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[personal profile] gravemind posting in [community profile] little_details
Hello! I have three questions, all about the work of trauma/critical care/acute care surgeons in the US:

1) Would it ever be feasible for a TACS attending at an academic Level I trauma center to take semi-regular lunch breaks when on day shift (obviously assuming there’s no major trauma needing resuscitation and/or immediate operation, and assuming they have adequate support from residents, etc.)? What if it was decreed necessary by their doctor or their psychologist?

Narratively the goal here is to get the character outdoors near the hospital at a regular-ish time for ~30 minutes at least a few days a week, on at least some weeks. Judging from what I’ve read from people in this specialty on reddit it sounds as though this might (???) be achievable at some hospitals, especially if their setup happens to be rotating weeks of ICU / non-ICU trauma / EGS / admin-and-research, but given the apparent prevalence of hospital workers in acute care specialties not getting any breaks whatsoever I really can’t tell.

2) At what point is the TACS attending no longer involved in a patient’s care if the patient ends up requiring a long-term (at least several months) hospital stay to recover? Would it be as soon as the patient is stable enough to be out of the ICU? My understanding is that since trauma surgeons are largely doing non-surgical critical care and may often be in charge of the ICU they might be managing an operative trauma patient for a while post-op, but I’m not clear on at what point that patient stops being their problem.

3) To whom would a TACS attending (again, at an academic Level I) report to within the hospital hierarchy? Would it be the chief of the trauma service(?) I understand that attendings have a fair amount of autonomy but I assume they still have to clear things like vacation time or FMLA leave with somebody.

Any information or corrections on any of this greatly appreciated! Thank you!
vriddy: White cat reading a book (reading cat)
[personal profile] vriddy
My first book of the year is a DNF. There's a part of me that wants to see this as a bad omen for whatever arcane reason, but overall if I must put more weight into this than it deserves, then I'm more inclined to see this as a good omen about letting go of the things that don't serve me. I'm terrible at DNFing books. My compromise is usually "read 100 pages and if you still can't get into it by then, DNF is fair game." Unfortunately this book was only 131 pages long and every time I thought "I must be closer now!" I very much wasn't.

When I can tell a book isn't working for me, I go into analysis mode )

I've seen a reading meme float on my reading page:

* Grab the nearest book.
* Turn to page 126
* The 6th full sentence is your life in 2026.

I don't want to do it for the other book I started, which is actually closest to me, because I'm not that far in yet and it would spoil me! But I suppose my DNFed book is also there, so... Although I don't really like to talk that much about the things I don't like, I feel like the author is probably doing okay in circles far away from mine. The library waitlist for that book is unbelievable.

So, Orbital by Samantha Harvey! Even if we weren't meant to be this time, what do you predict for my 2026?

You are looking now straight into the heart of the Milky Way, whose pull is so strong and compelling that it feels some nights that the orbit will detach from the earth and venture there, into that deep, dense mass of stars.

Hm.... Don't let the abyss seduce you and swallow you up, no matter how pretty it might look at times? Sure! I can keep that up.

Actually I forgot I had Charlie Jane Anders' "Never Say You Can't Survive" hidden under a few notebooks near me, too. I've been doing a slow reread, a couple of paragraphs here and there, highlighting and tagging bits I want to be able to return to easily later. Maybe that'll give me the how?

"Or you might yourself remembering a broken shoelace from a pair of shoes you owned a dozen years ago."

which is within a section titled, "Big emotions come from tiny things"

Joy in the mundane? Sure, I'm extremely up for that, too :D

I'm a bit antsy about not having finished any book yet, but this is fine. I wrote a fair bit, and also read not-books. Over the last couple of years, I stopped tracking my reading publicly, only jotting down notes in my BuJo instead, maybe an occasional rec here and there, and that's worked wonders to help me read more. I'm still considering creating a goodreads account so I can review at least indie and smaller authors, but I haven't fully committed to a decision yet. Especially when the current system is working out so well for me.

The Decline of a Narcissist

Jan. 5th, 2026 10:21 am
pennswoods: (Default)
[personal profile] pennswoods
This is a story about how getting married and having children does not guarantee you won't end up alone and lonely at the end of your life.

