At Yale’s Long COVID Clinic, Lisa Sanders Is Trying It All
excerpts:
Since the beginning of the pandemic, she — together with colleagues in the pulmonary and neurology departments — had been seeing long-COVID patients at Yale but often in an ad hoc way. Some of the doctors had become so flooded with people seeking help that they were having difficulty scheduling and treating their regular patients who came to them for everything else ...
Long-COVID patients, generally speaking, have been very miserable for a very long time, and because the illness attacks their brains, their hearts, their lungs, their guts, their joints — sometimes simultaneously, sometimes intermittently, and sometimes in a chain reaction — they bounce from specialist to specialist, none of whom has the bandwidth to hear their whole frustrating ordeal together with the expertise to address all of their complaints: the nonspecific pain, the perpetual exhaustion, the bewildering test results, the one-off treatments. “These are people who have not been able to tell their story to anybody but their spouse and their mom — for years sometimes,” Sanders tells me. “And they are, in some ways, every doctor’s worst nightmare.”
...
Long COVID has been pushing the limits of hospital systems everywhere, not just at Yale. As Americans emerged from the most acute phase of the pandemic, as mask and vaccine mandates lifted and life returned to a semblance of normal for the people who had contracted COVID and recovered, primary-care physicians started to say, “‘I’m not interested in long COVID,’ or ‘I don’t treat long COVID. Let me refer you to a specialist,’” said David Putrino, who runs the new chronic-illness recovery clinic at Mount Sinai. For their part, Putrino added, the specialists were saying, “This is not what my practice is. This is not an emergency anymore.” Patients all over the country reported monthslong waiting times for appointments at long-COVID clinics. All the while, scientists and pundits heaped skepticism on the very notion of long COVID, arguing that infection made people stronger, that new variants posed no threats, that the danger of long COVID was overblown — implying that what patients were suffering from was all in their heads.
Forgotten in this debate are the 65 million people worldwide for whom the pandemic remains a torturous everyday reality.
...
In the late 1990s, patients with a galaxy of unexplained chronic symptoms — including fatigue, sore throat, joint pain, insomnia, dizziness, brain fog, and depression — began to gather into activist and identity groups, calling themselves sufferers of “chronic Lyme.” They had something, they argued, related to a previous infection from the bite of a deer tick, but their doctors were dismissing them as whiners and neurotics. This was in an era when the medical Establishment was rolling its collective eyes at patients who were querying whether diagnoses of “chronic fatigue syndrome” or “fibromyalgia” might fit their symptoms — ones that looked very much like those linked to chronic Lyme.
Sanders joined the chorus of debunkers. These patients had real symptoms and real ailments, she asserted in Every Patient Tells a Story. But the collection of symptoms was “hopelessly broad and overinclusive,” she wrote. “These are some of the most common symptoms of patients presenting to a primary care office.” She concluded that chronic Lyme was a “phantom diagnosis.”
“I completely regret that chapter,” she says now. “I would like to rewrite it.” Sanders explains that she was reacting to the doctors who were preying on suffering people by prescribing interminable courses of antibiotics that were not helping them: “But I completely misunderstood it. The patients were making the connection between their symptoms and Lyme disease.”
...
“We’re not paying enough attention,” she said. “We’re not. Doctors are still dismissing this disease as something that’s in your head. I have seen the exchanges on Twitter: ‘Long COVID is exaggerated, not real.’” Women are diagnosed with long COVID at roughly twice the rate of men, Iwasaki pointed out: “I think if the situation was reversed, we’d pay even more attention to this disease.”
- Akiko Iwasaki, immunologist at Yale [also known for her work nasal vaccine & long covid research]
...
