#Major medical expenses

[laufire]

from Kylie Cheung's article in jezebel.

also:

[yourfamilyfriendsatan]

I'm making a post and reblogging from myself to keep track of how many of these scams I get. If others want to block be free.

(To be aware. I do check the blogs and they're all made the day they make their donation post/a couple days prior)

[twistedappletree]

.

[desperatepleasures]

ok well i did my january budget and as predicted it was Bad but. we stay silly!!

[imwritesometimes]

I have fic Ideas. little scenes of the blorbos. the problem is that it's not really specific to any one ship. I could easily swap out blorbo grouping 1 for blorbo grouping 2 and it would work. and that's such a problem for me cause it's like ok... what's this about then? how do you make a whole fic outta these.... generic blorbo trope-y scenes? how would I make this unique and coherent to one ship? why even bother? don't! do other hobbies!

[anamelessdragon]

One of the pups has decided that now that I’m not having hundreds of dollars each paycheck bled out by the various effects of months of repeated intense storms in the area that she’s free to have an out of nowhere incredibly rare for her size/breed bloat issue, resulting in a 7-10k emergency surgery. Which means most vacation/staycation/extra days off to Do Things plans this year have been cancelled to make way for a continuation of the overworking for me and alas, less time for fic writing will be ongoing until further notice. :/

Pup is currently hospitalized but okayish. Surgeon said she was the best case of this particular issue she’d ever seen and her organs look amazing for her age.

I miss writing so much! I wish RL wasn’t being such a pain at getting in the way of that.

[izukuwus]

i. i hope you know mouthwash is not supposed to burn like that. but yeah, i hope the benadryl takes care of it 🥲 but if it gets worse please go to the er —🦊

...I think I'm starting to understand why forming a consistent oral hygiene routine is so difficult for me.

[so-i-did-this-thing]

How it's going as a trans person in Florida: Planned Parenthood, 26Health, and Spektrum Health have announced they have paused all gender affirming care.

To recap, DeSantis signed several anti-trans bills into law this week. Care is banned for minors, care is all but banned for adults, Don't Say Gay has been extended, children can be kidnapped from affirming parents by non-affirming family, and there is a bathroom bill that subjects trans folks to arrest for using government owned facilities, such as those in courthouses, airports, many stadiums and parks.

The adult effective ban was felt immediately. The main elements are:

signing at every visit an in-person informed consent form created by the state

all care come from physicians instead of nurse practitioners

no telemed for gender-affirming care

Currently, it is unknown if existing HRT prescriptions written by NPs will be honored by pharmacies. I personally know one person who was able to pick up testosterone yesterday, but I have also read many reports of folks being denied. I myself don't have a refill ready for another 10 days and will report back after I try my own pickup.

What's additionally dangerous is those of us, myself included, who get non-HRT prescriptions from our gender clinics now face the uncertainty of continuing of *all* of our medical care. Our health clinics are at risk of shuttering permanently as they lose major income, and many of us will lose STD meds, depression meds, heart meds, etc, etc.

When we say "this will kill us," it goes beyond suicide risk from forced detransition.

"But you can still get HRT from a physician."

So many suck or are outright hostile and the demand outstrips the supply. Before I found my NP-run clinic, one physician just decided to not call in my Rx, another was so shit at reading lab results, he thought I had hepatitis, and the third I had to threaten to kick in the teeth for trying to force too large a speculum in me.

Also, the state-required consent form has not been finalized and distributed yet, so at this point, everything has pretty much ground to a halt.

It was estimated that 80% of trans adults would lose their healthcare because of how many use providers like Planned Parenthood, but the impact seems even greater now.

"You can get your non-gender care elsewhere still."

DeSantis recently signed a bill that allows healthcare professionals to discriminate against trans people.

Sure, we can try to find care elsewhere, but it will be a slow and expensive process, with no guarantees. It took me over 20 years to get my heart condition treated because of transphobic doctors.

What can I do as a trans Floridian?

Stay in communication with your clinic - many are working on getting physicians added to the roster to prescribe HRT. Lawsuits are being filed and it's possible the changes to adult care can be rolled back.

Continue to try to pick up your meds, but begin looking for care elsewhere, though. Inside and outside the state.

Remember that while telemed for gender affirming care has been banned, you can still cross state lines for care. See Erin's map of informed consent clinics.

Many people will turn to DIY, but be sure you are aware of the risks here, especially if on testosterone, which is a controlled substance.

What should I be worried about next as a trans Floridian?

I worry about the following next steps towards genocide:

Banning getting care out of state. This is from the anti-abortion playbook. They will likely start with kids again, but we've seen how quickly adult care gets axed.

Being declared mentally incompetent or a risk in some way. This could be anything from being barred from gun ownership to not being allowed to work for the government.

Being declared a de facto predator. This has already happened with the latest bathroom law (cis people can eject trans people from government owned single-gender facilities, with arrest as a penalty), so watch out for it being applied to privately-owned facilities. Watch for discussions of official lists of trans people.

Gender presentation enforcement laws, essentially banning "cross dressing". Laws that block or rollback documentation changes.

These all have historic precedence and are huge "I'm in danger" red flags.

What can I do as a cis person?

Amplify all this news. Talk frankly about how this is genocide. And donate what you can to trans mutual aid campaigns so people can travel to get healthcare or even leave the state.

