#family practice medical clinic

[woodlawnclinic]

Family Medical Centre - Woodlawn Wellness Center

Woodlawn Family Practice are aware, finding family doctors in Mississauga who are taking on new patients can be difficult.But don't worry, our family medical Centre, which offers caring, comprehensive healthcare, has room for you and your loved ones. With a wide range of services that include routine check-ups, acute illness care, vaccines, and preventive screenings, our doctors provide comprehensive care that is tailored to each family member's unique needs. As part of our continuum of care commitment, we provide a wide selection of solutions to ensure a lifelong relationship with our dedicated team.

Visit our website for more details: https://woodlawn.clinic/family-doctors/

[boxhillsuperclinicaustralia]

https://www.boxhillsuperclinic.com.au/

Appointments now for family, bulk billing, general practitioners, Geriatrician, Gastroenterologist, Cardiologist, Allied Health, Physiotherapy, Dietician, Sleep Studies, Hearing Test and many others medical treatments from Boxhill Superclinic in Melbourne. 

[reasonsforhope]

Story from the Washington Post here, non-paywall version here.

Washington Post stop blocking linksharing and shit challenge.

"The young woman was catatonic, stuck at the nurses’ station — unmoving, unblinking and unknowing of where or who she was.

Her name was April Burrell.

Before she became a patient, April had been an outgoing, straight-A student majoring in accounting at the University of Maryland Eastern Shore. But after a traumatic event when she was 21, April suddenly developed psychosis and became lost in a constant state of visual and auditory hallucinations. The former high school valedictorian could no longer communicate, bathe or take care of herself.

April was diagnosed with a severe form of schizophrenia, an often devastating mental illness that affects approximately 1 percent of the global population and can drastically impair how patients behave and perceive reality.

“She was the first person I ever saw as a patient,” said Sander Markx, director of precision psychiatry at Columbia University, who was still a medical student in 2000 when he first encountered April. “She is, to this day, the sickest patient I’ve ever seen.” ...

It would be nearly two decades before their paths crossed again. But in 2018, another chance encounter led to several medical discoveries...

Markx and his colleagues discovered that although April’s illness was clinically indistinguishable from schizophrenia, she also had lupus, an underlying and treatable autoimmune condition that was attacking her brain.

After months of targeted treatments [for lupus] — and more than two decades trapped in her mind — April woke up.

The awakening of April — and the successful treatment of other people with similar conditions — now stand to transform care for some of psychiatry’s sickest patients, many of whom are languishing in mental institutions.

Researchers working with the New York state mental health-care system have identified about 200 patients with autoimmune diseases, some institutionalized for years, who may be helped by the discovery.

And scientists around the world, including Germany and Britain, are conducting similar research, finding that underlying autoimmune and inflammatory processes may be more common in patients with a variety of psychiatric syndromes than previously believed.

Although the current research probably will help only a small subset of patients, the impact of the work is already beginning to reshape the practice of psychiatry and the way many cases of mental illness are diagnosed and treated.

“These are the forgotten souls,” said Markx. “We’re not just improving the lives of these people, but we’re bringing them back from a place that I didn’t think they could come back from.” ...

Waking up after two decades

The medical team set to work counteracting April’s rampaging immune system and started April on an intensive immunotherapy treatment for neuropsychiatric lupus...

The regimen is grueling, requiring a month-long break between each of the six rounds to allow the immune system to recover. But April started showing signs of improvement almost immediately...

A joyful reunion

“I’ve always wanted my sister to get back to who she was,” Guy Burrell said.

In 2020, April was deemed mentally competent to discharge herself from the psychiatric hospital where she had lived for nearly two decades, and she moved to a rehabilitation center...

Because of visiting restrictions related to covid, the family’s face-to-face reunion with April was delayed until last year. April’s brother, sister-in-law and their kids were finally able to visit her at a rehabilitation center, and the occasion was tearful and joyous.

“When she came in there, you would’ve thought she was a brand-new person,” Guy Burrell said. “She knew all of us, remembered different stuff from back when she was a child.” ...

The family felt as if they’d witnessed a miracle.

“She was hugging me, she was holding my hand,” Guy Burrell said. “You might as well have thrown a parade because we were so happy, because we hadn’t seen her like that in, like, forever.”

“It was like she came home,” Markx said. “We never thought that was possible.”

...After April’s unexpected recovery, the medical team put out an alert to the hospital system to identify any patients with antibody markers for autoimmune disease. A few months later, Anca Askanase, a rheumatologist and director of the Columbia Lupus Center,who had been on April’s treatment team, approached Markx. “I think we found our girl,” she said.

Bringing back Devine

When Devine Cruz was 9, she began to hear voices. At first, the voices fought with one another. But as she grew older, the voices would talk about her, [and over the years, things got worse].

For more than a decade, the young woman moved in and out of hospitals for treatment. Her symptoms included visual and auditory hallucinations, as well as delusions that prevented her from living a normal life.

Devine was eventually diagnosed with schizoaffective disorder, which can result in symptoms of both schizophrenia and bipolar disorder. She also was diagnosed with intellectual disability.

She was on a laundry list of drugs — two antipsychotic medications, lithium, clonazepam, Ativan and benztropine — that came with a litany of side effects but didn’t resolve all her symptoms...

She also had lupus, which she had been diagnosed with when she was about 14, although doctors had never made a connection between the disease and her mental health...

Last August, the medical team prescribed monthly immunosuppressive infusions of corticosteroids and chemotherapy drugs, a regime similar to what April had been given a few years prior. By October, there were already dramatic signs of improvement.

“She was like ‘Yeah, I gotta go,’” Markx said. “‘Like, I’ve been missing out.’”

After several treatments, Devine began developing awareness that the voices in her head were different from real voices, a sign that she was reconnecting with reality. She finished her sixth and final round of infusions in January.

In March, she was well enough to meet with a reporter. “I feel like I’m already better,” Devine said during a conversation in Markx’s office at the New York State Psychiatric Institute, where she was treated. “I feel myself being a person that I was supposed to be my whole entire life.” ...

Her recovery is remarkable for several reasons, her doctors said. The voices and visions have stopped. And she no longer meets the diagnostic criteria for either schizoaffective disorder or intellectual disability, Markx said...

Today, Devine lives with her mother and is leading a more active and engaged life. She helps her mother cook, goes to the grocery store and navigates public transportation to keep her appointments. She is even babysitting her siblings’ young children — listening to music, taking them to the park or watching “Frozen 2” — responsibilities her family never would have entrusted her with before her recovery.

Expanding the search for more patients

While it is likely that only a subset of people diagnosed with schizophrenia and psychotic disorders have an underlying autoimmune condition, Markx and other doctors believe there are probably many more patients whose psychiatric conditions are caused or exacerbated by autoimmune issues...

The cases of April and Devine also helped inspire the development of the SNF Center for Precision Psychiatry and Mental Health at Columbia, which was named for the Stavros Niarchos Foundation, which awarded it a $75 million grant in April. The goal of the center is to develop new treatments based on specific genetic and autoimmune causes of psychiatric illness, said Joseph Gogos, co-director of the SNF Center.

Markx said he has begun care and treatment on about 40 patients since the SNF Center opened. The SNF Center is working with the New York State Office of Mental Health, which oversees one of the largest public mental health systems in America, to conduct whole genome sequencing and autoimmunity screening on inpatients at long-term facilities.

For “the most disabled, the sickest of the sick, even if we can help just a small fraction of them, by doing these detailed analyses, that’s worth something,” said Thomas Smith, chief medical officer for the New York State Office of Mental Health. “You’re helping save someone’s life, get them out of the hospital, have them live in the community, go home.”

Discussions are underway to extend the search to the 20,000 outpatients in the New York state system as well. Serious psychiatric disorders, like schizophrenia, are more likely to be undertreated in underprivileged groups. And autoimmune disorders like lupus disproportionately affect women and people of color with more severity.

Changing psychiatric care

How many people ultimately will be helped by the research remains a subject of debate in the scientific community. But the research has spurred excitement about the potential to better understand what is going on in the brain during serious mental illness...

Emerging research has implicated inflammation and immunological dysfunction as potential players in a variety of neuropsychiatric conditions, including schizophrenia, depression and autism.

“It opens new treatment possibilities to patients that used to be treated very differently,” said Ludger Tebartz van Elst, a professor of psychiatry and psychotherapy at University Medical Clinic Freiburg in Germany.

In one study, published last year in Molecular Psychiatry, Tebartz van Elst and his colleagues identified 91 psychiatric patients with suspected autoimmune diseases, and reported that immunotherapies benefited the majority of them.

Belinda Lennox, head of the psychiatry department at the University of Oxford, is enrolling patients in clinical trials to test the effectiveness of immunotherapy for autoimmune psychosis patients.

As a result of the research, screenings for immunological markers in psychotic patients are already routine in Germany, where psychiatrists regularly collect samples from cerebrospinal fluid.

Markx is also doing similar screening with his patients. He believes highly sensitive and inexpensive blood tests to detect different antibodies should become part of the standard screening protocol for psychosis.

Also on the horizon: more targeted immunotherapy rather than current “sledgehammer approaches” that suppress the immune system on a broad level, said George Yancopoulos, the co-founder and president of the pharmaceutical company Regeneron.

“I think we’re at the dawn of a new era. This is just the beginning,” said Yancopoulos."

-via The Washington Post, June 1, 2023

[slyandthefamilybook]

since we now know that all those "my blog is safe for Jewish people" posts are bullshit, here are some Jewish organizations you can donate to if you actually want to prove you support Jews. put up or shut up

FIGHTING HUNGER

Masbia - Kosher soup kitchens in New York

MAZON - Practices and promotes a multifaceted approach to hunger relief, recognizing the importance of responding to hungry peoples' immediate need for nutrition and sustenance while also working to advance long-term solutions

Tomchei Shabbos - Provides food and other supplies so that poor Jews can celebrate the Sabbath and the Jewish holidays

FINANCIAL AID

Ahavas Yisrael - Providing aid for low-income Jews in Baltimore

Hebrew Free Loan Society - Provides interest-free loans to low-income Jews in New York and more

GLOBAL AID

American Jewish Joint Distribution Committee - Offers aid to Jewish populations in Central and Eastern Europe as well as in the Middle East through a network of social and community assistance programs. In addition, the JDC contributes millions of dollars in disaster relief and development assistance to non-Jewish communities

American Jewish World Service - Fighting poverty and advancing human rights around the world

Hebrew Immigrant Aid Society - Providing aid to immigrants and refugees around the world

Jewish World Watch - Dedicated to fighting genocides around the world

MEDICAL AID

Sharsheret - Support for cancer patients, especially breast cancer

SOCIAL SERVICES

The Aleph Institute - Provides support and supplies for Jews in prison and their families, and helps Jewish convicts reintegrate into society

Bet Tzedek - Free legal services in LA

Bikur Cholim - Providing support including kosher food for Jews who have been hospitalized in the US, Australia, Canada, Brazil, and Israel

Blue Card Fund - Critical aid for holocaust survivors

Chai Lifeline - An org that's very close to my heart. They help families with members with disabilities in Baltimore

Chana - Support network for Jews in Baltimore facing domestic violence, sexual abuse, and elder abuse

Community Alliance for Jewish-Affiliated Cemetaries - Care of abandoned and at-risk Jewish cemetaries

Crown Heights Central Jewish Community Council - Provides services to community residents including assistance to the elderly, housing, employment and job training, youth services, and a food bank

Hands On Tzedakah - Supports essential safety-net programs addressing hunger, poverty, health care and disaster relief, as well as scholarship support to students in need

Hebrew Free Burial Association

Jewish Board of Family and Children's Services - Programs include early childhood and learning, children and adolescent services, mental health outpatient clinics for teenagers, people living with developmental disabilities, adults living with mental illness, domestic violence and preventive services, housing, Jewish community services, counseling, volunteering, and professional and leadership development

Jewish Caring Network - Providing aid for families facing serious illnesses

Jewish Family Service - Food security, housing stability, mental health counseling, aging care, employment support, refugee resettlement, chaplaincy, and disability services

Jewish Relief Agency - Serving low-income families in Philadelphia

Jewish Social Services Agency - Supporting people’s mental health, helping people with disabilities find meaningful jobs, caring for older adults so they can safely age at home, and offering dignity and comfort to hospice patients

Jewish Women's Foundation Metropolitan Chicago - Aiding Jewish women in Chicago

Metropolitan Council on Jewish Poverty - Crisis intervention and family violence services, housing development funds, food programs, career services, and home services

Misaskim - Jewish death and burial services

Our Place - Mentoring troubled Jewish adolescents and to bring awareness of substance abuse to teens and children

Tiferes Golda - Special education for Jewish girls in Baltimore

Yachad - Support for Jews with disabilities

[genderqueerdykes]

Resources for trans refugees looking to relocate to/living in Minnesota (MN)

For trans folk in the Midwestern United States, or anywhere else in the country seeking refuge from transphobic legislature, Minnesota has shown to be a safer state than many in this geographical region.

Bill HF416 was passed in 2023 marked the state as a trans refuge state. This bill prevents out-of-state laws from interfering with the practice of gender-affirming care. This bill also prohibits trans children seeking medical transition being removed from their families, even if out-of-state laws would permit the removal of the child from their parents' care.

The sponsor of this bill is a trans woman and the first trans representative in Minnesotan Legislature. She publicly stated that anti-trans laws enacted or being proposed in other states are part of a cruel agenda to create a culture of fear in children, their parents and adults.

If you are the parent of a trans child, or are trans yourself and are worried about your children being removed from your care, this may be a good option for you. If you are already located in MN, these guides may also be of benefit to you, as the resource document is very extensive.

The Minnesota Trans & Intersex Resource Network have compiled these resource documents for folks who are interested in relocating, or for folks who already live in Minnesota:

Even if you are not planning to relocate, please spread this information so people who are, or are living in Minnesota, can benefit from this. Thank you for reading, and best of luck to everyone who is seeking refuge. We all deserve safety.

[seiwas]

three-part honesty | todoroki shouto

wc: 16.3k

summary: honesty, you've realized, is shouto’s most cunning trait—a quality that's endeared you over the years now rendering you into a stuttering, fumbling mess like never before. 

contains: intended as f!reader but no pronouns used, reader wears heels, a skirt, & a dress, post-canon (divergent), aged-up pro-hero!shouto and assistant!reader, workplace romance, development of feelings, confessions, boss/assistant dynamics, co-workers to lovers (ish), todoroki family dynamics and healing, fluff, slow burn.  

sequel to: two-part something ao3 mirror

a/n: primarily from shouto’s perspective but switching of character pov’s is denoted by ‘( )’. i enjoyed the entire process of writing this fic and hope you do too! 

sponsored by @arcvenes for the @ficsforgaza initiative. please do check it out and support if you can! this is also my submission for the pretty boy summer collab by @andypantsx3.

I. LISTEN CLOSELY

Much to his relief, Shouto’s yearly health check-up turns out just fine. 

His blood work results come back stellar, levels all floating within normal range; some x-rays and scans reveal injuries healing up nicely—that collarbone he’d fractured months ago, especially. Save for a few recommendations on better sleep and stress management, Shouto receives no additional diagnoses for anything particularly concerning. 

Except for this one thing—

“Maybe you have a crush.” Natsuo sinks into the backrest of his chair. A slight ‘squeak’ sounds from its springs as he props one foot up on his knee and clasps his hands over his stomach. 

Shouto thinks it must be some doctor pose; Natsuo’s been doing it more often now that he’s gotten deeper into his medical practice. 

In Shouto’s final year at UA, Natsuo made the decision to fully shift into Pre-Med. The aftermath of the war left a big portion of Musutafu lost and in dire need of a society to believe in. To Natsuo, this felt like a calling; an effort of playing his part to restore faith in a better, functioning system that did not discriminate. Internal medicine felt expansive in that way.

This, of course, also meant that Natsuo was now the (unofficial) assigned private and personal doctor of the Todoroki family—to Shouto, mostly. 

So—

A… Crush?

“How does that happen?” Shouto turns to his brother, head tilted in confusion. His brows furrow slightly. 

This isn’t what he was expecting at all. 

“I mean, you said it in your text,” Natsuo reaches for his phone, clicking it open to scroll. The light from his screen reflects on the gray of his irises; then, he air quotes, “you said: ‘my chest feels weird’, then when I asked if anything happened,” his index finger glides across the screen, swiping through a long block of text uncharacteristic of Shouto’s typical dry responses.

“You detailed the entire scene of–” he pauses for a moment, squinting to find a specific line, “–a santa hat? Being put on you, or something. You didn’t mention who but I figured it was—” 

You, Shouto thinks, at the moment Natsuo says your name. That same two-part thump sounds in his ears. 

You, who’s stayed by his side for the past five, nearly six years. You’ve carved your presence so deeply into his life, it’s become an undercurrent in his speech. He doesn’t even think of having to say your name when he talks about you. 

You, and how he turns over this familiarity with you inside his brain. How everyone knows—

“—who else stays with you in the agency past office hours, anyway?” 

Natsuo raises an eyebrow, knowing. 

“We’ve been working together for a while.” Shouto replies, lips pressed firmly into a small pout. 

If he’s being honest, he’s not sure what compelled him to say something Natsuo already knows. To state the obvious? Or to argue, maybe? To act in denial? To express disbelief? 

He takes a long breath, surveying Natsuo’s clinic. The walls are pristine white, the desk and examination bed the same shade of ashen gray—a conscious choice to keep patients calm; ironic, given the state of his thoughts right now. 

Shouto’s mind is buzzing, and Natsuo watches the muddled confusion in his little brother’s eyes shift and swirl in blue-gray emotion. Then he chuckles, holding onto his arm rests as he stands up from the other side of his desk. 

“It can happen, Shouto.” he plants a palm on his little brother’s head, ruffling red and white the way he would have when they were teens, “It’s been years, right? Feelings can develop over time, that sorta thing, you know?” 

