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soybeanprophecy · 2 months
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One of my favorite genres of post
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soybeanprophecy · 2 months
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tbh i think the funniest phenomena that's been happening in the last couple years is "youtuber, having gone too deep into the research hole, has been made an investigative journalist against their will"
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soybeanprophecy · 3 months
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tiger tale toys 🐀🐁
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soybeanprophecy · 5 months
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rin-chan’s ideal halloween is dangerous
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soybeanprophecy · 8 months
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what’s amazing about getting attached to a rare-ish pairing is that there are only like twenty (20) fics but all of them are the most extraordinary, talented, well-written masterpieces and you suddenly feel infinitely blessed to exist in this world
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soybeanprophecy · 9 months
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soybeanprophecy · 9 months
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We've met a few times.
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soybeanprophecy · 11 months
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IM SCREAMING
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soybeanprophecy · 1 year
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A doctor discovers an important question patients should be asked
This patient isn’t usually mine, but today I’m covering for my partner in our family-practice office, so he has been slipped into my schedule.
Reading his chart, I have an ominous feeling that this visit won’t be simple.
A tall, lanky man with an air of quiet dignity, he is 88. His legs are swollen, and merely talking makes him short of breath.
He suffers from both congestive heart failure and renal failure. It’s a medical Catch-22: When one condition is treated and gets better, the other condition gets worse. His past year has been an endless cycle of medication adjustments carried out by dueling specialists and punctuated by emergency-room visits and hospitalizations.
Hemodialysis would break the medical stalemate, but my patient flatly refuses it. Given his frail health, and the discomfort and inconvenience involved, I can’t blame him.
Now his cardiologist has referred him back to us, his primary-care providers. Why send him here and not to the ER? I wonder fleetingly.
With us is his daughter, who has driven from Philadelphia, an hour away. She seems dutiful but wary, awaiting the clinical wisdom of yet another doctor.
After 30 years of practice, I know that I can’t possibly solve this man’s medical conundrum.
A cardiologist and a nephrologist haven’t been able to help him, I reflect,so how can I? I’m a family doctor, not a magician. I can send him back to the ER, and they’ll admit him to the hospital. But that will just continue the cycle… .
Still, my first instinct is to do something to improve the functioning of his heart and kidneys. I start mulling over the possibilities, knowing all the while that it’s useless to try.
Then I remember a visiting palliative-care physician’s words about caring for the fragile elderly: “We forget to ask patients what they want from their care. What are their goals?”
I pause, then look this frail, dignified man in the eye.
“What are your goals for your care?” I ask. “How can I help you?”
The patient’s desire
My intuition tells me that he, like many patients in their 80s, harbors a fund of hard-won wisdom.
He won’t ask me to fix his kidneys or his heart, I think. He’ll say something noble and poignant: “I’d like to see my great-granddaughter get married next spring,” or “Help me to live long enough so that my wife and I can celebrate our 60th wedding anniversary.”
His daughter, looking tense, also faces her father and waits.
“I would like to be able to walk without falling,” he says. “Falling is horrible.”
This catches me off guard.
That’s all?
But it makes perfect sense. With challenging medical conditions commanding his caregivers’ attention, something as simple as walking is easily overlooked.
A wonderful geriatric nurse practitioner’s words come to mind: “Our goal for younger people is to help them live long and healthy lives; our goal for older patients should be to maximize their function.”
Suddenly I feel that I may be able to help, after all.
“We can order physical therapy — and there’s no need to admit you to the hospital for that,” I suggest, unsure of how this will go over.
He smiles. His daughter sighs with relief.
“He really wants to stay at home,” she says matter-of-factly.
As new as our doctor-patient relationship is, I feel emboldened to tackle the big, unspoken question looming over us.
“I know that you’ve decided against dialysis, and I can understand your decision,” I say. “And with your heart failure getting worse, your health is unlikely to improve.”
He nods.
“We have services designed to help keep you comfortable for whatever time you have left,” I venture. “And you could stay at home.”
Again, his daughter looks relieved. And he seems … well … surprisingly fine with the plan.
I call our hospice service, arranging for a nurse to visit him later today to set up physical therapy and to begin plans to help him to stay comfortable — at home.
Back home
Although I never see him again, over the next few months I sign the order forms faxed by his hospice nurses. I speak once with his granddaughter. It’s somewhat hard on his wife to have him die at home, she says, but he’s adamant that he wants to stay there.
A faxed request for sublingual morphine (used in the terminal stages of dying) prompts me to call to check up on him.
The nurse confirms that he is near death.
I feel a twinge of misgiving: Is his family happy with the process that I set in place? Does our one brief encounter qualify me to be his primary-care provider? Should I visit them all at home?
Two days later, and two months after we first met, I fill out his death certificate.
Looking back, I reflect: He didn’t go back to the hospital, he had no more falls, and he died at home, which is what he wanted. But I wonder if his wife felt the same.
