nyessasundries

[nyessasundries]

monet recreation

[nyessasundries]

i love you green. i love you forests. i love you smell of damp earth. i love you feeling before the storm breaks. i love you moss. i love you rivers. i love you streams. i love you thunderstorms. i love you sunlight shining through leaves.

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Referred to as “the Dusseldorf patient” to protect his privacy, researchers said he is the fifth confirmed case of an HIV cure. Although the details of his successful treatment were first announced at a conference in 2019, researchers could not confirm he had been officially cured at that time.

Today, researchers announced the Dusseldorf patient still has no detectable virus in his body, even after stopping his HIV medication four years ago.

[nyessasundries]

John Berkey

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You know what I think is really cool about language (English in this case)? It’s the way you can express “I don’t know” without opening your mouth. All you have to do is hum a low note, a high note, then another lower note. The same goes for yes and no. Does anyone know what this is called?

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if a sims movie is truly being made, i want it to be a horror movie where they do not acknowledge being sims and there is no evidence of them being sims except that they speak simlish and have plumbobs. i want ladders disappearing from pools and strangers breaking into houses and random basement prisons and people catching on fire while making macaroni. the whole thing must be in simlish with subtitles like a foreign film. that’s the only way you’ll get me to watch it.

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[nyessasundries]

Today is the Glorious 25th of May, the day the gallant members of the Ankh-Morpork City Watch fought for Truth, Justice, Freedom, Reasonably Priced Love, and a Hard-Boiled Egg, and died (including Reg Shoe, who then came back as a zombie and fought some more) in the Glorious Revolution of Treacle Mine Road.

Today is also Towel Day: because as the Hitchhiker's Guide to the Galaxy says, a towel is about the most massively useful thing an interstellar hitchhiker can have -- and a hoopy frood ALWAYS knows where his towel is.

HOOPY FROOD, HOW DO THEY RISE UP

/GNU Terry Pratchett (1948 - 2015) //GNU Douglas Adams (1952 - 2001)

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i am shrunken down and brought to the gnome world and when i attempt to assimilate to their culture I use an acorn cap as a hat and they all laugh cheerfully at my silly mistake of wearing what they use as a bowl like a cap and though this is a transgression that would have humiliated me in my human life I am instead laughing alongside them at my humorous misunderstanding

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[nyessasundries]

if you’re having a bad day, here’s a cute little marching band

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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.

[nyessasundries]

Ice cold takes from a Transgender Woman:

Not all Men are evil

Everyone has the capacity for evil

Transgender Men are men

Transgender Women are women

Excluding Cisgender Men from your spaces requires Transgender Men to out themselves if they want to engage (Same for Women)

Anyone can be Non-Binary, there is no "look" or requirement

Non-binary masculine presenting people should be welcome in queer spaces, many are just treated as men and predators

Non-binary feminine presenting people should be welcome in queer spaces without being seen as "Woman-Lite"

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Schwarzenegger winning seemed like the most embarrassing thing that would ever happen in politics at the time and now he’s to the left of every elected Republican and a few Democrats and just makes videos going “young men, my fadda was a Nazi and he was a contemptible loosah”

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Btw if I say things like “by god” or “good lord” in posts please be aware I don’t mean it in a catholic way I mean it in a 1950s scientist reacting in horror after they create an evil creature in the lab set in the distant future year of 2005

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Concept: cursed blade rehabilitation center. Destroying a sentient weapon is expensive and highly unethical, so adventurers bring them to the center where highly trained staff can care for them and eventually find them forever homes. It turns out most cursed weapons are products of trauma and are not strictly evil themselves. Some blades turn out to be fiercely protective companions. Others don't even want to be weapons at all, finding joy in simple work like blacksmithing or farming. Most blades just need to be loved.