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still

@still.support.bsky.social

Process-oriented chronic illness management. No optimization, just observation. Evidence-based β€’ Disability justice β€’ Works at 20% capacity πŸ“ Weekly on Substack: https://stillsupport.substack.com πŸ”§ Free trackers: still.support #ProcessNotGoals

54 Followers  |  527 Following  |  20 Posts  |  Joined: 05.09.2025  |  1.8336

Latest posts by still.support on Bluesky


Sometimes Physical Pain Isn't The Worst Part About Chronic Illness

Sometimes Physical Pain Isn't The Worst Part About Chronic Illness

"One cannot deal with chronic physical pain when they're already defeated mentally. At that point, you're too tired to even care anymore.": buff.ly/QGwUFjd

#ChronicPain #MondayBlogs #ChronicIllness #MentalHealth #InvisibleIllness

02.02.2026 15:30 β€” πŸ‘ 30    πŸ” 6    πŸ’¬ 4    πŸ“Œ 0
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Layer 2 Applied: When Your Brain Lies to You You know that moment in β€œComfortably Numb” when the disconnect hits.

Sunday hit and my brain stopped working. I'd been tracking the data. I just wasn't reading it.

New Layer 2 post on reading cognitive-emotional patterns without turning your brain into a performance review.

stillsupport.substack.com/p/layer-2-ap...

#ProcessOverGoals #ChronicIllness

03.02.2026 19:46 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Sometimes the most powerful act is allowing yourself to be honest about how you feel. This quote pushes back against toxic positivity and makes space for real emotions.
#ItsOkayNotToBeOkay #MentalHealthMatters #EmotionalHonesty #BeKindToYourself #MensMentalHealth

29.01.2026 07:09 β€” πŸ‘ 2    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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Creating Healthful Choices in 2026 - A gentle reflection on creating healthful choices in 2026, focusing on pacing, mental health, seasonal goals and living a happier life.

"Now, I am in my late 40s & well into the joy that is #menopause, so I have long ago realised that rigid rules & #resolutions never work. We all have stories of being in mid-January & already having failed at the new ideas.": buff.ly/HN13hoT

by @beverleybutterfly.bsky.social
#disability #spoonie

29.01.2026 17:30 β€” πŸ‘ 5    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
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Layer 1 Applied: Reading Your Patterns (The Practice) Tuesday, I told you how I missed my fatigue patterns this week.

I had the data. Entries going back weeks. Sleep quality. Energy levels. The whole baseline.

I just wasn't reading it.

Then the spiral started.

New post on the practice of retrospective workβ€”reading patterns without optimizing them away.

open.substack.com/pub/stillsup...

#ProcessNotGoals

29.01.2026 16:33 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

So right Christophe! Pattern Recognition driven by "patients" is the foundation.

28.01.2026 23:28 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Throughput medicine rewards:
πŸ”·short visits
πŸ”·clear diagnoses
πŸ”·protocol compliance
πŸ”·symptom control

Chronic illness requires:
πŸ”·time
πŸ”·iteration
πŸ”·pattern recognition
πŸ”·systems thinking

These are structurally incompatible.

Throughput medicine rewards: πŸ”·short visits πŸ”·clear diagnoses πŸ”·protocol compliance πŸ”·symptom control Chronic illness requires: πŸ”·time πŸ”·iteration πŸ”·pattern recognition πŸ”·systems thinking These are structurally incompatible.

From πŸ‘†

"Throughput medicine rewards:
πŸ”·short visits
πŸ”·clear diagnoses
πŸ”·protocol compliance
πŸ”·symptom control

Chronic illness requires:
πŸ”·time
πŸ”·iteration
πŸ”·pattern recognition
πŸ”·systems thinking

These are structurally incompatible."

28.01.2026 22:51 β€” πŸ‘ 22    πŸ” 6    πŸ’¬ 2    πŸ“Œ 0
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U.S. government has lost more than 10,000 STEM Ph.D.s since Trump took office A Science analysis reveals how many were fired, retired, or quit across 14 agencies

The US government lost more than 10,000 STEM PhDs last year, according to an analysis by Science of newly released OPM data, with 11 departures for every hire. And many OPM calls "voluntary" separations were probably pushed. www.science.org/content/arti...

