#numeric variables
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fuck chegg, fuck solutioninn, fuck brainly, fuck studocu, fuck coursehero, fuck transtutors, fuck every single site that says they can help me through figuring out what the assignment wants me to put in excel's constraints section in the solvers parameters dialogue box only to make me make an account to see whatever dumbass ai answer they've got in store
#my god.#i'm just going to skip this portion and take the point deduction if I can't figure it out on my own in the next 15 minutes.#so. the instruction sheet is asking me to add parameters based on days of the week#it says 'Determine and enter the constraints based on the information provided in Table 3.'#so I go to table 3#the constraint provided is 'Each webinar is scheduled at least once on Tuesday and once on Thursday'#and the range is b4:f5. which is chill. nothing's wrong with the range#but I don't know how to schedule things in an excel dialogue box for days of the week re: the constraint?#the only constraint variables I can input are numerical values or cell ranges? right?#like. 'thursday' is not something that excel intrinsically understands. what does it want me to do here.#sorry. this makes no sense without the visual context BUT TO BE FAIR it doesn't make a whole lot more with it either.#whatever. I'll just do the best I can. idfc. I'm almost done.
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"A medical technology company in Australia is aiming for a world-first: it wants to launch a blood test for endometriosis (sometimes called 'endo' for short) within the first half of this year [2025].
In a recent peer-reviewed trial, its novel test proved 99.7 percent accurate at distinguishing severe cases of endometriosis from patients without the disease but with similar symptoms.
Even in the early stages of the disease, when blood markers may be harder to pick out, the test's accuracy remained over 85 percent.
The company behind the patent, Proteomics International, says it is currently adapting the method "for use in a clinical environment," with a target launch date in Australia for the second quarter of this year [2025].
The test is called PromarkerEndo.
"This advancement marks a significant step toward non-invasive, personalized care for a condition that has long been underserved by current medical approaches," managing director of Proteomics International Richard Lipscombe said in a press release from December 30.
Endometriosis is a common inflammatory disease that occurs when tissue similar to the lining of the uterus grows in other parts of the body, forming lesions. The disease can be very painful, and yet the average patient often suffers debilitating symptoms for up to seven years before they are properly diagnosed.
While there are numerous reasons for such a long delay, symptoms of endometriosis are often highly variable, unpredictable, difficult to measure or describe, and dismissed or overlooked by doctors.
Today, the only definitive way to diagnose endometriosis is via keyhole surgery called a laparoscopy, which is expensive, invasive, and carries risks.
Proteomics International is hoping to change that.
In collaboration with researchers at the University of Melbourne and the Royal Women's Hospital, the company compared the bloodwork data from 749 participants of mostly European descent.
Some had endometriosis and others had symptoms that were similar to endo but without the lesions. All participants had a laparoscopy to confirm the presence or absence of the disease.
Sifting through the bloodwork, researchers ran several different algorithms to figure out which proteins in the blood were best at predicting endometriosis of varying stages.
Building on previous research, a panel of 10 proteins showed a "clear association" with endometriosis.
For years now, scientists have investigated possible blood biomarkers of endometriosis to see if they could differentiate between those who have endo and those who do not. Similar to cancerous tumors, endo lesions can establish their own blood supply, and if cervical cancer can be diagnosed via a blood test, it seemed possible that endometriosis could be, too...
Proteomics International claims patents for PromarkerEndo are "pending in all major jurisdictions," starting first in Australia.
It remains to be seen if the company's blood test lives up to the hype and is approved by the Australian Therapeutic Goods Administration (TGA). But that's not outside the realm of possibility.
In November of 2023, some researchers predicted that a "reliable non-invasive biomarker for endometriosis is highly likely in the coming years."
Perhaps this is the year."
-via ScienceAlert, January 9, 2025
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Note: As someone with endometriosis, let me say that this is a HUGE deal. The condition is incredibly common, incredibly understudied, and incredibly often dismissed. Massive sexism at work here.
I got very lucky and got diagnosed after about 6 months of chronic pain (and extra extra lucky, because my pain went away with medication). But as the article says, the average time to diagnosis is seven years.
Being able to confirm endometriosis diagnoses/rates without invasive surgery will also lead to huge progress in studying/creating treatments for endo.
And fyi: If you have a period that is so painful that you can't stand up, or have to go home from school/work, or vomit, or anything else debilitating (or if any of those things apply if you forget to take pain meds), that is NOT NORMAL, and you should talk to a competent gynecologist asap.
#endometriosis#periods#menstrual cycle#menstruation#chronic pain#period pain#period problems#period cramps#medical news#medical sexism#australia#good news#hope
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Part two of my stalker Phainon x nerdy reader fic!! You should be able to find part one just under this post!!
A/N- tysm again for the massive support and love on my last post, it’s honestly making me feel rlly happy and I’m genuinely considering making this a chapter by chapter fanfic (no promises tho idk what life may throw at me)
Synopsis- After establishing a friendship with you, Phainon simply can’t help but fall deeper in love with you. Yet, when an unknown variable- a pest- invades his peace, he feels as though things may take a dangerous turn for the worse.
Warning- Stalking, mentions of extreme violence towards another character, kidnapping, gore.
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Ever since you and Phainon became friends, the two of you would always be texting each other nonstop! Talking about silly things like teachers, cute videos, random drama, and also more in depth things, such as your shared interest of historical relics.
Because of this, the two of you would often set up dates hang out days to take each other to a local museum to research ancient relics or texts. Other days, when the two of you are both free, you’d each be cooped up in a corner of the campus’ library, reading literature and talking to each other with enthusiasm when an interesting point was reached. Albeit, not without the sound of angry shushing from the old, cranky librarian at the front desk. She could really hear everything..
However, when you reject Phainon on a day out to a relic site-seeing place, he feels confused, upset, dejected, but most of all, angry. Very angry, especially after finding out why you weren’t available.
“Oh, I’m sorry, Phainon. But I won’t be able to join you tomorrow on our little weekly day out. I have plans with someone called Mydei? You know him, right?” You spoke nonchalantly, flashing him a quick, apologetic smile as you watched him momentarily deflate at your initial rejection, before turning away just as quickly, not able to see his face morph into a look of wrath once you mentioned that name.
He stayed silent for a few moments, before beginning silently. His tone sharp and cold as he spoke, “Yeah, I happen to know who he is. Mydeimos, son of Gorgo or something. He’s a recent transfer student, isn’t he? What’s he hanging around you for?” He asked as calmly as he could, to mask his voice of envy and irritation behind his cool demeanour.
“Oh, uh.. yeah he is. He’s not very popular right now, so I was assigned to be his little study-buddy for the time being, sorry I didn’t tell you sooner. It’s a bit stupid how they thought placing a quiet kid with another quiet kid was a good idea, but….” You rambled on about your school’s inadequacy or whatever, blissfully unaware that Phainon was indeed not paying any attention whatsoever, and instead, focusing on the numerous thoughts flying through his mind at 360mph.
‘Has she gotten bored of me now?’ ‘What does this Mydei have that I don’t?’ ‘I bet he’s really fucking ugly, he’s probably just a charity case in her eyes.’ ‘Who does this Mydei guy think he is?’ ‘Is he asking for a death wish?’ ‘Maybe I should slice him up into pieces, and serve his meat as meatballs for her-‘
Just as Phainon’s internal turmoil reached its peak, a quiet clear of the throat could be heard from behind the two of you.
“Oh, hello, [Name]. I was told you’d be here, should we get going?” A voice spoke. The pair of you, Phainon and yourself, turned around to the sound of the voice. You smiled brightly at the sight, waving at the guy with your hand. Phainon on the other hand, stood still in shock as he took in the other man’s appearance.
“Ah, Mydei! Hello! I was just finishing up with my friend here, Phainon. We can get going soon, I just need to fix something on my phone. The two of you can chat for a bit before I’m done!” You chirped happily, stepping to the side to fix whatever glitch was on your phone now. Shitty campus signal was really no joke.
Bulky, muscular, slight tan, short, golden wispy hair with slight red ends, enchanting golden eyes, not to mention, ridiculously tall, almost taller than Phainon.. he seemed to be a good contender for your love.
“..Are you just gonna keep staring at me or what? It makes you seem odd, y’know?” Spoke Mydei, his voice deep and rich, with a slight edge of aggressiveness to it. Stunning Phainon out his stupor, he laughed quietly and bowed a bit apologetically.
“Ah, I apologise, Mydei. I was just thinking about something, nothing more.” Flashing Mydei a quick, sweet smile, he was met with a questioning, curious look, that could almost be comparable to a glare. Phainon swore he could see a flicker of understanding and awareness through Mydei’s daybreak orbs for a split second as they darkened slightly, before a soft sigh could be heard from you in the distance.
“Still glitched out. I swear, this campus really does not care about their students. The signal is terrible! Anyways, Phainon, I need to get going with Mydei now. We can chat later!!”
You stood next to Mydei as the two of you began walking away, waving quickly at Phainon as you walked away. However, what you didn’t notice, was the death glare that Phainon was sending towards the two of you, especially at Mydei.
But Mydei saw. With the turn of his head, he saw those icy blue, once bright, now dark blue orbs cutting deep with their intense gaze. He didn’t shudder or tremble in fear, no. He simply kept a blank, unreadable look on his face, looking Phainon up and down with his eyes, as if scanning him carefully, whilst you’d talk about something random.
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“So, Mydei. You told me you like to bake, is that right? Would you like to teach me how to bake? I’m more-so good at cooking rather than baking.. I always make the desserts too raw, or too dry!” You were both now in his dorm as you ranted, placing your books and bags on his table, granted with his permission, as you joined him in his kitchen, which was so much tidier than most other student’s kitchens.
“Hmph. The art of baking stems from the heart. Even raw or over baked goods are still delicious if you know the person made it from their heart.” He declared respectfully, handing a small black apron to you, whilst putting on his own soft pink apron on.
“Uh, are you sure this black apron is for me? I’m pretty sure you should be wearing this one-“ You’re immediately cut off as he sends you a quick death glare, which shuts you up just as fast, but you could’ve sworn there was a slight flush to his cheeks, that matched his pretty pink apron for a few seconds.
