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#tw: gynecology
intersectionalpraxis · 3 months
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Defend and Protect Black Women!!
Misogynoir medical bias is KILLING Black women disproportionately. If you know even a little history of how Black women have been systematically dehumanized and objectified in the medical industrial complex -you'd know this is FAR too common and it's despicable. These medical professionals should be losing their licenses to practice medicine.
"Black women are three to four times more likely to experience complications during pregnancy and childbirth and die from these complications compared with white women. Additionally, infants born to Black women are two times more likely to be born premature (<37 weeks of gestation) compared with infants born to white women."
"In the 19th century, J. Marion Sims performed experimental surgery on enslaved Black women without their consent to develop a cure for vesicovaginal fistula. These experiments facilitated the generations of two key health care scripts about Black women in the context of reproductive health care: (1) it is acceptable to perform procedures on Black women without their consent; and (2) Black women have a high tolerance for pain."
"Although there is a plethora of research documenting Black women's experiences of racism and discrimination while navigating perinatal care, much less has been reported regarding the relationship between racism and clinical care through the lens of clinicians' caring for Black women during pregnancy and childbirth."
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warmhappycat · 1 year
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Fully 1/3 of women are raped or beaten in our lifetimes, and yet obgyns have NO fucking system for “I can do this procedure RIGHT THE FUCK NOW but if you make me book an appointment and think about it for a month I will either kill myself or just not ever do it.”
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dduane · 10 months
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(while going through some casual photos:)
How You Pull Ivy Off The Wall
(I was outside in front of the house one morning, trying to pull this effing tenacious crap off, and breaking my nails... and then I thought: "Why am I doing this? I'm a nurse. We have a tool for this kind of bullshit.")
...And lo and behold, we do. :)
ETA per @maybeasunflower's questions:
(a) What makes the gynecological clamps better? They were sort of spoon-shaped at the ends, with little grabby teeth on the insides of the "spoons". You could grab much more of an ivy stem with them. My regrets that I can't summon up their proper name from the depths of time. ...Must make a run up to the surgical supply place in Dublin and see if they've got any.
(b) Which rotation in your nurse training gave you the skills to remove ivy with Foley clamps? Med-surg. Debridement: i.e. debriding someone who's fallen off a motorcycle at speed onto gravel while not wearing leathers or other protective garments. Getting the deeply-embedded gravel out of the damaged tissue requires a very similar skillset. Fortunately, when working with ivy one needs to have far less concern about handling the process in such a way as to cause minimum pain to the substrate you're removing it from. The wall doesn't care. :)
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Following the news that Kate Middleton has in fact been diagnosed with cancer, I’d like the take the time to offer some information on cancer in afab people and some charities to support.
Cancer is a very personal and scary thing to face, and according to Cancer Research UK, every two minutes in the uk someone is diagnosed with cancer. Over 182000 women in the uk are diagnosed every year.
Almost half of all cancer cases are diagnosed at stages 3 & 4, and screening rates for breast and cervical cancers have fallen in the last few years in England and Scotland.
According to The Eve Appeal, around 60 afab people are diagnosed with gynecological cancers alone every day in the uk, and 21 of them will not be able to receive appropriate treatment in time.
People around the world are woefully uneducated about cancer as a whole, but the stigma and lack of proper knowledge given to the public and young afab people about our own bodies means that we often go under diagnosed, or are too afraid or ashamed to see a doctor until it’s too late.
I’ll be listing some informational pages to help people learn about the signs of breast and gynecological cancers that I believe every young person with an afab reproductive system needs to know. On the pages from The Eve Appeal and Breast Cancer UK there is also information for transgender and intersex people.
All of these sites have information on how to identify possible markers of cancer, information on how to get tested, and on how to donate to their charities. I highly suggest everyone regardless of gender identity have a look through to potentially help yourself or a loved one.
-Roe
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uncanny-tranny · 10 months
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Man, as a trans guy and abuse survivor, whenever I see people saying the likes of, "lmao, men shouldn't be allowed in anything deemed 'women's healthcare'!" It just reminds me that - especially in healthcare - my safety and comfort will never matter so long as it continues to condradict people's preconceived notions of what constitutes people worthy of healthcare. It's just something I wish the well-meaning people who are rightfully frustrated with the state of healthcare would take a second to remember.
Yes, the healthcare system sucks and we must fix it. No, that doesn't mean we ought to leave behind people just because they challenge us on our own biases.
