from a superlame

we grow, we grow, we grow.

Dear White Gays: Stop Stealing Black Female Culture

Ammirite? #avo

brttny32194:

but why do i say “i know” to my pets when they make noises. im lying to them. i don’t know anything.

(via unfoldingfeedbackloop)

“The most basic and powerful way to connect to another person is to listen. Just listen. Perhaps the most important thing we ever give each other is our attention.”

—   Rachel Naomi Remen  (via thatkindofwoman)

(Source: onlinecounsellingcollege, via thatkindofwoman)

Look at the Hardy Boys! They started out as kid detectives just solving mysteries in Bayport and now they have an entire book series about them!”

(Source: humandisaster, via thefemme-menace)

ilovecharts:

found on a bathroom door — rape culture is alive and well in Mumbai, and on reddit, where most people are making math jokes

ilovecharts:

found on a bathroom door — rape culture is alive and well in Mumbai, and on reddit, where most people are making math jokes

oldsoulspeacelifetogether:

this is so fucked up

I choose to love you in silence…
For in silence I find no rejection,

I choose to love you in loneliness…
For in loneliness no one owns you but me,

I choose to adore you from a distance…
For distance will shield me from pain,

I choose to kiss you in the wind…
For the wind is gentler than my lips,

I choose to hold you in my dreams…
For in my dreams, you have no end.

—    Rumi  (via thatkindofwoman)

(Source: rumiswisdom, via thatkindofwoman)

(Source: getyourspoons)

wewantbalance:

