Chapter 1: The High-Contrast Crisis

The rain outside didn’t just fall; it “carried on like a pork chop,” hammering against the corrugated iron roof of the studio. Inside, the air smelled of burnt espresso and ozone. Liam, Dax, and Dev—the Three Best Friends—were locked in a battle against a deadline that felt like hard yakka on a Saturday arvo.

The Philosophy of the Studio

The trio didn’t just build websites; they built gateways. Their manifesto was simple: Writing for Web Accessibility wasn’t an afterthought—it was the foundation.

  • Liam (The Content King): He believed that for each web page, one must provide a short title that describes the page content and distinguishes it from other pages. He was currently obsessing over the “Space Teddy Inc.” homepage, ensuring the page name came before the organization name.
  • Dax (The Visual Architect): His monitors were filled with color wheels and luminance grids. He knew that foreground text needs to have sufficient contrast with background colors, a rule that applied to buttons and background gradients alike.
  • Dev (The Logic Master): Dev lived in the “code order.” He was currently ensuring that the order of elements in the code matched the logical order of the information presented. He often checked this by removing CSS styling to see if the content still made sense.

“If we don’t get this right,” Dev muttered, “we’re just pulling a swifty on every user who relies on a screen reader”.

The Arrival of Elias

When the thud came at the door, it wasn’t the sound of a visitor; it was the sound of a warning. Elias, a retiree known to the boys as a frequent tester of their designs, stood in the doorway. He was a man who lived with low vision, hand tremors, and mild short-term memory loss.

“I couldn’t get through the ‘Space Teddy’ checkout,” Elias panted, his voice shaking. “It was the Shadow of the Raven’s Wing. It’s back.”

Dax went pale. “The Shadow? That’s just a myth developers tell to scare juniors.”

“It’s no myth,” Elias said, leaning on a desk. “It’s a deliberate design to exclude. It’s when a site uses color alone to convey information, like marking required fields in red without an asterisk”. “But this was worse. It was a shroud.”

The Mystery of the Raven’s Wing

The Three Best Friends gathered around Liam’s main terminal. Elias pointed a weathered finger at a specific block of text that seemed to shimmer and fade.

The Raven’s Wing (Definition): A technique used by rogue developers to create “unnecessarily complex” content that bypasses the need for clear and concise sentences. It creates a “lack of headings,” making the document nearly impossible to edit or navigate for assistive technology.

“Look at the code,” Dev whispered. His fingers flew across the mechanical keyboard. “They haven’t just ignored the WCAG requirements. They’ve weaponized them. They’re using ambiguous link text like ‘click here’ to lead users into a loop”.

“And the images,” Dax added, his eyes narrowing. “There’s no meaningful text alternatives. For these informational images, they’ve used empty alt-text as if they were purely decorative”.

The First Clue: The “Superbear” Anomaly

As they dug deeper into the “Raven’s” source code, a name popped up that Liam recognized from a recent news article: Superbear.

“Wait,” Liam said, pulling up a local news site. “I just wrote about this. ‘Superbear saves the day… rescuing a young cat from a tree'”. He looked at the code Dev had unearthed. “The Raven is using the Superbear story as a mask. But look at how they’ve marked it up.”

Dev pointed to the screen:

  • They used a <h2> for the title “Superbear saves the day”.
  • They included a <time> tag for “7 Aug 2015”.
  • But hidden inside an <aside> was a list of “Related Articles” that didn’t exist in the real world.

Fair dinkum,” Liam breathed. “These links… ‘Superbear stands for mayor’. That never happened. They’re using WAI-ARIA roles like role="search" to hide a data-mining script”.

The Friends’ Vow

The “Shadow of the Raven’s Wing” wasn’t just a technical glitch; it was a digital wall built to stop people like Lakshmi, the blind accountant, and Ian, the clerk with autism, from accessing the truth.

“We need to audit this entire city’s infrastructure,” Dax declared. “Starting with the contrast ratios of every government portal”.

“And I’ll start rewriting the instructions,” Liam said. “No more unnecessarily technical language. We need to describe input requirements, like date formats, so even someone as stressed as Elias can navigate ‘no worries'”.

“I’ll handle the keyboard accessibility,” Dev added. “I’ll ensure every custom widget, from accordions to buttons, uses tabindex="0" to stay in the navigation order”.