Shouto lets the realization settle in. 

Under the weight of his brother’s hand, he feels like a kid again—right before all the training started; and right before being kept away, excluded from the childhood he could have had with his siblings. 

Shouto feels like a teen again, without the trauma, without the war, being taught things about life and himself, about feelings he never had the time nor capacity to explore.

The two-part thump continues, beating. 

A crush. On you. Huh. 

The rustling of his hair dusts strands of warm, fuzzy feelings over his eyelids. 

This feels… new, he thinks. 

.

.

.

Shouto knows his Mondays. 

He gets to Shouto Agency an hour before everyone else does because he likes the stillness of it right before the day turns busy. The sun is up but only barely, casting a soft glow of blue and orange hues through the floor-to-ceiling windows of his office. 

This habit began years ago, back when the agency functioned on the 7th floor of a commercial building. It was called Flashfreeze then, and even though it had an entire floor of 24 office units, being in a commercial building still meant sharing common areas with other companies and agencies. The morning rush left the elevators flooded in utter chaos daily. 

To Shouto, going in early meant less people and less noise—a quiet bube he could use to prepare himself for the rest of the day.  

A lot has changed since then: the agency’s move into a larger, newly constructed building of its own; staff, interns, and sidekicks quadrupling in numbers; better office spaces, bigger teams, more facilities—a big expansion, essentially. 

Somehow, despite being more settled in the industry, he finds that the days feel even busier than before. 

So, Shouto keeps his Mondays the same: his preference of coming in early carrying itself into this newer, much larger and private office space, and his same habit of brewing himself a cup of tea finding its own spot by the small kitchen nook you helped design during the construction of his office space. 

Everything about his office is optimized for efficiency: the backdoor, where he enters from on most days, opens to an elevator with a matching staircase that both lead straight down to the costume unit, training grounds, and his own parking area; the blinds of his windows automatically draw up and down at set times of the day; and the minimalism of his entire space is carefully considered, with every area plotted for easy navigation. 

It’s sleek and neat, sharp edges and clean lines, straightforward much like he is. Cold, for the most part, save for the corners touched by your warmth.

Pale yellow jars sit on the counter of his kitchen nook, with each one housing sugar, cinnamon, and his stash of tea.  

When he looks more closely around the room, he spots the fresh flowers on his desk—a vase of luscious white chrysanthemums starkly contrasting the dark grays and browns of his interiors; they tell him you must be in already, because even when he manages to come in an hour ahead, you always, without fail, beat him to it 30 minutes too early. 

And also, like always, you enter his office in the same way you do every Monday morning. 

Your heels clack against his stone flooring, marking your arrival. He turns to face you from the kitchen nook, cup of tea in hand as he greets you. 

“Good morning.” 

You jolt, nearly tripping. Your head whips up quickly as you clutch a mass of folders tightly to your chest. 

He takes a sip of his tea, the corners of his lips curling slightly on the edge of his cup. 

“Si–” you clear your throat, correcting yourself as you take a breath. Then you smile warmly, bowing your head slightly, “Shouto, good morning.” 

“You scared me a bit there,” you add with a soft chuckle. 

It’s endearing, he thinks, seeing you caught off guard, so out of your usual composure.

You loosen your grip on the folders, “I just came to place this on your desk,” your finger taps against the plastic, “I didn’t notice you were here already, sorry.” 

“No worries,” he sets down his tea cup, pocketing one hand in his sweatpants, “do you want some tea?” 

“I’m good, thank you,” you shake your head, walking towards his desk to set the folders down, “Just a couple of debriefs for the case last month.” 

He nods, eyes tracking your movement around the room. You pause then turn to him, clicking your pen as you say, “Let me get your schedule so we can do the run-down.” 

Shouto moves to his desk when you leave, settling into the few squeaks and cracks of the leather chair you helped restore using your quirk—the ability to minimally reconstruct organic matter. 

Not even a few minutes pass until you return, a tablet perched on the crook of your elbow with a digital pen in hand. 

This is part of his Monday routine. 

The agenda you follow is the same: a schedule run-down for the coming week, any notable trips or events, report updates, and department updates. Occasionally, PR will have you relay messages they have trouble communicating nicely—most of the time, they involve suggestions for him to ‘smile more’ or ‘answer questions more enthusiastically’. 

You have no problem telling him these things straight up, and he has no issue hearing it directly from you, either. 

For this week, you detail a few meetings scheduled for tomorrow and Wednesday, along with updates on his costume revisions, to be fitted on Wednesday afternoon, and—

“Deku requested a joint patrol on Thursday morning, so I moved your fitting for the gala to that evening instead. Is that okay with you?” you look up from your tablet, the tip of your pen hovering over the screen. 

In this light, you’re bathed in the colors of sunrise. 

(From where you’re standing, Shouto is backlit by the rising sun. His figure is washed over by a faded shadow, but you can see his eyes clearly, bright turquoise and dark gray staring right at you.

You hold your breath; you are well aware of Shouto’s tendencies to stare, but he’s taking much longer to answer you this time. And you don’t know what to do, where to look. Do you wait until—)

Shouto nods, catching himself lingering. 

You mumble an ‘okay’ before tapping on your tablet. 

The rest of your reminders are about upcoming events and deadlines: there’s the company team building happening in a few weeks, and a few reports due today and tomorrow. Fuyumi moved the family lunch to Saturday to make way for his photoshoot on Sunday. 

He watches you from his desk as you speak, your foot tapping in conjunction with each item you relay to him, as if marking every point. It’s a thing you do, something he’s noticed in the years you’ve worked together. 

Shouto knows his Mondays, and he’s always been relaxed during these earlier parts of it. 

But ever since that check-up with Natsuo, he’s been more… conscious about it lately. It seems to be a consistent trend that every time he’s around you, he feels a significant uptick in his heartbeat. 

Except now, when you speak—

“Will you be bringing a plus-one to the gala this year? The committee is confirming how many seats they’ll reserve for you.” 

—his heart feels like it drops, plummeting straight to his stomach. 

He looks at you intently, a slight crease forming between his brows. 

You go to most of these things with him; you always have, ever since. 

So, why are you even asking? 

He thinks about it, deciding what to say next. The thought of you not going with him feels weird. Unusual. 

If you’re unavailable, he supposes he can just go alone. 

But—

“What should I do then?” Shouto shifts in his seat, peering up at his brother. 

Natsuo’s instinctive reaction is to laugh; after all, it’s not often that you see pro-hero Shouto at a loss on troubleshooting. But when he spots pure and genuine uncertainty swirling in heterochromatic gray and blue, he sees his little brother—Shouto at ages 4, 8, and 12, still a little helpless on what to do.

“Do you want to do something about it?” Natsuo asks gently, squeezing Shouto’s shoulders. 

Shouto doesn’t say anything. 

The lack of response tells him all he needs to know. 

“Maybe figure that out first, then just be honest about it when the time comes. Nothing beats saying it plain and simple.” 

—‘just be honest about it’ echoes in his head, Natsuo’s voice morphing into his own.

“Will you not be available?” he manages to ask flatly, masking his worry. 

(You look up from your tablet and his eyes meet yours, an intensity in his gaze that’s only been directed at you a handful of times before.) 

“Oh,” you fluster a little, shifting your weight, “I will be, but I just thought…”

He can hear you hesitate, voice trailing off as if contemplating your next words. His head dips to coax you to go on. 

“...I just thought, maybe you’d want to bring someone from your family?” you give a small smile, half-genuine, half-uncertain. 

You know Shouto’s family; know their stories and know what each of them are like, individually. 

You know how far they’ve come into healing, seeing Touya through multiple cycles of rehab and relapse. You’ve witnessed his mother’s strength first-hand, watching her rebuild their family with the help of Fuyumi. On the weekends when work wouldn’t let up for Shouto, she’d welcome you to join in family lunches too. 

There were days during Natsuo’s medical internship when he’d go to the office at midnight because the hospital was nearby. It was the only free time he and Shouto had at the time, but Natsuo would ask you to join in, the three of you slurping on cup noodles while Natsuo prattled on about the absurdity of some of his coworkers. 

So, Shouto can fully understand your intentions. After all, he thinks you’ve been instrumental to his family’s healing, too. 

But he has his reasons for never bringing Fuyumi—she usually has school the next day, if not volunteer work at an orphanage. Natsuo has gotten increasingly busier with his practice, and Touya—Touya is still in rehab, and though he’s allowed at home three times a week, Shouto’s sure he’d rather spend it doing things other than being in a room full of pro-heroes. 

“It might be nice to bring your mom,” you add on.

And as for that—

“The gala is this Friday?” he leans forward, the tips of his bangs brushing his eyelids. 

You nod.

“She and Touya are going to the gardens,” he recalls, his mother casually mentioning it the last time he visited. 

You look pleasantly surprised, “Oh,” then your small smile returns, “that’s good to hear.” 

(It must mean a lot to Rei, you think. She’s always wanted to make up for lost time.) 

You don’t say anything else, silence filling the conversation as you hold his gaze.

It isn’t uncommon for Shouto to hold stare-offs, with you especially, but this might just be the first time he feels fully conscious about it—wondering what you’re thinking; if you can read his mind and tell what he’s thinking. 

“Do you not want to join me?” he asks, a small pout forming on his face. 

(The softness of his cheeks sink just a little bit, and his eyes lose some of the luster they typically carry in the morning. 

He looks so sad, you wish you just said yes in the first place. 

How do you even respond to this?) 

“No, n-no–” you stutter, inching forward subconsciously, “–it’s nothing like that.” 

You check your tablet, swiping through your calendar. He can see portions of it from where he’s sitting, your Friday definitely freed up and empty. 

He pushes himself up, standing to full-height. His hands dig into the pockets of his sweatpants as he tilts his head to the side. 

“What seems to be the problem then?” 

(In your years of knowing Shouto, you’ve learned that he never intends to sound harsh even though his words may seem like it. But even though you’re aware that he only means to be curious, you still feel a little embarrassed admitting that you didn’t anticipate the possibility of going to the gala with him this Friday. 

You’ve always been prepared; it’s in your job description to be like this. You should have had a back-up dress just in case. You shouldn’t have shown Shouto your hesitation in the first place.

So, you breathe out, voice level and calm. This is your problem to fix, you don’t have to let him know about it. You’ll find a way, like you always do.) 

“There’s no problem. I’ll add my name to the list then.”

Then you smile, but it’s just a touch uneasy, and if there’s one thing you underestimate about Shouto—for just as much as you know him, he’s gotten to know you pretty well too. 

He pauses. The last thing he would want is for you to feel forced to go.

“If you have other plans, I hope you don’t feel obligated to go. I can go alone.”

His brows furrow, crease deepening and heart still sinking. 

(And you can see it, that little pout on his face staying right where it is. 

You’re endeared, touched by his consideration.

“I don’t have other plans,” you grin, brighter and more at ease, “and I don’t feel forced to go either,” you sigh, hiding a small chuckle. 

A pause. 

You mull it over before deciding to admit why you were hesitant in the first place, “I thought you were going to bring your mom, so I wasn’t able to prepare a dress.”)

Shouto’s eyes widen slightly, mouth opening to express his apologies. 

“But–!” you interrupt, “That’s my fault,” you raise your hand, swaying it side-to-side. “So please don’t worry about it. I’ll take care of it.” 

The smile on your face is meant to reassure him, he knows, but he still feels guilty. 

This Friday’s gala is the Annual Midyear Pro-Hero Awards; it’s grand because it’s important, and the dress code is always black-tie—everything typically made custom. 

He tilts his head slightly, thinking, eyes zeroing in on the small calendar propped up on his desk.

“My suit is being made by Bakugo’s parents, correct?” 

You nod, reiterating, “Your final fitting is on Thursday night.”

His gaze flits to you once again. 

(There’s that look in his eyes you’ve become all too familiar with—a glint of mischief accompanying a sort-of ‘Eureka!’ moment that means he’s thought of something.

The pieces click together, realization dawning upon you, but when you open your mouth to refuse—)

“I can ask them to do yours as well.” Shouto beats you to it. 

It wouldn’t be fair for you to scramble for your outfit last minute simply because he assumed you knew you were going. You shouldn’t be more stressed than you already are. 

“Si– Shouto,” you say firmly, “That’s too much.” 

“I’m sure they won’t mind,” he flashes you a small smile. 

(And you hate to admit it, but he’s right.

The Bakugo’s have known you for as long as you’ve been Shouto’s assistant. They’ve consistently designed his suits for big events like the Pro-Hero Awards, and Mitsuki has always extended their services to you too, knowing full well that you are Shouto’s plus-one most of the time. 

She likes to chat with you during suit pick-ups, with Masaru serving you a cup of tea as you wait for minor tweaks and adjustments to Shouto’s outfits. 

“It would be too last minute,” you resist, feeling bad for the hassle this would impose on them.

“Then I can call them later today.” Shouto reaches for his phone, eagerly typing what you assume is a reminder to call Mitsuki some time later, just as he said he would. 

“You–” your voice hesitates, “you don’t have to do that. I can contact their secretary–”

This is part of your job, after all. 

“It will be much faster if I call them directly.” 

And while he does have a point, you still feel bad, inching closer towards his desk, “It’s okay, you shouldn’t have to concern yourself with this–” 

He gives you a look. 

You stop moving. 

Shouto is stubborn, this much you know. When he looks like this, you’re well aware that there’s no point dissuading him from doing something he’s already set his mind to.)

“It’s only right given that I told you last minute.” 

He tells this to you sincerely; it really is the least he can do. 

Besides—

“…be honest…” the words replay in his head.

—he swallows his truth; lets it sink deep into stomach along with that two-part thump in his chest. 

“I only feel comfortable going to these with you, anyway.” 

(Your mind blanks, coming up with nothing else to say but ‘okay’.) 

.

.

.

Cameras flash as Shouto steps down from his van. 

The building ahead of him is colossal, tall pillars and perfect arches made of raw stone and marble—it feels both ancient and otherworldly, fitting to represent Musutafu in this new age. Ahead of him, the staircase stretches on, steps spanning the width of half a block. Down its center cascades a luscious carpet, thick velvet that further lends to the grandeur of the event. 

Standing at the foot of the staircase, Shouto takes a moment to unbutton his suit jacket, revealing his perfectly fitted waistcoat underneath. 

(You know he isn’t doing it on purpose; it’s hardly ever Shouto’s intention to make people swoon, but you’re positive that that one move alone can make anyone melt on sight—you included.) 

Tonight is the Annual Midyear Pro-Hero Awards, a prestigious event where hero rankings, major announcements, and charity biddings take place. 

(It’s not anything new to the both of you, but Shouto skipped out on the past two, and it’s been years since you joined him on the last one he went to. Being here again after so long makes you feel a little out of practice.

After he scales the flight of stairs ahead, Shouto turns back to you, offering his arm for support as you step down from the vehicle. You hesitate, partly because you don’t know whether it’s acceptable behavior for you to take it, and also because you don’t remember if this was something you did the last time you went to one of these with him.

You can’t think straight—not when he looks as seraphic as he does, face half-illuminated by the lights behind him with the shadows hugging the softness of his cheeks. 

Shouto is beautiful, a fact you’ve known long before you ever even started working with him; but you’re reminded of that fact in moments like this, especially. 

“The steps are tall,” he tells you, shaking you out of your thoughts as you glance back at the staircase behind him. You try not to stare, but the strands that frame his forehead shift from his sudden movement; it scatters into a perfect mess—characteristic of how anything out of place always seems to look on him.

You take his offer.)

His forearm is firm against your palm, the thick fabric of his suit jacket providing cushion for your touch. When he bends it towards his chest, your fingers slip towards the crook of his elbow. 

Scarlet red contrasts the building’s stone white structures, the carpet providing a center stage for all heroes and public figures to parade their outfits. If not for the photographers yelling, “Shouto, right!” and “Shouto, left!”, he would have gone straight inside, barely pausing on the landings between each flight of stairs. 

You stand to the side when he takes them, just as you always do. But between each flash that goes off, Shouto thinks about whether you should join him too; after all, Mitsuki did intend for the dark navy of your dress to match the stone gray of his three-piece suit. 

When you finally arrive at the lobby of the city hall, the two of you are welcomed into a receiving area adorned with crystal chandeliers. The lights bounce off the sharp white edges of the building’s neoclassical interiors, the carpet’s scarlet red returning as a recurring motif in the form of drapes cascading from the high ceilings and down the sides of the room.

By this time, Shouto’s relaxed a bit more, his hand slipping loosely into his front pocket. 

(You don’t realize you’re still holding onto him until you’re midway across the floor.) 

“Hey, you guys!” Kirishima waves over, squeezing himself within a narrow space between the backs of who look like one of the executives of the hero commission and last year’s awarded peace ambassador. 

(You don’t know how he could have possibly fit, the width of him wider than any pro-hero you know, but you chuckle at his timid mumbles of “sorry, excuse me, just passing through.” It reminds you of how he typically approaches you when he asks for favors regarding joint patrols and assignments with Shouto.

He greets you both with his trademark hug, a bone-crushing grip that leaves you a little winded.) 

“I didn’t know the two of you were coming!” 

“It was a last minute decision,” Shouto smiles, small and fond. 

(You look at Shouto intently from beside Kirishima, as if processing what he means. And when his eyes meet yours, you feel caught, shy, averting your gaze quickly.)

Kirishima clears his throat, no doubt noticing the interaction but choosing to focus on something else instead—Shouto’s outfit, a dark navy tie tucked underneath a fitted gray waistcoat; the white collar of his button down peeking through the all stone-gray ensemble. His hair is styled down, bangs curled inwards to form commas that frame his forehead.  

“Looking good, man.” the red head deflects, joining his index finger and thumb to form an ‘O-K’ sign as he nods at Shouto. Then he turns to you, the same genuine smile on his face as he says, “That color really suits you.” 

You smile sheepishly, mumbling, “Thanks.” 