Free books: 100 legal sites to download literature
The Classics
Browse works by Mark Twain, Joseph Conrad and other famous authors here.
Classic Bookshelf: This site has put classic novels online, from Charles Dickens to Charlotte Bronte.
The Online Books Page: The University of Pennsylvania hosts this book search and database.
Project Gutenberg: This famous site has over 27,000 free books online.
Page by Page Books: Find books by Sir Arthur Conan Doyle and H.G. Wells, as well as speeches from George W. Bush on this site.
Classic Book Library: Genres here include historical fiction, history, science fiction, mystery, romance and children’s literature, but they’re all classics.
Classic Reader: Here you can read Shakespeare, young adult fiction and more.
Read Print: From George Orwell to Alexandre Dumas to George Eliot to Charles Darwin, this online library is stocked with the best classics.
Planet eBook: Download free classic literature titles here, from Dostoevsky to D.H. Lawrence to Joseph Conrad.
The Spectator Project: Montclair State University’s project features full-text, online versions of The Spectator and The Tatler.
Bibliomania: This site has more than 2,000 classic texts, plus study guides and reference books.
Online Library of Literature: Find full and unabridged texts of classic literature, including the Bronte sisters, Mark Twain and more.
Bartleby: Bartleby has much more than just the classics, but its collection of anthologies and other important novels made it famous.
Fiction.us: Fiction.us has a huge selection of novels, including works by Lewis Carroll, Willa Cather, Sherwood Anderson, Flaubert, George Eliot, F. Scott Fitzgerald and others.
Free Classic Literature: Find British authors like Shakespeare and Sir Arthur Conan Doyle, plus other authors like Jules Verne, Mark Twain, and more.
Textbooks
If you don’t absolutely need to pay for your textbooks, save yourself a few hundred dollars by reviewing these sites.
Textbook Revolution: Find biology, business, engineering, mathematics and world history textbooks here.
Wikibooks: From cookbooks to the computing department, find instructional and educational materials here.
KnowThis Free Online Textbooks: Get directed to stats textbooks and more.
Online Medical Textbooks: Find books about plastic surgery, anatomy and more here.
Online Science and Math Textbooks: Access biochemistry, chemistry, aeronautics, medical manuals and other textbooks here.
MIT Open Courseware Supplemental Resources: Find free videos, textbooks and more on the subjects of mechanical engineering, mathematics, chemistry and more.
Flat World Knowledge: This innovative site has created an open college textbooks platform that will launch in January 2009.
Free Business Textbooks: Find free books to go along with accounting, economics and other business classes.
Light and Matter: Here you can access open source physics textbooks.
eMedicine: This project from WebMD is continuously updated and has articles and references on surgery, pediatrics and more.
Math and Science
Turn to this list to find books about math, science, engineering and technology.
FullBooks.com: This site has “thousands of full-text free books,” including a large amount of scientific essays and books.
Free online textbooks, lecture notes, tutorials and videos on mathematics: NYU links to several free resources for math students.
Online Mathematics Texts: Here you can find online textbooks likeElementary Linear Algebra and Complex Variables.
Science and Engineering Books for free download: These books range in topics from nanotechnology to compressible flow.
FreeScience.info: Find over 1800 math, engineering and science books here.
Free Tech Books: Computer programmers and computer science enthusiasts can find helpful books here.
Children’s Books
Even children’s books are now available online. Find illustrated books, chapter books and more.
byGosh: Find free illustrated children’s books and stories here.
Munseys: Munseys has nearly 2,000 children’s titles, plus books about religion, biographies and more.
International Children’s Digital Library: Find award-winning books and search by categories like age group, make believe books, true books or picture books.
Lookybook: Access children’s picture books here.
Philosophy and Religion
For books about philosophy and religion, check out these websites.
Bored.com: Bored.com has music ebooks, cooking ebooks, and over 150 philosophy titles and over 1,000 religion titles.
Ideology.us: Here you’ll find works by Rene Descartes, Sigmund Freud, Karl Marx, David Hume and others.
Free Books on Yoga, Religion and Philosophy: Recent uploads to this site include Practical Lessons in Yoga and Philosophy of Dreams.
The Sociology of Religion: Read this book by Max Weber, here.
Religion eBooks: Read books about the Bible, Christian books, and more.
Plays
From Shakespeare to George Bernard Shaw to more contemporary playwrights, visit these sites.
ReadBookOnline.net: Here you can read plays by Chekhov, Thomas Hardy, Ben Jonson, Shakespeare, Edgar Allan Poe and others.
Plays: Read Pygmalion, Uncle Vanya or The Playboy of the Western World here.
The Complete Works of William Shakespeare: MIT has made available all of Shakespeare’s comedies, tragedies, and histories.
Plays Online: This site catalogs “all the plays [they] know about that are available in full text versions online for free.”
ProPlay: This site has children’s plays, comedies, dramas and musicals.
Modern Fiction, Fantasy and Romance
These websites boast collections of graphic novels, romance novels, fantasy books and more.
Public Bookshelf: Find romance novels, mysteries and more.
The Internet Book Database of Fiction: This forum features fantasy and graphic novels, anime, J.K. Rowling and more.
Free Online Novels: Here you can find Christian novels, fantasy and graphic novels, adventure books, horror books and more.
Foxglove: This British site has free novels, satire and short stories.
