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The '7 friends theory' is a problematic concept packaged in a celebration of friendship

The "7 friends theory" may make for some cute, clickable social media virality, but it's more harmful than helpful when it comes to friendship.

7 friends sitting arm in arm looking out over the water
Photo by Duy Pham on Unsplash

The "7 friends theory" viral trend on TikTok isn't as warm and fuzzy as it seems.

Friendship is wonderful. In my four decades, I've had more than my fair share of close, supportive, ride-or-die friends who have helped shape me and carry me through it all. Friendship has played a huge role in my life, which is why the viral "7 friends theory" social media trend caught my eye.

It's also why I'm calling b.s. on the whole idea.

The "7 friends theory" posits that there are seven friends you need in your life:

1. The friend you’ve had since you were little
2. The friend who makes you laugh in all situations
3. The friend you might not talk to for a long time, but nothing changes
4. The friend you can tell anything without judgment
5. The friend who feels like a sister (or brother)
6. The friend you can’t imagine not being your life
7. The friend you share all of your dating/relationship problems with.

The wording on this seven-item checklist changes slightly with different videos, but the gist is always the same. Here are a few examples that got millions of views on TikTok:

@slothyrach

luv this💛🥰😁 #CapCut

@lysscausey

7 bridesmaids for a reason 🥹🤍#CapCut #bride #married #wedding #bridesmaids #7friendtheory #2023bride #bestfriend

Seems nice, doesn't it? With all the warm vibes and the feel-good music and the sweet friendship photos?

Sorry to burst anyone's bubble here, but this trend isn't as cute and harmless as it seems. Friendship? Yay. Seven specific kinds of friends? Boo.

First of all, this is based on nothing. There's no research on friendship behind this "theory." It's just something someone made up. That alone doesn't make it problematic, but let's at least start by calling it what it is.

Secondly, if we're going to ascribe a specific number to something, there should be a legitimate reason for doing so. Otherwise, it's meaningless at best and creates anxiety at worst. What if you don't have these exact seven kinds of friends? Are you missing something in life? Will you never have the soundtrack-backed warm glow of these bestie moments if you only have, say, four good friends? What if you have friends who don't really fit any of these categories? Are those friendships less than?

Numbering something should be purposeful, and the number seven is totally arbitrary here. Great for getting people to click on a video, but not so great for actually analyzing friendships.

Speaking of analyzing, what exactly is the value in categorizing friendship in this way? Different friends fulfill different roles and meet different needs in our lives, so I'm not saying all friendships are the same, but that's not the same as saying you need friends who fit specific categories.

And if we are going to create specific categories, there's a whole lot that are missing here. Where's the friend who organizes the meal train when you're sick or grieving? The friend who checks in when you've gone quiet for a while? The friend who always tells you the truth even when you don't want to hear it? The friend you want with you in the delivery room? The friend you can happily sit in total silence with?

There are just so many different ways that friendship can be experienced and expressed, why specify these seven? Again, it's totally arbitrary, especially when most friends fit multiple categories anyway.

We already have enough idealistic standards being pushed on us by social media, and this feels like just one more. It's especially problematic for young people, and they're the ones who are making and responding to these videos. How many teens are now looking at their own friendships and feeling bad that they don't have seven close friends or that one or more of those categories remain unfulfilled for them?

Tip for the young folks: Don't let this kind of thing seep into your psyche. Not even a little bit.

One thing you learn with time and experience is that most friendships shift, morph and change, and that's OK. Some friendships are strong for a few seasons and then life moves you in different directions. The love doesn't leave, but the everyday closeness does. That's OK. Some friendships go through peaks and valleys and some friendships disappear and reemerge over and over. That's OK, too.

Some people find they only have and only need a tiny handful of friends. Some people collect friendships like baseball cards. It's all OK. Friendship doesn't have to look a specific way or fulfill some arbitrary criteria in order to have value to us.

The "7 friends theory" may make for some cute, clickable social media virality, but it's more harmful than helpful when it comes to friendship. Be happy with the friends you have in the moment, don't count or overanalyze them and definitely don't let TikTok trends influence how you feel about yourself or the people you love.

