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Pippa Elayne Coulter MD PhD 💛🤍💜🖤 @pippaelayne.bsky.social · 41m

So true--I got an attachment for my mixer -- use local rye and wheat berries and big difference!

Pippa Elayne Coulter MD PhD 💛🤍💜🖤 @pippaelayne.bsky.social · 2h

I read your book back in 2020 when I started as a protest medic and got accused of being antifa by the local police chief ... for rinsing tear gas out of people's eyes. Thank you and hope you stay safe!

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Pippa Elayne Coulter MD PhD 💛🤍💜🖤 @pippaelayne.bsky.social · 2h

Not letting people escape already? The pace is accelerating

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Pippa Elayne Coulter MD PhD 💛🤍💜🖤 @pippaelayne.bsky.social · 6h

And they don't leave because they think no one else would want them, bc they don't know it's not them. They just can't be who their spouse needs.

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Pippa Elayne Coulter MD PhD 💛🤍💜🖤 @pippaelayne.bsky.social · 6h

At least in the south there are still spouses who get lied to and aren't told the one they love isn't sexually attracted to them at all. And this does incredible damage to their own sense of sexual desirability. They can feel the rejection and think it's their fault.

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Pippa Elayne Coulter MD PhD 💛🤍💜🖤 @pippaelayne.bsky.social · 6h

I am in an uncommon and lucky position not to have to decide-- just keep providing gender affirming care unless/until I get hauled off for it. Not fighting, just working. Easy, simple. Otherwise I think I'd feel baffled at exactly what to do that would be useful.

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Pippa Elayne Coulter MD PhD 💛🤍💜🖤 @pippaelayne.bsky.social · 14h

Came here to say adults shouldn't have rights bc we weren't born this way so adults must not be human

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Pippa Elayne Coulter MD PhD 💛🤍💜🖤 @pippaelayne.bsky.social · 1d

I've had to learn not to underestimate the dumbassery of our species. It's baffling we have survived this long

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Pippa Elayne Coulter MD PhD 💛🤍💜🖤 @pippaelayne.bsky.social · 2d

No, geez, pls don't say that. There is NO body shape that "makes a woman". A woman is an adult who says she is a woman, full stop.

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Reposted by Pippa Elayne Coulter MD PhD 💛🤍💜🖤

Meandering M🌿 @pathwaymoments.bsky.social · 3d

The unveiling of a new day 📷🕊️ ….

Slowly the mist is rising along the trail but for now the distant mountains are resting.

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Pippa Elayne Coulter MD PhD 💛🤍💜🖤 @pippaelayne.bsky.social · 3d

Where I live, it's bears. Someone posts "heads up, bear on x st", and the rest of the comments are "duh, so what", "it's their home", or arguments against duh and home. Then they call each other names. Every single time.

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Pippa Elayne Coulter MD PhD 💛🤍💜🖤 @pippaelayne.bsky.social · 3d

Omg no, we have got to stop this stupid thing about a new delivery device making a cheap generic brand name only again

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Pippa Elayne Coulter MD PhD 💛🤍💜🖤 @pippaelayne.bsky.social · 3d

I forgot to say what seems most important-- we will always have dark triad folks. No matter what parents do. But we do not have to allow them to take power over us. That's where we are failing imo.

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Pippa Elayne Coulter MD PhD 💛🤍💜🖤 @pippaelayne.bsky.social · 4d

Right! So there's no reason it can't go the other direction. I blocked that other account. Just arguing without sources and then insulted me lol.

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Pippa Elayne Coulter MD PhD 💛🤍💜🖤 @pippaelayne.bsky.social · 4d

The plural of anecdote isn't data. But I know many people whose parents were terrible narcissists who abused them-- and they themselves are kind and compassionate. There's just a lot more to it than ppl realize.

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Pippa Elayne Coulter MD PhD 💛🤍💜🖤 @pippaelayne.bsky.social · 4d

This piece overstates it -- environmental influences do count-- but it's not mostly parents. We are just part of the mix.

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Pippa Elayne Coulter MD PhD 💛🤍💜🖤 @pippaelayne.bsky.social · 4d

I didn't say no effect. However after accounting for genetics, the parent effect is relatively small. My middle aged kids are good ppl but it's not bc of me. And I'm tired of seeing parents in my practice guilt themselves for everything, Tylenol etc www.psychologytoday.com/us/blog/blue...

Parents Matter but They Don’t Make a Difference

Parents matter a lot in their children’s lives, but DNA is the major systematic force, the blueprint, that makes us who we are.

www.psychologytoday.com

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Pippa Elayne Coulter MD PhD 💛🤍💜🖤 @pippaelayne.bsky.social · 4d

That's not true. Parent influence on adult character is present but not nearly as large as peer, non-parent adult, and cultural influences, per research. Parents can't take blame or credit for the end result, but should treat others kindly regardless of outcome.

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Pippa Elayne Coulter MD PhD 💛🤍💜🖤 @pippaelayne.bsky.social · 4d

Bc it's currently normal? Why would you ask that? The majority of Americans including the opposition to ICE -- overweight. Fat ≠ evil. ICE otoh is very evil.

Pippa Elayne Coulter MD PhD 💛🤍💜🖤 @pippaelayne.bsky.social · 4d

It's almost like part of their strategy is to make dems argue accurately that they are doing the things the repugs accuse them of not doing.

Pippa Elayne Coulter MD PhD 💛🤍💜🖤 @pippaelayne.bsky.social · 4d

Not even close. The pet eating lie would have been bad if true. The healthcare lie would have been good if true. They don't have it bc of Bill Clinton. It's nothing to be proud of y'all. It's shameful.

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Pippa Elayne Coulter MD PhD 💛🤍💜🖤 @pippaelayne.bsky.social · 4d

Wow. The enemies of my enemy are fat-shamers. And making fun of ppl with low IQ. This is so depressing. Fat≠evil-- trump= evil. I don't have much hope for us as a species sometimes, if we can't at a minimum not be so gleefully cruel to innocent bystanders.

Pippa Elayne Coulter MD PhD 💛🤍💜🖤 @pippaelayne.bsky.social · 4d

I lust after their advent calendars 😂

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Reposted by Pippa Elayne Coulter MD PhD 💛🤍💜🖤

Dr. Yonatan Libbie @yonatanlibbie.bsky.social · 4d

This extremely perceptive. Wonderfully so.

James Russell @jamesrussell2790.bsky.social · 4d

A Harvard-educated law professor. A gun. A synagogue. Two days after Jews were murdered in Manchester, he stepped outside Temple Beth Zion and pulled the trigger. Not a zealot, not a hayseed - the educated elite. Read: substack.com/home/post/p-...

The Harvard Man With a Gun

Two days after Jews were murdered outside a synagogue in Manchester, a man with a Harvard Law degree walked outside a synagogue in Massachusetts and fired a gun.

substack.com

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Pippa Elayne Coulter MD PhD 💛🤍💜🖤 @pippaelayne.bsky.social · 4d

Makes sense. I took career as the whole trajectory of life work but sure don't identify mine as corporate. Declined every "promotion" offered so I could keep my IWW card 😂. Not sure what replaces the directional aspect that's specific to work. Not same as calling. Work arc?

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