it's been said before and i'm sure said better than i can phrase it. but really, really - if you like making "i'm going to kill myself" jokes, please try switching to being ironically conceited instead.
anytime something goes wrong, say things like "ah well at least i'm beautiful and charming and everyone loves me." when you forget something, try "my big huge brain is so smart and thinking about too many other very big wizardly thoughts you wouldn't even understand." when you're frustrated by one of your symptoms, start talking like you're in My Immortal. "Life has come for me but my eyes are beautiful pools of gorgeous fire and my hair is amazing. I stuck my middle finger up at life and told it to fuck off and it did."
just... try it for a month or two. try saying the most absurdly self-congratulatory shit you can think of.
i know it's tempting to make suicide or self-harm jokes. and for me at least, a decade ago (!) when someone suggested i stop making those kinds of jokes, i was kind of at a loss for what to replace them with. i wanted to make light of these moments, but genuinely (at the time) my first thought really was suicidal ideation. there was a part of me that even felt like ... i was kind of "making light" of that voice. that if i could say i want to die lol, it would help take the sting out of that genuine (albeit passive) desire. like i could turn my illness into a joke.
when i started complimenting myself instead, it felt awkward and stupid. it felt really, really ironic. what i was actually saying was nobody would ever think this stuff about me, that's what makes it so fucking funny.
but. the effect was immediate. first thing i noticed was the people around me. when i dropped a glass and said ah my skin is too beautiful and sleek the glass has swooned and broken for me, other people were suddenly overjoyed to jump in with the joke. rather than making an awkward moment, we'd both start cracking up. ah princess sleek hands, i've heard of you.
i was 19. i hadn't noticed i'd been making others tense when i said i want it all to end. i know now that it's incredibly hard to know how to walk that moment - do you talk to them about your concern? do you potentially make them uncomfortable by asking if they're okay? do you ignore the situation? do you help them pick up the glass, or do they need to do it by themselves? are they genuinely made suicidal over this small moment? and most importantly, how do you - without professional training or supplies - actually help?
most people want to help you pick up the glass in your life, they just have no fucking idea how to do it. they don't want to make anything worse. they don't want to make assumptions about you. they love you, they're scared for you - and being scared makes people kind of freeze up. it's not because they don't love you. it's because they do.
now when something bad happens, my first thought is how can i make a stupid joke about this. it isn't my brain saying you're a dumb fucking bitch. i spend more time laughing. i spend more time being gentle with myself. i spend more time feeling good.
and the thing is - what's kind of funny - is that you'd be surprised by how many people agree with you. the first time i said i'm too pretty to understand that, someone else said to be fair you're the prettiest person in this room. i promise - you really don't know how kindly your friends see you. but they love you for a reason. they sort of reverse-velveteen-rabbit you. your weird and ugly spots fade away and you just become... the love they want to give you.
go love yourself ironically. the worst thing that happens is that you end up tricking your reflection into actually loving you.
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Whenever I talk about the medical neglect and ableism I've encountered as a victim of the healthcare system, there's always some cockwaffle who feels entitled to come into my inbox and make the argument of "not all doctors" while talking about how "people like them" (because it's always someone in a field of medicine who does this) are doing their best and it's really hard because so many people fake being ill to get on welfare (Yikes), but like, yeah, obviously #not all doctors, because if all doctors were negligent, bullying scum bags, I'd be dead.
But here's the thing: while I truly believe that the majority of doctors are doing their best in a system stacked against them and their patients, their presence does not negate the mass harm caused by the bad ones. And there are far more bad ones than you realize.
Fuck, John Oliver literally did a segment on this last week:
Yes, the truly bad, malicious doctors are in the minority. Most are just horrifically burned out and fighting a losing battle against a system, killing both them and their patients through a lack of funding and resources and profound overwork.
But the malicious ones do exist, and they will go out of their way to harm patients who don't kowtow to them.
I almost lost my life because when I was in my early twenties, I told a doctor I didn't think she was listening to me, and I disagreed with her assessment of my mental health (she was not a mental health doctor, and I was there for heart palpitations and chronic pain). She retaliated by putting "non-compliant" in my file.
There was also a fun little "doesn't show respect" note too that lives rent-free in my head because I know I wasn't rude. I was polite. I just didn't agree with her, and my refusal to accept her off-handed comment that "you probably have bipolar or BPD" (again, I was there for heart palpitations and chronic pain) meant I was "refusing care."
I wasn't. I just refused to be slapped with a mood/personality disorder when I was there because I kept fucking fainting when I stood up.
(Spoiler alert: it was dysautonomia)
That "non-compliant" marker followed me around for years. It followed me across an ocean and effectively ensured that any doctor I saw was going to treat me like absolute dogshit because no one wants to help Difficult Patients. It wasn't until I was so undeniably ill, literally on the brink of death, that anyone helped me.
I'm alive because of a good doctor. And all the good ones that came after him because of him.
So, I know they exist. You don't have to tell me that.
But I really fucking need you to acknowledge the bad ones and that you're part of a system with a long, long history of abusing minorities and vulnerable people. I need you to acknowledge that because it's the only way we're going to survive this godforsaken nightmare and make things better.
So yeah, #notalldoctors, but if you feel the need to say that because someone talking about being literally left to die by the medical system hurts your feelings, I'm going to have to ask you to take a step back and ask yourself if you're going into medicine for the right reasons.
Namely: do you want to help people, even the "difficult" ones?
Even the ones who might disagree with you?
Even if they're on welfare?
Even if they'll never get "better" in a way that means "cured"?
Just a thought. But hey, what do I know. I'm just someone who experienced hemolytic anemia because doctors kept telling me I was anxious and needed to exercise more 🤷♀️.
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