But even Sanders was not prepared for how little doctors and scientists know about long COVID. There is no blood test. Health officials can’t even agree on how to define it. The CDC describes long COVID as “signs, symptoms, and conditions that continue or develop after acute COVID-19 infection” — or, in Sanders’s paraphrase, “You got COVID and then something bad happened.” Under the CDC definition, patients have long COVID if they are symptomatic at least four weeks after initial infection. The WHO defines it similarly but with a different time frame: occurring or lasting at least three months after initial infection. This discrepancy matters to Sanders because, as much as possible, she wants to identify patients who have long COVID and not those who may take a little longer to recover from their original illness. In her clinic, she uses the WHO definition.
...
Sanders, more than ever before, is dependent on the patient’s account — on detailed specifics — to establish her diagnosis. It’s a process of elimination and deduction. So she has “learned just to shut the fuck up and listen.”
88 notes
·
View notes
while I understand what this person is saying….the difference in how their partners are treated makes no sense to me lmao. I have seen the other partners (some who might argue are just as if not more private than josh’s) be included in fic??? with tabs kept on all of them to the point where fans even notice *instagram comments* left from them???? it’s so funny that only josh gets this kind of treatment when every other relationship (hannah doesn’t count) is obsessed over by fans…..
we don’t know for sure what jenny was to danny and yet why do I still see people casually mentioning her and posting about what she’s up to when her socials were private too while she was with him????? she was clearly very private and yet……?? people obsessed over talking about them…..
respecting their privacies should be happening, but respect all of them? the same? 😭 josh’s partner is treated like a curse if he’s mentioned which is pretty respectful ig, but why are there tiktoks of other partners along to the sound of “she’s getting that dick” like it’s just SO so fucking weird to me that this fandom does not respect women no matter what and has also treated josh so oddly when he came out 😭
29 notes
·
View notes
(Image description below 'read more' line.)
[Image ID: A four-by-four alignment chart on a white background with text descriptions to the left and to the top of the squares.
The top left description reads, "seems like they'd be good at parenting." The top right description reads, "seems like they'd be bad at parenting."
Then, from the top down, to the left of the squares, the other set of descriptions reads: "excellent child rearing instincts," and "never trust them with a child in your life."
Each of the four squares contains an image of a different character. At the top left is an image of Lan Wangji of the Mo Dao Zu Shi donghua. He sits between the descriptors "seems like they'd be good at parenting," and "excellent child rearing instincts."
In the top right square sits an image of Wei Wuxian, also of the Mo Dao Zu Shi donghua. He sits between the junction of "seems like they'd be bad at parenting" and "excellent child rearing instincts."
In the bottom left square is an image of Xie Lian from the Tian Guan Ci Fu manhua. He occupies the square with the captions, "seems like they'd be good at parenting" and "never trust them with a child in your life."
Finally, in the bottom left square, sits an image of Hua Cheng from the Tian Guan Ci Fu manhua. He occupies the junction between "seems like they'd be bad at parenting" and "never trust them with a child in your life". /End ID]
30 notes
·
View notes
Tuvok's Rebel Catholic Schoolgirl to Head Nun pipeline - studying it in a lab as we speak.
17 notes
·
View notes
tagged by @leviiackrman to fill this out for some of my ocs, however, i did add a lot more options to it – thank you so so much jess! ♡
tagging: @aartyom @aceghosts @aelyosos @brujah @calenhads @cultistbase @denerims @faarkas @florbelles @girlbosselrond @indorilnerevarine @jillvalcntines @lightwardens @morvaris @narshadda @nocticulas @nuclearstorms @prometheas @qverida @reaperkiller @risingsh0t @shadowglens @shellibisshe @snowthroat @solasan @steelport @stormveils @swordcoasts @voerman @wrymbloods & anyone else who'd like to do this! as always, there's no pressure! ♡
OC APPEARANCE SURVERY.