Here's some articles to get started on building awareness:

Take care, everyone, of yourself and each other.

[colleendoran]

Great Big Good Omens Graphic Novel Update

AKA A Visit From Bildad the Shuhite.

The past year or so has been one long visit from this guy, whereupon he smiteth my goats and burneth my crops, woe unto the woeful cartoonist.

Gaze upon the horror of Bildad the Shuhite.

You kind of have to be a Good Omens fan to get this joke, but trust me, it's hilarious.

Anyway, as a long time Good Omens novel fan, you may imagine how thrilled I was to get picked to adapt the graphic novel.

 Go me!  

This is quite a task, I have to say, especially since I was originally going to just draw (and color) it, but I ended up writing the adaptation as well. Tricky to fit a 400 page novel into a 160-ish page graphic novel, especially when so much of the humor is dependent on the language, and not necessarily on the visuals.

Not complainin', just sayin'.

Anyway, I started out the gate like a herd of turtles, because  right away I got COVID which knocked me on my butt. 

And COVID brain fog? That's a thing. I already struggle with brain fog due to autoimmune disease, and COVID made it worse.

Not complainin' just sayin'.

This set a few of the assignments on my plate back, which pushed starting Good Omens back. 

But hey, big fat lead time! No worries!

Then my computer crawled toward the grave.

My trusty MAC Pro Tower was nearly 15 years old when its sturdy heart ground to a near-halt with daily crashes. I finally got around to doing some diagnostics; some of its little brain actions were at 5% functionality. I had no reliable backups.

There are so many issues with getting a new computer when you haven't had a new computer or peripherals in nearly fifteen years and all of your software, including your Photoshop program is fifteen years old.

At the time, I was still on rural internet...which means dial-up speed.

Whatever you have for internet in the city, roll that clock back to about 2001.

That's what I had. I not only had to replace almost all of my hardware but I had to load and update all programs at dial-up speed.

Welcome to my gigabyte hell.

The entire process of replacing the equipment and programs took weeks and then I had to relearn all the software.

All of this was super expensive in terms of money and time cost.

But I was not daunted! Nosirree!

I still had a huge lead time! I can do anything! I have an iron will!

And boy, howdy, I was going to need it.

At about the same time, a big fatcat quadrillionaire client who had hired me years ago to develop a big, major transmedia project for which I was paid almost entirely in stock, went bankrupt leaving everyone holding the bag, and taking a huge chunk of my future retirement fund with it.

I wrote a very snarky almost hilarious Patreon post about it, but am not entirely in a position to speak freely because I don't want to get sued. Even though I had to go to court over it, (and I had to do that over Zoom at dial-up speed,) I'm pretty sure I'll never get anything out of this drama, and neither will anyone else involved, except millionaire dude and his buddies who all walked away with huge multi-million dollar bonuses weeks before they declared bankruptcy, all the while claiming they would not declare bankruptcy.

Even the accountant got $250,000 a month to shut down the business, while creators got nothing.

That in itself was enough drama for the year, but we were only at February by that point, and with all those months left, 2023 had a lot more to throw at me.

Fresh from my return from my Society of Illustrators show, and a lovely time at MOCCA, it was time to face practical medical issues, health updates, screening, and the like. I did my adult duty and then went back to work hoping for no news, but still had a weird feeling there would be news.

I know everyone says that, but I mean it. I had a bad feeling.

Then there was news.

I was called back for tests and more tests. This took weeks. The ubiquitous biopsy looked, even to me staring at the screen in real time, like bad news. 

It also hurt like a mofo after the anesthesia wore off. I wasn't expecting that.

Then I got the official bad news.

Cancer which runs in my family finally got me. Frankly, I was surprised I didn't get it sooner.

Stage 0, and treatment would likely be fast and complication-free. Face the peril, get it over with, and get back to work. 

I requested surgery months in the future so I could finish Good Omens first, but my doc convinced me the risk of waiting was too great. Get it done now.

"You're really healthy," my doc said. Despite an auto-immune issue which plagues me, I am way healthier than the average schmoe of late middle age. She informed me I would not even need any chemo or radiation if I took care of this now.

So I canceled my appearance at San Diego Comic Con. I did not inform the Good Omens team of my issues right away, thinking this would not interfere with my work schedule, but I did contact my agent to inform her of the issue. I also contacted a lawyer to rewrite my will and make sure the team had access to my digital files in case there were complications.

Then I got back to work, and hoped for the best.

Eff this guy.

Before I could even plant my carcass on the surgery table, I got a massive case of ocular shingles.

I didn't even know there was such a thing. 

There I was, minding my own business. I go to bed one night with a scratchy eye, and by 4 PM the next day, I was in the emergency room being told if I didn't get immediate specialist treatment, I was in big trouble.

I got transferred to another hospital and got all the scary details, with the extra horrid news that I could not possibly have cancer surgery until I was free of shingles, and if I did not follow a rather brutal treatment procedure - which meant super-painful  eye drops every half hour, twenty-four hours a day and daily hospital treatment - I could lose the eye entirely, or be blinded, or best case scenario, get permanent eye damage.

What was even funnier (yeah, hilarity) is the drops are so toxic if you don't use the medication just right, you can go blind anyway.

