If I get burned out in the future it will be because of chief complaints such as these
I think the entire non-acute side of the department read this as ralph wiggum
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.
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.
Actually spiderverse was really cute in how loosely its used its ‘i love yous’ and especially how none of them were romantic!! I mean obvsly theres miles’ dad making him say i love you before school, but theres also peter’s quick “i love you, im so proud of you!!” during the fight (which he said so easily and delightedly!! He was so proud and happy about this kid omg), and noir saying “i love you all.” as a goodbye when he goes back through the portal like i cant think another superhero movie, or most movies in general tbh, who use the word love so carefreely. and maybe it has something to do with the fact that spiderverse is animated, but its just really refreshing and sweet, its adorable to hear every time and shows how close and family-like all the spiders got so quickly!
What Native people say about the use of sage: you can use sage, but you cannot smudge as nothing you are doing (waving sage around) is actually smudging. Smudging is a ceremony and you are, we promise, not smudging. Please buy sage from either us, or someone who sources the sage from us. White sage may not be considered endangered by the US government but corperate sourcing is making it difficult for us to source sage for our own religious purposes. Let alone to sell it.
What white people hear: never use sage ever, don’t ever buy it, don’t own it, don’t even look at it.
Look, y’all. There’s a couple of facets to my talk today.
1) Yes! You can buy sage! You really, truly can! Buy it from either native sellers (go to a powwow! Eat our food, buy our stuff, watch some dancing!) Or buy it from a seller who sources the sage from native people. Pick one. And no, buying it from 5 Below doesn’t count.
2) you CANNOT smudge. This isn’t just you “shouldn’t”— this is a YOU ARE INCAPABLE OF SMUDGING. Waving a sage stick around your doorways IS NOT SMUDGING. It is smoke clensing. Smudging, depending on the tradition and tribe, could easily have dancing and drums involved. You, as a white person, do not have the cultural BACKGROUND to even know how it works. At all. Period.
3) please, for FUCKS SAKE, stop making posts here on tumblr where you tell other white people about cultural appropriation and what they can and cannot do. Please stop, your license has been revoked because none of you bother to get the facts right. We native people are FULLY CAPABLE OF DOING IT OURSELVES. Consider instead: a) reblogging our posts where we talk about it! We’re here! We have made posts!! b) Making a post that states what we said and then LINKS BACK TO US. Screenshot with a link if you must. Stop centering your own voices in these conversations. You are already centered in everything, stop centering yourselves in a native space.