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hylianengineer · 16 days
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I've been reading about IUDs and I'm really shocked by how much all the official websites want to tell me they don't hurt that much when inserted, even as they cite evidence to the contrary. In people who haven't given birth, fifteen percent experience severe pain and the average pain rating out of ten is 6.6 (both numbers are lower in people who have given birth, and 6.6 is right on the border between what this study classifies as moderate vs severe pain). That's BAD! That's over one in ten people, or about the same odds as me rolling a 1, 2, or 3 on my 20-sided dice during a Dungeons and Dragons roll. If you've played Dungeons and Dragons, you're probably thinking the same thing I am - I do not like those odds.
Also, that 15% study was partly funded by the companies that make IUDs, so I consider it suspect - in the sense that I'd expect them to report it being less awful than it is.
This article I'm reading just said not to rely on 'online scare stories' for information. Bitch, you're the one writing the scare story! The data is right there! Fifteen percent! Six point six out of ten!
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ineffectualdemon · 8 months
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Finally leaving the hospital once my husband gets back here
18 hours without eating
30 hours without sleep
28 hours without a shower
1 accidental attempt at the splits
1 out of hours office
2 A&E departments
blood tests
1 dnf Urine test
1 completed urine test
1 internal ultrasound
1 cervical examin
5 mini breakdowns
Theories ranging from period cramps to PCOS
And the result?
¯⁠\⁠_⁠(⁠ツ⁠)⁠_⁠/⁠¯
I have two small fibroids which are unlikely to be the culprit but could be flaring or it could just be pain for no reason that will go away
It could even be my fibro pain just making things miserable on purpose
Anyway I'm going home, taking a shower, eating, and potentially passing the fuck out
This has felt like a massive waste of everyones time and I hate myself and I'm still in pain
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firemedicdiaz · 11 months
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It’s over.
It’s finally over.
I’m free.
Had my final appointment at the cancer clinic today.  It was a pelvic exam and colposcopy to make sure that I was all healed up inside after the hysterectomy and that there were no traces of any abnormalities.  I’d been anxious about the appointment for WEEKS.
It wasn’t my surgeon who saw me, it was one of her associates, but she was so kind and understanding and empathetic that I felt good about it going into the procedure. The procedure itself was super un-fun given how one of the symptoms of menopause is vaginal dryness/atrophy.  All the lube in the world didn’t make that speculum go in any easier and it hurt like hell, but once it was in place it was fine.
After a thorough look and feel and a LOT of anxiety on my part, the doctor pronounced me fully healed and fit to return to all activities.  She said that there is no need for them to see me again, that this is it, but that if I have any concerns come up or any questions in the future or issues related to any pelvic health, to give them a call back and they’d take me back on without question.
That said, though, I never need another pelvic exam.  I never need another pap test.  I never need to deal with all of the menstrual bullshit again.  I can bid cancer goodbye and good riddance.
It’s actually, finally over.
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acrossthewavesoftime · 11 months
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Do you have any theories as to the cause(s) of Mary and Anne's obstetrical problems?
In fact I do, but II would like to preface my reply with several huge caveats:
This is all mere speculation based on historical information.
I'm not a doctor, so I have no authority to speak on medical issues of any kind.
Even a doctor could not form a concrete diagnosis based on what little historical circumstantial evidence there is; they would have to examine the person in question for that, which is naturally not really possible if we're talking about someone who died in 1694.
With that out of the way, here's what I think: It may not have been the same medical issue for both sisters. While Mary struggled to conceive, Anne's children often were stillbirths or died very shortly after birth. I know a lot more about Mary, though, than Anne.
Mary was married extremely young; she was 15, and just a few months shy of her 16th birthday when she was sure that she was pregnant. Now, the body of a person this young is absolutely not meant to be pregnant, and I wonder if that may have been a factor triggering the first miscarriage, with the rough carriage ride to Breda, where she wanted to meet her husband while the latter was on campaign, also factoring in.
As far as was reported, the miscarriage proved pretty hazardous for Mary's health, keeping her abed for weeks. To me, it seems likely that she may have sustained internal injuries that may have prevented her from ever successfully carrying a child to term.
There is an interesting detail that causes me to suspect that Mary and her physicians had a similar suspicion: In the late 1680s, Justine Siegmund was a guest at the court of the Hague.
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Justine Siegmund, ca. 1690.
Justine Siegmund was the officially appointed midwife to the electoral court of Brandenburg, and had delivered a great many children of the German royalty and nobility, while still attending other births in the Berlin area.
Siegmund had initially started to become interested in gynecology and obstetrics after she had suffered a uterine prolapse at the age of 20. The midwives her husband had consulted had been unhelpful and diagnosed a false pregnancy (a diagnosis that was uttered in connection to Mary's last pregnancy, too), causing Siegmund to feel not taken seriously, and suffering a lot of pain as a result of not receiving adequate medical care.
