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                            Hilary Duff Reacts to NSFW Trisha Paytas 'What Dreams Are Made Of' Meme
                        
                    

                    
                

            
        
    
    






    

    
    
    

        

            









    

        
        
        
        
        
        
        
    

    

        val-ritz:

dreaming-in-circles:

magickinmundane:

pr0dr0me:


licensetomurse:


meanwhileonwednesday:
As a medical professional and a medically complicated human this is very important to me
That’s not wrong. 


These are both true


Both are very very true.


These are both true, but more importantly, not mutually exclusive! 
Say a patient comes in with chest pain. First time they’ve ever had chest pain. They say they googled it, and clearly they have cancer now!
…no. That’s the first example. 
But say a patient has chest pain, they’ve had chest pain for 10 years, every previous doctor has checked for all the obvious causes, and nothing changes. 
That’s a completely different scenario. In the first example, the patient doesn’t know what they’re talking about. The condition is new, their knowledge is limited. That’s why we have doctors. But in the second example, the patient is the expert, and the doctor is the one who’s new to the situation. The patient has done all this before, and is very familiar with the pain (condition, etc.) that they have. The doctor is not the one with 10 years of experience. They need to listen, because the patient actually has something they don’t know to add to the conversation. 
These two things are not mutually exclusive, they are not the same scenario, and both doctors and patients (but mostly doctors) need to learn to tell the difference and know when to talk, and when to listen. 
This is also *highly* relevant to anti-vaxers. 

There is a reason that the entire section on dysthymia in my psychology textbooks is basically “this person has been living with this for years longer than you will ever have researched it. help them facilitate their own coping strategies.”
: Trisha Greenhalgh #FBPE
 @trishgreenhalgh
 Doctor: Don't confuse your Google
 search with my 6y at medical school.
 Patient: Don't confuse the 1-hour
 lecture you had on my condition with
 my 20y of living with it.
 5:30 AM May 26, 2018
 7.4K Retweets
 22.8K Likes
val-ritz:

dreaming-in-circles:

magickinmundane:

pr0dr0me:


licensetomurse:


meanwhileonwednesday:
As a medical professional and a medically complicated human this is very important to me
That’s not wrong. 


These are both true


Both are very very true.


These are both true, but more importantly, not mutually exclusive! 
Say a patient comes in with chest pain. First time they’ve ever had chest pain. They say they googled it, and clearly they have cancer now!
…no. That’s the first example. 
But say a patient has chest pain, they’ve had chest pain for 10 years, every previous doctor has checked for all the obvious causes, and nothing changes. 
That’s a completely different scenario. In the first example, the patient doesn’t know what they’re talking about. The condition is new, their knowledge is limited. That’s why we have doctors. But in the second example, the patient is the expert, and the doctor is the one who’s new to the situation. The patient has done all this before, and is very familiar with the pain (condition, etc.) that they have. The doctor is not the one with 10 years of experience. They need to listen, because the patient actually has something they don’t know to add to the conversation. 
These two things are not mutually exclusive, they are not the same scenario, and both doctors and patients (but mostly doctors) need to learn to tell the difference and know when to talk, and when to listen. 
This is also *highly* relevant to anti-vaxers. 

There is a reason that the entire section on dysthymia in my psychology textbooks is basically “this person has been living with this for years longer than you will ever have researched it. help them facilitate their own coping strategies.”

        

            
            

                
                
                    val-ritz:

dreaming-in-circles:

magickinmundane:

pr0dr0me:


licensetomurse:


meanwhileonwednesday:
As a medical professional and a medically complicated human this is very important to me
That’s not wrong. 


These are both true


Both are very very true.


