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#healthcare – @thesunflowersqueen on Tumblr
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Ramblings from Apalapachia...

@thesunflowersqueen / thesunflowersqueen.tumblr.com

Helen Sunflower. 34. Enby/Demisexual/Queer. They/Them. Feminist. British-Canadian. Traveller. English Language Teacher. Artist. Reader. Writer. Dramatist. Whovian. Sci-fi & fantasy lover. Talks too much. Wants more than ordinary. Willing to fight for it. Sometimes NSFW.
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It's a lot healthier to go for a daily walk than to sign up for a gym membership you won't be using because you hate that kind of exercise. It's a lot healthier to eat a frozen meal than to skip a meal because you were too tired to cook something healthy. It's a lot healthier to take a quick shower than to procrastinate an elaborate routine for days. Don't aim so high that you won't be hitting anything!

this is actually really helpful and affirming thanks

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kaijuno

Yeah, that doesn't prevent pregnancy.

Dfgajagakala it’s so you don’t get a UTI 😂

*facepalm* So, given that sex ed in the US is a tire fire:

Vagina-having people have a shorter urethra, which means we’re more prone to UTIs because the bacteria doesn’t have to travel as far to get up into your bladder and cause a problem.

Which means if you’re exposing your bits to bacteria (as with sex), peeing will flush out bacteria in the urethra. (Urine isn’t actually sterile - that’s a myth - but you’re *supposed to* have a little bit of bacteria - that’s how bodies work. But it still flushes things out that shouldn’t be there.)

Oh! You should ALSO pee after you masturbate, especially if it involves penetration with fingers/toys/etc

So I’ve blocked like five transphobes on this post, which I feel should have been relatively uncontroversial.

If you’re one of the people saying “You meant ‘women’”, fuck you. I meant “people who have a vagina, regardless of their gender or lack thereof”, and you can go fuck yourself with a cactus.

And you should pee afterward, so you don’t get a UTI.