“If you looked, you’d know that apron is clearly too small for me. Of course yours is the black one. What? A man can’t wear pink now?” He asked aggressively, but not without a hint of playful aggression laced into the threads of his serious tone.
“I-I never said that!” You waved your hands in front of your face in distress and apology
“Quit it, I was just teasing you.” He uttered again, a soft smile now on his face as he took in the utterly adorable pathetic sight of you trying to save your case hopelessly.
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After a while, you had managed to create an adorable set of yummy cupcakes with the helpful guidance of Mydei’s exceptional baking skills. Opening the oven door, a warm air of sweetness and cocoa hit your nose, before enveloping his whole dorm.
“Looking good,” Mydei praised as you carefully took out the tray with some oven mitts and bent down to place them on the stove atop the oven, before going back down to close the oven door again. But in the reflection of the oven, you saw something for a split second- Mydei’s gaze on you, your form in front of him. Before you could notice fully, he quickly averted his gaze back to the chocolate cupcakes in the baking tray.
Was he praising you?
As you got up, he spoke, bringing in a piping baggie and holding it in front of you.
“Now that the cupcakes are done baking, we’re going to have to wait a bit before we can ice them, since they need to cool down a bit first. Otherwise, the frosting would melt and go everywhere.”
He then brought together the ingredients to make the icing, as well as three food colourings tubes
“Now, you can decide between red food colouring, pink food colouring, or blue food colouring. I don’t really mind either way.” He said, handing the tubes to you to decide which colour to use.
You looked at the food dyes in your hand, deep in thought. See, you had wanted to gift some of these cupcakes to Phainon to make up for having to cancel your little hangout, but you also saw the way Mydei was eyeing the pink food colouring in your hand.
“Hmm.. I think I’ll go with the blue food colouring! You don’t mind that, right?” You asked gently, giving him a look of sympathy as you saw how he deflated slightly at your decision. He took the other dyes from your hand without a word, but you swore you could see a hint of a small pout on his face as he turned his back on you.
“That’s fine. I’ll help you make the icing, I just need to get the right nibs for the piping bag..” He spoke, momentarily distracted as he rummaged through his cupboard to find an appropriate nib. He came back a few moments later, standing next to you in front of the counter.
“We’re gonna be using a simple nib today, no designs. Since it’s your first time, you won’t be using any intricate designs.”
You pouted playfully as you helped him whip together a batch of icing, dipping in some of the blue food dye into the mixture, and watching as it turned from white to a pretty shade of cerulean blue almost resembling Phainon’s eyes.
“Really? I’m sure I could do it! Please, an intricate design would be so cute! Plus, I wanna gift some of these to my friend, so..” You pleaded gently, looking away in shame as he shot you a scowl, which really just made him look like a cat, or a young lion. He turned back to the bowl, whisking carefully, before muttering something almost incoherent under his breath.”
“Would’ve been cuter if you used the pink dye instead…”
“What was that?”
“Nothing. Now, I’m going to teach you how to pipe the icing properly onto the cupcake. We can still make cute designs with a simple nib, so just listen carefully.” He announced, almost sternly as he filled the piping bag with the light blue icing, twisting the nib onto the corner of the bag, before handing it to you and taking a chocolate cupcake out the tray and placing it in front of you.
“Ice it.” He said, staring down at you as you held the bag almost cluelessly in front of you.
“I thought you were gonna help me..” You inquired meekly
“I just wanna see how bad you’ll do, that’s all.” He quipped back, a sly grin on his face as he stepped away from you. You could only narrow your eyes at him as you turned to try and ice the cupcake.
That poor cupcake was now subject to messy, uneven scribbles of azure blue icing, your handiwork was truly poor. You sulked, not being able to even take your eyes off the now eyesore of the cupcake, lest to not have to see Mydei’s face, which was probably adorned with a giant, stupid smirk.
But he wasn’t Phainon, as he chuckled softly and leaned his head near yours, trying to catch a glimpse of your sullen expression.
“You don’t have to pout like that, y’know? Not everyone’s going to get it right on their first time.” He sighed, his voice now taking on a more mellow, kinder, tone, more patient, as it was devoid of any aggression or abrasion. He then simply pushed that cupcake to the side and brought out another one from the tray, before wrapping his big, muscular arms around your form, gently holding you by the hand with his larger hand, as if guiding it.
“Just follow my lead, I’ll help you..” He spoke gently, almost intimately, as he whispered into your ear, huskily, coaxing your hand to lift the piping bag once more with his.
“Mydei..” You spoke hesitantly, shyly, as your cheeks flushed, which he could see through the faint red that dusted onto the curve of your cheek from behind, and on your ears.
“Call me Mydeimos, yeah?” He breathed richly into your ear as he steered your hand with his, squeezing it to coerce you into squeezing the piping bag tight once more, to start icing the cupcake.
You stayed silent as he helped you, but yoy couldn’t help but feel so unfocused as he stayed so close by to you. How his warm breath on your neck as he leaned down to whisper instructions or words of praise into your ear from behind, how it tickled the inside of your ear a little.
After some time, the cupcakes were all beautifully decorated with the icing, with pretty, intricate designs made with the piping bag due to his ‘guidance’
“Look at that, masterpieces in less than ten minutes. You’re a pro already.” He praised, his tone now becoming less husky and quiet, returning to its normal deep and resonate tone as he pulled himself away from you.
“T-thank you.. this was mainly your doing though, you helped me move my hand in all the right places and all..” You muttered quietly, blushing softly as you met his gaze.
“You’re being a lot quieter than you were before when you were with that.. Phainon? guy. Are you two..?”
“Oh- we’re not.. yet but he’s been acting odd lately. More distant and passive-aggressive at times..” You said sadly, thinking back to his colder tone as you told him about Mydei at the start of the day.
“Well.. maybe these cupcakes will make him feel better. You too seem to be close friends, so I’m sure he’d appreciate the gesture.” He answered calmly, almost sympathetically. But, a flicker of a possessive, almost excited glint glimmered in his eyes for a split second as he spoke.
Did he have a chance with you? He did enjoy your company after all
“You’re right,” You sighed “he’s normally really bubbly, so I’m sure something sweet and cute like this will definitely lift his spirits!”
Mydei could only look at you with an adoring unreadable gaze as you began packing up the cupcakes in a tidy container you had brought along with you to his dorm.
Suddenly, you felt one of the cupcakes being pushed towards your lips, the blue icing smearing a little onto your pretty lips.
“Wha-“
“It’s the failed cupcake, just eat it. I’m sure he wouldn’t appreciate it” He stated jokingly, shoving the dessert further until you opened your mouth to get it with a muffled giggle, covering your mouth and turning to face him, cautiously taking the cupcake from his hand and looking up at him.
“Thanks again, I really enjoyed this.. I didn’t think you’d be into these sorts of things, but I’m glad I got to know you and your interests..” You mused calmly, fully aware of the close proximity between the two of you yet again. You were almost pinned against the counter by him as he kept his hand firmly next to your torso on the counter next to you
The two of you could only stare at each other longingly for a few moments, before you both blushed and pulled away from each other.
“A-anyways.. I need to get back to my dorm now, I really enjoyed your company agai-“
“Let me take you. It shouldn’t be too far, right?” He cut you off, albeit, politely due to his sincere intentions. He didn’t give you a moment to think as he helped you pack your things, slinging his keys around his fingers, creating a quiet jingle sound as he did.
“Sure, I guess. We do both live on the same floor, no? Let’s get going then.” You turned to take your things from him and grab the tub of cupcakes on the table, before making your way to his door.
However, before following you, Mydei couldn’t help but momentarily turn his head over his broad shoulder, looking through the window behind his sink. His expression was dark as he felt another presence nearby, that obviously wasn’t yours. It was now dark outside, so he couldn’t see clearly. And he didn’t want to keep you waiting to go check up and confirm his suspicions. So, he simply smirked to himself and the dark outside world beyond the window.
He knew you were being watched and listened to the whole time, so why not give a little show, no?
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Phainon gritted his teeth and almost bared them like an angry dog’s at the entire spectacle from outside his window. You were now long gone from Mydei’s dorm, he had already slipped back into his own dorm, to avoid being caught by Mydei, who was already onto his ass from the very beginning.
“Shit. Fucking piece of shit. Who does that guy think he is? Touching her up, holding her like he’s fucking her. Whispering into her ear from behind like that.” Phainon mumbled angrily to himself as he tore a new one into a poor, fluffy pillow on the ground.
He pretended the pillow was Mydei. How he’d tear his resilient skin off his muscles, rip out each and every one of his axons and nerves, tear through that generous muscle of his, that almost rivalled his own. How he wanted to blend up his organs, crush up his skull, and serve it all raw to you, to show you his devotion.
But he knew you’d run away in fear, never want to speak to him again, be scared of him for the rest of your life. And he didn’t want that. In fact, he wanted the complete opposite. He wanted you to rely on him, make you depend on him. He wanted you. All to himself. No more beating around the bush, you belonged to him. And messing with a potentially even messier dog for food may result in trouble. So why not go for the food first before the other dog gets to it first?
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It had been a few days since your hangout with Mydei- or Mydeimos as he wanted you to call him.- The friendship between the two of you grew stronger, and you were happy about that! But there was still a growing ache in your heart.. what about Phainon?
He hadn’t contacted you throughout the days that had passed, and he wasn’t at his dorm either whenever you knocked to come check up on him whenever you were free. Initially, you had thought he was busy with his own classes, sports activities or whatever, but even during the times where he too was free, you could never find him, anywhere. Not in his dorm, the gymnasium, the gym, museums, cute cafes, nowhere. It also didn’t help how any text you send was always left on delivered. You were becoming worried, but most of all, upset.
You missed him, you wanted to see him, you didn’t like the thought of him being angry at you because of something you did. You had to make it right, you just had to.
It was a cold, winters evening, where the sun was already beginning to set at the dusking time of 6pm in the afternoon. You walked with determination to one of Phainon’s favourite places- grand library, much greater than the one on your campus- You had remembered when Phainon took you there during the holidays at the end of the first semester, noting how it was absolutely filled with loads of historical textbooks and fiction.
You had hoped, that just by a miracle, you would be able to find Phainon there, or at least get him a few books for him as an apology gift for canceling on him for someone else, even if it seemed small in retrospect.