27.01.2026 01:28 β€” πŸ‘ 357    πŸ” 260    πŸ’¬ 16    πŸ“Œ 32

New collaborative study on the risk and interpretation of 'breakthrough infections' amidst declines in vaccination rates and a sustained, national measles outbreak.

27.01.2026 14:55 β€” πŸ‘ 3    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0
WHO graphic titled β€œMeasles can be fatal – Know the symptoms.” A child’s face and body are shown with red spots. Labels point to symptoms: rash starting on the face and spreading over the body, fever, red and watery eyes, runny nose, small white spots inside the cheeks, and cough.

WHO graphic titled β€œMeasles can be fatal – Know the symptoms.” A child’s face and body are shown with red spots. Labels point to symptoms: rash starting on the face and spreading over the body, fever, red and watery eyes, runny nose, small white spots inside the cheeks, and cough.

Measles can be fatal.

Do you know its symptoms?
πŸ”΄ Rash that starts on the face and spreads over the body
πŸ”΄ Fever
πŸ”΄ Cough
πŸ”΄ Red and watery eyes
πŸ”΄ Small white spots inside the cheeks

Seek health care if you suspect you or your child has measles. πŸ”—bit.ly/4iq4nkD

23.01.2026 11:47 β€” πŸ‘ 216    πŸ” 98    πŸ’¬ 7    πŸ“Œ 15
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That app scoring your groceries? We checked its homework. Why a simple score can’t capture what’s actually good (or β€œbad”) for you

The problem is that nutrition and ingredient safety aren’t binary. Forcing them into green/red categories can mislead more than it helps. So let’s break down how these apps work and why their approach can be problematic. Let’s discuss…

26.01.2026 13:55 β€” πŸ‘ 12    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0
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(CNN) - The fast-growing measles outbreak in South Carolina is now the largest in the United States since the disease was declared eliminated in this country more than two decades ago.

@cnn.com
www.cnn.com/2026/01/27/h...

28.01.2026 01:04 β€” πŸ‘ 2938    πŸ” 1112    πŸ’¬ 231    πŸ“Œ 199

The chronic illness community knows this story.

We're always the collateral damage when "personal freedom" meets public health.

Immunocompromised people can't opt out of consequences.

How did we lose trust in science? How do we rebuild it?

#PublicHealth #DisabilityJustice #ChronicIllness

28.01.2026 01:15 β€” πŸ‘ 4    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

What "personal choice" actually cost:

- 3 weeks family quarantine
- Our business: catastrophic losses
- My other daughter's pregnant friend: exposed
- A 15,000-person concert: potential exposure
- Relationships: permanently damaged

The invisible infrastructure collapsed.

28.01.2026 01:15 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

The source: a family who didn't believe in vaccines, picked up their daughter from an LDS mission in Poland, brought measles home.

They owned a large plant nursery. Never disclosed they were the source. Kept operating.

The outbreak spread. 7 confirmed cases.

28.01.2026 01:14 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
On April 5, 2011, a health-care provider notified the Salt Lake Valley Health Department (SLVHD) of an unvaccinated Salt Lake County resident aged 16 years with generalized rash
(onset April 4) and a 3-day history of sore throat and fever (101.7Β°F [38.7Β°C]) (Table). When investigated by public health officials on April 6, the patient had a morbilliform rash, cough, coryza, conjunctivitis, and Koplik spots, and reported no recent travel or contact with ill persons. Serum collected on April 5 was positive for measles immunoglobulin M (IgM). On April 7, SIVHD announced that a measles case had been confirmed. On April 8, a health-care provider notified SLVHD that an unvaccinated Salt Lake County patient aged 15 years had sought care in late March with generalized rash (onset March 21), fever (103.7Β°F [39.8Β°C]), cough, coryza, and conjunctivitis. The patient had traveled in Europe during March 3-17. No measles testing was performed during the acute illness. Serum collected on April 8 was measles IgM-positive. This patient had attended a school class on March 21 with the patient reported previously. Five additional Salt Lake County residents were
confirmed to have measles, with the last rash onset on April 17, 2011 (Figure).