BODY
Long legs. Average legs. Short legs. Slender thighs. Thick thighs. Muscular thighs. Slender arms. Soft arms. Muscular arms. Lean arms. Toned stomach. Flat stomach. Ample stomach. Soft stomach. Six-pack. Beer belly. Lean frame. Muscular frame. Beefy frame. Curvy frame. Voluptuous frame. Petite frame. Lanky frame. Short nails. Long nails. Manicured nails. Acrylic nails. Dirty nails. Small breast. Average breast. Big breast. Flat ass. Toned ass. Bubble butt. Thick ass. Small waist. Straight waist. Thick waist. Narrow hips. Average hips. Wide hips. Big feet. Average feet. Small feet. Soft feet. Slender feet. Calloused hands. Soft hands. Big hands. Average hands. Small hands. Long fingers. Average fingers. Short fingers. Narrow shoulders. Average shoulders. Broad shoulders.
HEIGHT
Shorter than 140 cm. 140-150 cm. 151 cm to 160 cm. 161 cm to 170 cm. 171 cm to 180 cm. 181 cm to 190 cm. 191 cm to 2 m. Taller than 2 m.
SKIN
Light. Tanned. Brown. Dark. Rosy. Neutral. Olive. Golden. Pallid. Blotchy. Albinism. Vitiligo. Birthmarks. Freckles. Moles. Wrinkles. Stretch marks. Scars. Burns. Acne. Smooth. Dry. Oily. Combination.
EYES
Small. Large. Average. Dark brown. Light brown. Hazel. Green. Blue. Grey. Violet. Gold. Other. Heterochromia. Doe-eyed. Close-set. Wide-set. Deep-set. Protruding. Narrow. Monolid. Almond. Round. Heavy eyelids. Upturned. Downturned.
HAIR
Thin. Thick. Fine. Average. Oily. Dry. Neutral. Soft. Shiny. Curly. Frizzy. Wild. Unruly. Smooth. Straight. Wavy. Cropped. Pixie-cut. Bob. Mullet. Mohawk. Half-shaved. Under cut. Buzz cut. Shaved. Bald. Hair extensions. Weave. Afro. Waves. Dreadlocks. Box braids. Braids. Twists. Faux locs. Jaw length. Shoulder length. Armpit length. Mid-back length. Waist length. Hip length. Past hip-length. Middle part. Side part. Blunt bangs. Curtain bangs. Wispy bangs. Short bangs. Side bangs. Dyed bangs. Ombre. Dyed. Grey. White. Platinum. Platinum blonde. Golden blonde. Dirty blonde. Blonde. Strawberry blonde. Ginger. Red. Auburn. Light brown. Mouse brown. Chestnut brown. Caramel brown. Chocolate brown. Dark brown. Black. Jet black. Clean shaven. Stubble. Sideburns. Moustache. Goatee. Beard. Thin eyebrows. Average eyebrows. Thick eyebrows. Plucked eyebrows.
TATTOOS/PIERCINGS
Full sleeve. Half sleeve. Forearm tattoo. Wrist tattoo. Hand tattoo(s). Ankle tattoo. Calf tattoo. Thigh tattoo. Hip tattoo. Neck tattoo. Chest tattoo. Rib tattoo(s). Back tattoo. Shoulder blade tattoo. Face tattoo(s). One tattoo. A few here and there. Multiple. No tattoos. Nose piercing. Septum. Nipple piercing(s). Genital piercing(s). Prince Albert piercing. Industrial piercing. Helix piercing. Tragus piercing. Conch piercing. Earlobe piercings. Stretched out ears. Eyebrow piercing(s). Bridge piercing. Tongue piercing(s). Monroe piercing. Angel bites. Snake bites. Labret. Navel piercing. Inverse navel piercing. Cheek piercing(s). Smiley. Nape piercing(s). No piercings.
COSMETICS
Eyeliner. Light eyeliner. Heavy eyeliner. Cat eyes. Mascara. Fake eyelashes. Light eyeshadow. Neutral eyeshadow. Smoky eyes. Colourful eyeshadow. Matte lipstick. Regular lipstick. Lipgloss. Lip liner. Lip balm. Red lips. Pink lips. Neutral lips. Dark lips. Colourful lips. Bronzer. Highlighter. Blush. Light contouring. Heavy contouring. Powder. Matte foundation. Dewy foundation. Concealer. BB cream/tinted moisturiser. Wears make-up regularly. Wears it from time to time. Rarely wears make-up.