However, the roads and streets were desolate, quiet, empty. Nobody liked going out or hanging around during these times due to the dark weather, and the gloom it brung along with it. But you were calm, you wouldn’t be out for too long anyways, the library wasn’t too far from your college’s campus to be out for so long.
What you didn’t know, was that someone was watching you, following you, drawing closer and closer as you advanced deeper into the darkness, until-
“What’s all that runni- HEY-! MMPH!! MMHMPH—-mmph- hmmgh-.. mmh…”
An unknown perpetrator had grabbed you from behind, their arms held tightly around you like a vice as their hand brought up a cloth to your nose and mouth, drenched in a form of anesthetic, forcing you to inhale the chemical skillfully. Once the unknown person knew you had been knocked out, they rid you of your belongings, discarding them on the ground besides you aimlessly, before dragging you away, and taking you someplace else, disappearing with you into the night.
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A few hours later, your eyes fluttered open with a few blinks, taking in your surroundings. It was dark to say the least, and cold, probably dirty too. Your vision was blurry, as it took you time to adjust. Once you did, you realised you were bound tightly to a chair, unable to move a limb, even by a tiny spasm from your muscles. There was also a cloth wrapped tightly around your lips, muffling any noise coming from your mouth.
Trembling in fear, you teared up. Was this the end? Were you about to be killed? Why would someone do this? Where’s Phainon? Phainon won’t know where you are.. You’re gonna die knowing Phainon hates you- Phainon- Phainon-
You didn’t even realise you were calling out Phainon’s name, even if it was muffled by your gag, as you felt a sharp, cold knife being pressed against the large vein in your neck from behind. Whimpering softly, you shut up, sweat beading at your forehead, as tears began streaming down your cheeks.
“So very pretty, aren’t you? A pretty little thing like you should know not to stay out so long i
n the dark, don’t you have a boyfriend to keep you safe?” They spoke, his voice sinister and low as he spoke, roughly yanking the cloth from around your mouth downwards to let you speak.
But you could only whimper pathetically again, your throat feeling dry as the words fell on your mouth.
“I don’t have one..” You answered weakly, your voice strained from the anesthetic previously used on you a few hours prior, from the dryness of your mouth and throat, due to the lack of water, and from your short sobs.
The figure chuckled lowly, evilly, a bite of inhumanity lingering in the sound.
“What a shame.. nobody to protect you, nobody to save you, nobody to help you, nobody to run to, nobody to love…”
Thoughts swarmed your mind as you thought of the endless possibilities of what may happen to you here. Bad thoughts, thoughts that made you even more scared, and cry even harder, louder. To which, you began to sob out loud. A genuine sound that your kidnapper took great pleasure in hearing. You felt their presence behind you back away, only to appear in front of you. They were masked, gloved, concealed fully in all black, with the exception of their eyes, which you couldn’t make out the colour of due to their mask almost covering it up completely.
Not being able to face the kidnapper eye to eye, you turned your head to the side and sobbed, not caring how stupid you may have looked as it lolled over the chair to the side. But they clearly weren’t having it, as they drew their knife under your chin, lifting it up with its sharp edge, to meet their thunderous gaze once more, eliciting a shudder and gasp from your lips.
“What’s the matter? I just want to see your face as I slice you open an-“
Their words are cut short as they gurgle on something- blood, before falling to their knees and side in front of you. What stood behind them shocked you to your core.
It was Phainon, standing tall above the man with a dagger in his hand, now coated in blood. His gaze was icy cold as he stared the kidnapper down, who looked back at him with a look of shock, and also, betrayal?
Before the kidnapper could get another word out, Phainon stepped on the back of your captor’s neck, crushing it with his weight, before turning back to you, who was horrified and motionless, face turning pale.
“P-Phai-“ You choked out, before sobbing loudly in fear and relief. His gaze immediately turned to one of immense worry and love as he dropped the dagger and cradled your face in his hands, looking at you with eyes full of distress, scanning over your form with despair.
“[Name], [Name]! Listen to me, you’re fine, you’re okay. Shh.. Hey- stop crying, please.” He gently patted your cheeks as he got down on his knees in front of you, having kicked the now dead body of your kidnapper away.
When you didn’t stop crying, he could only wince in sadness and frustration, making quick work at the rope around your legs that bound them to the chair’s legs. He whispered soft shushes to try and alleviate you somehow, which obviously didn’t work.
Once he had untied the rope’s tight knots around your ankles, he moved behind you to untie your arms from behind your back over the chair, which soothed a soreness from there that you didn’t even pick up when you woke up as he loosened the rope. He kept muttering small “I’m sorry..”’s into your ear from behind, his voice ever so soft and comforting.
Having fully untied you, he took you off the chair and brought you down onto the floor with him, cradling you against his large, warm torso, stroking your hair as you sobbed into his chest, soaking his light blue hoodie.
After some time, you had calmed down, albeit, still sniffling and choking slightly as you tried to speak.
“P-Phainon.. I— hic- I’m s-so sorry… I w-wanted to apologise- sniffle- but-“
“Shh.. it’s fine, [Name]. You shouldn’t be the one apologising, it should be me. I… I got you into this mess because of my own pride and communication issues, even if you told me to improve on it. I’m sorry, you’re safe now. Please don’t apologise, I was so worried when you weren’t picking up my calls…”
You heard a sob coming from him as he buried his face into the crook of your neck, crying gently at his own stupidity, the same stupidity that got you in this position. You couldn’t help but rub his back gently, trying to comfort him now, but he only let out a slight huff at your actions.
“..You shouldn’t be comforting me.. I got you into this mess, I almost got you killed. I was so stupid I-..”
“Phainon, i-it’s fine. You got me out of this mess, didn’t you..? And- and I don’t blame you for ghosting me or keeping your distance from me- I shouldn’t have cancelled plans on you last m-minute.. you didn’t know it’d end up like this..” Your voice was calmer now, less broken and fixing up as you spoke, trying to reduce his stress and worry.
‘You didn’t know it’d end up like this’ what a joke. He thought to himself.
“I just.. I was so worried. I tried messaging you back at 8pm to talk it out, because I knew you were most active during those times, but you didn’t answer. I spammed you so much and tried calling you so many times, but no answer…” He let out a shaky sigh as he ran a hand through his hair before continuing, “..I went to your dorm, knocked and waited there for so long, but you weren’t answering- I was terrified at that point.. Then, I went out and tried looking for you outside campus, still didn’t find you. And then- I saw it all.. your things. Your bag, your phone, everything- on the ground near some old trash cans near the side of the road. It took me ages to find you, but I spotted some desolate area and thought I’d try my luck, and thank goodness I did..”
He hugged you closer, before picking you up in a princess carry delicately, as if you were made of glass due to your more fragile state. He soon made his way out the room, making his way through the labyrinths of rotting walls and long, creepy corridors. He made sure your head was tucked away under his chin in the crook of his neck, so he could hear your breathing through his ear, in case anything went wrong.
“I have your phone and keys with me too, they must’ve fallen out whilst your kidnapper took you away, hm? Must’ve been terrifying, poor thing..” He gently swiped a piece of hair away from your face, which was all red, puffy, and wet from all your crying, giving you a pained expression in return to the sight.
As he carried you back into the campus, everything was a complete blur, and he could only slowly rock you back and fourth like a baby, to ease your nerves and mind, and coerce you back into reality as he swiftly entered your dormitory’s floor, reaching for the key in his pocket and unlocking the door swiftly.
He carefully lay you down on your room’s couch, getting on his knees again and stroking your head gently, a sad, hurt look on his face as he acknowledged your agitation and trepidation, after such a frightening experience.
“Just rest now, okay? You look so tired.. Don’t worry, [Name], I’ll keep you safe and watch over you. Just get the sleep that you need..” He lightly commanded, staying there, on his knees, until you drifted off into the realm of dreams peacefully.
He sighed in exhaustion as he got up, rubbing his forehead and looking at you with pure love in his eyes.
“…You know why I had to do this, right? Why I had to have some disgusting kidnapper take you away for some time? I need your love, your attention, your trust in me.. I’m so, so sorry, my love, but I had to. Otherwise, that pest- no. That virus, Mydei, would’ve taken you away from me, and I just can’t let that happen. I can’t imagine a life without you, [Name]….” He preached reverently, as if he was looking down at you like you were the embodiment of the divine, speaking to you as if you were his God. But you were. You were his to worship, his to love, his to keep safe. And he was going to make sure of that. One way or another, even if it meant hurting you in the process.
You belonged to him and him alone.
#honkai star rail#hsr#hsr men#phainon x reader#yandere phainon x reader#yandere phainon#hsr mydei#mydei x reader#phainon hsr
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Sanguine Sky: Demo Expansion is OUT! [Patreon Update]
Hello! I'm happy to announce that Demo Expansion is OUT! You can find List of Changes below in this post.
Here's the link: [Early-release DEMO].

List of Changes:
Chapter 2 [R's scene] and Chapter 3 Pt. 1 [K's and Morgan's scenes] have been expanded to include a new secondary rival who offers an alternative to Paul(a)'s path.
Chapter 3 Pt. 1 [K's, Morgan's, T's, I's scenes]: secondary rivals will appear if you have established a relationship with them by choosing options marked [��], which set a 'fwb' or 'flirt' status [depending on your choice].
Chapter 3 Pt. 1 [K's and Morgan's scenes]: the variation of scenes without jealousy [the appearance of secondary rivals] has been expanded.
Prologue, Chapter 1 [most of the scenes], and Chapter 2 [I's scene] were refined.
Implemented MC's and the ROs' height difference variables.
Implemented a new feature: the MC's smoking habit.
Added a new customization feature for moles.
Fixed numerous grammatical errors and improved the code [reducing repeated statements].

I haven't checked the exact word count yet, but I'll make sure to do so before releasing the update to the public, as I need to merge the files first.
Thank you for your support! ♥
#if#interactive fiction#interactive novel#choicescript#dashingdon#sanguine sky#sanguine sky if#if: wip#if demo#if update#demo update#update#announcement
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Forest of red flags
After the last chapter I have to say this. From the beginning of part 2, Cale should have sat down and seriously thought about what he was trying to do. First red flag, getting divine artifact from GoD, which allows you to travel between worlds. You have a diary that talks about variables. Did you forget what it said?! There's a reason why single lifers or Immortals are sent. Let me remind you, you're human, there will be consequences.
