#Development of geriatrics

[drchristophedelongsblog]

The issue of equal access to care for older people compared to the working population is complex and raises significant challenges.

Here are some things to consider

Access to care and age-related discrimination 

There are concerns about age discrimination in health care.

Some studies suggest that older people may not receive the same treatments or interventions as younger patients, particularly in resource-limited settings.

Age stereotypes can influence medical decisions, sometimes leading to an underestimation of the health needs of older people.

Factors influencing access to care

Comorbidities

Older adults often have multiple health problems at the same time, which can complicate treatment and require more complex care.

Fragility

Frailty, a decrease in physiological reserve, can make older adults more vulnerable to complications and limit treatment options.

Geographic access

Older adults living in rural or remote areas may have limited access to specialists and health services.

Socio-economic factors:  Economic inequalities can also influence access to care, particularly for expensive or non-reimbursed treatments.

Developments and improvements

Efforts are being made to improve access to care for the elderly, particularly through the development of geriatrics, a medical specialty dedicated to the elderly.

Telemedicine and tech-age technologies can help improve access to home care and reduce geographic inequalities.

Awareness campaigns aim to combat age-related discrimination and promote a more equitable approach to health care.

Tech age as an asset

The aim of the tech age is to facilitate home care and relieve pressure on hospitals.

This allows elderly people to maintain a certain autonomy, and makes it easier to monitor the progress of their health.

In conclusion, although challenges persist, progress is being made to improve access to care for older people. It is essential to continue to promote an equitable and personalized approach to care, taking into account the specific needs of each individual.

Go further

[silusvesuius]

i legit love when a character's gender is so integral to their personality (and perception obviously.) like so concrete that if genderbent their whole shtick would just be absolute dookie. anyways i'm just writing this text so i can talk in the tags (My beautiful safe haven)

this 14 minute song is soooooooooooo FYRE

[badolmen]

ID: A tweet by innes @/innesmck that reads, “they should invent a hobby that is good for your posture.” End ID.

[batmanisagatewaydrug]

I do think it's actually very funny that some transphobes get so lost in the Abigail Shrier Irreversible Damage sauce that they develop a knee jerk aversion to hysterectomies/oophorectomies on the grounds that some fertile young transmasc might have their reproductive organs yoinked that they just like. totally black out and stop caring that that's also life changing healthcare for countless cis women. was my mother part of the trans agenda when she got her uterus removed in her forties to stop her debilitatingly painful periods. were the doctors who repeatedly tried to convince a divorced middle aged woman with two grown children that she shouldn't do it in case she wanted to have a geriatric pregnancy someday actually just taking a brave stance against gender ideology.

[lordcephalopod]

my poor, ancient, arthritic cat has a hard time sitting down all the way so she just like...squats on her haunches a lot. So it kinda looks like she's about to take a piss on the floor all the time.

Don't worry, she's not letting the arthritis slow her down though. She still takes flying leaps across the kitchen counters in hopes of licking the butter tray or any other greasy dishes. She just can't land softly anymore so she simply power slides and cuts a path of destruction through any dishes we were foolish enough to leave out.

[batboyblog]

Things Biden and the Democrats did, this week #25

June 28-July 5 2024

The Department of Labor's Occupational Safety and Health Administration (OSHA). Is putting forward the first ever federal safety regulation to protect worker's from excessive heat in the workplace. As climate change has caused extreme heat events to become more common work place deaths have risen from an average of 32 heat related deaths between 1992 and 2019 to 43 in 2022. The rules if finalized would require employers to provide drinking water and cool break areas at 80 degrees and at 90 degrees have mandatory 15-minute breaks every two hours and be monitored for signs of heat illness. This would effect an estimated 36 million workers.

The Federal Emergency Management Agency announced $1 Billion for 656 projects across the country aimed at helping local communities combat climate change fueled disasters like flooding and extreme heat. Some of the projects include $50 Million to Philadelphia for a stormwater pump station and combating flooding, and a grant to build Shaded bus shelters in Washington, D.C.

The Department of Transportation announced thanks to efforts by the Biden Administration flight cancellations at the lowest they've been in a decade. At just 1.4% for the year so far. Transportation Secretary Pete Buttigieg credited the Department's new rules requiring automatic refunds for any cancellations or undue delays as driving the good numbers as well as the investment of $25 billion in airport infrastructure that was in the Bipartisan Infrastructure Law.

The Department of Transportation announced $600 million in the 3rd round of funding to reconnect communities. Many communities have been divided by highways and other Infrastructure projects over the years. Most often effecting racial minority and poor areas. The Biden Administration is dedicated to addressing these injustices and helping reconnect communities split for decades. This funding round will see Atlanta’s Southside Communities reconnected as well as a redesign for Birmingham’s Black Main Street, reconnecting a community split by Interstate 65 in the 1960s. 

The Biden Administration approved its 9th offshore wind power project. About 9 miles off the coast of New Jersey the planned wind farm will generated 2,800 megawatts of electricity, enough to power almost a million homes with totally clear power. This will bring the total amount of clean wind power generated by projects approved by the Biden Administration to 13 gigawatts. The Administration's climate goal is to generate 30 gigawatts from wind.

The Biden Administration announced funding for 12 new Regional Technology and Innovation Hubs. The $504 million dollars will go to supporting tech hubs in, Colorado, Montana, Indiana, Illinois, Nevada, New York, New Hampshire, South Carolina, Florida, Ohio, Oklahoma, and Wisconsin. These tech hubs together with 31 already announced and funded will support high tech manufacturing jobs, as well as training for 21st century jobs for millions of American workers.

HHS announced over $200 million to support improved care for older Americans, particularly those with Alzheimer’s and related dementias. The money is focused on training primary care physicians, nurse practitioners, and other health care clinicians in best practices in elder and dementia care, as well as seeking to  integrate geriatric training into primary care. It also will support ways that families and other non-medical care givers can be educated to give support to aging people.