Hi Ho.

Ulcer is on the right. That big green blob.

I had just finished telling my cancer surgeon I did not even really care about getting cancer, was happy it was just stage zero, had no issues with scarring, wanted no reconstruction, all I cared about was my work. 

Just cut it out and get me back to work.

And now I wondered if I was going to lose my ability to work anyway.

Shingles often accompanies cancer because of the stress on the immune system, and yeah, it's not pretty. This is me looking like all heck after I started to get better.

The first couple of weeks were pretty demoralizing as I expected a straight trajectory to wellness. But it was up and down all the way. 

Some days I could not see out of either eye at all. The swelling was so bad that I had to reach around to my good eye to prop the lid open. Light sensitivity made seeing out of either eye almost impossible. Outdoors, even with sunglasses, I had to be led around by the hand.

I had an amazing doctor. I meticulously followed his instructions, and I think he was surprised I did. The treatment is really difficult, and if you don't do it just right no matter how painful it gets, you will be sorry. 

To my amazement, after about a month, my doctor informed me I had no vision loss in the eye at all. "This never happens," he said.

I'd spent a couple of weeks there trying to learn to draw in the near-dark with one eye, and in the end, I got all my sight back.

I could no longer wear contact lenses (I don't really wear them anyway, unless I'm going to the movies,) would need hard core sun protection for awhile, and the neuralgia and sun sensitivity were likely to linger. But I could get back to work.

I have never been more grateful in my life.

Neuralgia sucks, by the way, I'm still dealing with it months later.

Anyway, I decided to finally go ahead and tell the Good Omens team what was going on, especially since this was all happening around the time the Kickstarter was gearing up.

Now that I was sure I'd passed the eye peril, and my surgery for Stage 0 was going to be no big deal, I figured all was a go. I was still pretty uncomfortable and weak, and my ideal deadline was blown, but with the book not coming out for more than a year, all would be OK. I quit a bunch of jobs I had lined up to start after Good Omens, since the project was going to run far longer than I'd planned.

Everybody on the team was super-nice, and I was pretty optimistic at this time. But work was going pretty slow during, as you may imagine.

But again...lots of lead time still left, go me.

Then I finally got my surgery.

Which was not as happy an experience as I had been hoping for.

My family said the doc came out of the operating room looking like she'd been pulled backwards through a pipe, She informed them the tumor which looked tiny on the scan was "...huge and her insides are a mess."

Which was super not fun news.

Eff this guy.

The tumor was hiding behind some dense tissue and cysts. After more tests, it was determined I'd need another surgery and was going to have to get further treatments after all.

The biopsy had been really painful, but the discomfort was gone after about a week, so no biggee. The second surgery was, weirdly, not as painful as the biopsy, but the fatigue was big time.

By then, the Good Omens Kickstarter had about run its course, and the record-breaker was both gratifying and a source of immense social pressure.

I'd already turned most of my social media over to an assistant, and I'm glad I did.

But the next surgery was what really kicked me on my keister.

All in all, they took out an area the size of a baseball. It was  hard to move and wiped me out for weeks and weeks. I could not take care of myself. I'd begun losing hair by this time anyway, and finally just lopped it off since it was too heavy for me to care for myself. The cut hides the bald spots pretty well.

After about a month, I got the go-ahead to travel to my show at the San Diego Comic Con Museum (which is running until the first week of April, BTW). I was very happy I had enough energy to do it. But as soon as I got back, I had to return to treatment.

Since I live way out in the country, going into the city to various hospitals and pharmacies was a real challenge. I made more than 100 trips last year, and a drive to the compounding pharmacy which produced the specialist eye medicine I could not get anywhere else was six hours alone.

Naturally, I wasn't getting anything done during this time.

But at least my main hospital is super swank.

The oncology treatment went smoothly, until it didn't. The feels don't hit you until the end. By then I was flattened.

So flattened that I was too weak to control myself, fell over, and smashed my face into some equipment.

Nearly tore off my damn nostril.

Eff this guy.

Anyway, it was a bad year.

Here's what went right.

I have a good health insurance policy. The final tally on my health care costs ended up being about $150,000. I paid about 18% of that, including insurance. I had a high deductible and some experimental medicine insurance didn't cover. I had savings,  enough to cover the months I wasn't working, and my Patreon is also very supportive. So you didn't see me running a Gofundme or anything.

Thanks to everyone who ever bought one of my books.

No, none of that money was Good Omens Kickstarter money. I won't get most of my pay on that for months, which is just as well because it kept my taxes lower last year when I needed a break.

So, yay.

My nose is nearly healed. I opted out of plastic surgery, and it just sealed up by itself. I'll never be ready for my closeup, but who the hell cares.

I got to ring the bell.

I had a very, VERY hard time getting back to work, especially with regard to focus and concentration. My work hours dropped by over 2/3. I was so fractured and weak, time kept slipping away while I sat in the studio like a zombie. Most of the last six months were a wash.

I assumed focus issues were due (in part) to stress, so sought counseling. This seemed like a good idea at first, but when the counselor asked me to detail my issues with anxiety, I spent two weeks doing just that and getting way more anxious, which was not helpful.

