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#they actually have a couple of these supplemental docs that never get posted in the different fic channels.
chrisrin · 2 years
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unda has me suffering so i had to doodle.
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cbk1000 · 3 months
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Part two, because I actually hit the character limits on the first post.
I start the ibuprofen. I am feeling awful. My chest is burning really badly, like terrible heart burn, I'm weak, I have barely any appetite, and I'm so uncomfortable I can only sleep a couple of hours every night, which makes me feel even shittier. I have Mr Jenn pick me up some sleep aids which fortunately knock me out for a bit, so at least I'm sleeping more.
I'm not feeling any better and I'm reading up on pericarditis and some of my symptoms kind of sort of fit, but I'm starting to doubt this is the issue because for the most part it doesn't seem to share a lot of common features with other cases of pericarditis.
In the meantime, I get my period again. (It’s been a few weeks of this at this point.)
I start feeling even worse. Now on top of my other symptoms, I'm really dizzy. It's worse when I get up to go to the bathroom, but even lying in bed my head sometimes spins, almost like vertigo, which I've never had before. I'm so weak I can't stand up straight and can only leave bed to go to the bathroom. Mr Jenn brings me all my food and I have to eat it in stages because I'm too weak to eat it all in one go. I have to eat a bit, lie down and rest, sit back up, repeat till whatever small amount of food I can get down is gone. Wtf is wrong with me. I feel like I'm dying.
Something in the back of my head goes wait a minute your symptoms got worse after a couple of days of heavy bleeding and when you were 20 you had that episode where you felt really sick and weak after a blood donation and you had the same issues with your heart rate going really high, and that was resolved with iron treatment. Could this be an issue with iron deficiency?
I know from my lab results that I'm not actually anemic (as in, my hemoglobin is normal), so I start researching to see if just low iron can cause the same symptoms as anemia, and if it's possible this is the culprit, because I not only menstruate, I don't eat much meat, so my dietary intake of iron is probably not great.
Turns out every single symptom I'm having could be from iron deficiency. Ok, at least that's a direction to go in. I need to establish with a primary care doc, get an iron panel done, and also get a referral to cardiology, because I still need to rule out any issues with my heart.
It is very difficult to get in with any doctor locally; most of them are not taking new patients, and if they are, it's a month or more wait to get scheduled. Out of desperation, I go back to the clinic I used to work for, and, as detailed in other posts, get stuck with a crazy anti-vaxx doc who blames all my problems on the Covid shot I had in 2021. Neato.
But I do get my iron panel and referral to cardiology, at least. The iron panel comes back and shows that I do have iron deficiency. I start supplementing while waiting to hear back on a cardiology appointment.
I luck out and get into an appointment at the cardiology clinic just a few days after the referral is sent over, because they had a last-minute cancellation. I see an ARNP, who tells me she thinks the echo done at the hospital looks fine, actually, no sign of pericarditis, but just to make sure they don't miss anything, because my heart rate is definitely still abnormally high, she's going to do a seven-day monitor, a repeat echocardiogram, and then have me follow up with one of the cardiologists.
I wear the monitor and go in for the repeat echo.
In the meantime, I've been taking iron supplements. Over the course of three weeks, I start slowly but steadily improving: after about a week, the chills and dizziness go away. The fatigue and brain fog have also suddenly improved significantly. The full-body weakness that was so bad I couldn't stand up straight, and Mr. Jenn had to carry a pillow out to the couch for me because I was too weak to lift it, starts to improve gradually day by day. I can start talking like an almost normal human again (I would get so out of breath and weak doing it that I couldn't speak at a normal volume, and had to limit what I said; Mr. Jenn said I was starting to sound like Stevie from Malcolm in the Middle, for anyone who understands that reference). I'm coming out of the bedroom in the evenings to visit with Mr. Jenn a bit while he cooks dinner.
Then I get my period again. The absolute cunt. The bellend. The fucking devil. I don't go back to square one, but I definitely take a couple of steps back in my recovery. My period is a bit lighter, though.
I start to slowly claw my way back from my period. My heart rate is still too high and I struggle being up for very long because of it, but I am still doing better overall. I also still have intense nausea off and on (after some reading, this seems to have been caused by low oxygen? Basically, not having enough iron meant I wasn't getting enough oxygen on a cellular level because there wasn't enough iron to transport it around my body, so my whole body went, 'We can't breathe, and you are going to Suffer for it.' It's not as common a symptom as, for instance, fatigue, but apparently low iron CAN cause loss of appetite and nausea, which I did not know. I thought it might be the supplements at first because iron is notoriously hard on your stomach, but I'm still taking them and at this point I haven't had any nausea in probably at least a month, so I think it was a symptom of the iron deficiency itself).
I see the cardiologist. Cardiologist tells me my heart is in great shape, actually. The echo shows structurally there's nothing wrong with it, and my heart monitor was super clean. Cool. I didn't think my heart was the problem at this point, but good to know I'm not in heart failure or something as an athletic woman in her 30s.
I go back to crazy doctor to say I really want to focus on getting my iron levels up, since that has been helping a lot, and since now we know it's not my heart causing my problems and that I don't have, and never had, pericarditis. Perhaps we could do something to speed it up a bit so I can go back to my job and my life. Like, I dunno, iron infusions.
Crazy doctor, as detailed in another post is not happy that cardiology did not validate his conspiracy theories about how The Jab destroyed my heart and life. He decides I have both chronic fatigue syndrome and POTS (postural orthostatic tachycardia syndrome) caused by the shot, and is referring me to a neurologist to see if they'll validate his crazy pants. What the fuck ever, I'll just continue treating myself for an incredibly common medical condition, then, while you diagnose me with multiple chronic illnesses based on symptoms I told you I don't have anymore.
I get on with supplementing while doctor dreams about Ivermectin or whatever. I reach a point where I have a few days in a row where my heart rate is much lower, and I can get up and walk around and feel like an almost normal human again.
I get my period again. I am going to kill this fucking bitch. My heart rate goes back up to 130 bpm on walking around, and about 112 just sitting up. I can't do either for very long when my heart rate is that high; even lying in bed, I can feel it racing, and clock it in the 90s (my normal resting heart rate is in the 60s). I try to take out the garbage and legitimately feel like I'm going to pass out. None of my other symptoms have really worsened or come back, but the high heart rate makes it so I can't do much without feeling like I'm going to pass out.
I am extremely frustrated and decide to go back to the doctor to ask for iron infusions to speed up this process. I had been tracking my iron levels every month, and while my ferritin (iron storage) went up nine points after supplementing for four weeks, after eight, it had gone down a point. It's just so fucking hard to stay on top of it when you're bleeding heavily for a week every month.
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i-like-eyes · 2 years
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DevLog 2
We are at log 2 and real life has already got in the way. As I don't got a lot to show off I'll post some non-spoilery asset stuff and hide the rambling under read more.
While I did get a good chunk of the script done, there is still plenty of dialogue I need to get to. As a result, I didn't get any maps done. I'm trying to make this game with RPG Paper Maker's strengths in mind, but every once in awhile I'll realize I made an assumption of what the engine can do and the script has to be put on pause because of it. For example, a lot of this game I had already planned out having pictures on screen for more cinematic scenes. Literally two days ago I realized I don't actually know how to do that in the engine. Thankfully there is a Discord for RPGPM and the people there have been a huge help.
To supplement my question I had drawn a reference of what I meant; it's nothing significant I just think it looks funny.
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I'm probably not going to show off the script itself because words on a doc isn't terribly interesting. Here are talk sprites in the mean time.
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In order they are Holly, Jim, and Micheal. I might talk more about them next month.
Grant herself I debating making a talk sprite for, I probably will in the end but I'm wondering if how she reacts in those sections should be left up to the player to interpret. I'm thinking about how you see Phoenix clearly while in a courtroom because of the more cinematic approach to that section of the game, but when talking to other characters you don't see his face; instead the characters are talking directly to you because it's more personal. That (and a stupid amount of over analyzing the portraits of FE13-16 because FETH criticism is fucking weird) contributed to the npcs in this game looking directly at you. Also because horror game, things are supposed to be a bit unnerving. If Grant had a sprite she wouldn't look at the player because you are playing as he;, she should reflect the fact that you are looking at the npcs.
While this is the first game I've taken really seriously as a personal project, it's development cycle still throws me off because of what I've done beforehand for school.
It's weird, normally when making a game I'd focus on gameplay first and story last. I've done a handful of small scale projects at school, and the number one thing teachers drill into your head is to have the gameplay and the narrative play off each other. Most students go in with this epic idea for a story and only really want to make it a game because games are cool, not that they think they can have the gameplay enhance the plot. This combined with a lot of demos we made were based on popular genres (FPS for example) meant our development cycle looked a lot like gameplay first then story built to compliment that. My other game ideas either looked like that or smth more equally balanced, I think of a story element and a gameplay element I thought of happens to compliment that, but I've never had to come up with the majority of the plot first then the gameplay afterwards. Part of it was trying to discourage students from doing that, because they tend to have far too ambitious plotlines in mind. The other part was like fucking hell they are teaching us that weird niche visual novel shit because we are being trained to work for some company's Toronto division pumping out sequels.
But ultimately I've just never had an idea like this one before. Half my game ideas are fighting games and the rest are platformers, puzzle games, etc. I have thought of two -ish TRPG's, and briefly came up with a couple of other visual novel ideas, but they never stuck with me as long as the likes of Red Spikey Hair Guy Needs To Let Out Some Anger The Platformer (WIP name). If that title is any indication, the plot isn't my main concern for that game yet. That's because I want to figure out the gameplay more before I further flesh the story out because I want it to blend together. And then it gets put on hold because I forget how to program. Anyways, with Riverside there is very minimal gameplay. The reason why it is still a game and not just a comic or smth is because I think it is very important that you are put in the shoes of a patient at a nursing home, because you can't really get the same empathy with any other medium. Or hell, you don't get that same experience in real life until it's too late.
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halloweenhoneylover · 4 years
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the struggle bus
summary: spencer is the kindest human alive, which makes things tough for the reader :/ (spencer reid x fem!reader)
word count: 5.3k (a doozy kinda!)
warnings: i guess angst, but really just idiots in love (my fav trope). reader is kind of a hot mess. also, mention of overdose via multivitamin.
author’s note: hi, it’s been approx 4000 years since i last posted, but it’s just because i have no concept of ‘efficiency’ or ‘speed.’ but it’s okay. some of this is good, some of this is eh, make of that what you will. also, this is supposed to be #funny sometimes so uhhhh, keep that in mind. ALSO, the title is majorly stupid, but it was the title of the google doc, and i couldn’t think of anything else......anyways, love u!
For once, the bullpen was quiet.
Spencer was immersed in some case file, doing some work that you should have probably been doing as well, but it was approaching the late hours of the night, and you would barely be able to keep your eyes open if you came even close to trying to read or write. Your desks were situated against each other, so you shifted your gaze across the small divider to him. His sharp features were softened in the lamplight, a sight that tugged on your heartstrings, and you took a moment to just look at him. Most everyone else was gone or was too focused on getting their work done to pay attention to your reverie. Derek, if he were here, would dub you as ‘lovesick’ and shoot mischievous smirks and wiggling eyebrows in your direction, but luckily for you, he was not. Twisting carelessly in your chair with your feet propped on the desk, you chewed absentmindedly on a pen, lost deep in thought. “Hey, Spencer?”
“Yeah?” He continued scribbling on the file without so much as a glance towards you, but that was perfectly fine by you, more time for not-creepy staring.
“How many of my vitamins do you think I could eat before I died?”
At this, he furrowed his brow and neatly laid his pen down.
“That depends on what vitamin you’re taking. If you’re talking about iron supplements, the limit is somewhere around 20mg of elemental iron per kilogram of body weight. Any more than that will have incredibly unpleasant side effects like abdominal pain, persistent vomiting, rapid breathing, and coma. However, if you’re talking about Vitamin C, it’s virtually impossible to overdose, but you might get a bad headache if you supersede 2000 mg.”
“Okay, what about my gummy vitamins?”
He narrowed his eyes at you. “While it still depends on what vitamins are included, eating a whole bottle of your typical multivitamin could easily result in death.”
You mulled this over. “So, I should definitely not go home and eat the rest of my gummy vitamins tonight?”
Spencer chuckled, “I’m not a medical doctor, but yes, I’d recommend that you don’t do that.”
Tossing your head back and letting out a small groan, you protested, “But Spencer, my gummy vitamins taste so good! And I have no food at home, so I guess I either die by overdose on gummy multivitamins or starvation.”
He couldn’t help but grin at your melodrama. It could be 12:06 in the morning, and you could still somehow make him laugh. He was starting to understand that he was in too deep, but he also had the startling realization that he didn’t mind drowning if it was in you. 
“You’ve got quite the predicament on your hands there, (Y/N). Maybe you should go grocery shopping with me the next time I suggest it, so you don’t end up in this situation again.”
“Oh my god, dude!” you moaned. “I told you I was actually busy; I had to take Oscar to the vet for his vaccines! I try to be a good mother to my dog, and you know I’m not an anti-vaxxer. I’d never decline time with my favorite guy without a good reason.”
Spencer’s heart was doing somersaults at the thought of him being your favorite guy. He’d won plenty of awards and medals in his lifetime, but somehow, none of those measured up to the accomplishment of being your favorite. Pride and butterflies boiled in his stomach. 
“Alright, fine, I’ll let it slide this time.”
You snorted, “I appreciate your unmatched benevolence, Dr. Reid.” Locking eyes with him, you tried to dampen the lava flow of heat in your chest that erupted when he looked at you with the softest expression you’d ever seen, but you failed miserably. You had to clear your throat and look away; it was becoming all too much. “Hey, I’m gonna run to the restroom. Don’t leave without me!”
As you dashed away, a thought crossed Spencer’s mind, and he stood up and set off down the opposite hallway.
You returned a few minutes later to an empty bullpen which made you frown, and your heart sank. You had thought he was going to wait, but guess not. Sighing, you tried to not let it sting too badly when you noticed a light on in JJ’s office. You knocked and pushed the already ajar door with a quick hello? before being met with an exhausted-looking JJ.
“Hey, (Y/N). I thought everyone had left by now.”
“Nope, not quite yet,” you replied, offering a weak smile. JJ noticed and wrote it off as fatigue. “You didn’t happen to see Spencer leave a couple minutes ago, did you?”
“Uh, no, I thought he’d gone too.”
“Hm, okay, thanks anyway!”
You prepared to leave, but she stopped you, cocking her head. “Why do you ask? Is he still here?”
Leaning your head against the doorframe, you sighed. “I’m not sure. He was here when I went to the bathroom, but he wasn’t at his desk when I came back. I’m a little disappointed. We always walk out together because we’re both afraid of the parking garage at night.”
A grin simmered on JJ’s face at that fact. “Well, I could walk you out if you’d like?”
“Nah, that’s okay; I don’t want to bother you.”
There was something behind JJ’s eyes you couldn’t identify as she replied, “Alright, then. Just let me know if you change your mind.” She definitely wasn’t thinking about how you didn’t want her intruding on a you-and-Spencer tradition. Not that she minded! She’d been rooting for you both since the minute you’d stepped into the BAU, and Spencer had looked like he was about ready to melt into the floor at the sight of such a pretty girl.
“Thanks, Jayje.”
Dragging your feet a little, you made your way back to your desk to gather your things, trying to fend off the disappointment. You had gotten your jacket on and were about to pick up your bag when you heard a (Y/N)! from down the hall. Well, that was certainly not JJ. Hesitantly, you called out, “Spencer?”
He finally emerged with his arms loaded with...something, you couldn’t discern what in the dim light. His face lit up like the Vegas strip when he saw you. “(Y/N)! I didn’t want you starving or eating all of your vitamins, so I went down to the vending machine and got you a couple snacks!” Arriving at his desk, he dropped the various bags and packets on his desk, and your eyes widened immensely.
“A couple? Dude, did you buy out the whole machine?”
Slightly breathless from his quick jog back, he waved a dismissive hand. “It was nothing. And hey, look!” He picked up a bag. “Fruit snacks! Just like your vitamins, but without the part where you get really sick.”
You were astonished, to say the least. And minorly speechless too, as evidenced by your mouth that was gaping like a fish. “Spencer...this is so nice. You really didn’t have to.”
“Don’t worry about it; I’m sure you would’ve done the same for me.”
At that, your face nearly split in two, and he mirrored your grin. You thought you might pass out at his kindness, and you knew you’d be thinking about this every day for the next two weeks at least. Your expression then turned mischievous, as you tried to tamp down all of the warmth bubbling in your stomach. “Do you want to help me try to fit all this in my bag?”
“I thought you’d never ask.”
——— 
Garcia had been practicing her ukulele peacefully when she got the call.  (Well, ‘peacefully’ might have been a stretch as she had threatened to smash the object on her coffee table when she simply could not get the finger picking pattern she’d practiced for what seemed like hours, but it was supposed to be a relaxing hobby, so yes, it was peaceful.) Huffing a sigh of relief when the caller ID said [(Y/N/N)!!] with the longest stream of heart emojis and not [hotch >:( ], she picked up with her usual air of cheer. “What can I do ya for, my loveliest, most bewitching—”
She was cut off abruptly by the sounds of your horrible, heart-wrenching sobs, and her brows furrowed in concern. “Oh no, my sweet! What’s wrong?” She had to wait a few moments for your tears to calm (somewhat) while you tried to wrangle in your breath, so you could form some sort of sentence.