I spent the past few days with my mother in law in southern Sweden while my husband went to visit his father in central Sweden. I have not seen his father since fall 2022, when I learned he had beat my mother in law. She hasn't seen him since about the same time either when she finally decided to flee him and move to the region of Sweden where she grew up. As of summer 2025, she is now divorced from him - this was facilitated by the fact that divorcing in Sweden when there are no minor children or shared assets and people live apart for a while is really pro-forma. My husband and sister-in-law got her to sign the paperwork to divorce this summer, and at 76 years old, she is a free woman. Her life is not all sunshine and roses and in many ways, watching her age is encouraging me to make different life choices so I don't wind up like her. However, she is doing so MUCH better than my father in law.

He is a narcissist with a lot of mental health issues and an overwhelming fear and mistrust of medicine and doctors. Since the summer, he has been in decline and is clearly depressed. But he refuses all medication and any physical therapy. He lives in an assisted living facility and is deathly afraid of falling so he spends most of his day in bed and is too afraid to walk to the toilet so he pees in one of those pee bottles. He did have a stumble on his way to the bathroom earlier this year that exacerbated this fear. He also has his own personal wheelchair which my sister in law bought as a way to bring him from the US to Sweden in early 2023 when he was really ailing. He spends most of his days in bed in the dark - not even watching TV. He does text a sort of girlfriend (someone my age) on a daily basis with his grandiose ideas about escaping to France where he will live in a mansion and have servants waiting on him. His lying in bed and terrible diet means he is losing strength and cannot get up by himself to pee in the bottle and needs the homecare workers to come help him to his feet.

His mental illness means he is deluded into thinking he has a lot of money coming to him from the sale of his home in Connecticut and that he is a millionaire. In truth, the house was foreclosed upon a few years ago, and resold by the bank. All his items were thrown out with only a little that his children rescued and put in storage, that is now costing them $300 a month. I know this because I helped my husband downsize the storage unit just before Christmas where we threw away 12 trash bags of absolute garbage (old magazines, used napkins and cups, trade show schwag from 10-30 years ago) that my father in law had boxed up and kept in the house. He cannot accept this is true and continues to live in his own imagined reality that he is a rich man being thwarted by the system. He cannot understand why his wife left him and absolutely refuses to see that he did anything wrong by hitting her because, after all, she was annoying him and not doing what he wanted her to do. He entertains himself sometimes by making the healthcare workers move things around for them and telling bullshit stories about his life. He can be very charming when he wants to be, but his charm has faded along with his strength and he instead spends his days in a kind of sensory deprivation so he can avoid his reality. This thinking is a lifetime of untreated mental illness and the indulgence of his narcissism. 

When my husband visited, it took a while for my father in law to warm up, but he did eventually and they were able to reminisce about old times. I am glad for my husband for this - this man is his father and there is love. One thing my husband likes to do is to take his dad out to restaurants to eat since he cannot do this on his own in his wheelchair. But my father in law has become too weak to sit in a wheelchair. He has an arm that was affected by a stroke a few years ago that is tight and painful and has only gotten weaker and worse due to lack of movement and a refusal to do physical therapy. As a result, sitting in the wheelchair is painful for him, so instead of going out, my husband ordered food and had it delivered. Bad snow hitting parts of Sweden this weekend meant my husband's return train was cancelled, so he had to cut his trip short to return home.

I think my husband visiting may have been good for my father in law for a little while, but it will not change the state of things. The healthcare workers have said that he is making his own health worse, but under Swedish law, they cannot force medication or treatment on him. I really do wonder if my father in law will make it through this year. He is 75 and will be 76 in February. I have been thinking of how I will support my husband because I know this will devastate him. My deeper worry is that my mother in law will also pass soon. (I will deal with that when and if it happens, but I have started to prepare.)

The part of me that feels anger and injustice for my father in law's treatment of my mother in law and the many other things he has done to hurt people throughout his life is watching this man's decay with a sense of detachment and curiosity. Aside from the once or twice a year visit from his son who lives in another country, my father in law is dying alone. This is the manifestation of the threat I see being shouted at younger straight women on social media who are not married or who divorce - that they will regret their choice to not lower their standards and tether themself to a man and have children with him. Except here is a man who did marry and did have children, but  because of how he treated them and the choices he made through his entire life (and the choices he continues to make to reject all medical care and treatment), he is the one actively dying alone.