(Kirishima is a sweetheart; you can never doubt that his intentions are pure. But the attention makes you feel a little self-conscious, even more now that—) 

Shouto looks at you then, again, too.

It’s the only time he’s managed to get a real good look at you if he’s being honest; from the incident in the car to the flashing lights up the staircase, there haven’t been many opportunities to fully see what you’re wearing. 

And—

Kirishima’s right. 

The color really does suit you, but so does the design of your dress—a simple cowl neck joining into halter straps; it dips low at the back, this detail of it, he knows. He’s been careful not to touch you there the entire time so far. It doesn’t help that your hair is tied into a low bun, accentuating the vacant space with how the dress hugs you beautifully in all the right places. 

The dark navy satin was a good choice, the perfect vessel for catching ripples of light. 

It’s simple but classic; understated, just like the accessories you’ve chosen are. And it brings out the one thing he thinks carries this look the most—

You. 

He tries to form the words in his head, urging himself to speak up—he wants to give you a compliment of his own. 

But—

“Bakubro!” Kirishima waves overhead, much like he did earlier. 

—maybe he can try again next time. 

You and Kirishima don’t stay long after Bakugo arrives, Ashido coming in to whisk you and the redhead away to the main room. She loops her arm around yours and pulls you towards her, prompting you to give one last glance at Shouto as an expression of your apologies. 

The corner of his lips curl only the slightest bit. 

Bakugo watches. 

“Don’t forget the drinks, Blasty!” Ashido calls over her shoulder, green silk flowing behind her. 

He tuts, grumbling as he heads towards the reception bar, leaving Shouto in the middle of the receiving area, unsure of where to follow. 

“Y’coming or what?” 

Shouto lingers for a few seconds, watching your back disappear into the hall before he decides to walk after Bakugo.  

The lobby begins to quiet down as people flood into the main event area, a large hall adorned with the same scarlet red drapes and crystal chandeliers. The table arrangements have been pre-selected and arranged, you and the others most likely finding your seats inside. 

“Old hag told me you’re dating.” 

Bakugo speaks, his back still turned to Shouto. 

The bar in front of them offers a generous selection of drinks, all ranging from different wines to cocktails and liquor shots. It isn’t a surprise that Bakugo knows all of his friends’ chosen drinks, down to each specificity—it’s how he shows that he cares. Shouto’s come to learn that over the years. 

Their friendship has settled into its own dynamic as Bakugo’s mellowed down. Shouto will ask a question here and there, and Bakugo will look at him like he’s the dumbest fuck on the planet, but still answer anyway. 

It works, as evidenced by right now. 

Shouto stops right beside Bakugo, leaning against the countertop as he hums, confused, “Who?” 

Bakugo sighs, sliding Shouto his gin and tonic, “Mom.” Then he rolls his eyes, gesturing towards the door of the main room, “She told me you two are finally dating.”

Shouto pauses mid-sip. 

When he recalls the conversation he had with Mitsuki, it went a lot more like:

“Can a dress be made for my assistant as well?” he speaks into the line, “I will be bringing them to the gala.” 

He doesn’t think he insinuated anything. 

But now that he replays it in his head, it’s no wonder Mitsuki’s enthusiastic reply sounded so eager. 

Bakugo snorts, smirking as if his suspicion was just proven right, “Knew that lady was hearin’ shit.” 

The bartender serves up another drink, Ashido’s raspberry daiquiri being placed right in front of the blond before he moves on to mix another one. Clacking ice fills in the silence, the drink coming together inside the shaker. 

Shouto stares at his drink and watches as little bubbles form on the slice of lime submerged in it. 

“Are you at least thinkin’ about it?” the blond faces Shouto, leaning his forearm against the counter. 

Shouto furrows his brows, a single thought running through his mind.

“How did you know?” 

Bakugo stares, deep vermillion as he speaks, deadpan, “You can’t be serious.” 

Shouto stares right back. 

Another drink is served, Kaminari’s mixed drink of vodka, lime, and lemonade.

The stare-off persists for a few seconds, a series of blinks emphasizing Shouto’s cluelessness to the whole ordeal. Because—why does it feel like everyone knows? Did he mention it without knowing? Or is it really just that obvious?

Bakugo sighs, mentally facepalming as he turns back to watch the bartender shake another drink, “Whatever. S’none of my business.” He leans onto the counter, elbows resting on the steeltop. 

Shouto isn’t sure what else to say. He knows that Bakugo is observant, that his friend has always had a keen sense of awareness for the things going on around him; it just never crossed his mind that that would include his interactions with you.

The blond slides over Ashido’s drink, prompting Shouto to hold the flute of the glass between his fingers, “Just don’t be a fuckin’ dumbass about it. Gotta be dense as hell if you think the way you’re treated is part of the job description.”

The bartender serves up the final drink: Sero’s whiskey on the rocks. Bakugo takes it along with Kaminari’s and starts walking back to the main room, Shouto following right behind him. 

He thinks about it. 

A thump. 

Because right before they both enter the hall, Shouto spots you, further back at the right side of the room as you laugh at something Yaoyorozu must have said. 

He blinks, wondering if the soft glow around you is from the haziness of his eyes. 

“If y’don’t do shit first, some other loser will,” Bakugo mumbles, just within ear-shot before he walks ahead to where Kirishima and the others are seated. 

Shouto makes a mental note to drop off Ashido’s drink before heading over to you. 

.

.

.

You and Shouto leave the gala early.

A message from the police station came in the middle of the event: a request to bump up a few reports for submission tomorrow.

You’d mentioned to Shouto that he could stay, especially since he’d be needed to accept awards that you were sure he’d be the recipient of—among them being one of the top performing agencies of the year, a big chunk of it based on the high turnover rate of timely reports. But he insisted that someone else could represent him instead; he’s certain Midoriya wouldn’t mind. 

If you were going back to the agency to work, so was he. 

The night shift at the agency is minimally staffed, with most sidekicks and pro-heroes out on patrol. Regular employees have clocked out by this time, and it seems that the only ones left in the building are the emergency unit and the two of you. 

You’ve split the work between you two: Shouto tasked to fill in the second pages, where the scene-by-scene breakdown and additional comments can be found, and you, in charge of summarizing those details along with all basic information onto the first pages. 

It feels nostalgic, watching you flip through the papers laid out on the coffee table of his lounging area at a quarter past midnight. Back then, he had just hired you, and the only other employees in the agency were his gear tech and PR manager. There was no way the volume of workload could be managed without spending late nights organizing investigations and reports on the floor of that rented studio unit. 

Now, you sit by the coffee table in his lounging area, one you helped decorate. The books atop it have been pushed to the side to give you ample workspace, but even those remind him of how much consideration you’ve put into helping him build his space. 

Bakugo’s words linger when he thinks about it—how the books you’ve chosen remind him of his family. There’s one on the language of flowers that his mother would love, and a cookbook that he’s sure Fuyumi’s used (some corners are folded, with her handwriting scrawled on every other page). On another stack lie a few comic books he remembers Touya and Natsuo reading when they were younger (that he’s pretty sure he’s seen them flip through during their visits to his office over the years).  

And along with all the books sits a family photo taken years ago, framed and taken by you during one of their annual trips to their family beach house a few hours away from the city. 

It begins to sink in. 

A thump.

He folds the sleeves of his button down to his elbows, his gray suit jacket long since draped over the back of his leather chair. You’ve changed out of your heels too, opting instead for the soft slippers you keep under your desk. 

It’s cute, he thinks, the formality of your entire get-up toned down by a pair of fluffy yellow slippers. 

When he glances at you again, he finds you hunched over yourself on the sofa of his lounging area, an arm wrapped around yourself as if to contain whatever warmth you have left. 

He furrows his brows. 

“Are you cold?” his voice booms through the stillness of his office, jostling you out of focus. You whip your head up to look at him, shaking it immediately as if on autopilot. 

(He pouts, then, a small downturn of his lips that you find adorable, more than anything.) 

“I’m okay,” you smile, but he can see the slight twitching of your lip; the goosebumps dotting down your trembling arms. 

You always seem to be doing things like this with him. 

He pushes himself away from his desk, the wheels of his chair rolling against the stone floor. 

You never express your discomfort in any situation you’re put in, and you diligently work and endure all conditions to get the job done. He always extends his help, but you often decline, and—

“You have to be dense as hell if you think the way you’re treated is part of the job description.”

—Shouto is beginning to realize that the way you treat him really is so much more than that. 

You’ve laid the groundwork of the operations in his agency and you always smooth talk your way to getting him out of schedules he mistakenly forgets to show up to (typically with good reason, though). You cover all the areas he misses—this entire building would not be how it looks and functions without your help overseeing its construction. 

You’re organized and driven, eager and compassionate, and you care, above all else. 

The flowers you leave on his desk are never needed, but you always insist on them to keep his space alive. You fix all his clumsy papercuts, even though he never asks you to; he’s dealt with much, much worse, yet it’s only a split-second after you spot it that the tingling of your quirk works its way to mend his split skin. 

It’s just like what happened in the car earlier tonight, a few minutes away from reaching the city hall. Shouto had accidentally cut himself with the invitation to the gala, and though he insisted that it was okay, it was right on his eyelid—a miracle it even missed his eyeball in the first place, you’d commented. 

You managed to convince him then, saying, “It’s going to sting every time you blink.” —which was true; it did sting every time he blinked. 

That care extends to the people in his life too. His mom loves to go to the weekend market with you, and Fuyumi can always count on you to help her cook when she needs an extra hand. You keep up with Natsuo’s jokes and Touya talks to you, long enough conversations that allow him to be himself. 

You care, and you insist upon your care especially when you know he needs it but would never ask for it. 

It’s only fair, then, that it’s time he does the same for you. 

He removes the suit jacket draped over the back of his chair, the movement drawing your attention. 

(Your eyes widen as he approaches you. You feel shy, a little flustered as you raise your hands up to reassure him that you don’t need it.) 

“Your arms are shivering.” he points out, holding up the thick fabric. 

You crane your neck up to look at him, just a few steps away from reach. 

(You can’t deny the facts.)

From above, he only sees skin—the plunging dip of your exposed back, the small hairs standing along your arms. He tries his best to look into your eyes only, but—

“At least let me place this over you.” 

(And you know you can’t deny Shouto, either.) 

—when you concede and let him, he steps closer and bends just a little bit, his full height too tall to be able to place it on you properly. His arms circle around you, carefully resting the thick wool around your neck and onto your shoulders. 

He bends lower to adjust the sleeves, making sure that your arms are fully covered. You’re so still, and so close, the tips of his ears nearly touching the highest points of your cheeks. 

(It’s just like the gala—)

It’s just like the car—

(—with Shouto helping you navigate through the crowd of people exiting the event as early as you both did. His presence was a steady heat against your back, near and warm but barely touching.)

—with your face almost nose-to-nose with his; apart from the gentle touch of your fingertip against his eyelid, Shouto can only remember feeling that, along with the traitorous thump of his heartbeat. 

It’s a good thing that he had his eyes closed then; he wouldn’t have known how to react at the proximity. 

But now, he can see you so clearly, your low bun kept in place by bobby pins the same color of your hair; there’s glitter on the inner corners of your eyes, some of it falling to dot the corners of your nose. 

This has to be more than just a crush if he’s feeling this intensely.  

Your eyes meet for a brief moment, then it’s two blinks before you look away, clearing your throat as you glance at him again, a little bashful, “Thank you.” 

Shouto nods, taking one step back. 

“The estate we booked for the company outing offered to host a visit for you next weekend.” you speak before he fully returns to his seat, shifting in your seat, “I checked your schedule and there’s nothing set for that day yet.” His suit jacket dwarfs you, the deep navy silk becoming an accent the further you sink into it, “Maybe you’d like to go with your mom?”

You suggest it to him again. Because you know and you care. 

He taps his foot, looking out into the city, “That would be nice.” Then he turns back to you, strands of his bangs falling to dust his forehead as he puts his hands inside his pockets, “You’ll be coming too, then?” 

(There are things you don’t allow your heart to feel in moments like this—hope being one of them. Shouto looks dangerously attractive in a suit, and it’s been difficult to keep your feelings at bay the entire night. He speaks honestly, rarely with double meaning, so when he speaks to you like this, you try not to think too much of it. 

“Yes,” you agree, thinking that he must want you to scope out the venue for the company outing activities, “is there anything in particular that you want me to check out for the team building?”)

Shouto tilts his head. 

“Not for work,” he clarifies, staring straight into your eyes. “Just to spend the day with us.” 

He expects your reaction already, your eyes widening and your hands raising to wave off a ‘there’s no need.’ But, he finds that there’s no reason for you to be shy, already beating you to the final say.

“Mom would want you there,” he mentions, because it’s true. She’d look for you. 

And if he’s being completely honest with himself, with how he’s been feeling around you lately—he would too. 

II. IF I SPEAK

The Todoroki family home comes alive on the weekends. 

Since Touya’s return, his mom has moved into a smaller, more modern place to stay. The walls of its exteriors are painted a warm off-white, its features complemented by light wood and bluish-gray accents. At the back exists a garden large enough for a few small trees and her growing flower collection—a complete flip from their larger and darker old home. 

The tall windows stream sunlight into the living space, each corner of the house doused in its comfort. Opting for a smaller home was a conscious choice—everything would be within reach, and so would the people in it. 

On the days that Touya is allowed to stay home from rehab, he lives here, sometimes with Fuyumi, but always with Rei. 

“Food is ready!” Fuyumi calls from the kitchen, prompting Touya and Natsuo to look over from the couch. Shouto is just about to finish setting the table when Rei brings out a piping hot pot of soup, Fuyumi in tow with a whole plate of tonkotsu. 

Natsuo heads inside the kitchen for anything else that might need carrying, and Touya opens the fridge to take out the iced tea he helped make last night.

It’s taken some time to get here—with Touya willingly doing anything with his family. Getting used to living with people he thought abandoned him for a decade is hard; learning to become a family has been even harder. 

But Touya has always lived in a special corner of his mother’s heart—never forgotten and always considered. Shouto thinks it’s the same case for all of them; that’s how it’s managed to work. 

Touya takes his seat beside Shouto, pouring himself a glass of iced tea while waiting for the rest of their family. 

“Played any golf lately?” Touya eyes Shouto from the side.  

Shouto shakes his head, staring at his palms; calluses used to line the base of his fingers, “Work at the agency has gotten busy.” 

Taking up golf has been part of Touya’s rehabilitation program for the past few months, a recommendation to aid in improving focus while keeping himself calm. And though there was much resistance at first, Touya’s grown fond enough of the sport to play it on his own; it’s made all the difference, Shouto’s noticed, his brother’s overall disposition a lot less angry—

“Looks like I’m going to beat your ass next week,” Touya smirks, cracking his wrists. 

—but still equally as snarky.

Shouto doesn’t normally care about competition; the only person he really has to beat is himself. But he and Touya are alike in many ways, with eyes as sharp as their father’s but their faces holding the same innocence as their mother’s. They are both lit up by fires—one forced to blaze and the other forced to dim. There is a bluntness Shouto shares with Touya that no one else in the family can argue with.

“Being too confident can jinx it for you on the fairway,” Shouto replies, turning to his brother with his signature blank gaze. 

Natsuo laughs as he settles into his seat beside Touya, watching as his older brother’s smirk quickly dissolves into a frown. 

“Little shit,” Touya mumbles, taking a sip from his drink. 

The corners of Shouto’s lips curl up slightly. 

Rei and Fuyumi join the table last, bringing out a steaming pot of rice and a few side dishes to complement the rest of the meal. 

These family lunches keep them connected. 

Fuyumi believes that no matter how busy they are, having this time to gather together and share details on each other’s lives is important.

“Sorry I can’t join you and these two next weekend, mom,” Natsuo starts, slicing through his tonkotsu as he points an elbow towards his brothers, “The hospital has a medical mission out of town.” 

Rei simply smiles, waving her hand, “No need to apologize. I’m so proud of you, Natsuo.” 

“Will you be free, Fuyumi?” she turns next to her, placing a hand on Fuyumi’s lap. 

Fuyumi swallows her food, smiling apologetically, “Sorry, mom, the school’s hosting a kiddie pool party for the first day of summer.”  

Rei pats her lap reassuringly, smiling again as she says, “It’s no problem, I’m glad the kids are having fun under your care.” 

“It’ll just be the three of us, then.” Rei looks at her two boys across from her—her eldest and her youngest. 

Touya blows at his bowl, puffs of steam dissipating into the air. For as hot as Touya’s flames can get, he dislikes anything too hot to eat—a preference of his that Rei’s taken note of as she reaches across the table to cool down his bowl ever so slightly. 

“Thanks,” Touya mumbles, still hesitant to call her ‘mom’ when it’s face-to-face. 

“I heard the estate has a greenhouse,” Shouto mentions, Rei instantly perking up at the information, “You can take a look at the plants there, mom.” 

“That sounds lovely, Shouto,” she smiles; this time, it reaches her eyes, “We can take photos in your handsome outfits too.” 

Touya scrunches his nose as Shouto nods. As per the invitation, the estate prepared a whole day’s worth of activities—a game of golf in the morning, brunch by the gardens, and a simple wine tasting to cap off the afternoon. 

Lunch continues with Fuyumi sharing more about the kids she’s handling this year, and Natsuo retelling interactions of the most obnoxious patients he’s had yet. 

They laugh, a little more like a family—Shouto chuckling as Touya gives a snarky comment or two. Fuyumi laughs, full-bodied, and Rei giggles, softly, her hand coming up to cover her mouth. 

“How are your flowers, mom?” Shouto asks after they settle down, remembering that you helped her pick out which ones to plant last time. 

“The morning glories are going to be blooming soon,” Rei replies, her smile fond and proud. Since being released from the hospital years ago, she’s taken to planting and flower arranging, oftentimes asking you to help her choose which ones to use. 

“Really?” Fuyumi turns her head, gasping as she catches a glance from the window across the room, “They look good, mom! Can I have some when they bloom?” 