HHS announced $176 million to help support the development of a mRNA-based pandemic influenza vaccine. As part of the government's efforts to be ready before the next major pandemic it funds and supports new vaccine's to try to predict the next major pandemic. Moderna is working on an mRNA vaccine, much like the Covid-19, vaccine focused on the H5 and H7 avian influenza viruses, which experts fear could spread to humans and cause a Covid like event.

[cripplecharacters]

Hello, I need some help with my story.

It takes place in a medieval fantasy world and there are lots of different species, including centaurs.

I like to have a lot of disability rep in my story, and since one of the main characters is a centaur, I thought about giving him a prosthetic leg.

The problem is, in real life it's extremely inhumane to give horses wheelchairs or prosthetic legs because it'll cause chronic pain, pressure sores, etc. because they weigh so much.

I know "Magical disability aid that's super amazing and way better than they are in real life" is a problem, but would it be okay in this case to give centaurs some sort of enchanted prosthetic/wheelchair that won't cause injury to them?

Hello,

Yes, that's absolutely okay.

In theory, it is possible to create wheelchairs and prosthetics for horses, it's just not practical. It would take a massive amount of funding, research, trial-and-error, etc, which is all extremely expensive and might not lead to any good results when the simpler solution, currently the most humane option, is to simply euthanize the animal. Because horses also aren't going to understand. Human amputees could willingly participate in the creation, trial, and modification of prosthetics and wheelchairs, they knew what was going on, what they were doing, and what the intended outcomes were. Horses can't understand that and will never be able to. The entire process would be unnecessarily stressful, painful, and distressing for the animal, so it's not humane to try.

But a centaur is sapient, they can understand the creation of mobility aids and prosthetics, consent to being part of the process, and won't be horrifically distressed by the entire situation, so developing prosthetics for them isn't inhumane. A hawk with a broken wing and a horse with a broken leg can't understand what's going on, so treatment is going to be extremely distressing and they can't communicate their needs to their medical care team, and they aren't going to understand temporary disability and physical therapy.

Centaurs, however, are going to understand what's going on, they can communicate their needs and do things to help themselves, as they'll be able to take off prosthetics, get out of wheelchairs, roll over on bed, etc, without help, or will at least be able to tell the team that they need to. They can understand temporary disability and can actively participate in physical therapy. That makes the science of treating centaurs much easier, as there's much less of an ethical dilemma. Plus, sapient creatures are going to get a different class of care. With humans, everything is done to preserve their life and then help them live with the disability because you can't just euthanize a human because they have a survivable injury. It's not ethical. So more effort is going to be put into the science needed to preserve their lives. In theory, the science needed to create good prosthetics and wheelchairs for horses is possible, it just hasn't been explored. If there were real centaurs, the science would be explored (this is also partially why we have bariatric, geriatric, and pediatric mobility aids and prosthetics, the original science didn't work so they created new science to work for them.) And with magic in the mix, it's infinitely easier to find that solution. Magic makes the science of this easier to figure out, because you can use spells or enchantments to prevent pressure sores and make the materials stong enough to support a centaur.

As long as the aid isn't erasing the character's disability (bionic legs that function as well as or better than their biological legs,) it's fine.

Mod Aaron

[olderthannetfic]

hi, as someone who is tragically gen Z and only ever read AO3, can I ask: what was so great about LiveJournal? Like, I know that there were fics posted there (and I've even read about the "purge", so I get why it isn't used anymore) and that it was sort of a forum-type thing. But what I don't understand, wouldn't Tumblr fill in the latter function? How was that site any different? I see a lot of people reminiscing about it and I'm confused

--

A big factor in LJ's greatness is timing and nostalgia.

It was genuinely great, but it wasn't quite as great as all of the Lo, shall the Golden Age ne'er come again? posts suggest.

LJ arrived at a pivotal time in the development of the internet both in terms of technical stuff and how many people had access. Many fans who are now in their thirties to fifties first discovered fandom through LJ and many were at a time in their lives when they were feeling energetic and up to making lots of new friends—and to figuring out how to make a site work for them.

I got on LJ in 2002 when it required invites. Fandom arrived in droves in 2003, first via coordinated campaigns to get invites to key people and then when LJ opened up free account creation to everyone. Back then, LJ's features sucked. It was impossible to search properly, among other things. At its height (2005-7, let's say), there was a reasonable site search, and fans had developed all sorts of community resources for finding each other.

People often remember this phase but not the early days of suckitude.

This development parallels how Tumblr used to not have that private chat feature and how a lot of fuckyeah[whatever] type tumblrs have helped curate the site and make it much more usable for fans. Fandom draining away from LJ after strikethrough also parallels people draining away from Tumblr after the purge.

There are people who talk about Tumblr the way my cohort talks about LJ...

And to the shock of no one, they are people who came of age on Tumblr, who found fandom via Tumblr, who were on Tumblr during pivotal times in their lives and ones when they had energy to make friends and figure out how a site worked.

Those same Tumblrites are now making all the same geriatric-sounding posts we LJers do about how other sites lack the required features to be good for fandom while missing that 90% of tumblr's "features" at its height (2012-2016, let's say) were actually fan-created and were basically the same as any fandom newsletter or links page or all the versions of this kind of personal curation stretching back to long before the internet existed.

What life phase you hit a site at matters.

--

With all of that said, no, LJ was not a forum. It was a blogging site with threaded comments.

The key point to understand is that conversation was always happening in a specific person's space. Unlike on a true forum, people were in the comments on a particular post in a journal owned by another fan. (On a forum, there's the first post in a thread, but it's still more of a communal space with less of a hierarchy.)

Overall, the LJ format can have a feeling a bit like you're over at someone's house for tea. There's more of a sense of intimacy and also behaving yourself in front of community members.

Tumblr being obscure and impossible to find anything in does give it some of the same vibe relative to Twitter, but it's still part of modern social media that tries to shove every rando into the face of every other rando.

But it wasn't just vibes: LJ also had robust privacy features where you could lock a post to this or that group of friends. You could moderate your comments section properly. Tumblr has far fewer controls to force people to behave or leave on a technical level.

