#Assistance Monitoring

[ratwithhands]

"Mind stopping for a quick check before class?"

I've been rewatching Kill La Kill and remembered an old concept I had stored away from last year. That one got scrapped ages ago for being hard to write, so I started on a clean slate for this one. I think if submas were at Honnōji Academy, they'd either be engineering tech for the cable car system linked to the school or they'd work in the disciplinary committee to look after students.

I'm still roughing some details out for this but basically their job is to catch all the students who get absolutely bodied during the plot and run them back to the infirmary so they can come in the next day. When there aren't big fight scenes to deal with, they mostly just patrol the halls to check on students and make sure people aren't hurting each other during school hours. Consider them student health and welfare agents I suppose. They do straightforward work and were granted two star goku uniforms to make sure they had the speed and strength necessary to carry and treat students in a timely manner. Can't have an active student body if it takes weeks to get through patching them all, right?

Anyways I might design a powered up form for these guys later. It likely wouldn't be much different, but it'd be something light for them to operate in. No room for accessories when you're resetting bones and dressing up burns; I might consider having their hats swap out for masks and wide collars for lab coat lapels. It'd be fun to have their enforcement tools get turned into medical/surgical implements too, though that's gonna take some testing.

Bonus time: someone asked for oil. Do not oil them.

Have a good day.

[emocatgirl]

[thatonegaybrit]

; GUESS WHO DID HIS EXERCISES AND MANAGED TO PROPERLY STAND FOR THE FIRST TIME IN WEEKS 🔥🔥‼️💯

[insomniamademedothis]

Rewatching IWTV s1 is crazy because my memory of it from the first time around is that “Rashid” hardly featured except to bring the occasional meal or diary or whatever, but watching again, knowing it’s Armand, I’m seeing he was already a hugely present character.

He’s in almost every conversation in the present day, constantly in the background or foreground. There are literally scenes of significant dialogue between Daniel and Louis and he’s stood in the very centre of the shot, silent between them. I’m sure many readers were quick to catch on at the time, but I will say as someone who began this story with the show, it’s impressive that they were able to give someone such foreshadowing presence and effectively cover it up using the assumptions of the audience.

[pharawee]

So many shows to watch and so many gifsets to make but so little time

[sawthatmountainburn]

in other news I'm supposed to work 16 hours per week but because i do home office with no supervision I have done none of that the whole week and im supposed to update my boss in 11 hours about my work :DDD also guess how much ive eaten per day in the last week!! love to be neurotypical and hoisting myself by the bootstraps or however you say it

[br1ghtestlight]

look at my military dawg we are NOT going to war with americans 😭😭

[viaphni]

definitely canon professor red moment

[heartual]

sigh

[seithr]

i may have my complaints about my pc but if nothing else to be proud of this thing for i have—NOT that i did university on it—that it's too shit to update to windows 11 with the ai bullshit they're trying to push and they give me apology notifications that it's not compatible. keep restarting for updates junior all youre getting is Hardware Not Compatable

"we'll keep supporting your version of windows until you're ready to upgrade 🥺" beg

[bubmyg]

having to experience new bts releases in their entirety at my desk of my career the morning after they’re released just gets more n more monotonous

[coffeeworldsasaki]

Okay Amazon (🤮) Black Friday sales starts on the 17. Will me and my father be able to fix the monitor situation in 2 weeks

[nashvillehotchicken]

THE TEETH ARE OUT YEAH BABEY

[kamalkafir-blog]

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[gingersnapwolves]

So today I want to talk about puberty blockers for transgender kids, because despite being cisgender, this is a subject I’m actually well-versed in. Specifically, I want to talk about how far backwards things have gone.

This story starts almost 20 years ago, and it’s kind of long, but I think it’s important to give you the full history. At the time, I was working as an administrative assistant for a pediatric endocrinologist in a red state. Not a deep deep red state like Alabama, we had a little bit of a purple trend, but still very much red. (I don’t want to say the state at the risk of doxxing myself.) And I took a phone call from a woman who said, “My son is transgender. Does your doctor do hormone therapy?”