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Joy

5 small things that made us smile this week

Your weekly cheat sheet to the best of the Internet

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Life can be bleak, so we’re going to be celebrating the small joys while we can—whether that’s a sweet snack that boosts your mood (courtesy of our friends at All In), or a spontaneous moment between strangers that's so joyful it restores your faith in the algorithm (even if only for a second). These momentary mood boosters are everywhere you look—you just have to be able to find them underneath all the noise. And that’s where we come in.

Consider this weekly web series your cheat sheet to the best of the Internet—not just random memes to make you laugh, but examples of people truly finding something extraordinary in the mundane. Each Friday we'll be delivering five pieces of media that allow you to stop for a second, take a breath, and feel just a little bit brighter among the daily stress. (Think of us as your chronically online bestie who knows exactly how to make you smile, exactly when you need it the most.)

Ready to smile? Here we go.

1. The best travel buddy surprise 

 
 @tarareynolds03 

Surprising Grandson with going on vacation with him.

 ♬ original sound - Tara Leanne Reynolds 
 
  This sweet grandson thought he was just heading out on vacation—until he spotted a very familiar face at the airport. The moment he sees Grandma standing there, his jaw literally drops. He sets his backpack down and then runs straight into her arms for the biggest hug. "Oh my God! You're coming with us to Jamaica, right?!" he asks her, already smiling from ear to ear. It's the kind of unscripted joy that makes you want to call your own grandma to say hi—and other TikTokers are having all the feels in the comments section: "This brought me to tears," says user KE. "I would kill to go on another vacation with my grandma again. She passed in February. Take so many pictures!"

2. Saying 'thank you' to a very special teacher 

Last week, we shared a question on Upworthy’s Instagram that sparked an outpouring of heartfelt responses:
 “If you could say thank you to one person right now, who would it be, and why?”

For Kate Delisle, a teacher in North Andover, Massachusetts, the answer came instantly: her longtime colleague and teaching assistant, Jeanne Donovan.

“Jeanne has been by my side for seventeen years,” Kate shared. “Next year, we’ll have to split our program — and we won’t be working together anymore.” In her message, Kate described Jeanne as more than just a coworker. She’s supportive, empathetic, and “my right arm — someone who lights up every room she enters. I’m privileged to know her and consider her family.”

To celebrate that incredible bond, our friends at All In recently paid a surprise visit to Kate and Jeanne at their school — letting Jeanne know just how deeply appreciated she is by her colleagues and students alike. And get this: Jeanne is *so* beloved that Kate's parents, kids, sister, and husband all came to the surprise to honor her alongside everyone else. A true tear-jerker and a must-watch.

3. The proudest big brother

 
 @caylaleighbrown This is the original video, He also said it looks like Mike Wazowski after we got done crying LOL #fyp #infertility #infertilityjourney #twins #twinpregnancy #ultrasound #pregnancyafterinfertility #pregnancyannouncement #twinannouncement #twinsies #twinmom ♬ original sound - Cayla Brown ✨ WDW 
 
 

Grab your tissues for this one. After eight long years of hoping for another baby, TikTok user Cayla Lee Brown surprises her stepson Caleb with a sonogram photo—and his reaction is nothing short of beautiful. When Caleb realizes not only that he's going to be a big brother but that twin siblings are on the way, his eyes well up and he whispers "We're having twins?!" Cue the heart explosion. In a follow-up video, Cayla shares something that makes this news extra special: Caleb isn't actually her biological child, and although she considers Caleb her son she wasn't sure she'd be able to have biological children at all. "[Caleb] was my gift and I was blessed with two more," she explains. This video is the best reminder that love makes a family, and sometimes the best surprises take a little time.

4. Overly excited dogs 

 
 @puppylovestoplay6 Part23: When they hear a word they like#dog#funny#funnyanimals#funnypets#animals #dogsofttiktok #pet #foryou #longervideos#foryou#fyp #funnyvideo ♬ original sound - Puppylovestoplay 
 
 

This feel-good compilation is basically a highlight reel of dogs at their happiest: realizing they’re about to go on a walk. From excited tail wags to full-body zoomies, every pup in this video gives a masterclass in unfiltered enthusiasm. One especially clever owner even uses sign language to say “walk,” just to see if their dog picks up on it—and spoiler: the reaction is still pure chaos (the joyful kind). These dogs just know, and they are ready (read: unhinged.) Truly a reminder that the simplest things—in this case, some fresh air and a little adventure—are what spark the most joy.

