Street Medic
@RndmStreetMedic
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Do what you can with what you have and above all else, minimize harm. @[email protected]
Joined May 2019
This is the hard thing. I generally do not ask for help for myself, but at the request (and demand) of several in my circles. this was created for me and is my official go fund me.
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Do not do this. Do not take pictures of people in waiting areas within healthcare facilities. If you do this in my facility and I catch you, we're going to make you delete that picture, you're getting an escort off the property, and your appointment for the day is being cancelled
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Last night, a younger patient arrived with abdominal pain, chest pain, and shortness of breath. While assessing, the patient began to appear more and more pale with each moment. "I tested + with two at home tested, but I have an IUD." VS=HR 150 BP 80/40. I sounded an alarm. 1/8.
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Under the laws being pushed by the right wing in this country, this patient would either be dead or they would be alive and we'd all be criminals for saving her life. There's nothing pro-life about that. 8/8.
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What probably happened is the tenants complained for a protracted period of time that the place was too hot, that the AC needed upgrading, and there was no response from the landlord. Play slumlord games, win slumlord prizes. 🤷♀️.
Tenant is moving out, I stopped by to pick up the keys. Me: What happened here?.Tenant: What happened with what? . 🤦🏻♀️.#multifamily
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90-93% of child abusers are known to the child. Over 50% of those cases are family members. Yes. I'm going to ask "who is this person with you?". Yes. I might ask if you can leave the room so I can ask other questions. Yes. You flipping out makes our spidey-senses go off
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The appropriate response to any member of ICE attempting to speak to your patient is "get the fuck out of my ER.".
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"If you're on hormone therapy, you should be banned from. ". List of commonly used hormones by cis people:. * Insulin .* Glucagon.* Levothyroxine.* Spironolactone.* Erythropoietin.* Epinephrine .* Estrogen (menopause).* Tamoxifen (blocks estrogen for BC).* Testosterone (low-T).
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I can't wear a pink hat or pins supporting reproductive autonomy at work. But what I can do is guarantee that if you show up at my ED, you will get my best and the best of my teammates in our endeavors to provide care that's based on evidence. not political bullshit . 6/8.
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This is important because there are people with power out here trying to claim that what we did last night should be a crime, that the reward for saving a life should be imprisonment or worse, and that the choice to survive should be met with punishment. 7/8.
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We use these. They don't get tired. They only stop when you tell them to (or if the battery dies). Their compression rate and depth is consistent. Their use means that the person who would normally be assigned to compressions can do something else.
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The final diagnosis was a ruptured ectopic pregnancy resulting in hemorrhage. Why is this important?. 5/8.
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Street aid advice. It's not illegal to render aid to a person who has been shot. You're not "disturbing a crime scene" by rendering aid to a shooting victim. The worst thing you can possibly do is stand there and do nothing while a LIVING person dies in front of you. 1/2.
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CW: Firearms. This is 2 separate instances of ppl drawing & aiming firearms at Trans & Queer people as well as allies. If your response to us discussing what would increase our own safety is to yell at us and tell us "you're just like them". you need to get out of our spaces.
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At the end of my shift a few hours later, I went upstairs to the floor where the patient was recovering. They were awake, they were in very good spirits, they were appreciative, and above all else. they were alive. 4/8.
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POCUS conducted by MD/PA team revealed fluid in the lower abdomen. At the same time, we established 3 IVs, ran labs, sprinted a runner to blood bank, and started prepping the patient in the ED for emergency surgery. It's 0200. Surgical team is en route. 2/8.
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Prior to transfer to surgical suite, the patient received two units of RBC and one of FFP. UPreg & HCG are +. Upon transfer, the patient's HR is 90 and BP is 122/60s. All of this happened within 90 minutes. 3/8.
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I've been fired from my job with the Forest Service because of the lies published by the Daily Mail, Newsweek, and other right-wing tabloids. But more poignantly: I was fired by the Biden administration for being a trans woman that owns a gun.
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There are plenty of Trans kids that live in the hood. People who can't afford to transition are still Trans. People who find safety in stealthing are still Trans. People who decide to transition later to avoid violence as child are still Trans. Maybe they just hid from you?
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We fucking warned you what they were about and now you and every other white gay "LGBwithouttheT" clown are pulling a surprised Pikachu faces. It was never about protecting kids or Women. It was always about finding a way to attack LGBTQ+ communities. You were, and are, weak.
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Hey:. A lot of friends and people I know are getting sick across the country and I just want to throw this advice out there.
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I'm totally okay with people not liking firearms and not liking the idea of owning them. That's fine. But I think that people need to understand where we are in the scheme of things.