After that I went EFF THIS NOISE, I want practical tools, not touchy feelies (no judgment on people who need touchy-feelies, I need a pragmatic solution and I need it now,) so tried using the body doubling focus group technique for concentration and deep work.

Within two weeks, I returned to normal work hours.

I got rural broadband, jumping me from dial up speed to 1 GB per second.

It's a miracle.

Massive doses of Vitamin D3 and K2. Yay.

The new computer works great.

The Kickstarter did so well, we got to expand the graphic novel to 200 pages. Double yay.

I'm running late, but everyone on the Good Omens team is super supportive. I don't know if I am going to make the book late or not, but if I do, well, it surely wasn't on purpose, and it won't be super late anyway. I still have months of lead time left.

I used to be something of a social media addict, but now I hardly ever even look at it, haven't been directly on some sites in over a year, and no longer miss it. It used to seem important and now doesn't.

More time for real life.

While I think the last year aged me about twenty years, I actually like me better with short hair. I'm keeping it.

OK. Rough year. 

Not complainin', just sayin'.

Back to work on The Book.

And only a day left to vote for Good Omens, Neil Gaiman, and Sandman in the Comicscene Awards. Thanks. 

[candlecoo-sideb-art]

So... I have a bit of an announcement to make. It’s hard for me to make and I don’t really know how to eloquently state it, so I just will.

In early July I was diagnosed with cancer, and a rare form of cancer too. Rare enough that the closest specialist is four hours away. Thankfully from what I’ve been told so far, my prospects look good, but we’ve been playing it by ear. However, the time between now and recovery may be long, painful and far too expensive.

 And that’s the difficult part for me to bring up. I was working on a tight budget even before my health became an issue, but it’s even more so now. With medical and school bills now on top of my already strict funds it feels like I’m drowning. I’ve been taking up more hours at work even though I should be on bed rest just to make ends meet, but this will only last so long.

With encouragement from a friend, I set up a donation page on my Ko-fi, now I won’t ask you to donate. But just reading this and possibly sharing this post will be more than enough help! I hope you all will be understanding as well if my content becomes less frequent because of this major life event and I appreciate your patience. However, if you do find that it is possible to help in these trying times, I am so grateful.

Either way if you decide to donate, share this post or have simply read to the end, I wish to say thank you. It has always been my dream to share my passion and work with others and to inspire those who see it. You all make me feel seen and have inspired me to be more. Thank you for making my dream come true and I hope to share more with you all for a long time to come.

Ko-fi

[cy-cyborg]

Writing and drawing amputee characters: Not every amputee wears prosthetics (and that's ok)

Not every amputee wears prosthetics, and not doing so is not a sign that they've "given up".

It's a bit of a trope that I've noticed that when an amputee, leg amputees in particular, don't wear prosthetics in media its often used as a sign that they've given up hope/stopped trying/ are depressed etc. If/when they start feeling better, they'll start wearing their prosthetics again, usually accompanied by triumphant or inspiring music (if it's a movie). The most famous example of this is in Forest Gump, Where Dan spends most of the movie after loosing his legs wishing he'd died instead. He does eventually come around, and him finally moving from his wheelchair to prosthetics is meant to highlight this.

The thing is, it's not that it's unrealistic - in fact my last major mental health spiral was started because one of my prosthetics was being a shit and wouldn't go on properly, despite fitting perfectly at the prosthetist's the day before. I'm not going to use my legs when I'm not in a good headspace, but the problem is, this is the only time non-prosthetic using amputees ever get representation: to show how sad they are. Even if that's not what the creator/writer necessarily intended, audiences will often make that assumption on their own unless you're very careful and intentional about how you frame it, because it's what existing media has taught them to expect.

But there are lots of reasons why someone might not use prosthetics:

they might not need them: this is more common in arm amputees because of how difficult it can be to use arm prosthetic, especially above-elbow prosthetics. Most folks learn how to get on without them pretty well. In fact, most of the arm amputees I know don't have prosthetics, or only have them for specific tasks (e.g. I knew a girl who had a prosthetic hand made specifically for rowing, but that's all she used it for).

Other mobility aids just work better for them: for me, I'm faster, more manoeuvrable and can be out for longer when I'm in my wheelchair than I ever could on my prosthetics. Youtube/tik tok creator Josh Sundquist has said the same thing about his crutches, he just feels better using them than his prosthetic. This isn't the case for everyone of course, but it is for some of us. Especially people with above-knee prosthetics, in my experience.

Other disabilities make them harder to use: Some people are unable to use prosthetics due to other disabilities, or even other amputations. Yeah, as it turns out, a lot of prosthetics are only really designed for single-limb amputees. While they're usable for multi-limb amps, they're much harder to use or they might not be able to access every feature. For example, the prosthetic knee I have has the ability to monitor the walk cycle of the other leg and match it as close as possible - but that only works if you have a full leg on the other side. Likewise, my nan didn't like using her prosthetic, as she had limited movement in her shoulders that meant she physically couldn't move her arms in the right way to get her leg on without help.