Baen Free Library: Find books by Scott Gier, Keith Laumer and others.
The Road to Romance: This website has books by Patricia Cornwell and other romance novelists.
Get Free Ebooks: This site’s largest collection includes fiction books.
John T. Cullen: Read short stories from John T. Cullen here.
SF and Fantasy Books Online: Books here include Arabian Nights,Aesop’s Fables and more.
Free Novels Online and Free Online Cyber-Books: This list contains mostly fantasy books.
Foreign Language
For books in a foreign language like French, Spanish and even Romanian, look here.
Project Laurens Jz Coster: Find Dutch literature here.
ATHENA Textes Francais: Search by author’s name, French books, or books written by other authors but translated into French.
Liber Liber: Download Italian books here. Browse by author, title, or subject.
Biblioteca romaneasca: Find Romanian books on this site.
Bibliolteca Virtual Miguel de Cervantes: Look up authors to find a catalog of their available works on this Spanish site.
KEIMENA: This page is entirely in Greek, but if you’re looking for modern Greek literature, this is the place to access books online.
Proyecto Cervantes: Texas A&M’s Proyecto Cervantes has cataloged Cervantes’ work online.
Corpus Scriptorum Latinorum: Access many Latin texts here.
Project Runeberg: Find Scandinavian literature online here.
Italian Women Writers: This site provides information about Italian women authors and features full-text titles too.
Biblioteca Valenciana: Register to use this database of Catalan and Valencian books.
Ketab Farsi: Access literature and publications in Farsi from this site.
Afghanistan Digital Library: Powered by NYU, the Afghanistan Digital Library has works published between 1870 and 1930.
CELT: CELT stands for “the Corpus of Electronic Texts” features important historical literature and documents.
Projekt Gutenberg-DE: This easy-to-use database of German language texts lets you search by genres and author.
History and Culture
Refresh your memory of world history, the classics and U.S. history here.
LibriVox: LibriVox has a good selection of historical fiction.
The Perseus Project: Tufts’ Perseus Digital Library features titles from Ancient Rome and Greece, published in English and original languages.
Access Genealogy: Find literature about Native American history, the Scotch-Irish immigration in the 19th and 20th centuries, and more.
Free History Books: This collection features U.S. history books, including works by Paul Jennings, Sarah Morgan Dawson, Josiah Quincy and others.
Most Popular History Books: Free titles include Seven Days and Seven Nights by Alexander Szegedy and Autobiography of a Female Slave by Martha G. Browne.
Rare Books
Look for rare books online here.
Questia: Questia has 5,000 books available for free, including rare books and classics.
JR’s Rare Books and Commentary: Check this site for PDF versions of some rare books.
Arts and Entertainment
This list features books about celebrities, movies, fashion and more.
Books-On-Line: This large collection includes movie scripts, newer works, cookbooks and more.
Chest of Books: This site has a wide range of free books, including gardening and cooking books, home improvement books, craft and hobby books, art books and more.
Free e-Books: Find titles related to beauty and fashion, games, health, drama and more.
2020ok: Categories here include art, graphic design, performing arts, ethnic and national, careers, business and a lot more.
Free Art Books: Find artist books and art books in PDF format here.
Free Web design books: OnlineComputerBooks.com directs you to free web design books.
Free Music Books: Find sheet music, lyrics and books about music here.
Free Fashion Books: Costume and fashion books are linked to the Google Books page.
Mystery
Here you can find mystery books from Sherlock Holmes to more contemporary authors.
MysteryNet: Read free short mystery stories on this site.
TopMystery.com: Read books by Edgar Allan Poe, Sir Arthur Conan Doyle, GK Chesterton and other mystery writers here.
Mystery Books: Read books by Sue Grafton and others.
Poetry
These poetry sites have works by Emily Dickinson, Edgar Allan Poe and others.
The Literature Network: This site features forums, a copy of The King James Bible, and over 3,000 short stories and poems.
Poetry: This list includes “The Raven,” “O Captain! My Captain!” and “The Ballad of Bonnie and Clyde.”
Poem Hunter: Find free poems, lyrics and quotations on this site.
Famous Poetry Online: Read limericks, love poetry, and poems by Robert Browning, Emily Dickinson, John Donne, Lord Byron and others.
Google Poetry: Google Books has a large selection of poetry, fromThe Canterbury Tales to Beowulf to Walt Whitman.
QuotesandPoem.com: Read poems by Maya Angelou, William Blake, Sylvia Plath and more.
CompleteClassics.com: Rudyard Kipling, Allen Ginsberg and Alfred Lord Tennyson are all featured here.
PinkPoem.com: On this site, you can download free poetry ebooks.
Miscellaneous
For even more free book sites, check out this list.
Banned Books: Here you can follow links of banned books to their full text online.
World eBook Library: This monstrous collection includes classics, encyclopedias, children’s books and a lot more.
DailyLit: DailyLit has everything from Moby Dick to the more recent phenomenon, Skinny Bitch.
A Celebration of Women Writers: The University of Pennsylvania’s page for women writers includes Newbery winners.
Free Online Novels: These novels are fully online and range from romance to religious fiction to historical fiction.
ManyBooks.net: Download mysteries and other books for your iPhone or eBook reader here.
Authorama: Books here are pulled from Google Books and more. You’ll find history books, novels and more.
Prize-winning books online: Use this directory to connect to full-text copies of Newbery winners, Nobel Prize winners and Pulitzer winners.