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Casual reminder that every patient that comes to your emergency department is "seeking." They're seeking treatment for the symptoms they experience.
Yeah doc, I’m “drug seeking” for one that actually fuckin works.
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Lesson? . Your biases can kill your patients just as quickly as anything else. You owe your patients a thorough and accurate assessment.
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Things you can do:.* Put pressure on the wound.* Use a tourniquet on a limb.* Place a seal on their chest or abdomen.** HAVE ANYBODY CALL 911 **. If someone starts interfering with you saying that you're disturbing a crime scene, have someone escort them away. 2/2.
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Anytime you see the word "tr--n," (rhymes with prune) report it. If it's in their name, report it. If it's in their bio, report it. If it's in a post or a picture, report it.
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Because @AP isn't going to say it, the masks are being provided by @MaskBlocLA . Supplies are being provided by mutual aid groups operating in the disaster area. Want to help? Find those orgs and contribute to them.
In Los Angeles, people snap up air filters and wear masks against smoke pollution
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Everyday, billions of people use hormones and hormone-derived medications to manage their health. Banning any of them from participating in any aspect of their lives is a morally bankrupt position. Spare everyone from your personal hatred of Trans people. .
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Suddenly, now that C19 has been declared to no longer be an emergency. CDC: "Alright guys, good game! Now everyone make sure to have updated HVAC systems that cycle the air at least once every x minutes. Oh! And your kids should be masking! Oh yeah, mask in public spaces!". Me:
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I'm muting notifications here because. *Gestures around*.
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Local EMS brought in an unresponsive patient the other night. She had a pulse, she was breathing, but the only response you could get from her was occasional groaning. "We gave 4mg Narcan, she perked up a little bit, but this is the best she's been. It's probably fentanyl.".
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Word of advice. Whatever thing you're thinking of showing up for? If you see organizers with clipboards wandering around asking for your email address to "form the resistance" that is ultimately a trap one way or another. Don't do it.
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Shalom! I'd like to answer this as both a medical professional and an anarchist!. "How will I get my insulin?!.
I don't wanna be mean to anarchists, but "how will I get insulin so I don't die" is a legitimate question and I've yet to hear an actual, good answer.
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You know what would be better than wearing a blue bracelet?. An n95 mask. Just saying.
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@joe_insanity Easy. "You can choose not to delete that photo. That choice comes at the price of being banned and trespassed from the facility with the exception of using the emergency department. Are you sure you don't want to delete that photo? Oh you changed your mind? Good choice.".
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@TheRealGRAF Landlords: "Why should I have to get a job when I can steal income from you?".
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Street Medics are being held on $1,000,000 bail in Lancaster, PA. These are political prisoners and this is an absolute travesty.
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"There was no inten--". Choking someone for 15 minutes is intent. Hell, doing it for longer than 2 is intent. There isn't a single BJJ, Sambo, Combat Wrestling, or any other school that teaches you to hold a choke that long.
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1.) PREVENTION is key. Wear an n95 mask or better. Run air filters indoors where you live and where you work. Stay away from populated indoor places that you don't need to be in right now.
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@BlackFlagRN It's like any piece of technology. It only works when you're trained and proficient in its use.
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"Masks required" is a very easy thing to add to your events, actions, and spaces.
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We just opened an airborne pathogen room for the flood of COVID patients we just got in the last 12 hours. It's like the ghost of Christmas past wants me to revisit 2020. I can't express how much I don't want to do this again.
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This is not a pro tip. Don't use milk in your eyes. Water. Just use water.
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No. Absolutely the fuck not. These organizations have just given up on everything at this point. As an ED RN, I can't tell you the number of times I've put my hands on a patient & found surprises that vary in grossness and infectivity. Wear gloves, n95 mask, & wash your hands.
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@Pragnacious @ladytay318 Right? Next they'll claim my TV or laptops are fixtures and try to say I need to leave them behind too because they were plugged into the walls.
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Fascists and bigots absolutely fucking love firearms and are openly making statements that they're waiting for the opportunity to use them. This means, that on some level, communities need to have the ability to mount an effective defense.
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As Halloween approaches, a PSA:. Despite what the police tell you, nobody is giving your kids several hundreds of dollars of THC products.
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EMS leaves and we search for IV access, RT on standby, and have the works ready. "Hey, can we get a BGL real quick?". FSBS: "low <10mg/dL" 🤔. 1mg of Glucagon IM and an amp of D50 later, she's conscious (lethargic and confused) and has a BGL of 93. CMP returned a BGL of 6 ⚠️.
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Now seems like an excellent time to remind people about this book.
