#defensive medicine

[tomorrowusa]

Put Republicans in power nationally and dystopian pregnancy care in "MAGA Mike" Johnson's Louisiana will become the norm from sea to shining sea. Republicans won't be happy unless there's a virtual MAGA overseer in every doctor's office.

In Louisiana, MAGA Republican state abortion restrictions are causing OB-GYNs to practice an extreme form of defensive medicine to avoid arrest.

(emphasis added)

In the wake of Louisiana's abortion ban, pregnant women have been given risky, unnecessary surgeries, denied swift treatment for miscarriages and ectopic pregnancies, and forced to wait until their life is at risk before getting an abortion, according to a new report first made available to NPR. It found doctors are using extreme caution to avoid even the appearance of providing an abortion procedure. "We were stunned by just how much regular medical practice for pregnant people has been disrupted," said Michele Heisler, the medical director of Physicians for Human Rights and one of the report's authors. [ ... ] In one of the most extreme examples of how pregnancy care has changed, doctors described cases of women who experienced preterm premature rupture of membranes (when the "water breaks" early in pregnancy, before the fetus is viable). Some of these women were forced to undergo Cesarean section surgeries to empty their uterus and avoid infection, instead of receiving an abortion procedure or medication. "Which is ludicrous, absolutely ludicrous," said Freehill. "The least safe thing that we do, no matter if it's early in pregnancy or full-term at your due date, is a C-section." [ ... ] In what doctors described as another serious deviation from standard medical practice, OB-GYNs in Louisiana are now delaying routine prenatal care until patients reach 12 weeks of pregnancy — the point at which the risk of miscarriage drops significantly. One patient interviewed in the report said several different doctors' offices wouldn't see her before 12 weeks. [ ... ] Physicians are also delaying treatment of miscarriage and ectopic pregnancy out of fear of breaking the law, the report found — as previously reported in news stories from states operating under abortion bans. Ectopic pregnancies — when the embryo implants outside of the uterus — are never viable, and they can even be deadly. [ ... ] Some hospitals have even told physicians that they can't give patients any information on how to get an abortion outside of Louisiana — because that advice could be construed as "providing" an abortion.

Believe it or not, things could get even worse in the state. There have already been reports at other news sources of OB-GYNs leaving Louisiana.

Louisiana already suffers from some of the highest rates of maternal mortality and morbidity in the nation. Black women in the state are more than twice as likely to die as a result of their pregnancy as white women. Nearly two-thirds of maternal deaths in Louisiana are among low-income women on Medicaid. Some doctors in the report said they have considered leaving Louisiana. Others warned that a possible exodus of OB-GYNs would exacerbate the state's existing shortage of obstetricians.

Considering how MAGA Republicans regard women as little more than baby-making machines, their assault on reproductive freedom ironically discourages pregnancies in the first place.

[scrollonso]

"don't push your beliefs on my children"

a 17 year old CHILD is walking around spreading pro israel propaganda while racing in motorsports

he's sponsored and supported by the idf. the exact people who are pretending they arent murdering men, women, and children because of their race.

he had a helmet with all the missing israelis, which is in no way inherintly wrong until you realize he's ignoring the thousands of dead and missing palestinians.

he's posing for photos and celebrating while wearing a hoodie that says "free our hostages" while ignoring the thousands of palestinians trapped in rafah and being held hostage in concentration camps.

he's posting videos and pictures having fun in israel while on that same land palestinians are being starved, abused, and murdered.

but it doesnt matter. because he's a white man. nothing matters to him.

they only want you to shut up when you dont believe what they want you to.

from the jordan to the mediterranean palestine will be free.

[deva-arts]

Holy hell it's finally done

I underestimated the herculean efforts that animators put into making things because this thirty second clip took so much out of my feeble illustrator hands. Anyway here you go! I added a few details that might make things fun I think

[oldworldwidgets]

got a new laptop case so that means new stickers :]

[fatehbaz]

On May 28, 1914, the Institut für Schiffs-und Tropenkrankheiten (Institute for Maritime and Tropical Diseases, ISTK) in Hamburg began operations in a complex of new brick buildings on the bank of the Elb. The buildings were designed by Fritz Schumacher, who had become the Head of Hamburg’s building department (Leiter des Hochbauamtes) in 1909 after a “flood of architectural projects” accumulated following the industrialization of the harbor in the 1880s and the “new housing and working conditions” that followed. The ISTK was one of these projects, connected to the port by its [...] mission: to research and heal tropical illnesses; [...] to support the Hamburg Port [...]; and to support endeavors of the German Empire overseas.

