A request for comment from people living with life-limiting diagnoses:

I am developing a workshop for the general population on creating a healthier relationship to mortality- and I want to amplify the voices of those engaged in the confrontation.

If there is something that you feel you want the wider culture to understand about living with life limiting illness, but is hard to get others to hear or withstand,

and you want me to share it in workshop- please contact me here or through my website

https://t.co/nFdzkoyWLx
What do you feel the culture does not understand about the labors of confronting mortality? What do you have to protect others from about your experience? What do you have to edit away from people who think this will never happen to them?
So much of what is talked about in these space, is offered by people who are vicariously impacted, or who are trying to stay near

What would you want your wider community to integrate and understand about your experience that they turn away from?
I will attribute your comments to you in the workshop, or I can keep them anonymous if you prefer.
I know what my own experience was like living post-diagnosis- I know that I learned to hide things and edit and protect myself and others from the way I now saw the world and the medical and existential tasks that preoccupied me. But I am one person, with my own viewpoint.
“Nothing about us without us” doesn’t often extend into explorations of death and dying. Because we are sick, fatigued, or need to protect our energies by not wasting our breath

Or because we die and others may posthumously edit or misperceive what we wanted them to understand
You can tweet, DM (I’ll open my DM’s for the day) or email me:

https://t.co/nFdzkoyWLx
For example: I found the binary notion that I was either “dying” and my life was over or seemed “just fine and cured” completely exhausting.

Almost no one could grasp that I was living on chemotherapy for 3 years , with attending limitations, with no clear prognosis.
People who had been told repeatedly that I was on chemo would be stunned when I turned down a drink and reminded them I was on chemo yet AGAIN.
“oh! But I thought you were all done with that!”
Or chemobrain, I would sometimes want to scream at people who wanted me to remember trivial details or process information quickly or who simply did not seem to ACCEPT that I was cognitively altered by the meds

“You seem fine! Your writing is so clear”
Anyway: my DMs will be open for a day or two for those who want to share privately.

And cancer isn’t the only life-limiting experience, just the one I’ve experienced.
Here is another one:

“WOW! You look great!” is more about the relief of your own fears than any comfort to me.
You were just bracing yourself to see me as gaunt and wasting.

Also: this is no criticism, just truth. I have absolutely done this to others even post-diagnosis.

I catch myself now and say: “I just feel so happy to see your face- its been too long.”
In case you are confronting a life-threatening diagnosis and seeing this and don’t follow me and are thinking: “why should I tell this stranger anything?” I am living in the in-between too:

https://t.co/F81qjskepY
I'll add one more. This one is dicey- because I don't mean to negate anyone's pain or suffering - here goes:

The voices of caretakers & the bereaved unwittingly drown out the voices of the potentially dying.I know because I've been a caretaker and survived many loved ones.
and I realized that once I was diagnosed myself, that my fear of losing my loved one, and the responsibility I felt for protecting them was important and excruciating -

but not the same labor as preparing to say goodbye to everything and everyone, including my own identity.
My attempts to share my own process would often stir up absolutely understandable grief in those who were mourning their own losses.

But too often, the tables would turn to my needing to comfort them, and my own work would have to continue in isolation.
Both sides of the experience of loss are important - and I don't mean to minimize anyone's grief.

I just think that the work of mourning one person and the work of mourning every one and everything are similar but different.
And I know that I absolutely could not see this distinction clearly for my loved ones as they died.
There are things we share standing at the edge of the abyss.

But there are things that only those preparing to actually go over the edge contend with.

More from Health

Now you know I love to sh-t in Harvard. But I also like accuracy. So I decided to go look at Harvard’s catalog to see its lack of military history that this article describes (they only teach history of pets it claims) and what I found shocked me! Shocked me! A thread: 1/


First off, Harvard students literally have multiple sections of military history that they can take listed. (It appears these ones are taught at MIT, so they might have to walk down the street for these) but... 2/


Say they want to stay on campus...they can only take numerous classes on war and diplomacy...3/


They have an entire class on Yalta. That’s right. An entire class on Yalta. 4/


But wait! There is more! They can take the British Empire, The Fall of the Roman Empire for those wanting traditional topics... 5/
1/15
Why can cefepime cause neurological toxicity?

And why is renal failure the main risk factor for this complication?

The answer requires us to learn about cefepime's structure and why it unexpectedly binds to a certain CNS receptor.

#MedTwitter #Tweetorial


2/
Let's establish a few facts about cefepime:

🔺4th generation cephalosporin antibiotic
🔺Excretion = exclusively in the urine (mostly as unchanged drug)
🔺Readily crosses the blood-brain barrier (so it easily accesses the brain)

https://t.co/rjYG1BfGPR


3/
The first report of cefepime neurotoxicity was in 1999.

A patient w/ renal failure received high doses of cefepime and then developed encephalopathy, tremors, myoclonic jerks, and tonic-clonic seizures.

✅All symptoms resolved after hemodialysis.

https://t.co/u7JLVitQpp


4/
Cefepime neurotoxicity is surprisingly common, occurring in up to 15% of treated critically ill patients (w/ symptoms varying from encephalopathy to seizures).

💡The main risk factors = renal failure and lack of dose adjustment for renal function.

https://t.co/nxbnzSq8AR


5/
What about cefepime induces neurotoxicity?

One clue is that it's not the only antibiotic that causes neurotoxicity, particularly seizures.

This actually is a class effect w/ other beta-lactam antibiotics (including penicillins and carbapenems).

https://t.co/Lf4BhON9IY

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Trump is gonna let the Mueller investigation end all on it's own. It's obvious. All the hysteria of the past 2 weeks about his supposed impending firing of Mueller was a distraction. He was never going to fire Mueller and he's not going to


Mueller's officially end his investigation all on his own and he's gonna say he found no evidence of Trump campaign/Russian collusion during the 2016 election.

Democrats & DNC Media are going to LITERALLY have nothing coherent to say in response to that.

Mueller's team was 100% partisan.

That's why it's brilliant. NOBODY will be able to claim this team of partisan Democrats didn't go the EXTRA 20 MILES looking for ANY evidence they could find of Trump campaign/Russian collusion during the 2016 election

They looked high.

They looked low.

They looked underneath every rock, behind every tree, into every bush.

And they found...NOTHING.

Those saying Mueller will file obstruction charges against Trump: laughable.

What documents did Trump tell the Mueller team it couldn't have? What witnesses were withheld and never interviewed?

THERE WEREN'T ANY.

Mueller got full 100% cooperation as the record will show.