Rei nods, turning to her youngest, “You can get some too, Shouto.” 

For you, she adds.

Natsuo eyes him from the side as he freezes, Rei suggesting some more, “You can place it in a vase. It’s not fair, you always receive flowers for your desk.” 

Shouto nods, a small ‘okay’ because he doesn’t really know how else to respond without giving his feelings away. 

Touya observes Shouto’s expressions, his eyes twinkling in sinister aquamarine.

“Speaking of,” he shifts in his seat, crossing his legs to face Shouto, “s’your hot assistant coming?” 

Something twists in Shouto’s face, his brows furrowing slightly. 

Touya knows just how to get on Shouto’s nerves.

(What stares back at him is a deadly shade of gray and blue. 

Touya does this pretty often: provoking just for fun. 

Shouto stares at almost everyone he interacts with; it’s unnerving and uncomfortable for people who aren’t used to it, but Touya’s noticed that his little brother stares at you for far longer than he needs to. 

And though he’s missed a big chunk of how Shouto grew up, he likes to think he reads him pretty well now—how he acts around you, especially.

At his core, Shouto believes in carving his own path, choosing to fix wrongs and better himself for the now. Touya knows these things, knows where a person is weakest, just like he’s been taught—just like he’s been made aware of his entire life. Yet, for how independent Shouto’s become, he still chooses to lean on you; turns to you for thoughts and opinions,  considering you in everything. 

Touya has met you a few times; the whole family has. During the worst of his relapse, you were the only person apart from family who was trusted to accompany him in and out of rehab. You picked him up and dropped him off, often joining Rei and Fuyumi on visits when Shouto would be too busy. 

To him, you’re an extension of Shouto at this point—an olive branch that’s been just as instrumental in healing this family and the people in it. 

It’s never in the big things, but those few minutes of small talk you attempt with him in the car ride home help loosen his tongue, training a muscle that with time, has helped him open up more. 

Touya doesn’t care much for people; he’s still just beginning to learn to love his family again, but he thinks you fit in well, because you and Natsuo have the same god-awful humor, and Fuyumi only trusts you to help out in the kitchen. His mom likes having you around, and you never stick your neck in too deep in other people’s shit when they aren’t ready for it—especially his. You never nag Shouto, but you stand firm on the things you disagree with, because as far as Touya can see, you care, far deeper than your job requires you to. 

In all ways, you are the stability and calm authenticity that Shouto needs after growing up in such a tumultuous family.

So, Touya likes to stir the pot a little. Or a lot. Maybe.

Just for fun.)

Shouto continues to stare, his frown deepening. His jaw clenches, tension throbbing in his temples.

“Don’t say it like that,” he mutters, low and firm.

He feels like a kid again; like this would be a conversation they’d be having if things were normal and Touya had been around when Shouto turned 15, teasing him about a crush he might have, like older brothers do. 

Natsuo and Fuyumi have always felt like his protectors, siblings forced to be parents by circumstance; but Touya feels like his brother, the one he can fight and steal food from; the one who holds a toy up above head where Shouto can’t reach—even though he’s much, much taller than his older brother now. 

Touya scoffs, smirking, “Just saying what you think, little brother.”

.

.

.

All Shouto hears is a thump. 

A succession of them, in a steady three-part beat. 

The golf ball in front of him sits on an even plot of vibrant green, its dents and grooves emphasized by the sunlight of the early morning—there’s pressure, a thump; he needs to beat Touya in this hole to tie overall. Another thump; you’re watching him play. 

He analyzes all conditions, feels the heat on his back seep through the fabric of his white golf shirt. He breathes in and prepares to swing. 

Today is the visit to the estate. 

The agenda starts with an early game of golf, followed by brunch at the gardens and wine tasting in the early to late afternoon. It’s a beautiful day, and Shouto should be focusing on winning this game, but it’s distracting when you’re all he’s really thought about since the start of this round. 

—you, in your perfectly fitted white golf shirt and its complementary skirt; you, sitting with his mom at the back of the golf cart, smiling and laughing as if you aren’t the slightest bit aware of how much you brighten a space when you look like that. You, with your head whipping right in his direction when you hear the loud ‘swauck!’ that the impact of his club makes with the ball—your eyes excited and hopeful. 

Shouto misses the hole, and Touya snickers from the side. 

The thumbs up you give him is a soothing balm to his miss.

Shouto readjusts his cap as they walk closer to the hole, tucking in the strands of hair clinging to his forehead. He glances back at you and lingers, interrupted only by—

“Pretty thing, your assistant,” Touya teases, nudging his head towards your direction, “Cute skirt and all.” 

“Stop.” Shouto stares, impassive and unamused. His eyebrow twitches before he turns, walking away. 

From afar, he can hear Touya’s chuckle, breathy from the movement of fixing his arm sleeve. Shouto only pays attention to preparing his putter.  

He knows this is just how his older brother is. 

Since the start of this round, Touya’s managed to lead by a few strokes, with Shouto falling behind in every hole. It’s frustrating and annoying, aggravated even more by Touya’s teasing and the fact that Shouto has played the sport for far longer than Touya has.

It doesn’t help that he ends up missing again, with Touya managing to make the put afterwards. 

Shouto sighs, clenching his jaw. 

“You know,” Touya eyes him as they walk to the next hole, “staring’s not gonna get you anywhere.” 

“I’m not staring,” Shouto retorts immediately. The expanse of greenery ahead of him is taunting, an endless plot of land that feels like it’s watching.  

Touya scoffs, “Sure.” 

The golf course in the estate is landscaped with luscious trees, vibrant in the brightness of summer. Flowers bloom along the perimeter, yellows and reds carving out this specific section of the estate. You and his mom follow closely behind, riding the cart at a slow and steady pace. 

Just a few meters down, the little red flag for the next hole comes into view, moving with the breeze. 

“If you don’t plan on acting on it, you should let me know.” Touya mentions it a little too casually. 

Another thump. 

It’s a joke. Obviously. Something only meant to rile him up—it’s how Touya is. 

But it still makes him feel just a tad bit uneasy; it makes him feel a little bit like it did when they were kids. 

Before Touya disappeared, they used to sneak into the garden on winter nights. Shouto must have been no older than five and learning how to manage his quirk properly. 

They used to play a game: The Twigfire Race, Touya called it—a competition on who can form the longest and fastest fire trail using a bunch of twigs. 

Touya would always win, his long legs and lanky arms gathering more sticks than Shouto ever could at that age. His flames burned a deep azure blue, eating through the twigs much faster than Shouto’s flames did. Then, he’d press onto the pads of his burnt fingertips, teasing Shouto in some twisted attempt at motivating his little brother to do better. 

Touya would always win, but not without getting a word in. Not without leaving Shouto with a lesson or two about it. 

“I said, stop.” Shouto warns him, voice stern as he turns slightly to catch his brother's eyes. 

“Damn. You don’t have to tell me if you don’t want to,” Touya raises a hand in mock surrender, smirking, “I can just do it without asking you.” 

Shouto stops walking, fists clenched tightly around his golf club. 

“That’s not funny.” 

“Oh, I’m not joking,” Touya taunts, holding back his laugh.

The stare Shouto gives him turns icy, glare intensifying as he inches closer towards his big brother. Touya doesn’t move, the stare-off lasting long enough for you to notice the confrontation. 

From his periphery, Shouto can see you looking at them in confusion. 

“Or am I?” Touya snickers right before he turns away, walking straight towards the next hole. 

Shouto watches him walk away, each thump matching the footsteps his brother makes. To the side, the cart slows to a halt and you get off, standing up as if to gain a better view of what just happened. 

You lock eyes with Shouto and he musters a small smile, raising a hand as if to say ‘everything’s fine.’ 

“Losers lose ‘cause they don’t get shit done, Shouto!” Touya calls from a few steps ahead. 

Shouto stares at his brother’s back; it’s just how Touya used to say when they were kids—

“You just have to go for it!” 

He takes a step. 

.

.

.

Touya wins the round, with Shouto losing by only a few strokes. 

Rei hugs them both, Touya’s slight reluctance evident in the way his arms stay glued to his side as she wraps hers around the both of them. 

Shouto brings one hand up, resting it against her back; from his line of sight, he spots you smiling fondly, giving him another thumbs up when your eyes meet. 

.

.

.

The estate’s staff escorts everyone to their respective rooms, allowing some time to change into clothes more suited for the late morning brunch. 

When Shouto and Touya finish, they make their way to the greenhouse, a glass dome teeming with life. It’s art in bloom—chrysanthemums, hydrangeas, sunflowers, and camellias all in varying colors of pink, red, purple, and yellow. Under a small bridge is a pond, alive with koi fish swimming underneath pads of water lilies, and right up above, where the sunlight streams in, are baskets of japanese roses, hanging in bright, fuschia clusters. 

He walks atop the bridge, hands stuffed inside his linen pants—a pair that matches the linen shirt you gifted him birthdays ago. What surrounds him is beautiful; perhaps the most heavenly place he’s been to. 

A morning of golf under the sun, nature in florescence. A (relatively) peaceful morning. 

And you—

The moment Shouto spots you, the scenery on your backdrop fades into muddled hues. You and Rei enter the greenhouse side-by-side, with his mother wearing an all-white ensemble: a cardigan with a long, flowy skirt. 

And you—

—you walk in wearing a pale yellow sundress, its hem hitting just above your knees. There are dainty flowers dotted all over it, but nothing too loud; the straps sink into a v-neck with bust details, flowing down into an a-line skirt. It’s perfectly understated, only emphasizing the focus on how radiant you look in it. 

He can’t stop staring. 

Touya snorts as he passes him. 

This day, this sight, is going to stay in his memory for a long, long while, he thinks. 

From up ahead, he can hear his mom call for Touya, dragging him around to ask which blooms would look best for the garden at home. And when he snaps out of the daze you’ve put him in, you appear right beside him, asking if he’s okay. 

“Yes,” he answers promptly, unsure of what to say next. His eyes flit to the baskets of japanese roses hanging above you, then to the view peeking from outside. “Do you want to look around before we eat?”

You nod. 

The depth of the greenhouse is deceiving upon first glance, with Touya and Rei now out of sight as you explore the area. You walk close enough to be side-by-side but still stay a step behind like you typically do, pausing every now and then to take pictures of the flowers around you. 

“You seem more relaxed,” he points out, pushing up the sleeves of his button-up. 

You turn to him from the chrysanthemums you’re snapping, a little flustered at his comment. 

(And at him, mostly. You don’t know how anyone can look this good in a simple linen set. Nature favors Todoroki Shouto, and it shows in moments like now, with sunlight hitting his face at just the right angle that it paints stardust on the tips of his eyelashes.) 

“It’s good,” he quickly follows-up, fluffing through his bangs, “I did mention this wasn’t for work.” 

(You feel warm at the reminder.

“It’s nice to see you with some down time too,” you return the sentiment, uncomfortable with the attention on you.

Your fingers fiddle with the hem of your dress.)

“Did something happen earlier?” you put your phone down, continuing to walk. “At the course. Things looked pretty tense.” 

Shouto hums, considers his next words. He takes a few more steps before answering, “Touya is a dick.” 

A laugh escapes you, and you cover your mouth quickly as you mumble an apology. Shouto knows it’s because it’s completely out of character for him to be so vulgar and insulting when it comes to his siblings.

“Was he sabotaging you?” 

“...Something like that.” he responds. 

“That’s okay,” you scrunch your nose, peering up at him, “You haven’t had much time to play lately.” 

And Shouto wonders if he’s just that easy to console, or if it’s a specific comfort that only comes from you. You make it so easy for him to feel better about all the little and big things—whether it’s news articles headlining him as a PR nightmare, or near-losses on missions gone wrong. 

Not a lot of things get to Shouto, but when they do, you somehow always know how to handle it. 

You continue to stroll around the greenhouse, looking closely at the steel bars holding up the glass arches. From a few steps ahead, Shouto can hear your mumbles—something about measurements and the logistics of turning the rooftop of the agency into a smaller version of this greenhouse.  

“You and mom looked like you were enjoying yourselves earlier,” he mentions offhandedly, hands clasped around his back. 

It’s something he’s noticed for a while—his mother seems to relax more around you, laughing and smiling in most of your conversations. He gets it; you have that effect on everyone around you, the warmth you exude a welcome invitation to be opened up to. 

(You eye him from the side knowingly; Todoroki Shouto is nothing but a closet snoop.) 

“We were talking about plant stuff,” you smile, “and how she’s happy you and Touya finally got to play together. You should’ve seen how red her hands were from clapping for the both of you.” 

He chuckles softly, matching your steps in comfortable silence. 

It’s at a different section of the greenhouse that he pauses, giving you time to admire the shrubs of hydrangeas blooming around you.

Touya’s words come back to him. 

He wonders if he should say it, if he should ask—

“Don’t move,” you tell him, raising your phone to eye-level.

Shouto stares at you, hands in his pockets as he watches you tap on your phone.

“Look to the side,” you instruct him again, and he follows, albeit a little confused. 

When he turns to face you again, the smile on your face is beaming, glowing as you turn your phone to show him the photos you managed to take. 

“The lighting was nice. See!” 

And when you point to the way sunlight streaks highlights onto the redness of his hair, down to the slope of his nose and the width of shoulders, he can’t help but agree. 

Now, he wonders—

“Do you want a photo with the flowers?” Shouto asks, because it makes no sense that you deem him worthy to be pictured in perfect lighting when there’s you, looking like you do—the walking subject to the backdrop of greenery behind you. 

Your eyes widen, a stuttered “O-Oh,” falling from your lips. You tug at your skirt again, fiddling with the soft fabric until your eyes nervously meet his. “I don’t really need—”

“The lighting is nice here, too.”

“Oh,” you respond, a hint of diffidence as you flash a small, hesitant smile, “Okay.” 

As Shouto angles himself to take your photo, he notices you turn restless, the smile on your face never quite reaching your eyes and your fingers constantly twirling the fabric of your dress. 

He puts down his phone, tilting his head. 

“Are insects biting you?”

(Your brows shoot up, embarrassed by how he’s noticed. 

You shake your head in response, providing no other explanation besides “Sorry.” 

He continues to stare, as if waiting for you to continue. You know there’s no point hiding the real reason you feel so nervous when he’s already noticed this much.  

“I think I might be underdressed,” you admit, smiling sheepishly as you clasp your fingers in front of you, “This entire place is gorgeous.”

The estate screams high-class; apart from the golf course and the greenhouse, the area also boasts its own private lake glistening across a large green field. It feels a little too good to be true—a paradise you find yourself out of place in. 

But—)

Shouto looks at you, really looks at you—at the way your dress hits right above your knees at the perfect length, at how your collarbones peek through its dainty v-neck cut. Its pale yellow makes you look like summer, radiating in light, and he thinks he hasn’t seen anything more beautiful, really; anything more fitting—for this occasion, for this venue, for this day. 

For you. 

The words have been lodged at his throat since he first saw you step in, and now they’re being pushed out, coaxed slowly by the honesty beating thunderously in his chest. 

He thinks about his mom, how she speaks of beauty whenever and wherever she finds it, with nothing stopping her speech and—

There’s a hum, a thoughtful vibration priming his throat as he continues to stare. 

“I think you’re dressed just right,” is what he manages to get out. 

A thump. 

It’s more than that, though, he knows. 

If this is his chance, if this is ‘next time’ from his attempt at the gala—

He blinks, and you only get prettier. 

“You look beautiful.” he confesses, the sentence overflowing with honesty.

(And when he says your name unlike any way he’s said it before, you feel your chest expand, terrified that it might explode.

Shouto is blunt and honest to a fault; and that honesty, you’ve realized, also happens to be his most cunning trait—a quality that's endeared you over the years now rendering you into a stuttering, fumbling mess like never before. 

“T-Thank you.” you straighten your dress, “You—”)

Shouto’s phone vibrates in his palm, a call from Touya breaking him out of your conversation. He bows his head slightly to excuse himself and you nod in acknowledgment. 

“Brunch is served,” he relays, pocketing his phone soon after he hangs up.

(Then, with his hand inside his pocket, he bends his arm deeper, creating a wider loop as if to offer it for you to hang onto—the same way he did during the gala.

And just like you did then, you take it.)

.

.

.

Brunch was served at the estate’s main patio, a circular table made of light wood adorned with dainty white tableware and muted green linen. In the middle was a centerpiece, an assortment of fresh flowers from the greenhouse coming together for a pop of color against the main neutral color scheme. 

The food was divine, a lovely selection of seasonal salads and warm breads, along with eggs cooked in every way possible. Newly harvested fruits were served before and after the meal, a kind of appetizer-dessert to complement the main piece—a large slab of freshly caught salmon. 

Now, you all gather on the second floor of the estate’s main building, right at the balcony overlooking the greenhouse and the field—a perfect view for wine tasting.

Shouto doesn’t care much for alcohol, all technicalities going past his head as the sommelier explains notes and wine pairings.

He can’t taste much of the difference, if he’s being honest. 

In the sommelier’s hand is a bottle of red wine; he describes all of the technical parts of it before finishing off with the fact that it’s ‘beautifully balanced’, something that causes Touya to snort at the side. 

Shouto looks, raising an eyebrow curiously. 

Touya leans in closer to his little brother, swirling the wine in his glass as he lowers his voice mockingly, “‘You look beautiful’.”

The expression on Shouto’s face remains unreadable, his brain processing the fact that his brother must have overheard his conversation with you earlier. It’s while Touya begins to gulp down his glass that Shouto steps on his foot—a sharp pressure stomped onto freshly cleaned loafers. 

“Fuckin–” Touya hisses, cursing under his breath as he pulls his foot away. 

The edges of Shouto’s lips curl up as he turns back to his glass of wine, watching from across the table as his mom smiles fondly at something you must have said. 

(You still feel flustered, a little fuzzy. You’re unsure whether the heat emanating off your cheeks is from the wine or the lingering echoes of his compliment earlier.