The second red flag, taking the temple of the God you have sealed. It's a really great idea to have temples for the future.
Another red flag is conversations with Gods. No one normally has a conversation where they see the appearance of a God, and you've met 4 Gods plus you saw God of Protection from the distance. On top of that you have normal conversations, behaving disrespectfully towards them. In addition, one of the Gods asked him if he wanted to become a God himself, another demanded that he become one, and another warned him of the possibility that Cale would replace him.
And another flag is the fact that two of the previous owners of the ancient powers are Gods. Additionally, his Dominating Aura can even rival God, and he has said more than once that his aura is equal to God. Later, DA even managed to copy the power of an ancient God. While we're on the subject of Dominating Aura, it's worth mentioning another crazy power, Sky Eating Water. During the fight with the dragon, SEW decided to imitate the chains that God Of War put on her. While they were helping the World Tree, the Sky Eating Water destroyed the chains that were created by God. Later, DA and SEW worked together to absorb the power of the Saint of the God of Chaos. On top of that, all your powers want to fight the Gods!
Another red flag, Cale officially has a Church and probably with a large numer of the followers, since they used old temples that worshipped dragons.
Another flag, talking about divine artifact like it's no big deal, even mentioning creating your own divine artifact.
Another flag is a conversation between him and Aurora, where she mentioned a way to become a God. He should realize how many criteria he meets.
Another flag, Cale wants to gain all the abilities from the scrolls, power belonging to a God, powers even a Saint doesn't have.
And what did he decide to do now?! Visit the Demon Realm, along with Clopeh dressed in a priest outfit. Create a festival and use the power belonging to the God of Chaos to save Choi Jung Gun.
How many more red flags do you need before you realize it's too late?!
#tcf part 2#tcf#trash of the count's family#lout of the count’s family#ancient powers#cale henituse#clopeh sekka#god of chaos#red flags
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Converting your ChoiceScript game to Twine - Cheat sheet
Previous Twine related posts:
Switching to Twine - Sample code to get you quickly started
Twine/SugarCube ressources
Below is a transcript of the handwritten notes I took while converting Arcadie: Second-Born from ChoiceScript to Twine.
Note: I used Twine 2.4.0.0, and SugarCube 2.36.1. The notes below can only be useful if you have working knowledge of ChoiceScript, and some knowledge of both Twine and SugarCube. Terminology might be off; I'm not a programmer.
*create
You don't need to *create your variables in Twine, but it's good practice to do so, so that you don't lose track of them.
Create a StoryInit passage, and put all your variables there.
Boolean variable: <<set $var = true>> String variable: <<set $var = "Hello">> Numeric variable: <<set $var = 0>>
*comment
/* comment */
*set
You can set several variables at once:
<<set $var1 = 1, $var2 += 1, $var3 = "text">>
Below, operators in CS -> Twine equivalents:
CS->Twine + -> += - -> -= * -> *= / -> /= % -> %=
*hide_reuse
<<if not hasVisited("name of passage")>>[[Choice->NameOfPassage]]<</if>>
*if
<<if $var = true>> <</if>>
*elsif/else
<<if $var == 0>> <<set $var -= 5, $var2 = true>> Outcome1 <<elsif $var == 25>> Outcome2 <<else>> Outcome3 <</if>>
*temp
<<set _var = true>>
Will only exist for the current passage.
*rand
Generate random number
<<set $var to (random(x,y)>>
x,y = range; for example, 0 to 10
*page_break
<<button[[text|passagename]]>><</button>>
*choice
[[Choice text->PassageName]]
*Capitalize (!var)
<<print $var.toUpperFirst()>>
Inside a link: $var.toLocaleUpperCase()
or create a separate, capitalized variable
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So the ADHD Handbook post struck a chord with a lot of people...
I don't think I have it in me to write the book I suggested, mainly because most of what I want to write about is variable by situation. I can't actually offer a magic formula for getting a good assessment, all I would be able to do is say "Here are the warning signs, here's my personal story, shit's just rough". Which I could do but it'd be basically an entire book of "shrug emoji". The best possible way would probably be to offer it as a workbook, like "Here is a page for you to record every communication with the clinic doing your testing. Here is a page for you to write down possible other approaches to getting your medication if the pharmacy is out." etc.
I do think I might write it as a novel of some kind. Possibly even a novel about someone writing a handbook, I haven't decided. I had a dream last night about the book, in which I saw a woman watching a revolution taking place in the distance, thinking, "This is not what I intended when I set out to write a self-help book." Baller way to start a novel, honestly.
Anyway there were several suggestions for books in the notes, so I thought I'd compile those here. I have read none of these, so I can't vouch for their contents, but I'm including what my readers said about them.
@blogquantumreality linked to How To ADHD by Jessica McCabe, who is a well-known ADHD youtuber (I haven't found her videos super helpful but they're also not aimed at me). @knitsinweirdplaces added "The last section of the How to ADHD book is literally called 'how to change the world' and exactly points out we can advocate for a more disability friendly world that traumatizes ADHDer less in the first place. It's the only book I've read that hits the balance of 'your brain has immutable challenges' and 'these strats may help' right. Bonus, it is inclusive of people who use adhd meds and those who don't/can't."
@theindefinitearticle mentioned "I read how to keep house while drowning recently and it's been much more practical for me in terms of actual usable advice." This book has also come up numerous times during National Clean Your Home Month as a helpful guide to cleaning.
@buginateacup said "The year I met my brain is the only one I've read that actually felt like it was making useful suggestions for living with ADHD."
@cabloom said "iampayingattention on Instagram wrote How Not To Fit In."
@grison-in-space said "Do you have any idea how over the top excited I was when I found I Overcame My Autism and All I Got Was This Lousy Anxiety Disorder?"
@doubleminorforroughing wrote "Please read Devon Price. He wants to tear it all down and I love it." I will add that I don't think I've read Laziness Does Not Exist but I have read Price's shortform work extensively and I think he's been very influential in rethinking how we frame laziness and productivity in relation to both work and neurodivergence, so I can second the recommendation.
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A List of "Beautiful" Words: Pink
for your next poem/story
Carnation - archaic: the variable color of human flesh; a plant of any of numerous often cultivated and usually double-flowered varieties or subspecies of an Old World pink (Dianthus caryophyllus) found in many color variations
Coral - a deep pink
Coralline - resembling coral
Flesh pink - a variable color that is pale and light yellowish pink
Incarnadine - having the pinkish color of flesh
Peach - a moderate yellowish pink
Rosy - having a pinkish usually healthy-looking complexion; blooming
Salmon - the variable color of salmon's flesh averaging a strong yellowish pink
More: Lists of Beautiful Words ⚜ Word Lists
#word list#writeblr#dark academia#spilled ink#langblr#colour#writing prompt#studyblr#literature#light academia#poets on tumblr#poetry#writers on tumblr#lit#words#writing#linguistics#writing reference#creative writing#fiction#writing inspiration#writing ideas#pink#writing resources
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There are three hyaenids found within the Imperial Wardi region- the hisippate, the highland hyena (kyniche na chennandi), and the scrub hyena (kyniche). (None are actually related to the king hyena).
The hisippate (name is close in meaning to 'stinking one', sometimes instead called '(wild) ant-dog' ('kulichin-wannaukoma')) is very distantly related to the other two. They are small, mostly solitary animals that sleep in burrows during the day and emerge to hunt at night. They are almost exclusively insectivorous, and their diet consists primarily of termites and ants that are lapped up with a long, strong tongue. The hisippate has a wide range, with their populations being highest in grassland and savanna regions with a high density of termites.
They are named for their foul smelling anal gland secretions, which are used to mark their territory and can be sprayed short distances to repel predators. Their highly visible black and white coat (which is erected in threat display) indicates them as not worth the trouble of eating. This is partly an honest advertisement of its chemical defenses, but may function as mimicry of a substantially more threatening native badger that can spray with great accuracy at distances of up to 10 feet (while the spray of the hitsippate is untargeted and only potent within a meter of the body).
The highland and scrub hyenas are the most numerous and successful predators within the region, with their populations having exploded in the past several centuries with the decline of the Wardi lion. Both live in matriarchal clan structures with strict dominance hierarchies, maintained not by individual size and strength but by highly complex networks of coalitions. All members of a clan can reproduce, and young inherit rank positions just beneath that of their mothers. Most males eventually disperse, entering into new clans at the very bottom of their hierarchy. They exhibit no obvious sexual dimorphism, and females often can only be differentiated from males by the shape of their pseudopenis.
The scrub hyena is most widely distributed and can be found throughout most of the region in a variety of lowland habitats, faring best in savannah and open grassland with high populations of grazing ungulates. This species is distinguished by well-defined spots and stripes and a sparse mane, though their coloration varies by individual and population, ranging from reddish to pale white-brown. Their clans can number upwards of a hundred individuals in the most prey-dense territories, though most are smaller.
The highland hyena is unique to the northwest of the region. As the name suggests, they have specialized into surviving in higher altitude climes, but can also be found in the remaining pockets of surrounding forest (and once had a much larger range across the former northern forests). Their spotting is often less visible than their lowland relatives, though their base coloration is similarly variable. Their clan sizes are substantially smaller than the scrub hyena, as they inhabit regions with much lower prey densities.
Both are closely related (whether they are subspecies or separate species would be subject of debate by taxonomists) and can produce viable young. Heavily hybridized populations are common where their ranges overlap. Scrub hyenas appear to breed more readily with dispersing male highland hyenas than the reverse.
Hyenas occupy an overall minor space in most of the Wardi cultural sphere. They are noted negatively as man/corpse eaters, but are generally regarded as intelligent and powerful predators and avoid the stigma attached to man-eating scavengers. In most cases they are not ascribed much significance in comparison to the venerated lion or the massive and intimidating king-hyena, mostly being relegated to a threat to livestock and potential danger to lone travelers.
