For the most part, my approach to prescribing hormones is “sure,” but I will note that the one thing I lean HARD on patients about is smoking. If you’re transgender, and you’re on hormones, the number one thing we want to protect is your cardiovascular health. That’s frankly the number one thing I want to protect in all my patients, but anyone taking exogenous hormones is at higher baseline risk. And the best thing you can do for your heart is DON’T SMOKE. It’s a bitch to quit, and I didn’t even smoke much or long before I quit in my late teens, and I STILL didn’t enjoy quitting and had smoking dreams for years. It’s harder to quit than just about anything else up to and including crack and heroin, and that’s coming from a patient of mine who recently passed in her early 60s who’d done all of those things—for years and years—but eventually was able to quit everything except smoking. And that killed her. She developed severe COPD and eventually called to say her blood oxygen saturation was dipping into the 70s, which is incompatible with life. She was lucid enough to decline medical care, including refusing to call 911 or go to the ER. A week later, after both I and one of our outreach nurses had contacted her to ask her to please go to the ER, I got a notification that she’d been found dead. She had been so frustrated that she wasn’t a candidate for a lung transplant.
One of my oldest trans patients is in her late 50s. She’s had blood clots that went to the lungs. Repeatedly. Smoking raises that risk. Estrogen raises that risk. She’s a veteran with PTSD; of course she smoked.
These aren’t theoretical. These are humans I’ve cared for over years of their lives. I have been rooting for them—my beloved former addict, who spoke without shame about her years of homelessness and drug use in the city; my queer elders, who are slowly trading in their motorcycles for power scooters. I want everyone to live their fullest, best life.
Smoking doesn’t fit into that. Please don’t smoke. I don’t want you to die like that—not now and not later. I want you to have the future that you may not be able to see yet, but exists.
Since I moved home as an out queer, word got out, and there’s a whole apartment complex of lesbians in their 60s to their 80s who come see me—sitting next to their wives in the office, nagging about blood pressure meds, tattling about not having gotten the shingles shot they said they would. To be clear, when I was growing up in town, I knew no lesbians. Not one. I knew one gay kid in my class, which eventually turned into two. We were it. To see these women living decades with their wives and being able to squabble like any couple in my office over who was supposed to bring their home blood pressure cuff in for us to check it… it means the world to me.
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i bet if walter white had tumblr hed be like "i am the one who blogs haha"
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🔮 purple-queen Follow
just got a beautiful ring from the store, can't wait to show it off here!
#my purchases #marie speaks
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🌶️ capncook
finally scored a new job can i get a hell yeah. back to making stacks dawg
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🪨 hankschrader4 🔁 flynwyte Follow
🏎️ flynwyte Follow
HELP A DISABLED TEEN'S FATHER AFFORD CANCER TREATMENT!
I didn't want to have to make this post, but deadlines are closing in and I don't have many options left.
My name is Walter White Junior, and my father was recently diagnosed with cancer. He's been battling for a few months now, and he wants us not to worry about him, but he can't keep pulling money out of nowhere. I've done the math, and I've estimated that he needs $12k to afford all the treatment he needs.
Any donations are appreciated! You can donate directly at my website, or donate on p@yp@l, under the username flynwyte.
407/12,000
(do not tag as donation!)
#donation
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👨🏾💼 gustavo-fring
I am pleased to announce that we have finally hired a new social media intern.
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🐓 los-pollos-hermanos Follow
yo yo yo whaddup chicken lovas!!! were bringin back the 2-for-1 honey mustard wings combo, with that signature taste you cant help but love! get it today, bitches!
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🔮 purple-queen Follow
okay, you know what? No. I'm sick of this. Kleptomania is a valid mental disorder, and if i have to explain to you why, then i will.
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#marie speaks #rant
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🌶️ capncook
bored on the job man its got me thinkin...
#vent post #delete later
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👊 2co Follow
i can't say shit around my grandpa bro. i make a comment about the lakers one time and its 😤🛎️🛎️🛎️😤🛎️🛎️😤😤🛎️🛎️🛎️🛎️🛎️ im fuckin SICK OF IT!!
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🐓 los-pollos-hermanos Follow
i miss her so much man...
#vent post #delete later
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🐓 los-pollos-hermanos Follow
We would like to apologize for our social media intern's mistake. As a token of our apology, we are offering a 10% discount on any chicken order if you mention this post. Have a finger-lickin' day!
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🧪 h31s3nb3rg Follow
I am the one who blogs haha
#heisenposting
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😺 meow-moment
Who said that
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im shaking about everything happening in rafah right now. i can’t imagine so distressed they’re blowing them to smithereens, you can see the refugees hands and toros and legs blown apart. they’ve concentrated everyone into one area and at 3am in the morning they bombed them, threw bombs all over them. at the same time at that same moment israel aired an ad on the superbowl painting themselves the victim. saying they need to get the refugees home. they rejected the hostage exchange peace plan offered by hamas. they rejected a hostage exchange. they rejected the hostage exchange. they rejected the hostage exchange. saying it would be done soon. and now they carpet bomb the civilian refugees that they ordered to be concentrated into one area. in the past hour alone 30 confirmed martyrs. 60 confirmed martyrs. now possibly a 100 confirmed martyrs. the death is outrunning the time on the clock. it’s all just so much. it’s so heartbreaking and cruel. and still there are people in the world blaming us for all this. blaming palestinians for all this. how will they explain it? maybe cnn or the BBC or the guardian will say “100+ Palestinians found dead after being caught in artillery fire” they won’t say we’re killed, targeted, murdered, bombed. they won’t even say we’re human even if our guts and brain matter are stuck on the floor. i’m losing my mind.