SCENT
Floral. Herbal. Earthy. Fruity. Fresh. Perfumes. Aftershave. Cocoa. Moisturiser. Shampoo. Cigarettes. Leather. Sweat. Food. Incense. Marijuana. Cologne. Whiskey. Wine. Fried food. Blood. Fire. Metal. Rain.
CLOTHES
Jeans. Tight pants. Cigarette pants. Cargo pants. Khaki pants. Harem pants. Sweatpants. Yoga pants. Leggings. Tights. Stockings. Overknee socks. Pencil skirt. Tight skirt. Loose skirt. Ballerina skirt. Long skirt. Miniskirt. Maxidress. Sundress. T-shirt/Sweater dress. Tight/Form-fitting dress. High slit dress/skirt. Cocktail dress. Gowns. Tuxedo. Suit. Tie. Waistcoat. Sweater vest. Sweater. Hoodie. Leather jacket. Denim jacket. Bomber jacket. Parka. Peacoat. Trench coat. Cardigans. Tunic. Turtleneck. Blouse. Button up shirt. Cuban shirt. Flannel shirt. Polo shirt. Camisole. Bustier. Tube top. Crop top. Tank top. Muscle T-shirt. T-shirt. Band T-shirt. Sports T-shirt. Basketball shorts. Pleated shorts. Jean shorts. Hotpants. Bodysuit. Jumpsuit. Overalls. Corset. Nightgowns. Robes. Lingerie. Bra. Sports bra. G-string. Thong. Panties. Briefs. Boxer briefs. Boxers. Loose clothing. Tight clothing. Revealing clothing. Designer. High street. Thrift. Patterns. Florals. Polka dots. Stripes. Sequins. Cotton. Linen. Silk. Lace. Leather. Velvet. Fur/Faux fur. Light colours. Pastels. Neon colours. Bright colours. Dark colours. White. Black. Heavy armour. Medium armour. Light armour.
SHOES
Bare feet. Slippers. Sandals. Gladiator shoes. Flats. Slip-ons. Loafers. Oxfords. Sneakers. High tops. Ankle boots. Hiking boots. Combat boots. Cowboy boots. Knee-high. Platforms. Wedges. Stilettos. Chunky. Kitten heels. Slingbacks. Pumps. High Heels. Stripper heels.
BODY
Long legs. Average legs. Short legs. Slender thighs. Thick thighs. Muscular thighs. Slender arms. Soft arms. Muscular arms. Lean arms. Toned stomach. Flat stomach. Ample stomach. Soft stomach. Six-pack. Beer belly. Lean frame. Muscular frame. Beefy frame. Curvy frame. Voluptuous frame. Petite frame. Lanky frame. Short nails. Long nails. Manicured nails. Acrylic nails. Dirty nails. Small breast. Average breast. Big breast. Flat ass. Toned ass. Bubble butt. Thick ass. Small waist. Straight waist. Thick waist. Narrow hips. Average hips. Wide hips. Big feet. Average feet. Small feet. Soft feet. Slender feet. Calloused hands. Soft hands. Big hands. Average hands. Small hands. Long fingers. Average fingers. Short fingers. Narrow shoulders. Average shoulders. Broad shoulders.
HEIGHT
Shorter than 140 cm. 140-150 cm. 151 cm to 160 cm. 161 cm to 170 cm. 171 cm to 180 cm. 181 cm to 190 cm. 191 cm to 2 m. Taller than 2 m.
SKIN
Light. Tanned. Brown. Dark. Rosy. Neutral. Olive. Golden. Pallid. Blotchy. Albinism. Vitiligo. Birthmarks. Freckles. Moles. Wrinkles. Stretch marks. Scars. Burns. Acne. Smooth. Dry. Oily. Combination.
