actually huge for the AMA that they look good here just for mildly clarifying that the NYT got their position wrong still not joining, our interests are not aligned, stop sending me junk mail

got a lot of likes on a bluesky reply where I talked a big game about beating up bigots—FYI, last week I burst into tears because I read that another pregnant woman in India has gestational diabetes so she can’t eat fresh mango in mango season. fully cried for her mangolessness

Christo & Jeanne-Claude, "Wall of Oil Barrels—The Iron Curtain" (1961–62), an installation of stacked oil barrels that completely blocked the historic rue Visconti, one of the narrowest streets in Paris, and slowed traffic through the city's Left Bank

I really need to locate an old quote/passage that stuck with me (Arendt?) where a writer was talking to a guy who started confidently pointing out how Jews were running everything, and the writer felt so clearly that antisemitism was a form of intellectual practice for very stupid people

literally me at my job

when I use a CBT worksheet with a CBT-appropriate patient during a CBT therapy appointment: “what the HELL is going on and WHY is this working?!”

The global wellness industry, at $6.2 trillion a year, is 4 times larger than the global pharmaceutical industry.

William York Macgregor is remembered as one of the leading figures of the Glasgow Boys and co-founder of 'The Glasgow School' with his schoolfriend, the artist James Paterson. 'The Vegetable Stall,' (1884) is considered to be Macgregor's masterpiece.

husband trying to remember the name of That Movie starring Michelle Ye-Oh: “Everyone Everytime All Over The Place”

part of growing up is separating a sense of lurid fascination from actual importance. and I say this as someone who loved to follow the disputes and foibles of op-ed writers via gawker/twitter for years before I registered they were my east coast media version of vanderpump rules or whatever

favorite football comment from my husband this season is that Mike McDonald of the seahawks looks like a ditto (the pokemon) posing as a head football coach. it’s all in the eyes

listening to Bloc Party’s “Banquet” on my iPod aged 14 and lonely on the school bus after reading about the Iraq war in the morning newspaper, listening to Bloc Party’s “Banquet” in the car with my husband and unborn kid after phone updates about Minnesota & my friends fired from the newspaper

stressed out because of my job at the mental health factory where my patients are struggling to hold onto their meager circumstances despite our best efforts. now to take a big sip of water and look at my phone to get updates on national news

straight up just not doing good! now of course I live one of the softest existences in all of human history, and every comfort in my life is built upon the endless cruelty this same government has inflicted on others the world over since its inception. and that's when I "lock back in"

real ones remember the summer of “A Little Life” and its grand Conversation about whether Yanagihara can write a sadomasochistic opera about gay men when she’s just some lady at NYT Style Mag (kinda yes because she’s so weird & the art is singular enough that I want it to exist but it’s not Normal)

plutocratic gangster state

watched three big Movies on vacay. best was One Battle After Another, which was weird/good/alive even though it made me sad and I cried a little. next best was the new Knives Out, a colorful cartoon full of A-list talent that’s mostly great. the political quips drag for me at times. last, Jay Kelly

having a wonderful christmas eve. so lucky!!!! hope everyone is safe, loved and eating delicious things 🥰🎄

in med school I rotated in an ICU where everyone was sad and scared about when a comatose intubated COVID patient was going to wake up, because his wife had already died of COVID in a nearby room. their kids said their parents had finally booked their vaccine appointments but didn’t make it

spotted a maga antivaxxer trying to get a rise out of people by responding to a public health article, without any likes or replies. the account has 45 followers. no one has ever interacted with their posts. the nuclear block is a mere ratification of their sad dunce cap life

already intoxicated by the idea of Not Working for a while. I worked late every night this week to make it possible but it’s happening baby

never found jangling keys particularly amusing as a kid but over the years i've come to appreciate their brand of retro, almost vaudevillian slapstick performance, not just as a frantic frenzy of hilarious hijinks and gut bustin' goof em ups, but also as a truly incredible display of raw athleticism

I do encourage other people, especially anyone in medicine, to call their senators (mine must be sick of me) because I did tell both that I would rather move out of the United States than be a psychiatrist who could be accused of felony fraud for “enabling” the social transition of a 17 year old

had a dream about being late for clinic before going to clinic. mortifying

Herman Melville on moderates, all the way back in 1857:

I love the post office. one of my more half-baked political opinions is that postal banking would be awesome. accounts for rural or underbanked americans? sounds rad. I read a few articles 5+ years ago and don’t understand the issue more deeply than “hell yeah USPS”

okay I kept it under wraps for a while but my social media feeds figured out I’m searching baby/pregnancy stuff and now all my videos are Ideal Mom Productivity instead of funny brainrot videos. there should be a way to preserve the insane meme feed while also accessing tiny onigiri lunches

conservatives don’t take issue with the abstract principles of what we offer as public services, they take issue with the “public” part where the whole point is integration of race/class/gender/“moral character” rather than laundering segregation through regional corporate chains

the bad writer journalist excerpts somehow aping the style of both raymond carver and rachel cusk (extremely derogatory). that’s how you write in 10th grade when your taste level far exceeds your abilities. all self-serious incantatory looseness with no substance

Some of you are not seeing history as one single catastrophe which keeps piling wreckage and hurls it in front of your feet, and it shows

dreading 24 hour call. I will get through it but sometimes I feel silly for thinking in my 20s “I can’t just work some empty DESK job,” slogging through years of medical training and now be counting down until I can interview for a mostly-desk job

I'm kind of baffled how the "moderates" have apparently all decided to turn against climate policy at once, just as China reaches green electrostate liftoff mode. I thought these people were all about National Greatness and making Hard Choices

my dad was an early adopter of the Prius and hung out in online forums where middle-aged men quibbled about the speed at which to brake down ramps to maximize MPG, revealing Nerd Clout as the purest renewable energy source

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