“Penny!”—gasp—“Oh my God,”—hiccup—“it looks so bad!” With your last word, you tumbled into incoherent bawling once again.
“Dear, what looks so bad?” She held her phone between her ear and her shoulder as she began to gather up her things. Whatever was wrong, it was clear you needed some good, old-fashioned Garcia TLC, and she was ready to give it.
The sniffling subsided minorly, and you choked out, “Remember when we were talking the other day, and I mentioned that my hair had gotten a little too long for my liking?” Oh no, Garcia could see where this was going. “Well, I figured I’d spend our evening off getting my hair cut, and I went to that new hairdresser, and oh Penelope, it looks awful. I don’t think I can ever go out in public again.” With that, your tears resumed.
“Darling, you know I’ve been where you are, and I know it seems bad right now, but everything will be fine. Let me grab my scissors and I’ll be over faster than you can say, ‘Penny, I love you so much, you truly are my fairy godmother.’”
You paused before whispering into the phone, “Penelope, I do love you so much, and you are my fairy godmother. But please, hurry.”
And hurry, she did.
Garcia was knocking on your door a little over five minutes later, which was incredibly suspicious because she lived at least 10 minutes away on a good day, but in the state of your disarray, you were not inclined to care. She sat you down on the toilet in your bathroom, whipping out her hair care set (she had definitely spent a significant amount of time dabbling in cosmetology, and it was desperate times like this when it came in handy). Squeezing your eyes shut through most of it, she snipped here and there, trying to make the best of this...horribly atrocious cut (seriously, that hairdresser should be sued), and when she was finished, it was not as bad as when they started, but it still wasn’t great. The rest of the evening was spent watching cheesy rom-coms and baking in an attempt to get your mind off of your hair.
Everything was mostly fine until the next morning, when you realized you’d have to go into work like this, and as terrifying as that prospect was in a normal work environment, you also worked in a place with an abnormal amount of hot people. (And you happened to be developing feelings for one of those hot people, but your brain was insistent upon ignoring that for the time being.)
Already anticipating your worries, Penelope had sent a text without your knowledge to a BAU group chat that excluded you (she had one of these for every member, it just made surprise birthday party planning so much easier).
[penelope :)] please DO NOT MENTION (Y/N)’S HAIR!!!! she got a bad haircut and she feels really terrible about it and doesn’t want to think about it so do not talk about it!!!
[jennifer!] Oh, no! :( Lips are sealed!
[rossi ;)] rip.
Emerging from the elevator in the nicest work outfit you own (an attempt to distract from the monstrosity), you scurried to Garcia’s lair before anyone could see you. Once inside, you slammed the door shut, and leaning against it, you slid down and covered your face with the files in your hands. “Pennyyyyy,” you moaned. “I don’t think I can do this!”
She swiveled to face you with a look of empathy. “Sugar, I know you can. It—it doesn’t even look that bad!” But Garcia was a horrible liar, and if looks could kill, she would have been dead instantaneously. 
Heaving yourself up off the floor, you came to sit in the seat next to her. “Can’t I just work in here today? And maybe for the rest of time?”
“You know I would love that, but those other lovely people on our team need you! Especially the young doctor, you know he’d be lonely without you.”
As if her mention had summoned him, Reid opened the door to their secret meeting, files in hand, and your eyes nearly jumped out of their sockets. Garcia stared at him very intensely, attempting to telepathically tell him to not mention the hair, and you looked like a deer in the headlights, trying to figure out a way to hide yourself from him and possibly the entire universe. And poor Reid shifted his gaze between the two of you, helplessly confused as to what he had walked into. “Am I interrupting something?”
“Uh, no!” Garcia said in the least convincing manner.
“Okay,” he responded, not convinced in the slightest. “I just came to give you some files from Hotch.” So, he handed Garcia the papers and then turned to leave when you caught his eye. 
And because he was not the greatest with technology, Spencer had not checked his phone that morning…. Meaning he had not seen Garcia’s text. So he looked at you a moment and cocked his head. “Your hair looks really nice today, (Y/N). Did you get it cut?”
This time, it was Garcia’s turn to glare (because read your texts, dammit!), and you fumbled for a response. As you scanned his face, searching for a sign that he was lying, that he was just saying something to make you feel better, you came up empty. He was telling the truth. He genuinely thought your hair looked nice. “Um, uh—yeah. Yeah, I did. Thanks for noticing.”
“You’re welcome.” He offered you a smile, which you returned easily (a fact that surprised you). “See you.” Retreating from the office because the vibes in there were weird, he shut the door, finally leaving you and Garcia alone again. 
You were reeling.
You thought about when you had gotten dressed that morning, and you had entertained each outfit with great scrutiny, trying to come up with something that might draw attention away from your hair. In that half hour you’d spent, you had realized that you didn’t really mind looking bad in front of Morgan or Emily or Hotch or really anyone on the team. Almost anyone. With an increasing amount of discomfort, you had realized you didn't want to look bad in front of Spencer. Of course, he’d never judge you, but you wanted to look good for him. For your best friend.
And he told you your hair looked nice.
You smiled to yourself.
Garcia turned to you with a look of shock on her face. Had that been anyone else, she was sure you would have curled up in a ball beneath her desk and would not have left until every single other person had left the Federal Bureau of Investigation, but you hadn’t, and she smirked.
Oh, she knew where this was going.
——— 
To put it lightly, it had not been the best of mornings. 
It seemed that everything that could’ve gone wrong did, so you burst past the glass doors of the BAU six minutes late with a coffee-covered shirt, mud-stained pants, soggy shoes, and a most miserable attitude. Hotch, while a sympathetic man, was still your boss with rules to follow and when you stumbled into the bullpen, gave a pointed stare between you and the clock, and you nodded sullenly. You understood his silent admonition, but knowing that he was even slightly disappointed in you, made your knees want to buckle. Swallowing around the slug in your throat, you set your bag down beside your chair and noticed a foreign object sitting on your desk. Interest thoroughly piqued, you reached forward to find it was a book with a satin ribbon tied on it.
It truly was a beautiful book with a deep crimson hardcover and the kind of deckled edges that you loved. Running your fingers along the rough-hewn pages, you finally noted the title, and you gasped. Beloved by Toni Morrison. Your favorite. The cursive words curved in black on the cover to match the ribbon, and you carefully traced the curling letters, wondering where this gorgeous book could have come from.
In the desk across from yours, Spencer watched the scene in front of him with a grin. He couldn’t help but feel pleased at the look of awe on your face as you inspected the book with careful fingers and a gentle gaze, and his heart swelled more and more the longer he looked. “Did you know that Margaret Garner, the woman the character Sethe is based on, her trial was used as part of an effort to dismantle the Fugitive Slave Act?” Your eyes flickered up to meet his, and those stupid freaking butterflies erupted in the pit of your stomach as you realized who had gifted you the book. “The presiding judge didn’t accept her lawyer’s argument that the act violated the right to religious freedom, but it was still somewhat of a turning point in the movement to strike down the law.”
“I did not know that, but thank you. For the fact and the book.”
“You’re welcome.” He had to avert his eyes from your strong gaze because he thought he might melt otherwise.
“Please don’t misinterpret this as me being ungrateful because I’m so, so thankful, but why?”
He shrugged, “I was just in the book store, and it made me think of you.” No, he didn’t keep an eye out specifically for this book on his weekly trip to the bookstore by his apartment after you had briefly mentioned your love of Ms. Morrison’s metaphors. And he definitely didn’t ask the owner Alice if she would let him know if she ever got any new copies.
Frankly, you were at a loss for words. Combing back through your conversations with him, you tried to remember when you had talked about the book, but you couldn’t come up with anything other than a couple words tossed briefly here and there. Suppose it wasn’t really the fact that he had heard, but the fact that he had listened. He listened and remembered things about you, little things tucked in the back of his brain, and it was how he thought about you even when you weren’t around. So, you clutched the book to your chest tightly as if it could meld with your heart and let your thoughts rage with the implications for a minute before smothering your mushy grin and tucking the book into your bag.
(Later, you pulled it out on your ride home on the metro. Spencer had already gotten off at his stop a few minutes before, so you took this moment of solitude to revel in the glory of your new gift. Every time you smoothed a hand over the cover, your mind was overwhelmed with what-ifs. What if he felt the same? What if his stomach rumbled with the same butterflies when you looked at him? What if this means he likes you as more than…. And abruptly, you were doused in doubt once again, muzzling those dangerous, rearing hypotheticals. This was a path that would only lead to disappointment.
Those thoughts only got worse when you read his inscription, though:
Dear (Y/N/N),
I hope you find great joy in reacquainting yourself with the graces of Ms. Morrison’s elegant prose in this new copy. I was inspired by your praise and read this classic again, and I can say that I definitely understand your veneration of her story-telling. Hopefully, we can discuss it soon, so I can try to see all of the details that you so admire. You are always much better at appreciating the finer things in life.
She says that, “something that is loved is never lost.”
I hope you know that you will never be lost to me.
Sincerely,
Spencer
(P.S. I wrote this in pencil, so you can erase and have the clean copy you wanted.)
You would never erase it.)
——— 
“Hey, are you alright?”
You sat at your desk with your head in your hands. Your responding “no” came out muffled. 
Spencer frowned and sat on the edge of your desk. “Is there anything I can help with?”
Running your hands over your face, you finally met his gaze. His eyes were soft as they searched your own, and the expression on his face was not of pity or frustration but empathy, and of course, he was just being his sweet self. Your eyes watered in response, and his heart clenched at the sight. You shifted your eyes somewhere else, anywhere else. “Uh, no.”
It was clearly a lie.
Furrowing his brows at your obfuscation, he scanned your face for any indication of what might be the problem. A small sigh. He came up with nothing. “Alright,” he conceded hesitantly. “May I ask what is wrong?”
“No.”
“Okay.”
You stared down at the files neatly ordered on your desk, trying to mentally shoo him away with the sheer force of your willpower alone. But Spencer Reid was a stubborn man, and you knew this, and you also knew he wasn’t leaving until he knew you were alright. So, you both sat in the silence of the bullpen that only accompanied the arrival of midnight. The glow of your lamp bathed the vicinity in a warm yellow, and the tick of the nearby clock rattled around your chest as you attempted fruitlessly to subdue your incessant thoughts. He was close enough that you could hear the soft susurration of his exhales as his eyes flitted about the room to give you some sort of breathing room, and you shut yours for a moment to appreciate this moment of peace before the inevitable catastrophe to follow.
“I’m—uh, not okay.”
Finally turning back to you with a mildly surprised expression (he didn’t expect you to say anything so soon. Or so bluntly.), he offered you one of his signature tight-lipped smiles as encouragement to continue.
“I’m kind of really struggling…” you trailed off, gaze empty, ensnared in your thoughts.
Ever the gentleman with persistence that could last a thousand years, he gently prompted, “With…?”
A strong gulp and eyes squeezed shut. “With you.”
Well, that was not the answer Spencer was expecting. He felt like he’d had the wind knocked out of him, and he was hollow and shaken and in pain. Gaping, he fumbled hopelessly for an answer, trying to find some reason you could be upset with him. He had always thought you two were the best of friends; he’d never doubted that before. How could he have missed this?
Swallowing hard against the lump in his throat, he strained to ask, “Uh—um, what—what did I do?”
Upon witnessing his struggle, you quickly amended your previous statement. “No, no, no, no, no! I’m not mad at you, well, I kind of am, but you don’t need to feel bad, it’s not your fault.”
“I’m not really sure what to make of that.”
You huffed a sigh and covered your face with your hands in a poor attempt to try to hide the blush rapidly coloring your cheeks. “I’m sorry, I just—you’re so nice!”
Now Spencer was really confused. “You’re mad at me...because you think I’m nice?”
“Yes, Spencer! You’re so nice, and it makes me incredibly frustrated. You see this?” You picked up a book from your desk and waved it frantically. A little intimidated by your crazed look, he nodded timidly. “Do you recognize this book?”
“It’s a special edition of Beloved by Toni Morrison.”
“It’s the special edition of my favorite book that you bought for me because you know how much I love this book.”
Spencer looked like a deer in the headlights. “You always said that your book at home was so messy with your annotations and that a fresh copy would have been nice.”
“You didn’t even buy it for my birthday or a special occasion! You just saw it in the store and said that you thought of me and had to buy it. That’s so unbelievably thoughtful! Not to mention the fact that I can barely look at fruit snacks now without tearing up. And—and the other day! When I got my haircut, I hated it, but I came in the next day, and you were the first person to tell me you liked it. You weren’t even lying to make me feel better; I’m a profiler, and I know that you were telling the truth. And it took no effort or thought because Spencer, you are the most kind-hearted and compassionate and generous person I’ve ever met. You are so—so genuinely good. 
“No, you are the best. You are the best person I know,” you stated with finality, holding his stare with an unshakeable firmness. It was the first time you truly looked at him all night, and his heart felt like it was going to expand past his ribcage and burst open like a balloon. Your resolve melted though and your voice dropped to a near whisper. “And you’re not just nice. You’re nice to me. Which just makes it so hard.”
You deflated, withering into your seat.
“Makes what hard?”
“It makes it so much harder for me to not fall in love with you.”
Stunned silence. 
Until it was shattered by a hiccup, and Spencer finally noticed the tears leaking from the corner of your eyes, and he tried, he tried so hard to puzzle through all of this new information and the fact that you just admitted you’re falling in love with him, and for some reason, you’re crying? He couldn’t even get his stupid genius brain to come with a single word before you started stumbling into an apology. “I know that’s not what you want to hear because we’re supposed to be friends, and I know that you’re just a good person, so you’re nice to everyone. Believe me, I know. And I’m sorry if I’ve made you uncomfortable, but I couldn’t keep holding on to this by myself, and I knew if anyone would let me down easy, it’d be you.” You chewed on your lip and avoided his stare at all costs. “So, I’m sorry.” You sniffled. 
The quiet that followed weighed heavy on your chest, and you couldn’t seem to breathe. You had expected rejection; you hadn’t expected complete silence. And this was somehow so much more unbearable. In a voice so faint you weren’t even sure if he could hear, you begged, “Please say something.”
A beat.
“(Y/N), I love you.”
A whisper just barely verging on hopeful, “What?”
“(Y/N), I—I love you so much.” His heart felt like it was in his throat, and his voice broke slightly as he stood. “You’re the first person I think about when I get up in the morning, and you’re the last person before I fall asleep. I dread going home at the end of the day because you’re not there. When you’re not with me, even if you’re in the other room, it feels like I’ve forgotten something, and for the longest time, I couldn’t figure out what I was missing, but it was you. You consume my every thought, which is saying something because I think a lot. Actually, it’s kind of funny,” he chuckled somewhat morosely, “I truly cannot comprehend the fact that you don’t know how much I’ve liked you, how long I’ve loved you because it feels like it’s so obvious and so potent that it seeps out of me, whether I want it to or not.
“And I’m nice to you because no one else is more deserving of kindness. I’d be lucky if you let me be the one to remind you of that, everyday. Because you’re the best person I know.” You looked up at him with shining eyes and the meagerest beginnings of a smile, and he just beamed right back. With a creased brow, he ventured, “You’re my favorite person in the world, you know that, right?
Failing to suppress your growing grin, you nodded your head meekly. “Yeah, I know.”
“Good.”
Spencer felt pleased with himself until he remembered that he had forgotten the most important part. “Would you like to get dinner with me sometime? Like a date?”
Standing from your seat, you wrapped your arms around his neck and burrowed your face into his chest, and he immediately reciprocated, clutching you as close as he could. “I would love that.” It came out muffled, but he understood well enough as he pressed his face into your neck. And you stood like that for a few moments, just existing together, and for the first time in a long time, nothing hurt. There was no worry of unrequited yearning or pain of terrible pining; there were just two people who finally knew peace. Knew that the person they loved most in the world loved them back. Neither ever wanted to leave.
However, sometimes necessary duties like breathing take precedence, so you pulled back from him enough to finally claim some air. Your hands slid down his front, resting on his chest, his on your waist, and you just stared at him. The most beautiful face you’d ever seen looking right back at you with the same expression of awe that made you realize just how lucky you were. And slowly, hesitantly, you both leaned in ever so slightly with heads wavering and tension buzzing. Gingerly and sweetly. Neither could commit, but no one could pull away from fast-approaching revelation. 
Finally, a breath away.
“Can I kiss you?”
You nodded.
When your lips met, your chest heaved with your eager, romantic hopes and dreams bubbling up near your lungs, finally coming to fruition. His hands came up to caress your jaw, and you leaned into him. His touch was so gentle, but he also touched you with intention. For once in his life, Spencer Reid felt no hesitation, kissing the girl of his dreams. And you felt held by him. You were bursting at the seams of your existence, swollen with infatuation and tenderness, yet totally and completely encompassed by him. You could shatter into a million tiny, little pieces, and he would be there to collect every shard. How cheesy.