EYES
Small. Large. Average. Dark brown. Light brown. Hazel. Green. Blue. Grey. Violet. Gold. Other. Heterochromia. Doe-eyed. Close-set. Wide-set. Deep-set. Protruding. Narrow. Monolid. Almond. Round. Heavy eyelids. Upturned. Downturned.
HAIR
Thin. Thick. Fine. Average. Oily. Dry. Neutral. Soft. Shiny. Curly. Frizzy. Wild. Unruly. Smooth. Straight. Wavy. Cropped. Pixie-cut. Bob. Mullet. Mohawk. Half-shaved. Under cut. Buzz cut. Shaved. Bald. Hair extensions. Weave. Afro. Waves. Dreadlocks. Box braids. Braids. Twists. Faux locs. Jaw length. Shoulder length. Armpit length. Mid-back length. Waist length. Hip length. Past hip-length. Middle part. Side part. Blunt bangs. Curtain bangs. Wispy bangs. Short bangs. Side bangs. Dyed bangs. Ombre. Dyed. Grey. White. Platinum. Platinum blonde. Golden blonde. Dirty blonde. Blonde. Strawberry blonde. Ginger. Red. Auburn. Light brown. Mouse brown. Chestnut brown. Caramel brown. Chocolate brown. Dark brown. Black. Jet black. Clean shaven. Stubble. Sideburns. Moustache. Goatee. Beard. Thin eyebrows. Average eyebrows. Thick eyebrows. Plucked eyebrows.
TATTOOS/PIERCINGS
Full sleeve. Half sleeve. Forearm tattoo. Wrist tattoo. Hand tattoo(s). Ankle tattoo. Calf tattoo. Thigh tattoo. Hip tattoo. Neck tattoo. Chest tattoo. Rib tattoo(s). Back tattoo. Shoulder blade tattoo. Face tattoo(s). One tattoo. A few here and there. Multiple. No tattoos. Nose piercing. Septum. Nipple piercing(s). Genital piercing(s). Prince Albert piercing. Industrial piercing. Helix piercing. Tragus piercing. Conch piercing. Earlobe piercings. Stretched out ears. Eyebrow piercing(s). Bridge piercing. Tongue piercing(s). Monroe piercing. Angel bites. Snake bites. Labret. Navel piercing. Inverse navel piercing. Cheek piercing(s). Smiley. Nape piercing(s). No piercings.
COSMETICS
Eyeliner. Light eyeliner. Heavy eyeliner. Cat eyes. Mascara. Fake eyelashes. Light eyeshadow. Neutral eyeshadow. Smoky eyes. Colourful eyeshadow. Matte lipstick. Regular lipstick. Lipgloss. Lip liner. Lip balm. Red lips. Pink lips. Neutral lips. Dark lips. Colourful lips. Bronzer. Highlighter. Blush. Light contouring. Heavy contouring. Powder. Matte foundation. Dewy foundation. Concealer. BB cream/tinted moisturiser. Wears make-up regularly. Wears it from time to time. Rarely wears make-up.
SCENT
Floral. Herbal. Earthy. Fruity. Fresh. Perfumes. Aftershave. Cocoa. Moisturiser. Shampoo. Cigarettes. Leather. Sweat. Food. Incense. Marijuana. Cologne. Whiskey. Wine. Fried food. Blood. Fire. Metal. Rain.
