Cancer: A Timeline

{
    "type": "entry",
    "author": {
        "name": "Cathie",
        "url": "https://cathieleblanc.com/",
        "photo": null
    },
    "url": "https://cathieleblanc.com/2021/03/18/cancer-a-timeline/",
    "published": "2021-03-18T20:47:19-04:00",
    "content": {
        "html": "<p>I was diagnosed with cancer in September of last year. I decided to record the timeline of my treatment progression, mostly so I can remember it. But I thought others might like to know what the treatment looks like in the US for someone who has good insurance and access to excellent health care providers within a reasonable distance. I feel lucky for those things. I also feel lucky that my prognosis is excellent.</p>\n<p>July 21, 2020 \u2014 I visited my primary care physician (Lisa Baker) for my annual physical. Like so many things, this was delayed by a few months because of the pandemic.</p>\n<p>August 26, 2020 \u2014 I had my annual mammogram at my local hospital.</p>\n<p>September 2, 2020 \u2014 I received a call from my local hospital telling me that the radiologist saw something potentially concerning and would like me to do a follow-up mammogram.</p>\n<p>September 8, 2020 \u2014 I had a follow-up mammogram on my left breast. Because the tumor was very close to my chest wall, it was challenging to get an image of it. I was able to look at the image and a spiky mass was clearly visible. The radiologist looked at the images while I was still in the room. He and the technicians performed an ultrasound while I was there. The radiologist recommended that I have a biopsy of the mass as soon as possible. His report after the ultrasound says that there is a greater than 95% chance of malignancy but I didn\u2019t know that until about a week later.</p>\n<p>September 10, 2020 \u2014 While I was out for a walk, my primary care physician called me to see how I was doing. I didn\u2019t yet know the likelihood of this mass being cancer but I could tell from her tone that she thought it was likely to be. I didn\u2019t think to ask her what the likelihood was because I was so surprised that she called.</p>\n<p>September 17, 2020 \u2014 I met with a local surgeon (Dr. Casey) for an exam before the biopsy. He could not feel the mass.</p>\n<p>September 23, 2020 \u2014 I had the biopsy procedure at my local hospital. I was under the impression that once the lidocaine was injected, I wouldn\u2019t feel pain but it hurt quite a bit. After taking 3 samples, the doctor (Dr. Fontaine) placed a metal clip in the mass for future use in identifying its location. I had a chest x-ray to ensure that the clip was placed correctly since I had continued pain. The pain resolved a few hours later. I was able to drive myself to and from this procedure.</p>\n<p>September 25, 2020 \u2014 Dr. Casey called to tell me that the biopsy was positive, that I had breast cancer.</p>\n<p>September 28, 2020 \u2014 I met with Dr. Chastenet (a colleague of Dr. Casey) to talk about my treatment options. He told me that my tumor was ER and PR positive (good news for both) but that they didn\u2019t yet know the HER2 status. He recommended that I have the tumor removed, either by modified radical mastectomy or breast conservation surgery (which is commonly known as \u201clumpectomy\u201d). If I had breast conservation surgery (which is what I was leaning toward), they would recommend a course of radiation therapy. They wouldn\u2019t know whether chemotherapy was indicated until later. The surgery could be performed locally at the hospital but they don\u2019t have the equipment to do radiation therapy. So I would need to go to Dartmouth Hitchcock or Concord Hospital (or other places in the state\u2013I didn\u2019t really listen to the other options). I decided I wanted all of my treatment in the same place with the same team, so I opted for THe Breast Care Center at Concord Hospital. His office sent the referral.</p>\n<p>October 16, 2020 \u2014 This was the hardest period of this experience. Just waiting from September 25 when I found out I had cancer until my first appointment with the surgical oncologist. I felt a bit lost knowing that I had cancer, that a tumor was actively growing inside me, but not yet having a clear plan of action. I met with my surgical oncologist (Dr. Gunsher) and she explained my options and I confirmed my decision to do the breast conservation surgery. She told me that my tumor was ER+, PR+, and HER2-. All of that was good news for a positive outcome. The first thing she wanted me to do was to go to the Imaging Center of Concord Hospital for an MRI to get a better image of the tumor and to see whether there was anything suspicious about the lymph nodes. In addition, she wanted me to talk to the radiation oncologist because if I decided not to do radiation, she would recommend that I have the mastectomy instead.</p>\n<p>October 26, 2020 \u2014 I had the MRI at the Imaging Center. In the ten days since I had seen Dr. Gunsher, my insurance company had called to tell me about other options for getting the MRI. Concord Hospital was not the cheapest option but it also was not significantly more expensive. I chose to stay with Concord Hospital.</p>\n<p>October 29, 2020 \u2014 The MRI showed a suspiciously enlarged lymph node so I immediately had an ultrasound during which the lymph node also looked suspicious. So I immediately had a biopsy of the node. It didn\u2019t hurt at all.</p>\n<p>November 3, 2020 \u2014 Because I had chosen breast conservation surgery, I had a consult with the radiation oncologist (Dr. Roberts) so that I would understand what radiation would entail. He told me that I would need to come to the hospital 5 days a week for 3-6 weeks and explained the consequences. He explained the risks of radiation and showed me the tiny dot tattoo that he has on the end of his thumb that matches the three dots that I would have tattooed on my body for the radiation treatment. I still wanted to do the breast conservation surgery.</p>\n<p>November 3, 2020 \u2014 After talking with Dr. Roberts, I immediately met with Dr. Gunsher again to confirm the course of action. She told me that my lymph node was negative for cancer (good news!) and so she would order an oncotype test for my tumor. We scheduled surgery for November 13.</p>\n<p>November 10, 2020 \u2014 I had my pre-operative exam.</p>\n<p>November 13, 2020 \u2014 Surgery day (finally!). This was the only day I couldn\u2019t drive myself to and from the appointment. The surgery was actually several procedures. First, Dr. Gunsher injected a radioactive liquid into my breast to help her later identify the sentinal lymph nodes. Next, Dr. Petricelli inserted a wire into my breast for guiding the lumpectomy. The report says: \u201cUnder direct sonographic guidance, a 20-gauge needle was advanced to the lesion and methylene blue injected. A 7 cm Kopans hook wire was fed through the needle and the needle removed leaving the wire left in place.\u201d The radioactive liquid, plus the lidocaine for numbing, plus the methylene blue liquid were uncomfortable. Too much fluid, I think. They did a mammogram to ensure the wire was placed correctly. My breast felt better after that because I think they squished the liquid which helped to disperse it a bit. All of this was done while I was awake. After I was put under general anesthesia, Dr. Gunsher performed two surgeries: the lumpectomy and sentinel lymph node biopsy. She removed two lymph nodes. I was able to go home that same day.</p>\n<p>November 19, 2020 \u2014 I had my post-operative appointment with Dr. Gunsher. I was very swollen and bruised but everything looked like it was healing well.</p>\n<p>December 1, 2020 \u2014 I met with my medical oncologist (Dr. Kibirova) who would be taking over my care for the long term. By this time, I was quite uncomfortable because of the swelling in my breast. I had developed a blister because the skin was so stretched with the swelling. She suggested that I mention this to Dr. Gunsher since it looked like I had developed a seroma. In the meantime, she ordered some blood tests and a bone density scan and we talked about the options for my ongoing treatment. She also told me that my oncotype score indicated that I didn\u2019t need to do chemotherapy. I was a little worried about that because it was a borderline score and because my tumor had been deemed to be of intermediate aggressiveness. (More about this later.)</p>\n<p>December 1, 2020 \u2014 I was able to get an immediate appointment with Dr. Gunsher and she drained approximately 100 cc of fluid from the seroma. I made an appointment to see her again in about 2 weeks because she was fairly sure the seroma would need to be drained again.</p>\n<p>December 7, 2020 \u2014 Dr. Kibirova\u2019s office called to tell me that my blood tests showed that I was severely vitamin D deficient. They called in a high dose prescription of vitamin D that I was to take for 3 weeks followed by ongoing vitamin D supplements.</p>\n<p>December 10, 2020 \u2014 I had the bone density scan which showed my bone density to be normal. It was important to get a baseline for my bone density because my ongoing treatment would include drugs that increase the risk of osteoporosis.</p>\n<p>December 15, 2020 \u2014 I had a tele-medicine appointment with Dr. Kibirova who checked in about my seroma. She said that I could start radiation as soon as Dr. Gunsher and Dr. Roberts thought it was ok to do so. She prescribed my endocrine therapy (an aromatase inhibitor) to be started when I finished radiation. I will take that drug for 5-10 years.</p>\n<p>December 18, 2020 \u2014 I had my seroma follow-up appointment with Dr. Gunsher. The seroma was filling up again but it wasn\u2019t yet as bad as it had been previously. Because of the upcoming holiday, she opted to drain it again. This time, she drained approximately 50 cc of fluid. She wanted to see me again in 2 weeks.</p>\n<p>December 30, 2020 \u2014 My seroma follow-up showed that the seroma was still in the process of resolving but there was no need to drain it. Dr. Gunsher gave the all-clear to begin radiation.</p>\n<p>January 7, 2021 \u2014 I met with Dr. Roberts to plan my radiation treatment. He recommended 15 whole breast radiation treatments followed by 4 lumpectomy cavity boost treatments (which alleviated my concerns about my borderline oncotype score). This would be a total of 5005 cGY of radiation. I then received my 3 dot tattoos and did the breath hold planning.</p>\n<p>January 14-February 3, 2021 \u2014 I drove to Concord each morning for the whole breast radiation treatment. I immediately had a reaction to the ointment they gave me to deal with the inevitable skin issues. So I had to switch to a thicker messier ointment and used aloe vera in addition. The technicians were great and each week they took x-rays to make sure everything continued to look all right. I met with Dr. Roberts and the oncology nurse once a week to be sure everything was ok.</p>\n<p>February 4-February 9, 2021 \u2014 I drove to Concord four more times for the lumpectomy cavity radiation treatments. They were easier than the whole breast treatments because I didn\u2019t have to do the breath hold. At the end, I met with Dr. Roberts who told me again about the side effects of the radiation treatment. My skin was already irritated and starting to peel. He told me that was likely to get worse. Sometime during this period, I started to feel quite fatigued which is a common side effect of the treatment. My breast also just hurt sometimes.</p>\n<p>February 10, 2021 \u2014 I started my endocrine therapy.</p>\n<p>February 18, 2021 \u2014 I had an appointment with Dr. Gunsher for my 3-month post-operative appointment. I talked about some night sweats as a result of my endocrine therapy as well as my continued fatigue. I still had the seroma (which was hard as a rock). I will resume mammograms in six months and will transfer all my care to the Imaging Center. I will also see Dr. Gunsher again in six months.</p>\n<p>March 9, 2021 \u2014 I had a follow-up appointment with Dr. Kivirova. My night sweats have stopped but I\u2019m still tired. She said that the endocrine therapy can cause fatigue but she would assume that this is the residual effects of the radiation therapy. I will see her again in three months.</p>\n<p>I have had some weird nerve things with my breast and my arm has hurt because of the swelling but most of that seems to be gone now. I still have the hard as a rock seroma. And I\u2019m still tired. But I feel incredibly lucky to be alive at a time when cancer treatment is very targeted to the particular tumor of the particular patient. And I feel incredibly lucky that I have the means to afford all of this care. I haven\u2019t had to worry about whether I could afford the recommended treatment. I can\u2019t imagine the added stress that those worries would add to a challenging time.</p>\n<p>Image credit\u2013this is a blurry image of my actual tumor. Taken September 8, 2020.</p>",