5.Bunny ASMR

 
 @megancottone The way she munched down the carrot ribbon #bunnies ♬ Married Life (From "Up") - Gina Luciani 
 
 

If you've had a stressful day, allow this floofy little friend to press the reset button on your brain. TikTok creator @megancottone gives us a full 60 seconds of bunny bliss: one ridiculously adorable rabbit, some deliciously crunchy snacks, and the kind of soft background music that makes your heart rate drop in the best way. The gentle munching noises? Therapeutic. The fuzzy face and floppy ears? Instant joy. It’s like nature’s version of white noise—but cuter. Honestly, someone get this bunny a wellness podcast deal.

For even more “extra”-ordinary moments, come find us on social media (@upworthy) or on upworthy.com!

For scrumptious snacks that add an extra boost of joy to your day, be sure to check out All In. 

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Sustainability

Beavers were brought to the desert to save a dying river. 6 years later, here are the results.

Their engineering feats are pretty dam incredible.

Canva Photos

Can outsider beavers save this dried up river?

It's not easy being a river in the desert under the best of circumstances. The ecosystem exists in a very delicate balance, allowing water sources to thrive in the harsh conditions. These water sources in otherwise extremely dry areas are vital to the survival of unique wildlife, agriculture, and even tourism as they provide fresh drinking water for the people who live nearby.

But man-made problems like climate change, over-farming, and pollution have made a tough job even tougher in some areas. Rivers in Utah and Colorado that are part of the Colorado River Basin have been barely surviving the extremely harsh drought season. When the riverbeds get too dry, fish and other aquatic creatures die off and the wildfire risk increases dramatically.

About six years ago, one team of researchers had a fascinating idea to restore the health of some of Utah's most vulnerable rivers: Bring in the beavers.

 beavers, beaver dam, animals, wildlife, ecosystem, nature, earth, sustainability, deserts, waterways, rivers, pollution, climate change Beaver in water.  Photo by Svetozar Cenisev on Unsplash  

In 2019, master's student Emma Doden and a team of researchers from Utah State University began a "translocation" project to bring displaced beavers to areas like Utah's Price River, in the hopes of bringing it back to life.

Why beavers? It just makes dam sense! (Sorry.)

Beaver dams restrict the flow of water in some areas of a river, creating ponds and wetlands. In drought-stricken areas, fish and other wildlife can take refuge in the ponds while the rest of the river runs dry, thus riding out the danger until it rains again.

When beavers are present in a watershed, the benefits are unbelievable: Better water quality, healthier fish populations, better nutrient availability, and fewer or less severe wildfires.

It's why beavers have earned the title of "keystone species," or any animal that has a disproportionate impact on the ecosystem around them.

Doden and her team took beavers who were captured or removed from their original homes due to being a "nuisance," interfering with infrastructure, or being in danger, and—after a short period of quarantine—were brought to the Price River.

Despite the research team's best efforts, not all the translocated beavers have survived or stayed put over the years. Some have trouble adapting to their new home and die off or are killed by predators, while others leave of their own accord.

But enough have stayed and built dams since 2019 that the team is starting to see the results of the effort. In fact, beaver projects just like this one have been going on all over the state in recent years.

  - YouTube  www.youtube.com  

The water levels in the river are now the healthiest they've been in years. The fish are thriving. Residents of Utah are overjoyed at the results of the experiment.

A column in The Salt Lake Tribune from 2025 (six years after the beaver translocation began) writes that the revitalization of the Price River "helped save our Utah town."

"A tributary of the Colorado River, the Price River runs through downtown Helper. On a warm day, you’re likely to find the river filled with tourists and locals kayaking, tubing and fishing along its shore. A decade ago, it was hard to imagine this scene—and the thriving recreation economy that comes with it—was possible."

Of course, it wasn't JUST the beavers. Other federal water cleanup investments helped remove debris, break down old and malfunctioning dams, and place tighter regulations on agriculture grazing in the area that depleted vital plant life.