CLOTHES
Jeans. Tight pants. Cigarette pants. Cargo pants. Khaki pants. Harem pants. Sweatpants. Yoga pants. Leggings. Tights. Stockings. Overknee socks. Pencil skirt. Tight skirt. Loose skirt. Ballerina skirt. Long skirt. Miniskirt. Maxidress. Sundress. T-shirt/Sweater dress. Tight/Form-fitting dress. High slit dress/skirt. Cocktail dress. Gowns. Tuxedo. Suit. Tie. Waistcoat. Sweater vest. Sweater. Hoodie. Leather jacket. Denim jacket. Bomber jacket. Parka. Peacoat. Trench coat. Cardigans. Tunic. Turtleneck. Blouse. Button up shirt. Cuban shirt. Flannel shirt. Polo shirt. Camisole. Bustier. Tube top. Crop top. Tank top. Muscle T-shirt. T-shirt. Band T-shirt. Sports T-shirt. Basketball shorts. Pleated shorts. Jean shorts. Hotpants. Bodysuit. Jumpsuit. Overalls. Corset. Nightgowns. Robes. Lingerie. Bra. Sports bra. G-string. Thong. Panties. Briefs. Boxer briefs. Boxers. Loose clothing. Tight clothing. Revealing clothing. Designer. High street. Thrift. Patterns. Florals. Polka dots. Stripes. Sequins. Cotton. Linen. Silk. Lace. Leather. Velvet. Fur/Faux fur. Light colours. Pastels. Neon colours. Bright colours. Dark colours. White. Black. Heavy armour. Medium armour. Light armour.
SHOES
Bare feet. Slippers. Sandals. Gladiator shoes. Flats. Slip-ons. Loafers. Oxfords. Sneakers. High tops. Ankle boots. Hiking boots. Combat boots. Cowboy boots. Knee-high. Platforms. Wedges. Stilettos. Chunky. Kitten heels. Slingbacks. Pumps. High Heels. Stripper heels.
49 notes
·
View notes
[cw: anti-NPD ableism, fictional child death, gore.]
you know. i can't believe it didn't quite click for me until now, but i knew there was a piece of the ableism puzzle missing with ivan, and i just realized that along with the audhd/dyslexia stuff he is a really violently hateful depiction of NPD.
pwNPD are all evil, stupid abusers who will only ever accomplish anything by riding others' coattails; anyone who believes they have worth or deserve love only thinks that because they're fooling themselves and denying reality, at the expense of the reasonable people who actually deserve the love and approval they're hogging; it's funny, satisfying, and their just deserts to take them down a peg by intentionally insulting and humiliating them; and you should cheer for their gruesome, frankly dehumanizing deaths. very awesome and cool
5 notes
·
View notes
Long COVID Recovery Remains Rare | Time
An important article that, among other things, covers why different studies come to slightly different conclusions about how many people recover from Long COVID:
How can multiple studies on the same topic reach such different conclusions? The way they’re designed can make a difference, Putrino says. Some Long COVID research uses data drawn from patients’ health records. In these studies, Putrino says, researchers sometimes assume symptoms have resolved if someone stops coming in for care. But there are lots of other reasons someone might stop seeing their doctor: financial constraints, frustration that treatments aren’t working, health declining to the point that leaving home becomes difficult, and so on.
“Recovery” can also be defined differently. Is it a complete resolution of symptoms, or improving enough that someone can function despite their ill health? Once researchers start splitting those hairs, Al-Aly says, they often find that someone “didn’t really recover; they adjusted to a new baseline.”
...
As of now, there is no one-size-fits-all treatment for Long COVID, nor any treatment guaranteed to work at all. Each time a new patient enters their clinic, Putrino and his team start from the ground up, doing a comprehensive analysis of the individual's health in hopes of finding a problem that may respond to drugs, supplements, nerve stimulation, or other tools.
10 notes
·
View notes
EEK EEK ABORT MISSION. THE TEENAGERS ARE MOVING INTO OUR HOUSE TOMORROW.
4 notes
·
View notes
so when i was a teen i was like, very alt, very punk, like eyeball-deep in the local music scene (this would continue for the next decade), i was NOT a scholar by any stretch and quite frankly hated academics. and my friend introduced me to this band and it ended up being one of my favorites for years.
well i was talking to my friend who's into a bad that was big back in that day and i was like ahhh yes.... i remember those days.... neon and crust and studded leather.... and i listed off some bands, and remembered that one i had liked for so long. i went and looked it up and spotted the album i remembered the most, and gave it a listen and well
it would seem ive always been this way. apparently
2 notes
·
View notes
The worst feeling is seeing women are my favourite ghy posted everywhere but none of those users who post it even care or support female characters.
