A---- told me to chart review for this patient we’re about to see. He’s lost a few dozen pounds in the past year due to 'restrictive and purging behaviors.' It sometimes happens when you rapidly lose weight that you'll experience superior mesenteric artery syndrome. You lose some fat inside you which makes it easier for the duodenum to get compressed, which makes it uncomfortable to eat.

get out In order to treat him properly we’ll need to focus on conservative restoration of his body weight.

He tried so hard to lose weight, and now he has to gain it back. You’re not supposed to lose so much weight so quickly. We need to explore his reasons for losing weight so we can support him in putting it back on. we also need to be prepared for him to be really pissed off that the world is doing this to him. the world said he’s not allowed to lose weight that way.

it is disarming and alarming to see queer people in medicine. i don’t like it.

like i said i resent the queer people here for how they have assimilated. i'm looking at this cutesy twink resident and i feel nothing but disappointment. it makes me sad for all of us who've ended up stuck in a soul-crushing kafkaesque job like this. we are supposed to be radical, unassimilated. we need stronger queer communities. we need to stay off these fuckass white partriarchal paths and focus on scissoring and putting dicks in butts and making music and doing drag.