Both of you grinned into the kiss; the sickly sweet itch in your heart was contagious. You finally released him, and wanting to savor the moment, you tucked yourself into the crook of his neck, so his chin could rest on the crown of your head. “I love you a lot, Dr. Reid.”
He hummed in agreement.
It didn’t need saying.
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vtforpedro · 3 years
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health update - long post
hi everyone! I think it's been a month and a half or so since my last update I saw a rheumatologist, had MRIs done, and got my results back from my hematologist SO cancer: still undetectable in my blood, check every 3 months and hope it doesn't show up for a long time lol \o/ I don't think I can say I'm in remission until a certain amount of time has passed but I hope I can say that one day MRIs: actually show some possible improvement with the chiari and spinal fluid flow? and if there IS improvement (like the radiologist who wrote the report had the MRI from a year ago as reference and his findings were all 'normal' compared to april 2020, but it was hard to get an answer out of my neurologist and neurosurgeon if there was solid evidence of physical improvement). but yeah IF there's improvement, that is highly indicative of IIH because my neurosurgeon told me when people with IIH lose weight, the chiari often corrects itself because there's less pressure and more room in the skull for the cerebellar tonsils to be in a normal position. regular chiari that you're born with doesn't do that lol so if there IS improvement with weight loss, then yeah, IIH. even if they don't wanna put in the diagnostic code for it without a lumbar puncture sigh lol I hate typing this because I'm so paranoid it'll all go to shit if I talk about it, but there have been improvements as I've lost weight. I seem to have a couple weeks where my head isn't so severe, mostly manageable with a few awful days. then I'll have a few weeks of it being Really Really bad with a few not-so-awful days. which IIH can do this sort of 'remission' thing but considering it was like 24/7 with no breaks for a year I'd say this is moving in the direction I want it to completely changed my diet a handful of months ago and adjusting it still to be even healthier/more fulfilling. I started using the Noom app (paid sub version) cause it's so focused on psychology instead of 'dieting' and building habits that are sustainable in the long, long-term. I really love it so far. the routine of doing it at the same time every day has already made me feel better mentally about my weight loss journey despite my struggles with losing weight, I am officially down 20lbs \o/ they say for improving/curing IIH, you need to lose 10-20% of your body weight. well, 10% down! time to lose another 20, but I don't find it intimidating and I'm not dreading it. it's hard to have hope, especially on really bad weeks, but I'm taking it one day at a time. definitely not cured but I'm aiming for 40lbs more (so 60 altogether) and by then, maybe, just maybe.... rheumatologist/autoimmune disorder results: so I went to a rheum cause I got that positive autoimmune disorder blood test with the possibility of lupus or scleroderma. she said that she gets so many hematology patients because leukemia and lymphoma have blood antibodies, so it will almost always show up as positive on this antibody test and most people actually won't have an additional autoimmune disorder. I don't have a lot of symptoms of lupus or scleroderma according to her, so she told me don't worry about autoimmune disorders for three months. don't think about them. we'll repeat labs then and see what they say. so that's good news so far and I hope it remains that way 15%+ of the population will test positive on the same test without having any health issues, which I found interesting. and I asked since I already have an autoimmune disorder, tho it's endocrine versus rheumatic, if that would also trigger a positive result and she said yes it would! so yeah... I hope by late July I can still say I don't have an additional autoimmune disorder I see a gastroenterologist tomorrow for the bloating/abdominal pain and other stuff I've been having. I have a feeling I'll be given some antacids (or w/e they're called when it's prescription strength) and that will improve. but jfc I'm up to eight specialists now lol NINE doctors are following my health god it's such a shitty feeling especially when I can barely trust any of them. at
least they all believe me now, but it cost me my quality of life and mental health to even get to this point so I'm still feeling pretty fucking bitter and angry about it all you know what's really hard about completely changing my diet + starting new medications/supplements? for some reason at the beginning of all of this when I was experiencing repeated trauma at the ER, my brain developed a phobia of allergic reactions, despite the fact that I've never had one for food/medicine (I'm talking anaphylactic reactions). so now every single new thing I eat, every new med or supplement, I go through panic attacks for days on end thinking I'm going to die before it starts easing. also, anxiety makes your throat feel like it's closing up and that it's harder to breathe already so lmao fun times. I literally never thought about this in all my life and I never even experienced an allergic reaction to develop this intense fear, so you know. fuck doctors for putting me through this when it was all so unnecessary sigh anyway. still can't watch videos, tv, movies, read, bend over, walk for longer than 5 minutes, and can't talk for long either because it'll trigger a head episode. I'm terrified I won't be able to do these things ever again, but I'm still aiming for my goal weight no matter what and I know I can get there bouncing between misery and hopelessness, and slightly less misery and some hope right now, but I guess that's better than it's been for a year, right? sorry for rambling. I feel like a lot has gone on but I've also had the biggest gaps between doc appts in a while which is a relief just because I can't stand being in medical buildings or around doctors anymore completely vaccinated too, so that's another relief, but I'm wearing masks until americans get their heads out of their asses and we start seeing little to no community spread cause I am still immunocompromised. wouldn't it be nice if people like, idk, cared about each other ok sorry! I hope you're all well and healthy and safe. I love you very much and I'm grateful for your support, forever and always! <3
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jedimasterkelly · 3 years
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Shit happens when you're a woman. A lot of shit. Bad shit. And a lot of the time, you will run into doctors who do not listen to you. Will not care about you, and will not take you seriously.
This story is about the Great Cancer Scare of 2020.
I was 49, and 3 yrs post menopause. I was pleased about that, as it means no more period ever. I could deal with the occasional hot flashes, and the snapping of necks of anyone who dared bother me. Then in May of 2020, after the pandemic fully hit and the University I work at closed and sent all of us to work from home, I got very sick. Not from Covid, thankfully, but something else. I had started bleeding, and it wasn't menstrual blood. It was bright red and HEAVY. I was filling post-natal pads within 2 hours. I called the Women's Clinic where my OB-GYN lived. They couldn't see me until July. WTF! I called my GP, who got me in on an emergency basis, I mean, 3 yrs post-menopausal women don't just spring a leak, you know? My ovarian function had been almost nil for 3 years. He called my OB-GYN and demanded I get seen right away. They made an appointment for 2 weeks later. Keep reading, because it's quite a ride!
Seriously! 2 weeks later!
In the meantime, my GP discovered my thyroid was tanked out, so I was put on Levothyroxine 25mcg. It helped a lot. I started to feel a little bit more human, at least in the brain area. I finally got in to the OB-GYN, and he did a biopsy and trans-vaginal ultrasound. We got the results 2 weeks later and he called me in to go over them. He said I had hyperplasia with atypia. Cells were dividing rapidly, and he was very concerned. He recommended an endometrial ablation, or a full hysterectomy. At 49 he wasn't concerned with me having a sudden maternal urge (I have no kids), so he was fine with either choice. I decided on the hysterectomy, because why not? Endometrium grows back after an ablation, and why bother at my age? Just yank it all and let me get back to my life.
He said he didn't feel safe doing the procedure, since the cells were most likely cancerous and rapidly dividing, so he sent a referral to one of the cancer centers in OKC. I expected a call within a couple of weeks. I mean, really, if I have the early stages of endometrial cancer, they'd call me in immediately, right? Right?
Crickets. Literal crickets for 4 months! I was very concerned, hell, worried I was going to get full blown cancer and these jackasses weren't going to try and help me at all. I called OB-GYN several times during that 4 month period, and was told the cancer center in OKC wasn't returning their calls. I called them numerous times, and could never get a person on the phone.
I was told it was the pandemic. The pandemic was shutting everything down and causing huge backlogs for non-Covid issues to be seen. I told OB-GYN to refer me to the oncologist from Tulsa, who also worked once a month in Stillwater at the SMC Cancer Center. He didn't want to, he wanted me to see the doctor in OKC (who wasn't returning anyone's calls!) I called SMC Cancer Center and asked how soon I could get in with Dr. Thomas. His office called back within 2 hours asking for my chart and biopsy results. I had the Womens Clinic send my information to Dr. Thomas in Tulsa. Within a week, they called and had me on the schedule to see him in Stillwater on his next visit.
This is where the story gets good. And by good, I mean, WHAT THE ACTUAL FUCK. Thanks for sticking with me this far.
Got in to see Dr. Thomas. I researched him and learned we have the same Alma Mater. That day, we were both wearing t-shirts from said same Alma Mater. Instant bonding! I also work in Administration at said same Alma Mater, so we spent some time discussing (gossiping) about my department since he had taken classes with a lot of my faculty during his undergrad. Then he got serious and handed me my biopsy report. He told me he was going to assume I wasn't shown this, since I am:
1. A Master's of Science graduate student in Education Leadership - this making me a researcher who knows how to do research, do research, and understand research.
2. Work full time in a Physical Sciences department at a Big 12 University.
3. Edit manuscripts for my Dept. Chair, thus proving I am scientifically literate. You can't edit scientific manuscripts without having a good, solid knowledge of said science. If he's alternating between "adsorb" and "absorb", I have to understand his research in order to correct his manuscript. This is important because his manuscripts have to be peer reviewed before they can be published in a reputable journal.
"Read it to me, out loud," he said.
I started reading from the paper in my professional scientist voice. It didn't take long before I began to falter as I came to the realization I had been lied to.
"Read it again," he said.
This time, I read it with a lot more heat in my voice.
Diagnosis: no hyperplasia with atypia, no abnormal cells detected
Dr. Thomas waited for me to explode. I didn't. I just stared at him in anger and horror. He offered to do another biopsy to make sure, but he suggested I fire my OB-GYN immediately and find someone who actually gives a shit about me.
I was still randomly bleeding, 6-9 weeks at a time, so we agreed on another trans-vaginal ultrasound and biopsy. The attached photo shows he took 3 samples from my uterus. He wanted to be sure.
A little ditty about endometrial biopsies:
They hurt like a motherfucker.
Take 2-3 ibuprofen before you leave the house to go to your procedure.
Relax. It usually only lasts a couple of minutes. The doctor normally takes 1 or 2 samples. Pinch, snip, clip, done.
Not this guy. He wanted to be surely sure.
He went for a 3rd pinch snip clip. My uterus seized up in the most painful spasm I ever had in my life. I almost came off the table. He was seated on a little rolly stool so he shot back away from me before I could connect his head to my foot. He triumphantly held up his little weapon of Uterine Destruction and declared, "Got it!"
"Yeah, you almost got your ass kicked mister," I growled at him.
"It was worth it to get this beauty of a sample."
So, after a biopsy of your uterus, expect some bleeding and cramping. I had severe cramps for 2 days. I was not amused. We're talking laying in bed with a heating pad and ibuprofen every 4 hours kind of cramping.
Got the results back in a couple of weeks. No cancer. No hyperplasia. No abnormal cell growth. He recommended I find a new OB-GYN fast. I decided fuck it, I'm done. I'm never seeing another OB-GYN ever again.
Dr. Thomas said several times he's convinced my issues are endocrinal. I filed that away in the back of my mind.
(if you ever do test positive for cancer and you are in the Tulsa area, I highly recommend Dr. Eric Thomas! Make sure you have a sense of humor with him.)
My GP started pressuring me back in March of 2021 to find a new OB-GYN. The Women's Clinic has several, but they have a fucked up rule you can't switch doctors there. So if you go there, you are stuck with the same doctor and can't move over to his colleague on another floor. I saw my GP again, and asked if he was still best buds with a gynecologist who had his own clinic. He was always full, and not taking new patients, so GP would have to call his buddy to get me in.
Which he did. Buddy-GYN's office called the very next day to schedule me in. He had been sent my chart and was concerned about the long bleeds (6-9 weeks in duration) and why the fuck were they happening after being 3 yrs post-menopause.
I went in for a consult in April of 2021. First thing out of his mouth, "Has anyone ever talked to you before about PCOS?"
I laughed.
I laughed because every GYN I saw over the last 20 years told me I didn't have PCOS, endometriosis, or any sort of hormonal issues. I was just fat, lazy, and a piggy pig pig. I actually had one OB-GYN tell me to go on The Biggest Loser. Fat shamed while sitting there naked on his table after an invasive exam of my female bits. Thanks a lot, asshole.
I told him about that. He informed me he could tell by LOOKING at me I have the classics signs of PCOS. I use an epilator on my crazy man-hairs, so he asked if I was tweezing or waxing. I about fell out of my chair. Nobody ever believed me that I was having to remove crazy thick hairs off my chin and neck all the time. He asked if I ever had ovarian cysts. Affirmative, I was diagnosed with ovarian cysts the first time one exploded back in 1994. He stood there, holding the bridge of his nose and shook his head.
"Well, going by your chief complaints, your abdominal circumference, history of bursting cysts, and no period for 3 years, I am saying you have PCOS."
He went on to discuss my need for an appointment with an endocrine specialist, he was convinced my thyroid tanking out sent my ovaries back into production, and now my hormones are all over the place, most likely, and I needed specialized care.
He must have talked to GP, because I soon got a call from the endo clinic to come in.
This post is already long and tedious, but I am happy to say I finally have 3 doctors who listen to me. My new Endo doc tripled my levothyroxine and scheduled a follow up blood test for next month. Buddy-GYN talked me into a pap smear and cervical exam in July as well. He also wants a mammogram, which I begrudgingly need to schedule so he doesn't chew my ass in July when I walk in with no results. GP is working on my other issues (weight, bad fluid retention, etc...). We discovered from a blood test last Friday my iron levels are dangerously low. I am now on a Rx iron supplement. I've always struggled with anemia, but it never occurred to me or GP to check my iron levels. If you're a woman, and you feel like absolute dog shit and your doctor can't figure out why, have your iron and electrolytes tested. It'll probably take about 3-4 weeks for me to see any results from the iron supplement, but I can already see a reduction in fluid retention.
In September, I have an appointment with Dr. Le at Integris in OKC. He's a bariatric surgeon. I have gained so much weight from having PCOS and Hypothyroidism that I need to drop a lot of fat fast. I'm pretty healthy - I don't have the normal problems obese people tend to have. I'm not diabetic, don't have sleep apnea, my cholesterol levels are good. I am what they call "healthy fat" which seems like an oxymoron. However, it will improve my chances of getting approved for a sleeve gastrectomy.
I turned 50 last week, and had to endure 3 decades of no one listening to me. I feel I lost so many years of my life and I can never get them back. I hope this post reaches a lot of younger women having issues. Keep looking for a doctor who will listen to you. It sucks we have to hunt for these unicorns, but they do exist. I finally have a good team who actually cares about me.
You have a right to be listened to! You have a right to be heard!
I was asked: Who are my doctors?
Dr. Daniel Brown D.O. Stillwater Physicians Clinic
Dr. Yasuto Taguchi M.D. Taguchi Women's Clinic
Dr. Wynter Kipgen M.D. Stillwater Diabetes & Endocrinology
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panharmonium · 4 years
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you can be my ride or die: a staggeringly long essay about a deceptively short appearance
(aka, pan’s personal depository of notes about prince william of ealdor.)
now that my fic is long since done and posted, i can finally transfer this monster piece of meta out of my google docs and onto my blog, where it can serve as an unasked-for, absurdly detailed, beginning-to-end analysis of my obscure fave.
(whose line ‘yeah, and i’m prince william, of ealdor’ is still the funniest damn shit i’ve ever heard and also the most shocking burn arthur has ever received; i hope he thinks of it sometimes and remembers that humility is a virtue)
(the BRISTLING DISRESPECT!  the ZERO FUCKS GIVEN!  i love him!  please can someone else talk to arthur like this!  he needs it!)
disclaimer before we begin: i wrote this over a year ago, as a character check for myself during the very early stages of working on my fic.  i kept messily adding bits to it over the course of a couple weeks as i explored what i knew about this character and who i understood him to be, but at the time, i didn’t intend on posting it; it was just prep work for my own story-making.  it’s still essentially just a record of my train of thought as i pieced this character together - i’ve cleaned it up a bit now and added some recent links to make it more coherent, but it was never meant to be a posted essay, just a collection of notes for myself.  
be forewarned, it is more comprehensive than the things i’ve written about this character since, and it goes on for years.  if you are not interested in many, many pages of super heavy in-depth musings about a character who appeared in one episode, now is the time to scroll on by.  i promise i won’t mind in the slightest; i wrote this for my own purposes and don’t really expect people to read it - i’m posting it just to have it archived with the rest of my merlin stuff.
if you are interested in that sort of thing, however - hit the jump, and off we go!
i really love the episode where we meet will, though i’ve started to love it for new reasons since the first time i watched it.
the first time i watched season 1, 'the moment of truth’ was my favorite S1 episode overall, because it was the first time the Fab Four went off on an adventure together, and that was very exciting; and i also loved it because all the character stuff in that episode was so good; and i also loved it because look, all of us are suckers for that classic seven samurai plot, you know - i loved it in TCW, i loved it in the mandalorian, i loved it in merlin.  not gonna get bored of ‘simple farmers defend their homes with pitchforks’ anytime soon.  it is overall just a solid, self-contained plot with clear emotional arcs, and it sticks its landing well.  it’s a simple, strong story.
nowadays, though, i also love it because of will.
i. will whomst?
prince william of ealdor, that’s who!
will straddles a kind of weird place in canon, because he feels like a minor character to the audience but is very much not a minor character for merlin, who has known will much longer than the brief hour we get to spend with him and who has spent his entire life with will as his sole friend.
but, because will only appears once - let’s start with a round-up.  what do we actually know about him?
he’s a peasant farmer from ealdor, like merlin
his father was killed fighting for king cenred (as a foot soldier - these people are not wealthy enough or high-status enough to afford or be accepted into the knighthood)
his mother is either dead or absent
he’s painfully class conscious and doesn’t trust the nobility
he’s a “troublemaker” (the interpretation of which is...well, it’s left to the viewer’s discretion.  fandom seems to jump to ‘fun mischief and pranks,’ though i personally don’t get that vibe from this episode.  “troublemaker” in will’s case seems to mean more “doesn’t know how to keep his head down/can’t go along to get along to save his life.”  it means when he sees something that he thinks is Wrong, he absolutely will not shut up about it even when all his neighbors are sick of him and want him to just let it go.  it means he can’t stop rocking the boat even when rocking the boat makes everybody want to strangle him.)
he supplements his agricultural pursuits with carpentry.  you can see in his house big piles of hewn timber along one wall, as well as a grindstone and a shaving horse, and when he comes out of his house on two separate occasions he’s holding woodworking tools (mallet, chisel, etc)
he knows about merlin’s magic - for how long this has been the case, we’re not told.  it doesn’t feel like a new thing to me, but ultimately that’s guesswork.
he appears to have just one friend
that one friend is merlin
will loves merlin enough to die lying for him
merlin left will behind.
ii. it wasn’t what i wanted
so let’s talk about that.
merlin is asked “why did you leave?” twice in this episode, first by arthur and then by will.  he gives completely contradictory answers to the two of them, and it’s worth remembering, before examining both responses, that one answer is inherently more honest than the other, because merlin is only able to tell the whole truth to one of these people.
so when merlin talks to arthur, it goes like this:
“why did you leave?”