--

The biggest thing many people miss about LJ is the threaded comments. At least by late LJ and on Dreamwidth, you can expand and collapse threads, making it far easier to deal with a massive comments section. But more than that, things are properly threaded with multiple levels of hierarchy that are all easily visible in the same place.

On Tumblr, it used to be extremely difficult to find all of the actual commentary on a post. Nowadays, it's far easier, but you still have to scroll chronologically, and multiple versions of a post with a long chain of commentary may be much more divorced from each other than what would happen in a LJ comments section.

--

But could we use Tumblr pretty much how we used LJ?

We could.

I do.

--

The key things that people tend to miss about LJ, aside from the younger and more excited version of themselves or the friends they've lost since then, are:

Heavily text-based

It may sound odd on the modern internet, but there are a lot of people whose brains don't like or handle an image-heavy site well. They were everywhere in SF book fandom. They were everywhere on the early internet. Today, they're hanging out on Dreamwidth and still going to their SF cons. They're usually not on Tumblr.

You could follow the discussion

Threaded comments help, but a lot of it is about having some place you can check for updates. It wasn't actually that easy to follow big LJ discussions unless you were subscribed to comments and reading along as things were happening instead of coming along after the entire mass of comments had been left.

The tone of the discussion is intellectual and one's enemies are "idiots", not "problematic"

All this requires is a penchant for longwindedness and an itchy blocking finger to remove anyone slinging ad hominems from the comments section.

On tumblr, it's as simple as conversations happening in the replies on a popular account and that person not tolerating suibaiting and threats.

(And make no mistake, a lot of LJ discussion was in the comments on popular accounts, not spread equally between everyone's.)

It does require that multiple people like that tone and want to engage in that way, but lots of people do want to.

--

These days, I interact with tumblr by checking my askbox and reading my activity page. The vast, vast majority of my posts are ones where I'm the OP, so if I block someone, they're booted from the discussion entirely.

For me... yeah, Tumblr functions almost exactly like LJ.

Also like LJ, while I'm hosting the conversation, if you hang around, you'll see the same people again and again in the comments. They may or may not also host that kind of conversation in their space, and there's a larger pool of lurkers who have some notion of which people count as regulars. Other people are watching from the shadows, enjoying or deriding the takes of the usual crowd.

People presumably do like reading my lengthy commentary or they wouldn't be here, but my tumblr wouldn't be popular like this without a healthy pool of other people who chime in regularly. It's not just that there are more people: it's that you see the same people over time. There's a bit more sense of place and community than on some parts of the internet.

--

So, in my opinion, the failure to just recreate LJ fandom on Tumblr was a skill issue.

Threaded comments were great, but LJ culture came from mailing lists, and mailing lists had the same issue as tumblr with the diverging threads.

We solved that back then by clipping out only the parts we wanted to respond to (you'd write "snip" around the quotation to show it was incomplete). We solved the smaller LJ issue by linking to other posts we were referencing and doing discussion link roundups. We solve it on tumblr by, again, linking to what we're talking about and even quoting multiple reblog chains in our own reblog of just one chain.

--

Tumblr's technical features and even general crap-ness aren't really the problem. 90s and early 00s sites regularly went down for periods of time unthinkable today.

The missing piece is people.

When one is in an active fandom with others who curate or with friends who let one know what's up, a site with imperfect features is easy to figure out and retrofit for fandom's needs. When one already feels out of touch and is between fannish passions—or at least fannish passions anyone else cares about—seeing the potential in a new site is hard.

--

Threaded comments are different and better.

LJ's built-in way to see everyone's blog in your own style was better. The automatic timestamps and the ease of seeing a paginated archive of an entire blog was better than tumblr's endless scroll and lack of clear date labeling. But some of that can be fixed with xkit or knowing your way around tumblr well.

A lot of it is nostalgia for the lj era and a refusal to take the time to figure out how to use tumblr in an oldschool internet way.

--

So by all means, people, weigh in about what made LJ great or how the culture felt at the time...

But if I see one more god damn response going "You can't have a conversation on tumblr!" in reply to my tumblr, which contains nothing but conversation, I am coming for you.

[rahuratna]

ღ Jujutsu Kaisen Series

• Nanami Kento: Relationship headcanons

Genre: Romance, angst, humor, fluff

Summary: Nanami x Reader headcanons (now a fic). Includes slow burn, pining, romance, establishing relationships, an introvert reader.

Links: Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 ღ on tumblr

Beautiful art by @courtneedsleep : Nanami x Reader

• Jujutsu Academy Case Files

Genre: Fantasy AU, mystery, suspense, horror, humour, detective agency

Summary: "Welcome, Visitor, to Jujutsu Guild Academy, tucked discreetly away in the rolling foothills of the Byre Veld Mountains. Our team of expert sorcerers, now misfits and outcasts from society, gather here to train their talented students, as well as use their exceptional skills to solve cases brought to them by those who know the true nature of the Guild ... much like yourself. We invite you to place your case at their disposal. We guarantee that you won't be disappointed."

Links: Part 1

• The Transformation of Nanami Kento (complete!)

Genre: Crack, humor, fluff

Summary: An encounter with a rogue curse user leaves Nanami transformed into Pompompurin! It's now up to the first-year trio, with some help from Nanami-pom, to gain back his original form.

Links: ch 1 | ch 2 | ch 3 | ch 4 | ch 5 | ch6 | ch 7 | ch 8 | ch 9 ღ on tumblr

• Ikemen Kaisen

Genre: Humour, fluff, crack, mystery, adventure.

Summary: A cursed spirit develops a massive crush on the 7:3 sorcerer while he's on a mission. Trapping him in its unique otome game domain, the spirit soon discovers that it's bitten off a lot more than it can chew with this particular jujutsu sorcerer ...

Links: ch 1 | ch 2 ღ on tumblr

• He Whose Arrows are Flowers

Genre: Mystery, Investigative, Romance, Slow Burn, Eventual smut/erotic content Summary: Nanami x Curse Analyst Reader. As a curse analyst, your work is a routine cycle that takes you between laboratory and crime scene. That is, until you are assigned to work a case alongside sorcerer Nanami Kento.