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Are medical professionals biased against the mentally ill?
THE first time it was an ear, nose and throat doctor. I had an emergency visit for an ear infection, which was causing a level of pain I hadn’t experienced since giving birth. He looked at the list of drugs I was taking for my bipolar disorder and closed my chart.
“I don’t feel comfortable prescribing anything,” he said. “Not with everything else you’re on.” He said it was probably safe to take Tylenol and politely but firmly indicated it was time for me to go. The next day my eardrum ruptured and I was left with minor but permanent hearing loss.
Another time I was lying on the examining table when a gastroenterologist I was seeing for the first time looked at my list of drugs and shook her finger in my face. “You better get yourself together psychologically,” she said, “or your stomach is never going to get any better.”
If you met me, you’d never know I was mentally ill. In fact, I’ve gone through most of my adult life without anyone ever knowing — except when I’ve had to reveal it to a doctor. And that revelation changes everything. It wipes clean the rest of my résumé, my education, my accomplishments, reduces me to a diagnosis.
I was surprised when, after one of these run-ins, my psychopharmacologist said this sort of behavior was all too common. At least 14 studies have shown that patients with a serious mental illness receive worse medical care than “normal” people. Last year the World Health Organization called the stigma and discrimination endured by people with mental health conditions “a hidden human rights emergency.”
I never knew it until I started poking around, but this particular kind of discriminatory doctoring has a name. It’s called “diagnostic overshadowing.”
According to a review of studies done by the Institute of Psychiatry at King’s College, London, it happens a lot. As a result, people with a serious mental illness — including bipolar disorder, major depression, schizophrenia and schizoaffective disorder — end up with wrong diagnoses and are under-treated.
That is a problem, because if you are given one of these diagnoses you probably also suffer from one or more chronic physical conditions: though no one quite knows why, migraines, irritable bowel syndrome and mitral valve prolapse often go hand in hand with bipolar disorder.
Less mysterious is the weight gain associated with most of the drugs used to treat bipolar disorder and schizophrenia, which can easily snowball into diabetes, high blood pressure, high cholesterol and cardiovascular disease. The drugs can also sedate you into a state of zombiedom, which can make going to the gym — or even getting off your couch — virtually impossible.
It’s little wonder that many people with a serious mental illness don’t seek medical attention when they need it. As a result, many of us end up in emergency rooms — where doctors, confronted with an endless stream of drug addicts who come to their door looking for an easy fix — are often all too willing to equate mental illness with drug-seeking behavior and refuse to prescribe pain medication.
I should know: a few years ago I had a persistent migraine, and after weeks trying to get an appointment with any of the handful of headache specialists in New York City, I broke down and went to the E.R. My husband filled out paperwork and gave the nurse my list of drugs. The doctors finally agreed to give me something stronger than what my psychopharmacologist could prescribe for the pain and hooked me up to an IV.
I lay there for hours wearing sunglasses to block out the fluorescent light, waiting for the pain relievers to kick in. But the headache continued. “They gave you saline and electrolytes,” my psychopharmacologist said later. “Welcome to being bipolar.”
When I finally saw the specialist two weeks later (during which time my symptoms included numbness and muscle weakness), she accused me of being “a serious cocaine user” (I don’t touch the stuff) and of displaying symptoms of “la belle indifference,” a 19th-century term for a kind of hysteria in which the patient converts emotional symptoms into physical ones — i.e., it was all in my head.
Indeed, given my experience over the last two decades, I shouldn’t have been surprised by the statistics I found in the exhaustive report “Morbidity and Mortality in People with Serious Mental Illness,” a review of studies published in 2006 that provides an overview of recommendations and general call to arms by the National Association of State Mental Health Program Directors. The take-away: people who suffer from a serious mental illness and use the public health care system die 25 years earlier than those without one.
True, suicide is a big factor, accounting for 30 to 40 percent of early deaths. But 60 percent die of preventable or treatable conditions. First on the list is, unsurprisingly, cardiovascular disease. Two studies showed that patients with both a mental illness and a cardiovascular condition received about half the number of follow-up interventions, like bypass surgery or cardiac catheterization, after having a heart attack than did the “normal” cardiac patients.
The report also contains a list of policy recommendations, including designating patients with serious mental illnesses as a high-priority population; coordinating and integrating mental and physical health care for such people; education for health care workers and patients; and a quality-improvement process that supports increased access to physical health care and ensures appropriate prevention, screening and treatment services.
Such changes, if implemented, might make a real difference. And after seven years of no change, signs of movement are popping up, particularly among academic programs aimed at increasing awareness of mental health issues. Several major medical schools now have programs in the medical humanities, an emerging field that draws on diverse disciplines including the visual arts, humanities, music and science to make medical students think differently about their patients. And Johns Hopkins offers a doctor of public health with a specialization in mental health.
Perhaps the most notable of these efforts — and so far the only one of its kind — is the narrative medicine program at Columbia University Medical Center, which starts with the premise that there is a disconnect between health care and patients and that health care workers need to start listening to what their patients are telling them, and not just looking at what’s written on their charts.
According to the program’s mission statement, “The effective practice of health care requires the ability to recognize, absorb, interpret, and act on the stories and plights of others. Medicine practiced with narrative competence is a model for humane and effective medical practice.”
We can only hope that humanizing programs like this one become a requirement for all health care workers. Maybe then “first, do no harm” will apply to everyone, even the mentally ill.
By JULIANN GAREY Published: August 10, 2013

The author of the novel “Too Bright to Hear Too Loud to See” and a co-editor of “Voices of Bipolar Disorder: The Healing Companion.”

Reblogging because this is the sort of thing that needs signal boosting the heck out of it. Probably many of the people who see this in my Tumblr are people who already know from first-hand experience as a patient. Probably most of the people who even know my Tumblr exists are not in a position to perpetuate this problem (because they aren’t doctors).  But I figure if more people get info like this circulating, maybe eventually someone in a better position to reach more doctors with this kind of information and open serious dialogue about how to address the problem will come across this.

Until then, at least a better informed patient population can, I hope, be in a better position to advocate for themselves—if not always as individuals then perhaps as groups.

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Cellulite is a female secondary sex characteristic and should be celebrated as a rite of womanhood, not despised or eradicated.

it’s really a secondary sex characteristic?! 