Many urban areas in the province of Godsmouth (including the outer unwalled portions of the eponymous city) have unique practices of not only tolerating but actively inviting scrub hyenas into urban spaces. These urban hyena populations have been genetically semi-isolated from their wilder counterparts for several centuries. Rather than hunting large prey, they fill similar roles to feral dogs in the urban landscape as cleaners of refuse and killers of pests, and benefit from their species being culturally regarded as powerful predators rather than lowly scavengers. They notably predate on the considerably more reviled feral dogs, and keep their populations much lower than other parts of the region. Their role is regarded as both a physically and spiritually cleansing force, with their presence neutralizing polluting elements (while not being sacred in of itself).
The Godsmouth hyenas show little fear of humans compared to their wild relatives, though their activity peaks at nighttime hours to avoid close contact. They are sometimes raised from cubs to be fully tamed (though are not truly domesticated) and used as guards or to assist in hunting (Godsmouth's designated dog hunters notably have traditions of keeping hyenas). This practice is essentially exclusive to the province of Godsmouth- hyenas rarely establish semi-urban populations in other parts of the region, and those who do have considerably greater fear of humans, usually sneaking in under the cover of night to feed on scraps and fleeing from encounters.
The status of hyenas varies in the other groups native to the region. For example:
Hyenas have a generally favorable status to the Cholemdinae, who have traditionally reckoned them as highest among predators, noting their stamina and intelligence. Body parts of hyenas are ascribed the ability to increase the wearer's stamina, and amulets carved from hyena bones are often worn while persistence hunting. Children born while hyenas are heard crying are considered to be strong and very likely to survive infancy (and will often be given names referencing the animals). The apparent androgyny of hyenas is allegorically attributed to the creation story- the first beings were dual-sexed, and split into male and female halves as part of their punishment for the theft of fire from the sun. The hyena escaped this punishment by digging into the underworld to hide and getting only its once long, luxurious tail chopped off (which was sticking out from the hole).
((TANGENT: The South Wardi have more recent common cultural ancestry to the Cholemdinae than to most of the other groups assimilated into the collective Wardi nationality. The notion of hyenas once having long, flowing tails that got chopped off in some mishap still appears in South Wardi animal folktales))
They have a largely disfavorable reputation to the Hill Tribes, and are generally regarded as gluttonous and brutish in nature. The Highlands have a naturally lower density of wild ungulates, made far lower by most grazing pasture being occupied by livestock. This causes hyenas (and other large predators) to more frequently predate on domestic animals, and thus places them directly in conflict with herders (and also makes them common rabies vectors). They are readily culled when found in proximity to villages. Hyena pelts are generally considered worthless, and culled hyenas will often be fed whole to livestock guardian dogs and their pups in hopes of teaching them to be fearless towards the predators. Were-hyenas appear in folklore- among the southwestern Hill Tribes they are most commonly the accursed spirits of cannibals, while in the northeast they are malicious witches who learned secret arts of transformation and take on these forms to wreak havoc upon their enemies.
#The scrub and highland hyenas are pretty much 1:1 with spotted hyenas in behavior. Same thing I just gave hyenas#a wider range and diversity in this setting (comparable to ancient hyena ranges that strecthed across eurasia) because I like them#Hisippate are very similar to aardwolves but smaller and more specialized into using their scent glands as a defense mechanism#creatures#imperial wardin#cholemdinae#hill tribes
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Writing Advice: Too Many Characters
A common advice when writing stories is "don't write too many characters". But, like with everything creative and good, there is no definitive answer to how many characters should be in a book!
So I will be discussing numerous variables in storytelling which impacts how many characters you should have and what makes something in a book "pointless".
Themes! Themes! Themes! (Omori Spoilers, Not Too Much)
The most important question that a writer has to ask themself is "what is this scene/book/media trying to do?". If your story is based on the relationships we have with others and the impact they can have on our psyche then having a close-knitted community of people will drive the message of intimate connection better then just having more people in there. If your story is focused primarily on introspection, looking inward, individuality, and other spiritual activities then the protagonist is more likely to spend longer durations of the media by themselves.
An example of these to forces is the popular game of Omori.
(SPOILERS ABOUT OMORI<3)
Omori is a game that focuses on acceptance first and foremost. Self-acceptance to be more specific. Due to the fact that the game is a piece of introspection both for Sunny and for the player, the most important moments in the game such as the "reveal" sequence of pictures and Black Space are ones that are done on your own.
However, the game also prioritizes the relationships Sunny has between his friends as this serves as motivation for the final duet. The final duet was an act of bonding as Mari and Sunny just wanted to spend time together, doing something they liked.
The introspection moments are pushed towards the end of the game because it's only when Sunny has that support and belief in his friends, can he rise above his doubt and shame and fear.
2. What Is The Purpose Of This Character?
All characters need to have a purpose in the narrative. Both within the context of the world and in the context of the book.
Within the context of the world, they need a goal that is going to impact the protagonist either positively or negatively.
Within the context of the book, what is this character giving to the audience that wouldn't otherwise be there?
Pro tip: All the characters you have need to have more then one purpose! Characters that give exposition can't JUST give exposition.
If you have a love interest that can be cut out without taking away a vital part of the story either from a thematic(theme) standpoint or a narrative(plot) standpoint, just replace them with an object and move it along!
If you have an ally character that only shows up twice and can be changed into "I went down to the store to buy these items", give that "ally" tag to someone more story relevant"!
3. Priorites?
Ask yourself this: "Do I have the book length to dedicate time to this person?"
If the answer is no, follow my next steps. If the answer is yes, here is how to make them better.
When I say "prioritize", I mean you need to figure out what type of character this character is. Are they a main character? A side character? Cannon fodder? A symbol? WHAT ARE THEY?
Also, can you give these character responsibilities to someone else? This simultaneously gives those characters deeper complexity and eliminates more characters
Example: Love Interest, after being trapped by the villain, uses their intelligence in order to provide information about the villain to the hero. (Love Interest + Ally + Informant)
Example: Friend is revealed to be a double agent on the side of the Villain. However, it's revealed that Friend was secretly a triple agent who is finally redeemed from their original believed betrayal. They're back to being an ally. (Friend + Betrayer + Ally + Enemy)
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I just had to make sure the world is aware of this realization I had a while ago if they aren’t already:
not only do x and zero have matching “variable/numerical” names, but they’re literally opposites…
X = infinite possibility, infinite potential; he was created to carry on Light’s legacy via complete free will and choice
Zero (0) = nothing; he was made for largely, one purpose (wreaking havoc and chaos) and had no choices - whatever he was programmed to do is what he did upon awakening
If zero hadn’t gotten to know x (or at least the maverick hunters/others with free will), he would have never had the ability to choose (I feel like x taught him, to some degree, that he is not “nothing” at some point). But it’s interesting that zero’s whole existence was intended to be empty while x has had the freedom of choice from the beginning (makes you think harder about his “what am I fighting for” motif…I think capcom’s writing team just didn’t know how to efficiently get this across, because it feels insanely intentional that by the end of his arc he knows what he fights for - he’s made a choice to fight for people he cares about)
#idiot rambles#megaman#megaman x#mega man x#mmx#zero megaman#zero mmx#xzero#zerox#because it’s always xz with me. what’d you expect#anyways!! they make me violent#if only capcom didn’t rush 100 games in a 10 year span…the peak writing we might have had…
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would love to hear more about your process! i also have insane adhd brain but i Hate coding and im always like how do i unlock the forbidden enjoyable coding experience..
Well then, welcome behind the curtain! (Sorry, it's a fucking mess back here.) Can't promise that this is a magical coding panacea, but it's what helps/works for me. 😊
An Exploration of How Albie Codes:
So, for my particular flavor of ADHD brain, my biggest issue when coding is keeping track of my variables. Gods, I love a variable, but I'll quickly and easily lose track of what I called my variables, where I called them, why I called them, and what I intended to do with them after calling them. My brain also tends to jump between hobbies/special interests/projects. Between that and a busy job, I might leave code unattended for a while. When I come back, I have to make sense of what schemes my brain concocted.
So, to help with these things, I have one spreadsheet per game where I track every variable that I set. That isn't hyperbole. For every single variable I track what I called it, where I set it (especially if it can be in multiple places), every value it can have, and what I intended to do/signify with it. I'll go into detail about this spreadsheet below and share a template version later. First, I'll explain my usage of objects and arrays (because they feature heavily in my spreadsheets).
When I started coding IF, I'd just set a bunch of unique variables. To cut down on variable/system bloat and keep myself more organized, I devised a system reliant upon objects and arrays.
Object variables—if you don't know—are variables that can have numerous properties (so, in effect, it's variable inception). Each main character and section of the story gets its own object variable ($dev, $dog, $har, $pro, $ep1, etc.). The rest of the cast's info is held in one object ($x, which breaks down into properties like $x.elena, $x.jin, $x.sally, etc.). This means that almost all non-object variables are temporary. So, when I'm testing, if I see that a temp variable is active, I know it needs to be unset or that data needs stored in an object. Like, if $brokeArm is true, I'll do $pro.mem.push("brokeArm"), unset $brokeArm. This stores a memory of the fact that Z broke their arm in the prologue-memory object and eliminates that unique variable.
To demonstrate, in Zorlok the MC's data is all stored in the $z object. Tommy's is stored in the $tom object. This is what they look like in the StoryInit passage (notably, with extensive notes in the Tommy one, I leave a lot of notes for myself in my code):
So, when I'm writing about Zorlok, I'll type $z.they and that will print Zorlok's subject pronoun. If I want to know if Tommy believes in God or not, I can say <<if $tom.thinks.includes("realGod")>>God's real, folks.<<else>>God is a lie.<</if>>
This gets into my next main strategy: Arrays. I use arrays to store collections of data instead of having a bunch of unique variables.
The hellhound's unique stats? $dog.tags (values can include: mammal, fly, teeth, bite, scary, cute, fluffy, etc.)
The things that happened in the prologue? $pro.mem (values can include: tomPassive, claraHair, noTea, believedHar, gotSlimed, demonAttack, etc.)
The information that Zorlok has unlocked? $unlock.info (values can include: vesselTerm, noEatSleep, hellBroken, cannotDie, susDemManip, susKilledVessel, etc.)