These are both true, but more importantly, not mutually exclusive! 
Say a patient comes in with chest pain. First time they’ve ever had chest pain. They say they googled it, and clearly they have cancer now!
…no. That’s the first example. 
But say a patient has chest pain, they’ve had chest pain for 10 years, every previous doctor has checked for all the obvious causes, and nothing changes. 
That’s a completely different scenario. In the first example, the patient doesn’t know what they’re talking about. The condition is new, their knowledge is limited. That’s why we have doctors. But in the second example, the patient is the expert, and the doctor is the one who’s new to the situation. The patient has done all this before, and is very familiar with the pain (condition, etc.) that they have. The doctor is not the one with 10 years of experience. They need to listen, because the patient actually has something they don’t know to add to the conversation. 
These two things are not mutually exclusive, they are not the same scenario, and both doctors and patients (but mostly doctors) need to learn to tell the difference and know when to talk, and when to listen. 
This is also *highly* relevant to anti-vaxers. 

There is a reason that the entire section on dysthymia in my psychology textbooks is basically “this person has been living with this for years longer than you will ever have researched it. help them facilitate their own coping strategies.”
: Trisha Greenhalgh #FBPE
 @trishgreenhalgh
 Doctor: Don't confuse your Google
 search with my 6y at medical school.
 Patient: Don't confuse the 1-hour
 lecture you had on my condition with
 my 20y of living with it.
 5:30 AM May 26, 2018
 7.4K Retweets
 22.8K Likes
val-ritz:

dreaming-in-circles:

magickinmundane:

pr0dr0me:


licensetomurse:


meanwhileonwednesday:
As a medical professional and a medically complicated human this is very important to me
That’s not wrong. 


These are both true


Both are very very true.


These are both true, but more importantly, not mutually exclusive! 
Say a patient comes in with chest pain. First time they’ve ever had chest pain. They say they googled it, and clearly they have cancer now!
…no. That’s the first example. 
But say a patient has chest pain, they’ve had chest pain for 10 years, every previous doctor has checked for all the obvious causes, and nothing changes. 
That’s a completely different scenario. In the first example, the patient doesn’t know what they’re talking about. The condition is new, their knowledge is limited. That’s why we have doctors. But in the second example, the patient is the expert, and the doctor is the one who’s new to the situation. The patient has done all this before, and is very familiar with the pain (condition, etc.) that they have. The doctor is not the one with 10 years of experience. They need to listen, because the patient actually has something they don’t know to add to the conversation. 
These two things are not mutually exclusive, they are not the same scenario, and both doctors and patients (but mostly doctors) need to learn to tell the difference and know when to talk, and when to listen. 
This is also *highly* relevant to anti-vaxers. 

There is a reason that the entire section on dysthymia in my psychology textbooks is basically “this person has been living with this for years longer than you will ever have researched it. help them facilitate their own coping strategies.”

                    
                
            

            
                
                
val-ritz:

dreaming-in-circles:

magickinmundane:

pr0dr0me:


licensetomurse:


meanwhileonwednesday:
As a medical professional and a me...

                
            
            
        

    

    

        
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        I can't stop laughing at this.. Scroll to the end.: Verizon
 23:44
 November 28 Las Cruces, NM
 I got my first ever gun today DC9, post pics of your
 most favorite firearm or the first gun you've ever had,
 whatever speaks to you most.
 PS. I'm a flamboyant liberal queer and my more "right"
 friends feel like they have converted me and are
 ecstatic (maaaaybe they're right a bit, it's not likely
 tho but I'll just let them think that bc I love my friends)
 Like
 Comment
 OWrite a comment...

 Comments
 Done
 l don't feel confidently about you owning a
 handgun
 November 28 Like Reply 1
 Fio
 Thats pretty fucked up, I don't know why
 anyone would feel more confident about
 you owning one for instance
 November 28 Like Reply 8
 It would be one thing if you said you
 don't feel confident about anyone
 owning one. In this case you are very
 clearly implying that there is something
 about me which would make it unsafe
 and that is so incredibly ridiculous I
 don't know where to begin but I guess
 first of all, what makes you think that
 you have the authority to say that
 someone that passed the background
 checks to buy a firearm and who
 immediately registered it and is asking
 for safety pointers would be unsafe
 using a gun? I'm fully expecting any
 answer you have to be completely
 offensive and inappropriate and based
 on wild assumptions but please,
 continue.
 November 29 Like Reply 12
 Write a comment...
 Post
 Love
 Comment