You are not wrong!
I don't have a problem with people quoting "women are my favorite guy." I really don't think it's meant to be malicious, it's a joking meme phrase that's meant to elicit a smile due to the unexpected way it's worded. And I don't have a problem with people liking male characters (hell, I myself have had three emotional breakdowns over one of them in the past two days!). What I don't like is that a lot of people I've come across seem to be saying this phrase as some sort of "proof" that they Really Care about women. And many of them. Do not actually seem be making an effort to back up that claim. (And this isn't even just in the context of refusing to engage with female characters-it's avoiding media created by or for women, it's harassing actresses for playing characters they don't like or who "get in the way" of a desired story outcome, and most egregiously, it's the way so many people treat female victims of domestic abuse or other similar kinds of trauma or mistreatment.)
It's not the fact that this meme phrase exists, it's the fact that too many people are hiding behind it as a show of "support" without actually doing anything. And, honestly, it's the specific way that people use it to suggest that we don't still have a rampant misogyny problem, both in and outside of fandom. If women were your "favorite guy," you'd treat them better. (At the very least, you would spend some time actually thinking or talking about them.)
2 notes
·
View notes
passion could be good if it was gay and i don’t really remember my reasoning anymore but i do stand by it
2 notes
·
View notes
billions could only have a gay man, who was married, and died by the end of that season; only deal with taylor's upending of presumed cishettery by having everyone who's not terrible be automatically down without putting some crisis about it on them, as the better approach to trying to have people talk about it (true, certainly in this case); extent of its room for rian's latent nonbinariness being "never wearing skirts/dresses, always wearing makeup though"....all that is to say, even with neither of them allowed to be "truly" cishet, b/c that's the rewarded realm for superior people, billions could never do winstuk. but they could be kissing right now
5 notes
·
View notes
... i feel like the easiest solution to the whole ~but migrants keep coming here with nothing and then expecting us to feed and clothe them~ thing and whining about the cost to the coast guard of trying to find the boats they arrive on would be
offer free shipping? station a number of reasonably big ships near or at where migrant ships usually leave from, kind of a schoolbus version of a passenger ship, nothing luxurious or pretty, but staffed and equipped to transport as many people as possible in safety and dignity while being as cheap and low-maintenance as can be. and then get barracks set up as close by as possible, where people can stay until the ship sets sail, with the same low-cost, low-effort setup
and then anyone who wants to cross the mediteranean, instead of having to pay exorbitant amounts of money to some shady entity for a space on an overloaded ship, can just. report to the official coast guard ship, which will make the trip the same time every week, and if they missed it, they can get a bunk in the nearby barracks and wait for the next one
and then! everyone who shows up can get basic medical treatment and at least temporary papers if they haven't any, and there can be co-ordination with the european ports, so everyone knows when and where the next ship will arrive, how many people are on board, what immediate assistance they will need, and any other relevant information
hell, if there's something stressful or expensive or otherwise troublesome at one port, they can contact the coast guard and go 'yeah, we said we'd accept the next ship, but there's been [thing] and we're overwhelmed as-is, but the next port over is set up for your arrival', and then no one needs to deal with the unexpected arrival of several hundred injured, ill, or starving people that need immediate help in a million ways
just. we know migrants will cross the mediteranean. it's a thing they've been doing for decades at this point. we also know it's a source of stress and trouble for everyone involved. might as well accept it and make it as safe and controlled as possible, reduce the amount of emergency something-or-other to react to and ensure that the people who arrive are fed and clothed and ideally can actually migrate with their families instead of having to figure out who they can afford to pay the fare for and make their situation even worse
2 notes
·
View notes
they should make an resident evil 3 remake just for me personally
2 notes
·
View notes