        "text": "I was diagnosed with cancer in September of last year. I decided to record the timeline of my treatment progression, mostly so I can remember it. But I thought others might like to know what the treatment looks like in the US for someone who has good insurance and access to excellent health care providers within a reasonable distance. I feel lucky for those things. I also feel lucky that my prognosis is excellent.\nJuly 21, 2020 \u2014 I visited my primary care physician (Lisa Baker) for my annual physical. Like so many things, this was delayed by a few months because of the pandemic.\nAugust 26, 2020 \u2014 I had my annual mammogram at my local hospital.\nSeptember 2, 2020 \u2014 I received a call from my local hospital telling me that the radiologist saw something potentially concerning and would like me to do a follow-up mammogram.\nSeptember 8, 2020 \u2014 I had a follow-up mammogram on my left breast. Because the tumor was very close to my chest wall, it was challenging to get an image of it. I was able to look at the image and a spiky mass was clearly visible. The radiologist looked at the images while I was still in the room. He and the technicians performed an ultrasound while I was there. The radiologist recommended that I have a biopsy of the mass as soon as possible. His report after the ultrasound says that there is a greater than 95% chance of malignancy but I didn\u2019t know that until about a week later.\nSeptember 10, 2020 \u2014 While I was out for a walk, my primary care physician called me to see how I was doing. I didn\u2019t yet know the likelihood of this mass being cancer but I could tell from her tone that she thought it was likely to be. I didn\u2019t think to ask her what the likelihood was because I was so surprised that she called.\nSeptember 17, 2020 \u2014 I met with a local surgeon (Dr. Casey) for an exam before the biopsy. He could not feel the mass.\nSeptember 23, 2020 \u2014 I had the biopsy procedure at my local hospital. I was under the impression that once the lidocaine was injected, I wouldn\u2019t feel pain but it hurt quite a bit. After taking 3 samples, the doctor (Dr. Fontaine) placed a metal clip in the mass for future use in identifying its location. I had a chest x-ray to ensure that the clip was placed correctly since I had continued pain. The pain resolved a few hours later. I was able to drive myself to and from this procedure.\nSeptember 25, 2020 \u2014 Dr. Casey called to tell me that the biopsy was positive, that I had breast cancer.\nSeptember 28, 2020 \u2014 I met with Dr. Chastenet (a colleague of Dr. Casey) to talk about my treatment options. He told me that my tumor was ER and PR positive (good news for both) but that they didn\u2019t yet know the HER2 status. He recommended that I have the tumor removed, either by modified radical mastectomy or breast conservation surgery (which is commonly known as \u201clumpectomy\u201d). If I had breast conservation surgery (which is what I was leaning toward), they would recommend a course of radiation therapy. They wouldn\u2019t know whether chemotherapy was indicated until later. The surgery could be performed locally at the hospital but they don\u2019t have the equipment to do radiation therapy. So I would need to go to Dartmouth Hitchcock or Concord Hospital (or other places in the state\u2013I didn\u2019t really listen to the other options). I decided I wanted all of my treatment in the same place with the same team, so I opted for THe Breast Care Center at Concord Hospital. His office sent the referral.\nOctober 16, 2020 \u2014 This was the hardest period of this experience. Just waiting from September 25 when I found out I had cancer until my first appointment with the surgical oncologist. I felt a bit lost knowing that I had cancer, that a tumor was actively growing inside me, but not yet having a clear plan of action. I met with my surgical oncologist (Dr. Gunsher) and she explained my options and I confirmed my decision to do the breast conservation surgery. She told me that my tumor was ER+, PR+, and HER2-. All of that was good news for a positive outcome. The first thing she wanted me to do was to go to the Imaging Center of Concord Hospital for an MRI to get a better image of the tumor and to see whether there was anything suspicious about the lymph nodes. In addition, she wanted me to talk to the radiation oncologist because if I decided not to do radiation, she would recommend that I have the mastectomy instead.\nOctober 26, 2020 \u2014 I had the MRI at the Imaging Center. In the ten days since I had seen Dr. Gunsher, my insurance company had called to tell me about other options for getting the MRI. Concord Hospital was not the cheapest option but it also was not significantly more expensive. I chose to stay with Concord Hospital.\nOctober 29, 2020 \u2014 The MRI showed a suspiciously enlarged lymph node so I immediately had an ultrasound during which the lymph node also looked suspicious. So I immediately had a biopsy of the node. It didn\u2019t hurt at all.\nNovember 3, 2020 \u2014 Because I had chosen breast conservation surgery, I had a consult with the radiation oncologist (Dr. Roberts) so that I would understand what radiation would entail. He told me that I would need to come to the hospital 5 days a week for 3-6 weeks and explained the consequences. He explained the risks of radiation and showed me the tiny dot tattoo that he has on the end of his thumb that matches the three dots that I would have tattooed on my body for the radiation treatment. I still wanted to do the breast conservation surgery.\nNovember 3, 2020 \u2014 After talking with Dr. Roberts, I immediately met with Dr. Gunsher again to confirm the course of action. She told me that my lymph node was negative for cancer (good news!) and so she would order an oncotype test for my tumor. We scheduled surgery for November 13.\nNovember 10, 2020 \u2014 I had my pre-operative exam.\nNovember 13, 2020 \u2014 Surgery day (finally!). This was the only day I couldn\u2019t drive myself to and from the appointment. The surgery was actually several procedures. First, Dr. Gunsher injected a radioactive liquid into my breast to help her later identify the sentinal lymph nodes. Next, Dr. Petricelli inserted a wire into my breast for guiding the lumpectomy. The report says: \u201cUnder direct sonographic guidance, a 20-gauge needle was advanced to the lesion and methylene blue injected. A 7 cm Kopans hook wire was fed through the needle and the needle removed leaving the wire left in place.\u201d The radioactive liquid, plus the lidocaine for numbing, plus the methylene blue liquid were uncomfortable. Too much fluid, I think. They did a mammogram to ensure the wire was placed correctly. My breast felt better after that because I think they squished the liquid which helped to disperse it a bit. All of this was done while I was awake. After I was put under general anesthesia, Dr. Gunsher performed two surgeries: the lumpectomy and sentinel lymph node biopsy. She removed two lymph nodes. I was able to go home that same day.\nNovember 19, 2020 \u2014 I had my post-operative appointment with Dr. Gunsher. I was very swollen and bruised but everything looked like it was healing well.\nDecember 1, 2020 \u2014 I met with my medical oncologist (Dr. Kibirova) who would be taking over my care for the long term. By this time, I was quite uncomfortable because of the swelling in my breast. I had developed a blister because the skin was so stretched with the swelling. She suggested that I mention this to Dr. Gunsher since it looked like I had developed a seroma. In the meantime, she ordered some blood tests and a bone density scan and we talked about the options for my ongoing treatment. She also told me that my oncotype score indicated that I didn\u2019t need to do chemotherapy. I was a little worried about that because it was a borderline score and because my tumor had been deemed to be of intermediate aggressiveness. (More about this later.)\nDecember 1, 2020 \u2014 I was able to get an immediate appointment with Dr. Gunsher and she drained approximately 100 cc of fluid from the seroma. I made an appointment to see her again in about 2 weeks because she was fairly sure the seroma would need to be drained again.\nDecember 7, 2020 \u2014 Dr. Kibirova\u2019s office called to tell me that my blood tests showed that I was severely vitamin D deficient. They called in a high dose prescription of vitamin D that I was to take for 3 weeks followed by ongoing vitamin D supplements.\nDecember 10, 2020 \u2014 I had the bone density scan which showed my bone density to be normal. It was important to get a baseline for my bone density because my ongoing treatment would include drugs that increase the risk of osteoporosis.\nDecember 15, 2020 \u2014 I had a tele-medicine appointment with Dr. Kibirova who checked in about my seroma. She said that I could start radiation as soon as Dr. Gunsher and Dr. Roberts thought it was ok to do so. She prescribed my endocrine therapy (an aromatase inhibitor) to be started when I finished radiation. I will take that drug for 5-10 years.\nDecember 18, 2020 \u2014 I had my seroma follow-up appointment with Dr. Gunsher. The seroma was filling up again but it wasn\u2019t yet as bad as it had been previously. Because of the upcoming holiday, she opted to drain it again. This time, she drained approximately 50 cc of fluid. She wanted to see me again in 2 weeks.\nDecember 30, 2020 \u2014 My seroma follow-up showed that the seroma was still in the process of resolving but there was no need to drain it. Dr. Gunsher gave the all-clear to begin radiation.\nJanuary 7, 2021 \u2014 I met with Dr. Roberts to plan my radiation treatment. He recommended 15 whole breast radiation treatments followed by 4 lumpectomy cavity boost treatments (which alleviated my concerns about my borderline oncotype score). This would be a total of 5005 cGY of radiation. I then received my 3 dot tattoos and did the breath hold planning.\nJanuary 14-February 3, 2021 \u2014 I drove to Concord each morning for the whole breast radiation treatment. I immediately had a reaction to the ointment they gave me to deal with the inevitable skin issues. So I had to switch to a thicker messier ointment and used aloe vera in addition. The technicians were great and each week they took x-rays to make sure everything continued to look all right. I met with Dr. Roberts and the oncology nurse once a week to be sure everything was ok.\nFebruary 4-February 9, 2021 \u2014 I drove to Concord four more times for the lumpectomy cavity radiation treatments. They were easier than the whole breast treatments because I didn\u2019t have to do the breath hold. At the end, I met with Dr. Roberts who told me again about the side effects of the radiation treatment. My skin was already irritated and starting to peel. He told me that was likely to get worse. Sometime during this period, I started to feel quite fatigued which is a common side effect of the treatment. My breast also just hurt sometimes.\nFebruary 10, 2021 \u2014 I started my endocrine therapy.\nFebruary 18, 2021 \u2014 I had an appointment with Dr. Gunsher for my 3-month post-operative appointment. I talked about some night sweats as a result of my endocrine therapy as well as my continued fatigue. I still had the seroma (which was hard as a rock). I will resume mammograms in six months and will transfer all my care to the Imaging Center. I will also see Dr. Gunsher again in six months.\nMarch 9, 2021 \u2014 I had a follow-up appointment with Dr. Kivirova. My night sweats have stopped but I\u2019m still tired. She said that the endocrine therapy can cause fatigue but she would assume that this is the residual effects of the radiation therapy. I will see her again in three months.\nI have had some weird nerve things with my breast and my arm has hurt because of the swelling but most of that seems to be gone now. I still have the hard as a rock seroma. And I\u2019m still tired. But I feel incredibly lucky to be alive at a time when cancer treatment is very targeted to the particular tumor of the particular patient. And I feel incredibly lucky that I have the means to afford all of this care. I haven\u2019t had to worry about whether I could afford the recommended treatment. I can\u2019t imagine the added stress that those worries would add to a challenging time.\nImage credit\u2013this is a blurry image of my actual tumor. Taken September 8, 2020."
    },
    "name": "Cancer: A Timeline",
    "post-type": "article",
    "_id": "19147197",
    "_source": "2782"
}