Links: Ch 1 ღ on tumblr

• He's got the look

Genre: Humour, fluff, crack, mystery.

Summary: A regular visit to the hair stylist takes a strange turn when Gojo is involved.

Links: ch 1 ღ on tumblr

• JJK: Encounters across the animeverse

Genre: Humour, fluff, crack, mystery.

Summary: The characters of JJK have close encounters with the other kind when strange portals appear within their universe ... crossovers, featuring characters from other anime appearing briefly in JJK.

Links: ch 1 ღ on tumblr

• Geriatric Kaisen

Genre: Humour, fluff, crack, suspense.

Summary: Megumi returns from a day out to find that the inhabitants of Jujutsu Tech have undergone a strange transformation ...

Links: ch 1 ღ on tumblr

• This Fearless Shadow

Genre: Fantasy AU, romance, action, mystery.

Summary: Kusakabe x Illusionist Reader. Loosely based on the film 'Bajirao Mastani', a gift fic for the wonderful @jjk-eugie

Links: ch 1 ღ on tumblr

• Boogie till we drop

Genre: Humour, fluff, crack, mystery.

Summary: Nanami and Ijichi are called in to handle an investigative mission requested by an unexpected client. The mission takes a strange turn when they learn that they're expected to assist in ... writing erotic fiction.

Links: ch 1 ღ on tumblr

• Queen of Thorns

Genre: Action, adventure, mystery.

Summary: In the remote reaches of a Siberian peninsula, Kurosawa Akito, student of the legendary Nobara Kugisaki, learns a fundamental truth about his sensei's strength.

Links: ch 1 ღ on tumblr

• By the Gnashing of my Teeth

Genre: Horror, erotic, mystery

Summary: Famine! inspired Reader x Nanami Kento (MDNI) (Part 1 of 2)

The empty, downtrodden drudgery of your life as a salarywoman is brought to an abrupt halt when you meet your new co-worker. The enigmatic Nanami Kento ignites a hunger in you that you never dreamed possible ...

Written for the Spookinky Event hosted by the lovely @tsukimefuku !!

Links: Part 1

• In another universe, you and I ... (But it's crack)

Genre: Humour, parody, crack

Summary: A short series in which the highly attractive sorcerers of JJK find themselves in an alternate universe with you (with a twist).

Links: Part 1

ღ Jujutsu Kaisen Stand-Alone fics

• Arangetram

Genres: Romance, angst, suspense.

Summary: Post-Shibuya Nanami x Classical Dancer Desi Reader

In the aftermath of Shibuya, an injured Nanami struggles to balance his eroding self-worth with his desire to conduct his duty as a sorcerer. He finds healing in the fragrant garden of your dance.

Link: ch 1

• The Eye of a Little God

Genre: Angst, humour, mystery, character study.

Synopsis: Five different perspectives on Nanami Kento.

Link: ch 1

• To you, young sorcerer

Genre: Fluff, humour

Summary: Papamin fic written for Father's Day! Nobara suffers with cramps and feelings of inadequacy, and Nanami offers some advice, affirmation and hot tea.

Link: ch 1

• Suited up

Genre: Fluff, humour, action, angst

Summary: Another Papamin fic! Ino attempts to present himself just like the sorcerer he admires the most, with some ... regrettable consequences.

Link: ch 1

• Get that bread, sir!

Genre: Fluff, humour, crack

Summary: Written for the Foodies and Goodies challenge, created by the amazing @tsukimefuku ! Ijichi goes to get Nanami lunch, an excursion that turns into a fast-paced battle for a pork cutlet sandwich!

Link: ch 1

• The in-between

Genre: Fluff, humour, angst

Summary: Megumi needs silence and to be away from it all, at times. Yuuji and Nobara will always be waiting in the wings for when he is ready to join them again.

A short, fluffy one-shot for the first year trio.

Link: ch 1

• Thirst Trap

Genre: Humour, fluff, crack.

Summary: Ino and Yuuji unwittingly make Nanami IG-famous through a social media post. As the internet's thirst ramps up, Nanami remedies the situation by roping in the two young sorcerers once again.

Link: ch 1

• Love Thine Enemy

Genre: Humour, fluff, crack.

Summary: The JJK sorcerers find themselves faced with a slippery customer - a cursed spirit with the worst pick-up lines imaginable ...

Link: ch 1

• Good morning, Handsome

Genre: Humour, fluff, crack.

Summary: A JJK short. Gojo sends increasingly annoying 'good morning' texts and Nanami gets his revenge.

Link: ch 1

• Blue Moon

Genre: Fluff, romance, humour.

Summary: A series of occasions when the JJK sorcerers required your comforting embrace ... (x Reader)

Featuring: Gojo, Kusakabe, Nanami and Ijichi.

Link: ch 1

• Quetzalcoatlus

A gift fic for @courtneedsleep ! Happy birthday, beautiful Court! 🧡🎁

Genres: Romance, angst, humour, suspense.

Summary: Gojo x Reader. A chance mission allows you to encounter the conundrum that is Gojo Satoru.

Link: ch 1

• Tongue, Teeth, Eclipse

Summary: A little gift fic for @musubi-sama Happy birthday!

You've enlisted the services of Geto Suguru to assist you with ridding yourself of strange dreams. In the world of curses, however, nothing is as it seems ...

Link: ch 1

• Chimeral Larceny

Genre: Suspense, action, mystery

Summary: Nanami, Ijichi and Nitta foil a bank robbery with a cursed twist ...

Link: ch 1

[savingthrcw]

That had done it, and Torvic felt she wasn't even putting that much of an effort into riling her up this time. Such a loyal pet. "Is it really good to try to fix something that ended up being helpful to the universe, just so you can feel better about yourself? The whole hero-bullshit of not wanting to dirt their hands never ends well for the people who actually get murdered by the bad guys. I'd know. Took advantage of that myself before." She knew Clara was speaking the truth, but for the life of hers Torvic could not understand why the hell would he bother with all that repenting. Not given a choice and temporarily wiping out a race that had done very little for him? She wouldn't have lost sleep over it.