But the experts know that the beavers, and their incredible engineering work, are the real MVPs.

 beavers, beaver dam, animals, wildlife, ecosystem, nature, earth, sustainability, deserts, waterways, rivers, pollution, climate change An actual beaver dam on the now-thriving Price RiverPublic Domain

In other drying, struggling rivers in the area, researchers are bringing in beavers and even creating manmade beaver dams. They're hoping that the critters will take over the job as the rivers get healthier.

Utah's San Rafael river, which is in bleak condition, is a prime candidate. In on area of the river, a natural flood inspired a host of beavers to return to the area and "riparian habitat along that stretch had increased by 230%, and it had the most diverse flow patterns of anywhere on the river," according to KUER.

It's hard to believe that beavers nearly went extinct during the heyday of the fur trapping industry, and continued to struggle as they were considered nuisances and pests. Now, they're getting the respect they deserve as engineer marvels, and their populations have rebounded due to better PR and conservation programs.

To that I say...it's about dam time!

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Joy

Non-Americans share completely normal things in their country that would 'shock' Americans

From rollercoaster streetcars to "prison festivals," the world certainly has a lot of thrilling variety to offer.

Julio Toro/Youtube

The planet—and the people in it—are endlessly fascinating.

Think the multiverse is just for Marvel movies? Travel the world and you’ll think differently. Each country is like its own little ecosystem, with characteristics and quirks that are completely foreign to those who’ve never been there.

Upworthy has covered many stories of uniquely American quirks that have caused visitors to do a double-take, but this time, were flipping the script, thanks to a Reddit user who asked:

“What’s something totally normal in your country that would shock most Americans?”

Take a tour around the globe with some of our favorites below:

“On Saturday nights, there is a rollercoaster cart that drives around town, drifting, doing donuts, going super fast while playing music. It’s the shape of a worm so they call it 'El Gusanito.’ It picks people up like every other block and it costs 25 cents to ride. There are no limits to how many people get on per cart. I even saw a stray dog catch a ride once. It’s so unsafe but super fun.” —Ecuador

  - YouTube  www.youtube.com  

“When people die, we put up little posters - printed obituaries - on the walls of buildings all around town and close to places the person liked to frequent. They have a little picture of the person, their date of birth and death, and a message of mourning from the family.”—Bulgaria

“It’s totally normal to sit naked in a sauna with your coworkers after work. Anywhere else that’s an HR panic button.” —Finland

 ask reddit, travel, non-americans, americans, culture, comparing cultures, japan, finland, germany, canada, spain Not just coworkers—family, friends, strangers, kids… media2.giphy.com  

“Having to pay for public restrooms.” —France 

 ask reddit, travel, non-americans, americans, culture, comparing cultures, japan, finland, germany, canada, spain Imagine having to go so badly but being out of euros.  parisjetaime.com  

“Walking around in public in bare feet. Very common to see supermarket shoppers and such with no shoes on, and no it’s not a class thing, all kinds of people do it. Not beating the hobbit allegations I guess.” -New Zealand

 ask reddit, travel, non-americans, americans, culture, comparing cultures, japan, finland, germany, canada, spain Anything hobbit-esque can't be wrong. Photo credit: Canva

“The whole bagged milk thing seems to really freak them out.” —Canada

  - YouTube  www.youtube.com  

“Our pharmacies only sell medicine, no snacks, makeup or random stuff. First time I visited the US I thought I was in the wrong store.” —Germany

 ask reddit, travel, non-americans, americans, culture, comparing cultures, japan, finland, germany, canada, spain But what if you need pain meds AND mascara?!Photo credit: Canva

“Taking your shoes off to go inside of schools.” —Japan

@lindokorchi

Here’s the rule for taking off your shoes in Japan. #lifeinjapan #japanlife #japantravel #japan🇯🇵 #livingabroad #japanesehouse

“Whole family lives together indefinitely. In a home the size that would fit a starter family in America, they have their grandparents, aunts, uncles, etc. and they all take care of each other.” —Spain

 ask reddit, travel, non-americans, americans, culture, comparing cultures, japan, finland, germany, canada, spain Imagine how this would affect childcare.Photo credit: Canva

“A man walking along a street with a massive machete is no cause for alarm and wouldn't even get an eye raise.” —Jamaica

  - YouTube  www.youtube.com  

“Prisoners make food, furniture, and other goods that you can buy at ‘prison festivals’ they hold outside the prisons themselves. These festivals have a variety of attractions and are popular with families and children” —Japan