This is a lot to keep track of, and it would be impossible to keep track of without my spreadsheet (aka, my beloved). Forewarning, these are a real chore to setup if you are trying to create one for a story you're already working on, but they are so helpful! I genuinely don't know what I'd do without it. If you are working on a big Twine game, you don't have to follow my method, but I promise that keeping track of your variables in some way will make your life so much easier when coding.
This is what my spreadsheet looks like:
This is the sheet tracking my StoryInit values. You'll see that I have a column for what the variable is called, what type of variable it is (not really necessary, but I do it anyway), all the values it can have, and the purpose of that variable. For variables with really expansive values, you'll see that I have links to other sheets within this spreadsheet that go into further detail. Now this is the sheet that tracks all of my prologue variables:
Here I track the variable, the type of variable, whether it's permanent of temporary (with temporary ones highlighted in yellow), the values it can have, the meaning, where it first appears, and where it's unset. In this sheet you can also see one of my favorite temp variables, $react, make an appearance. $react is quite simply for temporary reactions. It can hold any number of values but it normally doesn't last or stay the same over multiple passages. This is how I do a lot of flavor text/minor choices (though sometimes the link that will set which reaction the game shows on the next passage will also push a memory into the prologue array, in those cases it's cause not all of the choices have lasting consequences/impressions).
Now, what you may have been waiting for, how do I do character customization? Objects and arrays, you are correct. Let's take a look.
Oh, do my eyes deceive me, $z.hair? Is that an object within an object? Indeed, it is. The chaos grows (as it always must). It isn't really necessary for me to do objects within objects (within objects, in some cases). I could use individual properties like $z.hairStyle instead of $z.hair.style, but having the $z.hair object helps me keep it more organized in my head.
Anyways, you can see just how minutely I have tracked every value, and (in the cases of integers) what the integer values indicate. By doing them as integers, it allows me to do things like <<if $z.height gt 3>>You duck as you enter the room. <</if>> or <<if $z.str gte 1>>The door gives way.<<else>>The door holds fast.<</if>>
By having multiple arrays for things like prosthetics and gender affirming procedures, it allows me to easily check what prosthetics or procedures the vessel has, <<if $z.prost.includes('ra') or $z.prost.includes('la')>>, but then I can print the prosthetic without having to write it out or do extra coding. <<print $z.prosthetic[0]>>.
Now, remember how I mentioned the $dog.tags? Let me show you how I keep track of something like that (this is stored in the Hellhound Information sheet):
So, if I want to know if the Hellhound can fly, I can just go <<if $dog.tags.includes("fly")>>. If I want to know if people are gonna react to it in a significant way, I can go <<if $dog.tags.includes("cute")>>"Aw, $dog.name is adorable! I love <<print $dog.breedName>>s."<<elseif $dog.tags.includes("scary")>>"Shit, seriously?! That's your //pet?// You have a pet //$dog.breedName?"//<<else>>"Oh. Cool."<</if>>
The way I see it, this is the simplest way to do all this stuff. It's just a matter of keeping track of it and keeping my records up to date (which has become habit at this point, I never have Twine up without having my spreadsheet up).
Here are some other notable sheets:
With the $pro.mem values in that third screenshot, this is the main way that I keep track of what happens in the prologue. If I want to know how Tommy reacted to Harlow and entered the summoning scene, I just go <<if $pro.mem.includes("leftSure")>>Tommy believed Harlow and knows that the ritual is going to work.<<elseif $pro.mem.includes("leftUnsure")>>Tommy isn't sure whether this ritual is going to work.<<else>>Tommy and Harlow didn't part on good terms, but he's going to give this nonsensical "ritual" a try.<</if>>
That's all I can think to say right now. I hope all of this makes sense. If you'd like to know more/if I haven't explained something well, let me know. Like I said, I'll share a template version of my variable tracking spreadsheet in a reblog, so look out for that! 😊
#thanks for the ask!#hope i did alright answering this#i find it very hard to breakdown how and why my brain and processes work the way they do#but yeah#this is it#:)#coding#asks
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Lecania fructigena
This crustose lichen is variable, but tends to grow in thick patches that can appear areolate (tile-like), squamulose (scale-like), bullate (blister-like) or papillate (nipple-like). Basically, it is kind of a lumpy-bumpy mess. The upper surface color is also annoyingly variable, and can be anywhere from pale yellow-gray to dark gray to brownish black, and can vary in color throughout the thallus. It has numerous dark-brown pycnidia dotting the surface, and a brown-black hypothallus visible between the the thalline sections. The apothecia grow directly on the surface or on short stalks, and the disc comes in every shade of brown you can imagine, and can appear marbled with darker and paler spots when wet. L. fructigena grows on granite or serpentine rock on the western coast of North America, and has maybe also been found in Europe but ehhh, sounds like folks are not too sure. More genetic study is needed to figure out if we are looking at a species complex or what. But for some odd reason, there are very few funding bodies who want to throw a bunch of money at trying to differentiate uncharismatic lichen species. Go figure.
images: source | source | source
info: source | source | source
#lichen#lichens#lichenology#lichenologist#mycology#ecology#biology#fungi#fungus#nature#Lecania fructigena#Lecania#I'm lichen it#lichen a day#daily lichen post#trypophobia#trypo#lichen subscribe#life science#environmental science#natural science#taxonomy#symbiosis#symbiotic organisms#algae#the natural world#beautiful nature#weird nature
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Hi! Can you explain what really the power of foresight was with Faramir? I read the books earlier this year and I don't really quite understand it. He could predict the future? Like he would see it in his dreams? But how did he found out from Gollum that he was taking frodo and sam to cirith ungol and that he had committed murder before?
No problem, it's one of my favorite topics!
The concise explanation: I think Faramir's foresight/aftersight in terms of visions is a largely separate "power" from his ability to bring his strength of mind and will to bear on other people and animals, and to resist outside influence. The visions seem more a matter of broad sensitivity, something Faramir doesn't appear to have much if any control over. The second power is (in our terms) essentially a form of direct telepathy, limited in some ways but still very powerful, and I think this second ability is what Faramir is using with Gollum.
The really long version:
In my opinion, Faramir (or Denethor, Aragorn, etc) doesn't necessarily read thoughts like a book, particularly not with a mind as resistant as Gollum's. Faramir describes Gollum's mind in particular as dark and closed, it seems unusually so—
"There are locked doors and closed windows in your mind, and dark rooms behind them," said Faramir.
Still, Gollum is unable to entirely block Faramir's abilities. In LOTR, it does not seem that Gollum can fully block powerful mental abilities such as Faramir's, though his toughness and hostility does limit what Faramir can see. (Unfinished Tales, incidentally, suggests iirc that Denethor's combination of "great mental powers" and his right to use the Anor-stone allowed him to telepathically get the better of Saruman through their palantíri, a similar but greater feat.) I imagine that this is roughly similar to, but scaled down from, Galadriel's telepathic inquiries of even someone as reluctant to have her in his mind as Boromir, given that Faramir is able to still see some things in Gollum's mind, if with more difficulty than usual.
(WRT Boromir ... ngl, if I was the human buffer between Denethor and Faramir, I would also not be thrilled about sudden telepathic intrusions from basically anyone, much less someone I had little reason to trust.)
Disclaimer: a few years after LOTR's publication, Tolkien tried to systematize how this vague mystical telepathy stuff really works. One idea he had among many, iirc, was that no unwilling person's mind could be "read" the ways that Gollum's is throughout LOTR. IMO that can't really be reconciled w/ numerous significant interactions in LOTR where resistance to mental intrusion or domination is clearly variable between individuals and affected by personal qualities like strength of will, basic resilience, the effort put into opposition, supernatural powers, etc. And these attempts at resistance are unsuccessful or only partially successful on many occasions in LOTR (the Mouth of Sauron, for one example, is a Númenórean sorcerer in the book who can't really contend with Aragorn on a telepathic level). So I, personally, tend to avoid using the terminology and rationales from that later systematized explanation when discussing LOTR. And in general, I think Tolkien's later attempts to convert the mystical, mysterious wonder of Middle-earth into something more "hard magic" or even scientific was a failed idea on a par with Teleporno. Others differ!
In any case, when Gollum "unwillingly" looks at Faramir while being questioned, the creepy light drains from his eyes and he shrinks back while Faramir concludes he's being honest on that specific occasion. Gollum experiences physical pain when he does try to lie to Faramir—
"It is called Cirith Ungol." Gollum hissed sharply and began muttering to himself. "Is not that its name?" said Faramir turning to him. "No!" said Gollum, and then he squealed, as if something had stabbed him.
I don't think this is a deliberate punishment from Faramir—that wouldn't be like him at all—and I don't think it's the Ring, but simply a natural consequence of what Faramir is. Later, Gandalf says of Faramir's father:
"He can perceive, if he bends his will thither, much of what is passing in the minds of men ... It is difficult to deceive him, and dangerous to try."
So, IMO, Faramir's quick realization that Gollum is a murderer doesn't come from any vision of the future or past involving Gollum—that is, it's not a deduction from some event he's seen. Faramir does not literally foresee Gollum's trick at Cirith Ungol. His warning would be more specific in that case, I think. What he sees seems to be less detailed but more direct and, well, mystical. Faramir likely doesn't know who exactly Gollum murdered or why or what any of the circumstances were. Rather, Gollum's murderousness and malice are visible conditions of his soul to Faramir's sight. Faramir doesn't foresee the particulars of Gollum's betrayal—but he can see in Gollum's mind that he is keeping something back. Faramir says of Gollum:
"I do not think you are holden to go to Cirith Ungol, of which he has told you less than he knows. That much I perceived clearly in his mind."
Meanwhile, in a letter written shortly before the publication of LOTR, Tolkien said of Faramir's ancestors:
They became thus in appearance, and even in powers of mind, hardly distinguishable from the Elves
So these abilities aren't that strange in that context. Faramir by chance (or "chance") is, like his father, almost purely an ancient Númenórean type despite living millennia after the destruction of Númenor (that destruction is the main reason "Númenóreanness" is fading throughout the age Faramir lives in). Even less ultra-Númenórean members of Denethor's family are still consistently inheriting characteristics from their distant ancestor Elros, Elrond's brother, while Faramir and Denethor independently strike Sam and Pippin as peculiarly akin to Gandalf, a literal Maia like their ancestress Melian:
“Ah well, sir,” said Sam, “you [Faramir] said my master had an elvish air; and that was good and true. But I can say this: you have an air too, sir, that reminds me of, of—well, Gandalf, of wizards.”