Prosthetics are expensive in some parts of the world: not everyone can afford a prosthetic. My left prosthetic costs around $5,000 Australian dollars, but my right one (the above knee) cost $125,000AUD. It's the most expensive thing I own that I only got because my country pays for medical equipment for disabled folks. Some places subsidise the cost, but paying 10% of $125,000 is still $12,500. Then in some places, if you don't have insurance, you have to pay for that all by yourself. Even with insurance you still have to pay some of it depending on your cover. Arm prosthetics are even more expensive. Sure, both arms and legs do have cheaper options available, but they're often extremely difficult to use. You get what you pay for.

they aren't suitable for every type of environment: Prosthetics can be finicky and modern ones can be kind of sensitive to the elements. My home town was in a coastal lowland - this means lots of beaches and lots of swamp filled with salty/brackish water. The metals used in prosthetics don't hold up well in those conditions, and so they would rust quicker, I needed to clean them more, I needed to empty sand out of my foot ALL THE TIME (there always seemed to be more. It was like a bag of holding but it was just sand). Some prosthetics can't get wet at all. There were a few amputees who moved to the area when I was older who just didn't bother lol. It wasn't worth the extra effort needed for the maintenance.

People have allergies to the prosthetic material: This is less of a problem in the modern day, but some people are allergic to the materials their prosthetics are made from. You can usually find an alternative but depending on the type of allergy, some people are allergic to the replacements too.

Some people just don't like them.

There's nothing wrong with choosing to go without a prosthetic. There's nothing wrong with deciding they aren't for you. It doesn't make you a failure or sad or anything else. Using or not using prosthetics is a completely morally neutral thing.

Please, if you're writing amputees, consider if a prosthetic really is the best mobility aid for your character and consider having your characters go without, or at least mix it up a bit.

For example, Xari, one of the main characters in my comic, uses prosthetics unsupported and with crutches, and uses a wheelchair. They alternate between them throughout the story.

[hhnguyen]

aren’t you just precious

Everything medical related was a google search, so those in the medical field please don’t come for me - I was a literature major for a reason 😭

♢ Pairing: Parents!Jake & Neytiri x Oldest daughter!Reader

♢ Word count: 2k 

♢ Genre: suspense, action, angst, slight humor - Warnings: explicit description of injuries, blood, cursing, reader is a lil crazy

⌲ Description: Your iknimaya goes a little south. Aka introducing the ‘demon ikran.’

M A S T E R L I S T

Jake Sully, a marine veteran at the age of twenty-two had gone through absolute hell on earth before ever setting his disabled ass on Pandora. 

He thought he had seen the worse - comrades shot down right in front of his eyes, the blood covering their skin, blank dead eyes staring into his soul. Sometimes there were those who were actually blown to bits by bombs and grenades, screaming not even five feet away from him as they clutched their missing limbs, begging a nonexistent God for mercy.

Then there was his own injury. The pain he hardly remembered, because he had gotten to the point of delusion when they finally managed to drag him out of the war zone, half dead, and to the VA hospital.  

The incoherent words he had heard after waking up from his surgery despite his hazy vision and buzzing hearing at that time, yet the truth coming out of the doctor’s mouth had still hit him in the face like the largest ‘fuck you and your life’ to exist. 

“...ave severe spinal injury...fixable...expensive, marine.”

A severe spinal injury that was fixable but too expensive for a marine like him to afford. 

For an active man as he had been in the past, the thought of being paralyzed from the waist had been his worst nightmare to the point of being ready to waste away his life. 

Though even after all that shit, Jake Sully felt like he wanted to throw up as he stared at his oldest baby girl at the fresh age of fourteen laying there in front of him; delirious as he had once been in the same position, bleeding and bruised. 

He could only thank Eywa that your heart was still beating and your body intact. 

Well, mostly. 

The almost nauseous angle of your left wrist certainly did not look natural. And their bones were fortified, stronger than anything else to human knowledge. Yet it had managed to snap as easily as that. 

Neytiri - his beautiful, poor mate. She was distraught, one would say more so than him. Sitting only inches away from your fevering form in one of Hell’s Gate treating rooms for avatars, muttering prayers with dried tears upon her face. 

Your injuries had been so severe that not even the abilities of your grandmother, the Tsahik, could heal you solely through the spiritual power of Eywa. These kinds of injuries needed the advanced surgery of human technology. 

His other children were barred from coming inside, having been firmly ordered to remain in their village as he and Neytiri made sure that you would be okay. None of them wanted to keep them away, but neither did they want them to be traumatized by seeing your bloodied and broken form. 

A stark contrast from the smiling and proud sister that they knew. 

And yet, you had still managed to complete your iknimaya. 

Jake watched with a bated breath from the air upon Bob, his own faithful ikran through the years, as he saw the slight encouraging push Neytiri had given you on the edge of the nesting place. Your, oh so small form, looked firm and stubborn as you steadily stalked forward in a crouched form, the band for the beak held in your grasp with determination. 

He watched as one ikran flew away. Then another. And another. A third one. Fourth. Fifth. Sixth. 

He had lost count after the eleventh. 

You were getting frustrated, he could see that. Neytiri was still there, calling out for you to calm down. To be patient as he moved Bob a little bit closer, but not too much to distract you if you were to see him hovering. 

And there he was. 

Jake had seen it before you did. The vicious screech even reached him high up in the clouds and echoed above all the other ikrans. 

He felt his blood run cold as the midnight blue beast, nearly black in color with its yellow and green detailing jumped down from the highest point of the rocks and landed behind you as you whirled around with snarl of your own. 

