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e.

@elylylyly23

24. 

I think i met an angel on the train

This older man moved my skirt aside and I absent-mindedly said "oh sorry" for being partially in his seat and he said "dont be sorry, this is new york" and then showed me all his poetry about observing the world and living as a restaurant worker during the pandemic and we talked about how i worked in a grocery store and as a bartender so i resonated with his work and he told me "i may never meet you again but it's nice to meet someone worth talking to. I might sound like a world class idiot sage, but you can't be afraid. That's no way to live. You have to trust your humanity." Then he shook my hand and got off the stop before me. Hello. Hello . Hello.

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posallys

i'm literally begging people to relearn how to use earbuds and headphones. i don't wanna hear your fucking tiktok while im waiting for my flight.

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southbreak

100% this.

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posallys

i'm literally begging people to relearn how to use earbuds and headphones. i don't wanna hear your fucking tiktok while im waiting for my flight.

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southbreak

100% this.

The thing about knitting is it’s much harder to fear the existential futility of all your actions while you’re doing it.

Like ok, sure, sometimes it’s hard to believe you’ve made any positive impact on the world. But it’s pretty easy to believe you’ve made a sock. Look at it. There it is. Put it on, now your foot’s warm.

Checkmate, nihilism.

This is a powerful positive message..

I’m literally reading a book right now (Burnout by Emily and Amelia Nagoski) that says this is scientifically sound.

There have been studies done on rats and dogs where they develop learned helplessness in the animals by giving them impossible tasks. Eventually the animals stop trying, even when the task stops being impossible. (I.e. put a rat in a maze with cheese it can’t get to until it develops learned helplessness, then put the cheese somewhere it can get to it and it won’t even try.) But once they show the animals they CAN do something - i.e. physically moving the rat to the cheese - the learned helplessness goes away.

No one can move you to your cheese for you, but the book says DOING something - which they define as “anything that isn’t nothing” can help. Make a food. Work in the garden. Clean a thing. Do a favor for a friend. Call your elected officials.

Knit a sock.

If you feel overwhelmed by existential despair, do something. It doesn’t have to be big. It just has to be anything that isn’t nothing.

This is really good advice for ADHD people because when executive dysfunction gets bad it’s easy to fall into this pattern of thinking. Do just one thing. It doesn’t have to be your homework, or a chore. It can be something small, it can be something you enjoy. But do just one thing to remind yourself that you can.

This is what “humans want to be productive” really means

We want to make things. We want to do something and at the end of the process see that something has changed. We want physical proof that we did something. We want to be able to point at something and say “I made this”. We want to be creators

it's the first day of my new rotation -- community of family medicine! i just accomplished my outside rotation. the last two weeks have been lighter compared to our 1 week in a public hospital somewhere in pasig, but the hospital i just rotated in came with its own challenges.

i was decked in ward 4 (onco/hema) ward where there are lots of leukemia patients (as mentioned in this post). then ward 8 where i stayed longer. ward 8 is the surgery ward where i was decked with a notorious resident who was rumored to throw a test tube at a junior intern but we were good when we worked together. we became close she bought ice cream for us and even asked for perfume recommendations. it wasn't so bad!

ward 8 was also full of interesting cases. i was able to handle neonates with omphalocele, gastroschisis, hirschsprung disease etc. it wasn't as depressing as the oncology ward, but it was humid (as the doctor's quarters weren't airconditioned). there is more room compared to the oncology ward so the relatives either sleep on the floor or beside the patient. i heard that some patients code (meaning, we have to resuscitate/revive them), especially neonates with multiple congenital anomalies, but there weren't any during my shift. some children came in just for the surgery (inguinal hernia, ruptured appendicitis) then was discharged after. some didn't stay long compared to the onco ward children who spends their life in hospitals.

i was excited during my pedia surgery ward rotation because i love surgery, i love scrubbing in surgical cases. i was waiting for an open heart surgery but i was on night duty when they had an operation scheduled :-( i was able to scrub in, however, in a bag insertion in a patient with gastroschisis. it was interesting.

my rotation ended with me being pulled from neonatal ICU to the hema/onco ward again. i was pulled out because a kid with myelodysplastic syndrome need to be monitored. she was on DNR (do not resuscitate). she was grunting, had high fever (Tmax 41C), and was seizing every now and then. when i got there at 8pm, everything was up (her temperature, heart rate, and respiratory rate). we advised tepid sponge bath to the mother after ordering an antipyretic, to which she complied, and had units of platelet concentrate standby. in the past few days, this kid was receiving platelet concentrates because her platelets were consistently, extremely low, to the point that she already had intracranial hemorrhage. this kid has polydactyly (with extra fingers) and trisomy 8. her mouth was red from the mucosal bleeding.

at 2 in the morning, she expired. the mother called me because her breathing seemed slow so i ran to the patient and immediately checked her heartbeat. my adrenaline was up, thinking of all the possibilities that could come after (basic life support sequence), but then i remembered that kid was on DNR, and that made me melancholic. i listened to the heartbeat and from 164 just an hour ago, it was 64. i checked the radial pulse and it was really thready, almost next to nothing. after a few more seconds, i listened to the heartbeat again and there was nothing i could hear. i informed the parents that their kid just expired and informed the hospitalist (junior consultant) on duty that the kid just died.

this time, i wasn't on the verge of tears like the last time a kid died on my shift. this time i was rational, i was thinking of what came after -- the papers that had to be prepared and submitted and the doctors i had to inform. i offered my condolences to the parents and left them to grieve. there is only so much i could do.

the hospitalist told me, "you don't have to monitor a kid hourly now," and i did not say anything. for me that kid was not an hourly monitoring hurdle for me. that kid's initials was A,D. that kid liked soup and stew. she was born with trisomy 8, myelodysplastic syndrome, and had polydactyly. her mother told me she was a good kid. and she just left this world, and a hole in her parents' heart.

"we live in an uncaring universe." sorry the special planet full of beauty and animals and food literally growing out of the ground isnt good enough for you. i guess