 
 @javadiscover Could this Japanese ‘prison festival’ really be an accurate representation of life behind bars? #documentary #documentaries #japan #japanese #prison #prisoner #prisonlife #prisoners #jail #incarceration #behindbars #japaneseculture #fyp #fypシ #fypシ゚viral #foryou #foryoupage #foryoupageofficiall ♬ original sound - Java Discover 
 
 

"Boyfriends and girlfriends (or partners) sleeping together at each other's houses from about age 14-15 yrs old. Parents would rather have this than kids sneaking around and getting into bad situations.” —Denmark

Nicole Iris GIFfrom Nicole GIFs
 

And last but not least…

“Anything without rice is just a snack no matter how big the portion is.” —Philippines

 ask reddit, travel, non-americans, americans, culture, comparing cultures, japan, finland, germany, canada, spain Honestly…where's the lie? media0.giphy.com  

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Mental Health

There's a reason why some people can perfectly copy accents, and others can't

Turns out, there's a neurodivergent link.

Photo by Milada Vigerova on Unsplash

A woman in black long sleeve shirt stands in front of mirror.

Have you ever had that friend who goes on vacation for four days to London and comes back with a full-on Queen's English posh accent? "Oooh I left my brolly in the loo," they say, and you respond, "But you're from Colorado!" Well, there are reasons they (and many of us) do that, and usually it's on a pretty subconscious level.

It's called "accent mirroring," and it's actually quite common with people who are neurodivergent, particularly those with ADHD (Attention Deficit Hyperactivity Disorder). According Neurolaunch, the self-described "Free Mental Health Library," "Accent mirroring, also known as accent adaptation or phonetic convergence, is the tendency to unconsciously adopt the accent or speech patterns of those around us. This linguistic chameleon effect is not unique to individuals with ADHD, but it appears to be more pronounced and frequent in this population."

Chameleon, science, reptile, adaptation, mirroringA chameleon rolls its eyes. Giphy SWR Kindernetz

Essentially, when people have conversations, we're constantly "scanning" for information—not just the words we're absorbing, but the inflection and tone. "When we hear an accent, our brains automatically analyze and categorize the phonetic features, prosody, and intonation patterns," writes Neurolaunch. For most, this does result in copying the accent of the person with whom we're speaking. But those with ADHD might be more sensitive to auditory cues. This, "coupled with a reduced ability to filter out or inhibit the impulse to mimic…could potentially explain the increased tendency for accent mirroring."

While the article explains further research is needed, they distinctly state that, "Accent mirroring in individuals with ADHD often manifests as an unconscious mimicry of accents in social situations. This can range from subtle shifts in pronunciation to more noticeable changes in intonation and speech rhythm. For example, a person with ADHD might find themselves unconsciously adopting a Southern drawl when conversing with someone from Texas, even if they’ve never lived in the South themselves."

Sam Elliott, cowboy, southern accentsSam Elliott gives a tip of his cowboy hat. Giphy, Sam Elliott, Grit TV

People are having their say online. On the subreddit r/ADHDWomen, a thread began: "Taking on accents is an ADHD thing?" The OP shares, "My whole life, I've picked up accents. I, myself, never noticed, but everyone around me would be like, 'Why are you talking like that??' It could be after I watched a show or movie with an accent or after I've traveled somewhere with a different accent than my 'normal.'

They continue, "Apparently, I pick it up fast, but it fades out slowly. Today... I'm scrolling Instagram, I watch a reel from a comedian couple (Darcy and Jeremy. IYKYK) about how Darcy (ADHD) picks up accents everywhere they go. It's called ADHD Mirroring??? And it's another way of masking."

(The OP is referring to Darcy Michaels and his husband Jeremy Baer, who are both touring comedians based in Canada.)

Hundreds of people on the Reddit thread alone seem to relate. One comments, "Omfg I've done this my whole life; I'll even pick up on the pauses/spaces when I'm talking to someone who is ESL—but English is my first language lol."

Sometimes, it can be a real issue for those around the chameleon. "I accidentally mimicked a waitress's weird laugh one time. As soon as she was out of earshot, my family started to reprimand me, but I was already like 'oh my god I don’t know why I did that, I feel so bad.'"

