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My spirit animal is cookie monster

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@Seagal731325141 @DHSgov Maybe I am misunderstanding your phrasing, but people who are here on green cards and student visas are not citizens. You do have a point on the other things (criminal convictions etc).

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@HansMahncke So much TDS could be eradicated if people would just read The Art of the Deal.

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@MRHWCats Try using paper plates. Could be a sound or texture issue.

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@JoshuaLisec I had Dilbert cartoons plastered on the walls of my office at my tech job in the early 90's. Been a fan ever since.

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@feederofcats Thank you for all you are doing.

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@seanonolennon @nypost My favorite example of this is England losing one of their kings under a parking lot.

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@JackPosobiec @ScottAdamsSays Many moons ago, I met my husband through a charity bachelorette auction. One of the things I put on my profile was that I wanted a guy who enjoyed Dilbert. So Scott indirectly helped me meet my future mate!

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@beyondreasdoubt My guess: She's positioning for when she's gone from the administration and looking for a book deal. What gets a bigger advance - someone who refuses to smack talk about their boss, or someone who has already shown a propensity to dish? That difference has to be $$$

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@annbauerwriter Obviously the Pride and Prejudice miniseries with Jennifer Ehle. Clueless is fantastic for a modernized take on Emma. Kenneth Branagh and Emma Thompson's Much Ado About Nothing also really, really good.

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@feederofcats @WalterBestBoy @moorehn I think with those mutton chops he needs to be called Martin Van Buren.

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@seanmdav Restating the same thing three different times in slightly different ways.

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@amandafortini Haven't seen that many pics of you, but the one you posted reminds me of Genevieve Bujold.

[Dr Dave Cartland BMedSc MBChB Ex-MRCGP @CartlandDavid]

From FB: I know the exact pressure it takes to crack a rib during CPR. But last Tuesday, I learned a patient’s silence can break a doctor’s soul.

His name was David Chen, but on my screen, he was "Male, 82, Congestive Heart Failure, Room 402." I spent seven minutes with him that morning. Seven minutes to check his vitals, listen to the fluid in his lungs, adjust his diuretics, and type 24 required data points into his Electronic Health Record. He tried to tell me something, gesturing toward a faded photo on his nightstand. I nodded, said "we'll talk later," and moved on. There was no billing code for "talk later."

Mr. Chen died that afternoon. As a nurse quietly cleared his belongings, she handed me the photo. It was him as a young man, beaming, his arm around a woman, standing before a small grocery store with "CHEN'S MARKET" painted on the window.

The realization hit me like a physical blow. I knew his ejection fraction and his creatinine levels. I knew his insurance provider and his allergy to penicillin. But I didn't know his wife's name or that he had built a life from nothing with his own two hands. I hadn’t treated David Chen. I had managed the decline of a failing organ system. And in the sterile efficiency of it all, I had lost a piece of myself.

The next day, I bought a small, black Moleskine notebook. It felt like an act of rebellion.

My first patient was Eleanor Gable, a frail woman lost in a sea of white bedsheets, diagnosed with pneumonia. I did my exam, updated her chart, and just as I was about to leave, I paused. I turned back from the door.

"Mrs. Gable," I said, my voice feeling strange. "Tell me one thing about yourself that’s not in this file."

Her tired eyes widened in surprise. A faint smile touched her lips. "I was a second-grade teacher," she whispered. "The best sound in the world... is the silence that comes just after a child finally reads a sentence on their own."

I wrote it down in my notebook. Eleanor Gable: Taught children how to read.

I kept doing it. My little black book began to fill with ghosts of lives lived.

Frank Miller: Drove a yellow cab in New York for 40 years.
Maria Flores: Her mole recipe won the state fair in Texas, three years running.
Sam Jones: Proposed to his wife on the Kiss Cam at a Dodgers game.

Something began to change. The burnout, that heavy, gray cloak I’d been wearing for years, started to feel a little lighter. Before entering a room, I’d glance at my notebook. I wasn’t walking in to see the "acute pancreatitis in 207." I was walking in to see Frank, who probably had a million stories about the city. My patients felt it too. They'd sit up a little straighter. A light would flicker back in their eyes. They felt seen.

The real test came with Leo. He was 22, angry, and refusing dialysis for a condition he’d brought on himself. He was a "difficult patient," a label that in hospital-speak means "we've given up." The team was frustrated.

I walked into his room and sat down, leaving my tablet outside. We sat in silence for a full minute. I didn't look at his monitors. I looked at the intricate drawings covering his arms.

"Who's your artist?" I asked.

He scoffed. "Did 'em myself."

"They're good," I said. "This one... it looks like a blueprint."

For the first time, his gaze lost its hard edge. "Wanted to be an architect," he muttered, "before... all this."

We talked for twenty minutes about buildings, about lines, about creating something permanent. We didn't mention his kidneys once. When I stood up to leave, he said, so quietly I almost missed it, "Okay. We can try the dialysis tomorrow."

Later that night, I opened my Moleskine. I wrote: Leo Vance: Designs cities on paper.

The system I work in is designed to document disease with thousands of data points. It logs every cough, every pill, every lab value. It tells the story of how a body breaks down.

My little black book tells a different story. It tells the story of why a life mattered.

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@SomeBitchIIKnow Waffle House Republican

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@walterkirn Manson family vibes.

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@SomeBitchIIKnow L - it looks (to me) like from the front view, where he's coming down the stairs, that he has an "outie" belly button. Grok says only 4-10% of people in USA have that.

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@FrankGrimes_Jr @VigilantFox Another identifying element: It looks like he has an "outie" belly button.

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@PlanetJulie63 @BrandiKruse Ditto.

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@Poppy_yyyyyyyy Is this so the "man who went on holiday to Kiribati" can write-off his vacation on his taxes ("research")?

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@amandafortini I recently moved to a free state and one of the things I adore about my newly-adopted home is the way vintage shop signs are sprinkled throughout.