{
    "type": "entry",
    "published": "2021-03-19T01:33:02+00:00",
    "url": "https://twitter.com/karabaic/status/1372722750897360896",
    "quotation-of": "https://twitter.com/Shadewe/status/1356960200641503233",
    "content": {
        "text": "Apparently some researcher or superfan at @hbomax has put S1 and S2  of #Babylon5 into the original, intended episode order from an old @straczynski posting archived on The Lurker\u2019s Guide to Babylon 5. \n\nI\u2019m watching in that order and it works as intended. They also look great.\ntwitter.com/shadewe/status\u2026",
        "html": "Apparently some researcher or superfan at <a href=\"https://twitter.com/hbomax\">@hbomax</a> has put S1 and S2  of <a href=\"https://twitter.com/search?q=%23Babylon5\">#Babylon5</a> into the original, intended episode order from an old <a href=\"https://twitter.com/straczynski\">@straczynski</a> posting archived on The Lurker\u2019s Guide to Babylon 5. \n\nI\u2019m watching in that order and it works as intended. They also look great.\n<a href=\"https://twitter.com/shadewe/status/1356960200641503233\">twitter.com/shadewe/status\u2026</a>"
    },
    "author": {
        "type": "card",
        "name": "super duper follow",
        "url": "https://twitter.com/karabaic",
        "photo": "https://pbs.twimg.com/profile_images/1256785873384861696/QfRzUvne.jpg"
    },
    "post-type": "note",
    "refs": {
        "https://twitter.com/Shadewe/status/1356960200641503233": {
            "type": "entry",
            "published": "2021-02-03T13:38:17+00:00",
            "url": "https://twitter.com/Shadewe/status/1356960200641503233",
            "content": {
                "text": "Re-watching Babylon 5 again on HBOMax. Noticed something off with the presenting of the episodes. Realized that they are out of order in which they were aired. Apparently @straczynski may have got HBO to present them in the proper order.",
                "html": "Re-watching Babylon 5 again on HBOMax. Noticed something off with the presenting of the episodes. Realized that they are out of order in which they were aired. Apparently <a href=\"https://twitter.com/straczynski\">@straczynski</a> may have got HBO to present them in the proper order."
            },
            "author": {
                "type": "card",
                "name": "Shadewe",
                "url": "https://twitter.com/Shadewe",
                "photo": "https://pbs.twimg.com/profile_images/629077071008915456/t0pcQ_yL.jpg"
            },
            "post-type": "note"
        }
    },
    "_id": "19146526",
    "_source": "2773"
}