From across the table, you lock eyes with Shouto, gray and blue sitting strikingly atop flushed cheeks. You look away quickly—a knee-jerk reaction of bashfulness. He doesn’t hold his liquor well, a fact you’ve known for many, many years, so you can’t tell for sure whether he’s turned red from the wine, or from the same thing you’re feeling, too.)

III. LET ME TELL YOU (HONESTLY)

“If y’don’t do shit first, some other loser will.”

“Losers lose ‘cause they don’t get shit done…”

“...just be honest about it when the time comes.”

The streets are calm at this time of night, with cars occasionally passing by and the chimes of shop doors tinkling as they open and shut. Not a lot of people stay up late in this part of the neighborhood, but Shouto still hears them—all the jumbled voices of Bakugo and his brothers merging in his mind. 

He steps onto concrete, footfalls muffled by the cushion of his boots—a new update on his costume, one you suggested after a stealth mission mishap caused by the drag of his heel. 

Tonight is his scheduled patrol—a route he knows like the back of his hand, memorized from the many years he’s been assigned to it. The streetlamps ahead cast a dim glow down the road; an atmosphere he would otherwise find unsettling if not for the fact that it’s provided him odd comfort in times he’s needed it the most. 

Tonight, his mind ruminates on you. 

Lately, his interactions with you have been… different—shy glances and awkward slip-ups; the intentional way he’s been expressing himself more around you. 

He can’t tell what you think of it yet. 

Yet, you still sit with him in comfortable silence on the nights that you both work late, and you still bring in fresh flowers for his desk every few days. He’s sure that when he gets back to the agency after his shift, you’ll still be there, claiming to finish a report when you both know it’s just an excuse to make sure that he finished patrol safely.

You still care for him in the same way. 

And now that he’s thinking more about it, maybe it’s been those little things all along—the same way you’ve been treating him all these years shifting into something deeper and more significant, beating its way out of his chest. 

You know Shouto better than anyone—so much so that his family asks you for lists of gift ideas because they don’t have the slightest clue what else to get him. He’s found himself seeking your opinion on things more and more over the years, and if he’s being honest, a big chunk of his decisions are now partly influenced by what you think of them first. 

Across the street, a couple sways to the beat of the jazz bar they step out of, their hands intertwined and smiles giddy with adoration and love. He looks away quickly before they catch him staring. 

There are things Shouto’s discovered that he likes seeing you do—like how you shift your feet when you feel flustered at something he says, or when you tap your index finger against whatever surface it’s on when you’re deep in thought. Your eyes widen when he says things you don’t expect him to, and something about that intrigues him.

He thinks you look cute. 

He wonders if you know that about yourself; and if you don’t, a part of him is saying that he should be the one to tell you.  

.

.

.

You and Shouto attend only one day of teambuilding. 

The company trip spans an entire two weeks, with each department coming in a few days at a time. You both would stay if you could, but Shouto’s schedule doesn’t allow him to be gone for more than a day.

It’s always been unspoken: wherever Shouto goes, you go too. 

This day of the teambuilding is assigned for the managers and those under Shouto’s direct reporting team. 

The estate is still as beautiful as the last time you both visited, summer shining atop the glistening surface of the lake across the green field. Company trips aren’t typically this grand, but this is also the first time in years that Shouto’s had free time to drop by. 

(It’s a bit funny, you think, watching him struggle to reach the finish line in a three-legged race paired with his finance director. Shouto is typically awkward in most team activities, but you find it endearing, watching him put full effort into things he normally doesn’t do.) 

By mid-afternoon, the day’s activities have consisted of tank rolls, marble balancing, and a classic game of pass-the-message (which, you’ve learned, Shouto is absolute garbage at). And for the final game of the day, the both of you are paired for a duo tug of war against his PR manager and support engineer. 

The afternoon heat burns the back of Shouto’s neck, his cap providing little to no protection for that area of his skin. He stands behind you, rope twisted firmly in his grasp as he prepares to pull. You mimic his stance, bracing yourself with your knees bent as you grip the rope tightly. 

Prior to the game, you were all given three minutes to discuss strategies. 

And so now, Shouto counts, low and steady, “One.” 

“Get set,” the facilitator for this activity announces. 

“Two.” 

You take a deep breath. 

“Go!” 

“Three.”

You both pull, holding your ground for a few seconds. He can see your knuckles turning white from where he’s standing, and when he glances at the other team, they’ve begun to lean back, anchoring their bodies to the ground before pulling away slowly. 

Shouto digs his feet into the earth, the rope’s rough fibers sticking to the calluses on his hands. It doesn’t take long before you both slip forward, being dragged by the other team and eventually pulled into your loss. 

You turn back to him immediately, apologetic as you rub your palms, “Sorry!”

(Before the game even began, you already knew whoever your partner was would be carrying most of the work. And you feel a little bad because your loss does make a bit of sense, you think. 

Though Shouto is strong, you know he’s developed his agility far more than his strength. It doesn’t help that his support engineer lifts bulks of synthetic thermal cloth everyday. 

The both of you didn’t stand a chance, really.) 

But Shouto waves it off, smiling softly. 

“Are you okay?” he looks down at your hands. Your skin is an angry flaming red all over your palms, but what causes him to frown are the small cuts resting at the base of your fingers. 

“Yup, all g–” you attempt to hide it, but Shouto’s reflexes are quick, and he catches your wrist the moment you pull away. 

It’s an instinctive reaction when he looks over it once, pressing his thumb to the center of your palm to get a better look. He reaches for his utility belt out of habit, patting the area above his hip only to feel nothing but the smooth cotton of his shirt.

Right, he remembers, he isn’t wearing his gear today.  

He drops his arms, looking around the field for a first-aid kit nearby. 

(A small chuckle escapes you, endeared, and Shouto looks up at the sound. His eyes meet yours briefly before he jogs all the way to retrieve the red box by the tree. 

It’s just a friction burn; a few small cuts from the rough material of the rope, at most. 

You don’t need first-aid. But—) 

When Shouto comes back, he ushers you to the side, grabbing a few cotton buds and antiseptic ointment from the box. His brain works on autopilot, barely thinking as he tends to your injury.

(You don’t need first-aid. But—) 

He peels the bandaid for you and gently places it on top of your wounds—a yellow checkered pattern decorating your skin. 

(You don’t need first aid. But you kind of get it, you think. It’s the same instinctive reaction you have when he gets papercuts. There’s no need for you to mend them with your quirk, but it’s an inexplicable feeling that makes you feel uneasy at the idea of him getting injured off the field.

A whistle is blown to call everyone back to huddle. 

“Better?” Shouto stares at you from under his cap, readjusting it as red and white strands touch the tips of his eyelashes. 

(He looks unfairly pretty like this. How can he even expect you to answer?

“Y-yeah,” you stutter, swallowing your breath. 

When Shouto walks towards everyone else, you follow, pressing your thumb onto your palm.) 

.

.

.

Shouto drops by the greenhouse at the end of the day. 

The sky above the glass dome ceiling is warmed by orange and pink hues. At sunset, the greenhouse looks ethereal, an almost otherworldly escape. The flowers haven’t changed much from his last visit here, but they seem to have blossomed further now that time has passed. 

He walks past the familiar cluster of chrysanthemums and spots a patch of white flowers he doesn’t recall from last time—a wooden placard with the name ‘iris’ sticks out from the soil. His knees bend to crouch low, fingers grazing over the softness of its petals. 

Earlier today, the estate so kindly offered to let him bring home flowers of his choice, and this bunch in front of him calls out to him, a purity and warmth that reminds him of his mom. 

The nippers in his hand feel clunky, a heavy-duty version of the ones he uses when he helps with gardening at home; but he cuts the stems gently, careful to remember all he’s been taught. 

When he thinks he’s gotten enough, he continues to stroll around the greenhouse, the wicker basket in his hand half-filled with pure, white irises. 

A little further down the path, he passes by the hydrangea bushes, his steps slowing as fragmented pieces of that memory with you replay in slow motion. 

“The lighting was nice. See!” 

“You look beautiful,” he confesses, the sentence overflowing with honesty.

And he decides—

He should get you flowers too. 

Your desk always seems to have some, and you’re consistently on top of keeping fresh flowers around the agency—on his desk specifically. 

It’s only right.

His mom always tells him that flowers can never lie; they bloom where they are loved and speak from the heart when words are not enough—it’s why she loves them so much.

And, maybe she has a point, because the pink hydrangeas look pretty; they remind him of you, especially.

On his way here, the white camellias spoke to him too. Maybe he’ll get them both for you. 

He crouches low again, nipping the hydrangea stems before backtracking to collect a few camellias. By the time he finishes, his wicker basket is filled to the brim, an assortment of pink and white threatening to spill from its edges. The leaves of the irises stick out, poking at his wrist and making the skin itch.

You find him that way—struggling to wrangle in the abundance of blooms into his basket.

“I think you need another basket,” you chuckle, walking towards him. 

There’s something about you and this hour; how it feels like you fit right in this moment, at the peak of sunset, blooming the same way the flowers do. 

Your smile is radiant against the warmth of diffused sunlight, and though he’s seen you in this same exact slacks-and-blouse combination before, the way he sees you now has shifted. 

You look different, but in all the ways he can’t visibly point out. 

He blinks, and that thump beats once more. 

His arm moves before he can comprehend it, the bunch of camellias and hydrangeas outstretched towards you.

Your eyes widen in surprise, eyebrows scrunched in confusion as you tilt your head slightly, your hand reaching out for it reluctantly. 

“Would you want me to have this wrapped?” 

(The flowers feel lush in your palm, and you can’t help but wonder who he intends to give them to. There are irises in his basket too, left untouched for reasons you’re not sure you’d like to know. 

Your grip on the stems tighten. 

The camellias stare back at you, an immaculate white, with the pink hydrangeas adding a delicate softness to them. It’s a pretty combination, and you can’t help but think that whoever they’re intended for should feel—)

“It’s for you.”

You lock eyes when you look up. There’s a weight to Shouto’s gaze that intends to get his message across, the words still barely forming on his tongue. 

“Oh,” is the only thing you manage to say.  

(—surprised; grateful; confused; the emotions swirl inside of you. The shock is apparent on your face, your eyes widening at his admission. Confusion presents itself in the tilt of your head as you stumble over how to express your gratitude.

“It’s not…” you hesitate, diverting your gaze to anything else but that piercing pair of gray-and-blue. Your mind is drawing up a blank, figuring out what reason he has for giving them to you.)

“There’s no occasion…?”

It comes out as half a question and half something else, your uncertainty marked by the semi-lilt at the end. 

Shouto blinks. 

He wonders if he should tell you now, if he should just confess that he’s been feeling differently about you these days.

You shift your feet, your thumbs rubbing against the flowers’ leaves. 

The thump persists in his chest, knocking at the base of his throat—

Thump.

He takes a deep breath.

Thump.

—but even with its persistence, the words still struggle to come out.

Thump.

Maybe not now; it’s not the right time. 

But he says something else, an admission much easier that still holds just as much truth.

“No occasion.” 

.

.

.

Shouto knows your Mondays. 

You switch out the flowers on his desk for a different arrangement of blooms every week. Then, you give him a run-down of his schedule, going over important announcements and upcoming events. 

The mornings go by quickly, with you constantly moving around your desk. Shouto can’t tell what you’re doing exactly, but you’re always working on something whenever he sneaks a peek through the single glass panel cut-out from your shared wall. 

Lunch is a wildcard. On some days, you bring your own; on others, you grab a bite down in the cafeteria. Your routine is largely dependent on how busy you anticipate work to be that day, and though it varies from time-to-time, you never forget to knock on his door—a two-part thump that takes him out of his own little work bubble. 

He almost looks forward to it now, the way your head peeps in from behind his office doors. You call out his name softly, only continuing to speak when he looks up from whatever file he’s working on. 

Shouto knows your Mondays. 

You spend the afternoons all over the place, much like he does; while he roams the city, you roam the agency, attending meetings and checking in on different departments. He knows because when he comes back by the end of the day, you almost always have a new set of updates prepared on your desk for the next morning. 

He also knows that Mondays are when you often work overtime, preferring to get a bulk of any urgent matters completed and out of the way.

The back door of his office clicks shut as he walks into the room, his rubber boots leaving no trace that he’s arrived from how quietly his footsteps hit the floor. He unbuckles his utility belt, one hand automatically reaching for its lock; it’s a habit, the ‘clack’ that sounds from it a satisfying marker he looks forward to at the end of every patrol. 

In the corner of his office is a private restroom that he slips into. He quickly changes out of his hero suit and into a pair of sweatpants, throwing on one of his many favorite white shirts—his go-to outfit on the days he works late. 

There are still some reports he has to look over tonight, but nothing too time-consuming. 

It’s really you he’s staying behind for. 

He glances at you through the glass panel of his wall, your face dimly lit by your computer screen. Your eyebrows are scrunched, eyes squinting in pure focus. 

It never feels right for him to leave when you haven’t left either. 

He settles into his seat, finger tapping on his desk as he contemplates whether or not he should offer you his help. 

You always decline when he does; he can already hear your response. But there are stacks of folders on your desk right now and he’s predicting that it’ll take at least a few more hours before you get through all of them.

He taps his foot, staring at the report in front of him. 

A thump. 

The wheels of his chair roll back, leather squeaking as he stands up. 

As soon as he exits his office, you look up, surprised. 

“You’re back!” 

He nods, walking closer to your desk. “It’s 8:00 p.m.”

You glance at the top of your screen, a sheepish smile forming on your face, “Right.” 

(This is his way of telling you it’s late, you’re well aware.)

He looks around your desk, folders and stationery all neatly organized and labeled. You keep a few touches of your personality around your space, with personalized pens and notepads gathered in one corner. 

They’re all things he’s seen before, but what makes him do a double-take is the vase sitting in the corner, obscured by your computer screen. 

Sitting inside it is the arrangement of flowers he gave you back at the teambuilding, the pink hydrangeas still as good as new next to the white camellias. It’s been a little over a week since, and you always change the arrangement on your desk as frequently as you change his. 

So for you to keep it for this long—

“And how may I help you?” you ask jokingly, biting down your smile. 

His eyes flit over to you, your gaze set on your screen as you continue to type.

(It’s hard to focus on the documents in front of you when he looks at you like that. Shouto’s stare has always been unnerving, but it feels especially scrutinizing when he merely stands, watching without a word.)

“You have a lot of work left,” he gestures towards the stack of folders on your desk. 

(Your eyes glance over the pile quickly as you mumble, “Yeah.” 

A few seconds of silence pass before what he really means starts to sink in. 

It’s not often that Shouto finishes work before you—at least, to your knowledge. You still see him inside his office when you pack your things, ready to leave. 

So, this is out of the ordinary. 

And if he’s standing in front of your desk, hinting at how much longer you’ll be staying at work. Then, it can only mean—

“A-are you waiting for me to go?” you move to stand, guilty. “Don’t worry about it, I can lock up.”)

Shouto furrows his brows, tilting his head slightly. 

That’s never been a thing; he’s always gone home last, and has always waited for you when you have work left to do. He makes sure of it every time, watching carefully for your computer light to turn off. 

But he won’t tell you that; letting you know would mean admitting that he’s been doing it for years. 

He places his palm on the top folder. 

“What else do you have to do?” 

You stay quiet for a few seconds before reluctantly listing it all—reports, meeting summaries, and a few emails you plan to schedule for tomorrow morning. His frown deepens as your list only grows, immediately cutting yourself off the second you notice your ramblings. 

“… but if you’re waiting, I can bring these home and—”

“What can I do to help?” he interjects, stopping you just before you shut down your computer. 

(You can only stare when proceeds to take a seat in front of you, the legs of your guest chair dragging against the floor as he pulls it closer. 

It hits you a bit like déjà vu, this moment, how it feels just like early days back in that rented studio unit; back when you could count the number of people comprising his team on one hand. 

Back then, your desks were just a few steps away from each other, an overflow of paperwork inevitably spilling into each other’s spaces. Because all of the files were stored in your drawers, it was more convenient for Shouto to sit himself across your desk, splitting the work and going over them one at a time. 

Things are different now that the agency’s grown—you have a bigger space, and the work isn’t nearly as packed as it used to be; but some days still end up a little bit more hectic than others. Like today.

“There’s no need,” you reach for the stack under his palm, “I can finish this at—”

“We can finish faster if we do this together.”

That promptly shuts you up. 

Shouto is blunt to a fault, unafraid of saying things as they are; his voice carries an unbothered cadence no matter who it is he’s talking to. 

You figure, there’s no point arguing with him when he’s right, after all.) 

Shouto begins going over a few of the reports that you’ve tagged red and yellow, listening intently as you instruct him on which parts to focus on. In exchange, you make space for him on your desk, setting aside some of the folders you had brought out earlier.

It’s a good hour into working before Shouto notices you easing up slightly, your shoulders more relaxed in comparison to how bunched up they were earlier.

He knows you’ve been glancing at him occasionally, your head turning every now and then to check on how he’s doing—a failed attempt at subtlety. 

“Are you almost done?” he asks, head down as he slips another completed file into its folder. The stack beside him is growing, his ‘done’ pile nearly as tall as the unfinished one. 

(You turn to him, attention shifting to the split of red and white hair down the center of his head, “Yeah, I just—”

Your words trail off, eyes squinting as you move closer to where he’s hunched over. 

Right on the shoulder of his shirt is a small tear, big enough to touch the edges of its collar but small enough that you’d only have to be up close to be able to notice. 

You assess the tear intently, looking carefully for any cuts underneath and thankfully find none.

But—

He notices you’ve gone quiet and looks up, the sudden movement catching you off guard. You make a sound, something in-between a squeak and an ‘oops.’ 

“Sorry, I just,” you point, “your shirt’s ripped.” 

His eyes follow the direction of your finger, finding the small tear running horizontally along the fabric of hjs shirt. 

“I can fix it,” you offer, the wheels of your chair rolling to land you directly across him. 