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How’d they act if you called them pretty upon getting catch looking at them…
Dan Heng: blushes. Hard.
He’s not use to someone complimenting his looks as it’s not something he finds important.
‘Are you really that shameless to say such things aloud?’ He’d say while avoiding eye contact with you.
Dan Heng would act as though you just shouted this out loud in front a hoard of people, even though you didn’t.
He’s awkward when it comes to taking compliments aimed his way but his reaction is too fucking cute to ignore and will warrant another compliment his way, which will only serve in making his face brunt redder.
‘Shut up, please.’ He’d plead as he covers a hand over your eyes, feeling as though they’ve stared deeply into his soul and actually see him as a whole person and more. ‘You talk too much about things you don’t understand the first thing of.’
He’s probably going to get teased by March 7th after this and it’ll be used as blackmail, probably.
Give him a moment to breath and calm down before complimenting on how pretty he is because he will combust from how flustered he is.
Argenti: would probably start a compliment war in all honesty because how can you say he’s pretty without admitting that you are also quite a sight for sore eyes.
If you were to compliment his hair, he’d resort back with how even the stars put on their best performance within your presence.
He’s got such a way with words that can easily leave one flustered without even trying. He’d even wax poetry on the spot about how the light catches your eyes in a way similar to that of a kaleidoscope, bright, vibrant and above all breathtaking.
Argenti doesn’t hold back, will not hold back, and will not back down from letting you know just how ethereal you look to him.
He can do this all day, you however could not do this all day seeing how this man has unlimited ammunition when it came to complimenting the beauty of pretty much everything.
(I mean this is the same dude who complimented a plant. 🪴 I bet that plant blushed, we just didn’t see it bc who wouldn’t blush if a chivalrous red head complimented them?)
Welt: smiles softly as a light blush coated his cheeks.
He’s well kept for someone who’s in his 60/70/80’s And he deserves to be told as such!
(all I know is that he’s grandpa age from other ppl)
So when you do compliment him and call him pretty, this old man is going to thank you for such kind words and probably give you head pats as a reward.
He appreciates a kind compliment now and then.
‘Why thank you, I try my best to keep in good shape if I’m meant to keep up with all of you.’ He would say in response followed by a chuckle.
Welt is young at heart and knows that his body isn’t how it once was but that doesn’t change the fact that he’s a restless spirit within an old man’s body. So when you compliment him, it only makes him feel good and warm on the inside.
Blade: doesn’t know how to take compliments.
He’s not use to it and doesn’t know how to react to it other than saying something along the lines of;
‘Don’t be ridiculous.’
‘Flattery will get you nowhere.’
Or just straight up. ‘No.’
And all the while his face is like this: 😐 or this 😒
It’s never one or the other, blade just doesn’t view himself worth the compliment, when the only things about him that people see most is that he’s a bad dude in a bad group doing bad things.
He doesn’t see why you’re wasting a kind, genuine compliment on someone whose entire body is riddled in ugly scars.
Blade is the type of person where you’d have to prove that your compliment is genuine or else he just won’t believe it.
Sampo: his ego is boosted to the max.
Well done you’ve made him even more insufferable.
He will smile that Cheshire smile of his and ask to hear what else about him you find appealing besides his pretty face.
You: your exposed hips, you slut-
However behind his cocky persona, he’s a giggly bitch who’s mentally kicking his feet and writing this interaction in his bubblegum pink diary with a glitter pen.
Sampo is deeply invested in what you thought about the rest of him but won’t let it show as he would consider it ‘out of character’ for himself. So he’ll continue to act the cocky and confident fool like he always does.
He’ll be the type to tease you about potentially killing him while internally screaming himself and telling other people that you find him pretty, much to your embarrassment.
‘You see them over there? Yeah they called ol’ Sampo pretty!’ He’d say to a random person while pointing towards you as you try to hide yourself behind a trash can…only for the trash can to grow arms and legs and walk off elsewhere.
Why were the arms and legs buff as fuck? What was their workout routine? You must know. now.
Sunday: takes the compliment in kind.
He looks like the type to get called handsome or pretty on the daily, so it’s nothing new to him but he’ll take the compliment nonetheless.
He’s probably the most calm out of the bunch when being called pretty, besides from maybe Welt.
He’s not bashful, he’s not overtly arrogant and he’s not in denial about it either. He just takes the compliment as it is and goes on about his day like any other.
Though people would take note on how he’s smiling brighter than usual. Your compliment would stay with him the entire day, as it serves as a reminder of his place within your heart and he’s secretly scheming on ways on how to stay within your heart.
Permanently.
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