They looked at each other. The task was heaps big, but they were the best in the business.

The Audit Checklist

Before they could head out into the “arvo” to confront the Raven, they had to prep their toolkit.

ToolPurposeContrast CheckerTo identify “insufficient” contrast that hides text.Screen ReaderTo hear the “info and relationships” hidden in the markup.Responsive DebuggerTo see how the “Raven’s” site adapts to a “narrow mobile phone”.Aussie GritTo ensure they don’t “pull a swifty” on their mission.

She’ll be right,” Elias whispered, watching the Three Best Friends work. “As long as you keep the content clear and concise, the shadow can’t win”.

To Be Continued…

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Lazy Days As A Medical Officer

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Do lazy days make you feel rested or unproductive?

While I’m at work, I’d be looking forward to returning home or towards my off day. In contrary, while I’m at home or on my off day, I’d be thinking about returning to work.

Do you feel the same way?

Previously, as a House Officer, I’m used to the “one off day per week”. Whereas, as a Medical Officer, weekends and public holidays are granted off days, except if you’re well… oncall and that depends on your current department as well as some departments require you to put in a half day shift during weekends or public holidays.

I’d say for me, considering I live alone and I don’t even own a car here in Sarawak, I’m pretty much lazy and unproductive to the point I get restless sometimes.

That’s counter productive as rest days are meant to make you feel… rested, right?

Thus, on my off days, since I’m an early riser, I try not to disturb my circadian rhythm by getting up at the same time as usual every morning, partly because I forgot to off the alarm or somehow, my body clock just wakes me up every time.

To feel so-called “productive”, I’d do some studying with my morning coffee till I well, lose my focus, then I start wondering about lunch and start cooking, handwash my clothes because I’m too lazy to walk downstairs with a bag of clothes and finally doze off for my afternoon nap.

I’d then wake up in the evening to have dinner and pack my essentials and bag for work the following day before finally, retiring to bed early.

I really need to be more productive during my off days.

Even me writing this just sounds too depressing.

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My FIRST SOLO Oncall Shift As A Floating Medical Officer

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My first solo oncall shift was on the 17th of August 2025 a few days after I have completed my tagging period.

I had a passive oncall on standby just in case things got out of hand, which is a good thing. However, I was adamant to try to survive on my own as if I only had myself and the specialist. Thankfully as well, it was on a weekday which meant I was able to reach out and ask for help if needed and the others would be able to assist if needed or advice me.

As usual, morning rounds, followed by peri rounds. The role as an oncall medical officer of the day is to update the progress of the patients in the specialist’s WhatsApp group as well as to upload any latest wound pictures, if any.

The day was rather busy with rounds and in between I would receive calls from Klinik Kesihatan (Community Clinics), usually requesting a clinic date. Thankfully, no referrals yet.

After rounds, I headed back to the ward to complete any pending joblists before heading into the operating theatre (OT) for a patient that was awaiting her call to OT.

During that operation, there was a referral from the Emergency and Trauma (ETD) Department, referring a case of laceration wound over the forehead for a 3 year old boy.

The medical officer at the ETD was kind enough to assist in taking the bloods as well as admitting the patient. My colleague on the other hand came to check in on me after her day in the clinic and attended to this kid.

After the first operation, the following case was called which was the 3-year-old kid. I have always enjoyed being in the operating theatre, or any hands on procedures.

Despite knowing that I should be conserving energy, instead, I proceeded to carry on and after the second op, I entered an ongoing flap operation next door to assist.

Another referral came for a laceration wound over the forehead for an Orthopaedic patient who was post-operative and transferred to ICU. Apparently, it was missed when the patient arrived at the Emergency Department as he suffered multiple opened fracture and was posted for operation immediately. Thankfully, he was intubated and sedated and I was able to perform a bedside toilet and suturing for him.

By the time I was done, it was midnight. I went back to the oncall room to shower and change for the night. I would usually change into scrubs again if I were to be oncall, just to be on standby in case I was needed immediately.

I did not sleep that night, it just felt wrong as the flap operation was still ongoing since 8am.

I went in again to check in on them, however, I was not needed at that time. Thus, I kept a fellow colleague company.