@theweirdocoach

Anyone else? #adhdawareness #adhdinwomen #neurodivergent


Many commenters on TikTok were shocked to find out this can be a sign of ADHD. One jokes, "Omg, yes, at a store the cashier was talking to me and she was French. She's like 'Oh are you French too? No, I'm not lol. I'm very east coast Canada."

And some people just embrace it and make it work for them. "I mirror their words or phrase! I’m 30. I realized I start calling everyone sweetie cause my manager does & I work at coffee shop."

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Heroes

Buddhist monk Thích Nhất Hạnh eases a child's grief with just eight words

"Birth and death are only a game of hide-and-seek."

commons.wikimedia.org

Thích Nhật in 2014.

There are times when it seems no words can soothe the sadness following the death of a loved one. Whether you're a child just discovering grief or a fully grown adult with years of trials and tribulations behind you, grief can sneak up and feel insurmountable.

Buddhist monk Thích Nhất Hạnh was a spiritual leader and Zen philosopher, whom many referred to as "the father of mindfulness." Coining the idea of "Engaged Buddhism," his aim was to turn the concept of reflection into action.

From Harvard.edu: "Some observers may associate Buddhism, and especially Buddhist meditation, with turning inward away from the world. However, many argue that the Buddhist tradition, with its emphasis on seeing clearly into the nature of suffering and, thus, cultivating compassion, has a strong impetus for active involvement in the world’s struggles. This activist stream of Buddhism came to be called 'Engaged Buddhism'—Buddhism energetically engaged with social concerns."

 Buddha, Buddha statue, Plum Village, Engaged Buddhism, Th\u00edch Nh\u1ea5t H\u1ea1nh A brown buddha statue sits near a green mountain.  Photo by abhijeet gourav on Unsplash  

Hạnh spent the entirety of his life meditating on and writing about nonviolent conflict resolution, love, death, compassion, and mindfulness—and then urging people around the world to take action to make impactful change. He connected people of all faiths through his writing, teaching engagements, and the founding of the Plum Village Monastery in the Dordogne, southern France near the city of Bordeaux. In all he did, Hạnh worked with the intent to encourage people to seek both inner and outer peace.

Proving he was also a powerful poet, in an Instagram reel making the rounds, Hạnh was once asked by a child how she can "stop being sad." In the video she says, "I had a doggy. And this doggy died and I was very sad." She turns to him, "So I don't know how to be not so sad." Gently, he responds, "Suppose you look up into the sky and you see a beautiful cloud. And you like the cloud so much."

The child looks at him intently, her eyes welling up with tears. He continues, "And suddenly the cloud is no longer there. And you think that the cloud has passed away. Where is my beloved cloud now? So if you have time to reflect, to look, you see that the cloud has not died. It has not passed away. The cloud has become the rain. And when you look at the rain, you see your cloud."

Her eyes remain bright with curiosity, as he says, "And when you drink your tea, mindfully, you can see the rain in your tea and you can see your cloud in your tea. And you can say, 'Hello, my cloud. I know you have not died. You are still alive in a new form.' So the doggy is the same. And if you look very deeply, you can see doggy in its new form."

The girl starts laughing and crying in what seems to be a very pure moment of understanding. "You are still alive in a new form" seemed to help transform her thoughts on change and death in just minutes.

Aubert Bastiat (@aubertbastiat) posted the Instagram clip, which is a snippet from the documentary Walk with Me about Thích Nhất Hạnh's teachings. Bastiat comments, in his own words, "Love doesn’t vanish, it simply transforms." This concept is backed up in much of Hanh's work, including his book, No Death, No Fear: Comforting Wisdom for Life, in which he wrote, "Birth and death are only a door through which we go in and out. Birth and death are only a game of hide-and-seek. So smile to me and take my hand and wave good-bye. Tomorrow we shall meet again or even before."

  Thích Nhất Hạnh, Buddhism, death, Buddhist monk  www.youtube.com, Plum Village  

And just under the first comment on the reel, the director of the documentary, Marc J. Francis, writes, "I shot this for my film Walk With Me…. Love seeing this scene being shared."

Something about the deep need to make sense of death spawned many vulnerable comments. People shared their heartfelt stories—from those who have lost someone recently to those who are sick and facing their own mortality.

