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Hello, I’m H.

@matrimc.bsky.social

510 followers 3.7K following 270 posts

Father and Husband. Recovering political flack.

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Hello, I’m H.

@matrimc.bsky.social

They general > display and brightness > Liquid Glass > tinted for the later (or increase contrast under accessibility to really dial it back). See photo for how to close all tabs (a thing I didn’t even know you could do on the old iOS lol).

November 8, 2025 at 5:07 PM

Hello, I’m H.

@matrimc.bsky.social

If we cared about quality, we wouldn’t have the insane residency system we have now, which (from the outside) appears to just be a years-long hazing ritual. Love to have my emergency reviewed by someone who has been awake for 24+ hours.

In the US, medical residencies traditionally require lengthy hours of their trainees. Early residents literally resided at the hospitals, often working in unpaid positions during their education. During this time, a resident might always be "on call" or share that duty with just one other physician. The American public, and the medical education establishment, recognized that such long hours were counter-productive, since sleep deprivation increases rates of medical errors. This was noted in a landmark study on the effects of sleep deprivation and error rate in an intensive-care unit.[60][61] The Accreditation Council for Graduate Medical Education (ACGME) has limited the number of work-hours to 80 hours weekly (averaged over 4 weeks), overnight call frequency to no more than one overnight every third day, and 10 hours off between shifts. Still, a review committee may grant exceptions for up to 10%, or a maximum of 88 hours, to individual programs. Until early 2017, duty periods for postgraduate year 1 could not exceed 16 hours per day, while postgraduate year 2 residents and those in subsequent years can have up to a maximum of 24 hours of continuous duty. After early 2017, all years of residents may work up to 24-hour shifts.[62] While these limits are voluntary, adherence has been mandated for the purposes of accreditation, though lack of adherence to hour restrictions is not uncommon. The final two sentences are highlighted in light orange

According to the latest research, lack of sleep may cause more harm than previously thought and may lead to the permanent loss of brain cells.[36] The negative effects of sleep deprivation on alertness and cognitive performance suggest decreases in brain activity and function. These changes primarily occur in two regions: the thalamus, a structure involved in alertness and attention, and the prefrontal cortex, a region subserving alertness, attention, and higher-order cognitive processes.[37] Interestingly, the effects of sleep deprivation appear to be constant across "night owls" and "early birds", or different sleep chronotypes, as revealed by fMRI and graph theory.[38]

A 2009 review found that sleep loss had a wide range of cognitive and neurobehavioral effects including unstable attention, slowing of response times, decline of memory performance, reduced learning of cognitive tasks, deterioration of performance in tasks requiring divergent thinking, perseveration with ineffective solutions, performance deterioration as task duration increases; and growing neglect of activities judged to be nonessential.[39]

November 4, 2025 at 1:49 PM

Hello, I’m H.

@matrimc.bsky.social

King Hidetora (Tatsuya Nakadai) in Kurosawa’s RAN (1985). He is looking insense as he shoots a bow and arrow from horseback.

October 15, 2025 at 1:30 PM

Hello, I’m H.

@matrimc.bsky.social

The recipe got lost during the great serious eats purge but this (affectionately called ‘spicy chicken’ in our house) is the hook that got me into sichuan cuisine. The Mala Market is great if you are looking for the pantry staples.