I came up with this three-way table to help me (and now you, if you want) to rate things out of 5 stars. I was thinking of books and films when I made it, but you can probably use it for other stuff.
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The idea is that you rate the thing on how much stuff you loved and how much stuff you hated, and those things weight against each other. There’s only one way to get 5 stars or 1 star, so those should end up as the rarest ratings, wtih 3 stars being the most common.
‘Spicy’ means that the thing inspires emotion, whether positive or negative, while ‘bland’ means it doesn’t affect you much either way.
An example of a 3-star (spicy) – for me personally – would be the Twilight series, because there’s plenty of garbage in there but also some things that are like crack to me. I can’t think of an example of a 3 star (bland) because by nature they don’t stick in the mind.
(This also assumes giving 0 stars isn’t allowed. That’d throw it out of whack…)
I absolutely love this bc it’s so like the risk assessment matrix for hazards
I had a patient come in the other day because she wanted her IUD replaced. It was at the end of it’s life and she loved having her IUD, this was her second one. My MA let me know that the patient was very anxious about getting the IUD replaced, she’d had painful experiences in the past with her other replacements and was dreading this visit for that reason.
I spoke with the patient and she was literally shaking with anxiety. I asked her to describe her prior experiences as well as what she liked about her IUD and what she didn’t like. She said that she wished she didn’t have to get it replaced so often, so I recommended we place a Mirena instead of just inserting a new Kyleena IUD. She was nervous about this because she didn’t want an IUD that was big. I explained that the Mirena and Kyleena are essentially the same size but the Mirena lasts 3 years longer and would likely bridge her to menopause given her age whereas with the Kyleena she’d probably need another replacement to get there. She was okay with trying the Mirena.
I then talked to her about pain control during the procedure as this was what she was most worried about. I asked about her prior experiences and then laid out what I wanted to do to try and improve her experience during this procedure. I told her I planned to give her prescription strength ibuprofen, a heating pad, and a very dense anesthetic block in her cervix to hopefully make it a better experience. If she had had someone to drive her home I would’ve also given her an ativan because we have studies that show patients who report higher rates of anxiety surrounding a procedure also report higher rates of pain associated with it.
She was down for this plan. I gave her a very dense block, she only felt three small injections and then nothing else. She was shocked when I told her that her old IUD was out and the new one was in. She didn’t believe me when I told her it was over.
I don’t tell this story because I wanna brag about how amazing of a doctor I am because I’m not. I tell this story because this is the way IUD insertions SHOULD go and I want people to know that IUD insertions do not need to be traumatic. And I want other providers who may insert IUDs to know that a paracervical block should be your standard when it comes to IUD insertions.
When people find out I’m an OBGYN, complete strangers, acquaintances, etc. , the two things they like to tell me immediately are their horrible birth trauma story and their terrible IUD insertion story and I’m trying to at least make the latter one a little less common.
If you place IUDs and aren’t doing a cervical block, you need to start. This should be the standard but over 90% of OBGYNs in the US aren’t doing them and it’s unacceptable. We are traumatizing people and it’s entirely avoidable. We are scaring people away from one of the most effective and long lasting forms of birth control in a time when people are losing their ability to end unwanted pregnancies all for no justifiable reason.
“It takes too long:” No it doesn’t, that visit took me 20 minutes with a highly anxious patient from start to finish.
“It’s not worth it for such a short/small procedure.” It’s worth it for the patient.
“It’s too expensive.” You can do a paracervical block with just normal saline. You don’t even need lidocaine if you use a generous amount of volume. And if you place Nexplanons I know you stock lidocaine in your office, stop being fucking cheap at the expense of women’s pain.
“Patient’s don’t need it, they’ll get over it.” I’m telling you they do need it and they aren’t getting over it as evidenced by literally everyone wanting to tell me about their terrible IUD insertion experience as soon as they find out I’m an OBGYN.
We should do better. The cervix has nerve endings, stop acting like it doesn’t.
Make cervical blocks your standard of care, there’s no excuse not to.
Honestly I could see a fallout vault(s) where somebody at vault tec wanted to prove communism wouldn’t work by putting it and a capitalist vault in the same connected system with the same amount of resources only the overseer of the capitalist vault is tasked to sabotage the communist vault at every opportunity metatextually showing how communism historically only fails due to capitalist interference and how that even the “experiment” was rigged due to capitalisms hostility to cooperation. Only Todd Howard would never want to do actually anti capitalist messaging in a fallout game
You and me get fallout more than Todd Howard ever will
“whoa there pal! looks like your favorite web service is getting hit with enshittification. you should try this NEW PLATFORM, that is only mildly alike in function, has no stable source of funding, and is being ran by some people in their home office as a hobby. this will be a long-term solution for you that you can build a community on, i promise!” <- sentiment i see a lot on here lately. like. lol
A Minnesota woman seen using a racial slur against a child in a video posted on social media has raised over $300,000 through a crowdfunding campaign, saying she and her family need to relocate for their safety.
The incident, which occurred at Soldiers Field Memorial Park in Rochester, shows a woman, identified as Shiloh Hendrix, using the n-word in an argument with a man who confronted her about her language toward a Black child. The video, which circulated across social media platforms including X and TikTok, shows Hendrix repeating the slur and defending her actions by claiming the child stole from her toddler’s diaper bag.
I was thinking about this on and off before this story even broke the news but by and large it doesn’t matter what consequences white supremacists who harass black people, on camera, in public, actually have to deal with because legions of fellow white supremacists are in the wings ensuring that they’ll be fine throughout the ordeal.
The fringe Parasitic Encephalization Theory claims our nervous system is a parasite that took over the body of the earliest vertebrate ancestor. It captures 20% of the body’s resources, while staying separate from the blood and being considered unique by the immune system.
While very few defend this theory, one fact supports it: If the body dies while the skull is open, the brain and spinal cord sometimes detach and briefly flail outside, in what could perhaps be an ancient host-seeking reflex.
congratulations, you’ve managed to sway google’s ai overview
Also my two cents on the matter. It sucks that google will cite my art blog as an authoritative source. People googling the fake terms I make up was a good way I had of catching those who believed in my art a little too hard and making them realize it’s not real (since it’d often lead them to my website where it’s clear it’s an art thing). I bet a few of you found my art this way!
If now google does the opposite that says a lot about how bad it has become as a service. Straight up leading away from the truth.
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