#wanted to clarify

[curiositypolling]

pls reblog for sample size etc

I make occasional useless polls :)

[attack-on-titan-confessionss]

Tr: "Every single time someone talks about yumihisu, even well-meaningly, like it's implied and not explicitly romantic in the text it makes me feel like the goverment is subjecting me to a psyops, there is no subtext! It's just text! It's in your face! You want queercoded? You want queer subtext?? You want interpretations the author probably only intended to half-assedly??? KENNY ACKERMAN IS RIGHT THERE!"

*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*----

[sadgirlautumn]

“kids spend too much time on their devices” well what else are they supposed to do? there’s no corner shops with pinball machines in them on every corner anymore. there’s no malls or stores in small towns for teens to hang out in without being suspected of shoplifting or kicked out for loitering. sidewalks are too broken for them to ride their bikes and there’s no bike lane in the street to make it safe for them. i just don’t understand where they expect these kids to go when they keep taking places away from them. and yes having no safe public places for them is what leads a lot of teens into addiction if they end up at a place where people aren’t truly looking out for them.

[wisherbysharlight]

Just wanted to jump in here with a clarification on my first point since I've seen a few questions about it!

"Pain is not normal" means that if your symptoms are not manageable by basic otc means such as Tylenol/Midol or heat packs etc, and it continues to affect your life in any way, then you should absolutely discuss options for help with your doctor. This goes triple for if you black out, throw up, or generally lose any ability to participate in daily life.

To put it in perspective, when I went to my doctor originally I was passing out from my period pain. Continuous hormonal bc took that pain down to what I called a "4"- I'd take a sick day usually, but if I curled up with a heat pad and Tylenol and tried to sleep it off it was manageable. I attempted to phrase this as a total win- I didn't feel like I was dying, so I figured we were done.

He told me in no uncertain terms that any pain "less manageable than a bruise from knocking your knee on a table" is not acceptable, and that I had more options to explore. I now have nothing I regularly experience worse than a 1- mild irritation, can still function and do everything I want to do.

When I say "no pain is normal"- I mean that. Whether that means not feeling guilty about taking otc meds and getting a little extra sleep, or seeking further professional help, you deserve to be pain-free.

It took me nearly 15 years to get my endometriosis diagnosis and comprehensive treatment, but I recognize I’m super privileged in being able to access care where I live from one of the top doctors in endometriosis research(specifically endometriosis in adolescents, but his research spans all age groups). I want to share some of the things I learned, along with study sources he linked me to, so others can advocate to their providers for the care they need. So without further ado:

✨ What I Wish I Knew About Endometriosis 15 Years Ago ✨

No amount of pain is “normal”

Don’t get gaslit into thinking “everyone” who has periods goes through pain. Seek treatment - you deserve better.

Diagnosis/treatment is kinda a pain, even with a doc who takes you seriously

The general course of action for diagnosis/treatment will be attempt treatment through OTC painkillers (Tylenol, Midol, etc), attempt at least 1-2 forms of hormonal birth control(typically oral contraceptive/birth control pill or the ring/patch/shot), then decide with your doctor whether to pursue either further hormone treatments, such as GnRH(which suppress estrogen/can help stop progression of endo) or an IUD, and/or surgical intervention where they go in and find/remove the existing lesions.

Surgery for me took a couple hours, and I had an IUD placed during the operation(at recommendation of my doc). Full recovery was around 2 weeks. Its worth noting right now you can technically only be diagnosed through surgery.

You may have to mix-and-match to find the right solution.

Only 33% of people with endometriosis in a recent controlled study saw significant improvement by IUD alone, as compared to IUD with supplementary hormonal treatment(like oral birth control or hormone inhibitors). Source: https://www.sciencedirect.com/science/article/abs/pii/S1083318812002379

Some options may actually make it worse. Keep an eye on your symptoms.

Studies show that estrogen based treatments can potentially exacerbate endometriosis and promote endometrial growth, so treatments without estrogen or with specific types of estrogen are more recommended. Source: https://pmc.ncbi.nlm.nih.gov/articles/PMC5683134/

Its Got Hella Comorbidities

Fibromyalgia, scoliosis, arthritis, thyroid disease, migraines, chronic fatigue, and bowel disease(IBS, crohn’s, celiac, etc), and more are all potential associations/comorbitities. It’s also worth noting that having any of these in your family history may also put you at higher risk for endo. As my doc said - you’re not guaranteed to get all, or even any, of these, but they’re things to keep an eye out for. Sources:

