terrypratchettappreciation trust-me-im-the-doctor-1996

And there’s the sign, Ridcully,’ said the Dean. You have read it, I assume. You know? The sign which says “Do not, under any circumstances, open this door”?’
'Of course I’ve read it,’ said Ridcully. ‘Why d'yer think I want it opened?’
'Er…why?’ said the Lecturer in Recent Runes.
'To see why they wanted it shut, of course.‘†
† This exchange contains almost all you need to know about human civilisation. At least, those bits of it that are now under the sea, fenced off or still smoking.

Terry Pratchett ‘Hogfather’
(via trust-me-im-the-doctor-1996)

GNU Terry Pratchett Discworld

knithacker

Amazing Rocking Chair Knits Hats While You Rock: https://wp.me/pjlln-1Uc

video knitting innovation design

borgcast

Star Trek ST:TMP

chubbycattumbling cutecatzone

cosmictuesdays heartsnbruises

ernmark

It’s 2019, and I am officially done with stodgy anti-phone thinkpieces.

From now on, the only criticisms of smart phones that I accept will be:

1) Manufacture that is incredibly taxing on the environment and relies on exploited labor

2) Planned obsolescence

3) Super creepy apps and functions that invade a person’s privacy without their consent

4) Smartphones being used to enable employers, family, and friends to demand a person’s engagement and availability at every hour of the day or night

cranquis doctorkintsugi

pleasedotheneedful

chief complaint: “my gums feel dry”

sure, why not go to the ED

medschoolmanic

If I get burned out in the future it will be because of chief complaints such as these

pleasedotheneedful

I think the entire non-acute side of the department read this as ralph wiggum

doctorkintsugi

I deeply feel this — ON THE OTHER HAND — I had a patient who came in last week with a chief complaint of dry mouth and it turned out he was in DKA…and had leukemia.

Bodies be fucked up.

cranquis

This post highlights the importance of never taking the chief complaint at face value:

1) See every patient as an opportunity to improve your skills (physical exam, empathy, motivational counseling, documentation), even if the patient is coming in for something stupid. This helps prevent burnout (even if it doesn’t slow the Stampede of Stupid).

2) Never forget that patients don’t speak “doctor” – sometimes, a patient knows something is wrong, but picks the weirdest/most-misdirecting way to indicate their concern. It’s up to you, my colleagues, to rein in your eye-rolling long enough to ensure there’s not something legit going on – that’s what you’re trained (and possibly, being paid) to do.

chief complain symptoms patients doctors communication stampede of stupid we gripe because we care medblr med student med school hospital emergency room er urgent care

norsesuggestions norsesuggestions

norsesuggestions

Istanbul, or as the vikings call it:

“my fave shopping mall”

norsesuggestions

Fave viking shopping mall had such a great shopping they felt no real need to travel (much) farther when they reached the region of modern day turkey

Its was just. A great shopping experiance, there at one of the last major hubs of the China -Europe silk road

they appear to kinda stay within the limits of what was once the roman empire when they are in that section of the world this not true for when they travelled to geeenland obvously haha but like they travel to north africa might have visited places like syria and so on defintly were in modern turkey but they dont go like lets travel to china! or india

ruspeach

ladyyatexel love-lays-bleeding

kerryrenaissance:
“ famallama1:
“ sciteachers:
“ we-are-star-stuff:
“ Herd immunity is the idea that if enough people get immunized against a disease, they’ll create protection for even those who aren’t vaccinated. This is important to protect those...

norsesuggestions norsesuggestions

norsesuggestions

Cloister: “i am safe from vikings, here inland by a river. No ship could travel here, the river is way to shallow”

Viking ship

*is perfect for travelling across shallow water*

Cloister: “damn it vikings! Once again, i am trumfed by their ships!”

norsesuggestions

Plot twist

The viking ship spotted was honestly just there to trade, and were just travelling by the cloister on their way to the paradise of cool trousers:

Istanbul

norsesuggestions

that awkward feel when you are a perfectly peaceful norse, travelling about in europe, and everyone runs away screaming from your ships because your cousin Styrbjörn visited with the same ship last spring, and he was raiding with that ship (but did not warn you about it!)

DAMN YOU cousin Styrbjörn, you cant just burn down settlements at the coast of the franks, and then not tell me about it! I would have given the ship a new paint job or something if i knew! Perhaps change the carved beast at the front our something…..

Tell me cousin, how am i gonna meet up with these farmers among the franks, who have all these new cool farming technics to tell me, if people run in terror at my ships apperance?! HUH?!

damm you cousin Styrbjörn *shakes fist in the vague direction of his home village*

norsesuggestions

*norse crying by the coast of modern day France*

“i just wanted to learn about how to grow this awesome thing i heard about, called apples, but everyone is running away from me. Damn you Styrbjörn!” 😭😭😭

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