in college this drunken frat bro started making clicking noises at me because I said I was east african. i said "you racist piece of shit, i bet you have no idea where i'm from" and with no hesitation he said "you're probably from eritrea"
Which fruit should be strictly avoided during pregnancy?
A. Jackfruit
B. Papaya
C. Grapefruit
D. Dragonfruit
Important: Eating this unripe fruit can cause abortion.
A man chokes on his food. The room freezes. You can still save him.
Do not start the Heimlich right away. That is not the scientific protocol anymore.
Do this instead.
something to smile about 😭😭😭😭😭😭😭😭💗 90 new chicks from this year's breeding season, taking the population of the kākāpō from 235 to 325 😭😭😭😭😭😭 31 years ago there were only 51 kākāpō!!!
This clip of Park Bo-young and Kwang-soo doing ASMR has me CRYING 😭😭 Kwang-soo being the only normal one for once?? I never thought I’d see the day 😂 The comedic timing between these three is EVERYTHING.
Found a Korean reverse harem brainrot smut novel w generic ‘game system’ hack plot and no official English translation written by an author that appears to be passionate about and determined to incorporate…Hittite archeology. Complete with fairly impressive reference footnotes
>writes a novel series about western occultism
>set in a parallel world, God is evil, there are many religions, many Gods
>to get ahead the characters need to learn occult magic
>Reveal that the "parallel world" is actually "earths future" and that future christians are lost idiots who still pray to God even though he fell and became insane/evil
>They are subject to a cold and calculating deity who uses them, and the symbol of the cross, for his own power
>Only magic and occultism can save humanity, chud christianity is stupid and will let you down
>jk though because the "false deity" is actually the true God
>jk though because he was planning on reuniting with his "fallenness" the whole time and reintegrate himself to bear the sins of mankind
>literally completely takes over the series and just handles the finale by himself even though he was supposed to be a side character
>everything was his plan all along and it never would have failed, "future christians" who still believed in him never erred
>end the series with the son of God who is the true god taking on all the sins of the world and sacrificing himself so mankind can be redeemed
>this becomes one of the best selling novel series of all time, breaks multiple records
>16 volumes at 3 books each (48 books total) only to really, really, hammer in the finale
>Literally end it on the words "God loves the World"
>All 48 books (~8.2 million words!!!) were written in ~6 years, from 2018 - 2025
>Conversions in China at an all time high
Yuan Ye is probably just a straight up minor prophet ngl
There is a hotel in Japan that opened in the year 705.
Not 1705. The year 705.
Rome still had an emperor in Constantinople.
The Vikings hadn't touched a boat yet.
America wouldn't exist for another thousand years.
The same family has run it for 52 generations.
Same hot spring. Same valley. Same job:
take care of the traveler.
It holds the world record as the oldest hotel on Earth,
and it is still taking reservations tonight.
And it's not alone.
A Japanese construction company was founded in 578,
building temples. It operated for over 1,400 years.
Japan has tens of thousands of companies
more than a century old —
more than any other country on the planet.
There's even a word for them: shinise.
Old shop. Said with deep respect.
In a world obsessed with scaling fast,
disrupting everything and selling the company by 40,
Japan quietly built something else:
businesses designed to outlive
everyone who will ever work in them.
Somewhere in Japan tonight, a 52nd-generation innkeeper
is checking the temperature of the same spring
her ancestor checked while Europe was in the Dark Ages.
That's not a business plan.
That's a promise, kept for 1,300 years.
ICU Stories:
An 80 yo woman is about to go home when she suddenly develops profound shock
SBP: 40s–50s mmHg
Cold. Clammy. Diaphoretic. Weak
The ECG is interpreted as:
“Anterolateral and septal infarct”
iv fluids + norepinephrine aren't working...
What would you do next?
Today I was visited by a man who introduced himself as the cousin of a patient I treated in 2018.
The patient Satish, died of progressive liver failure under my care without a timely liver transplant. His wife did not match and his children were young and he did not receive an organ from the "deceased donor" pool in time. He died from multiple organ failure alone on the ventilator with only me and the ICU staff by his side, because his wife did not want the last memory of her husband to be one where he was hooked to machines and lines and deep in coma.
I remember him because his was one of the nightmarish cases I had to manage when I was just getting to learn the ropes on management of critically-ill liver disease patients. He was also one of the first of my patients whom I saw leave behind very little children and a deeply confused and grieving wife. I did not have the words to comfort them then. I did not know what loss meant and how to comfort meaningfully. We spoke through silence. I have learned how to communicate with the family when a patient was dying, by caring for many such patients & their families the hard way thereafter.
Initially, I thought his diagnosis was pretty straightforward - a case of severe alcohol-associated hepatitis - because Satish suffered from alcohol-use disorder and was a binge drinker [Binge drinking: if a woman has four or more drinks, or a man has five or more drinks, within about 2 hours].
But the way his disease progressed confused me. In matter of days, his jaundice was skyrocketing, bilirubin levels reaching upto 40mg/dl at one point. His fluid collection in the abdomen had to be drained multiple times in a week.
A risky liver biopsy was performed to confirm the diagnosis of alcohol-associated hepatitis, but the liver tissue under the microscope had another story to tell.
There were classical features of alcohol-related liver injury, but something sinister, that was not meant to be part of alcohol-liver injury stood out. Large areas of necrosis (complete loss of liver cells) with hemorrhage (or bloody areas) were unexpected. Large chunks of liver cells were lost, the viable liver cells were swollen and damaged.
There was something more, along with the alcohol that was eating up his liver from the inside.
Energy drinks. Caffeine and taurine based energy drinks. He used to mix alcohol with energy drinks and consume them. A few days before he developed liver disease, he had a binge session where he consumed large amounts of alcohol mixed with energy drinks.
Energy drinks independently, are rarely implicated in liver injury. But instances of severe liver injury leading to liver failure with consumption of large amounts (in healthy people) or modest amounts (in those with underlying diseases) of energy drinks are well documented.
https://t.co/tntFG04EAN
https://t.co/J6n2OJ7a5k
https://t.co/ouZkAXvRni
The combination of energy drinks with alcohol is quite precarious. The damage caused by the combination and the chances of liver failure is more than noticed with either alone. In those with alcohol-use disorder and with binge alcohol use, energy drink use could lead to severe liver injury.
https://t.co/s3i4yi5M8p
In fact, a rat study showed that when alcohol vs. energy drink vs. energy drink+alcohol was given to the small animals, severe liver injury and kidney injury occured the combination group.
Energy drink and alcohol combination leads to kidney and liver alterations in rats
https://t.co/IUK4NrgTpL
An occasional energy drink use may not be associated with major adverse events, but the type of drink, contents, amount of specific substances such as high caffeine, presence of herbal ingredients and such could pose serious health risks. Beware of energy drinks containing "guarana" - it contains caffeine 4 to 6 times more than coffee beans. The American Academy of Pediatrics recommends that adolescents do not consume energy drinks.
https://t.co/PRUnVDtlGv
https://t.co/ZNOt5sHFvJ