He [Denethor] turned his dark eyes on Gandalf, and now Pippin saw a likeness between the two, and he felt the strain between them, almost as if he saw a line of smouldering fire drawn from eye to eye, that might suddenly burst into flame.
Meanwhile, Faramir's mother's family is believed to be part Elvish, a belief immediately confirmed when Legolas meets Faramir's maternal uncle:
At length they came to the Prince Imrahil, and Legolas looked at him and bowed low; for he saw that here indeed was one who had elven-blood in his veins. "Hail, lord!" he [Legolas] said. "It is long since the people of Nimrodel left the woodlands of Lórien, and yet still one may see that not all sailed from Amroth’s haven west over water."
In addition to that, Faramir's men believe he's under some specific personal blessing or charm as well as the Númenórean/Elvish/Maia throwback qualities. It's also mentioned by different groups of soldiers that Faramir can exercise some power of command over animals as well as people. Beregond describes Faramir getting his horse to run towards five Nazgûl in real time:
"They will make the Gate. No! the horses are running mad. Look! the men are thrown; they are running on foot. No, one is still up, but he rides back to the others. That will be the Captain [Faramir]: he can master both beasts and men."
Then, during the later retreat of Faramir's men across the Pelennor:
At last, less than a mile from the City, a more ordered mass of men came into view, marching not running, still holding together. The watchers held their breath. "Faramir must be there," they said. "He can govern man and beast."
Tolkien said of the ancient Númenóreans:
But nearly all women could ride horses, treating them honourably, and housing them more nobly than any other of their domestic animals. The stables of a great man were often as large and as fair to look upon as his own house. Both men and women rode horses for pleasure … and in ceremony of state both men and women of rank, even queens, would ride, on horseback amid their escorts or retinues … The Númenóreans trained their horses to hear and understand calls (by voice or whistling) from great distances; and also, where there was great love between men or women and their favorite steeds, they could (or so it is said in ancient tales) summon them at need by their thought alone. So it was also with their dogs.
Likely the same Númenórean abilities were used for evil by Queen Berúthiel against her cats. In an interview with Daphne Castell, Tolkien said:
She [Berúthiel] was one of these people who loathe cats, but cats will jump on them and follow them about—you know how sometimes they pursue people who hate them? I have a friend like that. I’m afraid she took to torturing them for amusement, but she kept some and used them—trained them to go on evil errands by night, to spy on her enemies or terrify them.
The more formal version of the Berúthiel lore recurs in Unfinished Tales:
She had nine black cats and one white, her slaves, with whom she conversed, or read their memories, setting them to discover all the dark secrets of Gondor, so that she knew those things "that men wish most to keep hidden," setting the white cat to spy upon the black, and tormenting them.
Faramir, by contrast, has a strong aversion to harming/killing animals for any reason other than genuine need, but apparently quite similar basic abilities. He typically uses these abilities to try to compassionately understand other people or gather necessary information, rather than for domination or provoking fear. Even so, Faramir does seem to use his mental powers pretty much all the time with no attempt to conceal what he's doing—he says some pretty outlandish things to Frodo and Sam as if they're very ordinary, but it doesn't seem that most people he knows can do all these things. This stuff is ordinary to him because it flows out of his fundamental being, not because it's common.
It's not clear how much fine control he has, interestingly. This is more headcanon perhaps, but I don't feel like it's completely under his control, even while it's much more controlled than things like Faramir's vision of Boromir's funeral boat, his frequent, repeated dreams of Númenor's destruction, the Ring riddle dream he received multiple times, or even his suspiciously specific "guess" of what passed between Galadriel and Boromir in Lothlórien. Yet his more everyday mental powers do seem to involve some measure of deliberate effort in a lot of the instances we see, given the differing degrees of difficulty and strain we see with the powers he and Denethor exhibit more frequently and consistently.
This is is also interesting wrt Éowyn, because Tolkien describes Faramir's perception of her as "clear sight" (which I suspect is just Tolkien's preferred parlance for "clairvoyance"). Faramir perceives a lot more of what's going on with Éowyn than I think he had materially observable evidence for—but does not see everything that's going on with her by any means. He seems to understand basically everything about her feelings for Aragorn, more than Éowyn herself does, but does not know if she loves him [Faramir].
I'm guessing that it's more difficult to "see" this way when it's directly personal (one of the tragedies of his and Denethor's relationship is that their shared mental powers do not enable either to realize how much they love each other). But it also doesn't seem like he's trying to overcome Éowyn's mental resistance the way he was with Gollum, and possibly Frodo and Sam—he does handle it a bit differently when it's not a matter of critical military urgency. With Éowyn, he sees what his abilities make clear to him, is interested enough to seek out Merry (and also perceive more than Merry says, because Faramir has never been a normal person one day in his life) but doesn't seem to really push either of them.
So I tend to imagine that with someone like Faramir, Denethor, Aragorn etc, we're usually seeing a relatively passive, natural form of low-grade telepathy that simply derives from their fundamental nature and personalities (as we see in Faramir with Éowyn, possibly Faramir with Aragorn). That can be kicked up to more powerful, forceful telepathy via active exertion of the will (as described by Gandalf wrt Denethor's ability to "bend[] his will thither" to see what passes in others' minds, and seen with Faramir vs Gollum, Aragorn vs the Mouth of Sauron, more subtly Faramir vs Denethor). At a high point of strain this can be done very aggressively or defensively (Denethor vs Gandalf, Denethor vs Saruman, Denethor vs Sauron seriously is there a Maia that man won't fight, Faramir vs the Black Breath given his completely unique symptoms that Aragorn attributes to his "staunch will", possibly Aragorn vs the Black Breath in a healing capacity...).
Anyway, I hope these massive walls of text are helpful or interesting! Thanks for the ask :)
#honestly hilarious that first age men straight-up lie to the fëanorians and nobody has any idea#gollum says a one-word falsehood to faramir and starts screaming. some people are just made different i guess#(more seriously i think these abilities are so different between lotr and the silm because of narrative structure and functions#faramir and denethor aren't insignificant but are placed in such a way that their abilities support lotr's structural integrity#rather than breaking the logic of the story the way really-good-at-telepathy fëanorians would#...hence the awkwardness of finding something for galadriel and celeborn to be doing lmao. the real problem children of tolkien lore!#aragorn /is/ central enough to cause problems but his abilities are less specifically focused on telepathy so it works#i bet random citizens of pelargir felt that berúthiel's very faramir-ish abilities were absolutely OP though#...justice for gondorian cats honestly. i know tolkien was weird about feline life but i choose to believe faramir is a friend to cats)#anghraine babbles#legendarium blogging#legendarium fanwank#anon replies#respuestas#faramir#jewel of the seashore#húrinionath#denethor#sméagol#lord of the rings#jrr tolkien#anghraine's meta#long post#the letters of jrr tolkien#nature of middle earth#berúthiel#anghraine's headcanons#éowyn
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Pluto action figure set to release in 2025













Sources: Kappa Hobby, Hobby Link Japan, Big Bad Toy Store
Crafted under the supervision of Naoki Urasawa to make him as close to the anime as possible (as stated in the Kappa Hobby listing), a brand new Pluto action figure will be releasing in 2025!
Big Bad Toy Store gives a description of the figure:
From the Pluto anime series comes the Variable Action Hi-SPEC Pluto figure by MegaHouse! This impressive figure is over 11 inches tall and features numerous articulated joints to create fun poses with the figure. This figure also comes with additional parts to customize the figure how you want. Be sure to add it to your collection!
An additional version is available to purchase as well that features the Pluto action figure with the tulip mini figure gift which can be seen here:
https://www.bigbadtoystore.com/Product/VariationDetails/286978?o=8


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By: Andy L.
Published: Apr 14, 2024
It has now been just little under a week since the publication of the long anticipated NHS independent review of gender identity services for children and young people, the Cass Review.
The review recommends sweeping changes to child services in the NHS, not least the abandonment of what is known as the “affirmation model” and the associated use of puberty blockers and, later, cross-sex hormones. The evidence base could not support the use of such drastic treatments, and this approach was failing to address the complexities of health problems in such children.
Many trans advocacy groups appear to be cautiously welcoming these recommendations. However, there are many who are not and have quickly tried to condemn the review. Within almost hours, “press releases“, tweets and commentaries tried to rubbish the report and included statements that were simply not true. An angry letter from many “academics”, including Andrew Wakefield, has been published. These myths have been subsequently spreading like wildfire.
Here I wish to tackle some of those myths and misrepresentations.
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Myth 1: 98% of all studies in this area were ignored
Fact
A comprehensive search was performed for all studies addressing the clinical questions under investigation, and over 100 were discovered. All these studies were evaluated for their quality and risk of bias. Only 2% of the studies met the criteria for the highest quality rating, but all high and medium quality (50%+) studies were further analysed to synthesise overall conclusions.
Explanation
The Cass Review aimed to base its recommendations on the comprehensive body of evidence available. While individual studies may demonstrate positive outcomes for the use of puberty blockers and cross-sex hormones in children, the quality of these studies may vary. Therefore, the review sought to assess not only the findings of each study but also the reliability of those findings.
Studies exhibit variability in quality. Quality impacts the reliability of any conclusions that can be drawn. Some may have small sample sizes, while others may involve cohorts that differ from the target patient population. For instance, if a study primarily involves men in their 30s, their experiences may differ significantly from those of teenage girls, who constitute the a primary patient group of interest. Numerous factors can contribute to poor study quality.
Bias is also a big factor. Many people view claims of a biased study as meaning the researchers had ideological or predetermined goals and so might misrepresent their work. That may be true. But that is not what bias means when we evaluate medical trials.
In this case we are interested in statistical bias. This is where the numbers can mislead us in some way. For example, if your study started with lots of patients but many dropped out then statistical bias may creep in as your drop-outs might be the ones with the worst experiences. Your study patients are not on average like all the possible patients.
