but it is insane that every vet’s identifier is a segment of their SSN lol

I unironically think that the VA hospital information infrastructure is relatively secure because it’s so dependent on jaded employees answering five total emails 9:30am-3pm with forty attached forms that getting access in the normal way takes 6 months

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

this is such an insane double-down and you should feel bad about it

thrilling and nauseating all at once, omg. I wish there were Grisham-style thrillers about this stuff

looks so delish! what a glam bean bowl

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

Photo of a narrow street blocked by a huge wall of stacked oil barrels

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

they crave it. bigots are asking to get their ass kicked in increasingly urgent ways and, as a society, we aren’t meeting their emotional needs

yeah… it’s so hard to stay principled and empathetic in public health! we’ll always catch strays for genuinely caring about the people we want to help, even when some of what they choose is maddening. so I like that you’re trying to meet people where they’re at

it shouldn’t be surprising that all the fascists are orthorexic but it’s still deeply annoying in real time

(I’m on the right!!!!)

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.

“only people without relevant clinical or research experience can be truly impartial” — the dumbest boy in the world

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.

hard for me to resist test-score snobbery if the people mentioning their low scores are in power and suck

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

imagine being a doctor and asking other doctors of childbearing age, who may be incidentally or purposefully pregnant, to view conference travel to states where hospital lawyers can bicker your sepsis to death as merely *symbolic*

like you say, there’s so much discretion involved in what to write down! and as a former scribe, I feel like the things the software is best at, pulling HPI, are easy for me to do in-visit, and AI sucks at the actual friction of MDM/plan. but I’m a particular curmudgeon

yeah I am refusing to use our clinic-approved AI ambient dictation note-drafting tool, despite often feeling burned out on notes, because I cannot in good faith tell my psych patients that it’s no big deal if big data software drafts their deepest secrets for me. even in a med check I can’t do it

I’m walking such a careful line with my attending whose clinical opinion I otherwise respect because she keeps getting excited about AI summary tools, and I keep saying “yeah I like when it cites the note and date so I can double check to make sure the info is true”

thank god. yes. YES 🦠🔮🫠!!!!

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

true but sometimes I appreciate even having that rudimentary language because it’s so hard to quickly conceptualize or discuss the blood-chemical-electrical-network organ shrouded in secrecy 😓