She let herself be pushed back, and her lips pulled into a pleased smile, "Ohh, are you flirting with me?" Truthfully, she wouldn't have hit Clara back even if she could, so she could only appreciate the tiny glimpse of violence there.

Children and families, right. "Gallifreyans, Oswald. Those weren't evil. Time Lords? That's a cult. A class you don't get to stay in if you aren't a dick. The Doctor may be an outsider, an exception, but he'd have been shunned and maybe murdered for it in the long run. He's alive because they are not. Now those kids? Fine, you can cry for them. Not gonna use logic if you're gonna be a softie over it."

─── ⋆  CLARA'S HAIR WHIPPED THROUGH THE AIR with the speed of which she snapped around to face Torvic. Each step stomped towards the Time Lord, heavy under the weight of Clara's anger. "He did the best he could in what he felt was an impossible situation. He grew. He repented. And when he had a chance to remedy what he did, he lived up to his name because he is the Doctor."

Clara's better judgment knew that Torvic wasn't attacking Clara's character. But by trying to get under her skin through attacking the Doctor's character, Clara's better judgment was muted. The mention of the destruction of Gallifrey burned the edges of her vision bright red. She gave placed her weight into the outward shove of her hands at Torvic.

"If the Time Lords in power have sympathizers in the universe, you would not find my name being one of them. But I remember all the cries of the children and the families clinging to each other praying for one more second together after another. Is it so bad to believe that people like that aren't evil?"

[efverse]

making things right...

(this happens a ways into the story after both eon and sylveon have developed more as people btw)

after things boil over in a one sided argument w sylveon(sylveon figuratively ripping eons head off)("youre a geriatric eevee who clings onto his everstone like a security blanket! you dont understand evolution as much as you think you do!") eon eventually goes downstairs to apologize...

hes wanted to make things right w sylveon for years now but...he could never make himself go down there long enough in the basement where...his own father....

and idt eon could really...conceive of how he needed to. just be there for sylveon instead of what. lying? telling it they didnt mean what he said way back then? say that he didnt care? that he didnt actually love them and to forget about that? just go down to the basement where his own father did all these horrible things said all these horrible things just to add his own...maybe thats another reason he couldnt do it.

but. he finally does go down there to apologize. and i think sylveon also wants to better their relationship by this point too...they just dont know how...so they talk until(see above picture)...

idt eon intended to evolve when he went down there. he probably didnt even think it was a possibility tbh. but he did think about what sylveon said and purposefully left without his everstone...which sylveon didnt realize until...

sylveon like most of their siblings didnt think their dad would ever willingly evolve...much less...for them...

+bonus :]

Relief...

[overtake]

A soft Maxiel Christmas moment | 2k (also on ao3)

CWS: mpreg and the canonical bodily terror of pregnancy

Daniel stares straight ahead at the faux crackling fireplace, his swollen feet propped as close as he can manage without risking them melting off with residual heat. Outside, there’s no majestic snowfall. It’d started briefly yesterday, and for a single minute, with the world a quiet white blanket outside their frosted windows, he felt a moment of peace and sanity.

It’d gone as quickly as it’d come. The temporary relief of fresh snow quickly faded to grey piles and puddles inside pot holes. They’d had to run to the store for last minute items, and Daniel’s mood had quickly soured with every step of his new boots through the slushy squelch. They were brand new for this season, a size up and wider than his old ones because his feet are too fucking big to wear what he already has, and he needed to pad them out because his ankles hurt constantly.

A warm shiver wracks its way through Daniel’s insides, like a hot fan coil has replaced his spine and is boiling his blood from the inside out. He throws off his wool blanket in frustration and tries to heave himself up. Unfortunately, all that brings him is a loud groan before he collapses back into his spot, suddenly sweating and ready to smash every single item in this stupid fucking house to smithereens once he figures out how to stand up again.

He pants for half a second, then uses his hands to shimmy himself along the couch until he’s as far away from the electric fireplace as he can reasonably manage.

Then, all at once, his body’s internal heater shuts off and leaves him shivering again.

“Oh fuck off,” he groans to his round belly. He doesn’t want to grouch at his unborn baby. There are all these studies about when the baby can hear them and how they react to their parent’s mood. It’s why Max says good morning to it before he helps Daniel out of bed. He’ll reverently kiss the bump three times before he leans up to give Daniel four kisses so, “You don’t think I love you less than I love baby.”

That’s what he calls it, baby. They’ve been in gridlock over the name for three months, and Daniel’s argument that he’s the one carrying the back pain and morning sickness falls on deaf ears because Max absolutely fucking hates his name choices. Maybe Daniel didn’t start off great by intentionally antagonizing him with the boy’s name of Dale and waxing poetic about Dale Earnhardt, but Max gave it right back to him by pretending he’d name a child after his father. Safe to say, pregnancy hasn’t brought out the best in them from time to time.

When they’d clasped hands tightly and watched the pregnancy test develop, both pretending they were doing something more dignified than staring at a cup of piss in Max’s plane toilet, Daniel had pictured pregnancy to be full of beautiful moments, some sort of film montage of kitchen dancing and 3d scans and tiny baby shoes.

He hadn’t been totally naive. Michelle had the worst morning sickness through both her pregnancies, and Victoria did not shy away from complaining about all the cruelties her children unleashed on her digestion, hair, and even her nose. Daniel had panic googled that one and immediately regretted it. The last thing he needed on his face was for his nose to get even bigger.

Max had just laughed when he expressed his concerns and kissed the curve of his nose, reassuring Daniel that he’d want him even if it fell right off.

So he knew there’d be hard parts, but he reassured himself that Max being there and the promise of their family together would be enough.

Instead, he’s awake at 4 a.m. on Christmas because he’s gassy and in too much pain to sleep, and the soft snores he used to love from Max made him want to claw off his ears and tear out his hair. He’s constantly overstimulated. Their cunt doctor kept saying things about how geriatric pregnancies are even harder on the body until Daniel refused to keep seeing him if he said the word geriatric one more fucking time.