“things just...changed.”
“how?”
*silence*
“come on, stop pretending to be interesting and tell me.”
“i just didn’t fit in anymore.  i wanted to find somewhere I did.”
arthur has to drag this answer out of merlin, and it’s not because merlin doesn’t feel like sharing (i mean, come on, we know merlin; merlin wants to be in everybody’s business and he feeds off human connection like a starving man; he’d be thrilled that arthur was interested in his life) - the problem isn’t that he’s shy; it’s that he’s not exactly telling the truth and he’s trying to figure out how to do it in the least deceptive way possible.
i just didn’t fit in anymore.  i wanted to find somewhere i did.
that’s nice.  
it’s also a lie.  
it’s not a total lie, of course - there’s an element of it that becomes true, after merlin gets to camelot and realizes that working for arthur is “not totally horrible all the time” - that he sort of likes the excitement, and the newness, and being somewhere where nobody knows him and nobody will judge him - but that’s the reason he stays in camelot, not the reason he leaves ealdor.
by contrast, when will asks the question, merlin gives a completely different answer:
“why did you leave?”
“it wasn’t what I wanted.  mother was worried.  when she found out you knew - she was so angry.”
it wasn’t what I wanted.  
can we digest that for a moment?
merlin didn’t want to leave home.  
not that he isn’t enjoying himself in camelot now, of course - which he conveniently doesn’t mention in this conversation, because will is upset with him and merlin feels guilty that he’s been off enjoying his new life while will has been struggling at home alone - but at the point of departure, merlin didn’t want to go.  
his answer to arthur about finding a place where he belonged is certain-point-of-view bunk.  he didn’t just up and decide that he wanted to run off and find a place where he fit in better.  he didn’t leave because he wanted to escape a place he didn’t belong.  he didn’t set off in search of adventure and a new life.  it’s true that he didn’t feel like he fit in in ealdor, but that’s not what sent him packing.  he left because his mother found out that will knew about his magic, and she panicked and sent him away.  
iii. why did you leave
most fannish things i’ve encountered tend to interpret merlin’s departure in a much more generous light than i do, with merlin explaining to will that he’s leaving and will being unhappy about it but eventually understanding and kind of like...giving his blessing before merlin goes.  this is fine, of course, but it did surprise me, when i started dipping my toes into fandom, because i never interpreted events in this episode like that, and i don’t think it’s even a plausible read, not from the conversations we’re actually given.  the antipathy that accompanies merlin’s return doesn’t make sense under those circumstances, and moreover, from the way things actually unfold in this episode, we’re told, in order, the following three things:
1) the fact that will asks “why did you leave” tells us that he and merlin did not discuss it prior to the point of departure.  there’s no other reason for will to ask this question.  everything about will’s tone and body language in this scene indicates that he’s been stewing over this for a long time, that he doesn’t understand, that this is something profoundly difficult for him to address.  and while it might be nicer to think that merlin sat down and discussed things with will before leaving for camelot, that’s not the inference we’re being asked to make here.  
2) there is absolutely no way they wouldn’t have discussed it, if will had known that merlin was going to leave.  like - if your only friend in the world told you they were moving to another country tomorrow, there’s no way “why?” wouldn’t be the first question you asked.  there’s no way you wouldn’t have that discussion, at the most basic level, before separating.  it just wouldn’t happen.
3) so, given that information, the unfortunate, inescapable conclusion is this: will didn’t know merlin was going to leave.  merlin left without telling him.
everyone is free to continue to headcanon this in their own ways, of course.  but this is what we’re actually being told.
iv. we don’t want your kind round here
the fact that merlin vanishes without so much as a word to his best friend goes a long way towards explaining why merlin is so uncomfortable when he first sees will in the street.  
when they first encounter each other, merlin looks so apprehensive and wary, and the writers are playing it like ‘uh-oh, someone saw him use magic and now he’s nervous about it!!!’  but two seconds later, you realize that this can’t possibly be what’s causing merlin’s concern, because it’s made immediately clear that will already knows about merlin’s magic and isn’t going to say anything about it.  
merlin isn’t afraid of being outed, in this scene.  but he might, however, be afraid of the reception he’s going to get, given what we just discussed.
merlin just up and disappeared from home, and not so much as a letter since - we know will’s had a secondhand update, probably from hunith (“how’ve you been?!  i hear you’re skivvying for some prince”) but he very clearly hasn’t had any direct contact with merlin since before merlin left.  
merlin knows this was a big fuck-up.  he feels guilty.
(and to be clear - i think there is a lot to be said about just how merlin’s departure unfolded, and what stopped him from getting in touch.  it’s a complicated enough topic for its own piece, and it’s not quite within the scope of this essay, but suffice it to say for now that i don’t believe it stemmed from deliberate thoughtlessness or callousness on merlin’s part; it’s...deeper and more complicated than that.  honestly, i think merlin looks back on this as like...the first major mistake he ever made in his life, his...original sin, sort of.  and i don’t think he’s ever forgiven himself for it, either, but again, that’s a story for another day.)  the point here is that merlin didn’t necessarily want to cause harm, but he knew that’s what he was doing regardless - he knew that leaving without a word was the wrong thing to do.  and in this moment he feels rightfully guilty about all of it, and he’s afraid that his friend won’t welcome him home.
merlin’s moment of uncertainty is real, when will pretends to greet him with hostility.  merlin is afraid that will is angry with him for leaving him behind.
(and let’s not kid ourselves, will definitely is)
it’s a festering thing that keeps boiling to the surface as we progress through the episode.  it shows in the way will finally asks why did you leave, avoiding merlin’s eyes, the question laden with vulnerability.  it’s in the exchange “are you going to abandon them?”/“what, like you did?”  there’s real pain there, and confusion, lots of hurt feelings.
but.
despite all of that, will doesn’t freeze merlin out, when merlin comes riding back into town.  merlin is rightfully afraid that will might not want to see him, afraid that “we don’t want your kind round here” might be less of a joke than it ought to be.  and while all of the troubles that merlin is worried about are absolutely real and poised to cause friction later, the truth is that at that exact moment, when merlin comes walking up the road - none of it matters.  will has been nursing a collection of hurt feelings for months now, yeah, but in the immediate moment, when it comes down to it - he puts them aside.
they both do.  nerves, guilty thoughts, bruised feelings - they temporarily abandon all of that in favor of a momentary joy.  you can see how excited they are when they reunite.  how they start smiling at the same time.  how they laugh their way into that hug.  they’re so happy to see each other.
people get pretty worked up about ***That Time Arthur Finally Hugged Merlin!!!***, but i don’t know.  i think it matters to remember that merlin had people who knew how to hold him long before arthur was even a flicker of a shadow in merlin’s mind.
v. why are you being like this
so they reunite!
and then they fight. D:
but what really matters is how they fight, because even when they’re having an argument, they never let things escalate quite to the level of interpersonal nastiness, certainly never to the level of cruelty for cruelty’s sake - just a few hard truths and a pile of hurt feelings:
“i trust arthur with my life.”
“is that so?  so he knows your secret, then?”
...
“face it, merlin, you’re living a lie, just like you were here.  you’re arthur’s servant, nothing more.  otherwise you’d tell him the truth.”
the delivery in this scene is essential for understanding how these two interact with each other.  it’s so telling.  merlin and will are having an argument, and will is angry about everything we’ve already discussed, and on top of that, some prince is trying to round up a bunch of will’s neighbors for a fight that’s going to get a lot of people killed, and will sounds so sharp when he’s talking, up to and including the challenging “is that so?”  
but then when he sees that he’s touched a nerve there and merlin knows he’s right, his voice drops those edges and goes gentler, regretful, like - he and merlin aren’t all hunky-dory right now, but he’s not out to rub merlin’s face in it, either.  he’s not trying to “get back” at merlin for leaving him.  he’s not like...happy that merlin’s situation is shitty.  
vi.  if i broke it (would you quit?)
we mostly only see these two in a tense season.  they’re arguing with each other for almost the entire episode, and yet even in this at-odds state, there are little things that remind us of what they’re usually like - that they don’t want to be arguing, that this isn’t a natural at-rest state for them, that this isn’t what they’re used to.  they butt heads, but they keep swinging around back to each other, and trying again, and trying again, and trying again.  they never write each other off.  they keep trying to make it work.  
examples: merlin asking “why are you being like this?,” the implication being that will isn’t usually like this, that this isn’t how they usually act around each other.  the two of them together in the background of arthur’s pitiful training session, coming right off the tail-end of another argument and busying themselves with their own work, but still reflexively hanging in each other’s orbit.  merlin, even in the middle of a strained conversation, helping clean up the mess that the bandits made of will’s house, without asking or being asked, like it’s just the automatic, reflexive, natural thing to do.  merlin using will’s proper name when discussing him with other people, but always the diminutive when they’re talking to each other.  merlin following will every time will walks away; will doing the same when merlin’s the one who’s leaving.  that moment up in the hedgerow, with will’s embittered “you know why,” which sets them to arguing again, except instead of it pushing them apart, it pulls them closer together - will climbs right up into the hedge where merlin is standing so they can sit next to each other and talk.
like.  he’s angry!  but the instinct isn’t to storm away, it’s to get closer.
i love that so much.  i love how they’re starting to have another argument and merlin stands there and says “why are you being like this,” to which will, already upset, responds “you know why,” BUT -
but
will stalks up into that hedge and plops himself down right next to merlin, and merlin, without a moment’s hesitation, sits down beside him.
i love that.  they’re angry with each other, but their first instinct is still to close the distance.
i wonder, sometimes, how much of that is a function of them only having each other.  when you’re on the outs with someone, usually you can lean on your other friends, but what can they do?  it’s different when the person you usually seek out for comfort is the same person who’s pissing you off.  you don’t have anyone else to run to, so you can’t ever really storm off.  you have to learn how to hash things out.  you have to learn how to make it work.  you have to learn not to give up on each other.  
vii. she was so angry
the implied backstory for how merlin actually ended up in camelot is so painfully fascinating and, quite frankly, wrenching to think about, given how this episode eventually ends.
when will asks merlin why he left, merlin tells him, “it wasn’t what i wanted.  my mother was worried.  when she found out you knew - she was so angry.”  this is telling us that merlin’s departure for camelot was directly preceded by his mother discovering that will knew about merlin’s magic.  that is what ultimately prompted her to send merlin off to camelot.  of course there would have been other contributing factors - it’s evident that merlin’s situation in ealdor has always been precarious - but her immediate reason for sending him away was the fact that she found out that will knew about merlin’s magic, and she was angry and afraid to learn that merlin had been lying to her about something that put him at risk.
“i wouldn’t have told anyone.”
“i know you wouldn’t.”
but merlin’s mother didn’t believe that, or she wouldn’t listen to him when he tried to tell her, and she shipped him off to camelot anyway, despite the fact that camelot is arguably more dangerous for merlin than ealdor ever was.
the web of how this played out is such a tangled mess.  is it my fault, thinks will, before the episode even starts, desperately trying to figure out why merlin would abandon him like that.  it’s my fault, thinks merlin, at the end, knowing that if he had used his magic sooner, or come back alone, events would have unfolded differently.  it’s my fault, thinks hunith, realizing that the particular fear upon which she based merlin’s entire departure was utterly unfounded.
merlin doesn’t blame her for it, even though he has reason enough to be angry about it, by the end of this episode.  he understands that she was just trying to protect him.  but the truth of the matter is that she did make a mistake.  she was afraid for him, and she saw danger everywhere, and so she made a misjudgment.  
it’s the miniest of mini-arcs, but it’s there.  at the end of this episode, right after will drops the Big Damn Lie, merlin looks desperately around for the only other person in the room who understands, and the camera rests on hunith’s face for one lingering moment, as she realizes what’s happening.  when she’s exiting the house, there’s a shot where she pauses for a minute on her way out the door, staring back at her son's dying friend, who just offered himself up as a willing sacrifice to keep merlin’s secret safe.  
she and merlin are the only people in the room who understand the real import of that moment, the real meaning of that gesture.  they’re the only ones who know what’s happening, what it really means for will to say “i did it.”
hunith knows she misjudged that kid big-time.
viii. you can be my ride or die
so.  will.
why am i even interested in him?  what is it about this character that makes me want to write about him?
number one: i love him because he’s the only person we ever meet who cares exclusively about merlin.  
everyone else merlin has met up until this point is either a) as beholden to camelot and arthur as merlin is himself, or b) aware of merlin’s “destiny,” which isn’t necessarily a bad thing but does change the way people talk to him and treat him.  
it’s not that merlin doesn’t have people who care about him, but those relationships are not the same as the one he has with will.  merlin is obviously #1 in his mom’s life, of course - but, importantly, even hunith’s immediate reaction to merlin’s uncertainty at the end of 1.10 is to tell him that he has to go back to camelot, that arthur needs him, that he’s “the other side of a coin.”  this despite the fact that hunith has known arthur for all of five minutes and that merlin, in the moment where she talks to him, is in a lot of pain, and maybe it isn’t the most appropriate moment say, ‘hey, you absolutely must devote yourself to that guy i literally just watched lecture you about the evils of magic while attending your (supposedly magical) dead best friend’s funeral.’  
and when it comes to merlin’s camelot network, well - he’s #1 in gaius’s life, too, but gaius also is deeply concerned with the greater good, with the future emergence of albion, with what merlin is meant to become and do.  morgana and arthur - well, they don’t know merlin, first of all (really know him, all of him, the important bits) - they definitely like him well enough, and care about him in their way, but ultimately they’re royalty or pseudo-royalty and they have priorities that go beyond merlin, who, at the end of the day, is still a servant.  gwen comes the closest to being on merlin’s level, but she doesn’t know him-know him either, and as time goes on she gets more involved with the Crown, with arthur, and with the responsibilities all of that brings.  even merlin’s later friends all go on to have other missions - they absolutely all love him, but they all become knights, and they are as concerned about the well-being of the realm and the king as merlin is.  even merlin HIMSELF puts arthur’s life ahead of his own - he defines his worth by how well he can protect his prince.  
but will is the only person we ever meet who just cares about merlin - merlin the regular person, not the servant he pretends to be, or the legend he’s supposed to become.  not the fake, non-magical merlin facade (which is what almost everyone else needs merlin to be before they can condescend to be his friend) and not some destiny-laden figure out of prophecy, either.  will doesn’t know anything about destiny or prophecies.  he’s never needed to know about any of that stuff to care.  he’s always liked merlin.  just merlin.  just as he is.  
that matters.  all merlin ever does in this show is deny himself or be denied of the things every regular human being needs to thrive - love, acceptance, truth, safety.  he constantly puts or is forced to put other priorities ahead of his own interests, to a point where now, by season five, he’s spent years defending a regime that oppresses him, protecting kings who would execute him.  
will, in a display of true-to-character contrariness, upsets that entire narrative, because he does not care one whit about any of the things for which merlin is supposed to sacrifice his life.  will gives less than zero (count them: negative zero) fucks about arthur pendragon, and he doesn’t care about camelot, and he wouldn’t know what “albion” meant if he heard the word.  and it is refreshing - a blessed, beautiful, heartbreaking relief - to see one person in the world who only cares about merlin, for whom arthur pendragon, in comparison with merlin, isn’t the slightest bit important.  arthur isn’t even on the map.  he’s a non-entity.  he doesn’t exist.  