{
    "type": "entry",
    "published": "2021-03-19T00:57:11+00:00",
    "url": "https://twitter.com/jaredcwhite/status/1372713729540771842",
    "photo": [
        "https://pbs.twimg.com/media/Ewzb3J8VoAAybgb.jpg"
    ],
    "quotation-of": "https://twitter.com/jaredcwhite/status/1372711543947681794",
    "content": {
        "text": "\u201cPC Gamer\u201d https://t.co/BuiOJ4luIQ"
    },
    "author": {
        "type": "card",
        "name": "Jared White",
        "url": "https://twitter.com/jaredcwhite",
        "photo": "https://pbs.twimg.com/profile_images/1349070767032438784/Pns0N1s_.jpg"
    },
    "post-type": "photo",
    "refs": {
        "https://twitter.com/jaredcwhite/status/1372711543947681794": {
            "type": "entry",
            "published": "2021-03-19T00:48:30+00:00",
            "url": "https://twitter.com/jaredcwhite/status/1372711543947681794",
            "content": {
                "text": "Not only do people \u201cgame\u201d on a Mac, they \u201cgame\u201d on an iPad! I can\u2019t pry my daughter away from playing Minecraft for hours on an iPad Pro + @SteelSeries controller. And @Roblox runs great on the Mac.\n\nThis is a s**t commercial. \ud83d\udc4e\ud83d\udc4e\n\nyoutube.com/watch?v=8Hebko\u2026",
                "html": "Not only do people \u201cgame\u201d on a Mac, they \u201cgame\u201d on an iPad! I can\u2019t pry my daughter away from playing Minecraft for hours on an iPad Pro + <a href=\"https://twitter.com/SteelSeries\">@SteelSeries</a> controller. And <a href=\"https://twitter.com/Roblox\">@Roblox</a> runs great on the Mac.\n\nThis is a s**t commercial. \ud83d\udc4e\ud83d\udc4e\n\n<a href=\"https://www.youtube.com/watch?v=8HebkohrCns\">youtube.com/watch?v=8Hebko\u2026</a>"
            },
            "author": {
                "type": "card",
                "name": "Jared White",
                "url": "https://twitter.com/jaredcwhite",
                "photo": "https://pbs.twimg.com/profile_images/1349070767032438784/Pns0N1s_.jpg"
            },
            "post-type": "note"
        }
    },
    "_id": "19146061",
    "_source": "2773"
}