Following her own traumatic experience, Siegmund trained to become a midwife herself in order to improve conditions for other women.
She rose to become the city midwife of Legnica in 1670, and in time was appointed to the court of Brandenburg by Friedrich Wilhelm "The Great Elector" in 1683.
Said elector had been married to Louise Henriette of Orange for his first marriage, who had been William's aunt. The elector had also played a role in William's guardianship during his minority, and of the Brandenburg children, William had reportedly been pparticularly close with the oldest, Karl Emil, who died in his late teens. Friedrich, the next eldest brother, would become the first King in Prussia and became elector in 1688, the same year his father died and Justine Siegmund may have arrived at the Dutch court.
Given her prominent position as court midwife, it looks as if Friedrich sent Wiliam and Mary Justine Siegmund for a consultation. Their struggle to conceive was discussed openly enough among their family; Sophie von Hannover, for instance, also weighed in on it in letters.
For Justine Siegmund, the trip to The Hague must have been a professional success; not only did it prove that the electoral court held her in high esteem, the Netherlands, and especially the medical faculty at Leiden, were the ideal place for a medical professional to meet new people and exchange ideas. Among her contacts, and contributing anatomical engravings for the handbook for midwives Siegmund was writing, was Govard Bidloo, who in 1695 would be appointed to the unenviable post of personal physician to William III.
What made her so special among other midwives of her age was not just her position at court: while it was customary for midwives to be women who had born a child of their own, Siegmund never had any children.
She also, and this is where things get quite interesting, performed medical interventions that went beyond monitoring pregnancies and assisting during birth. Indeed, what first caught the eye of male medical doctors of the time was not a particularly difficult birth she helped to bring to a successful conclusion, it was the removal of the Duchess of Legnica's cervical tumor.
So while her official title was that of a midwife, Siegmund's expertise was also in the field of gynecological surgery.
To me, it would make perfect sense that Siegmund was sent from Brandenburg to the Netherlands in order to examine Mary, and, if possible, perform an operation on her to 'fix' whatever prevented her from having children.
In time, Siegmund returned to Brandenburg. What she may have discussed with Mary and William remains mere conjecture, but I would consider it likely that she informed them of the impossibility of another pregnancy due to the injuries Mary had sustained a decade earlier.
So, all things considered, I think that Mary was a victim of marriage politics; although it is mere conjecture, it seems likely that, had she been married later, and thus had started to try for a baby at a somewhat more advanced age (say, in her early 20s), the chances for a successful pregnancy, birth and subsequently healthy mother and infant would have been drastically increased.
As for Anne, I reach the limitations of my deducting based on historical circumstantial evidence. I simply have not come across enough sources pertaining to Anne's reproductive health yet, and don't have the medical background knowledge to speculate with reasonable certanty on possible conditions.
Perhaps her lifestyle (which was an inescapable cycle of never ending pregnancies, being therefore prescribed to rest and good food being one of the few things she could indulge in at the time) may have contributed to her struggling with giving birth to a healthy child; to this day, doctors will (and are in some places even mandated to) warn expectant mothers who fall into a medical definition of being overweight that their weight might impact the development of their child adversely.
This is very likely not the sole reason and more of an additional, contributing factor, but it is the only speculation on the subject of Anne that I can comfortably express without veering into the realm of half-baked, and uninformed conjecturing.
Perhaps someone with a much more sound combination of medical and historical knowledge would like to add some commentary or criticism on this?
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spiderinthecupboard · 2 years
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PSA: if you can't or don't want to have vaginal exams for whatever reason, and you really need an internal ultrasound, I recommend asking your doctor to do a rectal ultrasound instead.
I had the exam done this way and it was moderately uncomfortable with a few moments of mild pain. A transvaginal ultrasound would be a hundred times more traumatic for me. Therefore I think this alternative should always be offered to patients. Know your rights - it isn't informed consent unless they offer you all the options.
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wineonmytshirt · 1 year
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*this is personal so please don’t feel obligated*
if there are any lovely humans here who also struggle with gynecological issues of any sort could you send me a DM if you’re comfortable doing so? i’m having soooo many problems i have for years and years and i’m so confused and anxious and frustrated and angry and it would just be nice to connect with someone who understands yaknow? ☹️ thank you !! 💟
xo love, Jen xo
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passionslikemine · 1 year
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Fun fact: When I had my IUD inserted I swore so loudly and creatively in English that the midwife had to actually stop before she got too close to me and catch her breath because she was laughing so hard.
Something about me yelling the phrase “shitcock” really makes people lose it. It’s a fond memory of a pretty crappy day!