It is. It has to do with the way our bodies network fat. Female bodies create sort of a mesh network to support fat (female bodies are MUCH more hardy in times of stress) and it can present as delightfully lumpy. More than 90% of women have visible cellulite, but all women store fat in this manner.

why did no one tell me this?!

You know why :/

Spread this. I only just started to see mine and I started to freak out a bit. More people should/need to know about this

Here’s an illustration of the aforementioned difference in fat storage.

Men’s lattice pattern collagen threads holds subcutaneous fat in a way that, when the skin expands because of the fat storage, it expands evenly. Women’s “pockets” expand unevenly when we accumulate fat, creating that orange peel effect. Our storage pattern means we can healthily store more fat than men. Like a woman with 25% body fat is average, a man with 25% body fat is chubby. Because of that, like OP said, women are hardier in times of stress or famine. It’s also one of the reasons why our bodies can survive pregnancy, which is a massive energy demand on our system.

And there’s absolutely NO “treatment” for cellulite that will work. They are all bullshit designed to separate you from your hard-earned cash. It’s a secondary sex characteristic, it’s perfectly normal and it’s not going away no matter what you do. Like I’m very lean myself and I work out 5~6 times a week, and I still have cellulite. Someone giving a woman shit for having cellulite is akin to giving her shit for having skin. It’s just a mixture of misogyny and corporate greed.

Love your lumpy skin, ladies. It means you are a badass surviving machine shaped by millenia of evolution.

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amtasical

I did not know this, and I pride myself on knowing shit like this.

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my-feminism

In the Netherlands, abortion is freely available on demand. Yet the Netherlands boasts the lowest abortion rate in the world, about 6 abortions per 1000 women per year, and the complication and death rates for abortion are miniscule. How do they do it? First of all, contraception is widely available and free — it’s covered by the national health insurance plan. Holland also carries out extensive public education on contraception, family planning, and sexuality. An ethic of personal responsibility for one’s sexual activity is strongly promoted. Of course, some people say that teaching kids about sex and contraception will only encourage them to have lots of sex. But Dutch teenagers tend to have less frequent sex, starting at an older age, than American teenagers, and the Dutch teenage pregnancy rate is 9 times lower than in the U.S.

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teratomarty

I endorse evidence-based medicine, and evidence-based activism.

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grrlgeek72

If you are pro-life and truly want to reduce abortions, and unwanted children, this is something you should be 100% in favor of.

If you are “pro-life” while trying to limit sex education and availability of contraception, and health care for women and kids, then you are really just trying to control women’s sexuality for some reason.  

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westieronto

How most people with invisible illnesses are treated by health care “professionals”

The Golden Girls didn’t fuck around

pls watch

honestly i really appreciated this scene when I first saw it bc it took me like two years to get a diagnosis for what’s wrong with me

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mttheww

Dorothy:  Dr. Budd?

Dr. Budd:  Yes?

Dorothy:  You probably don’t remember me, but you told me I wasn’t sick.  Do you remember?  You told me I was just getting old.

Dr. Budd:  I’m sorry, I really don’t–

Dorothy:  Remember.  Maybe you’re getting old.  That’s a little joke.  Well, I tell you, Dr. Budd, I really am sick.  I have chronic fatigue syndrome.  That is a real illness.  You can check with the Center for Disease Control.

Dr. Budd:  Huh.  Well, I’m sorry about that.

Dorothy:  Well, I’m glad!  At least I know I have something.

Dr. Budd:  I’m sure.  Well, nice seeing you.

Dorothy:  Not so fast.  There are some things I have to say.  There are a lot of things that I have to say.  Words can’t express what I have to say.  [tearing up]  What I went through, what you put me through—I can’t do this in a restaurant.

Dr. Budd:  Good!

Dorothy:  But I will!

Dr. Budd’s date:  Louis, who is this person?

Dr. Budd:  Look, Miss–

Dorothy:  Sit.  I sat for you long enough.  Dr. Budd, I came to you sick—sick and scared—and you dismissed me.  You didn’t have the answer, and instead of saying “I’m sorry, I don’t know what’s wrong with you,” you made me feel crazy, like I had made it all up.  You dismissed me!  You made me feel like a child, a fool, a neurotic who was wasting your precious time.  Is that your caring profession?  Is that healing?  No one deserves that kind of treatment, Dr. Budd, no one.  I suspect had I been a man, I might have been taken a bit more seriously, and not told to go to a hairdresser.