{
    "type": "entry",
    "published": "2021-03-19T00:48:30+00:00",
    "url": "https://twitter.com/jaredcwhite/status/1372711543947681794",
    "content": {
        "text": "Not only do people \u201cgame\u201d on a Mac, they \u201cgame\u201d on an iPad! I can\u2019t pry my daughter away from playing Minecraft for hours on an iPad Pro + @SteelSeries controller. And @Roblox runs great on the Mac.\n\nThis is a s**t commercial. \ud83d\udc4e\ud83d\udc4e\n\nyoutube.com/watch?v=8Hebko\u2026",
        "html": "Not only do people \u201cgame\u201d on a Mac, they \u201cgame\u201d on an iPad! I can\u2019t pry my daughter away from playing Minecraft for hours on an iPad Pro + <a href=\"https://twitter.com/SteelSeries\">@SteelSeries</a> controller. And <a href=\"https://twitter.com/Roblox\">@Roblox</a> runs great on the Mac.\n\nThis is a s**t commercial. \ud83d\udc4e\ud83d\udc4e\n\n<a href=\"https://www.youtube.com/watch?v=8HebkohrCns\">youtube.com/watch?v=8Hebko\u2026</a>"
    },
    "author": {
        "type": "card",
        "name": "Jared White",
        "url": "https://twitter.com/jaredcwhite",
        "photo": "https://pbs.twimg.com/profile_images/1349070767032438784/Pns0N1s_.jpg"
    },
    "post-type": "note",
    "_id": "19145910",
    "_source": "2773"
}