But then as fleeting as it had been, you had grinned, taking in the magnificent animal despite its bloodthirsty aggressiveness. 

“Aren’t you just precious?” Neytiri had told him of your words in the aftermath. 

His mate hollered in encouragement, and he could hardly stop the prideful tug of his own lips. 

Rather than you leaping on the beast, Jake straightened up as he saw the ikran run at you as well. Both were only inches away from crashing, as you last minute decided to slide beneath its belly - slight enough to fit as you rolled away on the other side and then slung the catcher around its mouth swiftly before throwing yourself on its back. 

His expectations had been hopeful from that moment. Positive. But wrong, oh so wrong. 

Rather than trying to snap at you by turning, he watched in horror as the ikran seemed to have a human mind as it slammed against a stone wall, you hitting it first. 

Neytiri had screamed, already half leaping forward but stopping herself as she saw you still clinging to the beast. 

Both had thought that had been the worst of it until the ikran tried it again. This time deliberately falling backward to land on its back with a rumble, where you were hung on. 

“LET GO MA ‘ITE! LET GO!” Neytiri was yelling. Or begging. He couldn’t be sure in his own fear. 

But both of them underestimate you, as a growl mixed with what Jake had assumed to be a painful yell from yourself erupted. Legs manage to wrap around the animal’s neck despite being crushed underneath its weight. 

He saw belatedly you were only holding on to the banshee catcher with one hand as you pulled at its head hard enough to make the animal let out another vicious muted screech. 

And then you truly proved you were his daughter. 

“C’MON YOU MOTHERFUCKER. GRANDPA BOB WAS BETTER THAN THIS!”

The ikran had gotten angrier, trashing before suddenly rolling like a fucking bowling pin on the stone-covered ground. 

Towards the edge of the cliff. 

Neytiri ran, and Jake dove, both reaching out and screaming your name as you and the ikran fell off the edge. 

As his mate leaned almost desperately over the edge, Jake forced himself to draw Bob back up, only for a few seconds - not to interfere with the rite. But it was in those few seconds he felt like his heart had stopped beating. 

There was that familiar screech again. 

Then you were soaring. 

Up in a straight line, past Neytiri and him. Tsaheylu clearly made as the ikran listened to your orders. 

There was a blinding grin on your face as you soared, clearly looking for him and letting out a whoop. 

The moment your eyes caught his, Jake felt his grin slip. 

Your eyes, open just moments before suddenly rolled back. Your whole body went slack as you fell over the side, your newly bonded ikran screeching at the sudden weightless feeling as the bond broke and your body went straight down. 

Jake hadn’t heard his desperate yell, this time diving down without stopping. 

He thought you were dead when he managed to catch you and flew back up, only to have Neytiri meet him in the air on her own mount, an expression so clearly in distress. Without a word, they both made haste back to the village, your newly bonded ikran following closely behind. 

“How is she?” His voice sounded like it had gone over fifty years of smoking with no water. It felt like his whole body was weighed down with stones. 

“She’s alive,” that’s all that Max could offer with a grim expression. “She will need surgery. The momentum of her slamming repeatedly against stones with the ikran’s weight on top has managed to collapse a lung.”

Jake had never wanted to sob like a newborn baby until now. But he needed to remain calm, or at least sane. For Neytiri’s sake, and your siblings.

“Usually surgeries like these lead to long-term conditions in life, but we’re certain that with the Na’vi biology she will heal just fine without complications. But it’s the healing that will take time.”

He was nodding along, but it felt like he was far away. Only hearing a slight inconsistent sound in his ears as he watched through the see-through glass into the room where you were all connected up to tubes and an oxygen mask. 

It was so human, the whole situation of you being in a hospital bed for avatars - Jake wanted to laugh. Not in humor, but maybe in slight delusion at the situation. 

“Okay, okay…” he swallowed. “Anything else?”

His human friend was taking pity on him, Jake knew. 

Max has been there since the beginning. Seeing Jake growing his own family and now being placed in this position. “Besides the broken wrist and strained ankle, it’s mostly cuts and bruises. So she will have to wear a brace as well as remain seated for the next week or so. And check-ups every three days.“

“Yeah, we can do that,” Jake croaked. “When’s the surgery?”

“As soon as possible.”

Another nod. “Thanks, man.”

“Of course.”

He had to nearly pry Netytiri away from you as she snarled protectively. But he had to explain that she couldn’t join in on the surgery due to contamination concerns. The whole room had to be fixed to match that of a Na’vi body, the surgeons wearing oxygen masks as the space was filled with Pandora’s toxic air for your sake. 

It was an open lung surgery, Jake had been told. A risky procedure even on earth. It had taken four hours. Four hours full of anxiety and fear. 

But you had pulled through, Max said, Norm closely behind with a relieved teary smile himself. The man was like another uncle to the kids despite his avatar form. He had watched their ceremonies, rites and connections to Eywa. So to Norm, this was just like a family member to him. 

You had slept for a full day and a half after the surgery, still confined to the avatar hospital room before your eyes had fluttered open with difficulty. A cough erupted followed by your painful whine at the action.

Netytiri had hushed you gently, crouching down and stroking your hair back. Fresh tears fell at seeing you conscious again after so long, sobs breaking out as you flashed a sleepy smile at her. 

