open.substack.com/pub/macander...
08.03.2026 01:01
👍 0
🔁 0
💬 0
📌 0
“With every increase in the degree of consciousness, and in proportion to that increase, the intensity of despair also increases: the more consciousness, the more intense the despair.”
-Søren Kierkegaard
“Man is least himself when he talks in his own person. Give him a mask, and he will tell you the truth.”
— Oscar Wilde
The eye of God ends up inside, so that, in the end, you take care of judgment and punishment yourself.
-Karl Ove Knausgard
In the painting dark-haired Night guides her son Sleep. His relaxed pose is set against the "more energetic line of his mother's body." Poppies, symbolic of sleep, peace, death and the artist's pacifism, are listlessly strewn by the somnolent Sleep as he passes.
Night and Sleep, oil on canvas, Evelyn De Morgan, 1878.
I wrote this song on Saturday, recorded it yesterday and released it to you today in response to the state terror being visited on the city of Minneapolis. It’s dedicated to the people of Minneapolis, our innocent immigrant neighbors and in memory of Alex Pretti and Renee Good.
Stay free
My imagination makes me human and makes me a fool; it gives me all the world and exiles me from it.
Local trees minding their own business.
Their primary concern was curing “the mischiefs of faction.” By faction, Madison means “a number of citizens…united and actuated by some common impulse of passion,” against the rights of other citizens or the interests of the community.
Text: Medical Gaslighting is Fundamentally Driven by Systemic Constructs and Biases In fast-paced clinical practice, decisions are often made with the aid of clinical heuristics or diagnostic algorithms, which carry the risk of cognitive bias. For example, “5 F's” (fat, fertile, forty, female, and fair) is a popular clinical mnemonic often used by trainees to recall risk factors for gallstone disease16—however, over-reliance on such simplistic rules of thumb may contribute to bias and premature diagnostic closure. Moreover, many established clinical algorithms have also been found to contain racial and sex biases contributed by the training data or model developer.17 For instance, Obermeyer et al (2019)17 showed that a widely used health care algorithm in the United States led to Black patients needing to be “sicker” than White patients to be afforded the same level of care. Finally, medicine's “hidden curriculum” contributes to development of unconscious implicit bias when students observe discriminatory or stereotyped behaviors from clinical interactions during their rotations.18 When systemic biases become deeply entrenched, gaslighting unfortunately becomes a learned, subconscious, intuitive behavior demonstrated by both attending physicians and their trainees. Conclusion In summary, we conclude that medical gaslighting is a real problem within the health care system. As a medical fraternity, we should engage in honest introspection, and actively call out and correct gaslighting behavior. Our training culture should also emphasize developing a proper understanding of our patients and eliciting of underlying concerns, learning how to navigate nonspecific clinical presentations or lesser-known disease entities with professionalism and empathy, as well as identifying and eradicating implicit biases from clinical care.
Medical Gaslighting: A New Colloquialism
Isaac KS Ng, MBBS, MRCP (UK)a,b ∙ Sarah ZL Tham, MBBSc ∙ Gaurav Deep Singh, MBBS, MRCP (UK)a,b ∙ Christopher Thong, MBBS, MRCP (UK)b,d ∙ Desmond B. Teo, MBBS, MRCP (UK)b,e,f desmond_teo@nuhs.edu.sg
www.amjmed.com/article/S000...
Federalist papers were written by founding fathers Alexander Hamilton, John Jay, and James Madison to promote the ratification of the Constitution of the United States.
The Federalists proposed a large republic with checks and balances, representation, and separation of powers to dilute factional power, ultimately leading to better governance and protecting minority rights from majority passion 3/3
arguing that while causes (like property inequality) can't be removed without tyranny, a large republic with diverse interests and a strong federal structure can control their effects, preventing majority tyranny and instability by making it harder for any single faction to dominate. 2/3
The Federalist Papers, especially Federalist No. 10 by James Madison, address factions—groups with interests adverse to others or the public good—as a core challenge to republican government, 1/3
For loneliness, worries, difficulties, the unsatisfied need for kindness and sympathy – that is what is hard to bear.”
— Letter from Vincent van Gogh to Theo van Gogh, May 1888
The art of the interview. Lean in and listen, your story may depend on it!
macanders.substack.com/p/how-to-int...
Water Lilies - 1916/1919
https://botfrens.com/collections/41/contents/11198
"Your best men die in alleys
under a sheet of paper
while your worst men
get statues in parks
for pigeons to shit upon for
centuries."- Charles Bukowski
The right's callous "overdiagnosis" bandwagon is rolling. Wes Streeting should not be on it.
www.theguardian.com/commentisfre...
Yes, kind of subdued
Josef Mánes, The Drowned. Oil on canvas, 1867.
For in this love he now felt there was compassion: without which love is untempered, and is not whole, and does not last.
They always go after the good stuff.
Egon Schiele, Harbour of Trieste, 1907. Oil on board.
Joseph Conrad's Heart of Darkness was first published, in book form, in the collection "Youth: A Narrative, and Two Other Stories" (1902); however, it was published previously as a three-part serial in Blackwood's Magazine (1899), when Conrad was 41 years old.
• Joseph Conrad, born Józef Teodor Konrad Korzeniowski, 1857, Berdychiv, Kiev Governorate, Russian Empire (modern-day Ukraine). • Photo of Joseph Conrad, 1904 (age 46) by George Charles Beresford. Source: National Portrait Gallery.
#JosephConrad
"I don't like work—no man does—but I like what is in the work,— the chance to find yourself."
- Joseph Conrad
‘Shinrin Yoku’ is a Japanese noun which means, ‘A visit to a forest for relaxation’. It emerged in the 80’s as a reaction to urbanization and disconnection. I vote we add it to English and make it a thing.
“Everyday courage has few witnesses. But yours is no less noble because no drum beats for you and no crowds shout your name.”
Happy 175th birthday Robert Louis Stevenson