It’s one of his favorite shirts.)

He barely thinks when his body acts on its own, pressing itself closer to your desk as you slightly bend over for better reach. 

You don’t have to patch up his shirt, especially something so small. He has plenty of the same ones in his closet; and if it comes to it, he wouldn’t mind buying a new one. You really don’t have to patch up his shirt, because he wouldn’t have even noticed had you not mentioned it. 

But it’s that kind of tender care and attention to detail that you’ve had for him since you started working together that’s always drawn him in. 

Shouto has lived most of his life with the means to live comfortably, but since starting his own agency, he’s learned the value of maximizing resources—and it’s all because of you.

A thump. 

The moment your fingers touch his shoulder, he hears nothing but that continuous three-beat thump. Your quirk tingles when it touches skin, but you aren’t mending that—you’re fixing his shirt, separate from your skin, and yet, he still feels the little zaps go off inside of him. 

A thump. 

Up close, the strands of your hair tickle his cheek. 

A thump. 

The fabric of his shirt mends itself slowly, and it only makes him think of everything else—of the leather chair you helped fix, painstakingly going through each and every crack to bring it back to near-new condition. He thinks about every cut and scrape you’ve helped heal without having to, about every time you’ve insisted when he’d shrug it off as nothing. 

From you, he’s learned that things can be fixed without having to change them whole. 

It’s how he’s (you’ve) managed to keep the agency running; it’s why you get along so well with him and the rest of his family. 

And these feelings in his chest are pounding, built up over time to tip over and transform into something more than just an excellent work dynamic. At this point, it’s become companionship, a presence he seeks out a little bit more than friendship. 

You know him better than anyone else does. 

The flowers he gave you are still on your desk. 

So, he says your name, voice low and tender by your ear. 

You freeze, holding your breath. 

Another thump.

His honesty spills outs—

“I like you.” 

A three-beat thump. 

(You don’t believe it at first, the urge to ask him again right at the tip of your tongue. But, he pulls away, unfinished, and looks you in the eye to continue. 

“But it feels more than a crush, I think.” He presses his fingers against the table, grounding himself, “Natsuo told me it was a crush, and he told me to think about it, so I did.” 

Shouto is a man of sufficient words; not too few, not too plenty. But when he gets nervous and a little excited, he starts rambling, and—

“Bakugo told me his mom thought we were dating, and even though I said that wasn’t the case, I almost didn’t want to deny it. Touya has been a dick about it, but he makes good points, so I also owe it to him.”

(The shock on your face shifts into fondness. You can’t see the point of what he’s saying yet, but it’s cute—one of the many things that make him endearing.) 

He pauses, watching your expression shift into curiosity. 

“It started with this thumping,” he places a hand over his chest. “It used to only come sometimes, but lately it’s been happening all the time.” 

Shouto keeps his gaze deadset on yours. He doesn’t say anything else, sentences just barely forming in his head to fully capture what he really means. His feet and palms stay firmly planted where they are, his only movement being the steady blinking of his eyes. 

(But it’s okay, because you can understand. 

If you’re being honest, the signs were all there. 

Nothing Shouto does can be subtle when you know him as well as you do. 

A smile breaks out on your face, the one you can barely contain around him. It’s a little teasing and shy but completely genuine from the way it softens your eyes. 

“We’ll have to come up with something for HR,” you try to contain your smile.)

And he isn’t worried at all. He knows you’ll both find a way, just like you always do.

additional material: moodboard + playlist

a/n: so much to say about this fic but i'll sum it up with saying this is my baby! and i hold it close to my heart for many reasons. writing this made me love their dynamic and i hope you did too!

thank you notes: to @soumies for literally beta reading this. i owe this fic to you fr you are my lifesaver i love you. to @augustinewrites @scarabrat @stellamancer @arcvenes for helping me a ton with characterisations, dialogues, songs, inspo, everything!!! ily all!! it took a village to write this fic fr. (+ to my bf for sitting me down and so he could explain the whole point system of golf for like 30 minutes LOL)

comments, tags, and reblogs are greatly appreciated ♡

[catria-whitewing]

.

[itsawritblr]

"Sex is biological fact, NHS declares."

Fuckin FINALLY.

The article's behind a paywall, so I had to grab a screenshot fast. It's not the clearest picture, and I may have cut some off.

Here's the article, if you can get around the paywall.

From BBC News via Yahoo News:

NHS England charter to stress biological sex when placing patients in wards

Transgender women should not be put on single-sex female NHS wards, the government is proposing.

The measure is part of a raft of changes to the NHS Constitution for England, the charter of rights for patients.

The proposals stress the importance of biological sex for the first time when it comes to same-sex accommodation and intimate care.

In both cases, the rights are available only where possible.

For example, same-sex accommodation rights, which have existed for years, can and are breached where there is a clinically urgent need to admit and treat a patient and do not extend to areas such as critical care or accident and emergency.

The guidance also means that trans men should not be housed on single-sex male wards.

Under the proposals:

transgender people, whose gender identity differs from their biological sex, may be provided single rooms, where appropriate

patients will have the right to request a person of the same biological sex delivers any intimate care

Health Secretary Victoria Atkins said it was about making it clear that "sex matters".

"We want to make it abundantly clear that if a patient wants same-sex care, they should have access to it wherever reasonably possible," she said.

"By putting this in the NHS Constitution, we're highlighting the importance of balancing the rights and needs of all patients, to make a healthcare system that is faster, simpler and fairer to all."

'Trampled over'

Maya Forstater, of the Sex Matters campaign group, said the changes were "excellent news".

"The confusion between 'sex' and 'gender' in official policies like the NHS Constitution is what has enabled women's rights to be trampled over in the name of transgender identities," she said.

But Cleo Madeleine, of Gendered Intelligence, said robust policies were already in place and the government had its priorities wrong.

"After 14 years of austerity, medical professionals are crying out for more funding, more resources, and better conditions for staff and patients," she said.

"The government seems hell-bent on pursuing its obsession with the transgender community instead of addressing these longstanding needs."

'Martha's rule'

The changes are part of a wider review of the NHS Constitution, which the government must complete every 10 years.

They also include a plan to embed patients and their loved ones' right to access a rapid review from outside the care team if the patient is deteriorating.

This is the right behind "Martha's rule", which is being introduced in the NHS, to ensure patients know they can ask for a second opinion, with the government providing funding to hospitals for posters and leaflets informing patients and their families.

Martha Mills died aged 13, after being admitted to King's College Hospital, south London, in 2021, having injured her pancreas slipping on to the handlebars of her bike while cycling.

She later developed sepsis - but with better care, could have survived, an inquest found.

All the changes will be consulted on over the next eight weeks, before the constitution is updated later this year.

Labour's shadow health secretary Wes Streeting said: "Rights on paper are worthless unless they are delivered in practice.

"The NHS constitution already pledges that no patient will have to share an overnight ward with patients of the opposite sex, but that is not the case for too many patients."

[woodlawnclinic]

Family Physician Mississauga - Woodlawn Wellness Center

At Woodlawn Family Practice, we know family doctors accepting new patients in Mississauga can be difficult to find. But, rest assured, our family medical centre delivering holistic and compassionate healthcare has room for you and your loved ones. For more details visit our website.

[justinspoliticalcorner]

Erin Reed at Erin In The Morning:

On May 31, NHS England sent a letter to every patient on the waiting list for puberty blockers, stating that possession of such blockers will be considered a crime. The letter follows an edict issued by Conservative Secretary of State for Health and Social Care Victoria Mary Atkins and also mandates that transgender youth who obtained their puberty blockers through private doctors must discontinue their medication. This letter and edict mean that the United Kingdom now has some of the harshest policies targeting transgender youth of any liberal democracy in the world. On May 29th, Atkins announced on twitter, “Today I have taken bold action to protect children following the Cass Review, using emergency powers to ban puberty blockers for new treatments of gender dysphoria from private clinics and for all purposes from overseas prescribers into Great Britain.” Following the announcement, she linked to an edict declaring an “emergency prohibition” on puberty blockers in England, Wales, and Scotland.

The prohibition relies on a decades-old law that allows for the emergency prohibition of medications without the need for a full legislative process; no vote was taken on the edict, and the order was issued just before parliament dissolved for the general election, meaning it could not be overturned. According to UK-based advocate Trans Safety Now, the last and only time such powers were used was in response to deaths among users of an herb found in some Chinese medicine in 1999. Jo Maugham, who leads the Good Law Project, stated about the use of these powers, “It is breathtaking that thousands or tens of thousands of loving families are going to be criminalized by a law made by a Minister, never approved by Parliament, subject to no consultation and the media is not reporting it." On Friday, following the announcement, Lee Hurley of Trans Writes released a copy of a letter sent to families on the NHS waiting list for puberty blockers. The letter indicates that those receiving puberty blockers from the NHS can continue taking them. However, given the enormous wait lists, a substantial number of families opted to get their puberty blockers through private practitioners registered in the European Economic Area or Switzerland—a fully legal practice in the United Kingdom. For those receiving their care through those systems, the letter states, “You will need to stop taking GnRH analogues unless you are newly prescribed them by a UK-registered doctor, nurse, or pharmacist. These medications can be safely stopped and you do not need to be weaned off.”

Critically, the edict does not only target providers; it also targets patients and their families. The letter states, “It will also be a criminal offence to possess these medicines, where the individual had reasonable cause to know that the medicine had been sold or supplied in breach of the ban.” When asked about this provision, Jo Maugham stated, “It basically says puberty blockers are being treated like other illegal drugs like cocaine and heroin.” He then followed up with the applicable law, which indicates that those who violate the ban could be imprisoned for two years. The decision comes following the publication of the Cass Review, a highly politicized document developed with a secretive list of advisors, some of whom were later found to be meeting regularly with political operatives of Republican Governor Ron DeSantis in Florida. 

The UK's hateful anti-trans crusade against gender-affirming care for trans youths continue, as Secretary of State for Health and Social Care Victoria Mary Atkins (Con) issues a reckless edict ordering trans youth who obtained their puberty blockers through private doctors that they must stop using them.

[chaosandmarigolds]

Hi I’m doing clinicals while working overnight and I am very tired so let me present you with-

Tf! 141 In an EMS class setting

Johnny is the one who volunteers to get all of the splints, who is on the gurney pretending to violently convulse. Who is oddly very smart and will just riddle off medications and what they do like nothing.

Simon is the quiet one who is only there so he can get a better job than a retailer, who is watching Johnny convulse and shoving a towel over his face. He’s the one who’s there two hours early to study.

Kyle? He’s trying to get into the local fire academy, so he’s getting his EMT to look good. He comes in exhausted from his volunteer shift at the firehouse, he’s the one who answers all of the questions.

Now, in this lil au Price is very obviously the instructor. But he’s the chill instructor, he’s the one who allows open book (for the first few) exams and if need be will let them practice their rapid assessments on him. (Will ask if Johnny wants to pretend to be patient for a scenario)

“Open his airway.”

So they do.

“JESU-fuck! Get yer hands outta my mouth!”

“Sir the patient is awake and aware of what’s going on, do we pass?”

-

Or-

Simon walking into the bathroom, where the scenario is taking place, sees Johnny very dramatically (family guy style) laying on the ground. “I’m not doing this.”

“Riley.”

Groans, dropping down to his knees, voice deadpanned, “Sir can you hear me,” tap tap, “Sir?”

-

[unforth]

I had a day off yesterday.

And I can already practically hear the assumptions that such a statement is prompting the reader to make. Those assumptions are wrong. I don't mean I didn't work. I did, for about 8 hours. That's not at all what I mean.

I mean my wife took the kids out at 9:30, spent the night with her mom, isn't back yet the next morning.

There are things I NEED people on this website to understand about parenting. And I've talked about it before, and I'll talk about it again, because honestly the way that Tumblr as a cohort talks about parents makes me sick. Multiple polls have shown that only about 2% of people on here are parents. We're a huge minority, and we're constantly talked over, ignored, or accused of being bad parents (like, personally, I have had people reply to my comments or come on to my posts and tell me I shouldn't have my kids). In my case, being a parent means I'm almost 41, I'm married to @ramblingandpie, and our children are inching up on being 8 and 6 years old.

My entire day, and therefore my entire life, revolves around them. I'm up most mornings at 5 AM, because that's the earliest they're "allowed" to wake up, and so my brain just defaults to being awake around then - better to wake up before them, at least then I get a few minutes in the morning. Between 5 and 7, I sit with them, do my social media, work on side blogs, study Chinese. Then it's helping them get ready for school, then my wife or I or both get them on the bus, and then I work until the last possible minute, which is either when I need to go pick them up for an after school activity or when I need to go down and meet them off the bus. My afternoons are after school activities, chores such as washing the dishes and cleaning up toys, talking with them, working with them, playing with them. Their bedtime starts at 7:40, and my son gets scared if I leave before he falls asleep so I sit with him until about 8:15. As soon as he's asleep, I go fall on my face, sleep as best I can, then wake up and do it again. Overnight, it's hard to sleep deeply, because about once a week someone will wake up in the middle of the night and need help. That could be as minimal as a hug or as complex as having to completely change the bedding on a bunk bed at 2 AM while also comforting a child who is afraid they'll be in trouble, or afraid they're sick, or afraid of their nightmare, or, or, or. Further, if a child is awake, there is always noise. I usually study Chinese with two or more competing sources of noise. I read the same way. My life is loud, and active, and consists of constant interruptions.

I adore my family, and I love my children, but this is terrible for me.

I do all of this as an neurodivergent introvert. My clinical depression is at least medicated, mostly because post-partum depression after I gave birth the first time nearly drove me to suicidal in under a week (we were expecting this and were prepared, fortunately, getting help was as simple as a phone call). The constant noise and interruptions and forced socialibility are about the worst combination of home-life I could be subjected to. I spend far too many early mornings just breathing deeply and gearing myself up to be subjected to the wall of Loud, Boisterous, Needing-My-Attention that is every minute when anyone else in the house is awake.

So what did my day off look like?

I helped get the kids ready to go and did some morning chores. I'd been up at 4:30 AM so I also had already social media'd and studied. Then, while my wife finished the preparations, I started work, and I worked from about 8 am to about 4 pm, straight. I didn't get hungry so didn't bother stopping for lunch. No one interrupted me, no one asked me to look at anything they'd built, no one broke my concentration, no sounds could be heard except those I'd chosen myself.

I'd been out the day before at a local shopping street and listened closely to the things the kids said they wanted, so at 4 I grabbed a couple orders I needed to ship for work and drove to our local downtown, dropped the orders in a post box, then went back to the shops and did some Christmas shopping in the 45 minutes or so before everything closed. I think I'm basically done with what we'll get them - other bigger things will be left to grand parents - so that's a load off, I literally had a stress dream earlier this week about it being 12/24 and having forgotten to do the shopping and having to go to (oh horrors) the mall on the day before Christmas. (Reminder: I'm a Jewish atheist. It's just virtually impossible not to Holiday in the Culturally Christian Hellscape that is the US. Also, my wife is Christian. So.) Found something cute for my wife, too, even tho I already know the main thing I'm getting her. Then, I realized - one of my favorite restaurants is on that block. So. I went there. I sat by myself at a table, only the indistinct restaurant hubbub around me. I read four or five chapters of my book, and ate a savory crepe, and drank lovely fruit tea, and got a scone to-go that I'll eat for lunch today. It was more than I probably should have spent on myself - about $25, including tip - but fuck it. I only get maybe a handful of days off all year, and I'm allowed to indulge a little.

Then I came home. There were no lights on. There was no noise. I had considered doing some more merch work while watching TV on the actual television (my kids are too young for subtitled shows, so usually if I want to watch My Shows I either have to do it on my computer when they're not around, or put them on and read all the subtitles aloud while trying to keep up and process the actual meaning of what I'm reading). But when I got back, the quiet and dark was so goddamn NICE that instead I curled up on the couch and read more of my book. I did that until bedtime - still about 8:15, because I'm exhausted. Then...I went to bed. And I slept long and deep, knowing that there was no chance I'd be interrupted and woken up, I didn't have to be, even in sleep, alert to every noise and possibility that I'd be needed.

I'm still exhausted and burned out, but even one night to myself felt really, really nice.

Saying "Tumblr does X" as a universal statement is doomed to failure, but generally speaking, the parenting posts I see on Tumblr, the ones with tens or hundreds of thousands of notes, speak what's apparently widely seen as a truism on here: that unless someone wants to spend 24/7 with their kids, to be 100% emotionally available at all times, is always kind and patient and perfect, they are a bad parent, maybe even abusive. I remember when covid started, there were multiple posts actively mocking the "oh god, my kids are now home all the time, how am I supposed to do this?" attitude that a lot of parents posted in despair. WhY dId YoU hAvE kIdS iF yOu DoN't WaNt To SpEnD tImE wItH tHeM?

Look at what my usual day looks like.

Look at what my day off looked like.

Do you really think I don't want to spend time with my kids? Do you really think I don't love my kids?

But I'm not a fucking MACHINE. I'm a PERSON. That's what people on Tumblr seem to forget. PARENTS ARE PEOPLE. The same tumblrinas who post ~uwu be kind to yourself rest if you need to, you should forgive yourself for that mistake you made~ will turn around, with zero sense of irony, and post "you're a bad parent if you ever raise your voice around a child."

Expecting parents to be perfect means expecting parents to be inhuman. It also means that a parent can't be poor (can't spend all your time being the perfect parent if you have to work multiple jobs or weird hours!), can't be introverted (can't be a perfect parent if you're not completely emotional available, god forbid socializing is exhausting for you), can't be on the ADHD or autism spectrum (what do you mean you forgot to get your kid to a doctor's appointment once? what do you mean over-stimulation can make you angry? how dare you get angry at a kid!), can't be depressed (gotta get out of bed every single day, gotta always be upbeat, patient, happy, or else that's Evil), can't be (like my wife) physically disabled (what do you mean your hands hurt too much to hold a child's hand? are you denying them touch?? CRUEL). And when the only answer you can offer to that is, "if you can't be that perfect you shouldn't be a parent," then you're saying people who aren't middle class to wealthy, people who aren't neurotypical, people who aren't physically able, shouldn't have children.