wewantbalance:

Free books: 100 legal sites to download literature

The Classics

Browse works by Mark Twain, Joseph Conrad and other famous authors here.

  1. Classic Bookshelf: This site has put classic novels online, from Charles Dickens to Charlotte Bronte.
  2. The Online Books Page: The University of Pennsylvania hosts this book search and database.
  3. Project Gutenberg: This famous site has over 27,000 free books online.
  4. Page by Page Books: Find books by Sir Arthur Conan Doyle and H.G. Wells, as well as speeches from George W. Bush on this site.
  5. Classic Book Library: Genres here include historical fiction, history, science fiction, mystery, romance and children’s literature, but they’re all classics.
  6. Classic Reader: Here you can read Shakespeare, young adult fiction and more.
  7. Read Print: From George Orwell to Alexandre Dumas to George Eliot to Charles Darwin, this online library is stocked with the best classics.
  8. Planet eBook: Download free classic literature titles here, from Dostoevsky to D.H. Lawrence to Joseph Conrad.
  9. The Spectator Project: Montclair State University’s project features full-text, online versions of The Spectator and The Tatler.
  10. Bibliomania: This site has more than 2,000 classic texts, plus study guides and reference books.
  11. Online Library of Literature: Find full and unabridged texts of classic literature, including the Bronte sisters, Mark Twain and more.
  12. Bartleby: Bartleby has much more than just the classics, but its collection of anthologies and other important novels made it famous.
  13. Fiction.us: Fiction.us has a huge selection of novels, including works by Lewis Carroll, Willa Cather, Sherwood Anderson, Flaubert, George Eliot, F. Scott Fitzgerald and others.
  14. Free Classic Literature: Find British authors like Shakespeare and Sir Arthur Conan Doyle, plus other authors like Jules Verne, Mark Twain, and more.

Textbooks

If you don’t absolutely need to pay for your textbooks, save yourself a few hundred dollars by reviewing these sites.

  1. Textbook Revolution: Find biology, business, engineering, mathematics and world history textbooks here.
  2. Wikibooks: From cookbooks to the computing department, find instructional and educational materials here.
  3. KnowThis Free Online Textbooks: Get directed to stats textbooks and more.
  4. Online Medical Textbooks: Find books about plastic surgery, anatomy and more here.
  5. Online Science and Math Textbooks: Access biochemistry, chemistry, aeronautics, medical manuals and other textbooks here.
  6. MIT Open Courseware Supplemental Resources: Find free videos, textbooks and more on the subjects of mechanical engineering, mathematics, chemistry and more.
  7. Flat World Knowledge: This innovative site has created an open college textbooks platform that will launch in January 2009.
  8. Free Business Textbooks: Find free books to go along with accounting, economics and other business classes.
  9. Light and Matter: Here you can access open source physics textbooks.
  10. eMedicine: This project from WebMD is continuously updated and has articles and references on surgery, pediatrics and more.

Math and Science

Turn to this list to find books about math, science, engineering and technology.

  1. FullBooks.com: This site has “thousands of full-text free books,” including a large amount of scientific essays and books.
  2. Free online textbooks, lecture notes, tutorials and videos on mathematics: NYU links to several free resources for math students.
  3. Online Mathematics Texts: Here you can find online textbooks likeElementary Linear Algebra and Complex Variables.
  4. Science and Engineering Books for free download: These books range in topics from nanotechnology to compressible flow.
  5. FreeScience.info: Find over 1800 math, engineering and science books here.
  6. Free Tech Books: Computer programmers and computer science enthusiasts can find helpful books here.