{
    "type": "entry",
    "published": "2021-03-19T00:41:18+00:00",
    "url": "https://twitter.com/andigalpern/status/1372709732952145925",
    "content": {
        "text": "We are live on @DesignCareerNet!  This talk is for product designers who want to learn about UX writing and how it works in a large corporation. Featuring @awelfle from @adobe youtu.be/QAId8l-pHlg via @YouTube Join the conversation. Lots of incredible tips in this talk.",
        "html": "We are live on <a href=\"https://twitter.com/DesignCareerNet\">@DesignCareerNet</a>!  This talk is for product designers who want to learn about UX writing and how it works in a large corporation. Featuring <a href=\"https://twitter.com/awelfle\">@awelfle</a> from <a href=\"https://twitter.com/Adobe\">@adobe</a> <a href=\"https://youtu.be/QAId8l-pHlg\">youtu.be/QAId8l-pHlg</a> via <a href=\"https://twitter.com/YouTube\">@YouTube</a> Join the conversation. Lots of incredible tips in this talk."
    },
    "author": {
        "type": "card",
        "name": "Andi Galpern",
        "url": "https://twitter.com/andigalpern",
        "photo": "https://pbs.twimg.com/profile_images/1162560868543893504/uo_XA_EA.jpg"
    },
    "post-type": "note",
    "_id": "19145911",
    "_source": "2773"
}

{
    "type": "entry",
    "published": "2021-03-19T00:18:56+00:00",
    "url": "https://twitter.com/anomalily/status/1372704102560509967",
    "content": {
        "text": "So after 6 months of negotiations, it looks like I will have my podcast feed back under my control soon. I have some ideas but are there any stories you would love to hear about personal finance and health care?"
    },
    "author": {
        "type": "card",
        "name": "Lillian Karabaic \ud83e\udd44\ud83c\udff3\ufe0f\u200d\ud83c\udf08 BLM",
        "url": "https://twitter.com/anomalily",
        "photo": "https://pbs.twimg.com/profile_images/1123802400731664385/dsHQG1nZ.jpg"
    },
    "post-type": "note",
    "_id": "19145285",
    "_source": "2773"
}

{
    "type": "entry",
    "published": "2021-03-18T22:46:40+00:00",
    "url": "https://twitter.com/karabaic/status/1372680885653282817",
    "photo": [
        "https://pbs.twimg.com/media/Ewy9_XtUYAM3efG.jpg"
    ],
    "quotation-of": "https://twitter.com/adamconover/status/1369925745724690436",
    "content": {
        "text": "Reagan ruined everything https://t.co/QWiD1KwiJe"
    },
    "author": {
        "type": "card",
        "name": "super duper follow",
        "url": "https://twitter.com/karabaic",
        "photo": "https://pbs.twimg.com/profile_images/1256785873384861696/QfRzUvne.jpg"
    },
    "post-type": "photo",
    "refs": {
        "https://twitter.com/adamconover/status/1369925745724690436": {
            "type": "entry",
            "published": "2021-03-11T08:18:44+00:00",
            "url": "https://twitter.com/adamconover/status/1369925745724690436",
            "content": {
                "text": "This is true.\ntwitter.com/happyroadkill/\u2026",
                "html": "This is true.\n<a href=\"https://twitter.com/happyroadkill/status/1369764200877285378\">twitter.com/happyroadkill/\u2026</a>"
            },
            "author": {
                "type": "card",
                "name": "Adam Conover",
                "url": "https://twitter.com/adamconover",
                "photo": "https://pbs.twimg.com/profile_images/1318370978267721729/PayWMjG6.jpg"
            },
            "post-type": "note"
        }
    },
    "_id": "19143694",
    "_source": "2773"
}

{
    "type": "entry",
    "published": "2021-03-18T21:01:48+00:00",
    "url": "https://twitter.com/afitnerd/status/1372654495012945922",
    "photo": [
        "https://pbs.twimg.com/media/Ewyl_RUWUAolFgV.jpg"
    ],
    "content": {
        "text": "Thinking of you @reverentgeek!",
        "html": "Thinking of you <a href=\"https://twitter.com/reverentgeek\">@reverentgeek</a>!"
    },
    "author": {
        "type": "card",
        "name": "Micah Silverman - #BLM - Wear a Mask",
        "url": "https://twitter.com/afitnerd",
        "photo": "https://pbs.twimg.com/profile_images/1169746170740137984/R7RpX8Q7.jpg"
    },
    "post-type": "photo",
    "_id": "19141349",
    "_source": "2773"
}

{
    "type": "entry",
    "published": "2021-03-18T14:57:59+0000",
    "rsvp": "yes",
    "url": "https://quickthoughts.jgregorymcverry.com/2021/03/18/yes-hitting-off-at-building-openness-understanding-and-trust-in",
    "syndication": [
        "https://twitter.com/jgmac1106/status/1372563128387522561"
    ],
    "in-reply-to": [
        "https://schedule.mozillafestival.org/session/PL7KSK-1"
    ],
    "content": {
        "text": "Yes:  Hitting off at Building openness, understanding, and trust in purpose-driven teams",
        "html": "<strong>Yes:</strong>  Hitting off at Building openness, understanding, and trust in purpose-driven teams"
    },
    "author": {
        "type": "card",
        "name": "Greg McVerry",
        "url": "https://quickthoughts.jgregorymcverry.com/profile/jgmac1106",
        "photo": "https://quickthoughts.jgregorymcverry.com/file/2d6c9cfed7ac8e849f492b5bc7e6a630/thumb.jpg"
    },
    "post-type": "rsvp",
    "_id": "19141083",
    "_source": "1300"
}

