Explains A Lot...

When I was in ninth grade I wanted to challenge what I saw as a very stupid dress code policy (not being allowed to wear spikes regardless of the size or sharpness of the spikes). My dad said to me, “What is your objective?”

He said it over and over. I contemplated that. I wanted to change an unfair dress code. What did I stand to gain? What did I stand to lose? If what I really wanted was to change the dress code, what would be my most effective potential approach? (He also gave me Discourses on the Fall of Rome by Titus Livius, Machiavelli’s magnum opus. Of course he’d already given me The Prince, Five Rings, and The Art of War.)

I ultimately printed out that phrase, coated it in Mod Podge, and clipped it to my bathroom mirror so I would look at it and think about it every day.

What is your objective?

Forget about how you feel. Ask yourself, what do you want to see happen? And then ask, how can you make it happen? Who needs to agree with you? Who has the power to implement this change? What are the points where you have leverage over them? If you use that leverage now, will you impair your ability to use it in the future? Getting what you want is about effectiveness. It is not about being an alpha or a sigma or whatever other bullshit the men’s right whiners are on about now. You won’t find any MRA talking points in Musashi, because they are not relevant.

I had no clear leverage on the dress code issue. My parents were not on the PTA; neither were any of my friend’s parents who liked me. The teachers did not care about this. Ultimately I just wore what I wanted, my patent leather collar from Hot Topic with large but flattened spikes, and I had guessed correctly—the teachers also did not care enough to discipline me.

I often see people on tumblr, mostly the very young, flail around in discourse. They don’t have an objective. They don’t know what they want to achieve, and they have never thought about strategizing and interpersonal effectiveness. No one can get everything they want by being an asshole. You must be able to work with other people, and that includes smiling when you hate them.

Read Machiavelli. Start with The Prince, but then move on to Discourses. Read Musashi’s Five Rings. Read The Art of War. They’re classics for a reason. They can’t cover all situations, but they can do more for how you think about strategizing than anything you’re getting in middle school and high school curricula.

Don’t vote third party unless you can tell me not only what your objective is but also why this action stands a meaningful chance of accomplishing it. Otherwise, back up and approach your strategy from a new angle. I don’t care how angry you are with Biden right now. He knows about it, and he is both trying to do something and not doing enough. I care about what will happen to millions of people if we have another Trump presidency. Look up Ross Perot, and learn from our past. Find your objective. If it is to stop the genocide in Palestine now, call your elected representatives now. They don’t care about emails; they care about phone calls, because they live in the past. I know this because I shadowed a lobbyist, because knowing how power works is critical to using it.

How do you think I have gotten two clinics to start including gender care in their planning?

Start small. Chip away. Keep working. Find your leverage; figure out how and when to effectively use it. Choose your battles, so that you can concentrate on the battle at hand instead of wasting your resources in many directions. Learn from the accumulated wisdom of people who spent their lives learning by doing, by making mistakes, by watching the mistakes of their enemies.

Don’t be a dickhead. Be smarter than I was at 14. Ask yourself: what is your objective?

👏👏👏

The GOP wonders why young people (and others) don't want to vote for them. Some wise scribe assembled this list.

1.) Your Reagan-era “trickle-down economics” strategy of tax breaks for billionaires that you continue to employ to this day has widened the gap between rich and poor so much that most of them will never be able to own a home, much less earn a living wage.

2.) You refuse to increase the federal minimum wage, which is still $7.25 an hour (since 2009). Even if it had just kept up with inflation, it would be $27 now. You’re forcing people of all ages but especially young people to work multiple jobs just to afford basic necessities.

3.) You fundamentally oppose and want to kill democracy; have done everything in your power to restrict access to the ballot box, particularly in areas with demographics that tend to vote Democratic (like young people and POC). You staged a fucking coup the last time you lost.

4.) You have abused your disproportionate senate control over the last three decades to pack the courts with religious extremists and idealogues, including SCOTUS—which has rolled back rights for women in ways that do nothing but kill more women and children and expand poverty.

5.) You refuse to enact common sense gun control laws to curb mass shootings like universal background checks and banning assault weapons; subjecting their entire generation to school shootings and drills that are traumatizing in and of themselves. You are owned by the NRA.

6.) You are unequivocally against combatting climate change to the extent that it’s as if you’ve made it your personal mission to ensure they inherit a planet that is beyond the point of no return in terms of remaining habitable for the human race beyond the next few generations.