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ineffectualdemon · 8 months
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It really says a lot about me and where I grew up (America) that I get an infection through no fault of my own and my brain responses with:
We are sick → this is a Moral Failing → we did this on purpose somehow because we are selfish → therefore we don't deserve medical care → let's be suicidal about recieving medical care
Like what the fuck
This helps no one
Take your antibiotics and shut the fuck up me
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Differences in cervical cancer screening guidelines around the world
When looking for information about cervical screening* I noticed that the guidelines differ from country to country, and that even supposedly reliable sources offer rather inconsistent and often contradictory information. The point of this ‘survey’ is to find out more about the cervical cancer screening recommendations (and gynecological care in general) around the world, and to start an open discussion about this. The questions and more info are under the cut.
Reblogs are welcome but I realize this is a sensitive topic. If you don't want to publish this post and your answers on your blog, answering the questions in the comments is more than enough. If you want to respond anonymously, you can put the answers in my ask box.
1. Where do you live?
2. What is the recommended age for starting cervical cancer screening (also called pap smear, smear test, or cervical cytology) in your country?
3. Is cervical cancer screening in your country recommended for people who have never had any kind of sexual contact? Is it recommended for people who have never had penetrative vaginal intercourse?
4. What information about hymens** have you been taught in sex-ed class, biology class, or told by healthcare professionals? Do doctors in your country try to avoid tearing the hymen during exams if the patient has a small hymenal opening (for example using smaller instruments)?
5. Have you ever been pressured into a gynecological exam or procedure that you didn't want or didn't think you needed?
6. Have you ever been discouraged or prevented from getting a gynecological exam or procedure that you thought you needed?
Feel free to share any opinions or experiences relevant to this topic.
* Cervical cancer screening, pap smear, smear test, or cervical cytology is a medical test that examines a sample of cells from the cervix (a part of the uterus that protrudes into the vagina) and often helps detect pre-cancerous or cancerous changes early enough to treat. A speculum or a similar instrument is used to visualize the cervix; and a brush, a cotton swab, or a similar instrument is used to collect cells from the ectocervix and the external cervical os.
** The hymen (also called the hymenal ring or the vaginal corona) is a thin piece of mucosal tissue that surrounds or partially covers the vaginal opening. In the past it was often assumed that hymenal tissue always tears and bleeds during the first intercourse, which is of course an inaccurate and heteronormative overgeneralization. The thickness and elasticity of the tissue, and the size and shape of the opening (or sometimes multiple openings) are extremely diverse. Some hymens are fragile enough to tear during completely non-sexual activities, such as sports, some can gradually stretch out or wear down with tampon use, some can accommodate even penile penetration without tearing. Some people with vaginas are born without any hymenal tissue at all, and on the other side of the spectrum there are hymens that can't even let menstrual fluid out of the vagina so a surgery is necessary to create a sufficient opening. Some people don`t experience any discomfort when the hymenal tissue stretches or tears, while others feel significant pain.
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zsuuv139 · 8 months
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rare original content time! and its gonna be me venting
cw: weight "management", weight loss and gain, gynecological issues, doctors, the rona
so either this story starts in my childhood: i've always been a fat girl and have recently discovered that it was basically eating for attention, positive or negative, since i also was a glass child.
or this story starts 3 years ago, with the pandemic. where i gained even more weight. but i also met this guy and he and another friend somewhat motivated me to lose a lot of weight (that i was really happy with and i felt better in my body, happier overall due to exercise). and then last february (2022) not only did i hook up with a guy, i also got myself a nice little BV out of it. and ofc the rona. after the rona cleared up, i went to a gyno who also did an ultrasound and found a cyst. i felt my life implode - i had only heard bad stuff about ovarian cysts.
they told me to not do intense workouts and put me on hormonal birth control. i could barely stand on my 2 legs. and i was depressed as hell. gained a lot of it back. got off the birth control because suddenly the cyst was not on my ovary anymore but somehow adjacent to it and hormones dont help anymore. still couldn't work out.
am also supposed to get an mri that either has a 6 month waitlist or a 100+ usd cost - my monthly pay is about 1k usd so i kinda cant afford it.
i recently took steps toward getting the mri - another gyno visit. now i also have a polycystic ovary (just one of the 2. hormone levels still ok - not pcos).
im also currently getting fired/ laid off and at the time of that appointment, i had just found out and was already exhausted because of multiple failed applications. i was certain that the layoff would happen and was looking and interviewing but got no offers.
when i tried to explain my health situation to my doctor, i ended up crying. she was patient, gave me some paper towels to wipe my face and explained how the procedures were gonna go. i liked the experience overall.
i also gained all the weight i had lost back.
docs want to investigate possible insulin resistance - i got my blood drawn and since then i have a bruise where i was stuck. this has not happened ever before, and i did used to get blood tests for a thyroid issue. im now wondering if this is bc im fat.
went to an endocrinologist - thyroid levels not optimal, and potential insulin resistance that i was hoping they could advise me on.
she calls my name. "how's it going with the weight loss?" i remark that not well.