Neytiri had felt like Eywa had pulled the entirety of Pandora away from underneath her feet during the hours of your examination and surgery. Clutching Jake to her and never wanting to let go as her oldest baby was at the mercy of nature and your own will to live through. 

But she knew. 

You were strong. You always had been. And you had fought. 

Neytiri had never imagined a day when one of her biggest nightmares nearly came to pass. 

To lose one of her children. 

She would rather throw herself off the highest point on Ayram alusìng than lose one of her precious babies before their time. She believed in Eywa with her whole heart and soul and knew their beings were only borrowed and one day had to be returned. 

But Eywa would not take her children away from her until Neytiri herself agreed. 

Until that time, she would do anything to protect them. But to have it happen during one of their most treasured rites in life had prevented her from doing many things. 

Interfering for once. Because you had said so before as if knowing how horribly wrong it could go. 

“Do not stop me, mama. I can do this on my own.”

Of course, you could. And you did. 

Despite having to brush the doors to Eywa’s home yourself to succeed. 

And as your parents carefully helped you back home to the village after five days of observation at Hell’s Gate after your surgery, you couldn’t help but snicker despite the stabs of pain.  

Your mom had admonished you gently to not aggravate your wounds. Whereas your dad held back the roll of his eyes with amusement tickling the sides of his mouth. 

“Why are you laughing, flower?”

Your grin was shit-eating as you looked up at him.

“My iknimaya was so much cooler than Toruk Makto’s.”

“You little skxawng.”

I feel like I lowkey pulled this one out of my ass, but oh well. 

taglist: @nao-cchi @eywas-heir @ssc7514 @spicycloudsalad @calums-betch @httpjiikook @ricecakeslove @fanboyluvr @iwaslikeblah   @the-wandering-pan-ace @avatarloversblog @eternallyvenus @enchantinggoateefox @arianapntn @heydemonsitsme @slyvixen1029​ @promiseofeywa @love13tter @directioner5life @bambisposts-blogs​ @melllinaa​  @sugarmummystuff6​ @lovekeeho​ @hai-kbai​

[lorax177]

Fun fatphobia fact of the day:

CMS/HCC is a way for insurance companies to estimate how much money a patient will cost to insure, based on the major problems they have.

This is my list of diagnoses.

I blacked out one of them because it is my intersex condition and has to do with my assigned gender, which I don't want to be associated with my online presence. Also, there are a few repeats because doctors will put in their own phrasing, so sometimes when I switch doctors, I get re-diagnosed with the same thing, with slightly different wording. It's also missing a few diagnoses i got as a kid, namely my autism and a comprehensive list of the specific learning disorders I have, because I didn't think they were relevant to a general practitioner and i didn't want them on my record for safety reasons. Anyways, you'll notice that there are several of them that have the aforementioned CMS/HCC label. Those are schizoaffective disorder, major depression (which is part of my sza,) and two counts of "morbid obesity". My adhd, which I need to take two different medications daily to treat sufficiently enough to function, is not labeled as a major disorder, but my size is. Twice!

You'll notice that nowhere on this list is any diagnosis that is supposedly related to my fatness. That is because, metabolically speaking, my health is perfect. My lipids, a1c, blood pressure, pulse, and o2 are all in the excellent range. I am not on any kind of medications for any of these, either. The fact that I have more body tissue than their ideal, which has no bearing on my actual health, is considered more important to address than my neurodevelopmental disorder that requires two expensive medications to treat. They think that I am more of a risk for them because of an imagined bogeyman of a diagnosis ("morbid obesity", aka being fat) than something which actually has real life functional and financial consequences (my severe combined type adhd). Or, for that matter, my ocd, which I needed intensive outpatient therapy for; my transgender identity, which has cost them thousands of dollars in hormones and surgery; my asthma, which requires two medications to treat; and my gerd, which requires one.

I'm not advocating for medical insurance companies to make it harder for people with these diagnoses to get treatment. I'm just pointing out that the medical system sees me as a drain on their resources specifically because of my weight rather than the diagnoses that actually cost them money (albeit with one exception). They think my adipose tissue, which is not causing me any health problems, is more important to note than most of my legitimate health problems.

That is medical fatphobia.

[lesservillain]

Growing up, you've always been known as a people pleaser. Ever the altruist, you take joy in helping others, even if it's at your own expense. So when you decided to pursue a degree in nursing after high school the people in your life were less than surprised. As you enter your second year of schooling, you decide to enroll in a program to assist those affected by the earthquakes in Hawkin's that happened back in the spring. But, when you volunteered to take on a case of someone who had been turned down by everyone else, you had no idea that you were signing up for your life to change forever.

content warnings: canon divergent, eddie lives, grumpy!eddie disabled!eddie, nurse!reader, medical talks, violence and all that comes with it, major character death, suicidal ideation and all that comes with it, eventual smut. each chapter will have its own warnings.

the playlist

chapter list:

i. did you get what you deserve?

ii. gotta promise not to stop when i say "when"

iii. the smoke and who's still standing when it clears

iv. someone like you and all you know and how you speak

v. i want to hold the hand inside you

vi. i run the risk of losing you, and that’s worse

vii. when you lay alone, i ache

viii. love is not a victory march

ix. i’m inside out, you’re underneath

x. in some sad way, I already know

xi. and the reason is you

misc:

moodboard

[outcider]

This whole James Somerton thing makes me want to go around and yell at random people that the marriage equality push of the 90s wasn't about white picket fences, it was about getting people healthcare in an epidemic. Did marriage equality help everyone equally? No, and it's important to acknowledge that. But when you've got a lot population of people not getting HIV/AIDS treatment and you can massively reduce that amount and pass the bill off to major corporations, you do so. Also, reducing the amount of uninsured in your community means that those left each getting a bigger piece of the charity and grant money.