Children’s Books

Even children’s books are now available online. Find illustrated books, chapter books and more.

  1. byGosh: Find free illustrated children’s books and stories here.
  2. Munseys: Munseys has nearly 2,000 children’s titles, plus books about religion, biographies and more.
  3. International Children’s Digital Library: Find award-winning books and search by categories like age group, make believe books, true books or picture books.
  4. Lookybook: Access children’s picture books here.

Philosophy and Religion

For books about philosophy and religion, check out these websites.

  1. Bored.com: Bored.com has music ebooks, cooking ebooks, and over 150 philosophy titles and over 1,000 religion titles.
  2. Ideology.us: Here you’ll find works by Rene Descartes, Sigmund Freud, Karl Marx, David Hume and others.
  3. Free Books on Yoga, Religion and Philosophy: Recent uploads to this site include Practical Lessons in Yoga and Philosophy of Dreams.
  4. The Sociology of Religion: Read this book by Max Weber, here.
  5. Religion eBooks: Read books about the Bible, Christian books, and more.

Plays

From Shakespeare to George Bernard Shaw to more contemporary playwrights, visit these sites.

  1. ReadBookOnline.net: Here you can read plays by Chekhov, Thomas Hardy, Ben Jonson, Shakespeare, Edgar Allan Poe and others.
  2. Plays: Read PygmalionUncle Vanya or The Playboy of the Western World here.
  3. The Complete Works of William Shakespeare: MIT has made available all of Shakespeare’s comedies, tragedies, and histories.
  4. Plays Online: This site catalogs “all the plays [they] know about that are available in full text versions online for free.”
  5. ProPlay: This site has children’s plays, comedies, dramas and musicals.

Modern Fiction, Fantasy and Romance

These websites boast collections of graphic novels, romance novels, fantasy books and more.

  1. Public Bookshelf: Find romance novels, mysteries and more.
  2. The Internet Book Database of Fiction: This forum features fantasy and graphic novels, anime, J.K. Rowling and more.
  3. Free Online Novels: Here you can find Christian novels, fantasy and graphic novels, adventure books, horror books and more.
  4. Foxglove: This British site has free novels, satire and short stories.
  5. Baen Free Library: Find books by Scott Gier, Keith Laumer and others.
  6. The Road to Romance: This website has books by Patricia Cornwell and other romance novelists.
  7. Get Free Ebooks: This site’s largest collection includes fiction books.
  8. John T. Cullen: Read short stories from John T. Cullen here.
  9. SF and Fantasy Books Online: Books here include Arabian Nights,Aesop’s Fables and more.
  10. Free Novels Online and Free Online Cyber-Books: This list contains mostly fantasy books.

Foreign Language

For books in a foreign language like French, Spanish and even Romanian, look here.

  1. Project Laurens Jz Coster: Find Dutch literature here.
  2. ATHENA Textes Francais: Search by author’s name, French books, or books written by other authors but translated into French.
  3. Liber Liber: Download Italian books here. Browse by author, title, or subject.
  4. Biblioteca romaneasca: Find Romanian books on this site.
  5. Bibliolteca Virtual Miguel de Cervantes: Look up authors to find a catalog of their available works on this Spanish site.
  6. KEIMENA: This page is entirely in Greek, but if you’re looking for modern Greek literature, this is the place to access books online.
  7. Proyecto Cervantes: Texas A&M’s Proyecto Cervantes has cataloged Cervantes’ work online.
  8. Corpus Scriptorum Latinorum: Access many Latin texts here.
  9. Project Runeberg: Find Scandinavian literature online here.
  10. Italian Women Writers: This site provides information about Italian women authors and features full-text titles too.
  11. Biblioteca Valenciana: Register to use this database of Catalan and Valencian books.
  12. Ketab Farsi: Access literature and publications in Farsi from this site.
  13. Afghanistan Digital Library: Powered by NYU, the Afghanistan Digital Library has works published between 1870 and 1930.
  14. CELT: CELT stands for “the Corpus of Electronic Texts” features important historical literature and documents.
  15. Projekt Gutenberg-DE: This easy-to-use database of German language texts lets you search by genres and author.

