@AmirAminiMD@jnardiello En España ya tenemos el sistema que se quiere plantear en Alemania. Nuestros pacientes tienen que venir presencialmente a consulta y nosotros tenemos que "dar fe" de que no pueden ir a trabajar. Burocraticamente es un infierno (y nosotros tenemos también alto absentismo)
Creo que este tipo de mensajes no ayudan a que la gente de clase trabajadora empatice con el colectivo médico, que, por otro lado pelea por reivindicaciones más justas que que te den una botella de agua.
Aplauso fácil de los tuyos, rechazo del resto. Mala estrategia.
dont usually write stuff like this but its been on my mind lately so whatever.
gratitude sounds corny until you actually try it. not journaling or affirmations. just noticing small things. coffee in the morning. nobody died today. sounds low bar but when that becomes habit something shifts. felt it most when i thought i had the least.
exercise. everyone knows this one. for me if i skip three days my head gets dark. not even about endorphins or whatever. when youre thinking too much, trying to stop thinking doesnt work. tire your body first. the thoughts quiet down on their own.
helping people surprised me honestly. but theres something about feeling useful that goes straight to how you see yourself. giving does more for you than getting. hard to explain without sounding like a hallmark card but its true. you have to experience it.
happiness isnt a condition you arrive at. its a direction. small daily practice of coming back to yourself.
Most people will read this and think optimists live longer because they eat better and exercise more. The study says something wilder.
Lee et al. controlled for smoking, diet, exercise, alcohol, depression, BMI, and socioeconomic status. The longevity effect still held. The most optimistic quartile lived 11 to 15% longer and had 1.5 to 1.7x odds of reaching 85 even after removing every behavioral difference.
Which means something is happening at the level of biology, not just habits.
Rozanski’s meta-analysis across 229,391 participants found optimists carry 35% lower cardiovascular event risk. Blackburn’s Nobel Prize-winning lab at UCSF found pessimistic attitudes are associated with accelerated telomere shortening. Cortisol suppresses telomerase, the enzyme that rebuilds the protective caps on your chromosomes. So chronic negative expectation literally erodes the structures that keep your cells from aging.
The loop runs: pessimistic cognitive style → sustained HPA axis activation → elevated cortisol → telomere degradation → accelerated cellular senescence. Optimists interrupt that loop at the top. They show less emotional reactivity to stressors, faster recovery from acute stress, and they default to reframing threats as challenges rather than catastrophizing.
The part nobody talks about from this paper: the authors explicitly state optimism is modifiable. This isn’t a personality trait you’re born with. Cognitive reappraisal training, morning sunlight for cortisol rhythm regulation, deliberate breathing protocols for vagal tone, structured gratitude practices. All of these shift the prefrontal cortex patterns that determine where you sit on the optimism spectrum.
A 35% reduction in cardiac events from a trainable psychological variable is a bigger effect size than most supplements on the market. That’s the real story buried in this abstract.
Raquel, esto no es así (sí en el borrador anterior, no en el borrador actual acordado con los demás sindicatos de la mesa sectorial). Se eliminó la referencia a las necesidades del servicio y nada relacionado con la concurrencia de situaciones concretas de necesidad que pudiera dar lugar a una pendiente resbaladiza, se eliminó del artículo de las guardias (artículo 96). De hecho, según ha quedado se supedita al cumplimiento de los tres criterios de: I) voluntariedad, II) informe favorable de SPRL y III) negociación en mesa sectorial (con los sindicatos), y no para cualquier día, sino solo en los supuestos de puestos de difícil cobertura (ahora mismo en algunos puestos de esos se hacen guardias de más de 24 horas) y los S y D. Pero solo bajo los tres criterios arriba señalados en todo momento (voluntariedad, riesgos laborales y negociación sindical).
Pongo captura del artículo en cuestión.
El ser humano, por evolución y socialización, carece de instintos. Los hemos perdido.
El llamado "instinto maternal" no es más que educación social junto a una reacción hormonal provocada en el parto y la primera lactancia que se da también, por ejemplo, en el coito con el
En una UVI móvil todos somos necesarios.
Sin médico no se podría diagnosticar ni tratar de inmediato al paciente.
Sin enfermería no se comenzarían tratamientos ni técnicas.
Sin TES, la movilización / inmovilización de pacientes, el apoyo en técnicas, la ambulancia...no van.
It sounds funny until you realize that is a whole life philosophy in one sentence. You sit there with your giant emotional Stanley cup, refilling it all day, proud of yourself. You drink your 2 liters, 3 liters, you count your bottles like a good kid ticking boxes. On paper, you are doing everything right. And still your tongue feels like paper, your skin looks tired, your head hurts behind the eyes at 16:40, and you are one minor inconvenience away from wanting to lie face down on the floor. You keep thinking the answer is more of the same water.
Nobody tells you that sometimes you are not lacking volume. You are lacking minerals. You are lacking anything with weight.
Electrolytes sound like a gym word, but really they are just proof that the body does not run on purity. It runs on salt and mess and tiny charged things that hold the water in place. Think about how different it feels when you drink a glass of cold orange juice at 09:12 after a bad night of sleep compared to your fourth bottle of plain water at your desk. One hits like “oh, I exist again.” The other just runs straight through you, and twenty minutes later you are in the bathroom wondering why your organs still feel like dry towels.
A lot of people live like that. Drowning in content, in advice, in “healthy habits,” and still emotionally dehydrated. They scroll for three hours consuming wellness tips in bed, wake up at 7, drink water, do their 10 minutes of journaling, take 8000 steps before dinner, and still feel this static emptiness in their chest. They think, weird, maybe I need another habit tracker.
No one explained that habits are just water. Minerals are something else.
Minerals are the things that actually carry charge through your life. The phone call where you finally say what hurt you instead of being “chill” again. The ugly 23:37 breakdown in the shower where you admit you are not “fine, just tired,” you are lonely and scared you wasted three years on the wrong thing. The bowl of pasta you let yourself eat slowly without scrolling while your brain keeps trying to sprint ahead to the next problem and you keep dragging it back to the plate. The real rest day that is not secretly a productivity cosplay.
Of course plain water feels safer. It is neutral. It does not wake anything up. Electrolytes sting a little on the way in. Salt on a cracked lip, sugar in a starved system. Orange juice tastes so sweet after dehydration it almost hurts. It reminds your body of how long you have been ignoring it.
Same with life. You can drink twenty self help books and still be dehydrated if you never put in one real mineral: a boundary, a no, a goodbye, a yes that you actually want, not one that sounds impressive on Instagram. You can go to therapy and carefully avoid saying the one sentence that would actually change your blood pressure. You can talk about burnout like it is a scheduling issue instead of the fact that you do not believe you are allowed to be a human being who stops.
Everyone loves the aesthetic of “clean water.” No one posts “I added salt because my nervous system is fried from 10 years of people pleasing and pretending I’m chill with everything.” But that is what actually fixes things.
Sometimes the reason you feel so tired is not that you are underperforming. It is that everything you pour into yourself is frictionless. It does not cling to you. It does not bind. It slides right through and leaves you pee-clear and soul-empty.
The body tries to tell you. The headache at 17:23 that hits in the supermarket lighting. The way your vision gets grainy when you stand up too fast. The random heart flutters when you lie down, like your chest forgot its script. You drink more water, thinking you are being good, when what you need is to eat actual food, sprinkle some salt, sit down for fifteen minutes without being “useful.”
i hate doctors so much you literally have to manipulate them into doing their jobs. i’ve found doctors take me seriously when i act like i am unintelligent and uninformed. they don’t like patients using medical terms. only they are allowed to know those words