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No. I'm under 65 and I got COVID for the first time on Feb 2nd. I ended up in the hospital, I almost died, and my first day back to work is tomorrow night as a trial period to see if I can even come back to work full time. I have to go to pulmonary rehab and to a neurologist.
I don't know who needs to hear this, but the covid today is nothing like the dangerous covid of 2020-21. If you're under 65, you should pretty much forget it exists and go about your life. Just like you did your whole life with the "threat" of colds and flus out there.
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4.) Rest. There's an association with worsening symptoms as well as long COVID among people who exert themselves during the acute illness phase. That phase can last up to 90 days. If you feel tired, rest.
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2.) If you feel even slightly off and you feel that there's a chance you were exposed, get tested. The earlier you know, the faster you can start treatment. Treating your symptoms is good, but getting in early is better.
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One of the things I think about a lot is how the vast majority of world leaders & super wealthy have all these multi-tiered COVID precautions in place to protect themselves, but the avg person is convinced that masks are useless and multiple infections are without consequence.
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Those stating that Trans people deserve to be fired or charged criminally for openly talking about self-defense because "it's threatening" are telling on themselves.
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For every person claiming that the murder of Tortugita was justified because "he shot first.". 1.) Police are notorious liars. 2.) The weapon they claim "they found" after killing Tort, a medic? It's one of the most common sidearms and calibers carried by police. 3.) See point 1.
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3.) Earlier in the year, Paxlovid showed associations with reduced hospitalization, mortality, and incidences of long COVID. If you get sick, ask for it. You can go through your PCP and there are some pharmacies who can prescribe it to you if needed.
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I hope every single person responsible for this psych hold permanently loses their licenses. This is unprofessional, it's unethical, and it's a complete and utter disregard for patient rights and autonomy. It's also a complete disregard for the principles of good patient care.
Patient Care Tech in CO:."I'm devastated. Last night at work, a patient who was very covid cautious and immunocompromised came into ER with a 4-day migraine, with days of vomiting, unable to eat, etc. She even planned it for 3 am. trying to hit the Er off peak. /1.
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As a former infantryman, this is terrible advice and how you fuck up the skin on your feet. Don't do this. Change your socks frequently. Use foot powder. Moleskin for blisters that have already formed.
One other thing: if someone you know is hiking, they need to prepare their boots. Plastic bag on your bare foot, then sock over it, then put boot or shoe on. There are lots of places where you sink into the mud down to your ankle. You need the plastic bag to avoid being soaked.
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Adequate defense means a lot of things. It means having the capability to be self-sustaining in regards to food, housing, clothing, medicine, and at some point. the ability to match physical force against attackers.
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We can talk about pounding swords into ploughshares all day long, but that's only a thing you can do when you're not facing imminent threat of violence and subsequent genocide.
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5.) Eat and hydrate. COVID makes your appetite vanish. Even if you're not hungry, make sure you're eating small things throughout the day. If taste becomes an issue, bland foods and broths are the way to go.
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Just fyi. "Zio" is a term used by white supremacists and Nazis. It was created by them and used specifically against Jewish people. Same for "ZOG." . Eliminate that term from your vocabulary.
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All those protesters who had their masks forcibly ripped off by the police? A lot of you contributed to that because you normalized being anti-mask while the pandemic is ongoing. Disability justice is intertwined & part of all liberation movements including Palestine, Sudan, etc.
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When you read "looting is an ongoing issue" it's ppl trying to find supplies because greedy businesses partner with the state to horde resources in disaster areas and engage in price gouging. Having done a lot of disaster response/relief/rescue, this is overwhelmingly the case.
— away and told “we don’t have anything” when they could see clearly through the front windows that that was a lie. We were then told to go home because there was a curfew beginning at 7PM. Cops began to barricade the front door with their vehicles. Here are some pics from 2day.
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The risk isn't that anarchists would abandon those in need, it's that those in power would sacrifice vulnerable people on their last moments in an effort to "prove" that everyone needs this system to survive.
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6.) Pax mouth. Paxlovid can have an off-putting metallic taste. You can fight that in 2 ways. The first is to take your nighttime dose just before you go to bed so you sleep through it. The second is to buy some strongly-flavored hard candies that are tolerable for you.
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Alright. So what we aren't going to do is have people who don't attend protests and don't cover protests run around engaging in badjacketing, copjacketing, and fedjacketing. That shit is inherently dangerous to community members
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@dhambrick63 @joe_insanity Wait, hold up. As a nurse with a master's degree education, are you under the impression that hospital rules and policies are unenforceable? Do you seriously think the well-funded legal department, who crafted those rules, is just for show?.
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Medic reminder. Do not use milk or LAW for the treatment of pepper spray exposure. Please use water.