History and Culture

Refresh your memory of world history, the classics and U.S. history here.

  1. LibriVox: LibriVox has a good selection of historical fiction.
  2. The Perseus Project: Tufts’ Perseus Digital Library features titles from Ancient Rome and Greece, published in English and original languages.
  3. Access Genealogy: Find literature about Native American history, the Scotch-Irish immigration in the 19th and 20th centuries, and more.
  4. Free History Books: This collection features U.S. history books, including works by Paul Jennings, Sarah Morgan Dawson, Josiah Quincy and others.
  5. Most Popular History Books: Free titles include Seven Days and Seven Nights by Alexander Szegedy and Autobiography of a Female Slave by Martha G. Browne.

Rare Books

Look for rare books online here.

  1. Questia: Questia has 5,000 books available for free, including rare books and classics.
  2. JR’s Rare Books and Commentary: Check this site for PDF versions of some rare books.

Arts and Entertainment

This list features books about celebrities, movies, fashion and more.

  1. Books-On-Line: This large collection includes movie scripts, newer works, cookbooks and more.
  2. Chest of Books: This site has a wide range of free books, including gardening and cooking books, home improvement books, craft and hobby books, art books and more.
  3. Free e-Books: Find titles related to beauty and fashion, games, health, drama and more.
  4. 2020ok: Categories here include art, graphic design, performing arts, ethnic and national, careers, business and a lot more.
  5. Free Art Books: Find artist books and art books in PDF format here.
  6. Free Web design books: OnlineComputerBooks.com directs you to free web design books.
  7. Free Music Books: Find sheet music, lyrics and books about music here.
  8. Free Fashion Books: Costume and fashion books are linked to the Google Books page.

Mystery

Here you can find mystery books from Sherlock Holmes to more contemporary authors.

  1. MysteryNet: Read free short mystery stories on this site.
  2. TopMystery.com: Read books by Edgar Allan Poe, Sir Arthur Conan Doyle, GK Chesterton and other mystery writers here.
  3. Mystery Books: Read books by Sue Grafton and others.

Poetry

These poetry sites have works by Emily Dickinson, Edgar Allan Poe and others.

  1. The Literature Network: This site features forums, a copy of The King James Bible, and over 3,000 short stories and poems.
  2. Poetry: This list includes “The Raven,” “O Captain! My Captain!” and “The Ballad of Bonnie and Clyde.”
  3. Poem Hunter: Find free poems, lyrics and quotations on this site.
  4. Famous Poetry Online: Read limericks, love poetry, and poems by Robert Browning, Emily Dickinson, John Donne, Lord Byron and others.
  5. Google Poetry: Google Books has a large selection of poetry, fromThe Canterbury Tales to Beowulf to Walt Whitman.
  6. QuotesandPoem.com: Read poems by Maya Angelou, William Blake, Sylvia Plath and more.
  7. CompleteClassics.com: Rudyard Kipling, Allen Ginsberg and Alfred Lord Tennyson are all featured here.
  8. PinkPoem.com: On this site, you can download free poetry ebooks.

Miscellaneous

For even more free book sites, check out this list.

  1. Banned Books: Here you can follow links of banned books to their full text online.
  2. World eBook Library: This monstrous collection includes classics, encyclopedias, children’s books and a lot more.
  3. DailyLit: DailyLit has everything from Moby Dick to the more recent phenomenon, Skinny Bitch.
  4. A Celebration of Women Writers: The University of Pennsylvania’s page for women writers includes Newbery winners.
  5. Free Online Novels: These novels are fully online and range from romance to religious fiction to historical fiction.
  6. ManyBooks.net: Download mysteries and other books for your iPhone or eBook reader here.
  7. Authorama: Books here are pulled from Google Books and more. You’ll find history books, novels and more.
  8. Prize-winning books online: Use this directory to connect to full-text copies of Newbery winners, Nobel Prize winners and Pulitzer winners.

