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angelcactus · 1 year

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I posted 541 times in 2022

That's 541 more posts than 2021!

326 posts created (60%)

215 posts reblogged (40%)

Blogs I reblogged the most:

@itsdaifuku

@0o-starboy-o0

@verrverii

@annahhopee

@darlin-collins

I tagged 388 of my posts in 2022

Only 28% of my posts had no tags

#redacted asmr - 314 posts

#redacted audio - 265 posts

#redacted david - 99 posts

#redactedasmr - 78 posts

#redacted angel - 77 posts

#redacted darlin - 46 posts

#redacted anons <3 - 45 posts

#redacted sweetheart - 42 posts

#redacted sam - 40 posts

#redacted asher - 39 posts

Longest Tag: 138 characters

#i get to go to my grandparents house and listen to them talk about how fat ive gotten and how much they hate gay people and minorities:)))

My Top Posts in 2022:

THE PACK DOING PULL UPS OR SIT UPS AND THEIR MATES GIVING THEM A KISS FOR EVERY REP

463 notes - Posted September 23, 2022

Redacted actor aus are so fun so here's my rendition. :}

Every couple is real, for example Milo and sweetheart, Damien and huxley, Elliott and sunshine

Vega and Caelum are brothers and vega is actually Australian, caelum isnt.

Ivan has told interviewers that after filming possessed Ivan he cried as he felt awful for being mean to his listener (oh yeah both of his listeners are his partners)

Marie is Milos actual mom and she comes on set sometimes and brings food, shits good as fuck

In every interview with the freelancer series, shaw pack and solaire clan when asked what was the hardest thing to film was everyone responded with the inversion

Huxley is actually very smart, it scares damien sometimes

Lasko is the quietest person on set which is strange considering his character has almost if not more lines than gavin

Sweetheart will just start dancing in the middle of filming when the camera isn't on them, it makes Milo laugh everytime so they have to refilm it

Aggro is Milos real cat, his real name is Pudding Cup. He's fun to film with but he's stubborn and just does what he wants

In the episode where David and Angel meet you can see caelum in the background as a small Easter egg

Geordi's episodes take the longest to edit considering he has to act then record his lines from his head

The only person who got truely hurt during the inversion was lovely on accident. An actor who was playing a shade knocked them down too quickly and the wind was knocked out of their chest and they had to stop filming for a moment so they could catch their breath

The startrek quotes Asher claims to spew out aren't scripted, those are real quotes he says

I can't think of anymore and I had so many oh no

499 notes - Posted October 4, 2022

Angel is the type of drunk person to refuse kisses from David bc and I quote "my boyfriend can kick your ass don't kiss me please" and David is just sitting there like "...I'm your boyfriend????"

595 notes - Posted September 30, 2022

Angel loosing their voice and David pretending it's the best thing ever. Finally they stopped talking. But in reality he practically babies them, he gets them tea, blankets, endures Minecraft for once. Once they get their voice back and start talking again he practically cries. He missed their voice so much it hurt.

694 notes - Posted September 6, 2022

My #1 post of 2022

After finding out that David mains Bowser I contribute this

It's them

824 notes - Posted September 13, 2022

Get your Tumblr 2022 Year in Review →

#tumblr2022 #year in review #my 2022 tumblr year in review #your tumblr year in review

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sidenotelife · 6 years

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You have to be sane to be a psychiatrist, an MS3 progress note.

Loosely based on a true story,

I have been meaning to write an MS3 progress note to my previous writings on dealing with anxiety and depression during med school (Here’s one general post I wrote about it, and here’s another about my running thoughts in the days leading up to Step 1). Most recently having been on a psychiatry rotation I’ve found myself introspecting about my own anxiety and depression. Sidenote - there may be some observer bias here, everytime I did SIGECAPS on a patient I found myself reflexively SIGECAPSing myself:

*Disclaimer* Medical Student Note - Educational Purposes Only

KN is a 29 YO M patient presents with concerns of worsening depression and anxiety in the setting of social stressors.

Sleep - Poor, having bad dreams causing nighttime awakenings.

Interest - Less interest in watching NBA due to fatigue at end of night.

Guilt - Patient endorses major feelings of guilt towards lack of energy to care for kids and be nice to wife.

Energy - Main complaint of patient is per patient “just feeling tired of this shit”. Patient mumbles incoherently to self when asked to elaborate.

Concentration - Objective scores on UWorld are low but patient says they are always low.