 Verizon
 23:44
 cbs4local.com
 SHARE
 EMERGENCY ROOM
 Police: Road rage leads to arrest
 after woman shoots at another
 driver
 by Trisha Garcia
 Friday, February 9th 2018
 ARRESTED
 LAS CRUCES POLICE DEPARTMENT
 .5
 FION
 Mug of Fiona Mcharged with one count of aggravated assault
 with a deadly weapon.
 FACEBOOK
 TWITTER
 MAIL
 TRENDING
I can't stop laughing at this.. Scroll to the end.
        

            
            

                
                
                    I can't stop laughing at this.. Scroll to the end.: Verizon
 23:44
 November 28 Las Cruces, NM
 I got my first ever gun today DC9, post pics of your
 most favorite firearm or the first gun you've ever had,
 whatever speaks to you most.
 PS. I'm a flamboyant liberal queer and my more "right"
 friends feel like they have converted me and are
 ecstatic (maaaaybe they're right a bit, it's not likely
 tho but I'll just let them think that bc I love my friends)
 Like
 Comment
 OWrite a comment...

 Comments
 Done
 l don't feel confidently about you owning a
 handgun
 November 28 Like Reply 1
 Fio
 Thats pretty fucked up, I don't know why
 anyone would feel more confident about
 you owning one for instance
 November 28 Like Reply 8
 It would be one thing if you said you
 don't feel confident about anyone
 owning one. In this case you are very
 clearly implying that there is something
 about me which would make it unsafe
 and that is so incredibly ridiculous I
 don't know where to begin but I guess
 first of all, what makes you think that
 you have the authority to say that
 someone that passed the background
 checks to buy a firearm and who
 immediately registered it and is asking
 for safety pointers would be unsafe
 using a gun? I'm fully expecting any
 answer you have to be completely
 offensive and inappropriate and based
 on wild assumptions but please,
 continue.
 November 29 Like Reply 12
 Write a comment...
 Post
 Love
 Comment

 Verizon
 23:44
 cbs4local.com
 SHARE
 EMERGENCY ROOM
 Police: Road rage leads to arrest
 after woman shoots at another
 driver
 by Trisha Garcia
 Friday, February 9th 2018
 ARRESTED
 LAS CRUCES POLICE DEPARTMENT
 .5
 FION
 Mug of Fiona Mcharged with one count of aggravated assault
 with a deadly weapon.
 FACEBOOK
 TWITTER
 MAIL
 TRENDING
I can't stop laughing at this.. Scroll to the end.
                    
                
            

            
            
        

    

    