On April 5, 2011, a health-care provider notified the Salt Lake Valley Health Department (SLVHD) of an unvaccinated Salt Lake County resident aged 16 years with generalized rash (onset April 4) and a 3-day history of sore throat and fever (101.7Β°F [38.7Β°C]) (Table). When investigated by public health officials on April 6, the patient had a morbilliform rash, cough, coryza, conjunctivitis, and Koplik spots, and reported no recent travel or contact with ill persons. Serum collected on April 5 was positive for measles immunoglobulin M (IgM). On April 7, SIVHD announced that a measles case had been confirmed. On April 8, a health-care provider notified SLVHD that an unvaccinated Salt Lake County patient aged 15 years had sought care in late March with generalized rash (onset March 21), fever (103.7Β°F [39.8Β°C]), cough, coryza, and conjunctivitis. The patient had traveled in Europe during March 3-17. No measles testing was performed during the acute illness. Serum collected on April 8 was measles IgM-positive. This patient had attended a school class on March 21 with the patient reported previously. Five additional Salt Lake County residents were confirmed to have measles, with the last rash onset on April 17, 2011 (Figure).

In 2011, my fully vaccinated 16-year-old daughter contracted measles from an unvaccinated classmate.

She's Patient 2 in this CDC outbreak report.

Now in 2026, we're repeating history. Once again, the chronically ill and immunocompromised will pay the price. 🧡

pmc.ncbi.nlm.nih.gov/articles/PMC...

28.01.2026 01:12 β€” πŸ‘ 2    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0
Labeling Controls Accessibility resources free online from the international standards organization: W3C Web Accessibility Initiative (WAI).

Thank You! Not just a "nice to have", it's a W3C Standard www.w3.org/WAI/tutorial...

27.01.2026 02:36 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Layer 6: Collective & Legacy β€” What You're Building Beyond Just Surviving Today If Layer 1 is your physical baseline, Layer 2 is your cognitive and emotional state, Layer 3 is how you navigate relationships, Layer 4 is managing external demands, and Layer 5 is making sense of you...

πŸ‘‹ I'm Drew, building Still - process-oriented chronic illness management.

Not about being better. About seeing what's real.

6 layers: daily stability to legacy. Free, privacy-first, evidence-based.

Latest: Layer 6 launched. bit.ly/4qDmHdn

#ProcessNotGoals #ChronicIllness #DisabilityJustice

26.01.2026 18:50 β€” πŸ‘ 4    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Beyond Chronic Illness: The Wider World of Human Support Needs A companion to "What Still Means by Chronic Illness"

open.substack.com/pub/stillsup...

28.09.2025 20:57 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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What Still Means by Chronic Illness A foundational essay for Still

stillsupport.substack.com/p/what-still...

28.09.2025 20:35 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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A Different Kind of Tracker After Christine died, I threw away seventeen mood tracking apps and built something different.

stillsupport.substack.com/p/a-differen...

28.09.2025 20:33 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Why Your Mood Tracker Is Making You Worse Christine had seventeen different mood tracking apps on her phone when she died.

stillsupport.substack.com/p/why-your-m...

23.09.2025 16:35 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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What Hospice Really Means *On dignity, letting go, and the difference between fighting for time and fighting for peace*

stillsupport.substack.com/p/what-hospi...

21.09.2025 17:03 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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The Caregiver's Reality Check Monitoring Your Own Energy While Supporting Others

open.substack.com/pub/stillsup...

18.09.2025 15:52 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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The Caregiver Fatigue Multiplier Christine's Dexcom wasn't just her responsibility.

open.substack.com/pub/stillsup...

16.09.2025 17:45 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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The Quiet Revolution There's a revolution happening, but you won't see it trending on social media.

open.substack.com/pub/stillsup...

14.09.2025 16:57 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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How to Help Without Fixing A Toolkit for Supporters

stillsupport.substack.com/p/how-to-hel...

11.09.2025 15:44 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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The Myth of Perfect Adherence Christine's Dexcom had a "dismiss" button.

open.substack.com/pub/stillsup...

09.09.2025 15:59 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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The Night We Slept Through the Alarms Why everything you've been told about managing chronic conditions is missing the point

Still is live. Writing about the gap between clinical approaches and lived reality with chronic conditions.

stillsupport.substack.com/p/the-night-...

07.09.2025 00:36 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

@still.support is following 20 prominent accounts