At 2am, I returned back to ward to complete the planned discharge of a patient and started my morning review. Thankfully, I did. In between, I was referred a new case of another kid who suffered another laceration wound at his right eyebrow. Thus, counselled the parents, obtained consent and admitted the patient.

After that, I was requested to collect bloods or bags packed cell for the patient who was still ongoing operation. When the commotion was done, I returned to continue my early morning reviews.

By 4am, I went back inside the operating theatre to check in on the ongoing operation. Technically, still far from done. Scrubbed in to assist with harvesting the skin for split thickness skin graft and refashioning of the affected limb.

At 8am, we were finally done. The operation officially lasted for 24 hours. All of us scrubbed out and I changed out of my attire to return to ward and follow rounds.

During peri rounds, a patient was called to OT and I entered organ as I dislike peri rounds. After the OT, all of us were just beyond tired and I went home for the day.

No doubt, it was my first “solo oncall”, it did not feel lonely at all as since there was an ongoing operation, physically, I felt comforted knowing that there were people nearby and felt more like a slumber party instead.

And the most important part… I survived it!

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My First Tagging On-Call Shift As A Floating Medical Officer

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My first tagging oncall shift was on a Sunday with a fellow medical officer I knew when I was a House Officer in General Surgery. Back then, he was having his attachment in General Surgery.

Just like a House Officer, we had to undergo a period of tagging.

In the Department of Plastics and Reconstructive Surgery at Sarawak General Hospital, I had to undergo a tagging period of one month, every other day (EOD). This is because, I am a newborn medical officer with no previous experience in General Surgery (as a Medical Officer).

This is an advantage as I would be able to learn as much as I could within a span of 1 month. However, it was also a disadvantage as I’m afraid, I would be burnt out mentally and physically considering the on-calls were on every other day (EOD).

“I can do it. If others could, I could too.” , I repeated this mantra to myself but the learning curve is going to be an extremely steep one.

During my first tagging oncall, thankfully, it was with a fellow senior colleague who I was rather comfortable with.

We started with our morning ward rounds followed by passover and peri-rounds. After we were done, we went back to the ward to settle our pending job-lists followed by lunch.

As a tagging on-call medical officer, the first call would be to me for referrals. After which, I would discuss with my senior and proceed to see the referred patient together. After reviewing our newly electively admitted patients, pre-op rounds with surgeon and demarcating the op site and pre-op meeting, we went back home in the evening and returned at night together for our night reviews which we updated in the Department’s WhatsApp Group on the progress of certain patients. Incidentally, a patient whom we were awaiting for op was called into the operating theatre and the operation ended at 2am. Finally, we returned home for the night.

I was nervous of course as I usually get anxious easily. However, I took my shower and headed to bed.

My phone was kept beside me in case I were to receive calls or referrals. At 6am, I returned to the ward and started our morning reviews as well as prepared for our morning rounds.

Since, it was a Monday, it was morning ward rounds, handover and peri rounds as usual. However, since I was still tagging, I was expected to stay till 5pm or to join the ongoing surgeries.

Thus, my first postcall was spent in the operating theatre assisting till 6pm. However, despite the ongoing operation, I excused myself to return home and rest.

The following day will be another one, thankfully, not oncall but within office hours.

Thankfully, it was a good call with a fellow senior that I was comfortable with in terms of approaching in regards to my doubts which was undoubtedly, many.

I can only hope that I would be able to survive this whole month of tagging.

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2026 – The Beginning

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First of all, Happy New Year! I hope you have had a great start to this year and if you have any New Year’s Resolutions planned, I hope that you will be able to stick throughout the year.

I did not have any New Year’s Resolutions planned as I usually did the previous years. Mainly because I have just moved to a new place, settling in with things still pending in Kuching, trying to adapt to my working environment as well as picking up on new skills.

Thus, New Year’s Resolution? It’ll come as the year progresses.

My New Year’s Eve was spent at work and mainly in the ambulance with a dear friend as well as work colleague, however, that is a separate post for another time.

As usual, since I’ve started working as a doctor in 2023, I’ve always made it a point to work on New Year’s Day, a habit which I’ve adapted from my dad ever since he has started working at the age of 18.

