everyone in power folding on health insurance subsidies is so depressing. it’s obvious that the republicans are craven idiots who want to starve their supposed enemies in public science so HSA funds can go to antivaxx scams, but god, so many people and hospitals will go bankrupt for nothing

feels like we’re overdue for new confusing iteration of a Supermoon

having a lot of fun tonight libbing out!! hyped for woke 2

it’s happening. Nathan Fielder warned us and what did we do, we laughed

Academics in Assyria in the 7th c BC complain that admin is preventing them from doing research and teaching

wow as a newly minted Dodgers fan I am so ecstatic and yet I still shed a tear watching Guerrero walk away from the game. sports is so tragic!!!! love dem bums

The Turning of the Screw by the freaking World Series

not to be a dick but I just saw an ad for TikTok on the MLB broadcast claiming the app is great for students and teachers. it showed a classroom of what looked like 18-year-olds was nodding at a chalkboard diagram of the FOIL method for algebra, which I regard as a bog standard 8th grade skill

I know the popular term for what AI supplies is “hallucination,” which isn’t the worst, but I wonder if other docs would agree that it’s more like the “confabulation” you get from an alcoholic/Korsakoff patient. there’s an eerie moral/perceptual emptiness in those words-with-the-shape-of-speech

made a good rich sauce to go over roasted veggies and sockeye salmon—miso, mustard, worcesterhire, soy, maple, a real kitchen sink of umami—and it mostly worked, but I’m finding that salmon clangs with big flavors. shoulda saved it for a chicken thigh

my husband, who I married for his infinite kindness, wants to m*rd*r Blake Treinen with his bare hands

Every day is “Zorp Inc given 3 trillion dollars to launch Blooper Quarks in an effort to create the first artificial intelligence in applesauce manufacturing, universal healthcare still an impossible pipe dream”

can’t help but think of politics through the lens of my recent time in “geriatric psychiatry” so that it seems like many aging politicians or voters are trying to make the economy into a memory unit where cheerful 1950s music is playing and the tvs show Andy Griffith 24/7

I’m calling through complex hospital/medical phone trees and every single new recording says I should hang up and call 911 if this is an emergency. fortunately if I threaten to kill myself out of frustration I can consult on my own case

when I’ve worked with bad cases of somatic anxiety in the past one thing that kinda brings it all together is when we get to meet each other at the level of, no no it’s not that your body isn’t sick it’s that your sickness radar is sick, which is truly just as bad

I’ve been stressed out recently from work and staying long every day to finish tasks (never enough) but one bright spot in my life has been reading. PGY2-3, I’ve been reading 50+ books a year, often before bed but even on overnight shifts. so much better than television! hugely rec the Kobo ereader

drifting through a sea of commentary on political violence, treading water because I have nothing original to say but also because these days the major aftermath of stochastic murder involves moneyed institutions disciplining their underlings to set an example. but I won’t be made to mourn a bad man

“harm reduction” has become such a widely disseminated and misunderstood phrase that non-healthcare people use it to describe the idea that “it’s okay for new things to be a little harmful.” before we get to the point where we’re troubleshooting clean vs dirty needles for heroin, don’t start heroin

Woke up from a dream where I was in a restaurant and a line cook was roughly making a cheeseburger on top of my head while I tried to sing this song:

the full terror of the voyage must be kept withdrawn into the obscure background

my husband thinks the Guggenheim museum should hold a stand up comedy night called “Gigglyheim.” giving this idea away to make it happen

if you get a lot of likes from me in a row what might have happened is that I dove into your profile then saw lots of reposts therefore mistook your profile’s feed for my main feed for 7 to 18 minutes. it’s a sign of great respect in my culture

If your doctor was a skeleton, would you trust them to help you deal with hepatology issues? You probably wouldn't. Well, more fool you. This skeleton doctor is a Fellow of the American Association for the Study of Liver Diseases (FAASLD), an expert in treating liver and biliary diseases

feeling whatever you're meant to feel in a cathedral in this grocery store frozen aisle