IBS: https://pmc.ncbi.nlm.nih.gov/articles/PMC9357916/

IBD/Crohns: https://pubmed.ncbi.nlm.nih.gov/32629225/

Celiac: https://pubmed.ncbi.nlm.nih.gov/24992792/

Thyroid: https://pmc.ncbi.nlm.nih.gov/articles/PMC10234359/

Migraine: https://pubmed.ncbi.nlm.nih.gov/38436302/

Painful Bladder Syndrome: https://pmc.ncbi.nlm.nih.gov/articles/PMC3015716/

EDS: https://www.sciencedirect.com/science/article/abs/pii/S0002937824001637

Arthritis: https://pubmed.ncbi.nlm.nih.gov/35258592/

Scoliosis: https://pubmed.ncbi.nlm.nih.gov/9238674/

TMJ: https://pmc.ncbi.nlm.nih.gov/articles/PMC10144081/

Kidney Stones: https://pmc.ncbi.nlm.nih.gov/articles/PMC9108729/

POTS: https://pmc.ncbi.nlm.nih.gov/articles/PMC3413773/

Fibromyalgia: https://pubmed.ncbi.nlm.nih.gov/30682223/

Chronic Fatigue: https://pmc.ncbi.nlm.nih.gov/articles/PMC6537603/

Sjogren’s Syndrome: https://pubmed.ncbi.nlm.nih.gov/39083399/

Bonus Advice

No published studies exist showing any increase/decrease of symptoms between usage of different menstrual products. Do whatever makes you most comfortable!

For OTC pain management, Tylenol or Aleve may be your best bets over Advil, based on their anti-inflammatory nature.

He also recommended probiotics pretty heavily, since digestive issues(ie bad period poops) are super common. Any with >10Bn active cultures are good!

(Disclaimer: I am not a doctor, just someone that learned a lot and wants to share)

[the-moon-loves-the-sea]

Shared here today by Matthew Boroson on Facebook. (ETA: Gaining inspiration from other authors is great. Lifting passages and avoiding giving credit isn’t.)

Tanith Lee was the first woman to win the British Fantasy Award for best novel, for the second book of the Flat Earth series. She died in 2015. You can buy Tales From the Flat Earth here and here .

[wardensantoineandevka]

is that piece of media actually bad, or is it just not following the blueprint you projected onto it? is that work actually not good, or are you just demanding something from it that is absolutely antithetical to its themes, genre, tone, and narrative goal? is that story actually poorly written, or do you just dislike that it is not the specific things you wanted from it that it never set out to be, never was, and never is going to become? is it actually bad, or is it actually well-executed and you just dislike the story it chose to be because it isn't catering to your specific desires and expectations?

[spacerockband]

Quetzalcoatlus! poised to spear her prey!

[thornrings]

drawing one deltarune for every day between the release date trailer and release part 1 of 64: i always liked to think way too hard about that bit where mr fox winks at us about the length between chapter releases via ralsei dialogue

[deadmaidclub]

i love these normal teens

[chaotic-neutral-knitter]

I must not respond to the bad take. Responding to the bad take is the mind-killer. Responding to the bad take is the little-death that brings total obliteration. I will face the bad take. I will permit it to pass over me and through me. And when it has gone past, I will turn the inner eye to see its path. Where the bad take has gone there will be nothing. Only I (and my good takes) will remain.

[katsinspats]

Tragic: Guy you based your entire villain backstory on doesn't even remember you

[paintedcrows]

Preparing for your first holiday season with your griblings is hard. Especially when your grand niece insists on celebrating Every. Single. Holiday.

[aparticularbandit]

immortal witch riding hood for WIP Wednesday please

WIP Wednesday Game

Can do! And thanks so much for asking!

Then a bumbling woman with bright gold hair (like the yellow flowers, but thicker, if yellow could be said to be thick) and a protruding stomach that she covers with her hands in a protective gesture waddles out of the house.  “Arthur!” she exclaims.  “Where have you—”  But her voice cuts off as she catches sight of you, and her eyes narrow.  “Who is this?”

[soggywert]

based on @/5ubmerged’s post on twitter :)

[zeropro]

Sooo... who's worried about Sunny exploding because that's dangerous for others, who because this will be an inconvenient mess and who because they actullally care about him and don't want him dead?

Wonder if Star still has the "literally so what?" attitude about that ;-;

About Star's attitude on Sunstorm...

tfw you receive validation from your creepy clone?

[the follow up…]

[owlbelly]

so. i understand where the sentiment "listening to an audiobook is the same thing as reading the book" is coming from - i mean, yes, the bottom line is you are taking in the same words in what is possibly a more accessible (or maybe just more enjoyable) format for you! and i'm 100% in agreement that "book snobs" who say "no you didn't really read it" if you listened to the audiobook are full of shit. ofc you should engage with stories in whatever way works for you, there is no moral or intellectual superiority to reading words off a page vs. listening to them

but it also is different? an audiobook is a performance. choices a narrator makes about line readings can drastically influence the meaning of the lines. even just different voices, accents, etc. - there are creative choices being made by the person delivering the words to you, and that affects your experience of the story in a different way than if you were making those choices in your own head. it might even change the way you visualize what's going on!

this isn't a bad thing it's just An Actual Thing & i think it's worth talking about. it rubs me the wrong way when people act like accommodations (and for many people audiobooks are an accommodation) always result in a completely identical experience, or even that they should, & if you suggest that people accessing media in different ways are having different experiences it's somehow ableist

anyway on rare occasions i really enjoy audiobooks but mostly they are much less accessible to me than words on a page (i need to be able to reread, flip back and forth, go at my own pace) & i also just really strongly prefer to encounter a text on my own before hearing someone else's performance of it, if possible! again i don't think it's "better" to read a physical book i just think it is a Distinct form of experiencing a story & acting like the two things are entirely the same is sort of doing a disservice to both