{
    "type": "entry",
    "published": "2021-03-18T19:15:27+00:00",
    "url": "https://twitter.com/anomalily/status/1372627727233130499",
    "photo": [
        "https://pbs.twimg.com/media/EwyNo_-UcAEnktS.jpg"
    ],
    "content": {
        "text": "Tumblr, the last social network to not have a feed algorithm at all and just show you what you came for, which is niche fandom shitposts from 2012"
    },
    "author": {
        "type": "card",
        "name": "Lillian Karabaic \ud83e\udd44\ud83c\udff3\ufe0f\u200d\ud83c\udf08 BLM",
        "url": "https://twitter.com/anomalily",
        "photo": "https://pbs.twimg.com/profile_images/1123802400731664385/dsHQG1nZ.jpg"
    },
    "post-type": "photo",
    "_id": "19139209",
    "_source": "2773"
}

{
    "type": "entry",
    "published": "2021-03-18T18:07:34+00:00",
    "url": "https://twitter.com/andigalpern/status/1372610647200911362",
    "content": {
        "text": "I'm a trained designer but I still love using @canva.  It's so easy to come up with new ideas and create quick designs in multiple sizes.",
        "html": "I'm a trained designer but I still love using <a href=\"https://twitter.com/canva\">@canva</a>.  It's so easy to come up with new ideas and create quick designs in multiple sizes."
    },
    "author": {
        "type": "card",
        "name": "Andi Galpern",
        "url": "https://twitter.com/andigalpern",
        "photo": "https://pbs.twimg.com/profile_images/1162560868543893504/uo_XA_EA.jpg"
    },
    "post-type": "note",
    "_id": "19137462",
    "_source": "2773"
}

{
    "type": "entry",
    "published": "2021-03-18T18:03:51+00:00",
    "url": "https://twitter.com/Johannes_Ernst/status/1372609710692524034",
    "content": {
        "text": "Status: under-desk treadmill repaired. (No thanks to the vendor.) It's amazing how every time I start walking during work, my blood sugar drops immediately. Unclear yet about impact on weight or work quality."
    },
    "author": {
        "type": "card",
        "name": "Johannes Ernst",
        "url": "https://twitter.com/Johannes_Ernst",
        "photo": "https://pbs.twimg.com/profile_images/462335209015238656/ie0cRjdx.jpeg"
    },
    "post-type": "note",
    "_id": "19137295",
    "_source": "2773"
}

{
    "type": "entry",
    "published": "2021-03-18T18:02:34+00:00",
    "url": "https://twitter.com/andigalpern/status/1372609388821704707",
    "content": {
        "text": "I love going live on YouTube every week.  It's so much fun to interview friends who work in design and learn from them.  It's the highlight of my week."
    },
    "author": {
        "type": "card",
        "name": "Andi Galpern",
        "url": "https://twitter.com/andigalpern",
        "photo": "https://pbs.twimg.com/profile_images/1162560868543893504/uo_XA_EA.jpg"
    },
    "post-type": "note",
    "_id": "19137296",
    "_source": "2773"
}

{
    "type": "entry",
    "published": "2021-03-18T17:21:47+00:00",
    "url": "https://twitter.com/jaredcwhite/status/1372599124088950785",
    "content": {
        "text": "If you\u2019re already sponsoring me on GitHub, thank you thank you! \ud83d\ude4f\n\nIf you\u2019re not, why not? \ud83d\ude04 I\u2019m trying to build the future of #Ruby on the #Jamstack and provide tools which make developing HTML-first websites easy and fun. If that tickles your fancy:\n\ngithub.com/sponsors/jared\u2026",
        "html": "If you\u2019re already sponsoring me on GitHub, thank you thank you! \ud83d\ude4f\n\nIf you\u2019re not, why not? \ud83d\ude04 I\u2019m trying to build the future of <a href=\"https://twitter.com/search?q=%23Ruby\">#Ruby</a> on the <a href=\"https://twitter.com/search?q=%23Jamstack\">#Jamstack</a> and provide tools which make developing HTML-first websites easy and fun. If that tickles your fancy:\n\n<a href=\"https://github.com/sponsors/jaredcwhite\">github.com/sponsors/jared\u2026</a>"
    },
    "author": {
        "type": "card",
        "name": "Jared White",
        "url": "https://twitter.com/jaredcwhite",
        "photo": "https://pbs.twimg.com/profile_images/1349070767032438784/Pns0N1s_.jpg"
    },
    "post-type": "note",
    "_id": "19136353",
    "_source": "2773"
}

{
    "type": "entry",
    "published": "2021-03-18T16:38:18+00:00",
    "url": "https://twitter.com/scott_gruber/status/1372588182030610434",
    "photo": [
        "https://pbs.twimg.com/media/EwxpqKPVEAAhS64.jpg"
    ],
    "content": {
        "text": "I am attending eventbrite.com/e/uc-gis-sprin\u2026",
        "html": "I am attending <a href=\"https://www.eventbrite.com/e/uc-gis-spring-meetup-tickets-146636735423\">eventbrite.com/e/uc-gis-sprin\u2026</a>"
    },
    "author": {
        "type": "card",
        "name": "Scott Gruber",
        "url": "https://twitter.com/scott_gruber",
        "photo": "https://pbs.twimg.com/profile_images/1340653730526445568/sfMRNA6p.jpg"
    },
    "post-type": "photo",
    "_id": "19135319",
    "_source": "2773"
}