(via tessaracked)

“Of course I’ll hurt you. Of course you’ll hurt me. Of course we will hurt each other. But this is the very condition of existence. To become spring, means accepting the risk of winter. To become presence, means accepting the risk of absence.”

—   Antoine de Saint-Exupéry, The Little Prince (via flamingariel)

(via fuckyeahexistentialism)

“It is the time you have wasted for your rose that makes your rose so important.”

—   Antoine de Saint-Exupéry (via easied)

(via fuckyeahexistentialism)

shrinkrants:

A valuable, important, new project
A brief description, from Dr. David Healy’s blog, of this bottom-up project to promote informed, safe use of products from the pharmacologic industry:

Some Pre-Capture RxISK Principles 
Doctors and patients make medicines. Industry make chemicals. A medicine is a combination of a chemical and information about how to use that poison to bring good out of a bad situation. Doctors, nurses, pharmacists and patients make the information that transforms a chemical into a medicine.
Doctors and patients are the only bulwark against the degradation of medicines caused by branding and marketing. Regulators and academics or other experts aren’t.
Medicine involves following the patient. It’s the inconvenient patient, with the inconvenient problem that points the way forward.
The marriage of patient and doctor is often cast as a marriage of scientific and personal expertise with lip-service paid to the equality of both forms of expertise. But in fact faced with an inconvenient fact, a doctor’s expertise almost by definition risks getting in the way – this is the time for doctors to work with patients as genuine equals. This is where doctors find out that a motivated patient, even one with no academic credentials, is far more likely to turn up an answer than a bored researcher. This is where each finds out if the marriage is enduring. As part of a dowry, the patient who finds the answer to a problem will often happily let the doctor take the credit.
Embracing adverse events can restore the fun to medicine. It calls on doctors, pharmacists, nurses or others to be generalists rather than partialists. None of our drugs act on one system – there is more serotonin in the gut than the brain and more cholesterol in the brain than in the blood. To work out what is going wrong and put it right you have to draw on everything you have ever learned rather than just stick to the tramtrack of standard practice.
This is about making the market work properly. We ultimately are where the value lies.
The RxISK Report
The main tool to move things forward is the RxISK report.  When some anomalous event happens on the street, its axiomatic that the police get as many eye-witnesses as they can. In clinical practice this means you don’t want to leave reporting to hurried and disengaged doctors and you definitely don’t want to leave it to pharmaceutical companies for whom collecting details on a case is all about collecting excuses to rule out an effect of their drug.
It makes much more sense if a doctor or pharmacist or nurse comes to an agreed account with the person affected who has usually spent time with the problem and is motivated to nail down what is going on.
1. Its about good quality rather than degraded quality adverse event reports in the belief that good words come before good numbers.
2. Its about us being willing to make a judgement call that this event is likely to be linked to a drug in a way regulators will never do.
3. Its about intervening early in adverse events to reduce harms.
4. Its about adding local knowledge to the mix – getting people in Swindon and London (or Hamilton and Toronto; or Lyon and Bordeaux, or Verona and Milan, or Chicago and Milwaukee) to account for why something is happening in one place and not another rather than thinking someone with no local knowledge is going to sort it out
5. Its about taking on the power imbalance between doctors and patients.
6. Its about changing doctors into listeners – this can be done by getting patients to quality mark doctors based on those who agree to engage in the process versus those who don’t.  We can force the deaf to hear us. We are the Ninety-Nine Percent.
7. The RxISK report has led to the idea of a RxISK clinic and report as an even more potent way to equalize the power imbalance.