However, New Year’s Day is a public holiday here in Sarawak. Thus, I was allocated as the oncall medical officer on the 1st of January as well as on the 2nd of January. Per oncall shift is from 8am on that day till 8am the following day (which means, mine ended at 8am on the 3rd of January).

My first case began with a case of wound breakdown over the right wrist, which the patient chose not to seek hospital treatment followed by another case of upper gastrointestinal bleed which was sent to hospital. This was then followed by another case of possible acute appendicitis which the patient and family decided to “discharge against medical advice” because they wanted to seek treatment in their hometown considering they were travelling and happened to be in the same area.

Upon returning home, I was called back for a case of breakthrough seizure likely secondary to under-dosage of medications. The patient had three episodes of seizure that day followed by a regular 1-2 monthly episodes. Hence, referred and sent to hospital.

Finally, I can return home. Time to get some rest since I would be working the next day. Shortly after, I was called back, a patient sustained laceration wound over the medial aspect of his antecubital fossa. Mechanism of injury? Unknown and he was in an extremely drunken state.

Otherwise, he was stable. Sadly, my medical assistant at that time could not be contacted to escort the patient to hospital and the family members did not have their own transportation.

If only, he was fully awake, I would have triaged him to green zone. However, transportation issues… Thankfully, the patient’s family has an uncle who was willing to send. The only thing was he needed some time to arrive due to the heavy rain and slippery roads.

I didn’t feel good leaving the patient behind although he was stable. Thus, I stayed till 4am until his uncle came and the patient himself had woken up.

After that, I went back home and straight away gotten ready for work since it’s a working day and I am still oncall.

The following day on the 2nd of January, went by smoothly during office hours with referrals here and there but it was manageable.

In the afternoon, another patient came in for symptomatic anaemia secondary to abnormal uterine bleeding with newly diagnosed cervical carcinoma. Her haemoglobin level was 5, who again, refused hospital referral claiming she visited the clinic for fever and not for her anaemic symptoms. After much convincing and discussion with my specialist, the patient still opted to “discharge against medical advice”.

Which makes me wonder… Why in the world?…

This was followed by dinner with my friend. I remembered thinking to myself that evening that maybe… just maybe… I would have a cold night. Enough of referrals.

However, at 11:30pm on the 2nd of January 2026, I received a call from my medical assistant that a patient presented to the clinic breathless with an SpO2 of 50% under room air, started on high flow mask and at best, it is only 90%.

Sounds like an impending intubation and CPR case.

I called up my friend immediately as I rushed to the car as she lives closer to the clinic. I needed all the help I could get for this patient. The roads were slippery and it was a rainy night. Yet, I sped. Thankfully, my friend had already arrived before me.

The patient?

I remembered seeing this patient on the 23rd of December 2025. At that time, his lungs already had crepitations with reduced air entry over the right side and yet he chose to “discharge against medical advice”. I remembered telling him that he would collapse if he didn’t go and true enough, here he was… sitting up, gasping for air.

His vitals? Blood pressure was sky high, lungs filled with crepitations but no pedal oedema, lines were set, no ECG done but we didn’t have time to waste…

I called up the Emergency Physician in the nearest hospital (which is an hour away), presented shortly and informed that we had to proceed with intubation because he was too tachypnoeic.

We prepared for intubation, informed the family members as well as explained the risk of CPR and death. The family understood and agreed.

Intubation… This was a difficult intubation for the guy was a very large guy with hardly any neck visible.

But before we could start, his GCS dropped and so did his heart rate, I started CPR while my friend attempted to crash intubate. We attempted to crash intubate and both times, it failed… I called up the Emergency Physician again and told her that we were 30 minutes into the CPR, she told me to call off after the current cycle.

My first death at a new workplace and on the third day of the year at 0027H, 3rd of January 2026.

Then, I proceeded to complete my notes for the family members to bring to the police station to lodge a police report and broke the news to the family. I was calm and so were the patients’ family. After that, I called up the Emergency Physician to thank her and then, I broke down.

I broke down because had he gone on the 23rd itself, he wouldn’t have to gone through this.. He lives alone and his so-called family members aren’t even his biological family members but neighbours and friends… I broke down because I also felt defeated… We tried our best with such limited resources and manpower…

Yet, I couldn’t save him…

If you have YET to come up with a New Year’s Resolution… At least consider this, adhere to your regular check-ups if you have any… Stay compliant to your medications, diet restrictions or any fluid restrictions if you do have…

And if something is off or not right, please RUSH to the nearest clinic or better, the hospital… Because there is only so much that we can do with such limited resources in a community clinic.