And honestly...what the fuck is your problem?

I'm not perfect. I tell my kids to just leave me alone sometimes. I raise my voice, especially when one of my kids starts punching the other, but also sometimes just cause I'm exhausted and Can't Anymore. I've forgotten an appointment by accident and felt like a total fucking idiot, and I've skipped an after school activity because I just wasn't up for taking them. I've served them more unbalanced, unhealthy meals than I can count. I've made many, many mistakes, but I've also done my best, and I love my kids, and I hope that when they grow up, they'll still love me even as they recognize that I wasn't perfect, just as I've come to accept my own parents' short-comings while still loving them very much. They're people, too, and the older I get, the more I understand where they were coming from.

When I fuck up, I apologize.

When they tell me they're unhappy with something I've done, I apologize, and I try to do better. Sometimes I even succeed.

This shit is hard, yo. And it's getting harder every year.

I'm BEGGING Tumblr: you need to start seeing parents as people. The way y'all talk about parenting on here is toxic, and genuinely harmful, and frankly exhausting. You have no idea what the reality of raising kids is like, and you need to shut the entire fuck up.

I had a day off yesterday.

I might get one more before the end of 2023.

I already can't wait. I am so, so, so tired. sigh

(if you actually read this whole rant and even a single word of it resonated for you, please reblog it. I'm tired of never seeing positive posts about parenting while I see negative ones with a bajillion notes.)

[literaryvein-reblogs]

Writing Notes: Autopsy

Autopsy - dissection and examination of a dead body and its organs and structures.

The word autopsy is derived from the Greek autopsia, meaning “the act of seeing for oneself.”

Also known as: necropsy, postmortem, postmortem examination

Why is an autopsy done?

To determine the cause of death

When a suspicious or unexpected death occurs

To observe the effects of disease; when there's a public health concern, such as an outbreak with an undetermined cause

To establish the evolution and mechanisms of disease processes

When no doctor knows the deceased well enough to state a cause of death and to sign the death certificate

When the doctor, the family or legally responsible designee of the deceased person requests an autopsy

Who does the autopsy?

Autopsies ordered by the state can be done by a county coroner, who is not necessarily a doctor

A medical examiner who does an autopsy is a doctor, usually a pathologist

Clinical autopsies are always done by a pathologist

How is an autopsy done?

After the patient is pronounced dead by a physician, the body is wrapped in a sheet or shroud and transported to the morgue, where it is held in a refrigeration unit until the autopsy.

Autopsies are rarely performed at night.

Autopsy practice was largely developed in Germany, and an autopsy assistant is traditionally honored with the title "diener", which is German for "helper".

The prosector and diener wear fairly simple protective equipment, including scrub suits, gowns, gloves (typically two pair), shoe covers, and clear plastic face shields.

The body is identified and lawful consent obtained.

The procedure is done with respect and seriousness.

The prevailing mood in the autopsy room is curiosity, scientific interest, and pleasure at being able to find the truth and share it.

Most pathologists choose their specialty, at least in part, because they like finding the real answers.

Many autopsy services have a sign, "This is the place where death rejoices to help those who live." Usually it is written in Latin ("Hic locus est ubi mors gaudet succurrere vitae").

EXTERNAL EXAMINATION

The prosector checks to make sure that the body is that of the patient named on the permit by checking the toe tag or patient wristband ID.

The body is placed on the autopsy table.

Experienced dieners, even those of slight build, can transfer even obese bodies from the carriage to the table without assistance.

Since the comfort of the patient is no longer a consideration, this transfer is accomplished with what appears to the uninitiated a rather brutal combination of pulls and shoves, not unlike the way a thug might manhandle a mugging victim.

The body is measured.

Large facilities may have total-body scales, so that a weight can be obtained.

The autopsy table is a waist-high aluminum fixture that is plumbed for running water and has several faucets and spigots to facilitate washing away all the blood that is released during the procedure.

Older hospitals may still have porcelain or even marble tables.

The autopsy table is basically a slanted tray (for drainage) with raised edges (to keep blood and fluids from flowing onto the floor).

After the body is positioned, the diener places a "body block" under the patient's back. This rubber or plastic brick-like appliance causes the chest to protrude outward and the arms and neck to fall back, thus allowing the maximum exposure of the trunk for the incisions.

Abnormalities of the external body surfaces are then noted and described, either by talking into a voice recorder or making notes on a diagram and/or checklist.

OPENING THE TRUNK

The diener takes a large scalpel and makes the incision in the trunk. This is a Y-shaped incision. The arms of the Y extend from the front of each shoulder to the bottom end of the breast bone (called the xiphoid process of the sternum). In women, these incisions are diverted beneath the breasts, so the "Y" has curved, rather than straight, arms. The tail of the Y extends from the xiphoid process to the pubic bone and typically makes a slight deviation to avoid the umbilicus (navel). The incision is very deep, extending to the rib cage on the chest, and completely through the abdominal wall below that.

With the Y incision made, the next task is to peel the skin, muscle, and soft tissues off the chest wall. This is done with a scalpel. When complete, the chest flap is pulled upward over the patient's face, and the front of the rib cage and the strap muscles of the front of the neck lie exposed. Human muscle smells not unlike raw lamb meat in my opinion. At this point of the autopsy, the smells are otherwise very faint.

An electric saw or bone cutter (which looks a lot like curved pruning shears) is used to open the rib cage. One cut is made up each side of the front of the rib cage, so that the chest plate, consisting of the sternum and the ribs which connect to it, are no longer attached to the rest of the skeleton. The chest plate is pulled back and peeled off with a little help of the scalpel, which is used to dissect the adherent soft tissues stuck to the back of the chest plate. After the chest plate has been removed, the organs of the chest (heart and lungs) are exposed (the heart is actually covered by the pericardial sac).

Before disturbing the organs further, the prosector cuts open the pericardial sac, then the pulmonary artery where it exits the heart. He sticks his finger into the hole in the pulmonary artery and feels around for any thromboembolus (a blood clot which has dislodged from a vein elsewhere in the body, traveled through the heart to the pulmonary artery, lodged there, and caused sudden death. This is a common cause of death in hospitalized patients).

The abdomen is further opened by dissecting the abdominal muscle away from the bottom of the rib cage and diaphragm. The flaps of abdominal wall fall off to either side, and the abdominal organs are now exposed.

REMOVING THE ORGANS OF THE TRUNK

The most typical method of organ removal is called the "Rokitansky method." This is not unlike field dressing a deer. The dissection begins at the neck and proceeds downward, so that eventually all the organs of the trunk are removed from the body in one bloc.

The first thing the diener does is to identify the carotid and subclavian arteries in the neck and upper chest. He ties a long string to each and then cuts them off, so that the ties are left in the body. This allows the mortician to more easily find the arteries for injection of the embalming fluids.

A cut is them made above the larynx, detaching the larynx and esophagus from the pharynx. The larynx and trachea are then pulled downward, and the scalpel is used to free up the remainder of the chest organs from their attachment at the spine.

The diaphragm is cut away from the body wall, and the abdominal organs are pulled out and down.

Finally, all of the organs are attached to the body only by the pelvic ligaments, bladder, and rectum.

A single slash with the scalpel divides this connection, and all of the organs are now free in one block. The diener hands this organ bloc to the prosector. The prosector takes the organ bloc to a dissecting table (which is often mounted over the patient's legs) and dissects it. Meanwhile, the diener proceeds to remove the brain.

Another method is called Virchow method, which entails removing organs individually.

EXAMINATION OF THE ORGANS OF THE TRUNK

At the dissection table, the prosector typically dissects and isolates the esophagus from the rest of the chest organs. This is usually done simply by pulling it away without help of a blade (a technique called "blunt dissection"). The chest organs are then cut away from the abdominal organs and esophagus with scissors. The lungs are cut away from the heart and trachea and weighed, then sliced like loaves of bread into slices about one centimeter thick. A long (12" - 18"), sharp knife, called a "bread knife" is used for this.

The heart is weighed and opened along the pathway of normal blood flow using the bread knife or scissors. Old-time pathologists look down on prosectors who open the heart with scissors, rather than the bread knife, because, while the latter takes more skill and care, it is much faster and gives more attractive cut edges than when scissors are used. The coronary arteries are examined by making numerous crosscuts with a scalpel.

The larynx and trachea are opened longitudinally from the rear and the interior examined. The thyroid gland is dissected away from the trachea with scissors, weighed, and examined in thin slices. Sometimes the parathyroid glands are easy to find, other times impossible.

The bloc containing the abdominal organs is turned over so that the back side is up. The adrenal glands are located in the fatty tissue over the kidneys (they are sometimes difficult to find) and are removed, weighed, sliced, and examined by the prosector.

The liver is removed with scissors from the rest of the abdominal organs, weighed, sliced with a bread knife, and examined. The spleen is similarly treated.

The intestines are stripped from the mesentery using scissors (the wimpy method) or bread knife (macho method). The intestines are then opened over a sink under running water, so that all the feces and undigested food flow out. As one might imagine, this step is extremely malodorous. The resultant material in the sink smells like a pleasant combination of feces and vomitus. The internal (mucosal) surface of the bowel is washed off with water and examined. It is generally the diener's job to "run the gut," but usually a crusty, senior diener can intimidate a young first- year resident prosector into doing this ever-hated chore. Basically, whichever individual has the least effective steely glare of disdain is stuck with running the gut.

The stomach is then opened along its greater curvature. If the prosector is lucky, the patient will have not eaten solid food in a while. If not, the appearance of the contents of the stomach will assure the prosector that he will not be eating any stews or soups for a long time. In either case, the smell of gastric acid is unforgettable.

The pancreas is removed from the duodenum, weighed, sliced and examined. The duodenum is opened longitudinally, washed out, and examined internally. The esophagus is similarly treated.

The kidneys are removed, weighed, cut lengthwise in half, and examined. The urinary bladder is opened and examined internally. In the female patient, the ovaries are removed, cut in half, and examined. The uterus is opened along either side (bivalved) and examined. In the male, the testes are typically not removed if they are not enlarged. If it is necessary to remove them, they can be pulled up into the abdomen by traction on the spermatic cord, cut off, cut in half, and examined.

The aorta and its major abdominal/pelvic branches (the renal, celiac, mesenteric, and iliac arteries) are opened longitudinally and examined.

Most of the organs mentioned above are sampled for microscopic examination. Sections of the organs are cut with a bread knife or scalpel and placed in labeled plastic cassettes. Each section is the size of a postage stamp or smaller and optimally about three millimeters in thickness. The cassettes are placed in a small jar of formalin for fixation. They are then "processed" in a machine that overnight removes all the water from the specimens and replaces it with paraffin wax. Permanent microscopic sections (five microns, or one two-hundredth of a millimeter thick) can be cut from these paraffin sections, mounted on glass slides, stained, coverslipped, and examined microscopically. The permanent slides are usually kept indefinitely, but must be kept for twenty years minimum.

Additional small slices of the major organs are kept in a "save jar," typically a one-quart or one-pint jar filled with formalin. Labs keep the save jar for a variable length of time, but at least until the case is "signed out" (i.e., the final written report is prepared). Some labs keep the save jar for years. All tissues that are disposed of are done so by incineration.

A note on dissection technique: All of the above procedures are done with only four simple instruments -- a scalpel, the bread knife, scissors, and forceps (which most medical people call "pick-ups." Only scriptwriters say "forceps"). The more handy the prosector, the more he relies on the bread knife, sometimes making amazingly delicate cuts with this long, unwieldy-looking blade. The best prosectors are able to make every cut with one long slicing action. To saw back and forth with the blade leaves irregularities on the cut surface which are often distracting on specimen photographs. So the idea is to use an extremely sharp, long blade that can get through a 2000-gram liver in one graceful slice. Some old-time purist pathologists actually maintain their own bread knives themselves and let no one else use them. Such an individual typically carries it around in his briefcase in a leather sheath. This would make an excellent fiction device, which, to my knowledge, has not been used. Imagine a milquetoast pathologist defending himself from a late-night attacker in the lab, with one desperate but skillful slash of the bread knife almost cutting the assailant in half!

Note on the appearance of the autopsy suite: Toward the end of the autopsy procedure, the room is not a pretty sight. Prosectors vary markedly in how neat they keep the dissection area while doing the procedure. It is legendary that old-time pathologists were so neat that they'd perform the entire procedure in a tux (no apron) right before an evening at the opera (pathologists are noted for their love of classical music and fine art). Modern prosectors are not this neat. Usually, the autopsy table around the patient is covered with blood, and it is very difficult not to get some blood on the floor. We try to keep blood on the floor to a minimum, because this is a slippery substance that can lead to falls. The hanging meat scales used to weigh the organs are usually covered with or dripping with blood. The chalk that is used to write organ weights on the chalkboard is also smeared with blood, as may be the chalkboard itself. This is an especially unappetizing juxtaposition.

Another example using the Virchow method:

After the intestines are mobilized, they may be opened using special scissors.

Inspecting the brain often reveals surprises. A good pathologist takes some time to do this.

The pathologist examines the heart, and generally the first step following its removal is sectioning the coronary arteries that supply the heart with blood. There is often disease here, even in people who believed their hearts were normal.

After any organ is removed, the pathologist will save a section in preservative solution. Of course, if something looks abnormal, the pathologist will probably save more. The rest of the organ goes into a biohazard bag, which is supported by a large plastic container.

The pathologist weighs the major solid organs (heart, lungs, brain, kidneys, liver, spleen, sometimes others) on a grocer's scale.

The smaller organs (thyroid, adrenals) get weighed on a chemist's triple-beam balance.

The next step in the abdominal dissection will be exploring the bile ducts and then freeing up the liver. The pathologist uses a scalpel or other similar tool.

After weighing the heart, the pathologist completes the dissection. There are a variety of ways of doing this, and the choice will depend on the case. If the pathologist suspects a heart attack, a long knife may be the best choice.

In the example: The liver is removed. The pathologist finds something important. It appears that the man had a fatty liver. It is too light, too orange, and a bit too big. Perhaps this man had been drinking heavily for a while.

The pathologist decides to remove the neck organs, large airways, and lungs in one piece. This requires careful dissection. The pathologist always examines the neck very carefully.

The liver in this example weighs much more than the normal 1400 gm.

The lungs are almost never normal at autopsy. In the example, the lungs are pink, because the dead man was a non-smoker. The pathologist will inspect and feel them for areas of pneumonia and other abnormalities.

The liver is cut at intervals of about a centimeter, using a long knife. This enables the pathologist to examine its inner structure.

The pathologist weighs both lungs together, then each one separately. Afterwards, the lungs may get inflated with fixative.

The rest of the team continues with the removal of the other organs. They may decide to take the urinary system as one piece, and the digestive system down to the small intestine as another single piece. This will require careful dissection.

One pathologist holds the esophagus, stomach, pancreas, duodenum, and spleen. He opens these, and may save a portion of the gastric contents to check for poison.

Another pathologist holds the kidneys, ureters, and bladder. Sometimes these organs will be left attached to the abdominal aorta. The pathologist opens all these organs and examine them carefully.

Dissecting the lungs can be done in any of several ways. All methods reveal the surfaces of the large airways, and the great arteries of the lungs.

Most pathologists use the long knife again while studying the lungs. The air spaces of the lungs will be evaluated based on their texture and appearance.

Before the autopsy is over, the brain is usually suspended in fixative for a week so that the later dissection will be clean, neat, and accurate.

If no disease of the brain is suspected, the pathologist may cut the brain fresh.

The kidneys are weighed before they are dissected.

It is the pathologist's decision as to whether to open the small intestine and/or colon. If they appear normal on the outside, there is seldom significant pathology on the inside.

One pathologist prepares the big needle and thread used to sew up the body.

When the internal organs have been examined, the pathologist may return all but the tiny portions that have been saved to the body cavity. Or the organs may be cremated without being returned.

The appropriate laws, and the wishes of the family, are obeyed.

The breastbone and ribs are usually replaced in the body.

The skull and trunk incisions are sewed shut ("baseball stitch").

The body is washed and is then ready to go to the funeral director.

These notes do not show all the steps of an autopsy, but will give you the general idea. 

During the autopsy, there may be photographers, evidence technicians, police, hospital personnel, and others.

In the example, the pathologists submit the tissue they saved to the histology lab, to be made into microscopic slides.

When these are ready, they will examine the sections, look at the results of any lab work, and draw their final conclusions.

The only finding in this sample autopsy was fatty liver. There are several ways in which heavy drinking, without any other disease, can kill a person. The pathologists will rule each of these in or out, and will probably be able to give a single answer to the police or family.

CLOSING UP AND RELEASING THE BODY

After all the above procedures are performed, the body is now an empty shell, with no larynx, chest organs, abdominal organs, pelvic organs, or brain. The front of the rib cage is also missing. The scalp is pulled down over the face, and the whole top of the head is gone. Obviously, this is not optimal for lying in state in public view. The diener remedies this problem. First, the calvarium is placed back on the skull (the brain is not replaced), the scalp pulled back over the calvarium, and the wound sewn up with thick twine using the type of stitch used to cover baseballs. The wound is now a line that goes from behind the ears over the back of the skull, so that when the head rests on a pillow in the casket, the wound is not visible.

The empty trunk looks like the hull of a ship under construction, the prominent ribs resembling the corresponding structural members of the ship. In many institutions, the sliced organs are just poured back into the open body cavity. In other places, the organs are not replaced but just incinerated at the facility. In either case, the chest plate is placed back in the chest, and the body wall is sewn back up with baseball stitches, so that the final wound again resembles a "Y."

The diener rinses the body off with a hose and sponge, covers it with a sheet, and calls the funeral home for pick- up. As one might imagine, if the organs had not been put back in the body, the whole trunk appears collapsed, especially the chest (since the chest plate was not firmly reattached to the ribs). The mortician must then remedy this by placing filler in the body cavity to re-expand the body to roughly normal contours.