Worse still, he was banned from flying home. They’d had a whole plan, with Daniel flying out just before it’d be too late term to make such a trip, so he could be around his family until the season ended and Max could join him back in Australia. He’d have a summer Christmas and let their baby be born in his country before he had to take his little family back to Monaco for the new season. It was planned impeccably.

Then the doctors started heming and hawing at his last scan before he left and told him that flying would be a major risk, especially such a long distance. This time, they were wise enough not to add anything about his age.

So now his whole family and Max’s are in a giant ski cabin, taken away from Monaco and the cats so they could all fit in one home, and Daniel had to sit through a 7 hour car ride that turned into 10 with all his toilet stops.

The worst part of all of this is that Max is so patient with him. He massages Daniel’s feet and knows how to tease him about the swelling without hurting Daniel’s feelings. He rubs stretch mark cream on Daniel’s bump, even though he thinks they’re cool and likes to run his fingers up and down the white marks, because he knows Daniel hates them but is too tired to prioritize putting cream on his stomach every day on top of keeping this baby alive. He’s going to be the best dad, and Daniel has to sit grumpy with the knowledge that he’s the pregnant buzzkill ruining Christmas and resenting the child that Max loves more than anything.

He must nod off at some point, because he wakes up vertical on the couch with his head in Max’s lap and a blanket tucked neatly around him to form a Daniel burrito. Max has his feet propped up on the coffee table and is playing classical music, a constant these days because he followed some Instagram parenting accounts that claim it’ll make your baby smart. Daniel’s skeptical, but god knows the baby could use any boost it could get because Daniel’s not handing down much in the way of school smarts.

The house is still silent around them, but light is starting to creep in through the floor-to-ceiling windows. It highlights the silver ring on Max’s finger when Daniel pauses his movements and pulls Max’s hand to his mouth to press a kiss onto the cool metal. His matching one sits around his neck these days, his fingers too constantly varying in size to cover the tan line on his finger. It used to make him bitter to look at Max flaunting the ring Daniel can’t wear, but with some sleep in his system, he feels slightly less like the Grinch.

“Merry Christmas,” Max beams when Daniel lands his kiss and he registers that Daniel’s awake. “I’m going to help your mum make breakfast in a minute, but she’s getting you some cocoa and a moment to ourselves first.”

Max takes one thick finger and carefully thumbs the sleep out of Daniel’s eyes. Daniel’s body is too weighed down by foggy warmth and Max’s love to muster a response. Instead, he turns his face into the meat of Max’s thigh, dutifully clad in the matching pajamas his sister had brought for the whole group, and huffs out a hot breath he hope expresses his gratitude.

Max leans over him to kiss the bump good morning and wish it a, “Merry first Christmas.” Daniel can’t help a spark of warm satisfaction that Max said Merry Christmas to him first, then a flash of guilt and embarrassment that he’s competing with his unborn child on today of all days. Max thinks it’s funny, but Daniel tries to keep most of the thoughts internal.

“I have a gift for you,” Max says. His whole body is curled sideways over Daniel’s so his head can rest on the bump, and he rubs at it absentmindedly.

Daniel raises his eyebrows. “I should hope so. It’s Christmas.”

Max laughs, his crinkly-eyed joyous one that’s lived permanently on his face since they saw the plus sign, but also maybe since the day they both said I do.

“This one is very special,” he says, then dislodges Daniel’s head from his lap for a second so he can fish something out of his pocket and place it into Daniel’s waiting hand.

It’s not wrapped, so Daniel can see it immediately. It’s a picture ornament, small but ornate. The gilded frame showcases Daniel’s bump in the pregnancy photoshoot Victoria had insisted upon. She’d promised Daniel that pregnancy feels like shit for nine months, but you still regret all the moments you didn’t document. Daniel had tolerated about thirty minutes of it and refused to look at the pictures after, but he knows Max loved them. He had them printed and put in a special book, and he’d promised Daniel that he’ll keep it hidden until Daniel’s ready.

“I thought we agreed—“ Daniel says, but the words die out when he reads the little writing at the bottom.

“Joseph/Delilah’s First Christmas,” it reads. Stupidly, Daniel feels himself begin to well up.

“I’m not naming our child Dale,” Max says, wagging a finger in Daniel’s face and giggling when Daniel tearily bites at it. “But Delilah is a close for a girl, I think. And I would probably not name a baby after my dad, but yours.” He shrugs. Daniel’s dad is obsessed with Max. The two of them spent half of winter break fixing up an old motorcycle the first time Daniel had brought him home, and whatever happened in that garage had formed a tight bond between them.

When Daniel doesn’t answer, Max adds, “We can also do Grace, but then it feels like we’re picking a mother, and that’s not nice.”

Daniel clutches the ornament tight to his chest and buries his face tighter into Max’s thigh, blinking into the fabric and letting his tears soak Rudolph’s nose into a damp, dark red.

“Thank you,” he says wetly. He sniffles, then steals Max’s sleeve to wipe his nose with the corner of it. Max doesn’t even reprimand him for it. He’s too busy staring down at Daniel with his gentle, sweet lips tugged into a smile, then pursing them to warn Daniel of an incoming kiss once Daniel’s slightly less snotty.

“I know pregnancy has been really hard,” Max says. His head hovers right over Daniel’s, even though it must be killing his neck to crane it that way. “I love you for not divorcing me for doing this to you.”

Daniel shakes his head. “Hey, there’s a week or two left to go. Don’t count your chickens.”

He pauses, takes in Max’s face. He runs the hand still holding the ornament down the prickle of stubble dotting his soft chin, pokes the freckle decorating his pink lips, admires the morning sun glaring off yesterday’s fallen snow and making Max’s hair glow golden. “Pregnancy has been shit, and I complain a lot, but I’m really excited to be a dad with you. Thank you for this.”

His voice breaks off at the last words, and Max kisses him again. His mouth is cozy like the fireplace heat, and they break into still-kissing giggles when the baby does what feels like a flip of excitement under Max’s resting hand.

