therealmnemo - Tumblr blog

[therealmnemo]

[therealmnemo]

[therealmnemo]

[therealmnemo]

everyday I pray Zillow makes a comment section

[therealmnemo]

[therealmnemo]

[therealmnemo]

WALTON GOGGINS as Cooper Howard/The Ghoul in Fallout (2024) Season 1

[therealmnemo]

something something red thread of fate

[therealmnemo]

it's all of them, your honor

[therealmnemo]

my love for y'all (and him) is infinitive

[therealmnemo]

"Homeless radioactive cowboy with no nose" : The Ghoul 🤠 - F A L L O U T ( 2024 )

[therealmnemo]

From the book Organizing Solutions for People with ADHD:

Putting a coat on the back of a chair by the door is fine, but if you prefer, use coat hooks and a large catch-all basket for dropping keys, hats, gloves.

Small bookcase end-table next to the couch to store craft projects, books, and other things being worked on for easy access.

Add a storage unit near the dining room table to transition between eating and working there.

Daily toiletry items should be stored in a basket that you can move easily

Extra toiletries and medicine cabinet items go in open shelf/basket storage so they can be seen and used easily. If items no longer fit, purge the excess. Don’t obscure the view!

If you disrobe in the bathroom, place a tall hamper in there.

Keep a set of cleaning supplies in each bathroom

[therealmnemo]

god i remembered that fucking “little white cuck ball” picture and im cackling

[therealmnemo]

God help me I've been reading Ghoul/Reader fics

[therealmnemo]

Okay. So. You know how some people want to finish exterminating all large predatory mammals so they have less competition for deer and so they don't occasionally lose livestock? And you know how native deer species in North America have been hit increasingly hard with Chronic Wasting Disease (CWD) in the past couple of decades due to overpopulation thanks to the eradication of large predatory mammals that normally keep them in check?

We already have evidence that reintroducing predatory mammals to their native ranges not only knocks deer populations back to a healthier level, and now we've discovered that apparently the digestive systems of cougars and bobcats are lethal to CWD prions. Prions are among the most difficult pathogens* to eliminate; you have to heat them up to about 1,800 degrees F in order to thoroughly destroy them. And prion diseases like CWD are almost universally fatal.

So to find that these wild cats can safely eat CWD-infected animals AND significantly reduce the chances that the prions will be spread to other deer is a pretty big deal, especially since some other animals like coyotes and crows do pass prions undamaged through their digestive systems. And it's just one more example of why an ecosystem needs all of the species that have evolved in it over thousands of years, not just those are convenient for humans to have around. The spread of CWD is directly related to the overpopulation of deer, and it's likely that continuing to reintroduce large predatory mammals to their native range will help quell this awful prion disease.

[therealmnemo]

[therealmnemo]

For the most part, my approach to prescribing hormones is “sure,” but I will note that the one thing I lean HARD on patients about is smoking. If you’re transgender, and you’re on hormones, the number one thing we want to protect is your cardiovascular health. That’s frankly the number one thing I want to protect in all my patients, but anyone taking exogenous hormones is at higher baseline risk. And the best thing you can do for your heart is DON’T SMOKE. It’s a bitch to quit, and I didn’t even smoke much or long before I quit in my late teens, and I STILL didn’t enjoy quitting and had smoking dreams for years. It’s harder to quit than just about anything else up to and including crack and heroin, and that’s coming from a patient of mine who recently passed in her early 60s who’d done all of those things—for years and years—but eventually was able to quit everything except smoking. And that killed her. She developed severe COPD and eventually called to say her blood oxygen saturation was dipping into the 70s, which is incompatible with life. She was lucid enough to decline medical care, including refusing to call 911 or go to the ER. A week later, after both I and one of our outreach nurses had contacted her to ask her to please go to the ER, I got a notification that she’d been found dead. She had been so frustrated that she wasn’t a candidate for a lung transplant.

One of my oldest trans patients is in her late 50s. She’s had blood clots that went to the lungs. Repeatedly. Smoking raises that risk. Estrogen raises that risk. She’s a veteran with PTSD; of course she smoked.

These aren’t theoretical. These are humans I’ve cared for over years of their lives. I have been rooting for them—my beloved former addict, who spoke without shame about her years of homelessness and drug use in the city; my queer elders, who are slowly trading in their motorcycles for power scooters. I want everyone to live their fullest, best life.

Smoking doesn’t fit into that. Please don’t smoke. I don’t want you to die like that—not now and not later. I want you to have the future that you may not be able to see yet, but exists.

Since I moved home as an out queer, word got out, and there’s a whole apartment complex of lesbians in their 60s to their 80s who come see me—sitting next to their wives in the office, nagging about blood pressure meds, tattling about not having gotten the shingles shot they said they would. To be clear, when I was growing up in town, I knew no lesbians. Not one. I knew one gay kid in my class, which eventually turned into two. We were it. To see these women living decades with their wives and being able to squabble like any couple in my office over who was supposed to bring their home blood pressure cuff in for us to check it… it means the world to me.