it’s a complete inversion of the way things are supposed to go, in this story.  you know how it goes - arthur is the once and future king, and merlin’s job is to usher in his reign.  "maybe that is its purpose,” gaius says, about merlin’s magic being meant to protect arthur, about merlin being born this way for that particular reason.  it’s merlin’s job to save arthur’s life.  it’s merlin’s job to teach arthur to be a better person, at his own expense.  it’s all for arthur.  i give my life for arthur’s.  his life is worth a hundred of mine.  what is the life of a servant compared with that of a prince?
will delivers the biggest fuck-you to that entire framework, because he doesn’t assess merlin’s worth based on what merlin can do for some random prince on the other side of the border.  merlin’s magic wasn’t purposed for anything, as far as will is concerned.  it doesn’t need to justify itself.  it just is.  it’s just who merlin is.  
and who merlin is has always been just fine.
ix. am i the only one wondering who the hell this is
for will, it’s people like arthur who need to justify themselves.  arthur with all of his power, arthur riding into little villages with his sword drawn, arthur and his bossing around and his “now, merlin!” conversation-interrupting.  will makes no allowances for wealth and couldn’t be less interested in royalty - his frame of reference isn’t you’re the once and future king and merlin exists to prop you up; it’s who the hell are you?  what gives you the right to be here?  what did you do to earn what you have?  
will, like gwaine after him, is acutely aware of the injustice of the reigning social system, and he’s not afraid to throw it in arthur’s face.  he knows that people like himself and merlin and all of their neighbors are unjustly disadvantaged from birth until death, and he knows they’re disadvantaged solely because the people at the top of the social chain are greedy lords who sow no seed but reap all the grain, who do no work but enjoy the greatest rewards, who steal from the people with impunity and call it divine entitlement.  will knows that he and merlin and all of their neighbors are considered no better than plow-beasts or war-fodder, and he knows that there is absolutely nothing they can do to stop the nobility from either taxing them into starvation or sending them off to die in a ditch - which makes him impossibly angry, and, unlike everybody else in his village, he’s not shy about saying so.
will is, at this point, literally the first non-villain to look at arthur and not immediately see some messianic pinnacle of human greatness - which is refreshing, to be honest, and fair enough besides!  he’s evaluating arthur from merlin’s side of things, after all, which nobody - including merlin - ever does, and while i love arthur as much as anybody - for the people’s hero that he could be, and for what he is, sometimes, if not frequently enough - the truth is that he’s not good for all of his people, not yet, and he’s not good for merlin, not the way things stand right now.  
will knows that.  he looks at arthur and sees a guy with a lot of power, who also happens to rule over the the least magic-friendly place in the five kingdoms, to whom merlin needs to lie in order to avoid the executioner’s block, and he sees merlin deluding himself into thinking that this supremely unequal, extremely unsafe situation counts as friendship.  
now, is will’s assessment of the situation a snap judgment based on personal encounters with an unjust social system and very limited knowledge of arthur as a person?  yes, definitely.  are there nuances to merlin and arthur’s relationship that he’s missing?  absolutely.
is he wrong?
not really.  and merlin knows it.
x. friends don’t lord it over one another!
i think about that line every damn episode.
over and over again, it comes back to me.  i hear it every time arthur gets On His Shit and invokes power he pretends not to have, every time i see more evidence of how this supposed “friendship” between him and merlin is inherently imbalanced.  it’s my favorite thing will says in all of 1.10, because it is so true and yet, most of the time, so unacknowledged as a dynamic.
we’re meant to love arthur and merlin together, and we do - i do; i do; when i see those moments that approach true mutual respect and care between them i am as swept up by the potential beauty of this friendship as anyone - but i still think about this line all the time.  it’s not right, the power dynamic between the two of them.  it’s not just about servants vs. royalty, though of course that’s a structural part of how it plays out.  it’s about the fact that, in a real friendship, one person can’t just whip out “you ever say anything like that again, and i swear you’ll join her in exile forever” to shut down a conversation and cow you into silence.  one person can’t just throw you in jail to spend a night “cooling off,” and they definitely can’t arrest you whenever someone levels a random accusation at you.  in a real friendship, it’s not one person who has all the power.  
but when it comes to arthur and merlin, that’s exactly what happens.  arthur gets to decide when he and merlin are and aren’t friends.  arthur gets to call merlin in or send him away.  arthur gets to make all the decisions about when to listen, when to ignore, when to trust, when to believe.  merlin can nudge, encourage, suggest, even defy, but ultimately, when you get right down to it, arthur is the king, and merlin is his servant, a dynamic which is compounded by the deadly particulars of merlin’s situation.  the relationship isn’t unequal solely because of a difference in social class, it’s unequal because arthur literally has the power of life and death over merlin.  arthur could (and would, as far as merlin knows) have merlin executed any day of the week, if he found out who merlin really was.  
that’s why when merlin tries to tell will that arthur is his friend, will snaps, “friends don’t lord it over one another!”  it’s not that you can’t care about someone who has more power than you, and it’s not that you can’t have some kind of relationship with them, but it is not real friendship if you think your “friend” will kill you when they find out who you really are.  it is not a real friendship if you have to pretend to be someone you’re not in order to preserve the relationship.  real friends don’t leverage impossible amounts of power to shut you up when you say something they don’t want to hear.  real friends don’t say things like “you’ll be a friend for life if you do [x thing]” to convince you to lie to their dad while they go out with a girl and thus get you clapped in the stocks three times in a row, and then turn around and show their appreciation by letting people raid and ransack your house multiple times, throwing you in jail at least twice, accusing (and once nearly executing!) your loyal long-serving mentor more than once - among innumerable other issues.  real friends aren’t “you’re my friend when i need you to be, but not when it’s inconvenient.”  they don’t have the kind of power to turn things on and off whenever they want.
i love that will is the only person who ever acknowledges this, across five seasons of this show.  i love that he spits it out immediately, without hesitation, the minute merlin tries to makes things sound better than they are.  i love that he says it unapologetically, to merlin’s face, because he says it for merlin’s sake, after all - the point of saying ‘friends don’t lord it over one another’ is to say ‘that guy doesn’t appreciate you the way you appreciate him/this isn’t reciprocal and he’s taking advantage of you/this isn’t the friendship you want it to be and i don’t like seeing you settle for this.’  will is that friend who watches you interact with someone and then later gets in your business like ‘EXCUSE ME!  I DO NOT LIKE HOW HE TALKS TO YOU!  I DON’T LIKE HOW HE TREATS YOU!'
will knows that merlin deserves better than arthur pendragon, even when merlin himself won’t concede that point.  merlin won’t advocate for himself, so will tries to do it for him.  merlin can try to convince himself that arthur is a real friend all he wants, but will knows what’s up.  he knows.  he knows where this is going, if merlin’s relationship with arthur is allowed to continue on exactly as-is.  will knows, from the very beginning, that this is a recipe for disaster.  
[addendum 2020: speaking from a post season-5 perspective...will understood where merlin and arthur were headed long before even we the audience did.]
xi. friends don’t lord it over one another [reprise]
you know what real friends do do for each other, though?
a) listen - even when they don’t like what the other person is saying
b) care - even when they’re angry
that’s it.  that’s what matters.  
we don’t need more than an hour of watching will and merlin onscreen together to see that this is how they interact with each other.  they’re arguing for most of this episode, and they’re both right, in different ways, but by the time they’ve had it out with one another, they both understand where their own arguments were wrong, too.  they listen to each other despite the fact that they’re angry, and despite the fact that they both have very strong feelings about their respective positions.  they care enough about each other to look past their personal injuries and accept where the other person is coming from.
merlin starts off this episode absolutely dead-set against using his magic to help ealdor, if there’s any chance arthur could find out about it.  but later, before he and will have even officially reconciled onscreen, we can already see that he’s been listening to what will’s been saying, that he’s come around to will’s way of thinking, because he tells his mother “if it comes down to a choice between revealing who i truly am and saving lives - that’s no choice at all,” hearkening back to will’s “are you telling me you’d rather keep your magic a secret for arthur’s sake than use it to protect your friends and family?”  and: “if arthur doesn’t accept me for who i am...well...then he’s not the friend i hoped he was” (you’re arthur’s servant, nothing more.  otherwise you’d tell him the truth.)  
merlin has been listening the whole time, even if he didn’t like what will was saying.
and the same goes for will, too.  he’s (understandably!) bitter about merlin’s situation, about the way merlin left, about the new life merlin built for himself while will was suffering in a confused limbo of abandonment at home - and will also obviously thinks the Farmers’ Resistance is a total disaster, a noble-spun farce that’s going to get good people killed - but even though he doesn’t trust the camelot contingent and couldn’t give fewer shits about prince arthur pendragon specifically, he trusts merlin.  he listens to merlin, even though they’ve been fighting.  he comes back because merlin keeps telling him it’s the right thing to do.
they both listen, even when it seems like they’re just arguing with each other.  and they both acknowledge where the other person was right, even when it means making themselves vulnerable.  will comes back to help his neighbors fight a battle against hopeless odds.  merlin exposes his magic to save people’s lives.  
they teach each other how to do the right thing.  they make each other brave.
xii. you just saved my life
let’s talk about being brave, then.
this kid jumps in front of a crossbow for a guy he doesn’t even like.
can we be clear about that?  will doesn’t even LIKE arthur.  he doesn’t particularly care about him.  he doesn’t accept him as the noble savior of all mankind.  he isn’t interested in defending the nobility, and he certainly hasn’t jumped on the camelot bandwagon.  just because he’s seen that arthur wasn’t planning on sending them all to their deaths without risking his own neck doesn’t mean will is suddenly going to start flying the pendragon crest from atop his house.
but he isn’t going to step back and let a coward shoot another man in the back, either.
arthur’s still a prince, yeah.  arthur’s still sitting at the tip-top of an unjust social system, benefitting from all kinds of privileges he didn’t earn.  arthur’s still a crappy friend to merlin.  heck, two seconds before that crossbow gets fired, arthur’s gone full-on inquisition-mode, interrogating merlin about sorcery, which, given that arthur can just go ahead and have merlin executed with a snap of his fingers, isn’t a great way to earn will’s respect or trust.  
but you know what?  when it comes down to it, will’s automatic, reflexive reaction upon seeing someone in immediate danger is to Get In The Way.  
it doesn’t matter that will doesn’t like arthur.  it doesn’t even matter that he actively dislikes arthur.  will doesn’t even think about it, he just moves.  instinctively.  automatically.  he isn’t going to let anyone standing right in front of him get murdered with their back turned, no matter how much he can’t stand them.  
let’s all take a second to remember and acknowledge something in arthur’s stead, since i’m not sure arthur will do it himself - arthur pendragon would have been dead right there if it weren’t for a dirt-poor peasant farmer from cenred’s kingdom who never had anything nice to say to a prince but still stepped between a pendragon and a crossbow in the name of doing the right thing.  without will, the story would have ended in season 1, episode 10.  albion itself owes its future existence to a young man with no surname who will never be acknowledged or recognized for anything he did, not for teaching the future king a lesson in humility, not for saving the prince’s life, and certainly not for the greatest and most noble move he ever made, because that gesture’s success is predicated upon its remaining a secret.  
this kid saves the entire World That Will Be.  the show would have ended before it ever really began, if not for our man prince william of ealdor.  
merlin knows that, and merlin never forgets it.  but i’m not so sure about everyone else.
xiii. yeah, don’t know what i was thinking
let’s talk about defiance.
this kid is dying, and he’s still full of piss and vinegar.  when arthur says, wide-eyed, “you’re a sorcerer,” will responds, “yeah.  what are you going to do, kill me?”  
what a power move.  what a thing to say.  
that’s not a question.  that is a no-fucks-given, shame-and-blame challenge.  
what are you going to do, kill me?  
merlin uses those exact same words during his confrontation with morgana in 3.02.  when he’s trapped - when he’s cornered and betrayed and angry - he reaches for the kind of defiance he once saw exercised on his own behalf, for a shameless bravery that burned itself into his brain.  for the kind of strength he wants to channel himself.
when it comes to holding your ground in front of the pendragon dynasty, merlin learned from the best.
xiv. and i’m prince william, of ealdor
let’s talk about names.
william: from wil (will or determination) and helm (protection, a helm)
hence the common translation of resolute protector.
which, given the events of 1.10, seems very fitting.
xv. i did it
let’s talk about lies.
because resolute protector rings even more powerfully true when it comes to merlin than it does for arthur.
at the time of this writing, i have four more episodes to watch before i’m done with season 5.  at this point, at the end of the show, merlin’s magic is still a secret.  merlin’s gotten involved in a lot of dangerous situations, risking his life in other ways, but the one danger he’s never had to really confront is the executioner’s block, because none of the pendragons know his secret.
and the reason none of the pendragons know his secret is thanks to our boy prince william of ealdor, who turns his own untimely death into a last-second rescue operation by telling the Biggest Damn Lie of his life and then doubling down on it when merlin tries to tell him no.
will is the one who secures merlin’s next five years of relative safety.  not from all of life’s dangers, of course; no one can do that - but when it comes to merlin’s greatest fear, the worst outcome, the prospect of being dragged out of his home in chains and murdered in front of an ogling crowd for just existing - will buys merlin’s escape from that fate with his life.  merlin remains hidden and unexposed to this very day because will died protecting his secret, because will lied to the prince of magic-hunting and invited upon himself all of the risk and scorn and danger and condemnation that a false confession like that entailed.
i honestly don’t know how to express clearly enough the enormity of that moment.  the momentousness of that gesture.  i called it a bold and tremendous lie in some other post somewhere, and i don’t know how else to capture what it was.  the thought of what it would mean, to be merlin, and to see someone throw themselves on the block for your sake, for your safety and your future and your freedom, when the rest of the world and every message you’ve ever absorbed says you don’t deserve to be safe, you don’t deserve to be free, you don’t deserve to exist.  
it is impossible to overstate how much that matters.  merlin carries that with him for the rest of his life.
xvi: i can’t fight you anymore (it’s you i’m fighting for)
let’s talk about love, okay?
this ep is called the moment of truth, right?  
so here are some truths about will.  in the time that we spend with him, we come to understand that he is the following:
a poor peasant kid with nothing to his name
a kid whose father is dead  
a kid whose mother is either dead or absent
a kid who “people are used to ignoring”
a kid who’s been making his own way through this backbreaking subsistence-farmer’s life with no grown-ups to hold him or help him or listen to him when he comes home at night
a kid who isn’t trusted to protect merlin’s secret, even by merlin’s own mother, whom will has known for his entire life
a kid whose only friend in the world fucked off to the country next door without a hint of warning or any indication that it was something that should matter to either one of them, making will think he misread the only meaningful relationship he’s ever had, because if merlin can just vanish to nowhere and not even bother to send a note, then either merlin wasn’t actually his friend to begin with or merlin was his friend at one time but doesn’t want to be anymore, both of which options are soul-crushing
a closed-off, heavily-armored, hurting kid who’s been unspeakably lonely for the past few months but also angry and ashamed at himself for feeling that way, because how stupid did he have to be, to think that he mattered to someone, that someone would ever want him or love him or need him or miss him, to think that this time would be different, that this time somebody wouldn’t leave him -
and even in this state - even in the midst of all this -
at the moment of truth, he still puts himself on the chopping block.  he still says, “you’ll have to go through me.”
he comes through for merlin.  of course he does.  the irony is bitter and beautiful - hunith sent merlin away precisely because she didn’t trust that merlin would be safe with will knowing about his magic, but in the end it’s will who gives up everything to keep merlin’s secret concealed.
not just to keep it concealed, even - to reverse merlin being outed.  merlin had already been exposed.  the deed was done!  the magic was seen!  it was all over - and then, miraculously, it wasn’t.  what will did was the only way merlin could ever have slipped safely back under the cover of secrecy.
will didn’t have to do that.  he didn’t have to lie about performing magic, and he didn’t have to save arthur, either.  it would have been better for will to let arthur die, in fact, and it would have been better for him to let merlin get caught, too, because ‘maybe then merlin would have to stay here with me’ - but will is so much better than petty revenge.  he’s so much better than anybody ever gives him credit for, merlin excepted.  
the fight will has with merlin doesn’t matter to him, in the end.  it was a complicated situation for both of them; will knows this.  if he weren’t dying now, he and merlin would have talked it out and made up - will knows that, too.  things could have gone a little smoother between them, maybe, and will still thinks going back to camelot is less than what merlin deserves, but it’s what merlin wants, and the mark of truly loving someone is when you want the best for them, even if it means you don’t get what you want for yourself.  so ultimately, when it comes down to it, the truth for will is this: he wants merlin to have a good life.  he wants merlin to be safe.  he wants merlin to be happy.  he wants merlin to be with him, too, but if he can’t have that, it’s no reason to withhold any of the other gifts he can bestow.  if one of those gifts is freedom, if one of those gifts is safety - it’s no choice at all.  
merlin is will’s one good thing.  merlin deserves everything will can give him, as far as will is concerned.
xvii. the only place worth being
this place has been boring without you.
what a thing to tell someone.
