Okay, ACLS recert is all done! Now I get another 2 years before I have to take Necromancy Class again and watch a really stressed out newbie try to do a 200J defib on a-flutter (there is always someone).

Every so often they give me a copy of reviews patients leave for me. I got one that rated me positively, and then mentioned at least 4 times that I "seemed interested" and "made eye contact." My friends, the bar is so low that it is on the floor.

just so you know how these campuses deal with actual antisemitism

It drives me insane how many people dont realise how often they break the law and that if the full force of it was ever applied life would basically be unliveable. Like between traffic violations, petty workplace theft, account sharing and piracy alongside how common it is to have been in posession of some illegal drug at some point in your life. People still manage to get away with thinking "criminals" are people who commit crimes not just populations that are surveilled enough to be routinely prosecuted

One of my alcohol-addicted patients died, and I am devastated. I got to know him so well, and he was such a kind man. He was trying so hard and had been for years, but just couldn't ever make sobriety stick. We had tried everything. He even went a good few months sober but relapsed and drank himself to death. I don't just feel like I lost a friend. I feel like I failed him.

“It Is an Honor to Be Suspended for Palestine”

Dispatches from the Solidarity Encampment at Columbia University

https://crimethinc.com/Columbia2024

In this in-depth report, participants offer a blow-by-blow account of the events at Columbia, appraising the tactics that the demonstrators have employed and the challenges that they face.

If you make the claim that "we will lose democracy if we don't keep voting for biden", then we don't really have a democracy now, do we? If the choice is genocide or genocide, then there is no choice. This is the always the final destination of liberal democracies: The fascism terminal station.

Anyone on here who knows about cat behavior, advice would be appreciated. I took in my brother's cat Pete a while back. He is a sweetheart, but I have never met a cat so clingy. He follows me everywhere and refuses to get off me. Wherever I sit, he crawls on top of my lap or between my arms and starts smushing his face into my lips. He is a BIG cat and it is actually uncomfortable for me to hold him like this for long. If I push him away or lift him to the floor, he crawls right back. He cannot be deterred in any way and always forces himself back on top of me. I figure this is some sort of anxiety response. Anyone have any thoughts on what I can do? I love Pete, but it is so bad I can't accomplish any work due to a large cat pinning my arms down. Plus, if it is an anxiety thing, I don't like thinking that he is so anxious all the time.

Joe Biden would rather risk full on war than stop genocide.

I've noticed that already. I played Midnight in Salem first, which I think is the newest one, and the difference in difficulty between that and Blackmoor Manor is like night and day.

I have been trying to force myself to relax after work by playing puzzles, and decided to give some puzzle video games a try because the cats won't leave my physical puzzles alone. I got a few of the old Nancy Drew games because I heard they were pretty tricky. Well let me tell you: I won't ever doubt the existence of God again. He must be real, because there sure is a devil, and that devil designed these goddamn Nancy Drew games. Years and years of higher education are nothing in the face of Nancy Drew. The box says ages 10 and up. I want to meet the 10 year old who beat the Curse of Blackmoor Manor without a guide, for that child either needs worshipped as divine or burned for witchcraft. No normal 10 year old could beat this without help - my mind and my pride cannot accept it. I am continuing to play the Nancy Drew games. I am not having fun, but I cannot let them win.

almost none of the reasons why i support abortion rights have anything to do with babies. really it’s more about the fact that I think the government shouldn’t be able to force you to lend all your organs to someone else and change irreparably in the process. is a fetus a person? I don’t care! If it is a person, I don’t want anyone to be forced to host one against their will! If it isn’t a person, guess what? Nobody should be forced to host one against their will! What’s a soul? What’s a person? When does life begin? IRRELEVANT! A world in which the government can force anyone to manufacture an entirely new human body at the cost of their own is not a world I want to live in!

I have been trying to force myself to relax after work by playing puzzles, and decided to give some puzzle video games a try because the cats won't leave my physical puzzles alone. I got a few of the old Nancy Drew games because I heard they were pretty tricky. Well let me tell you: I won't ever doubt the existence of God again. He must be real, because there sure is a devil, and that devil designed these goddamn Nancy Drew games. Years and years of higher education are nothing in the face of Nancy Drew. The box says ages 10 and up. I want to meet the 10 year old who beat the Curse of Blackmoor Manor without a guide, for that child either needs worshipped as divine or burned for witchcraft. No normal 10 year old could beat this without help - my mind and my pride cannot accept it. I am continuing to play the Nancy Drew games. I am not having fun, but I cannot let them win.

Work-related rant here…

I have noticed that a lot of the colleagues in my area let so many "minor" abnormalities slide despite being signals of a larger problem. I have had patients walk in with really obvious abnormalities ongoing for years without any further investigation done. Example: I had a guy come in with a complaint of weight loss and joint pain. His skin looked weird. Did some basic labs - AST was 40, platelets were ~130. Obviously alarm bells started going off, so I checked his ferritin. It was 3500. Did genetic testing to confirm- hereditary hemochromatosis. It took me quite literally one visit to diagnose this man. Here's the annoying part: afterwards, he got me copies of labs from his previous providers. He had mild LFT elevations and mildly low platelets for years. He has been dealing with this, having damage done to his liver, for years because no one thought an AST 40 + PLT 130 was a combination worth investigating, despite his "unexplained" family history of death by liver cancer.

I would love for this to be a one-off event, but it isn't. I inherit "diet controlled" diabetics with double-digit A1Cs, patients with positive HCV ab testing and no follow up, people with a GFR <60 and no mention of kidney disease in their chart or renal dosing performed, HFrEF patients with no ACE-I/SGLT-2/BB etc, and just… ugh! I am so upset about this HH patient that now I all of my frustrations about shoddy local care are coming out. I just want people to pay attention. I feel like I am always cleaning up messes and I am tired of it.

I don't know if it was med school, residency, depression, or just the general and ever-increasing stresses of adulthood, but I feel like my potential for creativity and creation is dried up. I try to write, but I don't want to. I try to paint, but I don't want to. I went to all the trouble of hauling my old piano into the new house, yet I've touched it maybe 5 times. I was artistic once. I don't know where that part of me went. I am just so mentally exhausted all the time! All I have the cognitive bandwidth for is staring into space or sleeping.