns CXR learning website
Loyola Universities excellent CXR Atlas Most outdated look but amazing content.
Checklist approach to CXR
Bonus 16) Overnight o-shit-what’s-that Head CT interpretation
Midnight radiology: Emergency CT of the head
University of Virginia’s guide to the Head CT
Hey, self: review before NCLEX. Xo, me.
Oh hell yes
For future reference.
Must. Study.
To Be Disciplined
What is it to achieve? Aspirations long dreamt of may visit of leave or arrive unannounced. More often they approach from afar, and sight seldom lost by the faithful with sacred regard for the spoils slowly nearing.
Toil, labour, and sweat be his lot who sets course for distinction, charts line - straight shot, but wide meanders make more accurate the prediction.
Upon the brink of depair and elation it does well to hear a truth hard learned. ‘Accolades afford but fleeting satisfaction; To achieve is to be disciplined.’
S.M.G.C.

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
No human being is illegal.
Elie Wiesel, winner of the Nobel Peace Prize in 1986, author of Night, and survivor of the Auschwitz, Buna, and Buchenwald concentration camps. (via caitrionabalfe)
An achievement is a bondage. It obliges one to a higher achievement.
Albert Camus (via scienceyoucanlove)