Several months later, a new name appears on my patient schedule: It’s his wife.
“My family all thought I should see you,” she explains.
She, too, is in her late 80s and frail, but independent and mentally sharp. Yes, she is grieving the loss of her husband, and she’s lost some weight. No, she isn’t depressed. Her husband died peacefully at home, and it felt like the right thing for everyone.
“He liked you,” she says.
She’s suffering from fatigue and anemia. About a year ago, a hematologist diagnosed her with myelodysplasia (a bone marrow failure, often terminal). But six months back, she stopped going for medical care.
I ask why.
“They were just doing more and more tests,” she says. “And I wasn’t getting any better.”
Now I know what to do. I look her in the eye and ask:
“What are your goals for your care, and how can I help you?”
-Mitch Kaminski
Source
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soybeanprophecy · 1 year
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Beautiful from Ordinary Days
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soybeanprophecy · 1 year
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Writing Tip
because I see this everywhere and most people don’t know about it. The hyphen(-), the en-dash(–) and the em-dash(—) are three completely different things with completely different uses. If you write fanfiction, it’s likely that your readers won’t care, but if you want to submit a manuscript for publishing, you need to know the difference. 
The hyphen (-) is the basic symbol you find on your keyboard, and it’s meant to only be used for hyphenated words (well-being, two-thirds). 
The en-dash (–) is a slightly longer dash. It’s usually the width of an uppercase N, hence the name. You can find it by looking through the ‘insert symbol’ option in MS word or many word processors, and it is meant to be used to show a particular distance, or for intervals (May–August, 1900–1916, pages 12–22)
The em-dash (—) is what people most commonly use, but they refer to it as a hyphen. It’s the longest dash, about the size of an uppercase letter M, and you can either find it through the list of symbols in your word processor, or some word processors actually automatically transform two hyphens (–) into an em-dash  (—). It is meant to be used as a break in the sentence, in a place where a comma, semicolon or colon would normally be used or as a break in dialogue. (Her niece—the daughter of her oldest sister—is the one over there.) 
*All three types of dashes are normally meant to be used without any spaces on either side of the dash. 
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soybeanprophecy · 1 year
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oh………..
it’s a kitty hurricane. 
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soybeanprophecy · 1 year
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soybeanprophecy · 1 year
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What would you say would be your top 5 anime that have changed your life or taught you something really important, even spiritually, and/or brought you closer to God? Thanks!!
Ooooh, good question! I can easily think of five anime series that really connected with me spiritually, helping me under God's love in a powerful way!
Madoka Magica and the idea of the most gracious, sacrificial love (1, 2, 3, 4)
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Haibane Renmei and the power of grace to release us from sin (1, 2, 3)
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Clannad After Story and how perfect love frees us from the curse (1, 2, 3)
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A Silent Voice and how we have a vital story to play, even those of us who feel we can't be forgiven for the things we've done (1, 2)
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Honey and Clover and how life doesn't turn out like we hope, but God's way, as painful as it sometimes is, can be even better (1, 2)
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And there are so many more. Anime expresses the beauty of God like no other medium to me—even when it almost never means to.
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soybeanprophecy · 1 year
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Love how tumblr has its own folk stories. Yeah the God of Arepo we’ve all heard the story and we all still cry about it. Yeah that one about the woman locked up for centuries finally getting free. That one about the witch who would marry anyone who could get her house key from her cat and it’s revealed she IS the cat after the narrator befriends the cat.
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soybeanprophecy · 1 year
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I'm not sure I can express this sentiment strongly enough, but I'm going to try via the medium of large bolded text.
Write what the fuck you want.
Write what makes you happy. Write what makes your soul sing. Write what fucks you up and makes you cry. Write what comforts you. Write what distracts you. Write what you want to read. Write what you want to watch.
Write what you want to dream about tonight.
Write what you can't get enough of. Write what you're completely obsessed with. Write what wakes you up at 4am and drags you out of bed because you can't stop thinking about what your characters are going to do next.
Write what turns you on, if that's your vibe. Write characters you're in love with and characters who inspire you and characters you want to be friends with and characters you fucking hate but oh my god they're so much fun.
Write about things you would sell your soul to do in real life and things you would never do in real life. Write about things that are happening right now and things that happened a thousand years ago and things that might happen in the future and things you wish could happen.
Write to get a publishing deal or to sell your books yourself or not to sell your books at all. Write for your friends or for strangers or for the people who reblog your posts on Tumblr and send you songs that remind them of your characters.
Write for yourself.
Fuck any system that tells you there's only one right way to create or one valid way to share your writing. Your story, the way you tell it, has so much value. Make people smile or piss people off or do both of those things because art is divisive and fascinating and beautiful.
Start writing. Keep writing. And write what the fuck you want.
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soybeanprophecy · 2 years
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also these two are so cute
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