I want to reassure those women not to lower their standards and not to force themselves to endure a lifetime of mistreatment and injustice and disrespect and abuse from a partner just to avoid dying alone because there is no guarantee they won't also die alone anyway. 

(no subject)

Jan. 5th, 2026 09:49 am
oursin: hedgehog in santa hat saying bah humbug (Default)
[personal profile] oursin
Happy birthday, [staff profile] denise!
ride_4ever: (Fishcat)
[personal profile] ride_4ever
For those who are wondering why the Multifandom Multimedia Microbang is called "Be A Goldfish," here's the explanation from the comm's Admin [personal profile] devinwolfi:

When we started this event earlier this year, it was a Ted Lasso fandom exclusive event. We always had every intention to go multifandom later, this just gave us the opportunity to beta test it on a smaller group. In that series, a recurring line is to "be a goldfish," (based on the now disproved idea that goldfish have 3-10 second memories), meaning to let go of past hurts, move on, brave the new day, and try new things, all of which we hope to embody and encourage throughout this event. We've found that smaller works and folks who leave comments tend to get less attention, but those small works and comments are by no means less important to the fandom ecosystem so we wanted to give them, and the fans who share them, the support and attention they deserve. We also know that it's very easy to get bogged down by expectation, past experiences, and the pressure of trying to be "successful" in fandom and be paralyzed by it all to the point of inaction. We want to give people the space to try new things and develop new fannish skills without feeling like they have to commit to big projects.
tamaranth: me, in the sun (Default)
[personal profile] tamaranth
2026/001: The River Has Roots — Amal el-Mohtar
Something, you might think, happened here, long, long ago; something, you might think, is on the cusp of happening again. But that is the nature of grammar—it is always tense, like an instrument, aching for release, longing to transform present into past into future, is into was into will. [p. 4]

A short novella from the co-author of This is How You Lose the Time War. The River Liss runs from Faerie, past the Refrain (an assemblage of standing stones) and through the Modal Lands, between two ancient trees known as the Professors, and between ordinary fields to the town of Thistleford. Read more... )

Reading Wrap-up 12/25

Jan. 5th, 2026 08:29 am
vamp_ress: (Default)
[personal profile] vamp_ress posting in [community profile] booknook
Lots of middling stuff in December with one notable exception:

Parrott, Ursula: Ex-Wife. Faber & Faber. 2024.
Discovered, once again through Lost Ladies of Lit (my favourite literary podcast by MILES) this novel from the roaring 1920s gets compared to The Great Gatsby a lot. In my opinion, this is the better book. Bold, outspoken, modern - Ex-Wife (despite the stupid title) is an excellent novel and I'd love for more of Parrott's work to get re-issued. Alas, I can't find anything anywhere. Such a shame!

Schweblin, Samantha: Little Eyes. Riverhead Books. 2020.
For years after Covid I couldn't touch dystopias, even though I've always loved that genre. I'm slowly getting back to those novels (very tentatively), but this was just not IT. It should definitely have been a short story. This isn't so much a novel as it is a collection of interconnected stories in the same world where smart plushies invade people's most intimate spaces. The novel wants to say so many things, but it never really goes there. Additionally, while I think the basic premise sounds plausible to a lot of people it simply doesn't hold up under scrutiny. I won't deny that something like this would appeal both to voyeurists and exhibitionists. But that's about it. The most shocking thing about this novel is the fact that it was on the longlist for the International Booker.

Bridle, James: New Dark Age. Technology, Knowledge and the End of the Future. Verso. 2018.
Bridle sometimes goes on the wildest tangeants (I now know more about Peppa Pig than I ever wanted to know) and his own interests show clearly (he seems overly interested in air travel), but overall this was a riveting and thought-provoking read. I thoroughly enjoyed following him on his journey through the history of technology.