And of Thích Nhất Hạnh himself, a commenter simply writes, "One of my life’s best teachers."

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Health

Doctors are surprised by unexpected stowaway during routine colonoscopy: a ladybug.

It was probably ensuring good luck for the unsuspecting patient.

Photo credit: The American College of Gastroenterology

Doctors are surprised by unexpected stowaway during colonoscopy

Getting a colonoscopy is not something anyone looks forward to doing. You have to spend three days prepping for the procedure which includes drinking a "bowel preparation solution." That's just a fancy way of saying "taking an extremely powerful laxative that will have you lying on the bathroom floor too afraid to move because you finally expelled the gum you swallowed in third grade."

Doctors and their fancy words to describe gross things, am I right? But hey, everybody poops. There's even a book about it for parents to read to toddlers who are potty training. The purpose of spending two days counting the tiles your sweat drips onto in the bathroom is to clean out your colon before doctors insert a camera to look for polyps, cancer, and other medical conditions. But when a patient went in for their appointment, doctors discovered something they didn't expect to find: a stowaway that had, somehow, survived the tsunami of poo.

The patient was a 59 year old man who was being seen for a routine colonoscopy, the procedure where they take a small camera equipped with a light and send it up to traverse the colon and large intestine. It's a procedure that becomes part of a full preventative workup once you reach the age of 45 if you're at average risk for colon cancer according to MD Anderson Cancer Center (though doctors are now recommending colonoscopy screenings begin sooner due to rising cases of colon cancer in young people according to the Cancer Research Institute).

 colonoscopy ladybug; ladybug; colonoscopy surprises; bug during colonoscopy; colonoscopy prep Urgent dash to the bathroom! 🚪🏃♂️Photo credit: Canva

When the camera rounded the bend, it caught a clear sight of a perfectly intact ladybug who, despite the likely terror it experienced, was still alive.

The findings of the patient's friendly colon passenger was reported in the 2019 ACG Case Reports Journal complete with pictures of the spotted little fella just hanging out inside a human cavity. While the doctors have no way of determining how the ladybug wound up inside the man's body, they believe it was likely swallowed accidentally and escaped the wing destroying stomach acid due to the bowel preparation solution speeding up the process. The ladybug likely felt like it was on a weird waterslide or, if it's seen The Magic School Bus, it might have assumed Mrs. Frizzle had something to do with its unexpected adventure.

 colonoscopy ladybug; ladybug; colonoscopy surprises; bug during colonoscopy; colonoscopy prep Ladybug unexpectedly found during colonoscopyPhoto credit: The American College of Gastroenterology

“The patient's colonoscopy preparation was 1 gallon of polyethylene glycol the evening before colonoscopy, and the colonoscopy examination was otherwise normal,” the authors of the journal write. “His colonoscopy preparation may have helped the bug to escape from digestive enzymes in the stomach and upper small intestine.”

If you're going to have a bug hang out in your poop chute, a ladybug is likely the preferred unexpected guest. Gastrointestinal specialist Dr. Keith Siau likes to share the things he and his colleagues have found inside patients and a ladybug is probably the least gross option for critters. He's found ants, cockroaches, and bees (yes, bees that help pollinate flowers and sting people who disturb their important business).

 colonoscopy ladybug; ladybug; colonoscopy surprises; bug during colonoscopy; colonoscopy prep Close-up of bottom of ladybug found in colonPhoto credit: The American College of Gastroenterology

People cannot get over doctors finding bugs in people's colons during colonoscopies, while others have jokes about the random bugs found inside people. One person writes, "Oh, that’s just the magic school bus. They transformed into a lady bug for the field trip."

"Don’t take it out until you play the power ball," another says.

"Taking the title of invasive species a little far," somebody jokes.

 

"So I already worry about bugs getting into my ears, now I gotta worry about bugs up my butt? I hate it here," another cries.

"I’ve always had a fear of ingesting a bug or parasite and them finding it one day. I know that’s crazy but I think about it often. Seeing this affirmed my fear of the unknown," someone else shares.

"I could have gladly lived the rest of my life without knowing this." one person writes.

Well, if you're due for your routine colonoscopy here's hoping they don't find any unauthorized critters and you get a clean bill of health.

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