First established in 1900 by Bernhard Nocht, chief of the Port Medical Service, the ISTK originally operated out of an existing building, but by 1909, when the Hamburg Colonial Institute became its parent organization (and Schumacher was hired by the Hamburg Senate), the operations of the ISTK had outgrown [...]. [I]ts commission by the city was an opportunity for Schumacher to show how he could contribute to guiding the city’s economic and architectural growth in tandem, and for Nocht, an opportunity to establish an unprecedented spatial paradigm for the field of Tropical Medicine that anchored the new frontier of science in the German Empire. [...]

[There was a] shared drive to contribute to the [...] wealth of Hamburg within the context of its expanding global network [...]. [E]ach discipline [...] architecture and medicine were participating in a shared [...] discursive operation. [...]

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The brick used on the ISTK façades was key to Schumacher’s larger Städtebau plan for Hamburg, which envisioned the city as a vehicle for a “harmonious” synthesis between aesthetics and economy. [...] For Schumacher, brick [was significantly preferable] [...]. Used by [...] Hamburg architects [over the past few decades], who acquired their penchant for neo-gothic brickwork at the Hanover school, brick had both a historical presence and aesthetic pedigree in Hamburg [...]. [T]his material had already been used in Die Speicherstadt, a warehouse district in Hamburg where unequal social conditions had only grown more exacerbated [...]. Die Speicherstadt was constructed in three phases [beginning] in 1883 [...]. By serving the port, the warehouses facilitated the expansion and security of Hamburg’s wealth. [...] Yet the collective profits accrued to the city by these buildings [...] did not increase economic prosperity and social equity for all. [...] [A] residential area for harbor workers was demolished to make way for the warehouses. After the contract for the port expansion was negotiated in 1881, over 20,000 people were pushed out of their homes and into adjacent areas of the city, which soon became overcrowded [...]. In turn, these [...] areas of the city [...] were the worst hit by the Hamburg cholera epidemic of 1892, the most devastating in Europe that year. The 1892 cholera epidemic [...] articulated the growing inability of the Hamburg Senate, comprising the city’s elite, to manage class relationships [...] [in such] a city that was explicitly run by and for the merchant class [...].

In Hamburg, the response to such an ugly disease of the masses was the enforcement of quarantine methods that pushed the working class into the suburbs, isolated immigrants on an island, and separated the sick according to racial identity.

In partnership with the German Empire, Hamburg established new hygiene institutions in the city, including the Port Medical Service (a progenitor of the ISTK). [...] [T]he discourse of [creating the school for tropical medicine] centered around city building and nation building, brick by brick, mark by mark.

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Just as the exterior condition of the building was, for Schumacher, part of a much larger plan for the city, the program of the building and its interior were part of the German Empire and Tropical Medicine’s much larger interest in controlling the health and wealth of its nation and colonies. [...]

Yet the establishment of the ISTK marked a critical shift in medical thinking [...]. And while the ISTK was not the only institution in Europe to form around the conception and perceived threat of tropical diseases, it was the first to build a facility specifically to support their “exploration and combat” in lockstep, as Nocht described it.

The field of Tropical Medicine had been established in Germany by the very same journal Nocht published his overview of the ISTK. The Archiv für Schiffs- und Tropen-Hygiene unter besonderer Berücksichtigung der Pathologie und Therapie was first published in 1897, the same year that the German Empire claimed Kiaochow (northeast China) and about two years after it claimed Southwest Africa (Namibia), Cameroon, Togo, East Africa (Tanzania, Burundi, Rwanda), New Guinea (today the northern part of Papua New Guinea), and the Marshall Islands; two years later, it would also claim the Caroline Islands, Palau, Mariana Islands (today Micronesia), and Samoa (today Western Samoa).

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The inaugural journal [...] marked a paradigm shift [...]. In his opening letter, the editor stated that the aim of Tropical Medicine is to “provide the white race with a home in the tropics.” [...]

