still
@still.support
Process-oriented chronic illness management. No optimization, just observation.
Evidence-based • Disability justice • Works at 20% capacity
📝 Weekly on Substack: https://stillsupport.substack.com
🔧 Free trackers: still.support
#ProcessNotGoals
Evidence-based • Disability justice • Works at 20% capacity
📝 Weekly on Substack: https://stillsupport.substack.com
🔧 Free trackers: still.support
#ProcessNotGoals
Pinned
still
@still.support
· 2d
![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 (101.7°F [38.7°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 (103.7°F [39.8°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).](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:kbspl6pkzjfvrxmtnbjavnnp/bafkreidgwim7rsu6caeyp6hf7lasbzbbfwzllkemovww2ntvj2mekieyqy@jpeg)
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...
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...
Reposted by still
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
#ItsOkayNotToBeOkay #MentalHealthMatters #EmotionalHonesty #BeKindToYourself #MensMentalHealth
January 29, 2026 at 7:09 AM
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
#ItsOkayNotToBeOkay #MentalHealthMatters #EmotionalHonesty #BeKindToYourself #MensMentalHealth
Reposted by still
"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
by @beverleybutterfly.bsky.social
#disability #spoonie
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.
buff.ly
January 29, 2026 at 5:30 PM
"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
by @beverleybutterfly.bsky.social
#disability #spoonie
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 work—reading patterns without optimizing them away.
open.substack.com/pub/stillsup...
#ProcessNotGoals
I just wasn't reading it.
Then the spiral started.
New post on the practice of retrospective work—reading patterns without optimizing them away.
open.substack.com/pub/stillsup...
#ProcessNotGoals
Layer 1 Applied: Reading Your Patterns (The Practice)
Tuesday, I told you how I missed my fatigue patterns this week.
open.substack.com
January 29, 2026 at 4:33 PM
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 work—reading patterns without optimizing them away.
open.substack.com/pub/stillsup...
#ProcessNotGoals
I just wasn't reading it.
Then the spiral started.
New post on the practice of retrospective work—reading patterns without optimizing them away.
open.substack.com/pub/stillsup...
#ProcessNotGoals
Reposted by still
From 👆
"Throughput medicine rewards:
🔷short visits
🔷clear diagnoses
🔷protocol compliance
🔷symptom control
Chronic illness requires:
🔷time
🔷iteration
🔷pattern recognition
🔷systems thinking
These are structurally incompatible."
"Throughput medicine rewards:
🔷short visits
🔷clear diagnoses
🔷protocol compliance
🔷symptom control
Chronic illness requires:
🔷time
🔷iteration
🔷pattern recognition
🔷systems thinking
These are structurally incompatible."
January 28, 2026 at 10:51 PM
From 👆
"Throughput medicine rewards:
🔷short visits
🔷clear diagnoses
🔷protocol compliance
🔷symptom control
Chronic illness requires:
🔷time
🔷iteration
🔷pattern recognition
🔷systems thinking
These are structurally incompatible."
"Throughput medicine rewards:
🔷short visits
🔷clear diagnoses
🔷protocol compliance
🔷symptom control
Chronic illness requires:
🔷time
🔷iteration
🔷pattern recognition
🔷systems thinking
These are structurally incompatible."
Reposted by still
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...
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
www.science.org
January 27, 2026 at 1:28 AM
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...
Reposted by still
New collaborative study on the risk and interpretation of 'breakthrough infections' amidst declines in vaccination rates and a sustained, national measles outbreak.
In a new preprint, we combine modeling with school-level vaccine data to contextualize the risk of 'breakthrough infections' and impacts on the ongoing US measles outbreak. #idsky #episky
www.medrxiv.org/content/10.6...
www.medrxiv.org/content/10.6...
Interpreting Breakthrough Infections Given Assortative Mixing of Partially Vaccinated Populations
Declining vaccine coverage across the United States has increased the risk of outbreaks of vaccine-preventable diseases. Even when vaccines have low primary failure rates, conventional epidemic theory...
www.medrxiv.org
January 27, 2026 at 2:55 PM
New collaborative study on the risk and interpretation of 'breakthrough infections' amidst declines in vaccination rates and a sustained, national measles outbreak.
Reposted by still
Measles can be fatal.
Do you know its symptoms?
🔴 Rash that starts on the face and spreads over the body
🔴 Fever
🔴 Cough
🔴 Red and watery eyes
🔴 Small white spots inside the cheeks
Seek health care if you suspect you or your child has measles. 🔗bit.ly/4iq4nkD
Do you know its symptoms?
🔴 Rash that starts on the face and spreads over the body
🔴 Fever
🔴 Cough
🔴 Red and watery eyes
🔴 Small white spots inside the cheeks
Seek health care if you suspect you or your child has measles. 🔗bit.ly/4iq4nkD
January 23, 2026 at 11:47 AM
Measles can be fatal.
Do you know its symptoms?
🔴 Rash that starts on the face and spreads over the body
🔴 Fever
🔴 Cough
🔴 Red and watery eyes
🔴 Small white spots inside the cheeks
Seek health care if you suspect you or your child has measles. 🔗bit.ly/4iq4nkD
Do you know its symptoms?
🔴 Rash that starts on the face and spreads over the body
🔴 Fever
🔴 Cough
🔴 Red and watery eyes
🔴 Small white spots inside the cheeks
Seek health care if you suspect you or your child has measles. 🔗bit.ly/4iq4nkD
Reposted by still
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…
That app scoring your groceries? We checked its homework.
Why a simple score can’t capture what’s actually good (or “bad”) for you
open.substack.com
January 26, 2026 at 1:55 PM
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…
Reposted by still
(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...
@cnn.com
www.cnn.com/2026/01/27/h...
January 28, 2026 at 1:04 AM
(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...
@cnn.com
www.cnn.com/2026/01/27/h...
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...
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...
January 28, 2026 at 1:12 AM
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...
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...
👋 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
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
Layer 6: Collective & Legacy — 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...
stillsupport.substack.com
January 26, 2026 at 6:50 PM
👋 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
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
Still is live. Writing about the gap between clinical approaches and lived reality with chronic conditions.
stillsupport.substack.com/p/the-night-...
stillsupport.substack.com/p/the-night-...
The Night We Slept Through the Alarms
Why everything you've been told about managing chronic conditions is missing the point
stillsupport.substack.com
September 7, 2025 at 12:36 AM
Still is live. Writing about the gap between clinical approaches and lived reality with chronic conditions.
stillsupport.substack.com/p/the-night-...
stillsupport.substack.com/p/the-night-...