Appetite - Due to nausea has missed breakfast some mornings but no weight loss reported.

Psychomotor - Denies.

Suicidal ideation - Denies.

Patient endorses symptoms of anxiety, denies symptoms of mania or audio/visual hallucinations. Patient endorses alcohol use <14 drinks per week and denies tobacco/cocaine/opioid/benzo.

Patient has been seen by several psychiatrists and psychologists at CAPS for past 6 years. Current rx: 60 mg fluoxetine for 2+ yrs and has been on some psych meds for 6+ yrs. Past hx of suicidal ideation but no suicidal attempts. No past psychiatric hospitalizations.

No relevant medical history or surgical history. Social history is pertinent for wife and two young children of age 1 and 3 which serve as both a source of motivation for living and also a source of stress.

I think I found a lot of aspects of my psychiatry rotation challenging, but for me the hardest part was the self-imposed pressure of feeling like I need to look engaged. sidenote - This has been the most common MS3 struggle for me, the constant need to look engaged towards residents and attendings, but also with patients. It’s not that I’m not engaged. I mean sometimes I’m not engaged, but most of the day I’m pretty interested and I really really want to learn clinical medicine. My greatest priority is to learn how to talk to patients and I obsessively study the way different attendings talk to patients. It’s just my natural body language tends toward slouching or my eyes being half-closed. Sidenote within a sidenote - This is one thing that my introverted self likes about science. When I’m reading a paper or thinking about science nobody gives a shit how much or how little engaged I look, all that matters is how engaged I am. This sometimes makes it hard for me to be with patients because I not only have to be engaged which takes energy but I have to spend another subconscious amount of energy focused on thinking about my posture - Am I sitting up straight? Am I sitting up too straight? Am I thinking too much? Can they tell I’m thinking too much? FFFFFFFFFFFFF *head explodes* Anyways, on psychiatry more than other rotations I’ve felt pressure to be engaged with patients. It kind of makes sense, on psych there’s this patient sitting across from me telling me the exact progression of thoughts going through their head as they decided to down 30x tylenol with a handle of vodka. And this pressure to be engaged slowly built itself on top of me and weighed me down. Slowly robbing me of my energy to engage with patients, but more importantly with myself and those around me.

And this was seeping into my home life too. On the weekdays I could force myself to wake up and hustle over to make it to rounds on time, but on the weekends I just felt drained. Lazy. Not an emotion I’m used to, if you can imagine. I struggled just to get out of bed to take care of my kids, leaving my wife to bear the brunt of the additional to childcare responsibilities. Let’s just say I am not the only one in our house glad my psych rotation is done. Sidenote - I would at this point like to thank psychiatrists. Not only for the care they have provided me, but also for the thankless work they do. Sidenote within a sidenote - My favorite attending thus far in med school is a psychiatry attending. I loved him because he was so passionate about the wellbeing of his patients that he managed to inspire a cynic like myself to believe slightly more that it was possible to deliver patient-centered care despite the challenges provided by the system.

Anyways, the further I progress through MS3/4 clinical years the more I see what people become frustrated with regarding these years of training. For me what frustrates me most about the clinical years is the same thing that pissed me off about the pre-clinical years, that progression is time-based and not competency-based, thus making it a huge time-sink for fast-learners and a perfect setup for failure for slow-BUT ABLE-learners.

Sidenote - here is a quick MUSC-specific change I would make to streamline the training process. I would eliminate family medicine as a mandatory rotation. I would shorten the following rotations from 6 weeks to 4 weeks because in my opinion the primary objective for a medical student that is not interested in these specialties is to gain a broad exposure to these specialties: surgery, OB-GYN, pediatrics, and psychiatry. I would expand internal medicine into 2x 4 week rotations, one inpatient and one outpatient, and also neurology from a 3 week to a 4 week rotation. I would make all the 3 week selectives into 2 week selectives with the primary goal to be career exploration. This would take the third year curriculum from 48 weeks down to 34 weeks. I cannot speak much to MS4 yet, but I imagine my take would be put those extra 14 weeks + half a year of MS4 (27 weeks) towards interviews/away rotations/subinternship/research. Combine this with my plan to shorten the first two years of pre-clinical med school into 1.5 yrs and boom 3 yr med school. I really think more med schools should test this approach, a lot of time spent during med school gives me the impression of being low-yield to actually being a doctor.

..How did I even get here, sorry to everyone who signed up to read about psychiatry. Shoutout psychiatrists.

see you on the other side,

from ken

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