{
    "type": "entry",
    "published": "2021-03-18T16:33:50+00:00",
    "url": "https://twitter.com/anomalily/status/1372587055016943617",
    "content": {
        "text": "Anyone in my twittersphere have advice on applying for the This American Life fellowship?"
    },
    "author": {
        "type": "card",
        "name": "Lillian Karabaic \ud83e\udd44\ud83c\udff3\ufe0f\u200d\ud83c\udf08 BLM",
        "url": "https://twitter.com/anomalily",
        "photo": "https://pbs.twimg.com/profile_images/1123802400731664385/dsHQG1nZ.jpg"
    },
    "post-type": "note",
    "_id": "19135320",
    "_source": "2773"
}

{
    "type": "entry",
    "published": "2021-03-18T15:17:01+00:00",
    "url": "https://twitter.com/jaredcwhite/status/1372567724644212739",
    "content": {
        "text": "I really wish I didn't have to be so paranoid about any new tech products that come on the market.\n\nBut more often than not, my fears prove warranted.\n\nP.S. VC ruins everything. \ud83e\udd26\ud83c\udffb\u200d\u2642\ufe0f\n\nadweek.com/media/having-a\u2026",
        "html": "I really wish I didn't have to be so paranoid about any new tech products that come on the market.\n\nBut more often than not, my fears prove warranted.\n\nP.S. VC ruins everything. \ud83e\udd26\ud83c\udffb\u200d\u2642\ufe0f\n\n<a href=\"https://www.adweek.com/media/having-a-substack-feels-dirty-substack-pro-announcement-leads-to-departures-from-the-platform-opportunities-for-competitors/\">adweek.com/media/having-a\u2026</a>"
    },
    "author": {
        "type": "card",
        "name": "Jared White",
        "url": "https://twitter.com/jaredcwhite",
        "photo": "https://pbs.twimg.com/profile_images/1349070767032438784/Pns0N1s_.jpg"
    },
    "post-type": "note",
    "_id": "19133423",
    "_source": "2773"
}

{
    "type": "entry",
    "published": "2021-03-18T09:56:39-0400",
    "url": "https://martymcgui.re/2021/03/18/095639/",
    "category": [
        "caturday"
    ],
    "video": [
        "https://media.martymcgui.re/d3/d6/51/c2/c93662578952dbcc242b2060793db2b8c1e88d3ea083427dabd19b9d.mov"
    ],
    "content": {
        "text": "Are you paying attention to the same things during eternal Caturday?",
        "html": "<p>Are you paying attention to the same things during eternal Caturday?</p>"
    },
    "author": {
        "type": "card",
        "name": "Marty McGuire",
        "url": "https://martymcgui.re/",
        "photo": "https://martymcgui.re/images/logo.jpg"
    },
    "post-type": "video",
    "_id": "19133416",
    "_source": "175"
}

{
    "type": "entry",
    "published": "2021-03-18T14:58:45+00:00",
    "url": "https://twitter.com/jgmac1106/status/1372563128387522561",
    "content": {
        "text": "Yes:  Hitting off at Building openness, understanding, and trust in purpose-driven teams: quickthoughts.jgregorymcverry.com/2021/03/18/yes\u2026",
        "html": "Yes:  Hitting off at Building openness, understanding, and trust in purpose-driven teams: <a href=\"https://quickthoughts.jgregorymcverry.com/2021/03/18/yes-hitting-off-at-building-openness-understanding-and-trust-in\">quickthoughts.jgregorymcverry.com/2021/03/18/yes\u2026</a>"
    },
    "author": {
        "type": "card",
        "name": "https://jgregorymcverry.com",
        "url": "https://twitter.com/jgmac1106",
        "photo": "https://pbs.twimg.com/profile_images/565227710104883200/g4MDcTnx.jpeg"
    },
    "post-type": "note",
    "_id": "19132790",
    "_source": "2773"
}

{
    "type": "entry",
    "published": "2021-03-18T14:17:19+00:00",
    "url": "https://twitter.com/karabaic/status/1372552703616851968",
    "quotation-of": "https://twitter.com/NASASpaceflight/status/1372441205271846913",
    "content": {
        "text": "This reminds me: I am older thsn spacewalks\ntwitter.com/nasaspacefligh\u2026",
        "html": "This reminds me: I am older thsn spacewalks\n<a href=\"https://twitter.com/nasaspaceflight/status/1372441205271846913\">twitter.com/nasaspacefligh\u2026</a>"
    },
    "author": {
        "type": "card",
        "name": "super duper follow",
        "url": "https://twitter.com/karabaic",
        "photo": "https://pbs.twimg.com/profile_images/1256785873384861696/QfRzUvne.jpg"
    },
    "post-type": "note",
    "refs": {
        "https://twitter.com/NASASpaceflight/status/1372441205271846913": {
            "type": "entry",
            "published": "2021-03-18T06:54:16+00:00",
            "url": "https://twitter.com/NASASpaceflight/status/1372441205271846913",
            "content": {
                "text": "56 years ago today, Alexei Leonov conducted the first-ever spacewalk.\ntwitter.com/roscosmos/stat\u2026",
                "html": "56 years ago today, Alexei Leonov conducted the first-ever spacewalk.\n<a href=\"https://twitter.com/roscosmos/status/1372427710836961283\">twitter.com/roscosmos/stat\u2026</a>"
            },
            "author": {
                "type": "card",
                "name": "Chris B - NSF",
                "url": "https://twitter.com/NASASpaceflight",
                "photo": "https://pbs.twimg.com/profile_images/1121126296086618116/XdSiqigA.png"
            },
            "post-type": "note"
        }
    },
    "_id": "19132154",
    "_source": "2773"
}