7.) You oppose all programs that provide assistance to those who need it most. Your governors refused to expand Medicaid even during A PANDEMIC. You are against free school lunches, despite it being the only meal that millions of children can count on to actually receive each day

8.) You are banning books, defunding libraries, barring subject matter, and whitewashing history even more in a fascistic attempt to keep them ignorant of the systemic racism that this nation was literally founded upon and continues to this day in every action your party takes.

9.) You oppose universal healthcare and are still trying to repeal the ACA and rip healthcare from tens of millions of Americans and replace it with nothing. You are against lowering the cost of insulin and prescription drugs that millions need simply to LIVE/FUNCTION in society.

10.) You embrace white nationalists, Neo-Nazis, and other groups that are defined by their intractable racism, xenophobia, bigotry, and intolerance. You conspired with these groups on January 6th to try to overthrow the U.S. government via domestic terrorism that KILLED PEOPLE.

11.) You oppose every bill aimed at making life better for our nation’s youth; from education to extracurricular and financial/nutritional assistance programs. You say you want to “protect the children” while you elect/nominate pedophiles and attack trans youth and drag queens.

12.) You pretend to be offended by “anti-semitism” while literally supporting, electing, and speaking at events organized by Nazis. You pretend to hate “cancel culture” despite the fact that you invented it and it’s basically all you do.

13.) Every word you utter is a lie. You are the party of treason, hypocrisy, crime, and authoritarianism. You want to entrench rule by your aging minority because you know that you have nothing to offer young voters and they will never support you for all these reasons and more.

14.) You’re so hostile to even the notion of helping us overcome the mountain of debt that millions of us are forced to take on just to pay for our post K-12 education that you are suing to try to prevent a small fraction of us from getting even $10,000 in loan forgiveness.

15.) You opened the floodgates of money into politics via Citizens United; allowing our entire system of government to become a cesspool of corruption, crime, and greed. You are supposed to represent the American people whose taxes pay your salary but instead cater to rich donors.

16.) You respond to elected representatives standing in solidarity with their constituents to protest the ONGOING SLAUGHTER of children in schools via shootings by EXPELLING THEM FROM OFFICE & respond to your lack of popularity among young people by trying to raise the voting age.

17.) You impeach Democratic presidents over lying about a BJ but refuse to impeach (then vote twice to acquit) a guy whose entire “administration” was an international crime syndicate being run out of the WH who incited an insurrection to have you killed.

18.) You steal Supreme Court seats from democrats to prevent the only black POTUS we’ve ever had from appointing one and invent fake precedents that you later ignore all to take fundamental rights from Americans; and even your “legitimate” appointments consist of people like THIS (sub-thread refuting CJ Roberts criticisms of people attacking SCOTUS’ legitimacy).

19.) You support mass incarceration even for innocuous offenses or execution by cop for POC while doing nothing but protect rich white criminals who engage in such things as tax fraud, money laundering, sex trafficking, rape/sexual assault, falsifying business records, etc.

20.) You are the reason we can’t pass:—Universal background checks—An assault weapons ban—The ‘For the People/Freedom to vote’ Act or John Lewis Voting Rights Act—The ERA & Equality Act—The Climate Action Now Act—The (Stopping) Violence Against Women Act—SCOTUS expansion.

21.) You do not seek office to govern, represent, or serve the American people. You seek power solely for its own sake so you can impose your narrow-minded puritanical will on others at the expense of their most fundamental rights and freedoms like voting and bodily autonomy.

22.) Ok, last one. You are trying to eliminate social security and Medicare that tens of millions of our parents rely on and paid into their entire lives. And you did everything to maximize preventable deaths from COVID leaving millions of us in mourning.

Source: https://imgur.com/gallery/e8DBZLH

When an old man died in the geriatric ward of a nursing home in an Australian country town, it was believed that he had nothing left of any value.

Later, when the nurses were going through his meagre possessions, they found this poem. Its quality and content so impressed the staff that copies were made and distributed to every nurse in the hospital.

One nurse took her copy to Melbourne .. The old man's sole bequest to posterity has since appeared in the Christmas editions of magazines around the country and appearing in mags for Mental Health. A slide presentation has also been made based on his simple, but eloquent, poem.

And this old man, with nothing left to give to the world, is now the author of this 'anonymous' poem winging across the Internet.

Cranky Old Man.....

What do you see nurses? . . .. . .What do you see?

What are you thinking .. . when you're looking at me?

A cranky old man, . . . . . .not very wise,

Uncertain of habit .. . . . . . . .. with faraway eyes?