Ultimately, what is buried/cremated is either 1) the body without a brain and without any chest, abdominal, or pelvic organs, or 2) the body without a brain but with a hodgepodge of other organ parts in the body cavity.

FINISHING UP

After the funeral home has been called, the diener cleans up the autopsy suite with a mop and bucket, and the prosector finishes up the notes and/or dictation concerning the findings of the "gross exam" (the part of the examination done with the naked eye and not the microscope; this use of the term "gross" is not a value judgement but a direct German translation of "big" as opposed to "microscopic").

For some odd reason, many prosectors report increased appetite after an autopsy, so the first thing they want to do afterwards is grab a bite to eat.

The whole procedure in experienced hands, assuming a fairly straightforward case and no interruptions, has taken about two hours.

Complicated cases requiring detailed explorations and special dissections (e.g., exploring the bile ducts, removing the eyes or spinal cord) may take up to four hours.

AFTER THE AUTOPSY

Days to weeks later, the processed microscopic slides are examined by the attending pathologist, who renders the final diagnoses and dictates the report.

A final report is ready in a month or so. The glass slides and a few bits of tissue are kept forever, so that other pathologists can review the work.

Only the pathologist can formally issue the report, even if he or she was not the prosector (i.e., the prosector was a resident, PA, or med student).

The report is of variable length but almost always runs at least three pages. It may be illustrated with diagrams that the prosector draws from scratch or fills in on standard forms with anatomical drawings.

The Joint Commission for the Accreditation of Healthcare Organizations (JCAHO), which certifies hospitals, requires the final report to be issued within sixty days of the actual autopsy.

The College of American Pathologists, which certifies medical laboratories, requires that this be done in thirty days.

Nevertheless, pathologists are notorious for tardiness in getting the final report out, sometimes resulting in delays of years.

Perhaps the non-compensated nature of autopsy practice has something to do with this. Pathologists are otherwise very sensitive to turnaround times.

THE BRAIN-CUTTING

The examiner returns to the brain left suspended in a big jar of formalin for a few weeks. After the brain is "fixed," it has the consistency and firmness of a ripe avocado.

Before fixation, the consistency is not unlike that of three-day- old refrigerated, uncovered Jello.

Infant brains can be much softer than that before fixation, even as soft as a flan dessert warmed to room temperature, or worse, custard pie filling. Such a brain may be difficult or impossible to hold together and can fall apart as one attempts to remove it from the cranium.

Assuming good fixation of an adult brain, it is removed from the formalin and rinsed in a running tap water bath for several hours to try to cut down on the discomforting, eye-irritating, possibly carcinogenic formalin vapors.

The cerebrum is severed from the rest of the brain (brainstem and cerebellum) by the prosector with a scalpel.

The cerebellum is severed from the brainstem, and each is sliced and laid out on a tray for examination.

The cerebrum is sliced perpendicularly to its long axis and laid out to be examined.

Sections for microscopic processing are taken, as from the other organs, and a few slices are held in "save jars."

The remainder of the brain slices is incinerated.

Sources: 1 2 3 4

If these notes help with your poem/story, do tag me, or leave a link in the replies. I would love to read them!

[the-witchhunter]

I’ve had an interesting thought swimming around my head that I swear I’ve been meaning to write

You know what would be an interesting combination of characters?

Jazz and Harvey Dent/TwoFace

Specifically a Dent just getting back on his feet, released from Arkham and trying to learn how to exist in the world with his condition

I’m thinking a reveal gone wrong, Danny has disappeared to ancients know where, so Jazz cuts ties and Stays with her Uncle Dent, or maybe her bio dad if that’s more your game. Just an soaking wet and miserable Jazz showing up at his crappy apartment saying she’s his daughter or niece and him resisting the urge to flip a coin because he has enough on his plate as is, only to let her in telling her they’ll talk about it in the morning and point her to the shower so she can clean up and dry off

Why do I think this would be an interesting combo?

Jazz’s interest in psychology. A lot of times, as a fandom we depict her as an expert, and in a future timeline where she went to school and has been practicing psychology maybe, but default Jazz? She’s not an expert

Jazz wants to be a brain surgeon, psychology is an interest of hers but her understanding is very limited. She quotes Freud and Jung and has some amount of academic knowledge of the field, but she clearly doesn’t understand that psychoanalyzing friends and family and offering unwanted psychiatric advice is actually rude and something she shouldn’t do. She lacks understanding of actual therapy and is clumsy in applying her knowledge to people she knows

And I find putting her in proximity of someone with DID and probably PTSD would really be an eye opening experience for her

Because Dent might humor her, TwoFace will call her out. They both have hung around Harley to know enough to tell her, “maybe don’t take Freud so seriously” because man does everything go back to sex with Freud, and maybe quoting a guy that says she wants to boink her dad is not as strong of a point as she thinks it is

And the thing is, Harvey would likely still be receiving therapy as an outpatient, potentially taking meds to help deal with his conditions, likely a mood stabilizer or anxiety med to manage PTSD symptoms, so she’s front seat of him learning to live as a regular person in Gotham with his condition. She’s gonna see his good days, his bad days, the side effects of his medication, and it’s going to change her idea of what psychology is. It’s not just quoting things at people, it’s not just saying “this is good for people” but she’d see what it being put into practice would look like

Maybe that’ll push her away from the subject. Maybe it’ll make her more inclined to study, to learn not just about it as an abstract but how to actually apply it to help people. Learning about actual therapy practices. Maybe living first hand with mental illness would be the push to switch from neurosurgery to clinical psychology in her future plans

Also I just think that Dent would be empathetic and do what he could to help her, meanwhile TwoFace would help her cut loose a little, get a little chaotic and have some fun

You can’t tell me there’s not something fun about her and “Uncle Two-y” having a night on the town that only results in a little property damage. Relax Harv, they didn’t do anything too illegal, because they didn’t get caught or nothing

[cherubispunk]

NEPHILIM - Jackson-era!Joel Miller x AFAB!Reader

summary: the disturbing comforts the disturbed.

a note from Lucy: I swear there is fluff! I swear, I swear, I swear! You just have to squint *reeeeaaaalllly* hard. Yes, I read the book of genesis and the book numbers along with some extensive Wikipedia deep diving for like…a paragraph of lore. But is it really ever enough?

playlist | moodboard

wc: 2498

Warnings: 18+ MDNI DARK CONTENT! no use of y/n, I tried to keep her body type as generic as possible but he might be slightly skinny coded so please let me know and I’ll change it in edits, reader is referred to as ‘Bambi’, verbally constipated Joel Miller, brief gore descriptions, heavy religious imagery and references to the bible, biblical lore, bombastic age gap!!! yahhhhh! (reader is in her 20’s/ Joel is in his late 50’s), smut, p in v sex, creampie, fingering, rough sex, possessive!joel, dom!joel/sub!reader dynamic, you know the drill with my writing, there’s probably some form of cannibalism as a metaphor, or brutal violence as a metaphor, religious imagery as a metaphor, etc. (aka, fancy word vomit)

series masterlist | m.list

Genesis 6:4 The Nephilim were in the earth in those days, and also after that, when the sons of God came in unto the daughters of men, and they bore children to them; the same were the mighty men that were of old, the men of renown.

The reality of it was, you and Joel were two people who lived in the same small town. Who’s paths crossed once to save your life, and the others when coincidence would grant you that small pleasure. He carried you to the care of an old man with blue eyes now milky in cataracts. Jude. Who nursed you to health in a metal framed bed of an old family home— now the town clinic. The knife that sliced open your side had been dirty, and sepsis soon spread in the bloody gash. Only with Joel finding you in the snow, and Jude delivering you antibiotics, did you recover back to health.

He wouldn’t visit you directly. He would visit Jude and glance at you through the doorway as he passed the hall to the elderly Man’s office. To distract from the man you read stories when bedridden. Parts of biblical scripture; Read the book of Genesis; Read the book of Numbers. Jude being a religious man who had the fortune of holding God in his heart, kept them among his medical journals and books. And the former was far more interesting than the later in your opinion. For in them were mentions of anthropomorphic creatures born of flesh, blood and divinity. Towering tall over common trees and temples built in the name of Lord God. You were no religious woman, but you found comfort in the fables of the Old Testament. And likened Joel to the Nephilim in all ways.

Joel Miller was something of a biblical figure to you. A small glimpse into the past of something archaic, untold, and harbouring on the dangerous. You liked to imagine him as one of the Nephilim. A son of god, offspring borne of a fallen angel and man. A giant of misunderstood nature. Who’s soul had been cast down on earth in punishment. His large hands had bloodshed on them, or so people had said. They whispered it quietly in the spaces between. The places he didn’t occupy often. But he was always on your mind…so there was no place for those whispers there. If he was all that bad…why did he save you? You saw his need to care, protect, understand. Not be understood. But just understand. You would let yourself dream of taking his rough edges to the smooth plane of a whetstone. People claimed you cannot buff brass into gold. That it will only be as such in your head. That it was a fools game, but the fool is rich in content, and poor in sorrow. For the fool has little to worry about while they live in ignorant bliss.

What wasn’t written in any of the books of the holy scripture was this; ‘The disturbing comforts the disturbed.’ But it might as well have been. It was practically the way god intended life to be. You are shaken, and you are weaned on being shaken, until stillness is a discomfort and your body begs to be rattled again. But harder.

—

You took a while to find your feet. Joel took it upon himself to wordlessly help you with any medial or manual task. You were given a house on the edge of town, up a hill in some remote street that was always quiet. It seemed the less social souls resided there. Not that you minded. It was jarring to say the least. Being cast out into the hostile wild. And then brought back into the warmth. Here you had clothes, food, a roof over your head, and community. It stung in the same way it does to run your hands under a scalding tap after labouring out in the cold. It made your fingers numb before they regained feeling. Stiff. And a trouble to flex them back and forth, closed fist, open palm; Closed fist, open palm.

It’s how you earned ‘Bambi’. A name only Joel would ever call you. Dear doe on her wobbly, spindly legs. He’d keep you upright. Despite being a good thirty year sicker than you. Dirty old man. Ditsy little girl.

Your time together was silent. And while he never said he cared, he showed it. By waiting for you each time you were in the stables. And he would walk through town with you a safe distance from his side, up to the top of the hill your house was on. The snow would crunch under his heavy boots and he wished he was lighter on his feet like you. Not a large bulk of a man with heavy feet and even heavier hand. Maybe Joel wasn't large by the world's standards, but he was still a giant to you- muscular, and broad shoulders. With hands that could engulf yours, or cradle the entire crown of your head with a single palm. His arms were strong, and large from manual labour, and tightly knotted with tendons and grizzly muscle like thick twisted ropes that held up sails. What you liked most, however, was his softer belly. Perhaps the only soft thing about him from what little you had seen, or heard, or assumed. You felt an intrinsic satisfaction in knowing he was well fed. And Joel didn't mind it either. It was a reminder to himself what he was in fact as safe as he could be. Anything to not go hungry again. He still kept his brawns either way. Kept his hands and mind busy with patrols and the odd job around town. Fixing roofs, garden sheds, building tables with spare lumber from the woodhouse, and chopping firewood for the colder months. At the beginning of winter he would spend most of his free time ensuring you had enough. He spent hours out in his backyard, swinging that axe down on log, after log of wood. Then carry it up the hill in a wheelbarrow to your front door. He did it for nothing. Nothing but the peace of mind that grew from the seed of knowing you were warm. But he was greeted with something you had baked, or sewn, or knitted, or grown in your empty hours alone. Apple and rhubarb pie, thick woollen gloves, sourdough bread with crunchy, thick crusts that crunched when he broke his bread.

“It’s nothin’.” He would say, and shrug, hands on his hips while he looked back at the finished product of whatever work he’d slaved over that entire afternoon. Be it a pile of firewood, raised garden beds, or a fixed gutter. “Just…do me a favour?” He asked.

“Yeah?”

“Keep that smile on y’face, Bambi. Don’t let anyone take it away from ya.” His face was stern. As if he was telling you, not asking you. But if you were to ever stop smiling he thought he’d keel over and die a little bit inside. Or part of him would anyway. The part of him you now had in your chest unwittingly.

You watched the mountain of a man, Big Bad Joel Miller, warm up. Day by slow day. He was on the threshold of it. Right there. But the toe of his thick winter boots never ventured onto floorboards. He stayed out in the cold. After a while you dared Joel to touch you. Tired of him only meeting halfway. He was a man of few words, but a man of so much action. And when you challenged him with your tongue, he countered with his touch. That night was hell under the guise of heaven for his restraint.

“Y’so bad for me, Bambi.” Joel grunted, his entire weight smothering you against the mattress of his bed. His cock dragging in and out of you slowly. “Old sinner like me ain’t made for you.” So slowly the anticipation ached in the joints of your toes that curled. His grip on your hips casting his handprint in a watercolour bloom. “That’s it, fuck– takin’ me so well.”

You whimpered, eyes fluttering shut, back arching in a deep curve off the bed while his hips altered their pace. Just a tad quicker as you bucked up into him. The two of you climbing in tandem to the high. “That's it,” He repeated in a hiss, followed by a growl into your neck, “Keep archin’ that back for me.” You did just that, holding onto his forearms for leverage as you curled your spine a little deeper. A word came to mind. One you’d heard once before. Only once. But I held such a comfort to be able to label it. Hiraeth. He was that. And what you felt was that. A longing for a home. He treated you like you wouldn't break. But spoke as if words would lacerate you. One punctuated thrust, aided by your own slick was all it took, a moan for him deeper. A tear slipped from your eye and you let gravity do its work, pulling it from you. It slipped from the corner of your eye, and down your temple. “Good girl, Bambi.” He crooned, splaying both of his palms over your hairline and sweeping the hair that stuck to your forehead in the sheen of sweat atop your skin. His large hands dragged over the top of your skull to the crown of your head, down the back of your neck, and gripped. That soft fleshy part at the base of your skull and the top of your still curved spine.

It hurt. It deeply hurt. His calloused fingers, textured by the trigger of a gun, or the handle of an axe, pressing into your malleable skin. But you’d let Joel drag you to hell if it meant he would hold your hand. You didn't care how he touched you– how he was inside you. He could be buried to hilt in your cunt, or knuckle deep in an open wound. As long as he was there. You'd give the heavens, and the earth, and rot in hell if it meant he stayed. Joel swore you had the space for his heart next to yours. But you didn't have the stomach.

You gripped the skin of Joel’s back. Searching for a part of him to hold that would turn off the cynic in him. Or at least try. You gave up on that idea. Because the man that fucked you— the man that loved you in action and not words— was not kind. He was not gentle. He was bold, and sharp as broken glass, and blunt all in the same being. You knew the crease of his brow. You had it memorised.

He hooked a leg over his shoulder, opened you up to his greedy eyes. They misted into dark hickory at the sight of you taking him so well inside of you. Messy little cunt for him to play with whenever he pleased. His nostrils flared as he pressed deeper. And your reaction was as he planned. A cry of his name. Your sex drenched and accommodating every inch. “A cunt made for me.” He gritted through his teeth, leaning forward to sink his teeth into your bottom lip and lick into the wet cavern of your mouth; Take the taste of you back with him when he retreated again; Righting his hips and the angle he fucked you in.

“Made for you.” You agreed in a garble and a slur. As if drunk off the last dregs of his kindness that lay at the bottom of the bottle. Licking it dry for all it was still worth.

“Say it again.” Joel grunted, demanded.

“Made for you.” You repeated.

“Good little Bambi.”

From there it was the crescendo. And it came broken in two halves of two separate waves. The first wave was one of numbing pleasure. The one that fizzled through your legs until you were nothing but a mere speck for a second. And the second was the one that broke you. Had you shattering. It tightened in your womb, behind the mouth of your cervix, and then released in slow flutter; Your walls relaxing and then contracting. And he came after with a groan and spilled inside of you.

He was no gentle lover. In fact, he wasn’t a lover at all. When he fucked you that night…it felt like he was trying to love you— but couldn’t. He was too conditioned to violence. It showed the ache he left behind. Nevertheless, you would take more than he was willing to offer. But what he dropped in your palm you stored away and hoarded like a greedy magpie with shiny little trinkets. He was warm. But not warm like a campfire. He was warm like hellflame. And you were okay with that. You would take your time with him, and slowly pry open a gap in his ribs to slip past. To love him to the marrow. Even the mangled parts. Find him at his very worst — The part humanity suffocated in. And love him there. Silently.

Joel ran a hand over the flank of your ribs and then curled around your navel to pull your back to his chest. Then kissed the crook of your neck in a silent apology to your skin for each mark or tender bruise he may have left. One that wasn't really needed, but you accepted it by reaching behind you and running your fingers through his thick greying curls. In times like these after it all, in the clot and space in between, you came to realise loving him was like loving being hungry. It felt good to want things. To feed yourself you swallowed your fear instead. You lay there, exhaustion heavy in your bones, a hand of his slipping between your legs to feel the evidence of him being there inside you. His spend sticky and thick and warm between your legs. You couldn't fight the impulsive twitch that jolted your spine when he pressed on your swollen, slick clit and drew lazy circles. “Mine now, Bambi.” He murmured into the skin of your shoulder. He didn't kiss the skin there, but rather trailed his chapped lips over your flesh in such a light touch it felt like it was hardly there. More a trick of the sex hazed, lust crazed mind. “Understand that?” And you nodded in silence with a small smile, watching out the frosted up window pane as the dawn stained the sky a burnt orange and angry red. It refracted and smeared in the crystallised ice. A thin sheet that obscured the image of the sycamore tree outside his bedroom window. The bare branches looked far more like the bones of skeletal fingers than a tree bare of leaves. Its bleach white bark only emphasised your image of it. Your vision. Nevertheless; The blackbird would sing, once again on its branch, a morning song you knew by heart.