Otherwise, I wish that you have a Blessed 2026 filled with love, beautiful memories and wonderful opportunities.

Remember to have fun and do enjoy it but please do so, responsibly.

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My First Night Shift Covering Medical 4 / Medical 5 / Infectious Disease Ward In Sarawak General Hospital – Housemanship Diaries

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Around my third month in the Department of Medical at Sarawak General Hospital, I was reallocated to Medical 4 which is the “Nephrology Ward” meaning patients who are admitted with newly diagnosed chronic kidney disease or have underlying kidney pathology requiring biopsy or haemodialysis (HD support) but clinically stable as in not requiring oxygen support, not in sepsis or not requiring medications for blood pressure support are admitted here.

I will explain more about that ward in another article.

Anyway, back to the reason for this article, being allocated in this ward meant that I had to cover not just this ward, Medical 4 but also Medical 5 as well as the Infectious Disease Ward during my night shift.

In the Department of Medical, the night shift is from 8pm till 10am the following day.

While I was allocated here, I was blessed enough to have a few taggers in the ward and tagging is from 7am till 10pm.

Thus, upon heading down at 8pm, there are usually a few people in Medical 4 till 10pm. Thus, upon entering my shift, I would first head over to Level 9 to place my bags, pop into Medical 4, for a while and then head over to Medical 5 to take the coming morning bloods.

Upon completion, I would then head over to Medical 4 and begin my coming mornings there. Usually while I’m taking my coming mornings, new patients will come in and thus I would transfer in at the same time.

Upon completion of my coming mornings in Medical 4, I would usually send my bloods at around 2am and then head over to the Infectious Disease Ward to take the coming mornings.

In between I would be free but sometimes I would receive call for new transfer ins at Medical 4 and Medical 5.

At 5-6am, I start running the blood gases. Usually when I take the coming mornings bloods, I would take the blood gases as well and keep it in a separate syringe in the cooler.

Surviving the night shift initially was intimidating as I have yet to experience it and Medical 4 and Medical 5 were located far apart from each other.

My main concern was if something were to occur at both wards at the same time.

Thankfully, my experiences were mostly good and I enjoyed every night shift I’ve experienced thus far in this ward.

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A Junior Doctor In Boots

Tell us about your favorite pair of shoes, and where they’ve taken you.

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Prior to having my first pair of boots in 2021 while I was in my third year of medical school, I have always dreamt of wearing boots. Be it short cut or the long ones till mid calf or up till the knee, I loved them all. 

I prefer them over heels or flats or slippers.

Partly because I have always imagined myself as a “country girl” in summer dress or jeans, always paired with boots. 

However, I’ve never had a pair of boots till I was in my third year of medical school, even that, was given by my aunt. I remembered using it to almost every occasion because it was so comfortable and versatile. The colour was dark green, an ankle length boots with zips on the side. I wore it till one of the shoe had a hole on the side and even then, I was still adamant to wear it till my mom got me a new pair of boots and threw my first pair away.

Since then, I’ve gone through another 2 pair of boots, one pair with heels and another flat. I occasionally wear the one with heels and often use the flat one. The flat one is my go-to everyday boots be it for outing or travelling or a simple trip to the market. However, I rarely use them to work. At work, I have specific types of shoes that I usually wear since I’m on my feet most of the time and these shoes gives me the sole support that I need (if you know what I mean).

But there are days when I’m feeling fancy that I would dress up a little and don a nice blouse over my black leggings to work. Those would be the days when I would wear my favourite regular pair of boots to work, which boosts my self-esteem for the day considering that it is my style, one that I feel brings out the inner-me, the junior doctor-in-boots.

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40 Days Since I’ve Started Being Vegetarian

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Describe one positive change you have made in your life.

The positive change? Being vegetarian. Well, for 40 days then I’m non-vegetarian again.

Why did I even embark on this journey?

Every year during Lent, I would embark on a vegetarian journey, a lacto-ovo-vegetarian journey to be exact and this year, it was from the 5th of March till the 19th of April 2025.