Daniel’s mum is probably moments away from interrupting their moment. The kids are all going to be awake any minute now to start tearing into presents, and Daniel will probably be back to being grumpy and overstimulated within the hour.

He pushes what’s to come aside and cuddles into his husband’s loving arms and lets himself feel temporarily alight with gratitude.

(“So it might not even be a boy, but you still get all the credit of having maybe named a child after him?” Michelle hisses later, smacking Daniel’s arm as their dad hugs Max and cries. “Dickhead. Was it not enough to become a millionaire racing driver? You’re not invited for Christmas next year.”)

[transmutationisms]

Genuine question here, how can we increase patient autonomy and handle psychiatric medication for people who are disabled to a point where communication and understanding medication schedules would be difficult? I think a lot of people in my circles have gotten to a point of understanding, yes, anti-psychs can be more detrimental to patients with no positives when talking about a person with psychosis in their 20s who is somewhat able to manage themselves, but have difficulty parsing what would be best in the case of an older person with a neurodigenerative disease, and as someone who is at risk for developing Alzheimer's, I'm not sure what patient autonomy would look like for myself at that stage of life.

alright so, the question of how to increase patient autonomy for those who are mentally incapacitated in various ways is a legitimate one -- this has been a problem in paediatric and geriatric medicine for reasons both social and biological, and also affects disabled/injured/sick people of any age.

the assumption you've attached, though, is that 'antipsychotics' (neuroleptics) are actually in a patient's best interest, and that therefore it might be justified to administer them without consent in cases where it cannot be obtained. this is just incorrect and tells me you didn't read any of the links in my other posts about neuroleptics. these are not drugs that 'cure' 'psychosis' -- they are drugs that used to be marketed as 'chemical lobotomies' for a reason! they are unsafe in the long and short term, and are administered because they make patients compliant (incapacitated, numbed out, chemically dependent). the question of consent is just moot here imo.

to touch on the general question: usually with patients who are unable to consent, what is supposed to happen involves a mix of designated legal representatives, loved ones who are present, professional patient advocates, and the patient's own advance directives. my opinion (& this is common among disability advocates) is that doctors are often overeager to decide patients cannot consent, and will talk over/about them rather than taking the time to try communicating with them in ways they can understand. a person's own legal representation or the hospital's patient advocates sometimes help bridge this gap, but many times these people are also nakedly ableist, and fundamentally it's ableism that is exacerbating this tension.

obviously there will also always be some cases where it's simply impossible to get consent from the patient themself (for example, my uncle had a pituitary tumour that made him suddenly and irreversibly experience a total break from reality, resolved only after his wife consented to surgery on his behalf) -- in those cases, yeah, medicine sometimes means intervening without a direct yes from the patient. but the reality is that many people who are currently considered unable to communicate, choose, or advocate for themselves are in fact capable of a trying to do those things -- they're simply not being granted that right in current social/economic conditions. this often includes people dealing with neurodegenerative conditions btw -- these are incredibly difficult conditions, i won't pretend otherwise, but it is a myth that they completely and instantly rob a person of all ability to formulate preferences about medical treatment or quality of life, or to express those preferences.

[basiliomagnus]

This quote made me think, how do you think tastes and styles of cooking differ between the tribes? Each party member has their own style of food, but Eupha and maybe Heismay are the main ones who we could extrapolate things about their culture from.

I think that paripus food definitely uses the most spices. Rhoag food uses the least

oh im so glad at least one person asks me this i've been thinking like. too much about tribe culinary profiles lately

so to start a while ago i tried to group all the principalities into their climates and ecosystems right. aside from the fact roussainte are fuckin everywhere from what we know:

oceana has a healthy fishing business and is mostly woodland, through they have a small stretch of arid land from central euchronia

central euchronia is high in desert and (presumably) arid soils, though for the purpose of sustaining grand trad let's say that south euchronia contains fertile wetland

montario is extremely mountainous and cold BUT it also has that patch of thick forest though a lot of the fauna there are like. venomous and spit fire

virga island

so when i think about the food part of their cultures i tried to keep in mind where a majority of the tribes seem to be located and how that would have impacted their culinary development, assuming that the population has been relatively consistent since the annex war. there's also their individual values to consider (VERY LONG UNDER CUT)

clemar are like, white brits, so i think assuming they have similar food to irl england is a good starting place. thanks to central euchronia having the desert climate it does however i think mostly in oceana do they have fish as part of their meals and in grand trad its mostly a delicacy. a lot of local dishes that are made up of what can be found lying around, nothing too complex, but due to the nature of where grand trad Is i think they lack a lot of real "desserts" that aren't considered a luxury (sugar is expensive)

roussaintes NEED high protein meals to sustain the amount of physical work they do, so i think meat and leafy green vegetables are a staple in most dishes. lentils, tofu (soybeans are actually really protein dense), nuts, the like. roussainte in montario probably have a lot of spice in their meals for cold weather but to also manage their appetite during military work.

rhoag are a tricky case but hear me out: i feel like a lot of their food takes after other tribes due to how long they live. it's probably customary for a rhoag to wander around a lot in all the time they have to live, so a lot of what they cook ends up influenced by all the other tribes in different ways. as for methods i imagine that they focus on recipes that don't require much physical labor (spending most of your long life in your geriatric stage probably isn't great), so a lot of soups, pan fried stuff, grilling, etc. is probably shared around.

ishkia are almost 100% spice fiends, if you're like me and assume they have bird-like traits in a lot of places they probably have much higher spice tolerance than most other tribes, in addition to their climate requiring warmer meals. a lot of farmwork is probably done down in the lush forest area because mountain farming is historically a bitch and a lot of Brain Food can't be grown in the cold. heavy "brain food" presence in casual meals (fatty fish, coffee, collard greens). a lot of roots, mushrooms, and foragables that grow in cold climates (snowpeas, watercress, acorn, etc) at high altitudes are common, though this sounds horrible bc you cant really Get them anywhere else in euchronia.