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Karrie, a member of our at risk disability community, ended up testing positive. How, you ask?. Because they went to a cancer screening center for an appointment and none of the healthcare workers or other people there were wearing masks. Masking is an accessibility issue.
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If the price of your "allyship" and "solidarity" is me or my siblings being dead, I don't want it.
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On almost every single one of my shifts, I encounter someone who is homeless or experiencing a mental health crisis who is shouting. Some of them even become violent. I've killed zero of them. Jordan Neely should be alive. That "former Marine" murdered a person for being loud.
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@sadboiseasoning Sure. They can choose not to delete the photo, but I can 100% choose to leverage hospital policy which makes their choice come with some fairly decent consequences. These include being banned from the facility and only being able to use the ER from that point forward.
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During the first year or two of the pandemic, a lot of anarchists launched multiple groups to create a widespread solidarity and mutual aid network to help people obtain the things they needed which were largely unavailable or inaccessible in 2020 and 2021.
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@SLPMedicare4All I've seen a lot of people die over the years. People die in healthcare, that's something that happens even if you're doing everything right. The tools we use in healthcare aren't healthcare itself, but grant us the ability to provide healthcare better, faster, and efficiently.
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Some of you took "a fascist trained today, did you?" as an opportunity to take a big steaming dump on people with disabilities which is the polar opposite of the point of that phrase.
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This is a big issue. You can't build community if you outwardly show people that you absolutely do not give a shit about their health and overall life. If you're not willing to protect everyone around you, you're cosplaying. nothing more.
I'm seeing a lot of "we will build community" posts from people who stopped masking 1-3 years ago. What are you going to build when you prioritize emotional comfort over protecting your own body from disease?.
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@TezzaLap Right. We would report if there's a suspicion. But how do you reach that point if you're not allowed to ask any questions and not allowed to ask kids if they feel like they can't say things in front of their parents? What do I do if a kid answers yes to that last part?.
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@betrue2ful Absolutely not. If my patient or their representative didn't consent to being photographed outside of the contexts provided within the hospital consent forms. no pictures. I'll defend that all day long.
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@Me_only_me76 Nowhere anywhere on this earth have I ever written that I want to be alone with anyone's kid.
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So. you see this person right here? The one who is basically being the vulva police and pushing for that fabulous "I'm totally not a predator, I just want to check your genitals" type nonsense?
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Alright, so first visit. We confirmed stage 3 adenocarcinoma and talked about my options.
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@lynnedclark It doesn't matter whether or not I think treating ectopic pregnancies are abortions. What matters are laws that do treat them as abortions and have language which criminalizes both patients and healthcare workers.
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"What about the ADA?!". Lemme ask some of you this question. If I'm asking a professor for captions and they refuse, do you think an ADA case would resolve before or after I'm forced to withdraw or fail from the course?.
A lot of y’all love using ableism to put down the candidate you like the least but can’t stand being confronted with the results of that when it looks like this:
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Let me be extra clear. KR was not a street medic and is not a street medic. He is not one of us.
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@areilly0830 It's literally 80 seconds of "how is school? What's it like at home? Does anyone do anything that makes you feel bad? How did you get that ouchie?". And people also created this fantasy that this happens without another person in the room under a certain age. 🙄.
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This not only included assistance with food sourcing, but also assistance with finding access to medical necessities which included medications.
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"Festival flu"."Coachella cough". If anybody has a spare moment, could you just look around the floor for a moment? My eyes just rolled straight out of my fucking skull.
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This was sustained through networking between mutual aid groups, medical professionals, and other patients who were able to share medications with people who had matched needs.
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Nah. Being visible is totally workplace appropriate.
I'd find being treated by a doctor wearing something like this quite intimidating, as a woman, a Christian, someone who believes in the Union, who is not a rabid lefty. Not sure I would trust them with my care. No place for this in any workplace, but especially not a hospital.
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Since this doesn't appear to be getting talked about enough. A Providence cop running for Lt Gov punched a Black Woman in the face last night and was protected by his cop buddies.
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"I attended the DNC unmasked with thousands of people who were also unmasked and came home with COVID?! How?! 😩". Me: 😒.
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"Oh yeah, well if there are more than two genders or more than two sexes, why don't they have names?". Ignoring that there are words in other cultures to talk about this, this phrase runs face first into the problem of oppressive cultures having a stranglehold on language.
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On behalf of our UK siblings facing lawsuits in an effort to silence them. JK Rowling is a Holocaust denier and an all-round piece of shit.
On 13 March I tweeted that JK Rowling “is a Holocaust denier”. That allegation was false and offensive. I have deleted it and apologise to JK Rowling.
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