Dr. Budd:  Look, I am not going to sit here anymore–

Dr. Budd’s date:  Shut up, Louis.

Dorothy:  I don’t know where you doctors lose your humanity, but you lose it.  You know, if all of you, at the beginning of your careers, could get very sick and very scared for a while, you’d probably learn more from that than anything else.  You’d better start listening to your patients.  They need to be heard.  They need caring.  They need compassion.  They need attending to.  You know, someday, Dr. Budd, you’re gonna be on the other side of the table, and as angry as I am, and as angry as I always will be, I still wish you a better doctor than you were to me.

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jennytrout

Reblogging for any of my mutuals who’ve ever dealt with Dr. Budd.

“Shut up, Lewis”

Doctor Budd ol Bitchass

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nursenotes

1. Fist: Make a fist around the epi-pen, don’t place your thumb/fingers over either end

2. Flick the blue cap off

3. Fire. Press down into the outer thigh (the big muscle in there), hold for 10 seconds before removing (the orange cap will cover the needle). Bare skin is best but the epi-pen will go through clothing. Avoid pockets and seams. 

- Ring an ambulance even if everything seems to be fine!

Oh my god. So as someone who has to carry an epipen EVERYWHERE I am so happy to see that there’s an info post about them. Like in the extreme case that I can’t inject myself, somebody else would have to do it, but nobody knows how to do it! Thank you, this may just save my life some day.

Don’t be wimpy about it, either. I know friends who are like, “but idk if I could stab you with a needle!” Please stab me with the needle, don’t be hesitant about it.

In my case (I can’t speak for all allergies), an epi buys me 20 minutes of breathing to get to the hospital. It is not a magic bullet, it’s a few critical minutes to help get me where I need to go.

For those who don’t know, people with serious food allergies carry epinephrine which is an adrenaline shot just in case they have anaphylaxis, which is a life threatening allergic attack. This shot is life-saving and must be administered to someone who is having an anaphylactic attack as SOON AS POSSIBLE, because an extra waited minute could mean their life.

It doesn’t hurt much at all to use this needle. The first time I used mine, I didn’t even feel it. But be sure to stab it IN THE OUTER THIGH. Do not stick it anywhere else or you could seriously hurt or kill someone. Just right to the outside of the thigh and then call the ambulance - even if your friend starts doing better, they could have a biphasic reaction, meaning a reaction that comes back (or they may need a second dose, be on the look out). If your friend has an epipen, then they have an epipen trainer that doesn’t have a needle and you can try it out just to be sure you know how to use the real thing if you have to. I’d also advise holding it a few more seconds then 10, maybe go for 14 just to be sure all the medicine is administered and that you didn’t count too fast - that’s what I did.

Here’s a graphic of where to stick it:

THANK YOU FOR THE GRAPHIC I was about to ask because my mom carries one around and so do some of my friends and I wanted to make sure I would do it right if I ever needed to!

Thank goodness for this post. We get this training at camp but not everyone knows. It can save so many lives.

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Shit No One Told Me About My Period

I knew the basics before I got it, but I had no clue…

* The blood wouldn’t necessarily be red. When I first got my period, I spent a few min looking at my underwear wondering how I shit myself. I didn’t know the blood could look brown, or be thick.

* That tampons weren’t a good idea yet. I was 10 or 11 when I got my first period and physically smaller than an adult woman. My first attempt at inserting a tampon was very painful and unsuccessful. I wouldn’t use them until I was around 14 or so.

* That when you use pads the blood can get on your bottom and I’d have to occasionally clean off the toilet seat after using it.

* That getting your first period DOES NOT mean you’re fully developed and fully able to bear children. I could have technically gotten pregnant at that age, but I was still a child and pregnancy would have put my life in danger because I was still physically immature.

* That it wouldn’t be regular for another few years.

* That very painful cramping is NOT NORMAL once you reach your 20s and is cause for concern.

* That the blood and tissue you pass can look chunky or stringy and not like blood from a cut.