Also, straight people were swooping in and feasting on the dying. Some of the families that kicked their kids out still had legal rights and could decide that their kid 'wouldn't want' extreme life saving measures, too undignified. Also, none of the expensive AZT stuff, it's experimental don't you know. The cheaper their death was, the bigger the bag the families got.

People were dying alone. Spouses were being cut off from ever seeing the loves of their life again the moment they went into the hospitals. They were sitting at homing knowing that uncaring blood relatives were making decisions.

Were some people into marriage equality for respectability? Sure. As James Somerton has shown, just because you are gay doesn't mean you aren't a festering pile of shit. However, almost all the energy and donations came from people horrified at stories of people dying alone, not getting potentially life saving medications, and the spouses, and sometimes kids, who were powerless and had to just wait, and then let the blood relations take every dollar, every personal item, everything the person they loved had ever created.

[rockatanskette]

Semi-related to my post on how human conservation practices, but I have a cold today, and it's got me thinking about biological altruism—the biological imperative to put other creatures ahead of yourself, to benefit the group.

When talking about possible interactions with other species, we talk a lot about humans being crazy and thrill-seeking and impossible to kill. Never use a warning shot as an incentive to keep humans out of a fight; it'll just make them angry. And that's true. But a valid criticism I've seen in the "Earth is a death world" community is that according to our understanding of evolution, every planet must be some form of death world. Competition fosters evolution—the wolf with sharper claws survives when its litter mates die. You can't reach space travel without some casualties along the way.

But the dog survives because it makes friends with the strange ape carrying a sharp stick. And the strange ape survives because it befriends the wolf. Underneath the death world is an inextricable and undeniable layer of the bond world; the love world; the world, together.

I imagine some worlds are not death worlds. They're peaceful and tranquil. I suspect there are worlds far more deadly than Earth, where the skies rain diamonds, harder than any substance we know with the species to match. And I imagine that they are united in their confusion at the duality of humankind.

Today is a great example: I have a cold, and I want someone to take care of me, but the people who would are immunocompromised, also sick, or live 8 hours away, respectfully. I also want no one within the walls of my apartment or I will eat them. I feel gross, I feel tired, and I don't want a single human being anywhere near me, even if they did bring soup.

In my constant scrolling through my phone today, I decided to look up why the hell I feel so bad—why everyone feels so bad when they're ill. And the answer surprised me. I always thought it was because your immune system is active, so it's using a lot of your energy. That is part of it. Another part is that your brain and body are communicating across the blood-brain barrier to fight the infection, which is rare and energetically expensive.

But that doesn't explain everything, and according to more current research, it could also be what's called the Eyam Hypothesis: that we feel so gross, so we instinctively isolate from other people. We're too tired to deal with others, and so we don't infect them. Misanthropy for the good of the species. Of course, it can also backfire: one of the criticisms of the Eyam Hypothesis is that humans also instinctively care for each other. If my brother has a headache, I drive to the store for Advil.

Personally, I think it's a little bit of both: biological altruism. Either way, the majority live on. The first thought I had this morning when I woke up wasn't "I feel gross" it was "there's no way I'm going to work today." And while that might not be everyone's first thought, you don't even have to be a particularly altruistic person to not want to leave your home or your bed when you're sick. It's inborn.

And so when the human named Ismail comes down with a case of the interstellar common cold, his alien friend Dyos grows very concerned. Ismail is usually intensely social, almost off-puttingly so. Some crew members joke about how his quarters are for sleeping and prayer only; if he's home alone? You should be worried. But when Dyos demands an answer to the severity of Ismail's malady, the other humans just nod knowingly.

"Nah, he's okay, the medics already cleared him. It's not a severe infection."

"But there are so many...fluids. And his body has changed color."

There is a moment of confusion there until they remember that Dyos's species can see in the infrared color spectrum.

"Nah, that's just a low-grade fever. It should break in the next couple days."

"But he doesn’t want to play chess today," Dyos insists.

"Ohhhh," says human Claudia, finally understanding. "No, that's normal. Humans don't like being around other people when they're sick, it's supposed to be one of the major evolutionary advantages. Protect your community from your illness and the genes live on."

"So we're just going to leave him alone?" Dyos is troubled by this. He can go for weeks without speaking to another life form, but he has seen Ismail grow despondent when unable to participate in social gathering.

"Oh, no," human Claudia says, laughing. "We're going to employ one of the other most longstanding human evolutionary advantages."

There are many to choose from and Dyos settles on, "middle age?"

"Sort of," human Claudia opens up a small shipping container and holds up a brown paper bag tied with a colorful ribbon. It glows brightly in Dyos's vision, almost as brightly as human Claudia's smile. "His nanni's hot soup, express delivery."