"do you have endometriosis?"
"im not sure. afaik it needs surgery to be diagnosed and i havent had any surgery in that area. but my periods do hurt like hell and get kinda plentiful, so it wouldnt be a shock."
first few questions go normal, i know my meds, doses, diagnoses. she starts talking about weight loss. i just take it in an "ok im not coming back to her" way. then she starts asking about the cyst. i tell her what i know. she asks "but what does the mri say?" "dunno, they have a 6 month waitlist" "and youre not willing to pay for an emergency?"
now, in her pov, this random fat woman starts crying.
in my pov, all my job hunt stress and worries bubble up - im crying as im typing this ffs, and i do have a job offer currently! i recall how, if i qwere to go on unemployment, i would be eligible for 120 usd a month - i couldn't even pay rent with that! i recall how our transfer within the company was treated - we were told there would be opportunities and we will have to apply, then we applied, got little feedback, and as the other project's start date approached, they started pressuring us (most specifically, me) to do our tests asap and i was literally given 20 minutes on the end of a workweek to decide if i wanted to start on the other project on monday. did not go well.
so i just ended up crying - and angry at myself, since earlier i would just be angry if anything happens, and i was used to working with anger, but i dont know how to deal with crying.
she may have acknowledged that i was crying, saying she knows this situation is not easy but i should do everything to get out of it (no shit).
then, sobbing, i explained that the gyno did not say the mri would be urgent, and she did acknowledge the long waitlist.
doctor goes back to weight loss / eating habits. do i eat dairy? dairy is like fertilizer for the cysts, she says. "i don't drink cows milk. i do like yogurts and cheeses tho." "no, you cannot eat cheese".
what the actual fuck is happening?
she asks me to lay down for an ultrasound of my thyroid (to make sure its all good). i explain that its left side was taken out and on the right, there seems to be just a tiny little lump, and im kinda curious if it grew. should i take off my shirt? nah, just pull the neckline apart.
i would have rather taken it off but k.
she acknowledges that the left lobe is indeed not there, and goes to town with the ultrasound ot see whats up on the remaining right half. kinda hurts but whatever. lets just get this over with.
"how much do ypu weigh?"
"honestly, too much rn"
"100 kg?"
"uhm... [i am above that so i say 5 kg less]"
...
"why did they leave the right lobe?"
fuck knows, lady, it was 10 years ago and im not a doctor. i was an entire child, do you think anyone cared to explain the medical decisions? do you think i understood?
"the theory was that they were hoping it would work at least on its own or that it would make up for the left part"
"well that isnt happening"
"i have noticed. but idk if taking it out now would do any good."
"nah"
tells me i can wipe off the gel and calls me back to her desk while she writes up her report.
tells me that i need a nutritionist for the insulin resistance and refers me to a colleague. then gets back on weight loss.
"the small blob on your thyroid would go away if you managed to lose the weight"
"also don't eat bread. don't have more than 2 slices a day" "i already don't eat bread" "then stop eating pasta."
gurl idk how to tell you but pasta and cheese are the only joy left in my life.
"but you have to go to a specialist. no one can do this alone"
idk how to tell you but im not _paying_ for someone to yell at me to lose weight... i know a lot about diets, nutrition, how a meal should look like, calories, intermittent fasting (btw, have you ever had an endocrinologist recommend intermittent fasting? i heard it was bad for your hormones lol), and i don't want to give like 70 usd for a "specialist" to potentially tell me nothing new. is this arrogant? yes. but again im not rich.
is it cheaper than whatever i would need to do if my body continues to deteriorate? idk. i would have to put it on my goddamn credit card tho.
and then i look on the paper she gave me.
she wrote "emotionally-pshychologically unstable" as a symptom. fuck off the entire way.
i left her office. i cried. i cried some more. i complained to my friends. almost lost it when i couldn't attach a lid on an iced coffee and it spilled on me. i didn't tell my parents because i do not trust them with questions regarding my mental health.
and i read her note about our meet again.
she wrote
"antecedent: right lobectomy.
currently right lobe micronodule"
so that's how doctors listen to fat people.
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cuchillx · 1 year
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Why do I grieve something I’ve never had
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