have you eaten? (i love you). did you get enough sleep last night? (i love you). how do you feel today? (i love you). did you have a nice day? (i love you). will you come on a walk with me? (i love you). here's some fruit I cut up for you. (i love you) (i love you) (i love you).

official poster for exclusive fairytale!

i hope you are being compassionate with yourself today. you are your oldest childhood friend

A Series of Seaside Mishaps.

you wet idiot

Godspeed you! wet idiot

Welcome to Wet Beast Wednesday

vegans make peace with honey

no shut up do it

vegans will pretend not to hear when natives tell them their agave products are unsustainable because they have whimsical feelings about, and i cannot stress this enough, the freedom of hive insects

Honey is literally murder but go off

Prove it.

They literally puke their guts up to make your honey

I have not seen any evidence tonsugges they are harmed or die in the process of production. They do regurgitate the nectar as part of the process to concentrate it into honey (an interesting process) but they do not suffer any injury during this process. If they did, the cost to produce honey, which is done naturally as a measure to survive over winter and through times of lower availability, would outweigh the benefits. If you kill several bees to produce enough honey to make one more bee, It makes no sense. Any animal that did that would die, even with human intervention.

Do you have any sources which suggest otherwise? I’d be interested to hear of this (relatively publicly available) information was false or misunderstood.

Bee farmers use whats called a honey maker. It’s a crude devices. It similar to a meat grinder. They force the bees in and grind them up. What comes out is a paste. That paste is later filtered into what we know as honey

This is the funniest thing I’ve ever read

@zoologicallyobsessed please show us pics of your bee grinder

they might be falsely thinking about a honey extractor machine. but all these do is you place the beehive frames inside and a motor rotates it at a speed that removes the honey, which is then tapped through a tap at the bottom. 

…do they think they put bees in that and spin them around until they vomit…?

bee carnival

bad and naughty bees get put into the b e e c e n t r i f u g e to extract their honey

Vegans coming after beekeepers is one of my major teeth grinding annoyances. For many reasons, because there’s so many lies. And to go one step further because it’s such a waste. You see, the strongest vegan argument is that they don’t want to exploit animals or take from them without their consent.

… but… Bees consent. NO. I’M NOT KIDDING.

How? Bee hives aren’t kept on leashes. They’re outside, the bees can travel miles every day. They follow their queen. Who is also outside, not on a leash, and can travel miles every day. If she doesn’t like the hive for any reason - for example: it got too hot, too cold, too messy, too filled with sugary stuff and they need more space… then the queen leaves. And with her the hive.

The queen stays in the hive because the hive is the best place to live. Period. Done. End of. If the hive is staying with the beekeeper it’s because the keeper is doing their job correctly and keeping them happy because the bees can, and do, leave bad beekeepers.

Of all the animals we have domesticated as livestock, bees are the ones you can most easily argue are consenting participants in their keeping.

Here it is. The bee post is back

shoutout to my recently acquired follower who i almost blocked as a bot due to their absolutely featureless blog, but then decided a collection of likes consisting entirely of Danny Phantom fanworks was probably indicative of a human mind

“come back with a warrant”

i felt that. i shall start using that answer. it’s perfect.

I've never even heard of this show but this is so cute 🥺💕💕💕

'shouting in silence' game gone wrong

3rd Year Struggles: How to Look Less Stupid than You Are

Dear rising MS3s,

Welcome to the big show - sorta.  Third year is this magical time where you are expected to know how to take care of real patients.  Rather than worrying about that, I am sure you are busy taking selfies with your white coat on and stethoscope around your neck while tweeting about how early you have to start getting up, #medschoolproblems.

This may come as a shock, but you are a clinical moron.  The sooner you accept that, the sooner we can move on to improving it.  I don’t care if you are coming off your 260 step 1 score, real patients don’t present with multiple choices.  All that score means is you are good at diagnosing and treating paragraphs of words, not people.  I am only saying this from experience.

When you start your first day on the wards you are going to realize you got pushed into the deep end of the pool, sans floaties.  Like someone truly drowning, you will be tempted to flail about, reaching out for anyone to save you.  Don’t.  No one has time to hold your hand, and you will quickly make people hate you if you constantly beg for advice/help/guidance, etc. 