I said, “Good question! Let me find out.”

I went into the back and found the doctor playing Solitaire on his computer and said, “Do you do hormone therapy for transgender kids?” It had literally never come up before. He had opened his practice there in the early 2000s. This was roughly 2006, and the first time someone asked. Without looking up from his game of Solitaire, the doctor said, “I’ve never done it before, but I know how it works, so sure.”

I got back on the phone and told the mom, who was overjoyed, and scheduled an appointment for her son. He was the first transgender child we treated with puberty blockers. But not, by far, the first child we treated with puberty blockers, period. Because puberty blockers are used very commonly for children with precocious puberty (early-onset puberty). I would say about twenty percent of the kids our doctor treated were for precocious puberty and were on puberty blockers. They have been well studied and are widely used, safe, and effective.

Well. It turned out, the doctor I worked for was the only doctor in the state who was willing to do this. And word spread pretty fast in the tight-knit community of ‘parents of transgender children in a red state’. We started seeing more kids. A better drug came out. We saw some kids who were at the age where they were past puberty, and prescribed them estrogen or testosterone. Our doctor became, I’m fairly sure, a small folk hero to this community. 

Insurance coverage was a struggle. I remember copying articles and pages out of the Endocrine Society Manual to submit with prior authorization requests for the medications. Insurance coverage was a struggle for a lot of what we did, though. Growth hormone for kids with severe idiopathic short stature. Insulin pumps, which weren’t as common at the time, and then continuous glucose monitoring, when that came out. Insurance struggles were just part and parcel of the job.

I remember vividly when CVS Caremark, a pharmaceutical management company, changed their criteria and included gender dysphoria as a covered diagnosis for puberty blockers. I thought they had put the option on the questionnaire to trigger an automatic denial. But no - it triggered an approval. Medicaid started to cover it. I got so good at getting approvals with my by then tidy packet of articles and documentation that I actually had people in other states calling me to see what I was submitting (the pharmaceutical rep gave them my number because they wanted more people on their drug, which, shady, but sure. He did ask me if it was okay first).

And here’s the key point of this story:

At no point, during any of this, did it ever even occur to any of us that we might have to worry about whether or not what we were doing was legal.

It just never even came up. It was the medically recommended treatment so we did it. And seeing what’s happening in the UK and certain states in America is both terrifying and genuinely shocking to me, as someone who did this for almost fifteen years, without ever even wondering about the legality of it.

The doctor retired some years ago, at which point there were two other doctors in the state who were willing to prescribe the medications for transgender kids. I truly think that he would still be working if nobody else had been willing to take those kids on as patients. He was, by the way, a white cisgender heterosexual Boomer. I remember when he was introduced to the concept of ‘genderfluid’ because one of our patients on HRT wanted to go off. He said ‘that’s so interesting!’ and immediately went to Google to learn more about it. 

I watched these kids transform. I saw them come into the office the first time, sometimes anxious and uncertain, sometimes sullen and angry. I saw them come in the subsequent times, once they were on hormone therapy, how they gradually became happy and confident in themselves. I saw the smiles on their faces when I gave them a gender marker letter for the DMV. I heard them cheer when I called to tell them I’d gotten HRT approved by insurance and we were calling in a prescription. It was honestly amazing and I will always consider the work I did in that red state with those kids to be something I am incredibly proud of. I was honored to be a part of it.

When I see all this transgender backlash, it’s horrifying, because it was well on the way to become standard and accepted treatment. Insurances started to cover it. Other doctors were learning to prescribe it. And now … it’s fucking illegal? Like what the actual fuck. We have gone so far backwards that it makes me want to cry. I don’t know how to stop this slide. But I wrote this so people would understand exactly how steep the slide is.

[daintilyultimateslayer]

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