As part of the institute’s agenda to support the expansion of the Empire through teaching and development [...], members of the ISTK contributed to the Deutsches Kolonial Lexikon, a three-volume series completed in 1914 (in the same year as the new ISTK buildings) and published in 1920. The three volumes contained maps of the colonies coded to show the areas that were considered “healthy” for Europeans, along with recommended building guidelines for hospitals in the tropics. [...] "Natives" were given separate facilities [...]. The hospital at the ISTK was similarly divided according to identity. An essentializing belief in “intrinsic factors” determined by skin color, constitutive to Tropical Medicine, materialized in the building’s circulation. Potential patients were assessed in the main building to determine their next destination in the hospital. A room labeled “Farbige” (colored) - visible in both Nocht and Schumacher’s publications - shows that the hospital segregated people of color from whites. [...]

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Despite belonging to two different disciplines [medicine and architecture], both Nocht and Schumacher’s publications articulate an understanding of health [...] that is linked to concepts of identity separating white upper-class German Europeans from others. [In] Hamburg [...] recent growth of the shipping industry and overt engagement of the German Empire in colonialism brought even more distant global connections to its port. For Schumacher, Hamburg’s presence in a global network meant it needed to strengthen its local identity and economy [by purposefully seeking to showcase "traditional" northern German neo-gothic brickwork while elevating local brick industry] lest it grow too far from its roots. In the case of Tropical Medicine at the ISTK, the “tropics” seemed to act as a foil for the European identity - a constructed category through which the European identity could redescribe itself by exclusion [...].

What it meant to be sick or healthy was taken up by both medicine and architecture - [...] neither in a vacuum.

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All text above by: Carrie Bly. "Mediums of Medicine: The Institute for Maritime and Tropical Diseases in Hamburg". Sick Architecture series published by e-flux Architecture. November 2020. [Bold emphasis and some paragraph breaks/contractions added by me. Text within brackets added by me for clarity. Presented here for commentary, teaching, criticism purposes.]

[dizzybizz]

some magma pages from the past few days <333

@polyphonial, @2sc4rghost, @seasonalberries and @eternal-moss (oh yeah my brother also contributed a bit)

💞💖💕💓💗💘💝❤🧡💛💚💙💜🤎🖤🤍

[finalgoob]

"reblog for a larger sample size!!!!" is rly giving "stem student cramming their thesis 2 months before defense"

[comphyjost]

@jostystyles reminded me it was ej’s birthday. in conclusion, i am horrible. how could i forget my man?! anyways here’s a photo of him framed on my desk 🤭🩵

[seariii]

Ok before I continue, hi, I survived! Good morning!!

[disillusionedjudge]

((not me realizing that I could've given Gylfie a brother and had the perfect opportunity to dive into a Cain and Abel dynamic

[stormyoceans]

Do you watch this lakorn? https://mydramalist.com/759431-my-stand-in

not yet sadly, but i've actually been meaning to start it!!!!!! it's just that between work, obligations, and now getting sick, i keep end up postponing it ;;;;;;;;;

im also trying to understand from the gifsets im seeing on my dash if the relationship between ming and joe is the kind of messed up that makes me go rabid, or the kind of messed up that just frustrates me to no end, but more to be ready on what to expect rather than to decide whether to watch it or not. i just enjoy up, poon, and mek as actors too much not to give this a chance tbh

so yeah, hopefully i'll be able to get around to watching it soon!!!!!!

[howwnowbrowncoww]

"Sometimes you just gotta be stupid" <- me right before i chug a glass of chocolate milk after taking medicine i should absolutely not be drinking milk with

[wtfgaylittlezooid]

hot girl problems (wants to write a sickfic but has a special interest on the three plagues. you can probably guess where this is going)

[random0lover]

.

[kah-way-loh]

A Furby is the best kind of medicine!*

*Please do not take this as actual medical advice. Take your meds when needed and remember to use your aids!

[Image description: Princey is a 1999 two-tone pink Flamingo Furby sitting on a shelf, surrounded by over-the-counter medications. She is wearing a black collar decorated with various colorful moons and stars and a bowtie. A purple heart tag hangs from his collar that reads, in all caps, "Do not pet. I'm working". End ID.]

[wanghedi]

Just learned today my dad has been trusting chat gpt for medical advice. i cannot emphasize this enough we as a species are on our last legs and we are not gonna make it to 2060