Have no fear, I am going to give some tips to make the transition easier and help you look semi-competent.  Behold my list of life-saving resources for third year. 

1. Scut Sheets (http://www.medfools.com/downloads.php) - you will likely follow 1-5 patients while on the wards.  This sounds easy, but things move fast and you don’t want to be presenting old data on rounds.  Scut sheets allow you to organize your patient information in a way that is easily accessible and portable (iPads are great, but in my experience you can’t beat good old paper).  Further, the H&P sheets help to remind you of all of the things you need to examine/inquire about.  You don’t want to be the student who comes back to report on a patient with epigastric pain in whom you never examined the cardiopulmonary system.  Print a couple of each style to find one you like.

2. Stanford 25 (http://stanfordmedicine25.stanford.edu/index.html) - remember that time before step 1 studying, when you had to practice actually touching people?  That was called the physical exam, and you are expected to actually do that… on every patient… everyday.  Better refresh on it so you don’t look like a fool palpating the thyroid over the thyroid cartilage.  Go to the website, click “The 25″ button and see the 25 physical exam skills every student should know, along with detailed explanations.

3. MedCalc (http://medcalc.medserver.be)

Enough said.  Qx Calc is also worth downloading (http://www.qxmd.com/apps/calculate-by-qxmd).  

3. Journal Club (http://www.wikijournalclub.org/wiki/Main_Page) - I guarantee that during the year some jerk-off attending is going to ask you, “what is the best NOAC for atrial fibrillation?”  Obviously, like most, you will stutter because all you know to use in Afib is warfarin.  Then he or she will smile, knowing they have established their superiority, and tell you to look it up and do some sort of presentation.  Welcome to the best tool ever for such scenarios.  This wiki is run by a team of physicians who synthesize large trials into digestible snippets.  The app is well worth the money too. (The answer to the above question is apixaban, by the way, as determined by the ARISTOTLE trial; not that this scenario is based on a real event that occurred to me or anything). 

4. Smart Medicine (http://smartmedicine.acponline.org) - this app is amazing.  Seriously.  It is free to American College of Physician (ACP) members; and membership is free to students.  You should join just for this app.  This is much less cumbersome than UpToDate and will will make you shine when you present your assessment and plan (also, rumor is that DynaMed and ACP have teamed up to create an even more amazing tool that is coming out in August, also free to members).

5. Medscape (http://www.medscape.com) - this is an awesome resource that is free. Medscape is one of my go to apps for understanding disease pathophysiology.  Another feature, which most students don’t realize, is the articles on surgical procedures.  This is HUGE for your surgery clerkship.  You can read over the procedure, see relevant anatomy and know just enough to be one step ahead of this guy:

Plus you get updates on medical news, have access to practice questions, etc.  Get it, use it, love it.

6. Online Med Ed (https://onlinemeded.org) - aside from learning real medicine, third year is about preparation for the step 2 of the USMLE.  I advise finding a question bank and organized program to keep your studying on track throughout the year.  Enter God’s gift to med students.  This is one man and a mystical dry erase board that will make learning clinical medicine easier than cooking a Totino’s pizza.  And it is one of the few things cheaper than a Totino’s!   

So there you have it.  You now are better equipped for the coming onslaught of pimp questions.  My suffering is your gain.  Below I will list a few other apps I have used this year that were less important to my success.  Happy studying.

ASCVD Risk Estimator (http://tools.cardiosource.org/ASCVD-Risk-Estimator/) - I believe there is an app in the app store as well.

Anticoag Evaluator (http://www.acc.org/tools-and-practice-support/mobile-resources) - see the risk factors for coagulation

CDC vaccine schedules app (http://www.cdc.gov/vaccines/schedules/hcp/schedule-app.html)

Read by QxMD (https://www.readbyqxmd.com) - allows you to get medical articles directly to your phone using your institutional access.

Sensitivity and Specificity (http://lifeinthefastlane.com/techtool-thursday-055-sensitivity-and-specificity/) - link to the app and review 

Pap Guidelines (http://appcrawlr.com/ios/pap-guide) - a free version of the ASCCP app and a life saver while on Gyn. 

Don’t forget epocrates for looking up meds and doses!

Also… get a power brick for your phone.

It's a change your whole desk kinda day

warm evening