* That stress can halt your period for months BUT

* That doesn’t mean you can’t get pregnant

Feel free to add your own

Relatable

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angelsaxis

-passing blood clots is completely normal

-that your period may straight up skip a month when you first get it

-and then it’ll happen twice in the same month

-getting your period does NOT automatically make you a woman

Painful cramping isn’t normal in your 20’s? That’s a little concerning, mine have been getting exponentially worse

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phinarei

It is NOT normal. 

I can 100% guarantee you have endometriosis, PCOS, or another hormone problem. If your doctor says it’s normal, DEMAND a second opinion. 

Thinking that it’s normal is how people end up infertile or dead. It’s why so many women under 40 these days are having an almost impossible time either conceiving or preventing conception. Because no one teaches anyone that it’s the sign of trouble that can very seriously hurt you. 

Anyone who has severe cramps, heavy bleeding, or irregular periods after about 19 years old should seek medical advice. None of those are normal. 

If you have skin tags, a hard time losing weight, migraines related to your period, depression that is amplified when menstruating, severe mood swings, sleep disturbances that get worse with menstruation, or any other significant health problem that started with puberty and is worse when hormones are fluctuating you need to be checked. 

None of the things that people relate to women on their periods is actually an example of a healthy woman. It’s an example of people who need one form of treatment or another. 

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colt-kun

Do NOT go to a general doctor. Find a women’s health center. Obgyn doctors. ASK SPECIFICALLY FOR A FEMALE DOCTOR. (Also helps with creating a demand for female doctors, win-win)

And if the doctor you do see tried to write you off as “nothing” or “its normal”? Politely insist for another doctor. People forget: you are paying them for a service. If you believe the doctor is not taking you or your problems seriously, ASK FOR ANOTHER DOCTOR. Specifically, “Do you have another doctor on staff who is more experienced with female health”. It is WELL within your right to change doctors as you see fit - you owe no loyalty to one specific doctor if they aren’t meeting your needs.

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adamsmasher

most of my followers are male but this is good info for you to learn and share with your lady friends/girlfriends who may not have been taught this stuff.

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eye-of-orion

Additional tips for folks who may be experiencing some of these symptoms:

  • If a doctor’s only suggestion is just to “lose weight”, find another doctor. If that’s not an option, at least ask “what other treatment would you recommend if I were thin?” and push for that. Even if you can lose weight safely, it won’t happen overnight. (And if you have certain disorders, it may be difficult to lose weight at all.)
  • If a doctor’s suggestion is just “birth control”, you try that for a few months and it doesn’t help, let them know and ask if there’s another type you can try. There are multiple formulations of birth control, and not all mixes are for everyone. ALSO:
  • Ask if there is other bloodwork you should consider (and other endocrine issues to rule out)
  • Above all else: if a doctor won’t work with you to manage symptoms that are disrupting your life, FIND ANOTHER DOCTOR

One thing I have personally experienced is that because so much research has historically been done on cis male bodies, doctors do not always know how diseases interact with a woman’s period. Also, because we stuff “women’s health” into a separate OBGYN box, doctors may also treat your menstrual cycle in a vacuum. The monthly hormone cycle does not exist in a vacuum. It interacts with (and is interacted upon) by other parts of the body.

Similarly, there are mental health symptoms which are exacerbated by (or even caused by) endocrine/reproductive dysfunction. Before I had treatment for my particular issue, I alternately experienced violent mood swings and “fogs” that caused me to have difficulty learning and communicating. Turned out it was endocrine dysfunction. Within two weeks of receiving proper treatment, those mental illness symptoms vanished. It also cleared up the problems I’d been having with menstruation, which had not responded well to any form of birth control. My OBGYN had been trying to solve the wrong problem. 

Focus on your symptoms and the quality of life you want. 

You deserve care.

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susiephone

the wish fulfillment of the big hero 6 universe isn’t all the superhero stuff, it’s the dream of having any illness or injury, no matter how big or small, attended to by a healthcare professional who is completely focused on you and your problem, would never brush off or downplay your symptoms, will instantaneously assess what’s wrong and come up with a treatment plan for it, and won’t charge you a dime. and then give you a lollipop.

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