If then we want to look at a lot papers to find out if a treatment works, we want to be sure that we pay much more attention to those papers that look like they may have less risk of bias or quality issues. The poor quality papers may have positive results that are due to poor study design or execution and not because the treatment works.
The Cass Review team commissioned researchers at York University to search for all relevant papers on childhood use of puberty blockers and cross-sex hormones for treating “gender dysphoria”. The researchers then graded each paper by established methods to determine quality, and then disregarded all low quality papers to help ensure they did not mislead.
The Review states,
The systematic review on interventions to suppress puberty (Taylor et al: Puberty suppression) provides an update to the NICE review (2020a). It identified 50 studies looking at different aspects of gender-related, psychosocial, physiological and cognitive outcomes of puberty suppression. Quality was assessed on a standardised scale. There was one high quality study, 25 moderate quality studies and 24 low quality studies. The low quality studies were excluded from the synthesis of results.
As can be seen, the conclusions that were based on the synthesis of studies only rejected 24 out of 50 studies – less than half. The myth has arisen that the synthesis only included the one high quality study. That is simply untrue.
There were two such literature reviews: the other was for cross-sex hormones. This study found 19 out of 53 studies were low quality and so were not used in synthesis. Only one study was classed as high quality – the rest medium quality and so were used in the analysis.
12 cohort, 9 cross-sectional and 32 pre–post studies were included (n=53). One cohort study was high-quality. Other studies were moderate (n=33) and low-quality (n=19). Synthesis of high and moderate-quality studies showed consistent evidence demonstrating induction of puberty, although with varying feminising/masculinising effects. There was limited evidence regarding gender dysphoria, body satisfaction, psychosocial and cognitive outcomes, and fertility.
Again, it is myth that 98% of studies were discarded. The truth is that over a hundred studies were read and appraised. About half of them were graded to be of too poor quality to reliably include in a synthesis of all the evidence. if you include low quality evidence, your over-all conclusions can be at risk from results that are very unreliable. As they say – GIGO – Garbage In Garbage Out.
Nonetheless, despite analysing the higher quality studies, there was no clear evidence that emerged that puberty blockers and cross-sex hormones were safe and effective. The BMJ editorial summed this up perfectly,
One emerging criticism of the Cass review is that it set the methodological bar too high for research to be included in its analysis and discarded too many studies on the basis of quality. In fact, the reality is different: studies in gender medicine fall woefully short in terms of methodological rigour; the methodological bar for gender medicine studies was set too low, generating research findings that are therefore hard to interpret. The methodological quality of research matters because a drug efficacy study in humans with an inappropriate or no control group is a potential breach of research ethics. Offering treatments without an adequate understanding of benefits and harms is unethical. All of this matters even more when the treatments are not trivial; puberty blockers and hormone therapies are major, life altering interventions. Yet this inconclusive and unacceptable evidence base was used to inform influential clinical guidelines, such as those of the World Professional Association for Transgender Health (WPATH), which themselves were cascaded into the development of subsequent guidelines internationally.
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Myth 2: Cass recommended no Trans Healthcare for Under 25s
Fact
The Cass Review does not contain any recommendation or suggestion advocating for the withholding of transgender healthcare until the age of 25, nor does it propose a prohibition on individuals transitioning.
Explanation
This myth appears to be a misreading of one of the recommendations.
The Cass Review expressed concerns regarding the necessity for children to transition to adult service provision at the age of 18, a critical phase in their development and potential treatment. Children were deemed particularly vulnerable during this period, facing potential discontinuity of care as they transitioned to other clinics and care providers. Furthermore, the transition made follow-up of patients more challenging.
Cass then says,
Taking account of all the above issues, a follow-through service continuing up to age 25 would remove the need for transition at this vulnerable time and benefit both this younger population and the adult population. This will have the added benefit in the longer-term of also increasing the capacity of adult provision across the country as more gender services are established.
Cass want to set up continuity of service provision by ensure they remain within the same clinical setting and with the same care providers until they are 25. This says nothing about withdrawing any form of treatment that may be appropriate in the adult care pathway. Cass is explicit in saying her report is making no recommendations as to what that care should look like for over 18s.
It looks the myth has arisen from a bizarre misreading of the phrase “remove the need for transition”. Activists appear to think this means that there should be no “gender transition” whereas it is obvious this is referring to “care transition”.
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Myth 3: Cass is demanding only Double Blind Randomised Controlled Trials be used as evidence in “Trans Healthcare”
Fact
While it is acknowledged that conducting double-blind randomized controlled trials (DBRCT) for puberty blockers in children would present significant ethical and practical challenges, the Cass Review does not advocate solely for the use of DBRCT trials in making treatment recommendations, nor does it mandate that future trials adhere strictly to such protocols. Rather, the review extensively discusses the necessity for appropriate trial designs that are both ethical and practical, emphasizing the importance of maintaining high methodological quality.
Explanation
Cass goes into great detail explaining the nature of clinical evidence and how that can vary in quality depending on the trial design and how it is implemented and analysed. She sets out why Double Blind Randomised Controlled Trials are the ‘gold standard’ as they minimise the risks of confounding factors misleading you and helping to understand cause and effect, for example. (See Explanatory Box 1 in the Report).
Doctors rely on evidence to guide treatment decisions, which can be discussed with patients to facilitate informed choices considering the known benefits and risks of proposed treatments.
Evidence can range from a doctor’s personal experience to more formal sources. For instance, a doctor may draw on their own extensive experience treating patients, known as ‘Expert Opinion.’ While valuable, this method isn’t foolproof, as historical inaccuracies in medical beliefs have shown.
Consulting other doctors’ experiences, especially if documented in published case reports, can offer additional insight. However, these reports have limitations, such as their inability to establish causality between treatment and outcome. For example, if a patient with a bad back improves after swimming, it’s uncertain whether swimming directly caused the improvement or if the back would have healed naturally.
Further up the hierarchy of clinical evidence are papers that examine cohorts of patients, typically involving multiple case studies with statistical analysis. While offering better evidence, they still have potential biases and limitations.
This illustrates the ‘pyramid of clinical evidence,’ which categorises different types of evidence based on their quality and reliability in informing treatment decisions
The above diagram is published in the Cass Review as part of Explanatory Box 1.
We can see from the report and papers that Cass did not insist that only randomised controlled trials were used to assess the evidence. The York team that conducted the analyses chose a method to asses the quality of studies called the Newcastle Ottawa Scale. This is a method best suited for non RCT trials. Cass has selected an assessment method best suited for the nature of the available evidence rather than taken a dogmatic approach on the need for DBRCTs. The results of this method were discussed about countering Myth 1.
Explainer on the Newcastle Ottawa Scale
The Newcastle-Ottawa Scale (NOS) is a tool designed to assess the quality of non-randomized studies, particularly observational studies such as cohort and case-control studies. It provides a structured method for evaluating the risk of bias in these types of studies and has become widely used in systematic reviews and meta-analyses.
The NOS consists of a set of criteria grouped into three main categories: selection of study groups, comparability of groups, and ascertainment of either the exposure or outcome of interest. Each category contains several items, and each item is scored based on predefined criteria. The total score indicates the overall quality of the study, with higher scores indicating lower risk of bias.
This scale is best applied when conducting systematic reviews or meta-analyses that include non-randomized studies. By using the NOS, researchers can objectively assess the quality of each study included in their review, allowing them to weigh the evidence appropriately and draw more reliable conclusions.
One of the strengths of the NOS is its flexibility and simplicity. It provides a standardized framework for evaluating study quality, yet it can be adapted to different study designs and research questions. Additionally, the NOS emphasizes key methodological aspects that are crucial for reducing bias in observational studies, such as appropriate selection of study participants and controlling for confounding factors.
Another advantage of the NOS is its widespread use and acceptance in the research community. Many systematic reviews and meta-analyses rely on the NOS to assess the quality of included studies, making it easier for researchers to compare and interpret findings across different studies.
As for future studies, Cass makes no demand only DBRCTs are conducted. What is highlighted is at the very least that service providers build a research capacity to fill in the evidence gaps.
The national infrastructure should be put in place to manage data collection and audit and this should be used to drive continuous quality improvement and research in an active learning environment.
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Myth 4: There were less than 10 detransitioners out of 3499 patients in the Cass study.
Fact
Cass was unable to determine the detransition rate. Although the GIDS audit study recorded fewer than 10 detransitioners, clinics declined to provide information to the review that would have enabled linking a child’s treatment to their adult outcome. The low recorded rates must be due in part to insufficient data availability.
Explanation
Cass says, “The percentage of people treated with hormones who subsequently detransition remains unknown due to the lack of long-term follow-up studies, although there is suggestion that numbers are increasing.”
The reported number are going to be low for a number of reasons, as Cass describes:
Estimates of the percentage of individuals who embark on a medical pathway and subsequently have regrets or detransition are hard to determine from GDC clinic data alone. There are several reasons for this:
Damningly, Cass describes the attempt by the review to establish “data linkage’ between records at the childhood gender clinics and adult services to look at longer term detransition and the clinics refused to cooperate with the Independent Review. The report notes the “…attempts to improve the evidence base have been thwarted by a lack of cooperation from the adult gender services”.
We know from other analyses of the data on detransitioning that the quality of data is exceptionally poor and the actual rates of detransition and regret are unknown. This is especially worrying when older data, such as reported in WPATH 7, suggest natural rates of decrease in dysphoria without treatment are very high.
Gender dysphoria during childhood does not inevitably continue into adulthood. Rather, in follow-up studies of prepubertal children (mainly boys) who were referred to clinics for assessment of gender dysphoria, the dysphoria persisted into adulthood for only 6–23% of children.
This suggests that active affirmative treatment may be locking in a trans identity into the majority of children who would otherwise desist with trans ideation and live unmedicated lives.
I shall add more myths as they become spread.
==
It's not so much "myths and misconceptions" as deliberate misinformation. Genderists are scrambling to prop up their faith-based beliefs the same way homeopaths do. Both are fraudulent.
#Andy L.#Cass Review#Cass Report#Dr. Hilary Cass#Hilary Cass#misinformation#myths#misconceptions#detrans#detransition#gender affirming healthcare#gender affirming care#gender affirmation#affirmation model#medical corruption#medical malpractice#medical scandal#systematic review#religion is a mental illness
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