nidia because of the Everything read to me as having a high dependence on magla-rich food and stuff that grows low to the ground. a lot of root vegetables (carrots, potatoes, turnips) and berries (straw, blue, the likes) that can be infused during the growing process. lot of emphasis on eye health on that note (leafy greens, citrus, probably raise a lot of chickens for eggs in their villages). theyre very fae folk inspired to me so i imagine a lot of their delicacies are an important part of their culture (muffins, candied flowers, tarts, yknow)

paripus probably take a lot after recession foods given their status and wide-spreadedness, a lot of cheap options like rice, beans, grains, fruits and meat dried. however i also see them as having a large amount of "leftovers" or "community" foods yknow? stuff like hunters stew or bread pudding or salads, generally stuff you can make with what's left over after a big meal and you can share with other people. i think they probably have a lot of "loose" recipes with easy replacements or things you can swap out if you don't have them.

eugief society is analogous to japanese culture if you look at the architectural styles of heismay's village and his clothing so they probably have a lot that's taken from there haha. fish, savory foods, big on spices and they probably invented some form of oil frying. i imagine that the area between oceana and euchronia is heavy in rice production due to the hot and humid climate, on that note

mustari are very analogous to southeast asian/pacific islander culture! lot of rice, game, seafood, emphasis on pairing sweet with salty or savory. i imagine a lot of steamed or roasted foods. mustari that came to the capital or montario probably ended up having to mix traditional styles with the ones present there, esp due to the lack of ingredients that were only capable of being found on the archipelago (side note: here's a nice article about this stuff that i found interesting)

as for elda theyre like. they remember shit from the old world. i know this probably just means they understand how to cook meat the best and get how to properly process certain foods with what cooking material but what if will came out and showed people how to make french fries. imagine

[bullet-prooflove]

Socks, coffee and appointments? 🤟🏻

Tagging: @kmc1989 @caffeinatedwoman @maryelizabeth13 @toasted-stiletto @district447

Companion piece to:

The Book Tour - You run into Sam while promoting your new book.

One Night In New York (NSFW) - You and Sam spend the night together in New York.

Six Months - Sam gets a surprise when he returns to Chicago.

Fate - You and Sam were always meant to find each other.

Night Feeds - Sam and you experiance life as new parents.

The baby keeps taking off her socks, Sam has forgotten about this stage of her development. The throwing and retrieving part. His daughter thinks it’s a fabulous game and Sam plays into it because it brings him so much joy to see her little face light up.

“Ah I remember the fetch phase.” Dean Archer says when he opens the door to the doctor’s lounge and steps inside. “I used to spend hours going back and forth with Sean until he fell asleep with the sock in his hand.”

“I think she’s starting to get there.” Sam says as he puts the sock back on Arabelle’s foot for the fiftieth time. She’s starting to settle into the cushioning of her stroller. Her movements are becoming less coordinated, her eye lids fluttering closed despite the fact she’s struggling to keep them open. She always does this, fights sleep. It’s like the world outside is too exciting for her and she doesn’t want to be away from it for a single second. “Elle’s just finishing up an appointment with a client, I thought I’d bring by the baby for lunch but it looks like this little one is going to be fast asleep by the time mommy catches up with us.”

“It suits you, you know?” Dean says with a smile watching Sam interact with the baby. “Being a father again.”

“Don’t tell me it’s making you broody.” Sam says as he puts the other sock back on Arabelle’s foot. “Geriatric parenthood is not for the faint of heart.”

“No, noooo.” Dean says rubbing his palm over the back of his neck. “That ship has long set sail. Maybe if we’d met earlier…”

He trails off then because that thought has been on his mind a lot recently, what his life would have been like if him and Isobel had met after his divorce. He wonders if she would have seen what was going on with Sean, if they would have had a couple of kids of their own by now. If he’d have been a different, kinder person in the years that followed instead of the bitter man he’d become for over a decade.

“I used to think the same thing about Elle.” Sam tells Dean as he manoeuvres the stroller into the corner where it’s less stimulating for small children who are almost falling asleep. “It was my only regret when it came to her, that it wasn’t an option but life found away and now we have this little one.”

“And now your family’s complete.” Dean remarks as Sam rearranges the baby blanket around his daughter.

“Yes.” Sam smiles as he chucks Arabelle under the chin. “Yes, it certainly is.”

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Like My Work? - Why Not Buy Me A Coffee

[confession-of-the-heart]

I’ve been on KH Reddit recently and oh my god is it just that the KH2 overhyping there has gotten out of hand, or are oldheads really just that out of touch? The sheer number of posts bitching and moaning that “KH2 had a perfect ending and the series should have ended there”. Yeah it’s a nice ending but it was obviously never meant to be conclusive—it’s existential horror for Roxas and Naminé, there’s like a million hooks teasing further plot developments, there’s no momentum in terms of the main love interest…

like… KH2 has “middle entry” written all over it, but a bunch of chodes with the hindsight of the expectations they built up for the later parts of the series not ending up being what they wanted, and nostalgia bias up to their eyeballs have all been throwing a fit lately…

Well, personally I’ve never been happier with the series. I can’t imagine it without Days and Xion, BBS and the wayfinder trio, all the crazy xehanort stuff and bonkers lore we’ve gotten in the time since. I love the significant changes and reveals that various characters have had that’s fleshed them out so much and given them new dimensions in the time since. Despite all the insipid nostalgia wank from the geriatric club, fresh blood in the fandom is making this a better space than it ever was in the old days. The games have markedly improved, too. KH3 in particular is fantastic when you don’t have some calcified piece of shit in your ear bitching about how (insert older game) was better.

Thank god Nomura marches to the beat of his own drum, and doesn’t give a shit about what whiny fans want or demand. KH as a franchise loves to celebrate itself, but one thing it doesn’t do is to blindly cater to its own fans’ nostalgia and thank god for that. For those of us who love the series as it is, Nomura is feeding us gourmet meals. He’s cooking up something even better for ML and KH4, I just know it.

Those of you who can’t let go of the past… get with the times or get left behind, lmao

~~~