Its about medicine as it needs to be if its going to survive.  Leaving reporting to doctors alone has not worked – at present only 1% of adverse events are reported.  The question is whether doctors have what it takes to save themselves by insisting on the evidence of their own eyes and reporting adverse events.  Saving themselves will do more to save their patients than anything else could.

shrinkrants:

A valuable, important, new project

A brief description, from Dr. David Healy’s blog, of this bottom-up project to promote informed, safe use of products from the pharmacologic industry:

Some Pre-Capture RxISK Principles 

  • Doctors and patients make medicines. Industry make chemicals. A medicine is a combination of a chemical and information about how to use that poison to bring good out of a bad situation. Doctors, nurses, pharmacists and patients make the information that transforms a chemical into a medicine.
  • Doctors and patients are the only bulwark against the degradation of medicines caused by branding and marketing. Regulators and academics or other experts aren’t.
  • Medicine involves following the patient. It’s the inconvenient patient, with the inconvenient problem that points the way forward.
  • The marriage of patient and doctor is often cast as a marriage of scientific and personal expertise with lip-service paid to the equality of both forms of expertise. But in fact faced with an inconvenient fact, a doctor’s expertise almost by definition risks getting in the way – this is the time for doctors to work with patients as genuine equals. This is where doctors find out that a motivated patient, even one with no academic credentials, is far more likely to turn up an answer than a bored researcher. This is where each finds out if the marriage is enduring. As part of a dowry, the patient who finds the answer to a problem will often happily let the doctor take the credit.
  • Embracing adverse events can restore the fun to medicine. It calls on doctors, pharmacists, nurses or others to be generalists rather than partialists. None of our drugs act on one system – there is more serotonin in the gut than the brain and more cholesterol in the brain than in the blood. To work out what is going wrong and put it right you have to draw on everything you have ever learned rather than just stick to the tramtrack of standard practice.
  • This is about making the market work properly. We ultimately are where the value lies.

The RxISK Report

The main tool to move things forward is the RxISK report.  When some anomalous event happens on the street, its axiomatic that the police get as many eye-witnesses as they can. In clinical practice this means you don’t want to leave reporting to hurried and disengaged doctors and you definitely don’t want to leave it to pharmaceutical companies for whom collecting details on a case is all about collecting excuses to rule out an effect of their drug.

It makes much more sense if a doctor or pharmacist or nurse comes to an agreed account with the person affected who has usually spent time with the problem and is motivated to nail down what is going on.

1. Its about good quality rather than degraded quality adverse event reports in the belief that good words come before good numbers.
2. Its about us being willing to make a judgement call that this event is likely to be linked to a drug in a way regulators will never do.
3. Its about intervening early in adverse events to reduce harms.
4. Its about adding local knowledge to the mix – getting people in Swindon and London (or Hamilton and Toronto; or Lyon and Bordeaux, or Verona and Milan, or Chicago and Milwaukee) to account for why something is happening in one place and not another rather than thinking someone with no local knowledge is going to sort it out
5. Its about taking on the power imbalance between doctors and patients.
6. Its about changing doctors into listeners – this can be done by getting patients to quality mark doctors based on those who agree to engage in the process versus those who don’t.  We can force the deaf to hear us. We are the Ninety-Nine Percent.
7. The RxISK report has led to the idea of a RxISK clinic and report as an even more potent way to equalize the power imbalance.

Its about medicine as it needs to be if its going to survive.  Leaving reporting to doctors alone has not worked – at present only 1% of adverse events are reported.  The question is whether doctors have what it takes to save themselves by insisting on the evidence of their own eyes and reporting adverse events.  Saving themselves will do more to save their patients than anything else could.

b1a4gasms:

transwomanism:

Gender, Sex, Biology & Trans Women

Many of us understand sex and gender as categorically separate when envisioning trans women. How do we enforce transmisogyny through biological essentialist views of what we define as “sex” when imagining trans women? This storify examines how we enforce physical & ontological gender violence through non-consensual cisnormative separations of sex and gender. Sex is very much a gendered concept with its own colonial and violent baggage.

Note: This is a partial storify. Read the full version here

https://storify.com/TGirlInterruptd/gender-sex-biology-and-transwomen 

YES I FEEL THIS YES YES TELL EVERYONE YOU KNOW

(via genderfork)