Wood, Benjamin: Seascraper. Viking. 2025.
This novel is set in the 1960s, but it reads like it's the 1660s. Nice language and prose, but it sounds too much like a creative-writing-class for my taste with no actual plot to carry all these fancy words over the finish-line. The last 25% did not seem to belong with the rest of the book and stood out like a sore thumb. If you want to give this a go either way, I'd recommend the audiobook. Well read (and sung) by the author himself.

Whitehead, Colson: Underground Railroad. Doubleday. 2016.
My least successful Whitehead so far, maybe "only" because I'm not American and I couldn't really tell when he was being faithful to the history of slavery and when he was making stuff up. That considerably lessened my enjoymend and what I could take away from the novel. Also, he wasn't doing himself any favours with the many voices and POVs he used throughout. I've been looking forward to reading Underground Railroad for years now, but I must say that this - sadly - was a letdown.

Venezuela

Jan. 5th, 2026 07:29 am
elisi: sunflower field (Sunflowers)
[personal profile] elisi
The perspective of Venezuelans:

A Mastodon thread by a Venezuelan, talking about the events.

Caolan Robertson is one of the best reporters of the Ukraine war, so here is his perspective on what this means for Russia, as well as talking to a Venezuelan:

ysabetwordsmith: Damask smiling over their shoulder (polychrome)
[personal profile] ysabetwordsmith
This poem is spillover from the November 4, 2025 Poetry Fishbowl. It was inspired by a prompt from [personal profile] readera. It also fills the "The deeds of ordinary folks keep the darkness at bay. Small acts of kindness and love." square in my 11-1-25 card for the Fairy Tales and Fantasy Stories Bingo fest. This poem has been sponsored by a pool with [personal profile] fuzzyred. It belongs to the Officer Pink thread of the Polychrome Heroics series.

Read more... )

2026 Prediction Meme

Jan. 4th, 2026 11:27 pm
brithistorian: (Default)
[personal profile] brithistorian

New Year Book Meme, via [personal profile] trobadora:

  1. Grab the nearest book.
  2. Turn to page 126
  3. The 6th full sentence is your life in 2026.

Here's mine: The book nearest at hand to me is Japanese Soul Cooking by Tadashi Ono and Harris Salat. Page 126 was a page of photographs, page 127 was a mini table of contents for a chapter, so the next full page of text is page 128, where the 6th sentence is "The cities and towns on the western side of Japan, like Osaka and Hiroshima, are the okonomiyaki heartland," which is an interesting fact, but I'm not sure how to take is as a fortune!

Week 1/52 - roundup

Jan. 5th, 2026 05:04 am
ruric: (Default)
[personal profile] ruric
Trying to be more consistent this year!

HOME: I've started the Great Bedroom clear up. It's going to take a while!

HEALTH: my sleep patterns have been a bit erratic this last week and a bit. I'm waking around 3am and finding it difficult to get back to sleep.

LIFE ADMIN: nope.

DIGITAL DECLUTTER: email is down to 11,000, phone images desperately need sorting.

GARDENING/ALLOTMENTING: nope - too cold!

COOKING/EATING: I've eaten most of the Christmas food. Today I'm making a big veg curry with leftover veg and a big batch of bolognese sauce which will feed me most of the coming week. Then there's half a pannetone, a small Christmas pudding and a bowl of fruit to go.

READING/LISTENING: read Lessons in Love, book 1 of the Cambridge Fellows Mysteries by Charlie Cochrane. Edwardian murder mysteries. She's describes her books as "mysteries with a dash of slash". I wanted a gentle, short, fun read to get me back into the habit and these are it.

WATCHING: Still not caught up on Stranger Things and haven't started Heated Rivalry. I sort of watched the most recent Ghostbuster's film, Ghostbuster's Frozen Empire and found it very formulaic.

CREATING/LEARNING: crochet club recommences on 9th. I've got one round to do to finish my current blanket. Then I need to block the original granny square and Halloween blankets and stich them together. Then I can start on the utterly mad boho blanket.

CATS: all good.

VOLUNTEERING: first meeting of 2026 is tonight.

SOCIALISING: Zoom catch up with friends online but no in person socialising.

WORK: none since 19 December and I really, really needed the break!

2026 Goals & Intentions

Jan. 4th, 2026 08:37 pm
yaaurens: (Cleverly Disguised)
[personal profile] yaaurens
This is still sort of a rough draft, but hey, a rough draft is better than a no draft, right?