Who dribbles his food .. . ... . . and makes no reply.

When you say in a loud voice . .'I do wish you'd try!'

Who seems not to notice . . .the things that you do.

And forever is losing . . . . . .. . . A sock or shoe?

Who, resisting or not . . . ... lets you do as you will,

With bathing and feeding . . . .The long day to fill?

Is that what you're thinking?. .Is that what you see?

Then open your eyes, nurse .you're not looking at me.

I'll tell you who I am . . . . .. As I sit here so still,

As I do at your bidding, .. . . . as I eat at your will.

I'm a small child of Ten . .with a father and mother,

Brothers and sisters .. . . .. . who love one another

A young boy of Sixteen . . . .. with wings on his feet

Dreaming that soon now . . .. . . a lover he'll meet.

A groom soon at Twenty . . . ..my heart gives a leap.

Remembering, the vows .. .. .that I promised to keep.

At Twenty-Five, now . . . . .I have young of my own.

Who need me to guide . . . And a secure happy home.

A man of Thirty . .. . . . . My young now grown fast,

Bound to each other . . .. With ties that should last.

At Forty, my young sons .. .have grown and are gone,

But my woman is beside me . . to see I don't mourn.

At Fifty, once more, .. ...Babies play 'round my knee,

Again, we know children . . . . My loved one and me.

Dark days are upon me . . . . My wife is now dead.

I look at the future ... . . . . I shudder with dread.

For my young are all rearing .. . . young of their own.

And I think of the years . . . And the love that I've known.

I'm now an old man . . . . . . .. and nature is cruel.

It's jest to make old age . . . . . . . look like a fool.

The body, it crumbles .. .. . grace and vigour, depart.

There is now a stone . . . where I once had a heart.

But inside this old carcass . A young man still dwells,

And now and again . . . . . my battered heart swells

I remember the joys . . . . .. . I remember the pain.

And I'm loving and living . . . . . . . life over again.

I think of the years, all too few . . .. gone too fast.

And accept the stark fact . . . that nothing can last.

So open your eyes, people .. . . . .. . . open and see.

Not a cranky old man .

Look closer . . . . see .. .. . .. . ME!!

Remember this poem when you next meet an older person who you might brush aside without looking at the young soul within ... . . .

we will all, one day, be there, too!

A reminder.

TALKING HEADS - TAKE ME TO RIVER.

47 years ago today,

One particular and climactic highlight of 'Stop making Sense' came when the band took Al Green’s TAKE ME TO THE RIVER farther and deeper than ever imaginable – first an enormous boom-boom from Chris Frantz, then the doubled bass (Busta Jones and Tina) making the earth move, next the Baptist choir chanting of the title by Nona Hendryx and Dolette McDonald (the crowd was roaring), and finally "I don't know why I love you like I do."

Sertraline/Venlafaxine/citalopram/mirtazapine/fluoxetine/escitalopram/klonopin/buspirone/abilify/quetiapine/propranolol/amitriptyline the list goes on!

So if you're unlucky enough to know what these tablets are or know a loved one who takes them, then I don't have to describe to you what this post is regarding. But if you don't I will fill you in.

That medication allows people to deal with a normal day to day life. Although most days it leaves them tired, spaced out and emotionless. Crazy right? 🤷🏼‍♀️Why would anyone want to feel like that. Well this is why.

You see some people suffer from depression, anxiety, ocd, ptsd and borderline personality disorder.

In their brain it doesn't sit right, something seems different. They notice little differences that 'normal' people wouldn't notice.

That comment you didn't tag them in, but you tagged other people? They see that, and say to themselves why didn't you tag me? What's up with me?

You read that message they sent and they see that you did, but you didn't reply.. why didn't you reply? And they feel like they have done something to upset you?

You didn't say I love you on the phone.. do you not love them anymore? Do you love someone else instead?

They just made a comment about them was it a joke? Was that person supposed to laugh? Or did they mean it? Are they being nice? Are they talking about them? Do they talk about them? And they then think I bet they don’t like me really.

They say sorry all the time. They feel like they annoy everyone. Are you mad at me? Because they feel like you’re mad at them ALL.THE.TIME!

And for all those questions they will spend hours trying to answer. Let it all build up in their mind, until it sends them to tears...... it's mental isn't it!!! They see things that way.

It's not only mental changes, but physical changes. They don't eat a lot, mainly rubbish, because they need it now and need the energy from lack of sleep. Insomnia, up all night answering questions to situations that don't even exist, or sleep too much and waste half their day still feeling tired.