Thus, I went from consuming meat to consuming tofu almost everyday as well as started consuming vegetables again.

Albeit being vegetarian, I try to reduce my rice consumption. Thus, I mainly mixed rolled oats into my dishes.

I started shopping for groceries even more (which may not be such a good thing) but I was surprised at the number of items I could buy and only spend minimal.

Well, vegetables are cheap, which is good.

Changing my diet in combination with my usual routine at work and ensuring I reach my daily steps of 10,000 steps, I started losing weight.

Not much. However, I’ve been struggling with losing the weight that I have gained during my time off in the Surgical Posting.

Now that I’m non-vegetarian again, obtaining food is easier and I actually miss being vegetarian.

Perhaps soon I will embark on this journey again.

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Witchcraft Priestess & Healer

What is the legacy you want to leave behind?

I want to become an important and extremely knowledgeable Witchcraft Priestess and Healer. I want to spread my knowledge and share my Grimoires with aspiring and seasoned witches alike. They will make a good example of me and tell tales of me for years to come.

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Reflexión «Empatía, virtud que se está perdiendo»

Como bien dice el diputado de Esquerra Repúblicana de Catalunya, Gabriel Rufián, que ayer tuvo uno de sus discursos más brillantes y mas conmovedores de los últimos tiempos, dijo algo que nos debería calar a toda la ciudadanía, pensemos lo que pensemos, yo coincido con Gabriel en casi todo, pero yo si quiero a Cataluña dentro de España, aunque si defiendo a derecho a decidir como el, añado, bueno el dijo lo siguiente «tiene que volver a dar verguenza ser canalla» y «Están poniendo e moda ser un malnacido» además en su discurso ha dado un repaso criticando ese psedouperiodismo que está intoxicando la convivencia en nuestro país y está dividiendo a la población, esta gentuza, si gentuza, como Vito Quiles, Beltrand Ndongo, Javier Negre, Alfonso Rojo., Eduardo Inda..etc que no hacen periodismo, son propagandistas de la derecha extrema y la extrema derecha, porque derecha moderada, la única que yo veo es la derecha nacionalista vasca, el PNV, por lo demás ni rastro de derecha moderada, decente, equiparable a una democracía de estandares europeos, además Rufián condenó en su discurso el apoyo decidido de PP y de Vox a un régimen que está , en mi opinión, cometiendo un genocidio como es Israel, y recordó los mas de 10.000 muertos menores de edad en Gaza.

Y si, hay que estar alerta, porque la empatía, el ponerse en lugar de otras personas, y sentir al menos el dolor que pasan otras personas, se está perdiendo, el odio y el no ver más allá de las narices es lo que está ganando terreno, los intereses partidistas al interes general, y luego además la gente ahora es muy manipulable, yo soy de izquierdas y yo critico lo que hace mal la izquierda, que se equivoca muchas veces por supuesto, yo no pienso que los míos lo hacen todo bien y el contrario todo lo hace mal, yo no pienso que los mios son los buenos y los contrarios somos malos, hay de todo en todas las ideologías, hay gente de izquierdas excelentes personas y gente mala hay gente de derechas excelentes personas y gente mala, sobre todo yo respeto los principios de cada persona, cada cual tiene su forma de ver la vida y el mundo, en una democracia tiene que ser así, heterogenea y tenemos que convivir y respetarnos y estar unidos en lo fundamental, en el respeto de los derechos de los demás, el respeto de los derechos humanos que no es de ninguna ideología y simplemente es de los seres humanos,

España es un país maravilloso para vivir, por su gente, gastronomía, su forma de ver la vida y sobre su variedad, en España es un país plurinacional si, lo es, pero esto realmente es lo que la hace grande, la diversidad, tener varias lenguas además del castellano, maravillosa y preciosa lengua al igual que son maravillosas y preciosas lenguas el catalán, gallego, valenciano, euskera y mas otras lenguas mas minoritarias como el asturiano, aranés, aragones..etc, la pluralidad de España no nos debe dividir, el respeto a esa diversidad es la clave para unir a este país, es como yo lo veo.

En fin, este es mi discurso, espero que os haya gustado, darle me gustado si os ha gustado y comentar libremente, abrazos amigos y amigas.

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