Media Type Stuff
- read 12 books
     - no more than two as re-reads
     - try to read at least two non-fiction books (yes, the accounting book counts)
- clear all the Currently Watching off my list on MDL by actually finishing the dang shows (this has no bearing on watching new shows; I just want to get all these shows I stalled out on finished, as they weren't boring I just... stopped)

Health Type Stuff
- get back into a fitness routine, which may include
     - using the Hybrid Calisthenics app
     - making sure I do my physio exercises regularly at home between appointments
     - going on regular walks either solo or with Helen
     - doing laps around the office building on my breaks at work (AKA, taking my damn breaks like I'm supposed to)
- look into an ADHD diagnosis / ask about whether pursuing an autism diagnosis is worthwhile
- get the recipes I like off of the Centr website before I lose access to it in March (paying money for a program I don't use is stupid, and I didn't see myself getting back into it, so I stopped by membership)
- figure out the gorram health insurance bullshittery
- get hands fixed, even if only temporarily

Habitat Type Stuff
- clean/organize bedroom (a never ending, constantly on the list goal)
- clean/organize shed (another never ending, constantly on the list goal)
- catalogue books
     - weed books?
     - find out what the bottom shelf of that one bookshelf looks like, lol. I haven't seen it for years, too much stuff in front, which ties into that first goal of the bedroom

Work Type Stuff
- work through the basic accounting book I found
- complete 100 tax returns
- work on levelling up to 3 or higher at work (currently at 2; max is 6/EA)
- look into SBC at work
- do better at keeping track of hours worked for mom
- update the ol' website with current stock
- apply to more craft fairs (did three in 2025, aiming for... 6? Kinda depends on how burned out I am post tax season)
- offer more/different classes
- work for Maureen

Creativity/Fun Stuff
- finish new weighted blanket
- JOURNEYS OF DISCOVERY
     - one small weekly?
     - one large monthly?
- get back into weekly update posting, if not more frequently
- go play on the Böse weekly, as work schedule allows
     - learn some new pieces? whaaaaaaat
- make use of my 6 Flags pass
     - find out which roller coaster is my favourite
     - can I make it out there monthly? Uncertain with tax season. Don't really want to go alone, but other friend works a normal schedule.
- keep up Shakesnights
     - Shakespark is already on the calendar!
     - figure out what's to come after we finish our chronological read in May
- try to get more friend time interaction, which means GO WHEN PEOPLE INVITE YOU TO THINGS, DUMBASS

2026 Media Intake Post

Jan. 4th, 2026 08:33 pm
yaaurens: (happy hua wuxie)
[personal profile] yaaurens
Books:
1) Gnomes of Lychford, by Paul Cornell. I really enjoyed this newest addition to the Lychford series of novellas. I just really wanted it to be longer! I wanted more! But it was relatively light and fluffy, as all of this series is, and highly enjoyable.




Dramas/TV:






Movies:
1) "Thursday Murder Club." The mystery was not super intriguing, but the cast was superb. Fun and relatively fluffy watch.

Snowflake Challenge #2

Jan. 4th, 2026 08:35 pm
snickfic: Miss Kitty Fantastico stalking (Miss Kitty)
[personal profile] snickfic
Snowflake challenge #2: Post about your pets, pets from your canon, anything you want!

The theme of this post is Gallaghers Being Cute With Animals. It's Mucca's fault, she enabled me.

Noel professes very much NOT to be an animal person, but look at him.

This is Boots, whom Noel wanted to name Mr. Whiskers. Not that he cares! Definitely not.

Meanwhile, Liam is an animal person all day long. He currently has cats Sid and Nancy and a dog named Buttons, who he adopted from a rescue in Thailand. He submitted an application through the regular channels, and the people there were half-convinced it was a hoax. The whole story is very cute.


Liam asleep with Buttons.


Liam awake with Buttons.

When he adopted Sid from a shelter in 2018, that was pretty cute, too. Liam Gallagher: can't resist rubbing his face all over a kitten, any more than the rest of us can.


In conclusion, a recent tweet:

November 2025

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