        
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        Listen guys... I need someone to talk to, I'm so fucking depressed right now. This girl (Trisha) broke my heart, she was the love of my life. I thought we were going to get married, I mean I loved this girl. I met this girl 4 days ago on Instagram, she slid in my DMs and we were just kickin it off, we had chemistry yunno. So I was like, limmi fly you out to my place, we can netflix and chill. She was hella cool about it. I flew the bitch out so quick, next day delivery she was at my home within 24 hours. So we chillin and watching this movie about homosexual squirrels and then she made the first move, I was like BET A NIGGA ABOUT TO GET SOME HEADDD, she pull down my pants and then this bitch, MOTHERFUCKING BITCH STARTS LAUGHING HER ASS OFF, LET ME TALL YALL LADIES SOMETHING, US MEN WE CAAANT CONTROL OUR DICK SIZE, IF WE COULD WE WOULD ALL HAVE THE PERFECT DICK. BUT YOU LADIES HAVE TO START RESPECTING MEN WITH SMALL DICK, FUCK ALL YOU WOMEN THAT THINK 3.5 INCHES IS SMALL. AND FUCK YOU TOO TRISHA: wonderlusT
 @VirtuHoe
 My boyfriend turned down 5 fully
 paid scholarships just to stay here
 with me ( ) I really love this man
 so much
 childish sadbino
 @datassque
 your boyfriend dumb as shit
Listen guys... I need someone to talk to, I'm so fucking depressed right now. This girl (Trisha) broke my heart, she was the love of my life. I thought we were going to get married, I mean I loved this girl. I met this girl 4 days ago on Instagram, she slid in my DMs and we were just kickin it off, we had chemistry yunno. So I was like, limmi fly you out to my place, we can netflix and chill. She was hella cool about it. I flew the bitch out so quick, next day delivery she was at my home within 24 hours. So we chillin and watching this movie about homosexual squirrels and then she made the first move, I was like BET A NIGGA ABOUT TO GET SOME HEADDD, she pull down my pants and then this bitch, MOTHERFUCKING BITCH STARTS LAUGHING HER ASS OFF, LET ME TALL YALL LADIES SOMETHING, US MEN WE CAAANT CONTROL OUR DICK SIZE, IF WE COULD WE WOULD ALL HAVE THE PERFECT DICK. BUT YOU LADIES HAVE TO START RESPECTING MEN WITH SMALL DICK, FUCK ALL YOU WOMEN THAT THINK 3.5 INCHES IS SMALL. AND FUCK YOU TOO TRISHA
        

            
            

                
                
                    Listen guys... I need someone to talk to, I'm so fucking depressed right now. This girl (Trisha) broke my heart, she was the love of my life. I thought we were going to get married, I mean I loved this girl. I met this girl 4 days ago on Instagram, she slid in my DMs and we were just kickin it off, we had chemistry yunno. So I was like, limmi fly you out to my place, we can netflix and chill. She was hella cool about it. I flew the bitch out so quick, next day delivery she was at my home within 24 hours. So we chillin and watching this movie about homosexual squirrels and then she made the first move, I was like BET A NIGGA ABOUT TO GET SOME HEADDD, she pull down my pants and then this bitch, MOTHERFUCKING BITCH STARTS LAUGHING HER ASS OFF, LET ME TALL YALL LADIES SOMETHING, US MEN WE CAAANT CONTROL OUR DICK SIZE, IF WE COULD WE WOULD ALL HAVE THE PERFECT DICK. BUT YOU LADIES HAVE TO START RESPECTING MEN WITH SMALL DICK, FUCK ALL YOU WOMEN THAT THINK 3.5 INCHES IS SMALL. AND FUCK YOU TOO TRISHA: wonderlusT
 @VirtuHoe
 My boyfriend turned down 5 fully
 paid scholarships just to stay here
 with me ( ) I really love this man
 so much
 childish sadbino
 @datassque
 your boyfriend dumb as shit
Listen guys... I need someone to talk to, I'm so fucking depressed right now. This girl (Trisha) broke my heart, she was the love of my life. I thought we were going to get married, I mean I loved this girl. I met this girl 4 days ago on Instagram, she slid in my DMs and we were just kickin it off, we had chemistry yunno. So I was like, limmi fly you out to my place, we can netflix and chill. She was hella cool about it. I flew the bitch out so quick, next day delivery she was at my home within 24 hours. So we chillin and watching this movie about homosexual squirrels and then she made the first move, I was like BET A NIGGA ABOUT TO GET SOME HEADDD, she pull down my pants and then this bitch, MOTHERFUCKING BITCH STARTS LAUGHING HER ASS OFF, LET ME TALL YALL LADIES SOMETHING, US MEN WE CAAANT CONTROL OUR DICK SIZE, IF WE COULD WE WOULD ALL HAVE THE PERFECT DICK. BUT YOU LADIES HAVE TO START RESPECTING MEN WITH SMALL DICK, FUCK ALL YOU WOMEN THAT THINK 3.5 INCHES IS SMALL. AND FUCK YOU TOO TRISHA
                    
                
            

            
            
        

    

    

        
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