secretlypeerless-cucumber

[secretlypeerless-cucumber]

Lil grilled bing-fish

[secretlypeerless-cucumber]

figure practise with sqh

[secretlypeerless-cucumber]

the administration may be a bit misinformed on what counts as a reward. the system may be starting to sympathize with its user. sqq asked for none of this.

based on this

[secretlypeerless-cucumber]

Περσεφόνη

[secretlypeerless-cucumber]

Cuakqiu's portrait

[secretlypeerless-cucumber]

IT’S MERMAY!!! MERSKINZUN TIME!!!

[secretlypeerless-cucumber]

shitpost

[secretlypeerless-cucumber]

I always love animal transformation Shen Jiu fics. I remember one where he was a kiwi.

Also we can’t forget Skinzun.

[secretlypeerless-cucumber]

Cumplane and their Cold Ass Big Titty Goth Wife™

🧊🥒🐹

For @xxmiserysmilesxx

[secretlypeerless-cucumber]

There's this one scene in My Next Life As A Villainess: All Routes Lead To Doom! that I really like, and it's when Catarina has to pretend to be a villainess in a school play, and she nails it

I want a scene like that, but for Scum Villain's Self Saving System, where Shen Yuan has to act like a villain for some reason, and all the Peak Lords are like 'can he handle it? I know he used to be mean, but this Shen Qingqiu is completely incapable of being unkind.'

And then Shen Yuan gives a perfect Shen Jiu impression. Everyone is scared/horny, the only person unsurprised is Shang Qinghua who regularly deals with being verbally abused by Shen Yuan. Yue Qingyuan is crying tears of joy

Meanwhile Shen Yuan is unaware that he had awakened something in everyone

[secretlypeerless-cucumber]

SJ in a bad mood after talking to YQY

[secretlypeerless-cucumber]

Old sticker redraw! This time Shen Qingqiu turned out so cute!!!

[secretlypeerless-cucumber]

sj with food insecurity. sj that constantly has a small supply of food hidden away. sj that forces all of his disciple to learn how to plant and tend to basic crops. sj that drills in to his disciples what 'inedible' foods are actually safe enough to eat if dire enough.

[secretlypeerless-cucumber]

With more and more Ao3 authors restricting their works to the archive (due to AI scraping), they're going to be losing guest interaction. And probably generally feeling down because. You know. AI is stealing their hard work.

So! Now is a great time to stop by your favorite authors/stories and drop them some comments! They really appreciate it!

[secretlypeerless-cucumber]

"It doesn't help your credibility to exaggerate, most employers wouldn't literally work you to death" like, I used to work in distribution. If booking a truck driver for back to back shifts until they fall asleep at the wheel, crash, and die counts as being worked to death, I have personally met employers who've worked employees to death and gotten away with a slap on the wrist. It may not be universal, but it's a hell of a lot more common than a lot of us would prefer to think.

[secretlypeerless-cucumber]

EBAY ARE ADDING AI TO THEIR SITE. YOU HAVE AUTOMATICALLY BEEN OPTED IN. GO AND OPT OUT.

you cannot turn it off via the app or mobile site, you HAVE to be on desktop.

To turn this off, sign into your account click on the Hi (your name)! > My eBay > Account > AI training preferences and you can toggle off the permission.

(via bluesky)

[secretlypeerless-cucumber]

I had a patient come in the other day because she wanted her IUD replaced. It was at the end of it's life and she loved having her IUD, this was her second one. My MA let me know that the patient was very anxious about getting the IUD replaced, she'd had painful experiences in the past with her other replacements and was dreading this visit for that reason.

I spoke with the patient and she was literally shaking with anxiety. I asked her to describe her prior experiences as well as what she liked about her IUD and what she didn't like. She said that she wished she didn't have to get it replaced so often, so I recommended we place a Mirena instead of just inserting a new Kyleena IUD. She was nervous about this because she didn't want an IUD that was big. I explained that the Mirena and Kyleena are essentially the same size but the Mirena lasts 3 years longer and would likely bridge her to menopause given her age whereas with the Kyleena she'd probably need another replacement to get there. She was okay with trying the Mirena.

I then talked to her about pain control during the procedure as this was what she was most worried about. I asked about her prior experiences and then laid out what I wanted to do to try and improve her experience during this procedure. I told her I planned to give her prescription strength ibuprofen, a heating pad, and a very dense anesthetic block in her cervix to hopefully make it a better experience. If she had had someone to drive her home I would've also given her an ativan because we have studies that show patients who report higher rates of anxiety surrounding a procedure also report higher rates of pain associated with it.

She was down for this plan. I gave her a very dense block, she only felt three small injections and then nothing else. She was shocked when I told her that her old IUD was out and the new one was in. She didn't believe me when I told her it was over.

I don't tell this story because I wanna brag about how amazing of a doctor I am because I'm not. I tell this story because this is the way IUD insertions SHOULD go and I want people to know that IUD insertions do not need to be traumatic. And I want other providers who may insert IUDs to know that a paracervical block should be your standard when it comes to IUD insertions.

When people find out I'm an OBGYN, complete strangers, acquaintances, etc. , the two things they like to tell me immediately are their horrible birth trauma story and their terrible IUD insertion story and I'm trying to at least make the latter one a little less common.

If you place IUDs and aren't doing a cervical block, you need to start. This should be the standard but over 90% of OBGYNs in the US aren't doing them and it's unacceptable. We are traumatizing people and it's entirely avoidable. We are scaring people away from one of the most effective and long lasting forms of birth control in a time when people are losing their ability to end unwanted pregnancies all for no justifiable reason.

"It takes too long:" No it doesn't, that visit took me 20 minutes with a highly anxious patient from start to finish.

"It's not worth it for such a short/small procedure." It's worth it for the patient.

"It's too expensive." You can do a paracervical block with just normal saline. You don't even need lidocaine if you use a generous amount of volume. And if you place Nexplanons I know you stock lidocaine in your office, stop being fucking cheap at the expense of women's pain.

"Patient's don't need it, they'll get over it." I'm telling you they do need it and they aren't getting over it as evidenced by literally everyone wanting to tell me about their terrible IUD insertion experience as soon as they find out I'm an OBGYN.

We should do better. The cervix has nerve endings, stop acting like it doesn't.

Make cervical blocks your standard of care, there's no excuse not to.