#this is nothing but a procedural thing

[nerianasims]

This time tomorrow I will have been done with having my wisdom tooth out for a couple hours. I wish I could just be anesthetized till then.

[emmavakarian-theirin]

i've got a doctor's appointment in the morning and i'm nervous af about it :))))

[cashewally-sarcastic]

Do you ever think about how Ganyu is older than Dvalin? I do. I think about that fact a lot. Venti points this out to the Traveler and the Traveler wonders how old a human version of Dvalin would be.

Traveler, shaking Venti: Did I beat up a kid?

Venti: Ehhhh more of a teenager - young adult?

Traveler: .... Like Diluc or Jean's age?

Venti: Probably around Amber's age...

Traveler: Oh my... I need to tell Diluc and Jean that Dvalin would be younger than them in human time.

Venti, joking: Dvalin is going to throw another temper tantrum at people seeing him as the little baby he is (affectionate)

Traveler walking into Jean’s office: Jean I’ve beaten up a child T-T

Jean: ???????

Traveler: Dvalin is just! A little guy! A little big guy but! He’s a teenager! I can understand the rebellion now augh and I beat him up for it 😔

[angels444yuri]

do i stop this madness by getting a hysterectomy or do i sell my uterus on the black market so i can at least be fairly compensated for what it's put me through

[camgoloud]

you know sometimes in life. you fail at things so badly that it’s actually just funny. except then you remember that you have a boss who probably isn’t going to find this funny which kind of ruins everything

[free-luigi-mangione]

Hey, with respect to the phone dna prints:

It's the motorola phone they found near the shooting location. Now, after Karen filed the motion, the prosecution made a list stating every piece of proof that had already been handled to luigi and his team.

The reason why reddit is saying they found his fingerprints on the phone is because in that list that was handed to the defense, it says there were 'swabs from phone found near the crime scene'. While it does not say straight up 'DNA MATCHES LUIGI' it will be unlikely that prosecution had handed a piece of dna testing (TO LUIGI'S ATTORNEYS AND AS A PART OF THE DISCOVERY) that was negative or had nothing to do with him. Because, again, it is a part of the evidence that prosecution is planing to use in the trial. If the DNA was not a match they would have made no mention of it in the OFFICIAL DISCOVERY.

So. It's basically a confirmation that the DNA matched

i have read both the prosecution's reply to KFA's motion and the automatic discovery form and yes, while the automatic discovery form does mention "2 swabs of possible DNA" collected from the "premises" at the "scene of homicide" and while reddit has taken this as confirmation that it implies the DNA/fingerprints collected at the scene of crime matches his, that is not the case.

prosecution has to hand over EVERY bit of evidence they've found/they'll use in court to the defense well before the trial and mention everything they've gathered during investigation in the discovery form, regardless of whether the evidence matches with the defendant or not. it is simply a part of legal procedure. we still have no legal confirmation that any DNA/fingerprint found at the scene of the crime matches with Luigi and to assume as such outright and crash out is honestly kind of ridiculous.

[werewolfdog]

Honestly, Sol have been the one and only anchor that keeps me from spiralling in this mad self doubt that we have DID when they have done and said so much for + to me for the past few years.

[regular-lord-reckoner]

went and got my brakes done today and now i really just want to crawl back into bed and sleep for about a year

[diseaseapedia]

I forgot a cable at home so no drawing while I am out of town 😔 but when I get home I'm going to maybe design some centipede horrors??

But man dragonsonas and mascots really are the thing huh

Also if I reply slow to any tags or DMs just know ik they're there I just work long hours and am not on my phone much during work! Replies may lag after tomorrow for some personal stuff happening but I will do my best to respond quickly! ❤️

[sixlegnag]

I think if your immediate response to something unexpected is to panic and hot potato, then medicine is not for you, especially if the something is a fucking phone call.

[hillbilly---man]

I'm so tired of double vision!! I'm gonna need my neuro-ophthalmologist appointment to hurry up and get here (I say as if there's anything they can do about it 🙄)

Sorry I'm always complaining about this. It's very frustrating, but typing this out makes me feel a little less alone about it hahaha

[tjerra14]

cw pet injury, pet death

nothing more unnecessary than losing your 3 month old kitten to a tilted window (or your 14yo diabetic cat to hypoglycemia because for some reason you waited another three hours after finding her comatose, cold, and barely breathing in your garage, and merely covered her with a blanket. When she came in, our thermometer refused to give us a reading, she had a heartrate of 40, and a blood glucose of 0.7mmol/l.)

[cappurrccino]

i know that like. the dream is to just get paid to do whatever you want forever, but on god i want a job where i'm actually kept busy with things that have some sort of procedure and schedule and are a good use of my skills because i am losing my mind sitting here doing nothing

[justiceburst]

Moral Alignment Test

Goro is 18.3% good, tied between chaotic and lawful, making him true neutral.

[rucow]

sorry ive been so inactive on here lately (and everywhere else tbh), i have a lot going on irl right now and i havent had the motivation to rly work on any art or writing this entire month 😔 but hopefully after things calm down i'll get to draw again 💔

[askshivanulegacy]

I need everyone to understand that there's no such thing as an "illegal" medical procedure which has patient consent.

There are only governments that are objectively incorrect and overstepping authority without even the proper credentials to do so. They are literally engaging in medical malpractice.

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.