RFK Jr looks and sounds like the Men In Black alien wearing an Edgarsuit

as an old lady I’m falling into the trap of only posting about public figures I hate when irl I’ve been reading a cool spread of fiction, did a great job cooking some @ranchogordo.bsky.social moro beans (+epazote, a whole chipotle pepper), am looking forward to a nice holiday grill sesh

quarter-intensity Capgras delusion filtered through the lens of health narcissism

my experience with most fascists and alternative-health whackos is that they walk around announcing “the world is simple and I am strong,” so they enjoy punishing others to prove both also, modern medicine is an ideological institution that happens to be largely correct about causes of death

trumpwatch is the bluesky version of buying a powerball ticket. It's not about the odds, it's about the dream

highly recommend taking this emotional journey, especially for the Joanna Newsom heads among us, but it’s important to know that the obscure 22min song this kid insists on singing at his own karaoke birthday party is so weirdly/lushly beautiful that I’m in awe of his taste youtu.be/K4PxZK5C_FU

there’s a lot of bad news around. so it’s important to share that my husband thought the chorus of the song “Hot to Go” went, “H-O-T-D-O-G-O… You Can Eat Hot Dog To Go”

psychotherapy has strict ethics/supervison because it involves building Real and Safe Intimacy with patients/clients. that probably sounds simple, but for certain people it’s like trying to build a Real and Safe nuclear reactor, emotionally. ChatGPT is handing out free uranium outside a gas station

delighted by the Kobo reader that I bought to jettison myself from the Amazon ecosystem—light, dainty, colorful, attuned to library borrows, “right to repair,” indie/worldly in a way that plugs me back into Calibre and subreddit tips

circled all the way back to finding weeknight meals on AllRecipes punto com. I don’t need an ad-drenched Paleo Baking page SEO’d to oblivion telling me to add miso to my Caesar dressing, I need a third generation midwesterner named Joyce telling me to use mayo + two anchovies backed by 1500 reviews

the best part of gossipy social media is hearing a totally chaotic and petty reason to dislike some public figure who I already found unpleasant for somewhat principled reasons

might get into blogs

omg… “bromism” used to be a huge driver for psychiatric admissions because it was used as a chemical salt but was also neurotoxic at therapeutic doses… “AI is helping doctors diagnose rare medical conditions” but not in the freaking way you’d expect!!!!

big fan of when fantasy books are set in a different biome/world with totally different animals but there remain Horses. what, are they gonna invent a different rideable animal everyone finds familiar? sounds like a goddamn Horse

enjoying a fresh decaf keurig cup at work because the abyss yawns and I crave plastics

I don’t think I’ll ever understand American public opinion on trans kids in sports, because I have a radical belief that school sports don’t really matter. it’s all made up. your kid won’t be a pro athlete, just chill out

trying a cool thing this weekend where I have a lovely time with my husband, see some friends and family, eat sensually, watch some freaking major league baseball irl, read my book in the balmy breeze, and so forth

at the time I found 2000s Google’s slogan “don’t be evil” to be kinda corny but you know what?? I’d rather institutions be corny than aspire to an amoral “frontier” of petro-military capital

just did “training” in a “holistic behavioral health” tool that required rating a patient/client as having severe transportation deficiencies if they were paying to take the bus because it was a “special vehicle.” dawg what are we doing

if I could redesign healthcare I’d make more clinics for young/middle-aged men feat. warm handoffs to mental health, nutrition &c. sorry to be a simp, men’s health is not MORE important, BUT that demo falls out of care so quickly and gets chronically ill. rotated in a clinic like that once! it ruled

lately I’m struck by how interwoven the masculine paterfamilias fantasy is with a privatized state that inherits wealth. it’s the breadwinner assertion that money makes him valuable and is a form of love, along with a desire to eliminate alternatives to that love

Sublimating various desires

obsessed with the random instagram comment where someone complains that big pharma is tricking people into being on anti-rejection meds after transplant surgery ?? the human mind can stitch together any patchwork Reality

big problem in rural new england is the incendiary mix of absolute housing shortage, and many collapsing decaying houses stuck in tax/mortgage limbo. being exposed to the elements for 1-2 years can rot the materials

CEO of Oreo Cookies: the oreo cookie is as important as oxygen