what a powerful thing to say to someone whose entire life up to this point has been a litany of ‘there’s something wrong with you,’ ‘you don’t belong here,’ ‘you’re cursed/broken/wrong/unnatural.’  what a dauntlessly loving thing to tell someone whose entire life has been the message ‘people like you deserve to die,’ over and over and over again.
what a singularly beautiful thing it is, for someone like merlin to hear ‘you are what makes this place worth living in.’
xviii: the only one worth seeing
likewise it’s good to see you again.
because it’s not just “it’s good to see you again;” it’s an acknowledgement that merlin is the last person will is ever going to see.  
and will is like, okay.
he’d rather be alive, yeah, but if he had choose - it’s good that it’s you.
xix: the only bed worth sleeping in (is the one right next to you)
the most devastating moment in this sequence, for me, is at the very end, when will confesses fear.
it doesn’t happen until everything else has been taken care of.  arthur’s been fooled, merlin’s been safely shuffled back under the cover of secrecy, everybody’s been taken in by the ruse and sent away, none the wiser  - all the necessary and important business has been dealt with.
only at the very, very end does will’s own predicament rear its ugly head.  only after everything else is done does he even allow himself to feel it.  he’s spent the rest of this sequence making jokes and roasting arthur and keeping it all together, but at the last second, when he falters, he comes undone for the only person he trusts, the only person who understands him, the only person in the world who gives a damn about him.  his defenses come down, in that last moment, for merlin - and it could ONLY be for merlin - when will says, “merlin, i’m scared.”
we don’t need anything else, to understand their relationship.  we’ve seen enough of will by now to recognize that he keeps the world at arm’s length, that even his walls have walls, that this is just not the sort of thing he would ever admit to.  confessions of pain?  acknowledging vulnerability?  never.  he’s not that kind of character.  we know he has a big heart - look at what he’s doing - but we also know he’s had a hard life.  he’s wrapped himself in layers upon layers of protection - snark and anger and deflection and sarcasm and still making jokes at the prince’s expense after being shot in the chest - nobody is allowed to see him open and undefended, never.
except merlin.
will is dying.  he is so young.  he has been so alone, for so much of his life, and he’s so young, and he’s dying.  he clutches for this lifeline like it’s the only thing he has, because it is the only thing he has - merlin is his only friend.  merlin is the person will loves best in the whole world.
merlin, i’m scared.
that is so unbelievably vulnerable.  that is so utterly naked.  that is totally defenseless, exposed, belly-up and barethroated under someone else’s burning gaze.
that is absolute trust.  will would never have said that in front of anyone else.  he would never have allowed anyone else to see him like that.
his confession is, like pretty much everything else he ever does, for merlin alone.
xx. your heart is on my sleeve
merlin, will keeps repeating.  merlin.
how much do you have to love someone, to make their name your last words?  how much do you have to care about someone, for that to be the only thing you can think to say, again and again, in your last terrified moments on this earth?
that’s a rhetorical question.  
i know how much.
xxi: i missed you too
i think, sometimes, about will, when i watch the later seasons of merlin, and about how he would feel if he could see what merlin’s life has turned into.
i sometimes wonder how he would feel, if he could see how merlin allows himself to be passed over, disbelieved, disrespected.  if he could see how merlin has started to define his worth in terms of how well he is able to protect Some Dude who doesn’t even know who merlin is, who keeps people like merlin trapped in the shadows of subjugation, hidden citizens in their own kingdom.  if will could see how merlin has laid his entire life down for other people’s enrichment, if he could see how little hope merlin now holds for his own happiness, if he could see the way merlin in S5 has given up on his own liberation -  
i don’t have to guess what will would say about it.  i know how he would feel.  if will could see merlin in season 5, his raging little heart would break.
i wish he were here to tell merlin exactly what he thought about it.  merlin does all this self-sacrificing for the sake of his “destiny”; whereas will would think that any destiny making merlin this miserable was a steaming pile of trash.  will would tell kilgharrah to get lost, and to take his questionable advice with him.  will would tell arthur to fuck off - he’s done it already, in slightly less explicit terms.  
does that mean i truly think merlin is supposed to abandon his mission and ditch camelot and run off to live his own life?  no.  merlin cares too much about making the world a better place to be truly happy with that kind of existence; he wants to change things for the common good; he wants to help the people he cares about.  but merlin, as he tries to fulfill his mission, is desperately missing will’s kind of support in his life.  merlin needs someone who is only here for him.  he needs someone who is going to get up in his face and remind him, “you matter.”  he needs someone to tell him, “you deserve better than this.”  he needs someone who isn’t afraid to tell destiny to fuck off, when telling destiny to fuck off is in merlin’s best interests.
merlin needs someone who is on his side.  
not camelot’s side.  not albion’s side.  not arthur’s side.  
HIS side.  merlin’s side.
xxii: he still is
the thing about will, then, for me, is this: i can’t minimize him.
i can’t do it.  i can’t diminish that part of merlin’s life.  
i don’t think it’s possible to overestimate his importance, frankly.  merlin, when we meet him, has only ever had two people in his life.  that is such an...unfathomable experience, for many of us.  just two people.  just two people to know you.  just two people to love you.  just two people, for your whole life.
will wasn’t just some friend.  will was half of merlin’s world.
fannish pursuits that i have seen...the things where will appears are already so limited, and of course that’s completely understandable - it’s not like he’s a main character, or even a side character, by any means; i totally get that.  but - so much of what i see is him serving solely as a set-up for merlin/arthur, or otherwise being shoved out of the way as soon as arthur shows up on the scene, or showing up only to be a receptacle for discussion about arthur and merlin’s developing relationship - even will and merlin’s own ship tag is 90% merlin/arthur fics.
and there’s nothing wrong with this, ultimately; everybody should continue to write exactly what they want and enjoy exactly what they want; that’s the fun of fandom.  i mention these things here only because for me, personally, the whole point of will’s character is that merlin’s life is bigger than just arthur.  the most important relationship merlin had for most of his life had zip-zero-nothing to do with arthur pendragon, and it still has zip-zero-nothing to do with arthur pendragon, after will is dead.  
you remember will’s funeral at the end of 1.10?  arthur has an entire conversation (a horrible one, fyi) with merlin, and merlin doesn’t look at him once.  he answers arthur’s questions because he has to, but his eyes never once leave the pyre in front of him - not while he’s listening, not while he’s talking, not once.  not ever.  arthur comes, arthur chastises, and arthur goes, all without being granted so much as a glance, because this isn’t about him.  this is none of his business.
the whole point of will is that it is possible for someone to love merlin and not give a tinker’s cuss about arthur pendragon.  the whole point of will is that having someone love merlin without caring about arthur pendragon is, in fact, a good thing.  merlin needs somebody like that in his life.  he struggles when he doesn’t have someone like this around to advocate for him.  just look at where he is in season 5 - look at what his life has become, when it’s been years since he had an in-the-know friend.
merlin suffers when he loses this kind of support.  it’s easy to say that will is never mentioned again after 1.10, but there are real reasons why merlin wouldn’t be willing to explicitly mention him, and the lack of explicit references doesn’t mean we can’t still see him, if we pay attention.  we see the immediate impact of his death in merlin’s attitude shift in 1.11.  we see him in 2.02, when merlin names his fake tournament knight sir william and spends the rest of the episode roasting arthur to within an inch of his life.  we see him in the season 3 opener, when morgana levels her sword at merlin and the first thing that pops out of merlin’s mouth is “what are you going to do, kill me?”  we see him in gwaine’s intro episode, when merlin immediately cleaves to this class-conscious ‘people get sick of me too quickly’ stranger whose father was killed fighting one of the king’s wars.  and his absence is felt, more generally (as is lancelot’s) in how quickly merlin’s life starts to spiral out of control once the only two honest friends he ever had are gone.  their loss doesn’t have to be explicitly referenced for us to understand that merlin, without that kind of support system, is faltering.  we see it happening with our own eyes.
[edit, post-viewing-of-S5-finale: and we see where it eventually leads, too.]  
so, once again, as i said - i can’t minimize this character.  i can’t overstate the positive impact of merlin having somebody who was here for him and only him, who affirmed merlin’s value independently of arthur pendragon’s fate, who knew and loved merlin without caring about a “destiny” that ultimately, in the end, turned out to be a cruel joke made at merlin’s expense.  
if will had lived, i’m not sure we would have ended up in quite so dark a place.  we might have landed in some other tight spot, sure, but i can tell you one thing for certain - will would not have sat quietly by and allowed merlin to throw his life away, not for camelot, not for arthur, and certainly not for a parade of empty promises.
xxiii: where you are, there i’ll be
the bottom line is this.
merlin spent the first two decades of his life with one friend.
one.  
loved by one friend.  
one.
merlin had his mother, who was there for him from the beginning, whose love was unconditional, who was an “of course.”
and he had will, who chose merlin, who kept choosing merlin even after merlin told him the Terrible, Horrible, No Good, Very Bad Secret.  will’s presence in merlin’s life is the only reason merlin grows up believing himself to be deserving of love from people who aren’t his own mother.  his presence in merlin’s life is the only reason merlin knows how to have and be a friend.  his presence in merlin’s life is the only reason merlin is who he is - a merlin who’d spent his entire life without a single friend would not have been the same confident, optimistic, gregarious person who later walked into camelot and told arthur pendragon, “i’d never have a friend who could be such an ass.”
will mattered.  we don’t talk about him much, because he only appeared in one episode, but it wasn’t “one episode” for merlin; it was closer to twenty years of companionship, of elbows in ribcages and smirks exchanged across the room and someone to natter on at, a person to sit next to and walk beside, in every season and all sorts of weather.
will chose merlin, and he kept right on choosing him, until he breathed his very last breath.  that is enough for me to love him, to feel grateful that he existed.  i don’t care how rough he is around the edges.  i don’t care that he hates arthur pendragon’s guts, that he has a big mouth, that he speaks out of turn, that he has no tact, that he can’t suffer fools, that he has a chip on his shoulder the size of a minor planetoid and wings it at people’s heads when the mood is on him.
he loved merlin.  actual, magical merlin; merlin as he truly is, merlin in all his gifted, unnatural, beautiful imperfection.  
that is a desperately rare thing.  that is worth celebrating.
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Not that anyone cares, but I just figured out one of my biggest sexual hangups is not a single issue, but several that have become tied together over time because of my medical history.
I had a complete hysterectomy at 27.  I had a twenty-something pound ovarian cyst (benign) that was too big for my body to support, it was dying, and the dead tissue was poisoning me. They’d only meant to take the cyst, but once it was out of the way, there were other cysts wrapped around my Fallopian tubes and ovaries.  Everything had to go.  Gutted like a fish.  
I was 27 when I went into surgical post-menopause.  I’ve lived almost half my goddamn life in post-menopause.  I have a variety of issues because of that, but the most troubling thing?
Men looked at me.  Doctors.  Doctor’s ducklings.  (You know, like House had Cameron and Chase and Omar Epps and Thirteen and Kutner and Taub and all of them?  My doctor had ‘em too.)  A plastic surgeon.  My doctor was a gyno, but I know another one came in because my doc was oncologic gynecology and he consulted with a regular gyno.  A couple other doctors whose specialty I don’t recall, mostly to see the girl with the big cyst.  Twice a day, every day, not counting nurses.  I used to joke that I was going to start charging admission.
I had a lot of post-surgical issues, mostly with the incision and everything, and God bless the doctor’s heart, all he would tell me was that my weight “was an issue with the incision healing” and stitched me up with purple stitches because I was too fat for staples like a normal person.  
Try feeling attractive to anyone, including yourself, after being ogled, poked, probed, and being told you’re too fat.  On top of already not feeling great because of the surgery and the almost immediate change in body chemistry because you’re in goddamn menopause already and isn’t that a kick in the libido.
Then comes the cancer.  I haven’t been shy about letting people know about it; I had cervical cancer.  From January to August, because of the estrogen I was taking to, you know, feel fucking normal and not like I’ve got a cooch full of glass, I went from no abnormal cells to Stage 1.  
I had surgery again.  Obviously vaginal, a conical LEEP that basically was a hot wire loop that burned out the cancer and the stalk.  Then I had external radiation, thirty days of laying on a table with a polite little machine coughing its way around my pelvis and scalding me with radiation.  (I still have scars from the radiation burns.)  And then I had internal radiaiton.  Three days of lying on my back in a bed, I couldn’t sit up, I couldn’t eat anything that wasn’t dry chicken and baked potato, no butter and salt, limited fluid intake.  Because I had three cylinders of cesium shoved up my vagina, screwed into an uncomfortable plastic case.  
Afterwards, when I came back to see my doctor for my first post-radation, post-PETscan, post-everything appointment, do you know what he gave me?
A dilator.  If you don’t want to hit up the link, it’s a therapeutic dildo.  They start small and go up in size, and you’re supposed to use them carefully to expand your vaginal area and cervical opening so it’s not closed off by scar tissue.  
Every day, insert a hunk of solid white dick-shaped plastic into my vagina and leave it there for half a goddamn hour.  The paperwork I got suggested watching television or listening to music.  Let me tell you, nothing is going to distract you from a chunk of plastic shoved in your hoochie.
Between the PAP smears FOUR TIMES A YEAR at first, the dilator, and everything else I’ve had done, I’ve actually come to realize.  
It’s no wonder I don’t want anyone else near my lady parts.  I rarely even masturbate anymore because of the dilator.  I get no pleasure out of it.  And even though I take a soy supplement and use a water-based lubricant, it’s like the Sahara down there.  
Fuck me, my libido is trashed, my vagina is basically public property at this point because so many people have seen it, and the next person who tries to insert anything anywhere near me is getting it bitten off at the ROOT.  
Christ on a cracker.  I’d never thought about it all together before.
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15 Things You Should Never Do at the Doctor's Office
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Think of your happiest relationships, and there is an honest chance all requires open communication, honesty, and trust. That goes for you and your doctor, too. Lie out of embarrassment, and she or he can't treat you. Show up unshowered to a doctor visit, and she or he won't want to. Ghost her too repeatedly, and a break-up is inevitable.
Be a far better partner and you will recover healthcare.
To uncover what to do—and what to not do—at the doctor's office, Eat This, Not That! Health talked to the country's top docs to seek out the #1 things medical professionals say you ought to avoid at a doctor visit. Read on. Your life depends thereon.
1 Never Be a Passive Listener Nurse Showing Patient Test Results On Digital Tablet Shutterstock Becoming a lively listener, not a passive one, is the No. 1 thanks to being a far better patient, say doctors Mikkael Sekeres and Timothy Gilligan of the Cleveland Clinic. They revealed within the NY Times that too many of their patients nod mechanically at what they're saying, without fully understanding the knowledge being relayed.
The Rx: Asking questions, requesting that the doctor repeat something, taking notes or bringing along a loved one who can do any of the above can assist you to become a life partner in your care.
2 Never Show Up With a Self-Diagnosis and Tell Your Doctor What to try to the patient is angry on doctor due to medical error Shutterstock There's a fine line between a lively listener and being a know-it-all. Consult Google to self-educate, not self-diagnose, says Suzanne Koven, a medical care internist at Massachusetts General Hospital. "I have enormous respect for patients' autonomy and understanding of their bodies, and to some extent, doctors are working with patients during a collaboration," she told Scientific American. "But to pretend that both parties are bringing the identical degree of data to the table is disingenuous. Once during a while, somebody will are available determined that they have an MRI to rule out such and such or this drug to treat such and such, and I'll need to say, 'Whoa, slow down, let's mention you and your symptoms.'"
The Rx: Do your research. Ask questions on anything you do not understand. But leave the diagnosis to your doctor.
3 Never Lie female holding fingers crossed behind her back Shutterstock According to a survey conducted by ZocDoc, almost one-quarter of individuals mislead their doctors. (Women were slightly more likely to love, at 30%, compared to 23% of men.) Embarrassment and fear of being judged were the foremost common reasons given. Stop it right now! "Sugar-coating bad habits or nagging symptoms doesn't help," advises David Longworth, MD, of the Cleveland Clinic. "Your doctors are confidential partners in your care. they have all the knowledge available to assist you to create smart decisions. that has everything from your habits to each medication you're taking, including over-the-counter drugs, herbal products, vitamins, and supplements. If you are not consistently taking medication, ask your doctor about why — including if you cannot afford them."
The Rx: Always be candid. Anything less may be a waste of your time. Leave embarrassment and shame behind. Your doctor is there to enhance your health, not nag you.
4 Never Leave Things Out Man writing at the desk Shutterstock According to the ZocDoc survey, 64 percent of seniors said they've avoided mentioning health issues with their doctor because they didn't think the matter was that serious or worth discussing. None folks want to perform a hypochondriac's soliloquy at the doctor's office, but it isn't the time for false modesty either.
The Rx: If you think that you would possibly get tongue-tied within the moment, write down your symptoms or things you want to debate together with your doctor before your visit.
5 Never Be Late Asian businesswoman watching the watch time worried and scared of getting late to the meeting Shutterstock Remember the last time you sat during a lounge, doing what space was for, for an hour? That's likely because people before you were late for his or her appointments, backing up the entire queue. Reinforcing this little bit of sense may be a doctor who posted on Reddit: "Every outpatient office has time put aside for sick visits, and time blocked off for pre-scheduled visits," wrote _PyramidHead_. "People will often call in when the office opens and invite a sick visit to deal with their pharyngitis, whatever. More times than I can count, the person will say, 'I can't are available until 4:30,' usually the last slot of the day. Which is ok, but once they then don't show up, I'm annoyed. Especially if the last pre-scheduled visit was as 3:15, and that I waited around for an hour — only to possess someone not shows up."