They still smile and they have every excuse for when you ask why.

But the tablets can help them.

Because they know when they start to feel this way or think this way, they need help.

They know that when their behaviour starts to change, they need guidance.

And they understand that they don't need to be ashamed. They don't need to be understood. They just need to be accepted. Everyone is fighting a battle and sometimes you need to be kinder.

So I may just be another person who's talking about mental health....

Living with this illness is hard, but trying to understand it, is even harder. It’s also 100 times harder if they have another condition on top of this.

Don't suffer in silence.❤

GOOD ADVICE REGARDING CORONAVIRUS February 26, 2020

As some of you may recall, when I was a professor of pathology at the University of California San Diego, I was one of the first molecular virologists in the world to work on coronaviruses (the 1970s). I was the first to demonstrate the number of genes the virus contained. Since then, I have kept up with the coronavirus field and its multiple clinical transfers into the human population (e.g., SARS, MERS), from different animal sources.

The current projections for its expansion in the US are only probable, due to continued insufficient worldwide data, but it is most likely to be widespread in the US by mid to late March and April.

Here is what I have done and the precautions that I take and will take. These are the same precautions I currently use during our influenza seasons, except for the mask and gloves.:

1) NO HANDSHAKING! Use a fist bump, slight bow, elbow bump, etc.

2) Use ONLY your knuckle to touch light switches. elevator buttons, etc.. Lift the gasoline dispenser with a paper towel or use a disposable glove.

3) Open doors with your closed fist or hip - do not grasp the handle with your hand, unless there is no other way to open the door. Especially important on bathroom and post office/commercial doors.

4) Use disinfectant wipes at the stores when they are available, including wiping the handle and child seat in grocery carts.

5) Wash your hands with soap for 10-20 seconds and/or use a greater than 60% alcohol-based hand sanitizer whenever you return home from ANY activity that involves locations where other people have been.

6) Keep a bottle of sanitizer available at each of your home’s entrances. AND in your car for use after getting gas or touching other contaminated objects when you can’t immediately wash your hands.

7) If possible, cough or sneeze into a disposable tissue and discard. Use your elbow only if you have to. The clothing on your elbow will contain infectious virus that can be passed on for up to a week or more!

What I have stocked in preparation for the pandemic spread to the US:

1) Latex or nitrile latex disposable gloves for use when going shopping, using the gasoline pump, and all other outside activity when you come in contact with contaminated areas.

Note: This virus is spread in large droplets by coughing and sneezing. This means that the air will not infect you! BUT all the surfaces where these droplets land are infectious for about a week on average - everything that is associated with infected people will be contaminated and potentially infectious. The virus is on surfaces and you will not be infected unless your unprotected face is directly coughed or sneezed upon.

This virus only has cell receptors for lung cells (it only infects your lungs) The only way for the virus to infect you is through your nose or mouth via your hands or an infected cough or sneeze onto or into your nose or mouth.

2) Stock up now with disposable surgical masks and use them to prevent you from touching your nose and/or mouth (We touch our nose/mouth 90X/day without knowing it!). This is the only way this virus can infect you - it is lung-specific. The mask will not prevent the virus in a direct sneeze from getting into your nose or mouth - it is only to keep you from touching your nose or mouth.

3) Stock up now with hand sanitizers and latex/nitrile gloves (get the appropriate sizes for your family). The hand sanitizers must be alcohol-based and greater than 60% alcohol to be effective.

4) Stock up now with zinc lozenges. These lozenges have been proven to be effective in blocking coronavirus (and most other viruses) from multiplying in your throat and nasopharynx. Use as directed several times each day when you begin to feel ANY “cold-like” symptoms beginning. It is best to lie down and let the lozenge dissolve in the back of your throat and nasopharynx. Cold-Eeze lozenges is one brand available, but there are other brands available.

I, as many others do, hope that this pandemic will be reasonably contained, BUT I personally do not think it will be. Humans have never seen this (edited: animal)-associated virus before and have no internal defense against it.

Tremendous worldwide efforts are being made to understand the molecular and clinical virology of this virus. Unbelievable molecular knowledge about the genomics, structure, and virulence of this virus has already been achieved. BUT, there will be NO drugs or vaccines available this year to protect us or limit the infection within us. Only symptomatic support is available.

I hope these personal thoughts will be helpful during this potentially catastrophic pandemic. You are welcome to share.

Good luck to all of us! James Robb, MD FCAP