The Rx: Keep your appointments and get on time. Or call to let the doctor's office know what is going on on.
6 Never Be a Jerk to the office Aggressive man yelling at the nurse in the clinic Shutterstock Don't make a scene at the front desk about wait times or rant a few charges mandated by your insurance. "Complaining to the front office about your copay is pointless; they need no control over that," wrote Redditor _PyramidHead_.
The Rx: Be proactive: Call ahead to ascertain if the office is running behind if you would like to, stay informed about insurance features like your deductible, and skim #8 on this list.
7 Never Show Up Unshowered man is taking shower in the bathroom Shutterstock This one's sense (and common courtesy). Unfortunately, judging from postings by medical staff on social media, it's an all-too-common occurrence. Remember when mom asked if you were wearing clean underwear, just in case you were during an accident and ended up in a doctor's care? Mom was right.
The Rx: you do not need to prep like it is a date, but be clean.
8 Not Know What Your Insurance Covers Older patient at woman doctor office paying exam with MasterCard Shutterstock It's near rock bottom of the list of last things any folks want to do: Spend time on the phone with the insurance company. But if you're having a procedure, need medical devices, or are prescribed new medication, it's better to call ahead and sign up than be caught with a bill — and need to spend longer on the phone — after the very fact. If you would like a colonoscopy, the procedure could be covered, but not a specific facility or anesthesiologist.
The Rx: Call ahead to see. If you've got concerns, tell your doctor.
9 Not Know What Medications You're On female physician prescribing pills to an older black male patient Shutterstock This is a frequent complaint voiced by doctors and other medical professionals. If you're seeing a replacement doctor who won't have access to your records, he or she won't mind in the least if you bring along a cheat sheet together with your meds listed. It could prevent drug interactions and large problems down the road.
The Rx: jot your medications and dosages and convey the knowledge along to your doctor visit, or keep it on your phone.
10 Never Ignore Medication Instructions woman takes medicine capsules Shutterstock Always take medication as prescribed. Failure to try to do so is one of the highest complaints medical professionals voice on social media. On Reddit, a doctor going by the nickname AstralResolve explained their frustration with a standard scenario: "' I stopped taking the antibiotics cause I began to feel better. Now I'm sick again and therefore the antibiotics aren't as effective.' Every freaking time. We instruct you disregard, bugs get stronger and more resistant."
Redditor walrustude, a doctor, said noncompliance supported online research was his top gripe: "Straight up refusal to follow medical advice or to comply with taking one pill each day known to dramatically improve symptoms, all because this mommy blog said the simplest thing is apple vinegar or because WebMD suggested cold showers." Your doctor doesn't mind questions supported your research; just don't present them with something you read online as the incontrovertible fact that applies to your particular case.
The Rx: Follow prescription instructions to the letter, and voice any concerns to your doctor.
11 Never Conceal that you've got Stopped Taking Your Medication hand-throwing pills away Shutterstock This is another frequent occurrence, medical professionals say. "People stop taking medications all the time, actually because they feel better or can't afford the value. it is a chronic situation, especially as Americans grow old," writes aging expert Barbara Hannah Grufferman on HuffPost. Remember #3 and #4 on this list — a doctor's visit may be time for total honesty. Anything less is counterproductive.
The Rx: Tell your doctor everything. If finances are a problem, be blunt. (Your doctor or office could also be ready to help with co-pay cards or other solutions.)
12 Never Get Too Many Second Opinions female physician checking male patients vital sign at clinic Shutterstock A second opinion is great. A fifth, not such a lot. "I'm an enormous fan of second opinions," Orly Avitzur, MD, wrote in Consumer Reports. "I encourage my very own patients to hunt them out when faced with a difficult diagnosis or decision, and I have provided them also. But there is a limit. A recent patient was par­alyzed by indecision after seeking several medical opinions (I was number seven), all with slightly different recommendations. Medicine frequently involves judgment calls, and sooner or later you will have to trust one among them."
The Rx: Know when to mention when. More information isn't better.
13 Never Bring Relatives Along Who Take Over the Conversation Couple Attending IVF Consultation Shutterstock "While I do not yet bring anyone into my doctor's appointments, I do accompany both my mother and mother-in-law to theirs," says Grufferman. "They are 75 and 83, respectively, and the second set of ears and eyes is usually an honest thing, especially when the doctor is discussing procedures, medicine, and follow-up recommendations. during this case, I think physicians welcome my presence, as long as I do not completely take over. I always take notes and ask the doctor to repeat or review something if I do not understand."
The Rx: Ask well-meaning relatives who come along to your doctor visit to try to more listening than talking.
14 Never Be a No-Show Missed call phone from someone via mobile smartphone while Asian man sleeping on the bed in the late morning Shutterstock "Not only isn't exposure once we were expecting you (and once we have called, texted, emailed, and sometimes all three to remind you that you simply have an appointment) rude and entitled, it also tells me that my time invaluable, which somehow you think that you probably did not need to keep what essentially was a contract that you simply made with me once you made the appointment," writes California physician Rebecca Levy-Gantt during a piece on Medium titled "How to be an honest Patient".
The Rx: If you cannot make your appointment, always let the doctor's office know.
15 Never Ask Your Doctor to Lie A medical doctor making a negative sign for medicine by his finger. Doctor showing forbidden sign Shutterstock This is an enormous no-no. "Sometimes patients will inquire from me to travel back and 'code the visit differently,'" says Levy-Gantt. "I won't change the test codes or the visit codes to accommodate someone, since doing so is a fraud and not an appropriate or legal thing on behalf of me to try to to. Sorry. I will, however, attend bat for a patient (and I have) if I feel a patient needs a specific test done, and therefore the insurance firm denies it."
The Rx: Don't ask your doctor to cheat the system. It's unethical, and do not you would like a physician who's honest in the least times?
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docmcevans · 7 years
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Trust in the LORD with all your heart and lean not on your own understanding; 6 in all your ways submit to him, and he will make your paths straight.
Proverbs 3:5-6
I’ve always wanted to create a space where I could voice my opinions where I would not normally feel comfortable.  This would be my 2nd (or maybe 3rd?) attempt to keeping a blog.  So lets see how this goes!
I started an Internal Medicine residency at a small community hospital in Brooklyn, NY in the summer of 2016.  This sounds and looks great on paper, but it was a very stressful and anxiety filled time for me.  I “graduated” medical school in Dec of 2015 and had my ceremony May 2016.  I was so happy during my graduation but the months leading up where not so happy.  Match day was in March of that year, and lets just say things did not go as planned.  I didn’t match into my desired field of Obgyn and was left without a placement.  No job. No future.  I felt hopeless.  It was like adding insult to injury.  I was already a year behind my original class for academic difficulty and I felt I busted my ass in my 4th year electives, but I just was not jiving with these OB’s.  I didn’t have any doubts I wouldn’t match so it was really off my radar.  I didn’t have a back up plan.  I was left in the dust, and I really only had myself to blame.  
So what did I do?  I called my school, to figure out what I should do next.  I hightailed it over to my medical school and sat in the deans office with a few other unfortunate students that also didn’t match.  We all went through the SOAP process that day together. And as the number of students slowly dwindled, as they received supplemental positions, I continued to wait for my time.  But still nothing, no bites, no cigar.  
At this time I was working at IBM (<--this was an amazing opportunity I’ll talk about in another post!!), and I had to go to work the next day.  So I would continue the SOAP process at work (dumb idea, I know).  That proved to be challenging as I worked with other students from my med school who had all matched and were all smiles and full of joy. I retreated to the library to work and continuing to frantically refresh the page that would determine my future. I got a couple of phone interviews that day, which initially seems promising.  I was almost guaranteed a position in an internal medicine preliminary position.  So it was set, I was going to get a spot.  Just had to wait for the offer to come through on the SOAP website.  Next day comes and goes, still no offers.  But wait, the program director TOLD me I was going to get an offer.  So I continued to sit tight.  Meanwhile, I am scoping programs to potentially call when the SOAP is over.  Thursday night, SOAP is over, still no dice.   I meet with the deans again that day.  They have an option for me.  They had a program in mind that had several openings, do I want to take it?  Internal medicine? But wait I wanted to do OB....
Well as you might have guessed, I interviewed for the position and got an offer for the position as an internal medicine PGY-1.  My family and friends were happy for me.  My mentors encouraged me that this could be a stepping stone and I could always switch.  I held on to that...  I am grateful I was able to join a residency program that made me realize the kind of doctor I want (and don’t want) to be.  It also gave me a better appreciation for adult medicine and allowed me to be better equipped in taking care of my family members.  It was good experience granted I was generally unhappy the entire time.
I knew that there was something missing that I don’t think I could ever part with....my love for women’s health.  I don’t know if I could ever be able to practice enough women’s health as an IM doc to be able to satisfy my needs.   I continued to search for other programs during my intern year.  Then a stroke of incredible luck and God working His plan the way He intended it be.  I had been voicing my unhappiness in my then current field to my family members for quite some time.  One day, my aunt mentioned this to a family friend who happened to be a resident in a Family Medicine program that would soon be in need of a replacement resident. (!!!) <---Yes that is where I came in.  --> and Yes that was GOD’s plan all along.  
In medical school I never really thought about family medicine.  There was no way I would have applied if I had not gone through what I did.  I needed to be in that IM program to appreciated primary care.  I needed to actually take care of adults to see what it would be like and know that I could do it compassionately.  I needed to go through this program so that I could ultimately go where I am now into Family Medicine which is truly the best thing that has ever happened to me.  I never felt so at home in a field of medicine than I have as a family medicine resident.  
I say these things to say that no path is ever clear.  We don’t ever know what is in store for us.  But when the truth comes and you eventually start to see the light at the end of the proverbial tunnel, it is glorious!!!
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buzrushcommunity · 5 years
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Question Answer Website
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https://community.buzrush.com/
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mulattafury · 7 years
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badmood feels/general vent post. i wish readmore worked on mobile, sorry if i’m spamming your dash with all this wordy introspection, I’ve just been spending a lot of time alone and thinking too much.
when does this, fear go away? 
i’m doing okay, not as fast as i wanted but i’m not in danger, financially
but watching my savings trickle away has my brain screaming and screaming
i’m more productive than before but not where i need to be yet, but the imposter syndrome is strong and has me worried i need to get a “real job” before it’s too late
i wish i had like... a mentor. but i am afraid to try to pursue that kind of relationship with someone bc i am in a mental state right now that i think i’m too sensitive to criticism because i got toooo many fuckin plates spinning and they’re spinning kinda slow but the balance is critical
but the fear of failure is crushing and it’s slowing me down. maybe i should ask my doc to throw in something for anxiety when i go tell him to please give me a grown-up dose of adderall
i spent $100 on the lane bryant bra sale, got four excellent and sexy bras and it feels so good because let me tell u i am a 38H-40G and I NEVER have proper-fitting bras (I have maybe 1-2 “good” bras at any one time that i buy off the sales rack at LB and usually compromise on the band or cup size to get something “good enough,” and otherwise make do with walmart bras with too big bands/too small cups)
and like, i went to pick them up in the store today and my brain is just a cruel backbeat of “that was a frivolous purchase, what if you need that $100, return them before it’s too late”
i gained some weight back again and it just makes me feel so yucky. i know it’s because i’m not drinking enough water (that water retention’ll get ya) and i know i’m close to shark week (also probably to blame for this mood swing) but i hate stalling here bc i’m so close to breaking into the 230s and this progress means a lot to me. I think 224 is around what i was holding in my last 6 months or so with cirque. if i can break 214 i will be at my lowest weight since college. if i can make it to “onederland” i will be at my lowest weight since high school and probably literally cry.
i think i need to reevaluate what i’m eating. i need to boost my sodium, i think. a lot of resources on keto say you need to eat a ton of sodium in addition to supplementing other electrolytes bc your body is flushing out ketones thru urine, which is why you have to drink so much water, which is why you need to be super careful about electrolytes so they don’t get depleted in this way
but that’s a hard hurdle for me bc my dad has hypertension. my blood pressure’s always been excellent. to the point where nurses always comment on how excellent it is (though maybe it’s just because they expect it to be high bc i’m fat, and i think i have my dad’s history of hypertension in my medical info as well). i had a high bp scare at my last appointment, but they took it again and it was more than fine so i think it was just an error on their end. still it threw me in a panic and had me a little worried about supplementing sodium as i have been.
i need to eat more protein, you’re supposed to mostly eat fat on keto but i’m not coming close to hitting my protein macro goal so i’m worried it’s affecting my energy/mental clarity and might impede muscle gain as i start doing more strength training
i guess i’ll have steak and spinach tonight.
i need to stop eating quick and easy junk like cured meat and cheese and invest the time to make some healthful meals. that’s probably part of the reason my weight loss has slowed too, though i know after the initial “whoosh” of water weight you can’t really expect more than a couple pounds a week.
still, once the other girls are back in the house it’s going to be a lot harder to stay in keto because, while right now my “easy” snack options in the kitchen are summer sausage, cheese curds, and nuts, once my house is full of college girls again my pantry will be full of pretzels and cookies and kettle corn and my home will be full of friends eating pizza and chinese food and baking brownies and drinking hard cider (okay, hard cider is actually easy for me to say no to :P ) and I’ll have to actually try to stay committed
i miss having a full house by the way. i hope everyone’s having a great summer, and i’m glad i’ve had this personal time to sort myself out, but it will be nice to have them back. even their pesky pets :P
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40countdown · 6 years
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This is it! The Final Episode! The Last Installment! The Swan Song of the Blog! I’m 40 as hell already! (01-14-18)
Original Goals 
Looking back at the goals I laid out in the first post for this blog… I didn’t do bad.
Body Goals:
My weight is where is should be.. Weigh in 158.5  
The 2 inches off the waist didn’t happen. Ha! The waist is as trashy as it was but probably no worse.. since I never measured with tape I have to judge based on which pants I can or can not button and how uncomfortable it is to put a sock on.. which still tends to fluctuate after a few good or bad weeks.. but I’d say I’m right about where I started.
(this is from today at the gym when I registered for a thing... :D) 
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The elbow miraculously healed.. the pain is gone but last week I noticed it was radiating heat like a nuclear reactor so.. I might wanna get it checked out.. or maybe I just have a hot laser in my elbow from the spider bite. #superpowers
We all know that I pissed away any chance of being “11 months smoke free” a long time ago, but I recommitted to ruining that goal this past week during vacation/birthday celebrations when I torched 2 full packs of Marlboro Reds. I really do think the 2 Tough Mudders I’ve signed up for will help keep me from reaching for the reds in my weaker moments.
Blood pressure has not been checked but I’d be surprised if it’s great after the birthday week vacation I’ve had of all night bars and all day food closing out with a delicious “brisket burnt ends” sandwich from The Joint.
Career Goals:
Documentary is not finished, but it is much closer and I’m more fired up about it than ever! This one is gonna hit like a Bruce Lee kick, y’all. I aim to complete and submit to festivals by the end of March and that is still absolutely manageable with my much lighter spring semester schedule.
Longer term job offer.. I got that since I got the full time job offer this past August which I’ve accepted. I also did get accepted to an MFA Screenwriting program, but I declined to go in favor of the job and the chance to actually finish the film.
Feature film script.. I know exactly what I want to write next but.. that goal seems insanely over ambitious looking back.. I definitely assumed everything would go much faster with the doc than it did, but.. I’ll say now that by this time next year I fully expect to have achieved that goal. Can’t wait to write again!
Heart/Mind Goals:
I aimed at 7000 minutes and 20mins/day average.. The phone won’t tell me how many minutes unless I sit and add up each day.. but it does say 21 mins/day avg for the year, which is crazy! I touched on what I feel like I get out of meditation a few times earlier so I won’t yammer on rewording the same thoughts, but it feels good to know I’ve been able to take a small step in the direction I think is good for me. I want to do much longer sits this year.
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Elliptical/Sauna.. 
I’m sure I also averaged 20/mins in the sauna for the year but the elliptical I walked away from in favor of shorter runs on the treadmill so.. I sorta traded that and my phone doesn’t track the treadmill so.. you’ll have to take my word that I feel I probably did also get that average. I was in the gym a LOT this year. Ha!
Fed My Head:
I aimed at 12 audiobooks and I did 17. I would love to do even more but editing requires the focus of all the faculties I possess.
I certainly however did not “read more than 10 books.” I read chunks of a lot of books mostly relating to preparing film syllabi and keeping my head in the film problem solving space. But I just finished of Year of Magical Thinking, given to me by my dad after my friend Palma died. It’s a tough read b/c of what the author went through, and not at all what I expected from the title, but I would recommend it for anyone who cares about people :)  
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A Very Special THANK YOU to Scott McCarthy 
Owner of Balance Strength and Fitness Center www.balancefitnesstraining.com
Scott voluntarily gave me a 4 day workout routine. He tailored it to my situation, a slowly healing elbow and someone who can’t spend 3 hours in the gym everyday.. and while my food and beer habits probably prevented me from losing the belly flab, I definitely gained noticeable muscle in my arms, chest and legs. So, I’m certainly stronger than I’ve ever been and in a pretty well rounded way. Without Scott’s workout plan I’m sure that I would’ve waffled from one thing to the next w/o seeing any results, but with it, I had just the right amount of workout 4 days a week and I was able to push myself each time I walked into the gym. And it was great to know that I had a map from someone who looks like the Incredible Hulk and has been training people for 20 years. He just moved into a new place and upgraded the gym that he owns. He also knows a ton about nutrition and will happily call bullshit on a lot of fads that come through, but he’ll tell you exactly why it’s bullshit. Much Respect! Scott! I owe you some video work, brother! Let’s coordinate and we’ll put some cool spots together for the gym. If you (dear reader) are in the Delaware area and want to get real about training stop reading this and drive directly to his gym… unless it’s really late. Then just go FIRST THING TOMORROW!
Final Thoughts..
I want to thank every single person who read this thing even once and especially those of you who shot me a little word of encouragement or a book suggestion along the way privately or publicly. I truly do believe as an experiment it was successful even if all the goals weren’t met b/c I did have the idea of being held accountable for my actions in mind probably more than you’d imagine. And while it didn’t keep every cheeseburger or cigarette out of my face, it did get me to meditate on weeks where I might not have at all. And the fact that I mediated a few times or ate healthier a few times to be able to report that I had done so doesn’t make me feel like I’m somehow a fake. I was as honest as I could be about everything I did and in the case of food, exercise and mediation in service of the audience.. I still get the benefit of each thing even if it isn’t coming from some pure unpolluted source of willpower. I think there’s a bit of horseshit in most ideas that swirl around purity anyway, so.. I’m good with using the blog in the way that I did.
I’m also glad to be done. Ha! I’m happy that I stuck with it for the full year, but.. I’m looking forward to returning to keeping my shameful failures quiet like everyone else online. When I get time I will probably go back and read through the entire year and there’s a chance I might gain some personal insights from that, so I look forward to doing that. And after a borderline belligerent 10 days in New Orleans to celebrate the fact that I’m still standing at 40, I’m also looking forward to getting back to regular exercise (which I did none of in Nola even tho I brought the running shoes :D) as well as returning to eating more like an athlete in training than an idiot with a death wish. I did yoga Thursday and got back in the gym for the first full workout of the new year today - one week after getting back from vacation.
Goals for 2019:
Heart/Mind
Some kind of dinner with people once or twice a month Keep a daily food and exercise journal Mediate 30mins/day Listen to 20 Books Read 5 Books
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Career
Get the film sold at a festival Finish a feature screenplay and get lead cast attached  
Body
Zero Cigarettes Lose most of the belly flab - I just signed up for an 8 week fitness challenge at my gym :) Maintain Gym routine (4-6 days/week weights, 2-3 mile runs 1-2 days/week) Keep doing yoga once a week Keep an eye on Blood Pressure
Food
Take probiotic stomach supplements for a year.  Beef no more than once a week (taper down to once a month by end of year) Quit fast food. AKA - quit being gross, AKA quit using my organs as an industrial sludge filter    
Eat more good for your gut stuff in general (straight copying my cousin on his cabbage soup/quinoa moves)  
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Booze
Alcohol limited to dinner with friends and 1 glass of wine with dinner (I did this wine w/ dinner thing for a stretch of time in the past. It worked and I like it). Not drinking makes it a lot easier to quit smoking as well - I once quit both for 9 months.. I did the one glass of wine/night all last week. It worked. And I’m cutting beer completely for the next 8 weeks so as to get fucking shredded to maximum and win $750 from this god damn fitness challenge.
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I think a big part of why some people find it hard to finish writing books.. or anything is b/c they don’t feel like the end is good enough.. and maybe this end is lacking. I put off writing it for a couple weeks b/c I wanted to make it special in some way.. I wanted it to feel like an amazing ending.. but done is better than perfect and I am now done. I love y’all! I really do! Thanks for all the support!
And remember.. “when things look bad and it looks like you’re not gonna make it, then you gotta get mean. I mean plumb, mad-dog mean. ‘Cause if you lose your head and you give up.. then you neither live nor win. That’s just the way it is.” - (fictional character) Josey Wales  
Get Mean in 2019 ;)
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allenmendezsr · 5 years
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IMPORTANT: Make Sure Your Speakers Are Turned On!
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Plantar Fasciitis is a clinical condition characterized by inflammation and thickening of the plantar fascia as a result of excessive stress. The plantar fascia is a layer of connective tissue that extends from the heel bone (calcaneus) all the way towards the toes. The plantar fascia is also sometimes called plantar aponeurosis.
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One of the most common causes of plantar fasciitis and what you can do to about it TODAY…
The anatomy and biomechanics of Plantar Fasciitis
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Today is my 2nd day on your program and the pain is 95% gone! I can actually walk and jog without problems, and I’m confident by the end of the week I’ll be able to get back to my soccer practice.
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Thank you so much for providing this amazing system at such a low price!
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howellrichard · 5 years
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13 of the Most Common Chemo and Radiation Side Effects (+ How to Get Relief)
Hiya Gorgeous!
In the last 6 months alone, so many people I know and love have been diagnosed with cancer. I’ve hopped on more emergency calls than I can count and this experience has reminded me of just how much we need each other—especially when we’re facing surgery and treatments (and the chemo and radiation side effects that often come with them).
Of course, your doctors will give you advice and so will the incredible nurses who care for you. But you don’t really know until you go through it. That’s why patients supporting patients—and that insight from the trenches—is so valuable.
Introducing the Cancer Therapies Toolkit
Though I’ve never had traditional treatments for my disease, my dad has had many. As a result of his experience, my own research, as well as input from some of the integrative doctors and experts I trust, my team and I created this Cancer Therapies Toolkit. If you or someone you know is going through treatments, we hope this resource makes it a little easier.
Cancer therapies like chemotherapy and radiation can be life-extending and life-saving. But they come with side effects. Some occur as soon as treatment begins, while others hit weeks later because of the cumulative effects of chemo medications or exposure to radiation. And some radiation side effects crop up and stick around for months or even years after treatment is over.
These side effects can be painful, disruptive and frustrating, especially when you’re trying to focus all of your energy on healing, but the Cancer Therapies Toolkit is here to help.
Your guide to relief from chemo and radiation side effects
When I set out to create this resource, I knew it had to be in-depth and cover as many side effects as possible. And now I’m thrilled to say that it covers 13 of the most common radiation and chemotherapy side effects:
Nausea
Vomiting
Diarrhea
Constipation
Weight loss
Appetite loss and taste changes
Dry mouth
Sore mouth and mouth sores
Anxiety
Fatigue
Cold sensitivity
Neuropathy
Skin irritation
You’ll find a variety of helpful tips (over 50!) for relief from each of these chemo and radiation side effects in the toolkit. I hope they help you and your loved ones navigate treatment with a little more ease.
I’ve also included recipes for three delicious green drinks packed with cancer-fighting nutrients, healthy calories to boost your energy and help maintain a healthy weight (especially helpful if you’re dealing with appetite loss, nausea, taste changes or other side effects that make getting enough calories a challenge), and lots of other healing goodies.
Dispelling common cancer treatment myths
I can’t wait for you to dive in, but before you do, I want to give you a couple of important reminders and dispel some pervasive myths about cancer therapies.
“Natural” doesn’t always mean “safe”
There are some well-intentioned people in the wellness industry who might send the message that you’re failing if you use traditional therapies, that you should be able to cure yourself naturally. While this may be possible for some patients, there’s no guarantee. The same holds true for traditional treatments. But the idea that you’re doing something wrong if you turn to treatment is dangerous.
While I’m a firm believer in natural medicine, the combination of conventional treatments and natural (or integrative) therapies may provide the most cancer-fighting power of all. Always check with your doc and get a second opinion if you have any doubts or uncertainties about your treatment course. Also, keep in mind that your oncologist probably doesn’t know much about integrative modalities, which is why you’ll want to work with holistic caregivers for diet, stress reduction and lifestyle support.
Eating healthy doesn’t preserve cancer cells
Next up, I know that some folks in our community are concerned that eating healthy during chemotherapy and radiation therapy will preserve cancer cells. There’s also a misconception that the antioxidants found in fruits and veggies may prevent chemo drugs from effectively killing off cancer cells. Several scientific reviews have found that antioxidant-rich diets not only enhance treatment outcomes, but actually increase survival time and tumor responses if consumed during therapies (more in this article). So, don’t be afraid to load up on those plant foods—they’ll help you now and will support better health in the long run!
But there are some foods you should avoid during cancer treatment
There are some healthy foods, herbs and supplements that are discouraged during chemotherapy and radiation because of the way they interact with or counteract medications. One is St. John’s Wort, which is typically taken for depression and anxiety. Steer clear of this one during your treatment as it may decrease the effectiveness of chemo drugs.
Grapefruit and grapefruit juice may also be problematic as they can either increase or decrease the absorption of medications taken by mouth. Check with your doc to see if you can include grapefruit in your diet. Also, supplemental vitamin E, vitamin C and omega-3 fatty acids can have a blood thinning effect, which can be problematic if your platelet level is low.
And finally, supplemental copper can result in angiogenesis (new blood vessel formation) to a cancerous lesion. Work with your integrative doc if you’re currently taking supplemental copper, especially if you’re taking an angiogenesis inhibitor as part of your chemotherapy regimen.
We’re in this together
The Cancer Therapies Toolkit is the most extensive, in-depth resource on cancer I’ve ever given away for free. Please share it with someone who might benefit from this knowledge. Together we can help people all over the world find some relief.
I hope the toolkit gives you the comfort, guidance and practical advice you need right now. And please remember that no matter what you’re facing, you are a strong, sensational, resilient, one-of-a-kind soul. Cancer can’t take that away from you.
One last tip before I turn it over to you: Bless your treatment. Fill it with your love and light. Imagine it healing your body. Picturing it restoring your health. Imbue it with your positive energy. That’s some of the best medicine around.
Your turn: What side effects have you (or your loved one) faced during cancer treatment and how have you found relief? Let’s share ideas and support each other in the comments below!
Peace & healing,
The post 13 of the Most Common Chemo and Radiation Side Effects (+ How to Get Relief) appeared first on KrisCarr.com.
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jesseneufeld · 6 years
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Dear Mark: Broth, Fasting, Coffee, and Metformin (and More)
For today’s edition of Dear Mark, I’m answering a bunch of questions from comment sections. First, did I get AMPK and mTOR mixed up in a recent post? Yes. Second, I give a warning for those who wish to add ginger to their broth. Third, is it a problem that we can’t accurately measure autophagy? Fourth, how does coffee with coconut oil affect a fast? Fifth, is there a way to make mayonnaise with extra B12 and metformin? Actually, kinda. Sixth, should you feel awkward about proposing hypotheses or presenting scientific evidence to your doctor? No.
Let’s go:
Great article, but a couple of amends are required with regards to mTOR. Firstly, you mention in the last paragraph that curcumin activates autophagy by activating mTOR. Reading the actual article abstract though, it states the opposite, ie the effect of curcumin “downregulating AKT/mTOR signaling pathway in human melanoma cells”.
Great catch. I’m not sure how I flipped that around. AMPK triggers autophagy, mTOR inhibits it.
What you say about curcumin goes for all the other broth ingredients I mentioned. Ginger, green tea, and curcumin all contain phytonutrients which trigger AMPK, which should induce autophagy, or at least get out of its way. What remains to be seen is whether the amino acids in broth are sufficient to inhibit fasting-and-phytonutrient-induced autophagy. I lean toward “yes,” but is it an on-off switch, or is autophagy a spectrum? Does inhibition imply complete nullification? I doubt it.
Regarding autophagy and health and longevity, it’s important to note the manner in which glycine, the primary amino acid found in broth and gelatin, opposes the effects of methionine, the primary amino acid found in muscle meat and a great stimulator of mTOR.
One notable study found that while restricting dietary methionine increased the lifespan of lab rodents, if you added dietary glycine, you could keep methionine in the diet and maintain the longevity benefits. That doesn’t necessarily speak to the effect of broth on autophagy during a fast, but it’s a good reminder that broth is a general good guy in the fight for healthy longevity.
Funny you mentioned ginger and turmeric as I add both, along with a whole lemon and/or lime, to my list of ingredients when cooking my broth. Here’s another great tip: I juice turmeric root, ginger & lemon together in my Omega juicer and freeze in ice cube trays. I add a cube to curries and other dishes.
That’s a great idea. One cautionary note about the raw ginger: it will destroy your gelatin.
Raw ginger has a powerful protease, an enzyme that breaks down protein. If you grate a bunch of ginger into a batch of finished broth, or juice a few inches and dump it in, there’s a good chance you’ll lose the gel. The amino acids will remain, but you’ll miss out on the texture, the mouthfeel, the culinary benefits of a good strong gelatinous bone broth.
Heating the ginger with the broth as it cooks, or even just reducing the amount of raw ginger you add, should reduce the protease activity.
“Bone broth with turmeric, green tea, and ginger might actually combine to form a decent autophagy-preserving drink during a fast. Only one way to find out!” You say this as if there is a way for us to try this and see. Since we cannot measure autophagy, this statement makes no sense.
Touché.
Although it will all shake out in the end, or towards it. If things seem to be “going good” for you as you get older, if your doctor is always pleasantly surprised at your test results, if you maintain your vim and vigor as your peers degenerate, maybe it worked. Maybe it’ll add a few months or years to your life, and you’ll never quite know because you don’t have an alternate life in which you didn’t add the turmeric, green tea, and ginger to your broth for comparison.
At any rate, the mix tastes really, really good. That’s reason enough to drink the stuff.
What about drinking a cup of black coffee with one tablespoon of coconut oil blended in? What effect does that have on fasting?
You’ll burn less body fat (because you’re eating 14 grams of it).
Autophagy will be maintained (because fat has little to no effect on autophagy).
You may have better adherence. The fast might “feel” easier, although you might not be “fasting as hard.”
I often have cream in my coffee during a “fast,” and I see no ill effects. Although as I alluded to in the previous answer, these things are hard to definitively measure. Much of it is a mix of speculation, hope, intuition, and faith that our health practices are helping us and improving our outcomes.
Read my post on coffee during a fast for more information.
Can you make a Mayo with metformin and increased B12? Thanks
You know what? Let’s try to make this happen.
Start with your favorite mayo recipe. Then, swap out the chicken egg yolks for two duck egg yolks. Each duck egg contains almost 4 micrograms of B12—more than the daily requirement. For comparison’s sake, the average chicken egg has about 0.5 micrograms.
At the end, add in a few drops of barberry extract—barberry is a good natural source of berberine, an alkaloid whose effects are similar to metformin’s. I don’t know if the extract will affect the emulsion of the mayo, but it shouldn’t be too much of a hindrance. Barberry is said to be bitter, so perhaps add a few pinches of a natural sweetener like stevia or monk fruit to counteract it.
I recently read a PubMed article that possibly ties Metformin use in diabetic patients with MTHFR mutation (in particular C677T) causing Vitamin B12 deficiency leading to Hyperhomocysteinemia which then may increase risk of vascular thrombosis. I have also read many articles/opinions that convey there is nothing to worry about with MTHFR mutations. My Mom is a Metformin treated (several years) diabetic who has the C677T mutation and has had one blood clot in her leg and, now while on blood thinners, has been experiencing severe swelling in lower extremities. I’m trying to figure out if we should be looking into this combination of Metformin and MTHFR mutation as the cause behind this or if the docs will think I’m just another wack-a-doo who diagnoses things via the internet, especially since I’ve already self-diagnosed Hereditary Hemochromatosis in myself earlier this year! Genes are fascinating! 
Wack a doos make the world go round. Some of the greatest thinkers, creators, and doers throughout human history were considered by many to be insane.
And hey, this is your mother. There’s no shame in helping your kin.
A wack a doo would ask her doc about the potential for crystals to heal her tumor. A wack a doo would bring a printout of a random Reddit post to the appointment and use it as proof of her hypothesis. A wack a doo would ask the staff dietitian for a Breatharianism protocol. Bringing a legitimate medical article discussing a specific mutation that has been shown to induce B12 deficiencies in people taking the very same medication your mother is taking along with genetic results showing she has the mutation is far from crazy. Do it.
Besides, you’re totally right. A vitamin B12 deficiency (and the resultant elevated homocysteine levels) is a known risk factor for blood clots.
That’s it for today, folks. Take care and be sure to leave your comments and questions down below. Thanks for reading!
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References:
Joel Brind, Virginia Malloy, Ines Augie, Nicholas Caliendo, Joseph H Vogelman, Jay A. Zimmerman, and Norman Orentreich Dietary glycine supplementation mimics lifespan extension by dietary methionine restriction in Fisher 344 ratsThe FASEB Journal 2011 25:1_supplement, 528.2-528.2 
The post Dear Mark: Broth, Fasting, Coffee, and Metformin (and More) appeared first on Mark's Daily Apple.
Dear Mark: Broth, Fasting, Coffee, and Metformin (and More) published first on https://drugaddictionsrehab.tumblr.com/
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